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  • Overview
  • Pre-Assessment
  • Activity
  • Post-Test
  • Evaluation
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RAPID Case Study 1: A 34-Year-Old Woman With Hand and Foot Pain

RAPID Case Study 1: A 34-Year-Old Woman With Hand and Foot Pain


Patient Case Study

Time to Complete

30 minutes


June 4, 2018


June 4, 2019
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Maximum Credits

0.50 / AMA PRA Category 1 CreditTM
0.50 / ABIM MOC Part II point

An important note about ABIM MOC Part II points
Successful completion of this CME activity enables eligible participants to earn up to 0.50 ABIM-Part II Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. To claim MOC points, follow these easy steps:

Step 1: Complete all 3 questions under the "ABIM Part 2 Credit Questions" section, located at the bottom of the course evaluation form. This includes 1) attesting that our partner may submit your credits to ABIM, 2) attesting that you are ABIM board certified, 3) providing your ABIM #, and 4) providing your date of birth (MM/DD).

Step 2: Our partner, Global Education Group, will send your MOC points to your ABIM account within 1 month.

If you have any questions about MOC points, please contact

Accredited Provider

Jointly provided by Global Education Group and Factor X

Commercial Supporter

This activity is supported by independent educational grants from Sanofi Genzyme and Regeneron Pharmaceuticals and AbbVie.

Program Description

This interactive case study will identify and address barriers to improved diagnosis and outcomes in rheumatoid arthritis (RA) patients under the care of primary care providers. Topics include the importance of an accurate and early provisional diagnosis and subsequent referral to a rheumatologist for confirmation. The use of an appropriately focused physical examination, targeted laboratory screening, and the benefits of early intervention are presented. The need for proper vaccinations in these patients is discussed.

Intended Audience

This activity was developed for primary care clinicians, nurse practitioners, physician assistants, rheumatologists, rheumatology nurse practitioners, rheumatology physician assistants, and other healthcare providers who provide care for patients at risk for RA or who are involved in the long-term co-management of RA patients.

Educational Objectives

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

  • Identify patients who have early RA by incorporating simple screening tests, such as the squeeze test, into daily practice
  • Order appropriate laboratory tests when RA is suspected
  • Order proper vaccinations for patients starting Disease-Modifying Antirheumatic Drug (DMARD) therapy
  • Integrate best practices for co-management of RA patients with rheumatologists and other clinical specialists into patient care

Conflict Of Interest Disclosure Policy

Global Education Group (Global) requires instructors, planners, managers and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by Global for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.


Course Director
Michael Weinblatt, MD

John R. and Eileen K. Riedman Professor of Medicine
Harvard Medical School
R. Bruce and Joan M. Mickey Distinguished Chair in Rheumatology
Brigham and Women's Hospital
Boston, MA

Dr. Weinblatt discloses the following:
Consultant/Independent Contractor: AbbVie, Amgen, Bristol-Myers-Squibb, Canfite, Corona, Crescendo, GSK, Gilead, Lycera, Lilly, Merck, Novartis, Pfizer, Roche, Samsung, Set Point, and UCB
Grant/Research Support: Amgen, Crescendo, BMS, and Sanofi. Grants are paid to the Brigham and Women’s Hospital
Stock Shareholder: Canfite, Lycera, Immedix, Schipher, and Vorso

Lydia Gedmintas, MD, MPH
Associate Physician
Brigham and Women's Hospital
Harvard Medical School
Boston, MA

Dr. Gedmintas has no relevant financial relationships to disclose.

Paul Doghramji, MD, FAAFP
Family Physician
Collegeville Family Practice
Medical Director
Ursinus College
Collegeville, PA

Dr. Doghramji has no relevant financial relationships to disclose.

M. Suzanne Schrandt
Director, Patient Engagement
Arthritis Foundation
Arlington, VA

Ms. Schrandt has no relevant financial relationships to disclose.

Accredited Provider Disclosure

Global Education Group
Faculty and staff involved in the planning and review of this activity have no relevant financial relationships to disclose.

Publishing Staff Disclosures

Daniel Duch, PhD, has disclosed no relevant financial relationships.
Steve Bender, President, FACTORx, has disclosed no relevant financial relationships.




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 Global Education Group (Global) and FactorX. Global is accredited by the ACCME to provide continuing medical education for physicians.

Designation Statement

Global Education Group designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit(s)TM  .  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM MOC Part II Point

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.50 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity

Disclosure of Unlabled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Global Education Group (Global) does 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 any organization associated with this activity. 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 in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Fee Information & Refund/Cancellation Policy

There is no fee for this educational activity.

Term of Offering

This activity was released on May 31st and is valid for one year. Requests for credit must be made no later than May 31, 2019.


In order to receive credit, participants must complete the pre-assessment questions, view the activity in its entirety, and complete the post-test and program evaluation. Participants must also score at least 70% on the post-test. You will receive a digital copy of your credit certificate at the conclusion of the activity. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.

For information about the accreditation of this program, please contact Global at 303-395-1782 or

Privacy Policy


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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