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Introduction

Despite advances in pharmacologic strategies and updates in evidence-based treatment guidelines, primary care clinicians face a host of challenges in diagnosing and managing patients with gastroesophageal reflux disease (GERD). In addition, clinicians must be able to identify a variety of GERD patient types and address the unique needs of each individual.

A recent survey of US-based primary care physicians showed that there is much confusion about various aspects of GERD diagnosis and treatment. This evidence-based activity will outline and discuss the importance of the patient-clinician relationship in managing GERD and will arm clinicians with important questions to ask their patients in a variety of fundamental areas, ranging from symptoms to concomitant medication use. Implementing better communication strategies can help empower primary care clinicians to improve their overall management in GERD patients. 

Expert faculty will discuss common GERD cases that clinicians may face in a practical 1-hour home study activity. This activity will also provide participants the opportunity to develop effective management and ongoing care strategies for implementation in the individual GERD patient.

Target Audience

This will be a 1-hour activity accredited for physicians, nurse practitioners, physician assistants, nurses, and pharmacists.

There is no fee to participate in this activity.

Learning Objectives

After completion of this activity, the participant should be better able to:

Utilize evidence-based strategies and ascertain crucial information by asking appropriate questions to make case-based diagnoses in patients suffering from acid-related disorders

Devise and employ strategies to better control symptoms of GERD in special populations, such as the elderly, obese, and nocturnal GERD sufferers, and take into consideration complications created by patients’ use of concomitant medications

Implement a treatment plan that includes practical patient education tools and effective patient-clinician communication to improve care for GERD patients


Release date:
January 22, 2010
Expiration date:
January 21, 2011


Accreditation and Designation


Physicians

This activity has been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the North Carolina Academy of Family Physicians (NCAFP) and TCL Institute, LLC. TCL Institute, LLC is accredited by the ACCME to provide continuing medical education for physicians.

TCL Institute, LLC designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

NCAFP is accredited by the American Academy of Family Physicians (AAFP) to provide continuing medical education for physicians.

This activity has been reviewed and is acceptable for up to 2 Prescribed credits by the AAFP. Of these credits, 1 conforms to the AAFP criteria for evidence-based CME (EB CME) clinical content. CME credit has been increased to reflect 2 for 1 credit for only the EB CME portion. When reporting AAFP credit, report total Prescribed and Elective credit for this activity. It is not necessary to label credit as EB CME for reporting purposes.

The EB CME credit awarded for this activity was based on practice recommendations that were the most current with the strongest level of evidence available at the time this activity was approved. Since clinical research is ongoing, AAFP recommends that learners verify sources and review these and other recommendations prior to implementation into practice.


Nurse Practitioners and Physician Assistants


Nurse Practitioners and Physician Assistants can claim 1 AMA PRA Category 1 Credit™.


Nurses

TCL Institute, LLC is a provider approved by the California Board of Registered Nursing, Provider Number 15225, for 1.2 contact hours.

RNs outside of California must verify with their licensing agency for approval of this course.


Pharmacists


ACPE Purdue University School of Pharmacy and Pharmaceutical Sciences is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This is an application-based continuing education activity of Purdue University, an equal access/equal opportunity institution. Universal Program (UPN): 0018-9999-09-242-H01-P, 1.0 contact hours (0.1 CEUs).


Chair


David A. Peura, MD, MACG, FACP, AGAF

Professor of Medicine
University of Virginia Health Sciences Center
Charlottesville, VA


Faculty Reviewer

R.W. Watkins, MD, MPH, FAAFP
Adjunct Clinical Faculty
University of North Carolina at Chapel Hill
Chapel Hill, NC


Disclosures

In accordance with the ACCME, TCL Institute, LLC requires that any person who is in a position to control the content of a CME activity must disclose all relevant financial relationships they have with a commercial interest.

Accordingly:
Dr. Peura reported that he is a consultant to and speaker for Takeda Pharmaceuticals North America, Inc. and Novartis Corporation.

Dr. Watkins has nothing to disclose.

The NCAFP staff and TCL Institute, LLC staff that were involved in the development of this activity have no financial relationships with any commercial interests that are relevant to this activity.

To resolve identified conflicts of interest, the educational content was fully peer-reviewed by a physician member of the TCL Institute, LLC Content Review Committee who has nothing to disclose. The resulting certified activity was found to provide educational content that is current, evidence-based, and commercially balanced.


Disclosure of Unlabeled or Investigational Drugs

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The opinions expressed in the educational activity are those of the faculty. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Further, attendees/participants should appraise the information presented critically and are encouraged to consult appropriate resources for any product or device mentioned in this program.


Disclaimer

The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of Takeda Pharmaceuticals North America, Inc.; TCL Institute, LLC; or the NCAFP. This material is prepared based upon a review of multiple sources of information, but it is not exhaustive of the subject matter. Therefore, health care professionals and other individuals should review and consider other publications and materials on the subject matter before relying solely upon the information contained within this educational activity.


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