DHC Pediatric Webinar - Eating Disorders Screening and Initial Management in Primary Care

Tuesday, April 8, 2025, 8:00 AM - Saturday, April 8, 2028, 9:00 AM

AMA PRA Category 1 Credits™ (1.00 hours), ANCC Nursing Contact Hours (1.00 hours), CME-Designated Participation Credit (1.00 hours)

This Pediatric Lecture Series will discuss important pediatric topics that may lead to the improvement of child health from an individual, health care system and/or societal level. This presentation provides information on screening, diagnosis and treatment options for pediatric patients with disordered eating.

Presenter

Holly A. Schroeder, MD, MPH
Adolescent Medicine
Cheshire Medical Center, Keene, NH

Dr. Holly Schroeder is an Adolescent Medicine physician at Dartmouth Health Children’s and an Assistant Professor at Geisel School of Medicine at Dartmouth. She received her MD degree at Geisel School of Medicine at Dartmouth. She completed Pediatrics residency at Hasbro Children’s Hospital/Warren Alpert School of Medicine in Providence, Rhode Island and Adolescent Medicine fellowship at Seattle Children’s Hospital/University of Washington in Seattle, Washington. She has an MPH in Health Services from the University of Washington. She also completed a Leadership in Adolescent Health Fellowship at the University of Washington.

She currently sees adolescent and young adult patients for reproductive health concerns, gender affirming care, eating disorders, and other health issues specific to the age group at Cheshire Medical Center in Keene, NH and DHMC in Lebanon, NH. She is also faculty at the new Family Medicine residency program at Cheshire Medical Center.

Handout

https://dh.cloud-cme.com/assets/dh/PDF/2025/April_2025_DHC_Pediatric_Webinar_Handout.pdf

1. Distinguish between the most common eating disorder diagnoses.
2. Identify indications for screening for eating disorders in the primary care setting.
3. Describe strategies for supporting patients and their parents before a treatment team is established.

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

American Medical Association (AMA)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

American Nurses Credentialing Center (ANCC)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 ANCC contact hours.

All other learners may claim CME-designated participation credit. Consult your professional licensing board regarding the applicability and acceptance of CME-designated participation credit for programs certified for credit by organizations accredited by Joint Accreditation for Interprofessional Education.

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Bibliographic Material

• American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. American Psychiatric Association; 2013.

• Laurie L. Hornberger, Margo A. Lane, THE COMMITTEE ON ADOLESCENCE, Laurie L. Hornberger, Margo Lane, Cora C. Breuner, Elizabeth M. Alderman, Laura K. Grubb, Makia Powers, Krishna Kumari Upadhya, Stephenie B. Wallace, Laurie L. Hornberger, Margo Lane, MD FRCPC, Meredith Loveless, Seema Menon, Lauren Zapata, Liwei Hua, Karen Smith, James Baumberger; Identification and Management of Eating Disorders in Children and Adolescents. Pediatrics January 2021; 147 (1): e2020040279. 10.1542/peds.2020-040279

• Deloitte Access Economics. The Social and Economic Cost of Eating Disorders in the United States of America: A Report for the Strategic Training Initiative for the Prevention of Eating Disorders and the Academy for Eating Disorders. June 2020. Available at: https://www.hsph.harvard.edu/striped/report-economic-costs-of-eating-disorders/.

• Arcelus, Jon et al. “Mortality rates in patients with anorexia nervosa and other eating disorders. A meta-analysis of 36 studies.” Archives of general psychiatry 68,7 (2011): 724-31. https://doi.org/10.1001/archgenpsychiatry.2011.74

• Goldstein, A., & Gvion, Y. (2019). Socio-demographic and psychological risk factors for suicidal behavior among individuals with anorexia and bulimia nervosa: A systematic review. Journal of affective disorders, 245, 1149–1167. https://doi.org/10.1016/j.jad.2018.12.015

• Udo, T., Bitley, S., & Grilo, C. M. (2019). Suicide attempts in US adults with lifetime DSM-5 eating disorders. BMC medicine, 17(1), 120. https://doi.org/10.1186/s12916-019-1352-3

• Keski-Rahkonen A. (2021). Epidemiology of binge eating disorder: prevalence, course, comorbidity, and risk factors. Current opinion in psychiatry, 34(6), 525–531. https://doi.org/10.1097/YCO.0000000000000750

• Jessica A. Lin, Sydney M. Hartman-Munick, Meredith R. Kells, Carly E. Milliren, Wallis A. Slater, Elizabeth R. Woods, Sara F. Forman, Tracy K. Richmond,

• The Impact of the COVID-19 Pandemic on the Number of Adolescents/Young Adults Seeking Eating Disorder-Related Care,

• Journal of Adolescent Health, Volume 69, Issue 4, 2021, Pages 660-663. ISSN 1054-139X, https://doi.org/10.1016/j.jadohealth.2021.05.019.

• Peat, Christine (2022, November 3). Eating Disorders in Primary Care and Community-Based Clinics: Tools and Resources for the Clinician (Webinar). National Center of Excellence for Eating Disorders. https://nceedus.org/healthcare-training/eating-disorders-in-primary-care-and-community-based-clinics-tools-and-resources-for-the-clinician/

• Alana K. Otto, Jessica M. Jary, Julie Sturza, Catherine A. Miller, Natalie Prohaska, Terrill Bravender, Jessica Van Huysse; Medical Admissions Among Adolescents With Eating Disorders During the COVID-19 Pandemic. Pediatrics October 2021; 148 (4): e2021052201. 10.1542/peds.2021-052201

• Ellen S. Rome, Sarah E. Strandjord; Eating Disorders. Pediatr Rev August 2016; 37 (8): 323–336. https://doi.org/10.1542/pir.2015-0180

• Galmiche M, Déchelotte P, Lambert G, Tavolacci MP. Prevalence of eating disorders over the 2000-2018 period: a systematic literature review. Am J Clin Nutr. 2019 May 1;109(5):1402-1413. doi: 10.1093/ajcn/nqy342. PMID: 31051507.

• Ramaswamy, N., & Ramaswamy, N. (2023). Overreliance on BMI and Delayed Care for Patients With Higher BMI and Disordered Eating. AMA Journal of Ethics, 25(7), E540-544. https://doi.org/10.1001/amajethics.2023.540

• Räisänen, U.,& Hunt, K. (2014). The role of gendered constructions of eating disorders in delayed help-seeking in men: A qualitative interview study. BMJ Open, 4(4). https://doi.org/10.1136/bmjopen-2013-004342

• Parker, L. L., & Harriger, J. A. (2020). Eating disorders and disordered eating behaviors in the LGBT population: a review of the literature. Journal of eating disorders, 8, 51. https://doi.org/10.1186/s40337-020-00327-y

• The Trevor Project. (2022). Research Brief: Eating Disorders among LGBTQ Youth. https://www.thetrevorproject.org/research-briefs/eating-disorders-among-lgbtq-youth-feb-2022/

• International evidence based-guideline for the assessment and management of polycystic ovary syndrome. Copyright Monash University, Melbourne, Australia 2023.

• US Preventive Services Task Force. Screening for Eating Disorders in Adolescents and Adults: US Preventive Services Task Force Recommendation Statement. JAMA. 2022;327(11):1061–1067. https://doi.org/10.1001/jama.2022.180710.1001/jama.2022.1806

• Feltner C?, Peat C?, Reddy S?, et al. Screening for eating disorders in adolescents and adults: an evidence review and systematic review for the US Preventive Services Task Force. ? JAMA. Published March 15, 2022. https://doi.org/10.1001/jama.2022.1807

• Callum Bryson, Daire Douglas, Ulrike Schmidt, Established and emerging treatments for eating disorders, Trends in Molecular Medicine, Volume 30, Issue 4, 2024, Pages 392-402, ISSN 1471-4914, https://doi.org/10.1016/j.molmed.2024.02.009.

• Feltner C?, Peat C?, Reddy S?, et al. Screening for Eating Disorders in Adolescents and Adults: An Evidence Review for the U.S. Preventive Services Task Force. Evidence Synthesis No. 212.? Agency for Healthcare Research and Quality; 2022. AHRQ publication 21-05284-EF-1.
  

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Dartmouth Health adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education.  Any individuals in a position to control the content of a CE activity, including planners, faculty, authors, or others are required to disclose all financial relationships with ineligible companies^.  All relevant financial relationships have been mitigated prior to the commencement of the activity.

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