Sunday, December 3, 2023
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Faculty Associate
Family Medicine Residency
Reading Hospital of Tower Health
Reading, Pennsylvania
This activity is intended for neurologists, rheumatologists, primary care physicians, and nurses.
The goal of this activity is to review effective measures to assess and diagnose chronic pain, and selecting appropriate analgesic regimens to manage patients diagnosed with a chronic pain condition.
Upon completion of this activity, participants will:
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.
Faculty Associate
Family Medicine Residency
Reading Hospital of Tower Health
Reading, Pennsylvania
Medscape, LLC designates this enduring material for a maximum of 1.0
AMA PRA Category 1 Credit(s)™
. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Medscape, LLC staff have disclosed that they have no relevant financial relationships.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 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. Aggregate participant data will be shared with commercial supporters of this activity.
Awarded 1.0 contact hour(s) of continuing nursing education for RNs and APNs; 0.75 contact hours are in the area of pharmacology.
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]
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. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 75% on the post-test.
Follow these steps to earn CME/CE credit*:
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Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period you can print
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*The credit that you receive is based on your user profile.
CME / ABIM MOC / CE Released: 8/17/2018
Valid for credit through: 8/17/2019, 11:59 PM EST
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The following cases are modeled on the interactive grand rounds approach. The questions within the activity are designed to test your current knowledge. After each question, you will be able to see whether you answered correctly and read evidence-based information that supports the most appropriate answer choice. The questions are designed to challenge you; you will not be penalized for answering the questions incorrectly. At the end of the activity, there will be a short post-test assessment based on the material presented.
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HL is a 43-year-old woman with left knee pain that is not well controlled with acetaminophen. She has no history of recent injury. She has a history of 2 previous left knee surgeries that were performed during her teens (possibly arthroscopies) due to participation in athletics. She is obese (body mass index [BMI] = 36), with a history of several unsuccessful attempts at weight loss. She also has seasonal allergies (for which she takes seasonal fluticasone) and hyperlipidemia (for which she is currently taking a statin).
HL began taking over-the-counter analgesics for her knee pain approximately 1 year ago. Although she cannot provide details about the specific medications and dosages, she describes a pattern of increasing frequencies and higher doses over the last 6 to 8 months. She also says that she has tried "stretching." She had an urgent care visit 2 weeks ago for worsening pain. She underwent plain radiography of the knee (you reviewed the report from the urgent care clinic), which suggested a diagnosis of osteoarthritis (OA). She was given a prescription for meloxicam and told to follow-up with her primary care physician.
