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Advances in Adult ADHD: Clinical Practice Assessment

  • Authors:
  • CME Released: 4/15/2010
  • Valid for credit through: 4/15/2011, 11:59 PM EST
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Target Audience and Goal Statement

This activity is intended for psychiatrists, mental health clinicians, and primary care providers including physicians, nurses, and physician assistants.

The goal of this activity is to provide a baseline assessment for current clinical practices for the diagnosis and treatment of adult ADHD in primary care.

Upon completion of this activity, participants will be able to:

  1. Self-assess current approaches to diagnosis and clinical care and treatment of adults with ADHD as they relate to evidence-based practice.


As an organization accredited by the ACCME, Medscape, LLC, requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner, that could create a conflict of interest.

Medscape, LLC, encourages Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.

Curriculum Chair

  • David W. Goodman, MD

    Assistant Professor, Department of Psychiatry & Behavioral Sciences, Johns Hopkins School of Medicine, Lutherville, Maryland; Director, Adult Attention Deficit Disorder Center of Maryland, Lutherville, Maryland


    Disclosure: David W. Goodman, MD, has disclosed the following relevant financial relationships:
    Served as an advisor or consultant for: Forest Laboratories, Inc.; Eli Lilly and Company; Shire; Ortho-McNeil-Janssen Pharmaceuticals, Inc.; New River Pharmaceuticals; Thompson Reuters; Clinical Global Advisors; Avacat; Med-IQ; Novartis Pharmaceuticals Corporation
    Received grants for clinical research from: Forest Laboratories, Inc.; Shire; Ortho-McNeil-Janssen Pharmaceuticals, Inc.; Cephalon, Inc.; New River Pharmaceuticals; Eli Lilly and Company
    Served as a speaker or a member of a speakers bureau for: Forest Laboratories, Inc.; Shire; McNeil Pediatrics; Wyeth Pharmaceuticals Inc.
    Received honoraria from: Forest Laboratories, Inc.; Eli Lilly and Company; Shire; Ortho-McNeil-Janssen Pharmaceuticals, Inc.; Wyeth Pharmaceuticals Inc.

    Dr. Goodman intends to discuss off-label uses of drugs, mechanical devices, biologics, or diagnostics not approved by the FDA for use in the United States.

    Dr. Goodman does not intend to discuss investigational drugs, mechanical devices, biologics, or diagnostics not approved by the FDA for use in the United States.


  • Priscilla Scherer

    Scientific Director, Medscape, LLC


    Disclosure: Priscilla Scherer has disclosed no relevant financial relationships.

CME Reviewer(s)

  • Laurie E. Scudder, MS, NP

    Accreditation Coordinator, Continuing Professional Education Department, Medscape, LLC; Clinical Assistant Professor, School of Nursing and Allied Health, George Washington University, Washington, DC; Nurse Practitioner, School-Based Health Centers, Baltimore City Public Schools, Baltimore, Maryland


    Disclosure: Laurie E. Scudder, MS, NP, has disclosed no relevant financial relationships.

Accreditation Statements

    For Physicians

  • Medscape, LLC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    Medscape, LLC designates this educational activity for a maximum of 0.25 AMA PRA Category 1 Credit(s)™ . Physicians should only claim credit commensurate with the extent of their participation in the activity.

    Medscape, LLC staff have disclosed that they have no relevant financial relationships.

    Contact This Provider

For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]

Instructions for Participation and Credit

There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page.

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  1. Read the target audience, learning objectives, and author disclosures.
  2. Study the educational content online or printed out.
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Advances in Adult ADHD: Clinical Practice Assessment


CME Released: 4/15/2010

Valid for credit through: 4/15/2011, 11:59 PM EST



One of the goals of continuing healthcare education is to acquire and retain new knowledge that will ultimately affect clinical practice and patient outcomes. The following survey is a baseline assessment instrument that measures gaps in competencies associated with the learning objectives in a curriculum of 5 activities. This baseline survey is available for CME credit. The 5 subsequent activities are to be developed and published on Medscape as part of an overall curriculum on advances in adult ADHD diagnosis and treatment practices. The initial survey data represent the baseline, with each subsequent activity's post-test showing educational impact. The survey will test your knowledge of adult ADHD and specifically will assess your use of evidence-based diagnosis and treatment strategies and measure any performance improvement in future clinical practice. Data from this baseline survey activity will help facilitate recommendations for future programs that will best meet the educational and clinical performance gaps identified. We encourage you to complete this survey activity and earn CME credit.

Case 1

A 38-year-old man presents for a check-up to see if there could be a medical reason for increasing problems he is having in dealing with work and family issues. He works in advertising at a large company. When interviewed, he reports the following: He recently was put on probation at work for inability to complete projects in a timely and error-free manner. He has trouble concentrating at work because it is so boring; then he gets behind because he puts off the really "mind-numbing" tasks in projects. He has always put off anything that is just not interesting and it has worked out, even though in school his grades suffered because he missed deadlines. He prefers the excitement of giving presentations over writing up all the materials that lead up to the presentations. His habit of misplacing items like his keys and forgetting family activities has caused tension recently with his wife. His patience has worn thin with his really hyper 12-year-old son. He complains that he is now worrying about work outcomes and getting along with his wife. You perform a physical examination that is unremarkable. He reports no significant medical problems, only a tonsillectomy as a child and a broken leg. He is not taking any medications. A review of systems is unremarkable. His ECG is normal.

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