eCysticFibrosis Review Newsletter, Volume 4, Issue 4

HOME

RECOMMEND TO A COLLEAGUE


	VOLUME 4 � ISSUE 4

PODCAST LINK BELOW

Strategies for the Improvement of Nutrition Outcomes

Our guest author is Amanda Radmer Leonard, MPH, RD, CDE from The Johns Hopkins Children�s Center and The Johns Hopkins Cystic Fibrosis Center.

After participating in this activity, the participant will demonstrate the ability to:

	Describe approaches to the treatment of low vitamin D levels in patients with cystic fibrosis
	Discuss the variability of fecal elastase result during the first year of life
	Summarize the importance of tailoring nutritional interventions to specific patient and family situations

This discussion, offered as a downloadable audio file and companion transcript, covers the important issues related to Nutrition in the format of case-study scenarios for the clinical practice. This program is a follow up to Volume 4, Issue 3 eCysticFibrosis Review Newsletter - Strategies for the Improvement of Nutrition Outcomes.

The Johns Hopkins University School of Medicine takes responsibility for the content, quality, and scientific integrity of this CME activity.

Amanda Radmer Leonard MPH, RD, CDE
Pediatric Nutrition Practitioner
The Johns Hopkins Children�s Center
The Johns Hopkins Cystic Fibrosis Center
Baltimore, MD

Guest Faculty Disclosure
The author has indicated that she has served as a consultant for Abbott Pharmaceuticals.

Unlabeled/Unapproved Uses
The presentation today will not include discussion of any off label or unapproved uses of drugs or products.

Release Date
May 29, 2013

Expiration Date
May 28, 2015

Michael P. Boyle, MD, FCCP
Associate Professor of Medicine
Director, Adult Cystic Fibrosis Program
The Johns Hopkins University
Baltimore, MD

Peter J. Mogayzel, Jr., MD, PhD
Professor of Pediatrics
Director, Cystic Fibrosis Center
The Johns Hopkins University
Baltimore, MD

Donna W. Peeler, RN, BSN
Clinical Coordinator
Cystic Fibrosis Center
The Johns Hopkins University
Baltimore, MD

Meghan Ramsay, MS, CRNP
Clinical Coordinator
Adult Clinical Coordinator
Cystic Fibrosis Center
The Johns Hopkins University
Baltimore, MD

accreditation statements
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Johns Hopkins University School of Medicine and the Institute for Johns Hopkins Nursing. The Johns Hopkins University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The Institute for Johns Hopkins Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center�s Commission on Accreditation.

The Institute for Johns Hopkins Nursing and the American Nurses Credentialing Center do not endorse the use of any commercial products discussed or displayed in conjunction with this educational activity.

credit designations
Physicians
Podcast: The Johns Hopkins University School of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)�. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses
Podcast: This 0.5 contact hour Educational Activity is provided by the Institute for Johns Hopkins Nursing. Each Podcast carries a maximum of 0.5 contact hours or a total of 3 contact hours for the six Podcasts in this program.

To obtain contact hours, you must complete this Educational Activity and post�test by March 27, 2015.

Respiratory Therapists
For United States: Visit this page to confirm that your state will accept the CE Credits gained through this program.

For Canada: Visit this page to confirm that your province will accept the CE Credits gained through this program.

intended audience
This activity has been developed for pulmonologists, pediatric pulmonologists, gastroenterologists, pediatricians, infectious disease specialists, respiratory therapists, dieticians, nutritionists, nurses, and physical therapists.

There are no fees or prerequisites for this activity.

launch date
This volume launched on February 28, 2013, and is published monthly; activities expire two years from the date of publication.

STATEMENT OF NEED
Based on a review of the current literature, including national and regional measures, detailed conversations with expert educators at Johns Hopkins, and a survey of potential program participants, this program will address the following core patient care gaps:

Disease-Modifying Therapies

	Clinicians may be unfamiliar with recently introduced disease-modifying therapies and how they are altering the therapeutic landscape for patients with cystic fibrosis.

	Clinicians may be uncertain how to integrate genotyping into therapeutic decisions and how to communicate with patients and families about the relationship between genotype and therapy

Nutrition

	Many clinicians lack strategies to persuade patients to adhere to CF nutritional requirements, resulting in low body weight and nutritional failure in patients with cystic fibrosis.

	Many clinicians remain uncertain how to optimize pancreatic function in patients with cystic fibrosis.

Treating CF Patients with Inhaled Antibiotics

	Clinicians lack knowledge about the use of existing and emerging inhaled ABX to treat chronic pulmonary infections.

	Clinicians need more information to make informed decisions about the use of inhaled ABX in combination.

	Clinicians lack information about best practices for scheduling ABX therapy to suppress chronic airway infections.

	Common clinician assumptions about treating pulmonary exacerbations lack supporting evidence.

	CF clinicians are not aware of and/or are not actively advocating inhaled ABX patient-adherence strategies.

hardware & software requirements
Pentium 800 processor or greater, Windows 98/NT/2000/XP or Mac OS 9/X, Microsoft Internet Explorer 5.5 or later, Windows Media Player 9.0 or later, 128 MB of RAM Monitor settings: High color at 800 x 600 pixels, Sound card and speakers, Adobe Acrobat Reader.

disclaimer statement
The opinions and recommendations expressed by faculty and other experts whose input is included in this program are their own. This enduring material is produced for educational purposes only. Use of Johns Hopkins University School of Medicine name implies review of educational format design and approach. Please review the complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings and adverse effects before administering pharmacologic therapy to patients.

faculty disclosure
As a provider approved by the Accreditation Council for Continuing Medical Education (ACCME), it is the policy of the Johns Hopkins University School of Medicine Office of Continuing Medical Education (OCME) to require signed disclosure of the existence of financial relationships with industry from any individual in a position to control the content of a CME activity sponsored by OCME. Members of the Planning Committee are required to disclose all relationships regardless of their relevance to the content of the activity. Faculty are required to disclose only those relationships that are relevant to their specific presentation. The following relationships have been reported for this activity:

	Michael P. Boyle, MD, FCCP discloses that he has received grant/research support from Vertex Pharmaceuticals, Inc, and is a consultant for Vertex, Novartis, Savara, Pharmaxis, Genentech, Inc., and Gilead Sciences, Inc.

	No other planners have indicated that they have any financial interests or relationships with a commercial entity.

Guest Author�s Disclosures


	SUCCESSFUL COMPLETION To take the post-test for eCysticFibrosis Review you will need to visit the Johns Hopkins University School of Medicine�s CME website and the Institute for Johns Hopkins Nursing. If you have already registered for other Hopkins CE programs at these sites, simply enter the requested information when prompted. Otherwise, complete the registration form to begin the testing process. A passing grade of 70% or higher on the post-test/evaluation is required to receive CE credit. Estimated time to complete activity: 30 minutes. statement of responsibility The Johns Hopkins University School of Medicine takes responsibility for the content, quality and scientific integrity of this CME activity. CONFIDENTIALITY DISCLAIMER FOR CME CONFERENCE ATTENDEES I certify that I am attending a Johns Hopkins University School of Medicine CME activity for accredited training and/or educational purposes. I understand that while I am attending in this capacity, I may be exposed to "protected health information," as that term is defined and used in Hopkins policies and in the federal HIPAA privacy regulations (the "Privacy Regulations"). Protected health information is information about a person�s health or treatment that identifies the person. I pledge and agree to use and disclose any of this protected health information only for the training and/or educational purposes of my visit and to keep the information confidential. I understand that I may direct to the Johns Hopkins Privacy Officer any questions I have about my obligations under this Confidentiality Pledge or under any of the Hopkins policies and procedures and applicable laws and regulations related to confidentiality. The contact information is: Johns Hopkins Privacy Officer, telephone: 410-735-6509, e-mail: HIPAA@jhmi.edu. "The Office of Continuing Medical Education at the Johns Hopkins University School of Medicine, as provider of this activity, has relayed information with the CME attendees/participants and certifies that the visitor is attending for training, education and/or observation purposes only." For CME Questions, please contact the CME Office at (410) 955-2959 or e-mail cmenet@jhmi.edu. For CME Certificates, please call (410) 502-9634. Johns Hopkins University School of Medicine Office of Continuing Medical Education Turner 20/720 Rutland Avenue Baltimore, Maryland 21205-2195 Reviewed & Approved by: General Counsel, Johns Hopkins Medicine (4/1/03) Updated 4/09 internet cme/ce policy The Office of Continuing Medical Education (CME) at the Johns Hopkins University School of Medicine is committed to protecting the privacy of its members and customers. The Johns Hopkins University SOM CME maintains its Internet site as an information resource and service for physicians, other health professionals and the public. Continuing Medical Education at the Johns Hopkins University School of Medicine will keep your personal and credit information confidential when you participate in a CME Internet-based program. Your information will never be given to anyone outside the Johns Hopkins University School of Medicine�s CME program. CME collects only the information necessary to provide you with the services that you request.

If you want to now listen to the eCysticFibrosis Review podcast, just click on the button above. This will open your Internet browser to play the podcast by streaming the media via the web.

Please note: This podcast file is large so please be patient while the content downloads.

Save the podcast to your computer. Once saved you can manage and play the file like any song or music using your music software (iTunes, Windows Media, Real Player, etc.). You can also transfer the podcast file to your iPod, MP3 player and listen while on-the-go.

Like any RSS subscription,
when you subscribe to
this Review you will automatically receive each new edition, downloaded to your hard drive as soon as it becomes available. You may manage and play the downloaded podcast file like any song or audio file by using your music software (iTunes, Windows Media, Real Player, etc.). You can also transfer the podcast file to your iPod, MP3 player to listen while on-the-go.


	COMPLETE THE POST-TEST Step 1. Click on the appropriate link below. This will take you to the post-test. Step 2. If you have participated in a Johns Hopkins on-line course, login. Otherwise, please register. Step 3. Complete the post-test and course evaluation. Step 4. Print out your certificate.




	Respiratory Therapists Visit this page to confirm that your state will accept the CE Credits gained through this program or click on the link below to go directly to the post-test.