Step by Step






Credit Hours: CME 0.50

Target Audience:

This activity is directed to physicians who take care of hospitalized children, medical students, nurse practitioners, and physician assistants working in the emergency room, intensive care unit, or hospital wards.

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • Review the epidemiology and virology of Enterovirus D68.
  • Review the presentation, diagnosis and potential treatment of Acute Flaccid Myelitis.
  • Review the link between Enterovirus D68 and Acute Flaccid Myelitis.
There is no educational content to this course. This course is designed to only administer the post-test and collect CME evaluations for the podcast associated with this training.
A Note From Dr. Tarchichi:
This series of podcasts were created to keep the busy physician of today informed and up to date on some of the most important diagnoses and issues we face every day in the care of hospitalized children. Please log in, complete a brief quiz, a course evaluation and get your CME credit. Thank you for listening and enjoy.

Suggested Additional Reading & Joint Accreditation Statement - Note: This Accreditation Statement Supersedes All Other Statements:

  1. MMWR- Severe Respiratory Illness Associated with Enterovirus D68 — Missouri and Illinois, 2014
  2. Clusters of Acute Respiratory Illness Associated with Human Enterovirus 68 — Asia, Europe, and United States, 2008-2010, MMWR, September 30, 2011
  3. Kujawski SA, Midgley CM, Rha B, et al. Enterovirus D68–Associated Acute Respiratory Illness — New Vaccine Surveillance Network, United States, July–October, 2017 and 2018. MMWR Morb Mortal Wkly Rep 2019;68:277–280.
  4. Croker C, Civen R, Keough K, Ngo V, Marutani A, Schwartz B. Notes from the Field: Aseptic Meningitis Outbreak Associated with Echovirus 30 Among High School Football Players — Los Angeles County, California, 2014. MMWR. 2015 Jan;63(51):1228.
  5. Midgley CM, Watson JT, Nix WA, Curns AT, Rogers SL, et al. Severe respiratory illness associated with a nationwide outbreak of enterovirus D68 in the USA (2014): a descriptive epidemiological investigation. Lancet Respir Med. 2015 Nov;3(11):879-87.
  6. Midgley CM, Jackson MA, Selvarangan R, Turabelidze G, Obringer E, Johnson D, et al. Severe respiratory illness associated with enterovirus D68 — Missouri and Illinois, 2014 . MMWR. 2014;63(Early Release);1-2.
  7. CDC. Notes from the field: Severe hand, foot, and mouth disease associated with coxsackievirus a6—Alabama, Connecticut, California, and Nevada, November 2011-February 2012. MMWR. 2012;61:213-4.
  8. CDC. Clusters of acute respiratory illness associated with human enterovirus 68–Asia, Europe, and United States, 2008-2010. MMWR 2011;60(38);1301-1304.

Joint Accreditation Statement: 
In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME) and the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of .5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

Megan Culler Freeman, MD, PhD — Clinical Instructor, Dept of Pediatrics, Univ of Pittsburgh, Division of Pediatric Infectious Diseases
No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.
Tony R. Tarchichi MD — Assistant Professor, Department of Pediatrics, Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center (UPMC.) Paul C. Gaffney Diagnostic Referral Group
Dr. Tarchichi is on Advisory Board at Sandofi for Meningococcal Vaccination in Immunocompromised Pediatric Patients.
No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

This activity is approved for AMA PRA Category 1 Credit™

The University of Pittsburgh is an affirmative action, equal opportunity institution.