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Diagnosing Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: The Experts Weigh In

  • Authors: Lucinda Bateman, MD; Natalie Azar, MD; Nancy Klimas, MD; José Montoya, MD
  • CME / ABIM MOC / CE Released: 2/25/2019; Reviewed and Renewed: 3/17/2021
  • Valid for credit through: 3/17/2022
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Target Audience and Goal Statement

This activity is intended for primary care physicians, obstetricians, gynecologists, and neurologists.

The goal of this activity is to increase recognition of symptoms of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) by use of the Institute of Medicine (IOM) diagnostic criteria when assessing patients with chronic fatigue.

Upon completion of this activity, participants will:

  • Have increased knowledge regarding
    • Monitoring strategies for patients with ME/CFS
  • Have greater competence related to
    • Recognition of the ME/CFS symptom spectrum
    • Evidenced-based approaches that alleviate ME/CFS symptoms


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  • Lucinda Bateman, MD

    Medical Director
    Bateman Horne Center
    Salt Lake City, Utah


    Disclosure: Lucinda Bateman, MD, has disclosed the following relevant financial relationships:
    Received grants for clinical research from: Astellas Pharma, Inc.; Lundbeck, Inc.


  • Natalie Azar, MD

    Clinical Assistant Professor
    Department of Medicine Rheumatologist
    Department of Rheumatology
    NYU Langone Medical Center
    New York, New York


    Disclosure: Natalie Azar, MD, has disclosed no relevant financial relationships.

  • Nancy Klimas, MD

    Professor of Medicine
    College of Osteopathic Medicine
    Department of Clinical Immunology
    Nova Southeastern University
    Professor Emerita
    Miller School of Medicine
    University of Miami
    Fort Lauderdale, Florida


    Disclosure: Nancy Klimas, MD, has disclosed no relevant financial relationships.

  • José Montoya, MD

    Professor of Medicine
    Division of Infectious Diseases and Geographic Medicine
    Stanford University School of Medicine Stanford, California


    Disclosure: José Montoya, MD, has disclosed no relevant financial relationships.


  • Stacey J.P. Ullman, MHS

    Scientific Director, Medscape, LLC


    Disclosure: Stacey J.P. Ullman, MHS, has disclosed no relevant financial relationships.

  • Susan L. Smith, MN, PhD

    Senior Scientific Director, Medscape, LLC


    Disclosure: Susan L. Smith, MN, PhD has disclosed no relevant financial relationships.

CME Reviewer

  • Amy Bernard, MS, BSN, RN-BC, CHCP

    Lead Nurse Planner, Medscape, LLC


    Disclosure: Amy Bernard, MS, BSN, RN-BC, CHCP, has disclosed no relevant financial relationships.

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Diagnosing Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: The Experts Weigh In


Educational Impact Challenge

The goal of this activity is to increase recognition of symptoms of ME/CFS by use of the IOM diagnostic criteria when assessing patients with chronic fatigue.

Before you begin this activity, please assess your clinical knowledge by completing this brief survey. Answering these questions again after the activity will allow you to see what you learned and to compare your answers with those of your peers.

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