DHC Pediatric Webinar - What’s New (and What’s Not) in Puberty: A Gynecologist’s Update

Thursday, March 19, 2026, 8:00 AM - Monday, March 19, 2029, 9:00 AM

AMA PRA Category 1 Credits™ (1.00 hours), ANCC Nursing Contact Hours (1.00 hours), ASWB Social Work Credit(s) (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, reporting, diagnosis, treatment, and referral options for pediatric gynecology.

Presenter

Rebecca Evans, MD (she/her)
Assistant Professor of Obstetrics and Gynecology, Geisel School of Medicine at Dartmouth
OBGYN Residency Director, Dartmouth Hitchcock Medical Center, Lebanon, NH

Dr. Evans is an Academic Specialist in Obstetrics and Gynecology with a Focused Practice Designation in Pediatric and Adolescent Gynecology. She attended Virginia Commonwealth University School of Medicine for Medical School and Dartmouth Hitchcock for Residency. Dr. Evans also serves as the Dartmouth OBGYN Residency Director. She is passionate about undergraduate and graduate medical education and enjoys collaborating with colleagues in medical education. In her clinical practice, Dr. Evans enjoys addressing gynecologic and reproductive health needs in patients of all ages and has found providing Pediatric and Adolescent Gynecology care in Northern New England to be a wonderful opportunity to help address an unmet need in the region. Dr. Evans’ practice offers the unique opportunity to deliver high-quality rural health care while also caring for patients who travel from urban centers, allowing her team to address a broad spectrum of needs across diverse communities and health care settings. She is incredibly grateful for all the Pediatricians, Pediatric Subspecialists, and Gynecologists in the region who collaborate with her on care of this patient population.

1. Describe how to counsel families on the updated norms and timelines of pubertal development, including recent shifts in the age of thelarche and menarche.
2. Apply current gynecologic approaches to common pubertal concerns, including primary amenorrhea, early puberty, and delayed puberty.
3. Recognize normal pubertal variants and red flags in adolescents that warrant further evaluation or referral, including cases benefiting from Pediatrics and Gynecology collaboration to optimize outcomes for adolescents navigating pubertal development.

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.

Association of Social Work Boards (ASWB)

As a Jointly Accredited Organization, Dartmouth Health is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.0 general continuing education credits.

Social Worker Account Setup

If you wish to apply for ASWB credit, you will need to enter your license number in your CE Profile by following these steps:

1. Log in to Dartmouth Health's CE portal (https://dh.cloud-cme.com).

2. From the My Account Menu, select Profile.

3. Ensure your degree and profession are accurately reflected.

4. Enter the state license type, License #, and Expiration date.

5. Scroll down to the bottom of the screen and click Submit.

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.

Registration/Requirements for Successful Completion
You may claim credit for successful completion of this online course. In order to claim credit, you must follow these steps:

1. Click the Register tab above. If you are not logged into your account, you will need to log in. Use the Forgot Your Password? button if you need to reset your password.

2. Register for the activity.

3. Click the Content/Tests tab and then View Content to view the recording. View the entire presentation.

4. Complete the Post-Test (attestation - return to the Content/Tests tab to find it).

5. Click the Complete Evaluation button, or click My Account in the menu bar; then click Evaluations.

6. Complete and Submit the Evaluation.

Bibliographic Material

• Bakhtiani, et al. Early Puberty. Pediatrics in Review 43, no. 9. 9 (2022). 483-492.

• Eugster, Erica A. Update on Precocious Puberty in Girls. Journal of Pediatric and Adolescent Gynecology 32, no. 5 (2019): 455–59. https://doi.org/10.1016/j.jpag.2019.05.011.

• Long, Dominique. Precocious Puberty. Pediatrics In Review 36, no. 7 (2015): 319–21. https://doi.org/10.1542/pir.36.7.319.

• Moses, Jennifer. Prepubertal Gynecomastia Linked to Lavender and Tea Tree Oils. The New England Journal of Medicine, 2007.

• Rosenfield, Robert L. Normal and Premature Adrenarche. Endocrine Reviews 42, no. 6 (2021): 783–814. https://doi.org/10.1210/endrev/bnab009.

• Tanner, Marshall. Variations in Pattern of Pubertal Changes in Girls. Arch. Dis. Child. 44. 1969.
  
  

Provider Contact Information
Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
ACE Office
Dartmouth Health
[email protected]

Mitigation of Relevant Financial Relationships

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.

^Ineligible Company is any entity whose primary business purpose is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.