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CME / ABIM MOC

Assessing Practice Patterns in Neurogenic Orthostatic Hypotension

  • Authors: Satish R. Raj, MD, MSCI, FRCPC
  • CME / ABIM MOC Released: 3/20/2019; Reviewed and Renewed: 3/19/2020
  • THIS ACTIVITY HAS EXPIRED
  • Valid for credit through: 3/19/2021
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Target Audience and Goal Statement

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

The goal of this activity is to examine one's own knowledge and practice patterns regarding the diagnosis and treatment of neurogenic orthostatic hypotension (nOH)

Upon completion of this activity, participants will:

  • Have increased knowledge regarding the
    • Symptoms suggestive of nOH
    • Selection of appropriate treatment for patients with nOH 


Disclosures

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.


Moderator

  • Satish R. Raj, MD, MSCI, FRCPC

    Professor of Cardiac Sciences
    Libin Cardiovascular Institute of Alberta
    University of Calgary
    Calgary, Alberta, Canada
    Adjunct Associate Professor of Medicine
    Vanderbilt University Medical Center
    Nashville, Tennessee, United States

    Disclosures

    Disclosure: Satish R. Raj, MD, MSCI, FRCPC, has disclosed the following relevant financial relationships:
    Served as an advisor or consultant for: GE Healthcare; Lundbeck

Steering Committee

  • Daniel O. Claassen, MD

    Associate Professor of Neurology
    Vanderbilt University
    Nashville, Tennessee

    Disclosures

    Disclosure: Daniel O. Claassen, MD, has disclosed the following relevant financial relationships:
    Served as an advisor or consultant for: Acadia Pharmaceuticals, Inc.; Adamas Pharmaceuticals, Inc.; Teva Pharmaceuticals USA; Lundbeck
    Received grants for clinical research from: AbbVie Inc.; Prana Biotechnology Limited; Teva Pharmaceuticals USA; Vaccinex Inc.

  • Christopher H. Gibbons, MD, MMSc

    Associate Professor of Neurology
    Harvard Medical School
    Beth Israel Deaconess Medical Center
    Boston, Massachusetts

    Disclosures

    Disclosure: Christopher Gibbons, MD, has disclosed the following relevant financial relationships:
    Served as an advisor or consultant for: Grifols, S.A.; Lundbeck
    Received grants for clinical research from: Grifols, S.A.

  • Horacio Kaufmann, MD

    Professor of Neurology
    NYU School of Medicine
    New York, New York

    Disclosures

    Disclosure: Horacio Kaufmann, MD, has disclosed the following relevant financial relationships:
    Served as an advisor or consultant for: Lundbeck; Theravance Biopharma

  • Michael S. Okun, MD

    Chairman
    Department of Neurology
    Executive Director
    Fixel Institute for Neurological Diseases
    University of Florida
    Gainesville, Florida

    Disclosures

    Disclosure: Michael S. Okun, MD, has disclosed no relevant financial relationships.

  • Brian Olshansky, MD

    Professor Emeritus
    University of Iowa
    Iowa City, Iowa
    Adjunct Professor of Medicine
    Des Moines University
    Des Moines, Iowa
    Electrophysiologist
    Mercy Medical Center
    Waterloo and Mason City, Iowa

    Disclosures

    Disclosure: Brian Olshansky, MD, has disclosed the following relevant financial relationships:
    Served as an advisor or consultant for: Amarin Corporation plc; Boehringer Ingelheim Pharmaceuticals, Inc.; Respironics
    Served as a speaker or a member of a speakers bureau for: Lundbeck

Editor

  • Catherine Friederich Murray

    Scientific Director, Medscape, LLC

    Disclosures

    Disclosure: Catherine Friederich Murray has disclosed no relevant financial relationships.

CME Reviewer

  • Amy Bernard, MS, BSN, RN-BC, CHCP

    Lead Nurse Planner, Medscape, LLC

    Disclosures

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

Peer Reviewer

This activity has been peer reviewed and the reviewer has disclosed no relevant financial relationships.


Accreditation Statements



In support of improving patient care, Medscape, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    For Physicians

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

    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 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.

    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. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 70% on the post-test.

Follow these steps to earn CME/CE credit*:

  1. Read the target audience, learning objectives, and author disclosures.
  2. Study the educational content online or printed out.
  3. Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test. We encourage you to complete the Activity Evaluation to provide feedback for future programming.

You may now view or print the certificate from your CME/CE Tracker. You may print the certificate but you cannot alter it. Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period you can print out the tally as well as the certificates from the CME/CE Tracker.

*The credit that you receive is based on your user profile.

CME / ABIM MOC

Assessing Practice Patterns in Neurogenic Orthostatic Hypotension

Authors: Satish R. Raj, MD, MSCI, FRCPCFaculty and Disclosures
THIS ACTIVITY HAS EXPIRED

CME / ABIM MOC Released: 3/20/2019; Reviewed and Renewed: 3/19/2020

Valid for credit through: 3/19/2021

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The goals of continuing medical education (CME) and professional development are to acquire and retain knowledge that will enhance clinical practice and improve patient outcomes. The following self-assessment survey is offered for CME credit and is designed to test your current knowledge and skills related to neurogenic orthostatic hypotension.

Rachel is a 78-year-old woman who was admitted to the medical unit at your hospital, having collapsed in the restroom of a restaurant after consuming a large evening meal. Her daughter reports that Rachel frequently has "dizziness" and has fallen 8 times over the past 3 months, usually immediately after rising from her afternoon nap. Rachel has a 7-year history of Parkinson disease (PD), well-controlled with rasagiline, 0.5 mg every morning; pramipexole, 0.125 mg 3 times a day; and carbidopa-levodopa CR, 25-100 mg, 2 tablets, 3 times a day with entacapone, 200 mg, with each dose. She also takes ibuprofen, 200 mg, twice a day for "generalized aches and pains," and simvastatin for hyperlipidemia, 40 mg orally, each evening.

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