Longitudinally Managing Rheumatoid Arthritis (Module 3)

This CME/CE-accredited CME Snapshot™ series of educational videos has been created for rheumatologists and other clinicians involved in treating patients with rheumatoid arthritis (RA). During each 15-minute activity, two expert rheumatologists focus on a specific aspect of long-term RA management, including practical advice on implementing international treat-to-target guidelines as well as the mechanistic profiles and clinical evidence for therapies designed to inhibit signaling via interl...
Integritas Communications

The Changing Architecture of HIV Care Review of Novel Agents and Approaches

This CME/CE-accredited CME Snapshot™ four-part series is intended for infectious disease physicians and other clinicians who manage patients with HIV. During these activities, expert faculty will participate in a series of interactive discussions on the latest evidence and their clinical experience managing patients with HIV.
Integritas Communications

Clinical Issues in Chronic Pain: Debates and Discussions About Therapeutically Targeting Nerve Growth Factor Signaling

Chronic pain affects 100 million Americans and has significant health and socioeconomic repercussions.1 Appropriate pain management can improve patient quality of life and overall outcomes and also reduce health care costs.1 Although nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids are often prescribed to manage chronic pain, both analgesic classes are associated with risks and are not appropriate for all patients.2-4 The search for additional treatment options with novel mechanisms o...
Integritas Communications

Targeting EGFR Mutation-positive NSCLC: Critical Advances in Care

New developments in the role of mutations in the epidermal growth factor receptor (EGFR) gene are transforming the understanding of how NSCLC progresses as a disease. This insight has enabled NSCLC to evolve from an untreatable disease to one where a number of novel therapeutic options are available, and individualized treatment regimens are now offered to optimize care. This digital flipbook includes pertinent data and video insights into new and practice-changing therapy in the setting of...
ACHL

Hot Topics in Dyslipidemia: From the 2018 American College of Cardiology Scientific Sessions

This CME-accredited CME Snapshot™ seven-part series is intended for interventional cardiologists, other cardiologists, lipidologists, endocrinologists, and other diabetologist physicians involved in the ongoing management of patients with persistent hypercholesterolemia. During these activities, expert faculty will participate in a series of interactive discussions on the latest evidence and their clinical experience managing patients with persistently elevated low-density lipoprotein choles...
Integritas Communications

Value-Based HIV Formularies: Optimizing Use of Clinical Evidence & Pharmacoeconomic Models in Managed Care

Over the last 3 decades, ongoing advances in antiretroviral therapy (ART) for patients infected with human immunodeficiency virus (HIV) have improved outcomes across a diverse range of cohorts and clinical circumstances .1,2 As new data comparing existing drug regimens are published and new medications become available, HIV formularies must be periodically reviewed and adjusted to reflect both the evolving clinical evidence and various nonclinical parameters.3 Broad-based pharmacoeconomic asse...
Integritas Communications

The Expanding Role of the Pharmacist in HIV Prevention: What Do You Know About PrEP?

The most recent estimates from the Centers for Disease Control and Prevention (CDC) state that approximately 37,000 people in the United States become infected with HIV each year.1 To reduce the number of new infections, health care providers should be prepared to discuss the potential benefits of preexposure prophylaxis (PrEP) with adults who are at particularly high risk for acquiring HIV.2 The United States Public Health Service (USPHS) and the CDC have published clinical practice guideline...
Integritas Communications

Treating To Target Post Methotrexate: New Horizons in RA Therapy From the 2017 ACR/ARHP Annual Meeting

This CME/CE-accredited CME Snapshot™ series of educational videos has been created for rheumatologists and other clinicians involved in treating patients with rheumatoid arthritis (RA). During each 15-minute activity, two expert rheumatologists focus on a specific aspect of long-term RA management, including practical advice on implementing international treat-to-target guidelines as well as the mechanistic profiles and clinical evidence for therapies designed to inhibit signaling via interl...
Integritas Communications

Clinical Updates in Rheumatoid Arthritis: New Perspectives on Targeting Remission and Individualizing Therapy

RA is a chronic, progressive inflammatory autoimmune disease producing both articular and extra-articular manifestations.1,2 Of note, studies have shown that mortality risks are 50% higher in people with RA compared with the general population.3 The differential responses seen with current treatment modalities suggest that overlapping signaling pathways driven by proinflammatory cytokines can control the characteristic autoreactivity and other clinical manifestations of RA.4 In particular, ele...
Integritas Communications

New Considerations in Diabetes Management

This issue highlights the use of continuous glucose monitoring (CGM) systems, sodiumglucose transport protein-2 (SGLT2) inhibitors, newer insulin formulations, and the expert guideline recommendations focused on individualization of therapy. In 2017, the Centers for Disease Control reported that over 30 million people in the US (~10% of the population) have diabetes, including 7.2 million who are undiagnosed. The total estimated cost of diagnosed diabetes in the US was $327 billion in 201...
The Rx Consultant

Suturing

Practice various suturing techniques using pigskin, including simple and straight lacerations, deep-layer closure, skin closures, and tying knots using hand and instrument ties. This course is geared toward beginners and those wishing to refresh their suturing skills. Contact Hours: 5 Visit our website to learn more: http://www.bc.edu/content/bc/schools/son/ce.html
Boston College

Update in Respiratory Nursing

Join the Update in Nursing I course for this half-day review of respiratory nursing. Class covers the core competencies in Respiratory. Visit our website to learn more: http://www.bc.edu/bc-web/schools/cson/academics/continuing-education/all-course-listings.html
Boston College

Update in Neurology

Join the Update in Nursing I course for this half-day review of Neurology. Class covers the core competencies in Neurology. Visit our site for more information: http://www.bc.edu/bc-web/schools/cson/academics/continuing-education/all-course-listings.html
Boston College

Update in Cardiac Nursing

Join the Update in Nursing I course for this one-day cardiac nursing content review. Class covers the core competencies in cardiac nursing. http://www.bc.edu/bc-web/schools/cson/academics/continuing-education/all-course-listings.html
Boston College

Update in Antibiotics

Join the Update in Nursing I course for this half-day antibiotics content review. Class covers core competencies in antimicrobial therapy. http://www.bc.edu/bc-web/schools/cson/academics/continuing-education/all-course-listings.html
Boston College

Transitioning into a Career in Clinical Research

This course deals with the challenges related to managing change associated with career transition. Understand the clinical research field as well as your career strengths, career interests and values. In addition, focus on your uniqueness and its value to yourself and the market place. Identify transferable skills and accomplishments that can be used in clinical research. Learn from clinical research experts how to market yourself and how to enter the clinical research arena. Pre/co-requis...
Boston College

Suturing

Practice various suturing techniques using pigskin, including simple and straight lacerations, deep-layer closure, skin closures, and tying knots using hand and instrument ties. This course is geared toward beginners and those wishing to refresh their suturing skills. Contact Hours: 5 Visit our website to learn more: http://www.bc.edu/content/bc/schools/son/ce.html
Boston College

Partnering with Patients to Navigate the Complexities of Idiopathic Pulmonary Fibrosis

Put your knowledge to the test with the IPF Formative Assessment! Challenge yourself with this self-paced interactive assessment designed to sharpen your knowledge and competency in the diagnosis and management of idiopathic pulmonary fibrosis. The Formative Assessment platform profiles individual learning needs related to the management of IPF and recommends personalized education to meet each learner’s unique needs. This activity consists of three modules, each taking approximately 15 ...
ACHL

Treating Tardive Dyskinesia: Clinical Challenges and Patient Perspectives

This Clinical Commentary consists of an HD video roundtable discussion with two leading expert psychiatrists in the field, who participate in a panel discussion of tardive dyskinesia (TD) as a widespread and undertreated condition in psychiatric populations, as well as the importance of evidence-based differential diagnostics, newly approved therapeutics for treatment of the condition, and strategies for both personalized and improved patient care. This activity additionally includes an interv...
ACHL

Managing Psoriasis

This issue will bring you up to date on the impact of Psoriasis and recent developments in drug therapy. Key Takeaways: • Psoriasis is recognized as an immunemediated, chronic, systemic inflammatory condition. • About 80% of patients with mild to moderate psoriasis can be managed well with topical medications. • Corticosteroids are the cornerstone of topical therapy. Psoriasis is the most common autoimmune condition in the US, affecting 7.5 million people. It is a complex, geneti...
The Rx Consultant

Influenza Update

This issue provides key information on influenza vaccines and antiviral medications for the 2018-2019 flu season, including precautions, side effects, and use in special populations. Influenza (commonly referred to as “the flu”) is a contagious viral infection of the respiratory tract (eg, nose, throat, and lungs). Influenza viruses are primarily spread by respiratory transmission – through droplets from coughing or sneezing. The circulation of influenza viruses varies geographically,...
The Rx Consultant

Shared Decision Making and Improved Patient Participation in PAH Care: Strategies for Community and Specialist Practitioners

In this digital Q&A interview, expert faculty Dan Schuller, MD provides his perspective on collaborative strategies between provider and patient to increase PAH treatment adherence and improve PAH outcomes via shared clinical decision making. A current PAH patient will also share her experience with diagnosis and related patient insights on shared decision making.
ACHL

Novel Therapeutic Options in PAH: Addressing Complex Cases and Emerging Research

In this video-based interview, Dan Schuller, MD reviews emerging management and therapeutic models for PAH treatment. Dr. Schuller addresses adverse therapeutic events, strategies for complex PAH cases, and related clinical trial data for both current and emerging PAH therapies. He additionally discusses advanced-practice strategies related to PAH disease classification, risk stratification, and therapeutic selection criteria, especially for complex PAH cases.
ACHL

Sterile Compounding: Hand Hygiene, Garbing, and Fingertip Sampling - 2018 Update

This activity has been updated and renewed with a new ACPE number for participants to complete beginning August 1, 2018. Pharmacist need to have a basic understanding of how to properly prepare a sterile products as to not cause harm to their patients. They must learn to gown appropriately and take validation measures to ensure their technique is appropriate and final product is sterile. The current practice methods range from excellent to mediocre in following along with these USP guideli...
MCPHS University

Sterile Compounding: Product Sterility Testing & Final Release Checks of CSPs - 2018 Update

This activity has been updated and renewed with a new ACPE number for participants to complete beginning August 1, 2018. Based on the previous outcomes from the NECC and the MA Board of Pharmacy's decision to increase Continuing Education Credits in the compounding area of pharmacy practice, this course hopes to provide insight in the importance of Sterile Compounding based on USP . Currently many pharmacies follow the guidelines, however each institution may be at a different point in upd...
MCPHS University

Alzheimers Disease: Current and Emerging Treatments

Alzheimer's disease is the sixth leading cause of death in the United States, and the fifth leading cause of death for those 65 years and older. It is estimated that 5.7 million Americans of all ages are living with Alzheimer’s in 2018. By 2025, the number of people 65 and older affected by this disease is expected to reach 7.1 million. Without the development of medical breakthroughs, this number will increase to 13.8 million by 2050. There are many barriers and challenges to treatment of ...
MCPHS University

A Pharmacist's Role in Chronic Management of Irritable Bowel Syndrome

Irritable bowel syndrome (IBS) is one of the most common gastrointestinal disorders diagnosed in both primary care and specialty clinics today. A variety of pharmacologic and nonpharmacologic therapy options exist to alleviate manifestations and symptoms associated with IBS. Even though IBS is one of the most common gastrointestinal disorders, the causes of this chronic disorder are not well understood. Therefore, it may be challenging for pharmacists to separate causative ideology and tailor ...
MCPHS University

Non-Sterile Compounding 2018 Update - Part 2: Best Practices and Good Documentation Practices

This activity has been updated and renewed with a new ACPE number for participants to complete beginning July 2, 2018. Compounding is an integral part of pharmacy practice and is essential to the provision of healthcare. In response to numerous tragic patient outcomes, a result of the lack of attention to the main principles of USP 795, the Massachusetts Board of Registration in Pharmacy has implemented new credit requirements for those pharmacists engaging in or overseeing complex non-ster...
MCPHS University

Non-Sterile Compounding 2018 Update - Part 1: Overview

This activity has been updated and renewed with a new ACPE number for participants to complete beginning July 2, 2018. Compounding is an integral part of pharmacy practice and is essential to the provision of healthcare. In response to numerous tragic patient outcomes, a result of the lack of attention to the main principles of USP 795, the Massachusetts Board of Registration in Pharmacy has implemented new credit requirements for those pharmacists engaging in or overseeing complex non-steril...
MCPHS University

Air (re)freshener: an update in asthma therapy

The role of the pharmacist is expanding as the field of asthma therapy management evolves. Massachusetts is among the greatest of states effected by ineffective asthma disease state control, therefore contributing to quality of life limitations, as well as financial expenditures. Inhaler therapy is currently the mainstay of asthma management, however biologic therapy is quickly making a greater presence in treatment options. Additionally, evidence suggests the need for heightened education reg...
MCPHS University

Sterile Compounding: Cleaning/Disinfection of Controlled Environments - 2018 Update

This activity has been updated and renewed with a new ACPE number for participants to complete beginning July 2, 2018. The importance of proper cleaning and disinfection of controlled environments is critical for pharmacy compounding to prevent possible contamination of CSPs. The current practices are outlined in the USP but many pharmacists have difficulty interpreting this part of the chapter. The information in this session will improve the pharmacist's knowledge and understanding of ...
MCPHS University

Parenteral Nutrition in the Critically Ill: Appropriate Administration of Intravenous Lipid Emulsions

In this complimentary continuing education activity, expert faculty formulate processes to ensure lipid emulsions adhere to evidence and guidelines, as well as devise treatment plans inclusive of parenteral nutrition (PN) for critically ill patients. This presentation was originally featured at the Society of Critical Care Medicine's 2018 Critical Care Congress. The activity agenda is as follows: 1) Evaluating Optimal Route of Nutrient Delivery, Amount of Calories, and Macronutrients for C...
Academy for Continued Healthcare Learning/Society of Critical Care Medicine

Advancing Strategies for Promoting Equality in Care: Treating Lupus

Diagnosis, Pathophysiology, and Emerging Therapeutic Targets in SLE - - Faculty discuss their perspectives on SLE diagnosis and potential therapeutic targets in the context of SLE pathophysiology, with a focus on women of color. Current Best Practices and Emerging Therapeutic Strategies in SLE Management Faculty discuss optimal management of patients with SLE and provide expert perspectives on emerging investigational agents.
Jointly provided by Postgraduate Institute for Medicine and Clinical Care Options, LLC

Breast Cancer

With breast cancer so often in the news, it is easy to forget that the diagnosis is an emotional and life-changing event for an individual patient. In the United States (US), an estimated 231,840 women and 2,350 men1 were diagnosed with invasive breast cancer in 2015. One in every 8 women in the US will be diagnosed with breast cancer during her lifetime. In contrast, a man’s lifetime risk is about 1 in 1000. Following skin cancer, breast cancer is the most commonly diagnosed cancer among wo...
The Rx Consultant

Antibiotics in Pregnancy and Lactation

Antimicrobials are among the most commonly used drugs in pregnancy and lactation. They are prescribed for a variety of infections during or following pregnancy, including urinary tract infections, Group B streptococcal colonization, and mastitis. In a recent Centers for Disease Control survey, 30% of women reported taking antibiotics during pregnancy. Antimicrobials can present risks to the pregnant woman (some of which are unique to pregnancy), as well as risks to the unborn fetus or breastfe...
The Rx Consultant

Updates in Pediatric Asthma

Asthma is the most common chronic condition in children in the US, with an incidence of 9% (6.8 million individuals under the age of 18). It is more common in children from families living below the poverty threshold (13%) than families with higher incomes (8%). African-American children are more likely to have asthma (16%) than Hispanic (9%) or non-Hispanic white (8%) children. Asthma cannot be cured, but illness and deaths can be prevented with appropriate drug therapy. The National Asthm...
The Rx Consultant

New Drugs Approved in 2015

In 2015, the FDA’s Center for Drug Evaluation and Research (CDER) approved 45 new molecular entities – the highest annual number of new drugs to be approved in the past decade (up from 41 in 2014). The new approvals include 16 first-in-class drugs spanning 14 different medical conditions. Many of the new drugs were approved under one or more of the FDA’s 4 expedited pathways (fast track, breakthrough, priority review, and accelerated approval). Nearly half are for the treatment of rare d...
The Rx Consultant

Glaucoma Management

The American Optometric Association (AOA) Guidelines classify glaucoma as a group of eye disorders that lead to damage of the optic nerve with a defect in the retinal nerve fiber layer resulting in visual field loss. Glaucoma is a chronic, progressive disorder and if not diagnosed early and treated appropriately, it can lead to an irreversible decline in eyesight. Glaucoma is a leading cause of blindness in the US. The most common type of glaucoma, open-angle glaucoma, affects approximately...
The Rx Consultant

Dementia: Managing Neuropsychiatric Symptoms

Although cognitive disturbances such as memory and language impairment are the most recognized symptoms of dementia, the neuropsychiatric symptoms of dementia (NPSD) are often more concerning and can cause considerable disability and caregiver distress. The total annual cost of treatment for a patient with Alzheimer's disease (AD) who is living at home is estimated at $14,500. The direct management of behavioral and psychological symptoms accounts for 30% of this total. The last drug approval ...
The Rx Consultant

Diabetes Update: The New Concentrated Insulin Products

In the US, approximately 22 million adults are living with diabetes; of these, 90–95% are classified as having type 2 diabetes (T2DM), a progressive disease in which beta cell function declines based on the duration of the disease and level of glycemic control. The American Diabetes Association (ADA) and the American Association of Clinical Endocrinologists (AACE) both recognize that achieving and maintaining the patient’s glycemic goals are essential for the prevention, or delay in progre...
The Rx Consultant

Update on Medication Errors and Adverse Drug Events-Florida Board-Approved Edition

Interest in medication errors was heightened by publication of the Institute of Medicine (IOM) report “To Err is Human,” which revealed the burden of medical errors and the impact on patients in the US. Following publication of the report in 2000, health care organizations bolstered efforts to reduce medical errors and the illness and death that result. Despite these efforts, a recent analysis based on studies conducted since the IOM’s report highlighted medical errors (including medicat...
The Rx Consultant

Hepatitis C Treatment: Gone Viral

Hepatitis C virus (HCV) remains a major public health concern. HCV, the most common blood borne infection in the US, is estimated to affect over 4 million Americans (about 1-2% of the population). Worldwide, over 170 million people are infected. Most Americans with HCV infection acquired it in the 1970s and 1980s, before the virus was identified. Although the rate of new infections declined between 1989-2011, there has been a recent increase in new infections since 2013. Unfortunately, there i...
The Rx Consultant

Inflammatory Bowel Disease: A Focus On Biologics

The 2 main types of inflammatory bowel disease (IBD), Crohn’s disease (CD) and ulcerative colitis (UC), affect approximately 1.17 million people in the United States. The estimated prevalence of CD in North America is 26-199 cases per 100,000 people; for UC, it is 37-246 cases per 100,000 people. During the past 25 years, the rates of newly diagnosed UC and CD cases have increased. Reasons for the increase may include wider exposure to environmental risk factors, greater awareness of IBD...
The Rx Consultant

Medical Marijuana

Marijuana has been used for thousands of years for medical conditions, as well as for recreational purposes. The terms “marijuana” and “cannabis” are used interchangeably; however, cannabis is the more contemporary clinical designation. The use of marijuana has increased recently among US adults (18 years and older), from 10% in 2002 to 13% in 2014. The rise in marijuana use coincides with a declining perception of risk linked with its use, and its use is more prevalent in states with ...
The Rx Consultant

Hormonal Contraceptives

There are 61 million women of childbearing age (15–44) in the US. About 43 million of these women are at risk of unintended pregnancy; they are sexually active and do not want to become pregnant. About two-thirds of them use a contraceptive method correctly and consistently. Oral contraceptives have been in use for over 50 years and are one of the most popular contraceptives; this method is used by 26% of contraceptive users. Most oral contraceptives contain 2 hormones, an estrogen and a pro...
The Rx Consultant

Chronic Insomnia

Insomnia is one of the most common medical complaints, generating over 5 million office visits per year in the US alone. Symptoms of insomnia occur in one-third to one-half of adults in the US, and are more prevalent among women and older adults. In patients with coexisting psychiatric illnesses, the incidence approaches 50% to 75%. About 1 in 10 adults has chronic insomnia – symptoms that occur at least 3 times per week for at least 3 months. Among patients with chronic insomnia, up to one-...
The Rx Consultant

Pharmacy Law: Determining the Legitimacy of Opioid Prescriptions

The pharmacists at XYZ Pharmacy are concerned. The pharmacy is in close proximity to a pain management clinic and patients from this clinic regularly present the pharmacists with prescriptions for MS Contin®, oxycodone, methadone, and other opioids in quantities as large as 1,000 tablets for a 1-month supply. Those prescriptions are usually accompanied with prescriptions for fentanyl oral lozenges. A few other physicians in the area also write prescriptions for large quantities of opioids and...
The Rx Consultant

Antibiotic Stewardship: Improving Use In The Community

Antibiotic stewardship is the effort to improve antibiotic prescribing so that antibiotics are used correctly - and only when needed. It includes monitoring antibiotic prescribing; avoiding unnecessary use; minimizing underuse due to missed or delayed diagnoses; and, when an antibiotic is needed, ensuring selection of the appropriate drug, dose, route of administration, and duration of therapy. The goal of antibiotic stewardship is to treat infections effectively, while minimizing unintended c...
The Rx Consultant

Smoking Cessation For the Busy Clinician

More than 50 years after the landmark 1964 Surgeon General’s Report on the health consequences of smoking, an estimated 15% of adult Americans still smoke. Smoking remains the leading cause of preventable death in the United States – accounting for 480,000 deaths per year (1 of every 5). People who quit smoking greatly reduce their risk for tobacco-related diseases, including cancer, heart disease, and lung disease, while also increasing life expectancy and improving quality of life. Each ...
The Rx Consultant

Pharmacy Law: Regulatory Developments Affecting Pharmacy Practice

The past few years have seen a number of legislative and regulatory changes at the federal level; both with the Food and Drug Administration (FDA) and the Drug Enforcement Administration (DEA). This article will address key changes impacting pharmacy practice in the areas of compounding, drug supply chain security, biosimilars, and the regulation of controlled substances in order to prevent diversion and abuse. The passage of the Drug Quality and Security Act of 2013 (DQSA) updates the Fede...
The Rx Consultant

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