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  • Overview
  • Pre-Assessment
  • Activity
  • Post-Test
  • Evaluation
  • Claim Credit
A 48-Year-Old Woman in the ER with a Chronic Cough

A 48-Year-Old Woman in the ER with a Chronic Cough


Patient Case Simulations

Time to Complete

15 minutes


March 8, 2019


March 7, 2020
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Maximum Credits

0.25 / AMA PRA Category 1 CreditTM
0.25 / Pharmacy CE Contact Hours (0.025 CEUs)

Accredited Provider

This activity is jointly provided by Purdue University College of Pharmacy and CiME.

Commercial Supporter

Supported by an educational grant from Insmed

Program Description

In this activity we are going to meet a 48-year-old woman, Melanie. Melanie was brought into the ER by her daughter one afternoon while suffering an extensive coughing fit that left her debilitated. Following some initial workups by the care team learners will take part in a simulation of the next several weeks of care to determine evidence-based diagnosis and initial management.

This activity will simulate part of a patient journey, allowing learners to make clinical decisions that impact patient care. At the end of the activity, coaching will be provided based on whether key questions were answered consistent with the current evidence base, and in line with patient needs.

Intended Audience

Infectious Disease, Pulmonology

Educational Objectives

After completing this activity, participants should be better able to:

  • Discuss key recommendations for diagnosis of NTM infections and NTM-LD, based on ATS/IDSA guidelines
  • Describe potential disease courses of NTM infections and NTM-LD, including host susceptibility factors, presence of underlying structural lung disease or other pathology that permits opportunistic infection
  • Develop concordant therapeutic plans for NTM-LD with patients and caregivers that maximize adherence to ATS/IDSA guideline-recommended therapy, and facilitate a patient treatment journey that maximizes QoL and lung health outcomes

Conflicts of Interest Disclosure Policy

It is the policy of both Purdue University College of Pharmacy and CiME to ensure independence, balance, objectivity, scientific rigor, and integrity in all their continuing education activities. All faculty, staff and reviewers involved in the planning, review or presentation of continuing education activities provided by Purdue University College of Pharmacy are required to disclose to the audience any relevant commercial financial affiliations related to the content of the presentation or enduring material. Full disclosure of all commercial relationships must be made in writing to the audience prior to the activity. Identified conflict of interest is resolved by Purdue University College of Pharmacy prior to accreditation of the activity.


David E. Griffith, MD
Professor of Medicine
WA and EB Moncrief Distinguished Professor
Pulmonary Infectious Disease Section Chief
University of Texas Health Science Center
Tyler, Texas

Dr. Griffith discloses that he receives grants and research support, is a consultant for, is on the speaker's bureau for, and is an honorarium recipient for Insmed.

Accredited Provider Disclosure

All additional planning committee members, staff and reviewers of CiME and Purdue University College of Pharmacy have no relationships to disclose.




AMA PRA Category 1 Credit(s)TM

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Purdue University College of Pharmacy and CiME. Purdue University College of Pharmacy, an equal access/equal opportunity institution, is accredited by the ACCME to provide continuing medical education for physicians.

Designation Statement

Purdue University College of Pharmacy designates this live meeting for a maximum of 0.25 AMA PRA Category 1 CreditTM  .  Physicians should claim only the credit commensurate with the extent of their participation in the activity.




CE for Pharmacists

Accreditation Statement

Purdue University College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This is a knowledge based, continuing education activity of Purdue University, an equal access/equal opportunity institution.

Universal Activity Number (UAN): 0018-9999-19-031-H01-P, 0.25 contact hours (0.025 CEU).

Disclosure of Unlabeled Use

This activity contains information of commercial products/devices that are unlabeled for use or investigational uses of products not yet approved. There is currently no pharmacologic agent approved by the US FDA for first-line treatment of NTM-LD.


The views expressed in this activity are those of the faculty. It should not be inferred or assumed that they are expressing the views of the commercial supporter, any other manufacturer of pharmaceuticals or devices, Purdue University College of Pharmacy, or CiME.

It should be noted that the recommendations made herein with regard to the use of therapeutic agents, varying disease states, and assessments of risk are based upon a combination of clinical trials, current guidelines, and the clinical practice experience of the participating presenters. The drug selection and dosage information presented in this activity are believed to be accurate. However, participants are urged to consult all available data on products or procedures before using them in clinical practice.


To obtain credit, a score of 70% or better on the post-test is required. This activity is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.

If you have any questions relating to the accreditation of this activity, please contact


Copyright © 2018 Purdue University College of Pharmacy and CiME, LLC. All rights reserved including translation into other languages. No part of this activity may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval systems, without permission in writing.


Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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