A Story of Health – Cognitive Decline: Sam’s Story

Course:  SS4679
CE Original Date: September 8, 2023
CE Expiration Date: September 8, 2025

Program Description

A Story of Health: Cognitive Decline is one module in A Story of Health which conveys complex concepts about multiple influences on health through a family reunion scenario, allowing stories to emerge about family members with a range of diseases, which this training will explore from a case study perspective. This storyline allows for geographic distribution including family members from rural, suburban, and city locales, as well as for ethnic diversity via marriage, adoption, etc. Each story reveals the constellation of genetics and environmental circumstances that might affect the particular disease (in this case cognitive decline) and brings in the latest available science. An introduction describes the ecological approach to health and its many variables. The stories are enhanced by a variety of media including sidebars, pop-up boxes, illustrations, graphics, videos and links to additional resources and key journal references.


At the conclusion of the session, the participant should be able to:

  1. Describe the characteristics of cognitive decline.
  2. Discuss the characteristics of Parkinson’s disease.
  3. Describe environmental risk factors for Parkinson’s disease.
  4. Describe environmental risk factors for cognitive decline.
  5. Discuss factors that may reduce the risk of cognitive decline.
  6. Describe how to improve collaborative practice across the healthcare team regarding cognitive decline.


Samuel Goldman MD MPH, Professor of Medicine, University of California San Francisco

Mark Miller MD MPH, Director, Children’s Environmental Health Center, California Environmental Protection Agency

Ted Schettler MD MPH, Science Director, Science and Environmental Health Network

Accreditation Statements

Accreditation Council for Continuing Medical Education (ACCME)

In support of improving patient care, this activity has been planned and implemented by Centers for Disease Control and Prevention, Western States Pediatric Environmental Health Specialty Units and Commonweal. The Centers for Disease Control and Prevention 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

CME: The Centers for Disease Control and Prevention designates this enduring activity for a maximum of 3.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CNE: The Centers for Disease Control and Prevention designates this activity for 3.75 nursing contact hours.

CEU: The Centers for Disease Control and Prevention is authorized by IACET to offer 0.4 CEU’s for this program.

CECH: Sponsored by the Centers for Disease Control and Prevention, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES®) and/or Master Certified Health Education Specialists (MCHES®) to receive up to 3.5 total Category I continuing education contact hours. Maximum advanced level continuing education contact hours available are 3.5. Continuing Competency credits available are 3.5 CDC provider number 98614.

For Certified Public Health Professionals (CPH)

The Centers for Disease Control and Prevention is a preapproved provider of Certified in Public Health (CPH) recertification credits and is authorized to offer 4.0 CPH recertification credits for this program.


In compliance with continuing education requirements, all planners and presenters must disclose all financial relationships, in any amount, with ineligible companies during the previous 24 months as well as any use of unlabeled product(s) or products under investigational use. CDC, our planners, and content experts wish to disclose they have no financial relationship(s) with ineligible companies whose primary business is producing, marketing, selling, reselling, or distributing healthcare products used by or on patients. Content will not include any discussion of the unlabeled use of a product or a product under investigational use. CDC did not accept financial or in-kind support from ineligible companies for this continuing education activity.

Instructions for Obtaining Continuing Education (CE)

To receive continuing education (CE) for A Story of Health – Cognitive Decline: Sam’s Story, please visit CDC TRAIN and search for the course in the Course Catalog using SS4679. Follow the steps below by 9/8/2025.

  1. Register for and complete the course.
  2. Pass the post-assessment at 75%
  3. Complete the evaluation.
  4. Visit Your Learning to access your certificates and transcript.


No fees are charged for CDC’s CE activities.

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