Clinical Practice & Techniques
Collapse 22q: An Overview

This course will provide the participant with all relevant background regarding the etiology, frequency, recurrence risk, and resultant features associated with the chromosome 22q11.2 deletion syndrome, as well as, recommended standard of care in screening and follow-up for children and adults based on international healthcare guidelines.

 

Continuing Education

Attendees must register, attend and evaluate each webinar to receive continuing education credit. This on-demand course will be eligible through September 26, 2020.

  • ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should only claim credits commensurate with the extent of their participation in the activity.
  • ASHA: This program is offered for 0.10 ASHA CEUs (Introductory Level, Professional Area).
  • NCNA/ANCC: This continuing nursing education activity was approved by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. 
Original Seminar Date: September 27, 2018
On-Demand Release Date: Available Now

Approved Credit:
  • ACCME: 1 hour AMA PRA Category 1 Credit(s)™
  • ACCME (non-MD): 1 hour AMA PRA Category 1 Credit(s)™
  • NCNA Nursing CEUs: 1 hour Nursing Contact Hours
  • ASHA: 0.10 hours CEUs

  • MORE INFOMORE INFO 22q: An Overview
    Collapse Cleft Lip Repair: Measure Twice Cut Once

    "The first time is the best time."

    Favorable initial cleft lip and nose repair is critical in providing patients with optimal long-term form and function. Current "cut as you go" techniques of cleft lip repair rely heavily on the abilities and experience of surgeons, and the myriad of variations reflects the free-form nature of those repairs. The lack of more defined methods can make cleft lip repair intimidating for new surgeons and can result in variability of outcomes for more experienced surgeons. The "Anatomic Subunit Approximation Approach" to cleft lip repair relies upon anatomic landmarks and anatomic subunits in the design of a cleft lip repair. It involves careful measurement and includes ways to check and recheck the design to help surgeons achieve favorable form. Studies have demonstrated optimal results without the learning curve that other techniques require. Because the approach is based on landmarks, it inherently adapts to all presentations. Although the technique has been widely adopted, the many landmarks and measurements make it seem complex. The purpose of this session is to describe the Anatomic Subunit Approximation approach to cleft lip repair and demonstrate how it adapts to various presentations to produce favorable results.

    We will use step-by-step explanations to illustrate and clarify the approach. We will use case examples that span the spectrum of presentations from complete to microform clefts. We will describe ways to verify and adapt the repair for final tailoring so that there is some flexibility in final repair. We will use a combination of photos, videos, illustrations, and discussions to ensure that attendees benefit from the session. Even if more experienced surgeons do not adopt the technique, an understanding of the approach can help with the non-overt landmarking that occurs with cut-as-you-go repairs. Careful planning makes for accurate and efficient repair and that ultimately benefits our patients!

    Continuing Education 

    Attendees must register, attend and evaluate each webinar to receive continuing education credit. This on-demand course will be eligible through October 2, 2020. 

    • ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should only claim credits commensurate with the extent of their participation in the activity. 

    Original Seminar Date: October 02, 2018
    On-Demand Release Date: Available Now

    Approved Credit:
  • ACCME: 1 hour AMA PRA Category 1 Credit(s)™
  • ACCME (non-MD): 1 hour AMA PRA Category 1 Credit(s)™

  • MORE INFOMORE INFO Cleft Lip Repair: Measure Twice Cut Once
    Collapse Cleft Palate Speech Therapy: From Elicitation to Spontaneous Speech

    Children with cleft palate (CP) and/or velopharyngeal dysfunction (VPD) often present with complex speech sound disorders. While surgery can facilitate a functional mechanism for the child to use, only speech therapy can correct the complex learned speech sound errors. The therapeutic process may be slow and labor intensive, requiring multiple years until normalization is achieved. There is no "therapy cookbook" that covers the diverse needs of the children with cleft or VPD, and what works for one child may not work for the next. Once a speech sound target has been elicited, the greatest challenge is habituating the sound in appropriate linguistic and phonemic contexts in the child's spontaneous speech. Failure of habituation results in impaired intelligibility and social stigma for the child. 

    This course is designed for working clinicians in search of techniques for teaching and habituating consonants, or for those who teach or supervise clinicians in training, and is intended to be a forum for the exchange of ideas for speech therapy. It is presented by a panel of five speech pathologists who evaluate and treat children with cleft and VPD. An overview of motor learning theory will begin the study session, followed by individual and varied case studies in elicitation and habituation of particular phoneme targets. 

     

    Continuing Education

    Attendees must register, attend and evaluate each webinar to receive continuing education credit.  Presenter disclosures can be found in the "Topics" tab in the speaker bio. This course will be available on-demand through July 11, 2020.

    • ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should only claim credits commensurate with the extent of their participation in the activity.
    • ASHA: This program is offered for 0.10 ASHA CEUs (Intermediate Level, Professional Area).
    Original Seminar Date: July 12, 2018
    On-Demand Release Date: Available Now

    Approved Credit:
  • ACCME: 1 hour AMA PRA Category 1 Credit(s)™
  • ACCME (non-MD): 1 hour AMA PRA Category 1 Credit(s)™
  • ASHA: 1 hour CEUs

  • MORE INFOMORE INFO Cleft Palate Speech Therapy: From Elicitation to Spontaneous Speech
    Collapse Contemporary Management of the Alveolar Cleft in Patients with Cleft Lip and Palate

    Patients with cleft lip and palate require a multidisciplinary approach to care and management of the alveolar cleft in these patients is no exception. While some centers perform gingivoperiosteoplasty, or even bone grafting, at the time of lip or palate repair, the majority perform alveolar bone grafting in the mixed dentition phase before the eruption of the permanent canine. Yet, not all alveolar clefts are the same and some require novel strategies to achieve successful outcomes. The purpose of this presentation is to discuss the multidisciplinary management of the patient with alveolar cleft, including timing, preoperative orthodontic preparation, and surgical technique, with emphasis placed on clinical cases.

    Continuing Education

    Attendees must register, attend and evaluate each webinar to receive continuing education credit. This on-demand course will be eligible through November 2, 2020.

    • ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should only claim credits commensurate with the extent of their participation in the activity.
    • NCNA/ANCC: This activity has been submitted to the North Carolina Nurses Association for approval to award contact hours. North Carolina Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

     

    Original Seminar Date: November 02, 2018
    On-Demand Release Date: November 03, 2018

    Approved Credit:
  • ACCME: 1 hour AMA PRA Category 1 Credit(s)™
  • ACCME (non-MD): 1 hour AMA PRA Category 1 Credit(s)™
  • NCNA Nursing CEUs: 1 hour Nursing Contact Hours

  • MORE INFOMORE INFO Contemporary Management of the Alveolar Cleft in Patients with Cleft Lip and Palate
    Collapse Developing a Multidisciplinary Feeding Team for Your Cleft Lip and Palate Program

    Infants with cleft lip and/or palate (CLP) are at increased risk for feeding difficulties, poor weight gain, and failure to thrive. Medical, environmental, and psychosocial barriers can impede oral feeding success and healthy growth. Standard recommendations to change the infant's feeding system or increase caloric concentration may not be sufficient to overcome these challenging obstacles. Additional collaborative interventions are often needed to assure successful feeding and growth outcomes.

    The purpose of this session is to describe a model of a multidisciplinary cleft feeding team developed at a large pediatric academic medical center that manages over 75 new infants with CLP per year. This innovative session extends the traditional discussion of cleft-related feeding disorders by focusing on how cleft teams can identify and troubleshoot challenges to providing comprehensive feeding care for infants with CLP. 

    This panel presentation will include providers from a cleft feeding team including a nurse practitioner, speech-language pathologist, and social worker. Each will discuss their specialized roles as well as offer strategies for improving the delegation of roles/responsibilities, feeding clinic flow, and team communication procedures for the cleft feeding team. Case studies will be included to illustrate the interdisciplinary collaborative roles of nursing, speech-language pathology, social work, nutrition, and lactation in implementing successful family-centered interventions. The panel will present examples of interventions utilized to advance family understanding and motivation to participate in the child's feeding treatment plan, ways to improve care plan adherence, approaches to partnering with community-based programs for home health services, and how to collaborate more effectively with local primary care providers. Strategies used to educate outside medical professionals on cleft feeding techniques, advocate with providers and local agencies, and create effective after-visit summaries and instructional materials tailored to the caregivers' literacy level and learning style will also be discussed.

     

    Continuing Education

    Attendees must register, attend and evaluate each webinar to receive continuing education credit.  Presenter disclosures can be found in the "Topics" tab in the speaker bio. This course will be available on-demand through June 5, 2020.

    • ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Creditsâ„¢.  Physicians should only claim credits commensurate with the extent of their participation in the activity.
    • ASHA: This program is offered for 0.10 ASHA CEUs (Intermediate Level, Professional Area).
    • NCNA/ANCC: This continuing nursing education activity was approved by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.
    Original Seminar Date: June 06, 2018
    On-Demand Release Date: Available Now

    Approved Credit:
  • ACCME: 1 hour AMA PRA Category 1 Credit(s)™
  • ACCME (non-MD): 1 hour AMA PRA Category 1 Credit(s)™
  • NCNA Nursing CEUs: 1 hour Nursing Contact Hours
  • ASHA: 1 hour CEUs

  • MORE INFOMORE INFO Developing a Multidisciplinary Feeding Team for Your Cleft Lip and Palate Program
    Collapse Ethical Issues in Cleft Care

    This course provides a case based discussion of ethical principles applied to cleft patients. Caring for patients with cleft and craniofacial anomalies can bring up many ethical issues. Addressing these ethical issues is critical to the success of a patient-centered multidisciplinary approach and successful patient care.

    Continuing Education 

    Attendees must register, attend and evaluate each webinar to receive continuing education credit. This on-demand course will be eligible through October 29, 2020. 

    • ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should only claim credits commensurate with the extent of their participation in the activity. 

    • ASHA: This program is offered for 0.10 ASHA CEUs (Introductory Level, Professional Area). 

    • NCNA/ANCC: This activity has been submitted to the North Carolina Nurses Association for approval to award contact hours. North Carolina Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. To receive contact hours nurses must attend 80% of this CNE activity.

    Neither the speakers nor members of the planning committee have any conflicts of interest related to the content of this activity.  Individual disclosures may be found in the “Topics” tab under their name.

    Original Seminar Date: October 29, 2018
    On-Demand Release Date: October 30, 2018

    Approved Credit:
  • ACCME: 1 hour AMA PRA Category 1 Credit(s)™
  • ACCME (non-MD): 1 hour AMA PRA Category 1 Credit(s)™
  • NCNA Nursing CEUs: 1 hour Nursing Contact Hours
  • ASHA: 0.10 hours CEUs

  • MORE INFOMORE INFO Ethical Issues in Cleft Care
    Collapse Implementing a Standardized Speech Outcome Assessment Protocol

    This session will provide an overview of the implementation of a systematic protocol that teams can adapt to measure speech outcomes in children with cleft palate. Initial focus will address techniques for optimal data collection and storage, including a suggested speech protocol and tips for obtaining quality speech recordings. Opportunities to use this data will be discussed. Time will be spent exploring the differences between quality improvement projects and research, with highlighted examples of how speech data can be used for both. HIPAA considerations and IRB requirements will be addressed. Presenters will share their experiences of collecting and using speech outcome data within busy clinical settings.

    Continuing Education

    Attendees must register, attend and evaluate each webinar to receive continuing education credit. This on-demand course will be eligible through October 9, 2020.

    • ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should only claim credits commensurate with the extent of their participation in the activity.
    • ASHA: This program is offered for 0.10 ASHA CEUs (Introductory Level, Professional Area).
    Original Seminar Date: October 10, 2018
    On-Demand Release Date: Available Now

    Approved Credit:
  • ACCME: 1 hour AMA PRA Category 1 Credit(s)™
  • ACCME (non-MD): 1 hour AMA PRA Category 1 Credit(s)™
  • ASHA: 0.10 hours CEUs

  • MORE INFOMORE INFO Implementing a Standardized Speech Outcome Assessment Protocol
    Collapse Orthopedic and Orthodontic Treatment for Patients with Clefts of the Lip and Palate: From Birth to Mixed Dentition: Advanced Course

    This course will describe the unilateral and bilateral cleft nasomaxillary deformity, and use of the pre-surgical neonatal orthopedic treatment known as NasoAlveolar Molding (NAM), to reduce its severity and facilitate primary lip, nose and alveolar surgery. We will  discuss orthopedic and limited orthodontic treatment during mixed dentition in preparation for a secondary alveolar bone graft surgical procedure and to enhance maxillary growth.

     

    Continuing Education 

    Attendees must register, attend and evaluate each webinar to receive continuing education credit.This on-demand course will be eligible through October 16, 2020. 

    • ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should only claim credits commensurate with the extent of their participation in the activity. 

    Original Seminar Date: November 16, 2018
    On-Demand Release Date: Available Now

    Approved Credit:
  • ACCME: 1 hour AMA PRA Category 1 Credit(s)™
  • ACCME (non-MD): 1 hour AMA PRA Category 1 Credit(s)™

  • MORE INFOMORE INFO Orthopedic and Orthodontic Treatment for Patients with Clefts of the Lip and Palate: From Birth to Mixed Dentition: Advanced Course
    Collapse Promoting positive psychosocial outcomes in craniofacial team care: Strategies for non-mental health providers

    This webinar outlines the nature, prevalence, and variation in psychosocial issues across developmental phases, and how these issues can be addressed using a patient-centered multidisciplinary approach. Topics include: how to facilitate psychological adjustment in parents, how to address teasing and bullying, how to promote positive outcomes in school, how to support informed medical decision-making, how to handle periods of transition, and how to use available screening measures to assess and monitor patients' well being. The webinar provides practical suggestions which all team disciplines can apply in practice.

     

    Continuing Education 

    Attendees must register, attend and evaluate each webinar to receive continuing education credit. This on-demand course will be eligible through October 24, 2020. 

    • ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should only claim credits commensurate with the extent of their participation in the activity. 

    • ASHA: This program is offered for 0.10 ASHA CEUs (Introductory Level, Professional Area). 

    • NCNA/ANCC: This activity has been submitted to the North Carolina Nurses Association for approval to award contact hours. North Carolina Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. To receive contact hours nurses must attend 80% of this CNE activity.

    Neither the speakers nor members of the planning committee have any conflicts of interest related to the content of this activity.  Individual disclosures may be found in the “Topics” tab under their name.

    Original Seminar Date: October 24, 2018
    On-Demand Release Date: October 25, 2018

    Approved Credit:
  • ACCME: 1 hour AMA PRA Category 1 Credit(s)™
  • ACCME (non-MD): 1 hour AMA PRA Category 1 Credit(s)™
  • NCNA Nursing CEUs: 1 hour Nursing Contact Hours
  • ASHA: 0.10 hours CEUs

  • MORE INFOMORE INFO Promoting positive psychosocial outcomes in craniofacial team care: Strategies for non-mental health providers
    Collapse Structure versus Function:  Managing Complex Velopharyngeal Dysfunction

    Differential diagnosis of etiology of velopharyngeal dysfunction (VPD) is paramount when   determining appropriate intervention (surgical, behavioral, or both).   Interpretation of speech characteristics can be challenging and requires a trained professional who understands the interaction of faulty articulation (i.e. velopharyngeal mislearning) on normal velopharyngeal closure. In this webinar, the impact of velopharyngeal mislearning on both perceptual and instrumental findings will be reviewed.  Audio-video recordings of cases will be presented to highlight obligatory versus compensatory errors and to discuss decision-making when etiology of VPD is multi-factorial.  This session is intended for surgeons, speech pathologists, and other craniofacial team members who are involved in the assessment and management of VPD.  Attendees will be able to describe how changes in faulty articulation can improve velopharyngeal function for speech production. 

     

    Continuing Education

    Attendees must register, attend and evaluate each webinar to receive continuing education credit. This on-demand course will be eligible through August 9, 2020.

    • ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should only claim credits commensurate with the extent of their participation in the activity.
    • ASHA: This program is offered for 0.10 ASHA CEUs (Intermediate Level, Professional Area)
    Original Seminar Date: August 10, 2018
    On-Demand Release Date: Available Now

    Approved Credit:
  • ACCME: 1 hour AMA PRA Category 1 Credit(s)™
  • ACCME (non-MD): 1 hour AMA PRA Category 1 Credit(s)™
  • ASHA: 1 hour Hours

  • MORE INFOMORE INFO Structure versus Function:  Managing Complex Velopharyngeal Dysfunction
    Collapse The Buccal Flap Approach for Palate Reconstruction: Advanced Course

    The challenge for the cleft palate reconstructive surgeon is to successfully repair every type and anatomical variation of cleft palate. Presently, the vast majority of surgeons use single pattern repairs which are highly inflexible and may only work well on certain anatomic presentations. Many surgeons revert to older, more growth restricting techniques on complete or wide clefts. This leads to variability of success based on the width or type of the cleft. This Buccal Flap workshop incorporates of new videos and the lessons learned from the previous workshops. It is intended to change the fundamental way we approach reconstruction of the palate, using the embryonic approach in primary repairs replacing the deficient tissue with similar functioning tissue (the buccal flap) and to improve the outcome of Palate reconstruction in secondary repairs, by adding the missing tissue necessary to achieve success.

    Continuing Education

    Attendees must register, attend and evaluate each webinar to receive continuing education credit. Presenter disclosures can be found in the "Topics" tab in the speaker bio. This course will be available on-demand through November 11, 2020.

    • ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should only claim credits commensurate with the extent of their participation in the activity. The American Cleft Palate-Craniofacial Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    Neither the speakers nor members of the planning committee have any conflicts of interest related to the content of this activity. Individual disclosures may be found in the “Topics” tab under their name.

    Original Seminar Date: November 12, 2018
    On-Demand Release Date: November 13, 2018

    Approved Credit:
  • ACCME: 1 hour AMA PRA Category 1 Credit(s)™
  • ACCME (non-MD): 1 hour AMA PRA Category 1 Credit(s)™

  • MORE INFOMORE INFO The Buccal Flap Approach for Palate Reconstruction: Advanced Course