DISCLOSURE POLICY STATEMENT It is the policy of cme² to ensure balance, independence, objectivity, and scientific rigor in all its educational activities. All faculty/authors participating in our programs are expected to disclose any relationships they may have with commercial companies whose products or services may be mentioned so that participants may evaluate the objectivity of the presentations.
Julia McMillan, MD has no relevant conflict of interest to disclose.
Pedro A. Piedra, MD reports that he received consulting fees from MedImmune, LLC, Merck and Roche; and received research support from MedImmune, LLC, Novartis Pharmaceuticals, and Sanofi-Pasteur. He has also received fees for non-CME services from MedImmune, LLC.
Robert B Belshe, MD reports that he receives royalties on Intellectual Property licensed to Wyeth. He received consulting fees from MedImmune, LLC, Merck and Novartis Pharmaceuticals; and received fees for non-CME services from MedImmune, LLC, Merck, and Sanofi-Aventis.
Joseph B Domachowske, M.D. reports that he received honoraria from MedImmune, LLC, Sanofi Pasteur,Merck and Haymarket Medical. He received research support from MedImmune, LLC and NIH; and he received fees for non-CME services (e.g., speakers bureau) from MedImmune, LLC, Sanofi Pasteur,Merck and Haymarket Medical.
Keith S. Reisinger, MD, MPH reports that he received consulting fees from MedImmune, LLC, Merck and Novartis Pharmaceuticals; and received research support from GlaxoSmithKline, Merck, Novartis Pharmaceuticals, Sanofi-Aventis, and Wyeth Laboratories.
Peer Reviewer: Richard Judelsohn, MD reports that he received honoraria from GlaxoSmithKline Vaccines, MedImmune, LLC, Merck Vaccines, Sanofi Pasteur; and received consulting fees from GlaxoSmithKline, and MedImmune, LLC.
Editorial Support: Jane F. Perrotta, Melanie Lawler, PhD, Meg Benson, Katherine Hendrix, PhD, Mark Dlugoss, and Toby Hindin report that they have no relevant commercial relationships to disclose.

DISCLOSURE ATTESTATION Each of the contributing physicians listed above has attested to the following: 1) that the relationships/affiliations noted will not bias or otherwise influence his or her involvement in this activity; 2) that stated practice recommendations that may be relevant to the companies with whom they have relationships/affiliations will be supported by the best available evidence or, absent evidence, will be consistent with generally accepted medical practice; and 3) that all reasonable clinical alternatives will be discussed when making practice recommendations.

DISCLAIMER The information presented in any case presented in this activity is only one approach to patient care, and good clinical judgment should be used to design a medication regimen tailored to each patient's individual characteristics. Clinicians have implied responsibility for the newly acquired information to enhance patient outcomes and their own professional development. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patients' conditions and possible contraindications or dangers in use, review of any applicable manufacturer's product information, and comparison with recommendations of other authorities.

ACCREDITATION STATEMENT cme² is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

CREDIT DESIGNATION cme² designates this educational activity for a maximum of .5 AMA PRA Category 1 Credit™. Each physician should claim only those credits that he/she spent on the activity.

LEARNER BILL OF RIGHTS cme² recognizes that you are a life-long learner who has chosen to engage in continuing medical education to identify or fill a gap in knowledge, skill, or performance. As part of cme²’s duty to you as a learner, you have the right to expect that your continuing medical education experience with cme² will include:

Content that:

Promotes improvements or quality in healthcare. Is valid, reliable, and accurate. Offers balanced presentations that are free of commercial bias for or against a product/service. Is vetted through a process that resolves any conflicts of interests of planners and faculty. Is driven and based on learning needs, not commercial interests. Addresses the stated objectives or purpose. Is evaluated for its effectiveness in meeting the identified educational need.

A learning environment that:

Supports learners’ ability to meet their individual needs. Respects and attends to any special needs of the learners. Respects the diversity of groups of learners. Is free of promotional, commercial, and/or sales activities.

Disclosure of:

Relevant financial relationships planners, instructors, and authors have with commercial interests related to the content of the activity. Commercial support (funding or in-kind resources) of the activity.

To Obtain CME Credits This activity includes text, graphics, and may include multi-media features. Click on all of the medical education activity links and review the content presented.

1. Read, complete, and submit answers to the examination and evaluation questions online.
2. You must pass the examination with a score of 70% or higher in order to receive credit for this activity.
3. Once you have successfully completed the examination & evaluation, a certificate will be automatically generated.

COURSE VIEWING REQUIREMENTS

Release Date: October 2, 2008
Expiration Date: October 31, 2009

This continuing medical education activity is sponsored by cme² , in partnership with the leading publications Contemporary Pediatrics, and RN.

This activity is supported by an educational grant from MedImmune, LLC.