Primary Care Lunch and Learn: Recurrent Acute vs. Chronic Otitis Media

Objectives (Educational Content) :

1. Explain exactly what tympanostomy tube achieves, misconceptions about pathology, clinical presentations, diagnosis, and treatment of acute otitis media vs. COME. 2. Distinguish between RAOM common in early infancy/toddlers, subsequent OME after acute viral URI, vs. chronic otitis media with effusion. What is in the fluid? why won't antibiotics work? 3. Develop clarity for timing of referrals to ENT and candidacy for BMT.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

Ear pain is one of the most common complaints evaluated in the pediatric primary care office. Acute otitis media is often over diagnosed and over treated as provider for various reasons, including limited examination, inadequate training, and fear of patient complication without appropriate treatment. Further education is needed to improve provider knowledge on diagnosis and management of otitis media.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:

03-27-2026

Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.

Disclosure:

The following presenter has indicated that no financial relationship with an ineligible company: Julie Wei, MD. The following planning committee member has indicated that a financial relationship with an ineligible company: All relationships have been mitigated. The remaining planning committee/CME committee members have indicated that they have no financial relationships with any ineligible companies.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.

Bibliography:

1. J Allergy Clin Immunol. 2002 Mary 25;106(3):467-471.doi: 10.1067/mai.2000.108912

2. American Academy of Pediatrics (AAP) Clinical Practice Guideline: The Diagnosis and Management of Acute Otitis Media. Pediatrics. 2013;131(3):e964-e999. Doi: 10.1542/peds.2012-3488.

3. The Pediatric Infectious Disease Journal 19(11):p 1040-1045, November 2000.