A Framework for Successful Intrathecal Pain Management: New Insights from the 2017 Polyanalgesic Consensus Conference (PACC) Guidelines

Once perceived to be a management approach reserved for salvage therapy—the final straw—after failure of oral high dose opioids, intrathecal drug delivery (IDD) has been established as a cost-effective and efficacious pain management strategy for patients with refractory chronic pain. As the use of IDD expands, there is a need to reduce variability among health care providers in medications ...
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Advancing the Treatment of Focal Seizures in the Intensive Care Setting: A Multidisciplinary Team Approach

Seizures are a common occurrence in the intensive care setting with incidence estimates ranging from 3.3% to 34%. Encountering seizures in the intensive care unit (ICU) is frightening to patients and caregivers. Discharge orders that include new medication and possibly a new diagnosis—in addition to other orders or instructions can be daunting and confusing. Clinicians need strategies focused ...
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An Epidemic of Burnout and Increased Risk of Suicide in Medicine: Strategies for Healthcare Providers

This video is a replay of a plenary session from the 9th Annual Chair Summit Master Class for Neuroscience Professional Development held in Miami, Florida on September 15 – 17, 2016. At the end of this CE activity, participants should be able to recognize the risk of burnout and suicide among healthcare providers and learn to develop a personal and organizational strategy to increase resi...
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An Evolving Treatment Landscape for Inflammatory Disease: Debating Interchangeability, Efficacy, and Safety of Biosimilars

Health care spending has grown much faster than the rest of the economy, and this trend is seemingly unsustainable.1 Biologic agents are highly effective against inflammatory diseases, but may be restricted by many health care plans due to cost. Biosimilars offer a potential solution as a cost-effective alternative to biologic agents. Biosimilars have been available in Europe since 2005. In the ...
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Biomarkers, Treatments, and Comorbidities: Translating Data to Clinical Practice When Managing Patients with Multiple Sclerosis

This video is a replay of a plenary session from the 9th Annual Chair Summit Master Class for Neuroscience Professional Development held in Miami, Florida on September 15 – 17, 2016. At the end of this CE activity, participants should be able to: - Examine the incidence of MS misdiagnosis and develop strategies to improve diagnosis. - Review the clinical course of MS and its significanc...
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Bringing Health Care Providers Together to Diagnose and Treat Idiopathic Pulmonary Fibrosis

Although the most common of the restrictive lung diseases, idiopathic pulmonary fibrosis (IPF) is a rare but deadly disease, affecting an estimated 6.8 to 42.7 per 100,000 people, with higher rates in those older than 65 years, and resulting in approximately 40,000 deaths annually in the United States. Education to community pulmonologists, radiologists, and primary care physicians, as well a...
CME Outfitters, LLC

Bringing Health Care Providers Together to Diagnose and Treat Idiopathic Pulmonary Fibrosis: A Patient Simulation

Although the most common of the restrictive lung diseases, idiopathic pulmonary fibrosis (IPF) is a rare but deadly disease, affecting an estimated 6.8 to 42.7 per 100,000 people, with higher rates in those older than 65 years, and resulting in approximately 40,000 deaths annually in the United States. Education to community pulmonologists, radiologists, and primary care physicians, as well a...
CME Outfitters, LLC

Challenges in Patient Safety in Psychiatry

Patients with mental illness are at higher risk for adverse events including suicide, lack of medication adherence, and less likely to seek help during relapse. As pressure to discharge increases in addition to treatment plans, patients with mental illness must also have a safety plan beyond the length of hospitalization that makes the patient an equal participant and involves their entire care ...
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Cognitive Deficits in Depression

Depression is one of the biggest health challenges the world faces. More than 350 million people worldwide suffer from depression. Many patients with depression report cognitive difficulties and clinicians must be able to properly assess these difficulties when treating patients with MDD. While cognitive dysfunction in MDD may improve with treatment and depressive symptoms may resolve, cogni...
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Collaborative Care Strategies for Reducing Hospital Readmissions in Patients with Heart Failure with Reduced Ejection Fraction

Heart failure (HF) is a chronic condition that requires long-term commitment on the part of the patient in adhering to an often-complex therapeutic and monitoring regimen, including lifestyle modifications and pharmacotherapy, and on the part of the clinician in maintaining knowledge of the most current therapies and devices to maximize efficacy, minimize side effects, improve monitoring, and re...
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Coordinating Care to Improve Outcomes in Patients with Psoriatic Arthritis: Bridging Rheumatology and Dermatology

With psoriatic arthritis (PsA), effective diagnosis and treatment present a challenge. While dermatologists are the front-line clinicians managing psoriasis, they do not routinely screen for PsA. The rheumatologists,who are best positioned to treat PsA,do not have access to the patients unless referred by the dermatologists. Coordination of care has never been more important than in the prom...
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Deep Remission, Mucosal Healing, and Top-Down Treatment Strategies in Ulcerative Colitis: An Infographic Journey

Ulcerative colitis (UC) is an inflammatory bowel disease with a progressive course characterized by exacerbations and remissions. Traditionally, the goals of therapy for UC have entailed resolution of clinical symptoms such as rectal bleeding, bloody diarrhea, abdominal cramps, pain, and fatigue. However, treatment goals for UC have evolved to a treat-to-target strategy with targets such as muco...
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Deep Remission, Top-Down Treatment Strategies and Real-World Data in Patients with UC: An Interactive and Innovative Case Series

Ulcerative colitis (UC) is an inflammatory bowel disease with a progressive course characterized by exacerbations and remissions. Traditionally, the goals of therapy for UC have entailed resolution of clinical symptoms such as rectal bleeding, bloody diarrhea, abdominal cramps, pain, and fatigue. However, treatment goals for UC have evolved to a treat-to-target strategy with targets such as muco...
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Depression in Children and Adolescents

This video is a replay of a plenary session from the 9th Annual Chair Summit Master Class for Neuroscience Professional Development held in Miami, Florida on September 15 – 17, 2016. At the end of this CE activity, participants should be able to screen adolescents ages 12 to 18 years for major depressive disorder, describe the common comorbid disorders associated with major depression in ch...
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Developing Personalized Action Plans With Patients With Atopic Dermatitis

Atopic dermatitis (AD) or atopic eczema is a chronic inflammatory skin disorder characterized by an itchy, red rash most commonly found in skin creases.It is prevalent in 25% of children and 2% to 3% of adults. Quality of life issues associated with atopic dermatitis include: severe itching and resulting sleep loss, social stigma, negative impact on interpersonal relationships, loss of wages, lo...
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Evidence-Based Recommendations for Therapeutic Options and Newly Approved and Emerging Treatments in Atopic Dermatitis

Atopic dermatitis (AD) or atopic eczema is a chronic inflammatory skin disorder characterized by an itchy, red rash most commonly found in skin creases. It is prevalent in 25% of children and 2% to 3% of adults. Quality of life issues associated with atopic dermatitis include: severe itching and resulting sleep loss, social stigma, negative impact on interpersonal relationships, loss of wages, l...
CME Outfitters, LLC

From Symptom Recognition to Narcolepsy Diagnosis: Shortening the Diagnostic Journey: A Moderated Discussion with the Experts and Q&A

Patients with narcolepsy often face a long journey on their path to diagnosis and effective treatment. Combating the negative impact of narcolepsy on the lives of those affected requires that both the general public and the medical community increase their awareness of the symptoms of narcolepsy, in particular, the most common presenting symptoms: cataplexy and excessive daytime sleepiness. ...
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Hypnotic Medications and Suicide: Risk, Mechanisms, Mitigation and the FDA

This video is a replay of a plenary session from the 9th Annual Chair Summit Master Class for Neuroscience Professional Development held in Miami, Florida on September 15 – 17, 2016. At the end of this CE activity, participants should be able to evaluate the relationship between hypnotics and increased risk of suicide.
CME Outfitters, LLC

Improving Outcomes Through Proactive Monitoring of Transplant Patients

The current goal of transplant medicine and immunology is to develop strategies to extend the life and functionality of every allograft. While outcomes of renal and liver transplantation have improved, allograft loss remains a substantial problem associated with increased morbidity, mortality, and costs. Identifying the pathologic pathways responsible for allograft loss and developing targeted t...
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Integrated Care Strategies to Address the Impact of Residual Symptoms on Functional Outcomes in MDD

Depression is one of the leading causes of disability worldwide. It affects individuals, families, businesses, and society and is common in patients seeking care in the primary care setting. Approximately 55% of patients will respond to treatment with the initial antidepressant. Yet, even in those patients who respond to treatment and achieve remission, residual symptoms can significantly inhibi...
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Mental Health 101: The Class No One Wants to Talk About

The need for mental and behavioral health services on college and university campuses is increasing for both new students who arrive with documented psychiatric disabilities and other students who are coping with traumatic life issues, stress, anxiety, depression, and emerging mental and behavioral health illnesses. The American College Health Association (ACHA) organized a national research sur...
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New and Emerging Treatments and Treatment Guidelines in the Optimal Management of Moderate-to-Severe Psoriasis

Psoriasis is an inflammatory, autoimmune disorder with predominately joint and skin symptoms characterized by scaling and erythematous plaques that may be painful or severely pruritic, and may cause significant quality of life issues. Affecting 2% to 3% of the general population, psoriasis is linked to other serious conditions such as cardiovascular disease, psoriatic arthritis, and depression. ...
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Paradise Lost: The Neurobiology of Child Abuse and Neglect

This video is a replay of a plenary session from the 9th Annual Chair Summit Master Class for Neuroscience Professional Development held in Miami, Florida on September 15 – 17, 2016. At the end of this CE activity, participants should be able to recognize the impact of early childhood trauma on long-term outcomes.
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Perspectives on the Challenges of Alzheimer's Disease

Alzheimer’s disease (AD) continues to be a global health crisis. Progress has been made in our understanding of the science of AD; however, there remains no currently effective treatment to delay the onset of or prevent the disease. The pathophysiological process of AD begins many years before clinically obvious symptoms appear. In addition, the concept of a pre-symptomatic or preclinical ...
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Problem Based Learning in HBV: A Patient Simulation for Improving Treatment Decisions and Long-Term Care

Hepatitis B virus (HBV) infection is a largely undetected and untreated disease in the United States despite the availability of screening guidelines and prophylactic vaccines. Chronic HBV infection causes severe complications, including cirrhosis and hepatocellular carcinoma in 20% - 30% of patients. As a result, HBV infection is the most common reason for liver transplantation. While recomm...
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Recognizing the Symptoms of Narcolepsy: Screening Your Sleepy Patient for Cataplexy: A Moderated Discussion with the Experts and Q&A

Patients with narcolepsy often face a long journey on their path to diagnosis and effective treatment. Combating the negative impact of narcolepsy on the lives of those affected requires that both the general public and the medical community increase their awareness of the symptoms of narcolepsy, in particular, the most common presenting symptoms: cataplexy and excessive daytime sleepiness. ...
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Selecting Appropriate Treatment for Patients With IPF: Applying Guidelines and Clinical Evidence

Although the most common of the restrictive lung diseases, idiopathic pulmonary fibrosis (IPF) is a rare but deadly disease, affecting an estimated 6.8 to 42.7 per 100,000 people, with higher rates in those older than 65 years, and resulting in approximately 40,000 deaths annually in the United States. Education to community pulmonologists, radiologists, and primary care physicians, as well a...
CME Outfitters, LLC

State of the Art in the Diagnosis and Treatment of Mood Disorders

Bipolar disorder is a frequent and clinically complex psychiatric disorder. Patients with bipolar disorder are exceptionally challenging to manage because of the dynamic, chronic, and fluctuating nature of their disease. These patients frequently have co-occurring disorders that can impact treatment selection. While healthcare providers may see mixed features in depressed and bipolar depressed p...
CME Outfitters, LLC

Taking Action Against Chronic Hepatitis B Virus Infection: Counseling Patients on Serological Results

Hepatitis B virus (HBV) infection is a largely undetected and untreated disease in the United States. Only 33% of the estimated one million Americans living with HBV are aware that they are infected, placing them at risk for spreading the infection to others, and developing liver failure, cirrhosis, or hepatocellular carcinoma (HCC). As a result, HBV infection is the most common reason for liver...
CME Outfitters, LLC

Taking Action Against Chronic Hepatitis B Virus Infection: Determining Which Patients to Treat or Monitor

Hepatitis B virus (HBV) infection is a largely undetected and untreated disease in the United States. Only 33% of the estimated one million Americans living with HBV are aware that they are infected, placing them at risk for spreading the infection to others, and developing liver failure, cirrhosis, or hepatocellular carcinoma (HCC). As a result, HBV infection is the most common reason for liver...
CME Outfitters, LLC

Team-based Care, Patient Goals, and Engaging Patients to Improve Adherence and Satisfaction in Psoriasis

Psoriasis is significantly undertreated or not treated at all despite readily available treatment guidelines. Although there are multiple agents approved for the treatment of psoriasis, many patients still do not achieve optimal efficacy demonstrated by clear or almost clear skin. In addition, many patients are dissatisfied with their current treatment for psoriasis. Studies have shown that poor...
CME Outfitters, LLC

The Immunosuppression Balancing Act: Preserving Long-Term Allograft Function for Optimal Patient Outcomes

The current goal of transplant medicine and immunology is to develop strategies to extend the life and functionality of every allograft. Outcomes of renal and liver transplantation have improved; yet, allograft loss remains a substantial problem associated with increased morbidity, mortality, and costs. Education to transplant clinicians about evaluating all aspects of post-transplant care, i...
CME Outfitters, LLC

The Latest on Key Nutrients, Dietary Supplementation, and Healthy Skin: A Virtual Reality Learning Experience

Skin is widely known to reflect a person’s general inner-health status and aging, but do clinicians who treat patients’ skin think about what the skin may be saying about a patient’s overall health status? Nutrition has a critical role in optimizing health and preventing disease, but few clinicians are aware of the data supporting dietary supplementation. With our aging population the ...
CME Outfitters, LLC

Treating the Full Spectrum of Narcolepsy: Improving Nighttime Symptoms to Enhance Daytime Quality of Life: A Moderated Discussion with the Experts and Q&A

Patients with narcolepsy often face a long journey on their path to diagnosis and effective treatment. Combating the negative impact of narcolepsy on the lives of those affected requires that both the general public and the medical community increase their awareness of the symptoms of narcolepsy, in particular, the most common presenting symptoms: cataplexy and excessive daytime sleepiness. ...
CME Outfitters, LLC

Treating to Target in Patients with Gout and Chronic Kidney Disease: A Patient Simulation

Gout is the most common form of inflammatory arthritis in the United States. Hyperuricemia/gout in patients with CKD constitutes a significant burden for patients and society. Patients who are not managed adequately experience painful gout attacks, loss of function and productivity, and may develop long-term complications. The economic burden is also increased from patient utilization of prescri...
CME Outfitters, LLC

Working Together to Diagnose IPF: A Multidisciplinary Approach

Although the most common of the restrictive lung diseases, idiopathic pulmonary fibrosis (IPF) is a rare but deadly disease, affecting an estimated 6.8 to 42.7 per 100,000 people, with higher rates in those older than 65 years, and resulting in approximately 40,000 deaths annually in the United States. Education to community pulmonologists, radiologists, and primary care physicians, as well a...
CME Outfitters, LLC

Working Together to Diagnose IPF: Identifying the Signs and Symptoms

Although the most common of the restrictive lung diseases, idiopathic pulmonary fibrosis (IPF) is a rare but deadly disease, affecting an estimated 6.8 to 42.7 per 100,000 people, with higher rates in those older than 65 years, and resulting in approximately 40,000 deaths annually in the United States. Education to community pulmonologists, radiologists, and primary care physicians, as well a...
CME Outfitters, LLC

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