Adolescent and Adult Immunizations: Current Recommendations and Strategies to Reduce Barriers in Rural and Underserved Communities

Released On
February 26, 2021

Expires On
February 26, 2022

Media Type

Completion Time
60 minutes

Allergy & Immunology, Infectious Disease, Pediatrics, Primary Care

Adult Vaccination, Hepatitis, Pediatrics, Sexually Transmitted Diseases

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This activity is jointly provided by Rural Medical Education (RME) Collaborative and Postgraduate Institute for Medicine.

This activity is supported by independent medical education grants from GlaxoSmithKline and Merck & Co., Inc.

Credit Available

  • Physicians — maximum of 1.0 AMA PRA Category 1 Credit(s)
  • Nurses — 1.0 Nursing Contact Hours

All other health care professionals completing this course will be issued a statement of participation.

Target Audience

This activity is designed to meet the educational needs of primary care clinicians, registered nurses, and advanced practice registered nurses who care for patients from rural and underserved areas.

Program Overview

Although vaccines are one of the most important and effective tools available to prevent a variety of diseases across the lifespan, vaccination rates remain well below public health goals. Rural areas, where immunization rates for adolescents and adults are lower compared with urban areas, are particularly vulnerable. During the COVID-19 pandemic, routine vaccination rates have declined even further, putting many at risk of contracting vaccine-preventable diseases. In this activity, expert faculty will cover the impact of COVID-19 on routine vaccination services and current guidance for catch-up immunizations. The recommended vaccinations for adults and adolescents, ways to increase vaccine uptake, and strategies to overcome barriers in rural and underserved areas will also be discussed.

This activity is a recorded session from the 2nd Annual Rural Health Clinical Congress that took place on November 21, 2020. Please note that any data, information, and guidance presented in the activity are subject to change.

Learning Objectives

Upon completion of this activity, participants should be better able to:

  • Explain the impact of the COVID-19 pandemic on routine vaccination services in rural and underserved settings and current guidance for catch-up vaccination
  • Describe current ACIP recommendations and CDC guidance for adolescent and adult immunizations
  • Utilize evidence-based communication strategies to improve awareness about the importance of routine vaccination and address patient concerns about safe administration


Paul E. Sax, MD

Paul E. Sax, MD (Activity Chair)

Clinical Director, Division of Infectious Diseases
Brigham and Women’s Hospital
Professor of Medicine
Harvard Medical School
Boston, MA

Barbara P. Yawn, MD, MSc, MPH

Barbara P. Yawn, MD, MSc, MPH (Moderator)

Chief Science Officer, COPD Foundation
Professor of Family and Community Health
University of Minnesota
Minneapolis, MN

Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and RME Collaborative. Postgraduate Institute for Medicine 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.

Credit Designation

Physician Continuing Medical Education
The Postgraduate Institute for Medicine designates this enduring material for a maximum of 1.0 AMA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Continuing Nursing Education
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.0 contact hour. Designated for 0.25 contact hour of pharmacotherapy credit for Advanced Practice Registered Nurses.

Disclosures of Conflicts of Interest

The Postgraduate Institute for Medicine requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. PIM is committed to providing its learners with high quality CME/CE activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.


Paul E. Sax, MD, has no relevant financial relationships to disclose.

Barbara P. Yawn, MD, MSc, MPH, has disclosed the following relationships: consultant for AstraZeneca, Boehringer Ingelheim, GlaxoSmithKline, Novartis Pharmaceuticals, and Teva Pharmaceuticals.

Planners and Managers

The planners and managers from RME Collaborative and PIM have nothing to disclose.

Instructions for Participation and Credit

This activity is offered at no cost to participants. To receive CME/CE credit, participants must:

  1. Review the CME/CE information, including the learning objectives and disclosure statements.
  2. Complete the pre-test.
  3. Participate in the online activity.
  4. Complete the post-test and evaluation form.
A post-test score of 75% or higher is required to obtain credit. Your certificate will be made available for immediate download.

Course Viewing Requirements

Supported Browsers:
Internet Explorer 8.0+ for Windows 2003, Vista, XP, Windows 7, Windows 8.1 and above
Google Chrome 28.0+ for Windows, Mac OS, or Linux
Mozilla Firefox 23.0+ for Windows, Mac OS, or Linux
Safari 6.0+ for Mac OSX 10.7 and above

Supported Phones & Tablets:
Android 4.0.3 and above
iPhone/iPad with iOS 6.1 or above

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications. The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient's conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer's product information, and comparison with recommendations of other authorities.

© RME Collaborative, a division of Talem Health, LLC 2021. All Rights Reserved. These materials may be used for personal use only. Any rebroadcast, distribution, or reuse of this presentation or any part of it in any form for other than personal use without the express written permission of Talem Health, LLC is prohibited.

Contact Information

For questions about the activity, please contact: RME Collaborative by phone, 800-913-9370 or email,

For questions about the accreditation of this activity, please visit