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Assessing Pruritus as Part of a Patient Visit for Dialysis

  • Authors: Steven Fishbane, MD
  • CME / ABIM MOC / CE Released: 10/11/2022
  • Valid for credit through: 10/11/2023
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  • Credits Available

    Physicians - maximum of 0.25 AMA PRA Category 1 Credit(s)™

    ABIM Diplomates - maximum of 0.25 ABIM MOC points

    Nurses - 0.25 ANCC Contact Hour(s) (0.25 contact hours are in the area of pharmacology)

    IPCE - 0.25 Interprofessional Continuing Education (IPCE) credit

    You Are Eligible For

    • Letter of Completion
    • ABIM MOC points

Target Audience and Goal Statement

This activity is intended for nephrologists, primary care physicians, nurses, nurse practitioners, and physician assistants.

The goal of this activity is that learners will be better able to recognize or diagnose and manage chronic kidney disease-associated pruritus (CKD-aP).

Upon completion of this activity, participants will:

  • Have greater competence related to
    • Team-based assessments of patients with dialysis-dependent chronic kidney disease (DD-CKD) for pruritus
    • Managing DD-CKD-aP
    • Team-based patient education related to DD-CKD-aP


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.


  • Steven Fishbane, MD

    Chief of Nephrology 
    Division of Kidney Disease and Hypertension
    Northwell Health  
    Long Island, New York 
    Professor of Medicine 
    Zucker School of Medicine
    Hempstead, New York


    Steven Fishbane, MD, has the following relevant financial relationships:
    Consultant or advisor for: Cara; Vifor
    Research funding from: Galderma


  • George Boutsalis, PhD

    Senior Medical Education Director, Medscape, LLC


    George Boutsalis, PhD, has no relevant financial relationships.

  • Cheryl Leigh Perkins, MD, RPh

    Medical Education Director, Medscape, LLC


    Cheryl Leigh Perkins, MD, RPh, has no relevant financial relationships.

Compliance Reviewer/Nurse Planner

  • 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

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.

This activity was planned by and for the healthcare team, and learners will receive 0.25 Interprofessional Continuing Education (IPCE) credit for learning and change.

    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.

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    For Nurses

  • Awarded 0.25 contact hour(s) of nursing continuing professional development for RNs and APNs; 0.25 contact hours are in the area of pharmacology.

    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*:

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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.

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Assessing Pruritus as Part of a Patient Visit for Dialysis

Authors: Steven Fishbane, MDFaculty and Disclosures

CME / ABIM MOC / CE Released: 10/11/2022

Valid for credit through: 10/11/2023


Robert, a 52 year-old man with recent diagnosis of CKD, has been on hemodialysis 3 times per week for 3 months. He has reported to the nurse that he has recently started having itching. He has an 8-year history of T2D.

Labs: hemoglobin 10.2 g/L, phosphorus 4.8 mg/dL, potassium 4.4 mEq/L, calcium 8.6 mg/dL, parathyroid hormone (PTH) 377 pg/mL, BMI = 29 kg/m2, blood pressure 156/75 mmHg, fasting glucose 108 mg/dL

Medications: atenolol 50 mg daily, sevelamer 800 mg 3 times daily with meals, activated vitamin D, epoetin 50 units/kg IV 3 times week

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