Online - Unclogging the Truth: Let's Get to the Bottom of Constipation
This program was captured at Nemours Children's Hospital, Delaware Pediatric Grand Rounds on August 27, 2025. Pediatric Grand Rounds (PGR) is designed to improve the broad practice of pediatric medicine. In effort to foster curiosity and discussion surrounding concepts related to children's health, this regularly scheduled series presents a wide variety of topics with a diverse speaker panel for interprofessional clinicians.
Target Audience
Pediatric interprofessional clinicians
Learning Objectives
Upon completion of this activity, participants will be able to:
- Describe the role of psychology in the management and treatment of gastrointestinal (GI) problems.
- Identify at least two treatment strategies GI psychology uses in the treatment of constipation.
- Examine the epidemiology and underlying mechanisms of pediatric constipation, with a focus on the prevalence of
functional constipation and its multifactorial causes . - Outline the current diagnostic criteria, including the Rome IV guidelines, and emphasize the significance of differentiating
functional from organic causes through a focused history and physical examination, and any clinical red flags . - Provide an overview of evidence-based management strategies, encompassing first-line pharmacologic treatments and
non-pharmacologic measures. - Review the evaluation and management strategies for refractory or treatment-resistant cases, highlighting when a referral
is warranted, the use of advanced therapeutic options, and the role of multidisciplinary care involving GI psychology,
behavioral, and pelvic therapy.
Contact Information: If you have any questions regarding this course please contact the Course Coordinator - Karen Chiarini, k[email protected]
- Click on the Speaker's Name to see their full bio.
- All relevant financial relationships have been mitigated.
- To view additional information on the Nemours Children's disclosure policy, right click on the following link to open in a new tab.
Jennifer Bleznak, MD
Shannon Chan, PharmD
Megan Donovan, PA-C
Meg Frizzola, DO
Jessica Tomaszewski, MD FAAP
Sarah Vanderveen, APN
Deanna Al-Hammori, PhD
Heemali Kamdar, DO
Cayanne Liew, DO

In support of improving patient care, Nemours Children’s 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.
Physicians
Nemours designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should only claim the credit commensurate with the extent of their participation in the activity.
Nurses
Nemours Children’s Health designates this live activity for a maximum of 1.0 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.
Physician Associates
Nemours Children’s Health has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for a maximum of 1.00 AAPA Category 1 CME credits. Physician Associates should only claim credit commensurate with the extent of their participation.
Other Professions
A certificate of participation will be provided to other health care professionals requesting credits. Please check with your accreditation board to make sure they accept AMA PRA Category 1 Credit™.
Below are the credit types available to you per your professional designation.
Available Credit
- 1.00 AAPA Category I CME
Nemours Children’s Health has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for a maximum of 1.00 AAPA Category 1 CME credits. Physician Associates should only claim credit commensurate with the extent of their participation.
- 1.00 MOC ABP - PediatricsSuccessful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.
- 1.00 MOC ABS – SurgerySuccessful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME requirements of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.
- 1.00 AMA PRA Category 1 Credit™
In support of improving patient care, Nemours Children’s 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.
Nemours Children’s Health designates this activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 ANCC Nursing Contact Hour
In support of improving patient care, Nemours Children’s 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.
Nemours Children’s Health designates this live activity for a maximum of 1.00 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.
- 1.00 Continuing EducationThis activity is designated for 1.00 continuing education credits.
Price
Are you logged in using Nemours Associate SSO? To ensure credits are awarded correctly, you must update your account profile.
- Right click on My Account to open it in a new tab.
- Click on Edit, then on the Profile tab.
- Verify your profession & credentials
- Enter applicable license type & number, Hospital Affiliation and Specialty.
Are you a healthcare professional licensed in Florida? To ensure accurate reporting to CE Broker, please follow these additional instructions.
- The first, middle and last name on your account must match the name on your license.
- The CE Broker profession on your account must match the profession on your license.
- Your Florida license number must include your license prefix with no spaces and no leading zeroes.
- INCORRECT: ME_123456, ME00123456, or 123456
- CORRECT: ME123456
Required Hardware/software
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