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Sheila: A 58-year-old African American woman diagnosed with rheumatoid arthritis with inadequate response to methotrexate

Rheumatology
Curriculum:
Rheumatoid Arthritis: Improving Treatment Decisions and Quality of Care in Clinical Practice
Credits:
1 ANCC Contact Hours 1 AMA PRA Category 1 Credit(s) ™
Launch Date:
March 09, 2016
Expiration Date:
The accreditation for this activity has expired.

Primary Audience:

Rheumatologists and other healthcare professionals, such as primary care physicians, internists, physician assistants, nurse practitioners, advanced practice nurses, and nurses who care for patients with RA

Relevant Terms:

Rheumatoid Arthritis, Shared decision-making

Stanley Cohen, MD

Stanley Cohen, MD
Clinical Professor, Department of Internal Medicine
University of Texas Southwestern Medical School
Co-Director, Division of Rheumatology
Presbyterian Hospital
Dallas, TX

Stanley Cohen, MD
Clinical Professor, Department of Internal Medicine
University of Texas Southwestern Medical School
Co-Director, Division of Rheumatology
Presbyterian Hospital
Dallas, TX

Elizabeth Kirchner, MSN

Elizabeth Kirchner, MSN
Department of Rheumatic and Immunologic Diseases
Cleveland Clinic
Cleveland, Ohio

Elizabeth Kirchner, MSN
Department of Rheumatic and Immunologic Diseases
Cleveland Clinic
Cleveland, Ohio
1. Describe updates from the European League Against Rheumatism (EULAR) and American College of Rheumatology (ACR) guidelines and apply appropriate new recommendations into clinical practice 
2. Employ the "treat-to-target" approach to rheumatoid arthritis (RA) management via incorporation of routine use of validated composite disease-activity measures, biomarkers, and instruments 
3. Compare and contrast efficacy, safety, and tolerability of available biologic agents used in the presence of disease- and patient-related variables such as, comorbidities, risk tolerance, and dosing convenience
4. Utilize effective communication and education to engage RA patients in shared decision-making on treatment choices

Faculty Disclosures
In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Education (ACCME), The Cleveland Clinic Foundation Center for Continuing Education requires resolution of all faculty conflicts of interest to ensure CME activities are free of commercial bias. The following faculty have indicated that they may have a relationship, which in the context of their presentation(s), could be perceived as a potential conflict of interest
 
Program Faculty
Stanley Cohen, MD
Clinical Professor, Department of Internal Medicine
University of Texas Southwestern Medical School
Co-Director, Division of Rheumatology
Presbyterian Hospital
Dallas, TX
 
Dr. Cohen has indicated that he has no relationships that, in the context of his presentation, could be perceived as a potential conflict of interest.
Abbvie Pharmaceuticals
 Membership on advisory committee or review panels
 Other activities from which remuneration is received or expected: investigator
 
Elizabeth Kirchner, MSN
Department of Rheumatic and Immunologic Diseases
Cleveland Clinic
Cleveland, Ohio
 
Ms. Kirchner has indicated that she has no relationships that could be perceived as a potential conflict of interest.
 
ACTIVITY DIRECTOR
Leonard Calabrese, DO
Professor of Medicine
Cleveland Clinic, Lerner College of Medicine
Case Western Reserve University
R.J. Fasenmeyer Chair, Clinical Immunology
Orthopaedic and Rheumatologic Institute
Cleveland, Ohio
 
Dr. Calabrese has indicated that he has a relationship, which in the context of his presentation, could be perceived as a potential conflict of interest:
 
Abbvie Pharmaceuticals 
 Consulting
 Teaching and Speaking
BMS
 Consulting
 Teaching and Speaking
Crescendo
 Teaching and Speaking
GSK
 Consulting
Genentech/Roche
 Consulting
 Teaching and Speaking
Janssen
 Consulting
 Teaching and Speaking
Pfizer
 Consulting
Sanofi Aventis
 Consulting
UCB
 Consulting
 
 
Accreditor Disclosure
The Cleveland Clinic Center for Continuing Education staff involved in the planning and content review of this activity have indicated they have no relationships that could be perceived as a potential conflict of interest.
 
Publishing Staff Disclosures
Haymarket Medical Education staff involved in the planning and content review of this activity have indicated they have no relationships that could be perceived as a potential conflict of interest.
 
Accreditation Statement(s)
The Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
 
Cleveland Clinic Enterprise is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. 
 
Credit Designation Statement(s)
The Cleveland Clinic Foundation Center for Continuing Education designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
This activity is awarded 1.00 hours of CE credit.
 
Disclaimer
The information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition. The viewpoints expressed in this CME/CE activity are those of the authors/faculty. They do not represent an endorsement by Cleveland Clinic or Haymarket Medical Education. In no event will Cleveland Clinic or Haymarket Medical Education be liable for any decision made or action taken in reliance upon the information provided through this CME/CE activity.
 
If you have any questions relating to the accreditation of this activity, please contact Cleveland Clinic at 216-444-9990.
 
Method of Participation Instructions
To obtain credit, a score of 70% or better on the post-test is required. This activity is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/Exam History, which you can access at any time.
 
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HME Privacy Policy will be added automatically to each activity.
 
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