Congenital Hypothyroidism: What Every Primary Care Provider Needs to Know


Stanford School of Medicine



Internet Enduring Material Sponsored by: Stanford University School of Medicine

Presented by: The Department of Pediatrics at Stanford University School of Medicine

Course Description

Using a case-based approach, this CME activity will provide practical training on the management of congenital hypothyroidism. The course will address the initial diagnostic testing and initiation of treatment in infancy through childhood and adolescence.

The course will review the clinical signs of hypothyroidism, the initial work up, appropriate dosing and delivery of thyroid hormone replacement, the schedule of lab testing to monitor treatment and how to interpret results. The impact of congenital hypothyroidism on growth and development will be reviewed. Guidance on educating parents and patients to optimize adherence will be provided.

The course modules include short educational videos and role play videos of parent communication at each stage of diagnosis and management. Case-based testing and medication management scenarios provide the opportunity to assess your knowledge and learn from particular examples.

Who Should Enroll

This course is designed for pediatricians, family practice physicians, and primary care physicians.

Learning Objectives

At the conclusion of this activity, participants should be able to:

  • Formulate a plan for the confirmatory retesting for congenital hypothyroidism.
  • Prescribe and adjust treatment according to the American Academy of Pediatrics published guidelines (2006).
  • Counsel and educate parents to address questions and concerns about congenital hypothyroidism and emphasize their responsibility in medication adherence.
  • Interpret thyroid function tests.
  • Distinguish which children warrant a trial off thyroid hormone replacement to determine if congenital hypothyroidism was transient.
  • Monitor associated developmental challenges that affect children with congenital hypothyroidism.

Table of Contents

  1. Introduction
  2. Why Screen for Congenital Hypothyroidism?
  3. Initial Diagnosis
  4. Interpreting Results and Starting Treatment
  5. Long Term Care of CH Patients
  6. Course Wrap-up
  7. Resources and References
  8. Help!



The following planners, speakers and authors have indicated that they have no relationships with industry to disclose relative to the content of this activity:

Laura K. Bachrach, MD
Professor of Pediatrics (Endocrinology)
Stanford School of Medicine
Course Director

Mary Rutherford, MD, FAAP, FACEP
Director of Clinical Quality
UCSF Benioff Children's Hospital Oakland

Ning Rosenthal, MD, PhD
Senior Research Scientist
Genetic Disease Screening Program
California Department of Public Health

Technical Design and Development

Mike McAuliffe
Stanford EdTech

Kimberly Walker, PhD
Stanford EdTech

Greg Bruhns
Stanford Online

Role Play Actors

Julie Pantaleoni, MD
Clinical Assistant Professor, Pediatrics

Rajiv B. Kumar, MD
Clinical Assistant Professor, Pediatrics
Endocrinology and Diabetes

Hardware/Software Requirements

  • Computer with Internet connection
  • Current version of Chrome, Firefox or Safari browser. You must have javascript enabled.

Accreditation and Designation of Credits

The Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Stanford University School of Medicine designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This continuing medical education activity has been reviewed by the American Academy of Pediatrics and is acceptable for a maximum of1.25 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics.

Commercial Support Acknowledgement

This activity received no commercial support.

Cultural and Linguistic Competency

California Assembly Bill 1195 requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. It is the intent of the bill, which went into effect July 1, 2006, to encourage physicians and surgeons, CME providers in the State of California and the Accreditation Council for Continuing Medical Education to meet the cultural and linguistic concerns of a diverse patient population through appropriate professional development. The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area. The Stanford University School of Medicine Multicultural Health Portal also contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.

You are encouraged to visit the portal:

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Contact Information

If you are having technical problems (video freezes or is unplayable, can't print your certificate, etc.) you can submit a Help Request to the OpenEdX Team. If you have questions related to CME credit, requirements (Pre-test, Post-test, Evaluation, Attestation) or course content, you can contact the CME Online support team at


American Academy of Pediatrics. Update of newborn screening and therapy for congenital hypothyroidism. Pediatrics. 2006; 117: 2290-2303

Leger J et al. European Society for Paediatric Endocrinology Consensus guidelines on Screening, diagnosis, and management of congenital hypothyroidism. HormRes Paediatr. 2014; 81: 80-103

Enroll Now

Delivery Option:
Online Course Free



This course may not currently be available to learners in some states and territories.