Hitting the Target in HER2-Positive Metastatic Colorectal Cancer
STATEMENT OF NEED
An estimated 153,020 new cases of colorectal cancer (CRC) are diagnosed annually, and 52,550 people die of the disease (Siegel et al, 2023). Approximately 22% of patients present with metastatic disease, which is associated with a dismal 5-year survival rate of 15% (SEER, 2022). Targeting biomarkers is a key strategy for expanding therapeutic options and improving outcomes in metastatic CRC. Human epidermal growth factor receptor 2 (HER2) amplification status and treatment... |
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Leveraging the Growing Arsenal of Adjuvant Therapies for Early-Stage NSCLC
In this activity, Dr. Helena A. Yu, Associate Attending Physician at Memorial Sloan Kettering Cancer Center, will provide insights into strategies for leveraging the growing arsenal of adjuvant therapies for early-stage non"small cell lung cancer (NSCLC), including treatment selection and adverse event management. Start the activity now!
STATEMENT OF NEED
Lung cancer is the second most commonly diagnosed cancer and the leading cause of death for men and women worldwide. In the Unite... |
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Pathology and Oncology Expert Perspectives in the Management of Triple-Negative Breast Cancer: Case Explorations and Answers to FAQs
STATEMENT OF NEED
Triple-negative breast cancer (TNBC) is an aggressive disease that accounts for approximately 10% to 15% of breast cancer diagnoses and is characterized by the absence of estrogen receptors, progesterone receptors, and human epidermal growth factor receptor 2 (HER2). TNBC is more common in Black women and in women under the age of 40 (ACS, 2023). Compared with other subtypes of invasive breast cancer, TNBC has high rates of metastasis and a poor prognosis. Due to the lack ... |
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Virtual Tumor Board: Multidisciplinary Management of Advanced Soft Tissue Sarcoma
STATEMENT OF NEED
Sarcomas, which represent 1% to 2% of adult cancers, are a rare, heterogeneous group of neoplasms originating in the connective tissue. Soft tissue sarcomas, which begin in the muscle, tendons, fat, lymph, blood vessels, and nerves, encompass more than 80 histological subtypes. Approximately 25% of patients develop metastatic disease after curative-intent surgery, and for these patients, treatment options are limited and prognosis is very poor. In recent decades, the ident... |
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Putting the Freeze on Cold Agglutinin Disease
STATEMENT OF NEED
Cold agglutinin disease (CAD) is a rare subtype of autoimmune hemolytic anemia (AIHA) in which antibodies cause hemolysis at cold temperatures, generally between 37º to 39º Fahrenheit. Approximately 1 in a million people are affected by CAD annually, with onset usually occurring between the ages of 40 and 80 years. Individuals commonly experience fatigue, dizziness, palpitations, and shortness of breath caused by the anemia; jaundice caused by degradation of hemoglobin i... |
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Managing Immune Related Adverse Events to Ensure Optimal Cancer Immunotherapy Outcomes: The Nurse’s View
STATEMENT OF NEED
Immune checkpoint inhibitors, which alter immune regulatory pathways and promote cell-mediated destruction of tumor cells, have revolutionized the treatment of cancer in recent years, with numerous therapeutic agents approved and several targets under investigation (Chennamadhavuni et al, 2022). However, up to 90% of patients receiving immune checkpoint inhibitors experience immune-related adverse events, which can affect a wide variety of organ systems and can occur at any ... |
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Exploring New Treatment Advances for Acid Sphingomyelinase Deficiency in Adults
STATEMENT OF NEED
Acid sphingomyelinase deficiency (ASMD) is a rare, hereditary lysosomal storage disease with multisystemic manifestations, including splenomegaly, hepatomegaly, interstitial lung disease, dyslipidemia, bone marrow and lymph node involvement, and sometimes neurological and peripheral nerve involvement. While the most severe form of ASMD, infantile neurovisceral ASMD, results in death in early childhood, chronic forms of ASMD have more prolonged survival but are associated w... |
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Current Standards and New Directions in the Treatment of Acquired Thrombotic Thrombocytopenic Purpura
STATEMENT OF NEED
Acquired thrombotic thrombocytopenic purpura (aTTP) is a rare, life-threatening thrombotic microangiopathy with a rapid onset and progression and a mortality rate of 10% to 20% with prompt treatment. Onset of aTTP is characterized by severe thrombocytopenia, microangiopathic hemolytic anemia, and a constellation of associated symptoms including hemorrhage, neurologic and renal manifestations, cardiac abnormalities, and mesenteric ischemia (Joly et al, 2017). Survivors of f... |
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Recurrent and Metastatic HNSCC: New Insights and Real-World Evidence for Improved Patient Outcomes
STATEMENT OF NEED
Head and neck cancers represent a heterogeneous group of tumors that originate in the lip/oral cavity, hypopharynx, oropharynx, nasopharynx, and larynx. An estimated 66,470 new cases are diagnosed in the United States annually, and 15,050 people die of the disease (Siegel et al, 2022). Approximately 90% of cases are classified as head and neck squamous cell carcinoma (HNSCC). Treatment of HNSCC is complicated by numerous factors, including differing therapeutic strategies ... |
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Exploring Novel Treatments for Rett Syndrome
STATEMENT OF NEED
Rett syndrome is a rare, debilitating neurodevelopmental disorder almost always associated with a spontaneous mutation in the methyl-CpG-binding protein 2 (MECP2) gene on the X-chromosome. Affected individuals experience loss of purposeful hand skills, abnormalities in gait, loss of spoken language, and stereotypic hand movements, with more severe manifestations including seizures, autistic features, autonomic nervous system dysfunction, breathing abnormalities, sleep dist... |
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Best Practices in Nursing Management of Chemotherapy-Induced Peripheral Neuropathy
STATEMENT OF NEED
Chemotherapy-induced peripheral neuropathy (CIPN) is a complication of cancer treatment that may impair quality of life and lead to dose reductions or discontinuation of treatment. In one study, among 105 patients receiving paclitaxel for breast cancer, 36.2% needed dose reductions due to CIPN (Timmins et al, 2021). Whereas in some patients the symptoms improve with time, in others, there is progression with permanent nerve damage (Zajączkowska et al, 2019). At present, the... |
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Operation Game- A Patient’s Journey Through HeFH: Diagnosis and Management
Target Audience
This activity has been designed to address the educational needs of cardiologists, cardiology nurses, lipid specialists, and primary care clinicians, including internists, pharmacists, nurses, nurse practitioners, PAs, and dietitians. It may also benefit other healthcare providers who manage patients with hypercholesterolemia.
Program Overview
Nonstatins are an essential therapy for lowering low-density lipoprotein cholesterol (LDL-C) levels in high-risk patients, such as ... |
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Right Treatment, Right Patient: Evidence-Based Approaches to the Treatment of Moderate-to-Severe Atopic Dermatitis Snippet 1: Currently Available Injectable Biologic Therapies for Moderate-to-Severe Atopic Dermatitis (AD)
Target Audience
This activity is designed to meet the educational needs of dermatology and allergy physicians, nurse practitioners, PAs, and nurses who care for patients with moderate-to-severe atopic dermatitis.
Program Overview
This activity features a case presentation, a brief overview of currently available injectable biologic therapies, and insights from an expert faculty.
Learning Objectives
After completing this activity, the participant should be better able to::
Identify ... |
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May 16-18, 2024 Update CME Internal Medicine and Primary Care Conference
Eminent speakers from The University of Chicago, Northwestern University, The University of Illinois Chicago, and Rush University will provide comprehensive updates on the latest clinical guidelines.
Target Audience: Internal Medicine, Primary Care, Family Medicine, and Hospitalist Medicine Physicians, Nurse Practitioners, and Physician Assistants
Earn 25 CME Credits
This activity has been approved for AMA PRA Category 1 Credit™️.
This activity has been approved for AAFP Prescribe... |
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InformED: UC Davis Emergency Medicine Conference
This conference is catered to practitioners who provide care in urgent and emergent settings, including physicians, physician assistants, nurse practitioners, nurses, and pharmacists. Health care is changing rapidly where urgent and emergent conditions require rapid, accurate diagnosis and treatment decisions. Nationally recognized leaders in Emergency Medicine will deliver the course that provides opportunities for attendees to learn about current and progressive trends in the practice of eme... |
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INFORM: Information Needed for Optimal Regulation of Mycophenolate- A REMS Activity
Target Audience
The target audience for this initiative includes obstetricians, gynecologists, primary care physicians, physician assistants, nurse practitioners, pharmacists, and care team members involved in the treatment of women across their reproductive lifespan who may have been prescribed mycophenolate products.
Program Overview
Clinicians who work with women of childbearing age who are, or will be, taking mycophenolate must ensure that their patients receive appropriate counseling... |
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9th Annual Clinical Issues in Primary Care Conference
Presented by Continuing Education Company for over 30 years, our Primary Care CME Conference Series is designed to update primary care clinicians in rapidly changing therapeutic areas. The emphasis is on practical and useful information for clinical practice. Join us in May 2024 for our 9th Annual Clinical Issues in Primary Care Conference at the Fairmont Orchid, Hawaii Resort on the Big Island
Program Objectives
As a result of this conference, participants will be able to:
Assess and p... |
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Anesthesiology Update 2024 - LIVE STREAMING or IN PERSON
The Comprehensive 2024 Anesthesiology Update
Cardiac, Regional, Office-Based, Thoracic, Obstetric, Neuro, and Pediatric
Anesthesiology Update will be held on May 6-10, 2024. You have the option to attend either online as the course is live streamed or in person in Boston, MA.
In the past year, there have been a number of very significant clinical changes that affect the practice of anesthesiology. This comprehensive CME program provides a special and timely opportunity for anesthesiolo... |
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28th Annual Hypertension, Diabetes & Dyslipidemia Conference
This three day intensive conference, held on June 19-21, 2024 in Charleston, South Carolina, addresses all the issues confronting clinicians who treat challenging patients with diabetes, hypertension, and dyslipidemia and how to apply this knowledge to everyday practice.
Over the past several years controversies in the appropriate target for Hemoglobin A1C, BP, and LDL-Cholesterol on outcome improvement continue to occur in Type 2 diabetes, Hypertension, and Dyslipidemia, respectively. Desp... |
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32nd Annual Primary Care Conference, Session 1
Continuing Education Company has been organizing its Primary Care Conference Series for over 31 years. The Primary Care Conference is designed to update primary care clinicians in rapidly changing therapeutic areas. The emphasis is on practical and useful information for clinical practice. Join us this June or July when we hold the 32nd Annual Primary Care Conference. This conference will be repeated in two sessions for convenience in scheduling. Sessions I and II will be held at the Kiawah Is... |
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June 27-29, 2024 Update CME Internal Medicine and Primary Care Conference
Eminent speakers from The University of Chicago, Northwestern University, The University of Illinois Chicago, and Rush University will provide comprehensive updates on the latest clinical guidelines.
Target Audience: Internal Medicine, Primary Care, Family Medicine, and Hospitalist Medicine Physicians, Nurse Practitioners, and Physician Assistants
Earn 25 CME Credits
This activity has been approved for AMA PRA Category 1 Credit™️.
This activity has been approved for AAFP Prescribe... |
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32nd Annual Primary Care Conference, Session 2
Continuing Education Company has been organizing its Primary Care Conference Series for over 31 years. The Primary Care Conference is designed to update primary care clinicians in rapidly changing therapeutic areas. The emphasis is on practical and useful information for clinical practice. Join us this June or July when we hold the 32nd Annual Primary Care Conference. This conference will be repeated in two sessions for convenience in scheduling. Sessions I and II will be held at the Kiawah Is... |
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15th Annual Essentials in Primary Care Summer Conference
Continuing Education Company has been organizing its Primary Care Conference Series for over 30 years. The Essentials in Primary Care Summer Conference is designed to update primary care clinicians in rapidly changing therapeutic areas. The emphasis is on practical and useful information for clinical practice. Join us this July when we hold the 15th Annual Essentials in Primary Care Summer Conference.
This conference will be held at the Hammock Beach Resort in Palm Coast, Florida. Located n... |
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Right Treatment, Right Patient: Evidence-Based Approaches to the Treatment of Moderate-to-Severe Atopic Dermatitis Snippet 2: Currently Available Oral Therapies for Moderate-to-Severe Atopic Dermatiti
Target Audience
This activity is designed to meet the educational needs of dermatology and allergy physicians, nurse practitioners, PAs, and nurses who care for patients with moderate-to-severe atopic dermatitis.
Program Overview
This activity features a case presentation, a brief overview of currently available oral therapies, and insights from expert faculty.
Learning Objectives
After completing this activity, the participant should be better able to::
Identify the biologic prope... |
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The PrEP Journey Charting the Course Through HIV Prevention
HIV prevention with preexposure prophylaxis (PrEP) is an essential tool for clinicians to help end the HIV epidemic. In this case-based interactive activity, you will learn the basics of assessing HIV risk, conversing with patients about sexual health, and providing PrEP, from initiation to monitoring and follow-up. Then, more challenging cases will illustrate the nuances of providing PrEP based on patient characteristics and preferences. Prof Daniel Richardson and nurse practitioner Shauna Ap... |
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8th Annual Internal Medicine in Primary Care Conference
Continuing Education Company has been organizing its Primary Care Conference Series for over 30 years. The 8th Annual Internal Medicine in Primary Care Conference is designed to update primary care clinicians in rapidly changing therapeutic areas. The emphasis is on practical and useful information for clinical practice. Join us July 26 through August 2, 2024 when we host the 8th Annual Internal Medicine in Primary Care Conference on the Celebrity Edge while cruising Alaska and British Columbi... |
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Cleveland Clinic Ultrasound Workshop: Diagnostic & Procedural Skills (Streaming Online & USB Flash Drive)
The Cleveland Clinic Ultrasound Workshop focuses on developing foundational diagnostic and procedural skills that can be quickly applied to clinical practice. Physicians, physician assistants and nurse practitioners across multiple specialties will benefit from lectures and demonstrations from more than twenty expert educators. This activity will provide a greater understanding of ultrasound as an imaging and interventional tool. As such, the lessons learned should have a direct impact on pa... |
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Cleveland Clinic 13th Annual Neurology Update
Cleveland Clinic’s 13th Annual Neurology Update features a faculty of more than a dozen thought leaders discussing the most current clinically focused information regarding diagnosis, medication and therapy for a wide variety of neurologic conditions. This comprehensive review will detail strategies, procedures and best practices throughout the specialty. Neurologists, general practitioners, nurses and physician assistants will all benefit from the latest information impacting the practice... |
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9th Annual Primary Care Update on Urgent Care and Emergency Medicine
Presented by Continuing Education Company (CEC); for over 30 years our Primary Care CME Conference Series is designed to update primary care clinicians in rapidly changing therapeutic areas. This year, CEC is pleased to host the 9th Annual Primary Care Update on Urgent Care & Emergency Medicine Conference to be held in San Diego, California at the Omni San Diego Hotel on October 7-9, 2024.
Emergency and Urgent Care medicine involves the delivery of immediate medical care for the treatme... |
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Surgery or Biologic for Nasal Polyps? A Close Look at the Evidence
Target Audience
The intended audience for this program is ENTs, allergists, immunologists, specialty nurse practitioners and PAs, and other clinicians involved in the management of patients with nasal polyps.
Program Overview
As management strategies for nasal polyps (NPs) have evolved, patients whose NPs do not respond to initial treatment, who are ineligible for systemic corticosteroids, or whose NPs recur after initial surgery often undergo repeated surgeries, with high associated cost... |
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Nursing Management of Tumor Lysis Syndrome
STATEMENT OF NEED
Tumor lysis syndrome (TLS) is an oncological emergency that occurs when massive tumor lysis causes the rapid release of intracellular components into the bloodstream. Electrolyte imbalances characterized by hyperuricemia, hyperkalemia, hyperphosphatemia, and hypocalcemia may be severe enough to cause acute renal failure, cardiac arrhythmias, seizures, and even death. Current advances in cancer therapies can increase the incidence of TLS; therefore, identification of patien... |
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14th Annual Primary Care Fall Conference
Presented by Continuing Education Company for over 30 years, our Primary Care CME Conference Series is designed to update primary care clinicians in rapidly changing therapeutic areas. The emphasis is on practical and useful information for clinical practice. This year, the 14th Annual Primary Care Fall Conference is being held in Maui, Hawaii at the Sheraton Maui Resort & Spa, an oceanfront resort situated along a spectacular stretch of the famed Ka'anapali Beach.
Program Objectiv... |
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Cases in Practice: Applying Proposed Care Pathways for Interdisciplinary Collaboration to the Management of Nasal Polyps
Target Audience
The intended audience for this program is ENTs, allergists, immunologists, specialty nurse practitioners and physician assistants, and other clinicians involved in the management of patients with nasal polyps (NPs).
Program Overview
Clinicians on the frontlines of care for chronic rhinosinusitis with nasal polyps " including ear, nose, and throat specialists (ENTs) and allergists-- are largely unaware of the underlying pathophysiology driven by type 2 (T2) inflammatio... |
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15th Annual Essentials in Primary Care Fall Conference, Session 1
Continuing Education Company has been organizing its Primary Care CME Conference Series for over 30 years. The 15th Annual Essentials in Primary Care Fall Conference is designed to update primary care clinicians in rapidly changing therapeutic areas. The emphasis is on practical and useful information for clinical practice. Join us this November when we hold the 15th Annual Essentials in Primary Care Fall Conference at the amazing Hawks Cay Resort on Duck Key in the beautiful Florida Keys.
... |
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Quality Compounding Summit: On-Demand
Earn up to 9 hours of continuing education focused on quality issues in compounding when you purchase the 2021 Quality Compounding Summit Bundle originally presented November 5-6, 2021.
Quality Compounding Summit 2021 Bundle - only $450
CE Session #1 - NABP Implementation of the FDA Compounding MOU
CE Session #2 - Pharmacist / Provider / Patient Triad: A Multidisciplinary Approach to Patient Care
CE Session #3 - Quality Compounding and Clinical Pharmaceuticals
CE Session #4 ... |
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15th Annual Essentials in Primary Care Fall Conference, Session 2
Continuing Education Company has been organizing its Primary Care CME Conference Series for over 30 years. The 15th Annual Essentials in Primary Care Fall Conference is designed to update primary care clinicians in rapidly changing therapeutic areas. The emphasis is on practical and useful information for clinical practice. Join us this November when we hold the 15th Annual Essentials in Primary Care Fall Conference at the amazing Hawks Cay Resort on Duck Key in the beautiful Florida Keys.
... |
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8th Annual National Hospitalist Conference
The 8th Annual National Hospitalist Conference on November 18-21, 2024 at the Hyatt Regency Coconut Point Resort & Spa is designed to provide attendees with the information and skills to improve the care of hospitalized patients. This conference has been accredited for up to 16 CME credits.
The conference's focus is on the practical management of problems commonly encountered in hospital medicine. An emphasis will be placed on recent advances, up-to-date practices, and guidelines f... |
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Cleveland Clinic 16th Annual Obesity Summit
Cleveland Clinic’s 16th Annual Obesity Summit features a diverse mix of faculty experts discussing innovative solutions and new strategies for diabetes, obesity and cardiovascular disease management. Dedicated sessions highlight the causes of obesity and diabetes, preventive strategies and therapeutic management approaches. Healthcare practitioners including physicians, nurse practitioners, physician assistants, dieticians and therapists throughout many specialties can all benefit from the ... |
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5th Annual Medical Updates in Primary Care Conference
Continuing Education Company has been organizing its Primary Care Conference Series for over 30 years. The 5th Annual Medical Updates in Primary Care Conference is designed to update primary care clinicians in rapidly changing therapeutic areas. The emphasis is on practical and useful information for clinical practice. Join us in December 2024 for our 5th Annual Medical Updates in Primary Care Conference at the Fairmont Orchid, Hawaii Resort on the Big Island.
Program Objectives
As a re... |
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Best Practices in Multiple Myeloma Care: Opportunities to Improve Outcomes in Community Settings
As nurses and APPs are well positioned to educate, support, and coordinate care for patients with multiple myeloma, having insight into the evolving trajectory of the disease will enhance their ability to provide quality patient care and identify and eliminate barriers. Addressing barriers to care remains key in ensuring access to novel therapies and improving quality of life. Having an understanding of the advances and increasing complexity of care of the patient with multiple myeloma will pr... |
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The IMPACT Initiative Learning Center: Ultrasound Basics
Target Audience
This activity is intended for neurologists, physiatrists, orthopedic surgeons, residents, fellows, nurse practitioners, physician assistants, physical therapists, and occupational therapists who manage patients with spasticity and movement disorders.
Program Overview
This activity provides an overview of how to identify muscles/other structures with ultrasound and procedural guidance for botulinum neurotoxin injections, including scanning tips and guidance techniques f... |
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The IMPACT Initiative Learning Center: Head and Neck Including the Salivary Gland
Target Audience
This activity is intended for neurologists, physiatrists, orthopedic surgeons, residents, fellows, nurse practitioners, physician assistants, physical therapists, and occupational therapists who manage patients with spasticity and movement disorders.
Program Overview
This activity provides an update on using ultrasound guidance to optimize procedural guidance for head and neck botulinum neurotoxin (BoNT) injection including ultrasound pattern recognition, scanning tips... |
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The IMPACT Initiative Learning Center: Shoulder and Arm
Target Audience
This activity is intended for neurologists, physiatrists, orthopedic surgeons, residents, fellows, nurse practitioners, physician assistants, physical therapists, and occupational therapists who manage patients with spasticity and movement disorders.
Program Overview
This activity reviews utilization of ultrasound guidance for optimizing botulinum neurotoxin (BoNT) injections in the shoulder girdle region including pattern recognition, scanning tips, and needle guidanc... |
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The IMPACT Initiative Learning Center: Hip Girdle and Thigh
Target Audience
This activity is intended for neurologists, physiatrists, orthopedic surgeons, residents, fellows, nurse practitioners, physician assistants, physical therapists, and occupational therapists who manage patients with spasticity and movement disorders.
Program Overview
This activity reviews use of ultrasound guidance for optimizing botulinum neurotoxin injections in the hip girdle region including pattern recognition, scanning tips, and needle guidance technique.
Lear... |
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The IMPACT Initiative Learning Center: Lower Limb/leg and Calf Region
Target Audience
This activity is intended for neurologists, physiatrists, orthopedic surgeons, residents, fellows, nurse practitioners, physician assistants, physical therapists, and occupational therapists who manage patients with spasticity and movement disorders.
Program Overview
This activity reviews use of ultrasound guidance for optimizing botulinum neurotoxin injections in the leg and calf region including pattern recognition, scanning tips, and needle guidance techniques
Le... |
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The IMPACT Initiative Learning Center: Forearm and Hand
Target Audience
This activity is intended for neurologists, physiatrists, orthopedic surgeons, residents, fellows, nurse practitioners, physician assistants, physical therapists, and occupational therapists who manage patients with spasticity and movement disorders.
Program Overview
This activity reviews use of ultrasound guidance for optimizing botulinum neurotoxin injections in the forearm and hand including pattern recognition, scanning tips, and needle guidance techniques.
Lear... |
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Exploring Advances in the Early Diagnosis and Treatment of Alzheimer Disease
STATEMENT OF NEED
Alzheimer disease, the most common form of dementia among older adults, is a slowly progressive neurogenerative disease that affects approximately 6 million Americans aged 65 and older (Rajan et al, 2021). Symptoms of Alzheimer disease include memory loss, confusion, impulsive behavior, difficulty with language, mood and personality changes, hallucinations, and increased anxiety or aggression, with severe symptoms such as physical decline, difficulty swallowing, and inabil... |
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A Pathway to Putting Patients First: Spotlight on TAAR1 Agonists for Treating Schizophrenia
Target Audience
This activity is designed for psychiatrists, advanced practice psychiatric nurses, and other mental health care professionals who care for patients with schizophrenia.
Program Overview
In this activity, two expert faculty members " a psychiatric nurse and a psychiatrist " will give you the opportunity to learn about unmet needs in the management of schizophrenia, including outcomes that are important to patients, the role of psychiatric nurses in schizophrenia ca... |
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Navigating Novel Terrain in Vitiligo Management: A Practical, Patient-Centric Review
Target Audience
This educational activity is targeted to Advanced Practice Providers (APPs) " Physician Assistants and Nurse Practitioners " who practice in community settings.
Program Overview
This online activity will provide Advanced Practice Providers (APPs) " Physician Assistants and Nurse Practitioners " with a comprehensive overview of vitiligo, emphasizing pathogenic mechanisms, patient burden, and emerging treatment approaches.
Learning Objectives
Upon com... |
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Cleveland Clinic 27th Annual Diabetes Therapeutics, Technology and Surgery (Online Streaming On Demand)
For over a quarter century, Cleveland Clinic has been at the forefront of continuing education regarding the treatment and management of diabetes. Its world class faculty has designed the 27th Annual Diabetes Therapeutics, Technology and Surgery to provide up-to-date reviews of strategies and research relevant to this disease and its complications. The goal of this activity is to increase practitioners’ competence and clinical performance in the management of type 1 and type 2 diabetes. A... |