CME: Cholangiopathy management updates with an eye on the horizon: focus on primary biliary and primary sclerosing cholangitis
Activity Description / Statement of Need:
In this online, self-learning activity:
Cholestatic liver diseases are characterized by a disruption of bile flow in the biliary tree. They include a range of biliary diseases that affect the biliary epithelium, resulting in cholestasis, inflammation, fibrosis, and cirrhosis, and they account for about 14% of liver transplants in the US. One of the most common progressive cholangiopathies that primarily affects adults is primary biliary cholangitis (PBC). Formerly known as primary biliary cirrhosis, PBC involves the progressive fibrosis of the small intrahepatic bile ductules, and its prevalence ranges between 1.91 to 40.2 per 100,000. The pathogenesis of each has not been well-defined but is thought to involve environmental triggers leading to an immune hyper-response and inflammation in those who are genetically susceptible. The complications of PSC also include colon and hepatobiliary cancer, and the median predicted survival for patients with PBC is six to 16 years with rates differing between asymptomatic patients and symptomatic patients (16 vs. 7.5 years, respectively). Those diagnosed with the disease also experience decreased productivity and lower quality of life (QOL).
Target Audience:
HCPs including: gastroenterologists, hepatologists, and primary care; nurse practitioners, physician assistants, and pharmacists who practice in the aforementioned areas of specialty; and those who otherwise commonly care for or clinically encounter patients with PBC or PSC.
Commercial Support Disclosure: This program is supported by an educational grant from Ipsen.
This activity is free of charge.
Release Date: July 19, 2024 -- Expiration Date: July 19, 2026
Faculty: Gina Choi, MD
Agenda
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Introduction content: progressive cholangiopathies—PBC and PSC
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Medical management for PBC and PSC
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Summary, conclusion, and best practice gap |
Learning Objectives
By the end of the session the participant will be able to:
- Summarize the health burden unique to patients with PBC and PSC and challenges to their optimal identification and management.
- Recall the present therapies for PBC and PSC and their roles in the treatment paradigm.
- Develop a treatment plan for a patient with PBC or PSC.
Accreditation
ACCME Activity #202799369
ScientiaCME is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit Designation: ScientiaCME 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.
ABIM MOC Recognition Statement: 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. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
ABIM MOC Credit Type: Medical Knowledge
Physicians: For maintenance of certification (MOC) points, you must enter your board certification ID # and birth date correctly. It is the learner's responsibility to provide this information completely and accurately at the completion of the activity. Without providing it, the learner will NOT receive MOC points for this activity. By providing this data, you acknowledge that it will be shared with ACCME and the applicable certifying board. Please note: Not all activities on this site provide MOC points. If this activity does not specify that it provides MOC points in this section, then it does NOT provide MOC points. This activity provides MOC points only for ABIM.
Pharmacists
ScientiaCME is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This activity is approved for 1.0 contact hours of continuing pharmacy education credit. Proof of participation will be posted to your NABP CPE profile within 4 to 6 weeks to participants who have successfully completed the post-test. Participants must participate in the entire presentation and complete the course evaluation to receive continuing pharmacy education credit. ACPE #0574-0000-24-020-H01-P. This is an Application (A)-type activity.
Pharmacists: You must enter your NABP # and birth date correctly so that proof of participation can be posted to your NABP CPE profile. It is the learner's responsibility to provide this information completely and accurately at the completion of the activity. Without providing it, the learner will NOT receive CPE credit for this activity.
Nurses: The American Nurses Credentialing Center (ANCC) accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by the ACCME. This activity is designated for up to 1.0 AMA PRA Category 1 Credit(s)™.
Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts AMA PRA Category 1 Credit™ assigned by organizations accredited by the ACCME as satisfying Category 1 CME for National Commission on Certification of Physician Assistants (NCCPA) national certification maintenance. This activity is designated for up to 1.0 AMA PRA Category 1 Credit(s)™.
Nurse Practitioners: The American Academy of Nurse Practitioners Certification Board (AANPCB) states that continuing education providers accredited by the ACCME may provide acceptable, accredited Advanced Practice Provider content. This activity is designated for up to 1.0 AMA PRA Category 1 Credit(s)™.
Faculty Disclosure and Resolution of COI
As a provider of continuing medical education, it is the policy of ScientiaCME to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with this policy, faculty and educational planners must disclose any significant relationships with commercial interests whose products or devices may be mentioned in faculty presentations, and any relationships with the commercial supporter of the activity. The intent of this disclosure is to provide the intended audience with information on which they can make their own judgments. Additionally, in the event a conflict of interest (COI) does exist, it is the policy of ScientiaCME to ensure that the COI is resolved in order to ensure the integrity of the CME activity. For this CME activity, any COI has been resolved thru content review by ScientiaCME.
Disclosures of Faculty: Gina Choi, MD, Health Sciences Associate Clinical Professor of Medicine and Surgery, David Geffen School of Medicine at UCLA, has received financial compensation from Intercept, Gilead, Madrigal and Ipsen for speaker's bureau work.
Disclosures of Educational Planners: Charles Turck, PharmD, BCPS, BCCCP, President of ScientiaCME, has no relevant financial disclosures.
Faculty WILL NOT discuss off-label uses of a commercial product.
All relevant financial relationships have been mitigated.
ScientiaCME adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.
Commercial Support Disclosure: This program is supported by an educational grant from Ipsen.
Instructions
- Read the learning objectives above
- Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowledge gained by participating in this CME activity.
- View the online activity. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.
- Minimum participation threshold: Take the post-test. A score of 70% or higher is required to pass and proceed to the activity evaluation.
- Complete the activity evaluation and CME registration. A CE certificate will be emailed to you immediately.
System Requirements
Windows 7 or above
Internet Explorer 8
*Adobe Acrobat Reader
Mac OS 10.2.8
Safari or Chrome or Firefox
*Adobe Acrobat Reader
Internet Explorer is not supported on the Macintosh
*Required to view Printable PDF Version
Please take a few minutes to participate in the optional pre-test. It will help us measure the knowledge gained by participating in this activity.
Additional Courses That Are Related To This Activity
Taking the ‘pep’ out of H. pylori infection: updates in practice and treatment optimization
Acute hepatic porphyria: optimizing pharmacotherapeutic management strategies
Cholangiopathy management updates with an eye on the horizon: focus on primary biliary cholangitis