Statement of Need/Program Overview
Migraine is a disabling, recurrent, hereditary neurovascular headache disorder that affects millions worldwide. It is one of the most commonly encountered neurological disorders in the United States, affecting 16% to 22% of US adults at some time in their lives.
Despite the significant burden of migraine, approximately 50% of those with frequent and/or severe episodes do not seek out professional treatment. Moreover, among those seeking help, more than 40% have unmet treatment needs and treatment satisfaction, although greatly improved with the development of triptans, still hovers around only 70%. Studies suggest that only 26% of migraineurs successfully transverse all barriers associated with medical consultation, diagnosis, treatment, and ongoing care associated with migraine, and persistently low levels of acute migraine treatment optimization contribute to the heavy burden of this condition. These discouraging figures underscore the need for improved treatment and management of acute migraine.
This activity is designed to assist learners in reviewing key aspects in the evidence- and guidelines-based diagnosis and treatment of patients with migraine headaches.
After completing this activity, the participant should be better able to:
- Classify patients by migraine type and appreciate the significance of classification on treatment and prognosis
- Differentiate between migraine and non-migraine headaches and their treatments
- Raise awareness of the limitations of step-care management models contrasting them with modern stratified care models
- Review strategies for accurately assessing and diagnosing acute migraine based on migraine pathophysiology, etiology, and clinical presentation
- Provide patients with practical advice on triggers, diaries and self-care
This activity will cover topics such as:
- The Natural History of Migraine
- The Pathophysiology of Migraine
- Making the diagnosis
- Stratified Care Models vs. Step Care
- Guidelines and Protocols
- Migraine (Headache) Hygiene and non-pharmacologic approaches to care
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint provider-ship of Medical Education Resources (MER) and Rearden CME. MER is accredited by the ACCME to provide continuing medical education for physicians.
Medical Education Resources designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
American Academy of Physician Assistants
AAPA accepts certificates of participation for educational activities certified for Category 1 Credit™ from organizations accredited by the ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1.5 (one and a half) hours of Category 1 Credit™ for completing this program.
Medical Education Resources is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
This CE activity provides 1.5 (one and a half) contact hours of continuing nursing education.
Medical Education Resources is a provider of continuing nursing education by the California Board of Registered Nursing, Provider #CEP 12299, for 1.5 (one and a half) contact hours.
Disclosure of Conflicts of Interest
Medical Education Resources ensures balance, independence, objectivity, and scientific rigor in all our educational programs. In accordance with this policy, MER identifies conflicts of interest with its instructors, content managers, and other individuals who are in a position to control the content of an activity. Conflicts are resolved by MER to ensure that all scientific research referred to, reported, or used in a continuing education activity conforms to the generally accepted standards of experimental design, data collection, and analysis. MER is committed to providing its learners with high-quality activities that promote improvements or quality in health care and not the business interest of a commercial interest.
The faculty reported the following financial relationships with commercial interests whose products or services may be mentioned in this activity:
Dr. Rebecca Burch has nothing to disclose.
Dr. Brian Loftus has nothing to disclose.
Dr. Stephen Landy has received clinical research suport from Dr. Reddy's Laboratories.
The content planners reported the following financial relationships with commercial interests whose products or services may be mentioned in this activity:
Julie Johnson, PharmD has no financial relationships to disclose
Planners at ReardenCME have no financial relationships to disclose
Method of Participation
There are no fees for participating in and receiving credit for this activity. During the period May 2016 through May 2018, participants must 1) read the learning objectives and faculty disclosures, 2) study the educational activity, 3) complete the posttest by recording the best answer to each question in the answer key, and 4) complete the evaluation form in the activity.
A statement of credit will be issued only upon receipt of a completed activity evaluation and a completed posttest with a score of 60% or better.
The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of Medical Education Resources, ReardenCME, and/or Promius Pharma. The authors have disclosed if there is any discussion of published and/or investigational uses of agents that are not indicated by the FDA in their presentations. The opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of Medical Education Resources, ReardenCME, and/or Promius Pharma. Before prescribing any medicine, primary references and full prescribing information should be consulted. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. The information presented in this activity is not meant to serve as a guideline for patient management.
This activity is jointly provided by Medical Education Resources (the learner may contact MER at 800-421-3756) and ReardenCME.
This activity is supported by an educational grant from Promius Pharma.
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