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Online Pediatric Environmental Health Toolkit Training

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Welcome to the Online Pediatric Environmental Health Toolkit Training. ATSDR’s Division of Toxicology and Environmental Medicine (DTEM), the Greater Boston Physicians for Social Responsibility (PSR,) and the University of California-San Francisco Pediatric Environmental Health Specialty Unit (PEHSU) teamed up to develop an environmental health anticipatory guidance training module. This training module is based on PSR’s Pediatric Environmental Health Toolkit, which has been endorsed by the American Academy of Pediatrics. It introduces users to environmental health, instructs pediatric health care providers in the use of the toolkit, and discusses the best methods for delivering environmental health anticipatory guidance in the clinical setting.


Information on free continuing education offered from ATSDR

Once you launch the module you will be prompted to register for continuing education credit through a hyperlink.artwork of mother reading to child

Continuing education available:

  • Continuing Medical Education (CME) for Physicians: 1.5 AMA PRA Category 1 credits
  • Continuing Nursing Education (CNE) for Nurses: 1.5 contact hours
  • Continuing Education Units (CEU) for other Professionals: 0.15 credits
  • Continuing Education Contact Hours (CECH) for Certified Health Education Specialists 85
  • (CHES): 1.5 Category I credits







What is in this Training?

This training is divided into sections. You need not complete each section, but the post-test required for CE covers information from each section.



Training Overview

  • Section I: Anticipatory Guidance and Environmental Health
  • Section II: What is in the Pediatric Environmental Health Toolkit
  • Section III: Children Have Unique Susceptibility
    • Case example: nitrates
  • Section IV: Overview of Environmental Health
  • Section V: Routes of Exposure
  • Section VI: Taking an Environmental History Case Example: Arsenic
  • Section VII: Importance of Anticipatory Guidance Case Example: Pesticides
  • Section VIII: Limiting Take Home Exposure Case Example: Lead
  • Section IX: Using the Toolkit During Well Child Visits
    • Case example: lead
    • Case example: nail solvents
    • Case example: healthy food and physical activity
    • Case example: mercury and fish
  • Section X: Additional Toolkit Topics
  • Section XI: Review of Environmental Health Resources




How is each section organized?

  • What is in this section?
  • Objectives
  • Content
  • Resources
  • References
  • Self Check
  • A brief overview of what is in a section.
  • Statements that reflect intended learning outcomes.
  • Information and examples that support the training objectives.
  • Sources of additional information on section topics. Most resources listed at the end of each section are substance specific. A complete list of resources will be found at the end of the training.
  • References for content. Hyperlinked when possible.
  • The questions in these quizzes are similar to those found in the post test and will serve as a good review.



Information on using the Module

  1. This training will take approximately 90 minutes. Going outside the module to explore Internet links provided in the module will increase the amount of time to complete the training. To view a list of all the Internet resources, please click here.
  2. All hyperlinks to external web pages have a blue font and are underlined.
  3. The module contains animation. You will need the free Adobe Flash Player installed on your computer to play the animations.
  4. Animations contain audio. To hear audio, you will need to turn your speakers speaker iconup or on. If you prefer to read the text, rather than listen to it, click on the link provided at the top right side of the screen.
  5. Each animation has a link provided to its transcript located at the top right hand side of the screen.


Navigation Guide

  1. The left margin of the screen contains a progress bar to indicate your progress in the training module. The progress bar becomes a solid color starting at the top and moving downward as you navigate through the module.
  2. The bottom center of the screen contains a drop-down menu bar. Use the down arrow dropdown arrowin the right hand corner of the bar to the view list of training sections. Selecting a section name will allow you to jump to that section.
  3. You can view the module in a linear process by using back and next arrows located in the bottom right hand corner of the screen. Click on the back arrowback button iconto go to previous screen, and on the next arrow next button iconto go to the next screen.
  4. To exit the module, click on red X red stamp exit iconcircled in the top right corner of the screen.






Contact Us:
  • Agency for Toxic Substances and Disease Registry
    4770 Buford Hwy NE
    Atlanta, GA 30341
  • (800) 232-4636
    TTY: (888) 232-6348
    24 Hours/Every Day
  • cdcinfo@cdc.gov
USA.gov: The U.S. Government's Official Web PortalDepartment of Health and Human Services
Agency for Toxic Substances and Disease Registry, 4770 Buford Hwy NE, Atlanta, GA 30341
Contact CDC: 800-232-4636 / TTY: 888-232-6348

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