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Atrial Fibrillation Diagnosis and Management in the Real World: A Patient Simulation

  • Authors: Peter R. Kowey, MD; James A. Reiffel, MD
  • CME / ABIM MOC Released: 8/25/2022
  • Valid for credit through: 8/25/2023, 11:59 PM EST
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Target Audience and Goal Statement

This activity is intended for cardiologists, primary care providers, physician assistants, nurse practitioners, and surgeons.

The goal of this activity is that learners will be better able to diagnose atrial fibrillation (AF) and select appropriate rhythm control strategies in patients with AF and AF with comorbidities.

Upon completion of this activity, participants will:

  • Demonstrate improved performance associated with
    • Timely diagnosis of AF
    • Selecting appropriate anti-arrhythmic drugs (AADs) in patients with AF in different clinical situations based on the latest clinical evidence and practice guidelines
    • Selecting appropriate monitoring strategies for patients with AF to determine response to treatment and reaching treatment goals


Medscape, LLC requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated. Others involved in the planning of this activity have no relevant financial relationships.


  • Peter R. Kowey, MD

    Professor of Medicine and Clinical Pharmacology
    Thomas Jefferson University
    Emeritus Chief of Cardiology
    Lankenau Heart Institute
    William Wikoff Smith Chair
    Cardiovascular Research
    Lankenau Institute for Medical Research
    Wynnewood, Pennsylvania


    Peter R. Kowey, MD, has the following relevant financial relationships: 
    Consultant or advisor for: AbbVie; Acesion; Anthos; Daiichi Sankyo; InCarda Therapeutics; Johnson & Johnson; Medtronic; Milestone; Sanofi

  • James A. Reiffel, MD

    Professor Emeritus of Medicine
    Vagelos College of Physicians & Surgeons, Columbia University
    New York, New York


    James A. Reiffel, MD, has the following relevant financial relationships: 
    Consultant or advisor for: Acesion; Amarin; Correvio; InCarda Therapeutics; Medtronic; Sanofi
    Speaker or member of speakers bureau for: Sanofi
    Research funding from: Janssen; Johnson & Johnson


  • Jennifer S. Hakkarainen, BS, PA-C

    Medical Education Director, Medscape, LLC


    Jennifer S. Hakkarainen, BS, PA-C, has no relevant financial relationships.

  • Terra Sumstine

    Writer, Chichester Associates Inc, Phoenix, Arizona


    Terra Sumstine has disclosed no relevant financial relationships

Compliance Reviewer

  • Leigh Schmidt, MSN, RN, CNE, CHCP

    Associate Director, Accreditation and Compliance, Medscape, LLC


    Leigh Schmidt, MSN, RN, CNE, CHCP, has no relevant financial relationships.

Peer Reviewer

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

Accreditation Statements

Interprofessional Continuing Education

In support of improving patient care, Medscape, LLC is jointly accredited with commendation 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 1.0 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 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.

    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 about the target audience, learning objectives, and author disclosures.
  2. Study the educational content online or print it 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.


Atrial Fibrillation Diagnosis and Management in the Real World: A Patient Simulation

Authors: Peter R. Kowey, MD; James A. Reiffel, MDFaculty and Disclosures

CME / ABIM MOC Released: 8/25/2022

Valid for credit through: 8/25/2023, 11:59 PM EST


Enhance your clinical skills as you engage with patients in an objective and realistic interactive simulation. Treat patients, diagnose medical conditions, and prescribe medications. There are no limits to your choices - order from thousands of labs, diagnoses, devices and drugs using an intuitive patient chart-based interface.

Powerful metrics track your performance and provide instant expert feedback on your decisions. Upon completion, results will be presented, along with author commentary on each case.

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