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  • Overview
  • Pre-Assessment
  • Activity
  • Post-Test
  • Evaluation
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Case Clinic 1: A 24-Year-Old Female With a Multiyear History of Bowel Symptoms

Case Clinic 1: A 24-Year-Old Female With a Multiyear History of Bowel Symptoms

Format

Patient Case Study

Time to Complete

30 minutes

Released

June 14, 2019

Expires

June 14, 2020
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Maximum Credits

0.50 / AMA PRA Category 1 Credit(s)TM
0.50 / CE for Pharmacists (0.05 CEUs)

Accredited Providers

Provided by the American Gastroenterological Association (AGA) and AKH Inc., Advancing Knowledge in Healthcare in collaboration with Haymarket Medical Education (HME).

Commercial Supporter

Supported by an educational grant from Allergan, Inc., Ironwood Pharmaceuticals, Inc., and Salix Pharmaceuticals, Inc.

Program Description

Patients with functional bowel disorders such as irritable bowel syndrome (IBS) often try—and fail to get relief from—numerous over-the-counter (OTC) agents, lifestyle interventions, and alternative therapies. This myCME™ Case Clinic addresses the challenges posed by 24-year-old woman with a 3-year history of lower abdominal pain, bloating, and loose, watery, sometimes urgent bowel movements. She has attempted to treat the diarrhea with OTC medications, which sometimes results in constipation. She is distressed by the condition itself and how it interferes with her work and social life, and she is anxious because her maternal aunt has a diagnosis of ulcerative colitis. She has sought help in the past but was told that her symptoms were stress-related and was advised to practice yoga or meditation. In this activity, you will follow along as a noted expert illustrates a patient-centric approach to the management of diarrhea-predominant IBS that ensures a timely positive diagnosis without excessive testing as well as prompt initiation of therapy targeted to the specific symptoms of IBS, including gastrointestinal pain.

Intended Audience

Clinicians who manage functional bowel disorders, including gastroenterologists, internal medicine and family medicine physicians, gynecologists, pharmacists, and nurse practitioners (NPs) and physician assistants (PAs) who work in gastroenterology, gynecology, or primary care settings

Educational Objectives

After completing the activity, the participant should be better able to:

  • Apply an understanding of pathobiology confirming irritable bowel syndrome (IBS) and chronic idiopathic constipation (CIC) as a continuum of disorders
  • Initiate appropriate workup at first patient report(s) of relevant signs and symptoms to reduce the time to accurate diagnosis of IBS
  • Develop an individualized, evidence-based treatment plan for each patient with IBS
  • Implement patient-centric communication strategies when treating patients with IBS to support prompt identification of inadequate or poorly tolerated therapy

Conflict Of Interest Disclosure Policies

In accordance with the ACCME’s Standards for Commercial Support of Continuing Medical Education, all faculty and planning partners must disclose any financial relationship(s) or other relationship(s) held within the past 12 months. The AGA Institute and AKH Inc. will implement mechanisms to identify and resolve all conflicts of interest prior to delivering the educational activity to learners.

Faculty

Brian E. Lacy, PhD, MD, FACG
Senior Associate Consultant
Mayo Clinic
Jacksonville, FL

Dr. Lacy has received consulting fees from Ironwood Pharmaceuticals, Salix, and Shire.

Pharmacy Content Reviewers and Disclosure
Thomas A. Ullman, MD

Professor, Gastroenterology and
Chief, Division of Gastroenterology
Department of Medicine
Albert Einstein College of Medicine
Montefiore Medical Center
Bronx, NY

Dr. Ullman receives consulting fees from Pfizer Inc.

Victor B. Hatcher, PhD
Associate Dean and Director of CME
Professor, Medicine and Biochemistry
Albert Einstein College of Medicine
Montefiore Medical Center
Bronx, NY

Dr. Hatcher has no relevant financial relationships to disclose.

Dorothy Duffy, RPh, BS Pharmacy
Pharmacist
Van Houton Pharmacy
Clifton, NJ

Ms. Duffy has no relevant financial relationships to disclose.

Accredited Provider Disclosures

The AGA Institute, AKH Inc., Advancing Knowledge in Healthcare, and HME staff involved in the planning and content review of this activity have no relevant financial relationships to disclose.

Credit

0.50

Type

AMA PRA Category 1 Credit(s)TM

Accreditation Statement

The AGA Institute is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

The AGA Institute designates this enduring material for a maximum of 0.50 AMA PRA Category 1 CreditTM  .  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credit

0.50

Type

CE for Pharmacists

Accreditation Statement

AKH Inc., Advancing Knowledge in Healthcare is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Designation Statement

AKH Inc., Advancing Knowledge in Healthcare approves this knowledge-based activity for 0.50 contact hour (0.05 CEU). UAN 0077-9999-19-020-H04-P. Initial release date: 6/14/2019.

If you claim CE for Pharmacy credit, you will be prompted to include your National Association of Boards of Pharmacy (NABP) # and date/month of birth. This information must be included in order for you to receive credit.

Additional Credit Information

Physician Assistant Continuing Education
AAPA accepts certificates of participation for educational activities approved for AMA PRA Category 1 CreditTM   from organizations accredited by ACCME or a recognized state medical society. PAs may receive a maximum of 0.50 Category 1 Credit for completing this activity.

Nurse Practitioner Continuing Education
AANPCP accepts certificates of participation for educational activities approved for AMA PRA Category 1 CreditTM   from organizations accredited by ACCME. Individuals are responsible for checking with the AANPCP for further guidelines.

Disclosure of Unlabeled Use

This CME/CE activity may or may not discuss investigational, unapproved, or off-label use of drugs. Participants are advised to consult prescribing information for any products discussed. The information provided in this CME activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options for a specific patient's medical condition.

Disclaimer

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the AGA Institute, AKH Inc., HME, Allergan, Inc., Ironwood Pharmaceuticals, Inc., or Salix Pharmaceuticals. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

If you have any questions relating to the accreditation of this activity, please contact the AGA education department at education@gastro.org or 301-654-2055.

If you have any questions relating to the CE accreditation of this activity, please contact AKH Inc. at jgoldman@akhcme.com.

If you have any other questions relating to your certificate or other issues with the activity, please contact
myCME.Support@haymarketmedical.com.

Instructions

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.

SYSTEM REQUIREMENTS

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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