Essentials in Fibromyalgia:
Diagnosis and Management
Diagnosis and Management
Release date December 31, 2009
Faculty: Rakesh Jain, MD, MPH
(view biosketch)
(view biosketch)
Learning Objectives:
- Identify symptoms commonly associated with FMS beyond chronic widespread pain and tenderness.
- Actively develop differential diagnoses for patients presenting with chronic fatigue, disturbed sleep, and neuropsychiatric disturbances,
including anxiety/mood disturbances and cognitive dysfunction. - Order and utilize laboratory and imaging studies that may be helpful in the development of differential diagnoses.
- Create a treatment plan through integrative approach to symptom management of non-pharmacologic and pharmacologic treatment.
- Recognize the three main therapeutic areas that need to be considered (pain, sleep, mood disorders).
- Review and identify components of effective physician-patient communication practices that hinder or promote positive response and patient
satisfaction. - Integrate and apply motivational interviewing and patient-centered approaches for change or treatment compliance and determine appropriate
response to promote positive clinical experiences.
Commercial Support: This activity is supported by an educational grant from Pfizer and Eli Lilly and Company.
Target Audience:
This activity is designed for primary care physicians, pain specialists, rheumatologists, allergists, physician assistants, nurse practitioners, and other
healthcare professionals interested in recognition of early symptoms, diagnosis, treatment, and long-term management of Fibromyalgia.
This activity is designed for primary care physicians, pain specialists, rheumatologists, allergists, physician assistants, nurse practitioners, and other
healthcare professionals interested in recognition of early symptoms, diagnosis, treatment, and long-term management of Fibromyalgia.
Accreditation Statement:
Purdue University School of Pharmacy, an equal access / equal opportunity institution, is accredited by the ACCME to provide continuing medical
education for physicians The American Academy of Physician Education is accredited by the Institute for Medical Quality/California Medical Association
(IMQ/CMA) to provide continuing medical education for physicians. The American Academy of Physician Education takes responsibility for the content,
quality and scientific integrity of this CME activity.
Credit Designation Statement:
Purdue University School of Pharmacy and the American Academy of Physician Education designates this educational activity for a maximum of 2.0
AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. This credit may
also be applied to the CMA Certification in Continuing Medical Education
Purdue University School of Pharmacy, an equal access / equal opportunity institution, is accredited by the ACCME to provide continuing medical
education for physicians The American Academy of Physician Education is accredited by the Institute for Medical Quality/California Medical Association
(IMQ/CMA) to provide continuing medical education for physicians. The American Academy of Physician Education takes responsibility for the content,
quality and scientific integrity of this CME activity.
Credit Designation Statement:
Purdue University School of Pharmacy and the American Academy of Physician Education designates this educational activity for a maximum of 2.0
AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. This credit may
also be applied to the CMA Certification in Continuing Medical Education
Activity Description:
The impact of pain on society is far reaching and is one of the most common reasons for a patient to seek medical care. Fibromyalgia syndrome (FMS)
is a common, highly prevalent pain disorder characterized by widespread musculoskeletal pain. It has negative effects on quality of life and can be
severely limiting, debilitating, and difficult to identify and to treat and is associated with substantial socio-economic ramifications. This activity teaches
learners to implement diagnostic criteria, discover recent research to identify sensitive and reliable measures for determining response to treatment
among patients with FMS, and the elements of therapeutic programs (pharmacologic and non-pharmacologic) for patients with FMS along with the
basis for their use. Case-based studies will explore disease management, allowing providers to practice optimally and improve overall outcomes for
patients suffering from FMS.
The impact of pain on society is far reaching and is one of the most common reasons for a patient to seek medical care. Fibromyalgia syndrome (FMS)
is a common, highly prevalent pain disorder characterized by widespread musculoskeletal pain. It has negative effects on quality of life and can be
severely limiting, debilitating, and difficult to identify and to treat and is associated with substantial socio-economic ramifications. This activity teaches
learners to implement diagnostic criteria, discover recent research to identify sensitive and reliable measures for determining response to treatment
among patients with FMS, and the elements of therapeutic programs (pharmacologic and non-pharmacologic) for patients with FMS along with the
basis for their use. Case-based studies will explore disease management, allowing providers to practice optimally and improve overall outcomes for
patients suffering from FMS.
Disclosures:
As a CME provider accredited by Institute for Medical Quality/California Medical Association (IMQ/CMA), AA-PE requires all individuals (and their
significant others) in a position to influence and/or control the content of AA-PE directly and co-sponsored CME activities to disclose to AA-PE and
subsequently to learners that the individual either has no relevant financial relationships or has any relevant financial relationships with a commercial
interest. Individuals are required to disclose the following information per ACCME Standard 6.1 (see Standards of Commercial Support, ACCME
www.accme-assn.org): name of the individual, name of the commercial interest(s), and nature of the financial relationship the individual has with each
commercial interest. If a conflict of interest is found, in accordance with standards for Commercial Support issued by the Accreditation Council for
Continuing Medical Education (ACCME) AA-PE requires resolution of all faculty conflicts of interest to ensure CME activities are free of commercial bias.
Rakesh Jain, MD, MPH, is on the Speaker Bureau for Forest Pharmaceuticals, Pfizer, Inc., and Eli Lilly and Company. He has done contracted research
for Forest Pharmaceuticals, Pfizer, Inc., and Eli Lilly and Company, and has served as a consultant to Forest Pharmaceuticals, Pfizer, Inc., and Eli Lilly
and Company.
Off-Label Disclosure:
The faculty has disclosed that this activity includes discussion of either non-FDA-approved or investigational agents.
As a CME provider accredited by Institute for Medical Quality/California Medical Association (IMQ/CMA), AA-PE requires all individuals (and their
significant others) in a position to influence and/or control the content of AA-PE directly and co-sponsored CME activities to disclose to AA-PE and
subsequently to learners that the individual either has no relevant financial relationships or has any relevant financial relationships with a commercial
interest. Individuals are required to disclose the following information per ACCME Standard 6.1 (see Standards of Commercial Support, ACCME
www.accme-assn.org): name of the individual, name of the commercial interest(s), and nature of the financial relationship the individual has with each
commercial interest. If a conflict of interest is found, in accordance with standards for Commercial Support issued by the Accreditation Council for
Continuing Medical Education (ACCME) AA-PE requires resolution of all faculty conflicts of interest to ensure CME activities are free of commercial bias.
Rakesh Jain, MD, MPH, is on the Speaker Bureau for Forest Pharmaceuticals, Pfizer, Inc., and Eli Lilly and Company. He has done contracted research
for Forest Pharmaceuticals, Pfizer, Inc., and Eli Lilly and Company, and has served as a consultant to Forest Pharmaceuticals, Pfizer, Inc., and Eli Lilly
and Company.
Off-Label Disclosure:
The faculty has disclosed that this activity includes discussion of either non-FDA-approved or investigational agents.
Instructions for Participation and Credit:
There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing
education credit for this activity, please consult your professional licensing board.
This activity is designed to be completed within the designated time listed on the title page; physicians should claim only those credits that reflect the
time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on
the title page.
Follow these steps to earn CME/CE credit*:
Read the target audience, learning objectives, and author disclosures.
Study the educational audio and slide presentation online. You may also print out a copy of the syllabi.
Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test.
Purdue University School of Pharmacy and AA-PE require you to complete the Activity Evaluation to provide feedback for future programming. No credits
will be awarded without the completed evaluation.
There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing
education credit for this activity, please consult your professional licensing board.
This activity is designed to be completed within the designated time listed on the title page; physicians should claim only those credits that reflect the
time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on
the title page.
Follow these steps to earn CME/CE credit*:
Read the target audience, learning objectives, and author disclosures.
Study the educational audio and slide presentation online. You may also print out a copy of the syllabi.
Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test.
Purdue University School of Pharmacy and AA-PE require you to complete the Activity Evaluation to provide feedback for future programming. No credits
will be awarded without the completed evaluation.
Receiving Credit:
The estimated time for the completion of this activity—which consists of two (2) presentations—is 2.0 hours. To be eligible for CME credit, participants
must complete both a pre and post-test. Upon submission of the post-test with a score of 80% or better, and completion of the evaluation, you will
immediately receive your electronic certificate, which you may print and/or save as documentation of completion. You can only claim and receive credit
for this activity once. If you plan to complete a portion of the activity, and return at a later date to complete the remainder, please wait to claim your credit
until you have completed all of the activity.
The estimated time for the completion of this activity—which consists of two (2) presentations—is 2.0 hours. To be eligible for CME credit, participants
must complete both a pre and post-test. Upon submission of the post-test with a score of 80% or better, and completion of the evaluation, you will
immediately receive your electronic certificate, which you may print and/or save as documentation of completion. You can only claim and receive credit
for this activity once. If you plan to complete a portion of the activity, and return at a later date to complete the remainder, please wait to claim your credit
until you have completed all of the activity.
Our Commitment to Privacy:
AAPE and Stream 57 respect the privacy of every individual who participates in this activity. Because your privacy is important to us, we provide you with
notice about the collection and use of your information. By continuing with this activity, you accept the practices described in this privacy notice.
We collect two types of information:
Standard Web server traffic pattern information. General traffic, site usage, and length of stay information is collected and stored in log files. This type of
information may be shared externally only on an aggregated basis. We do not use cookies on our Web site.
Personal information. We do not collect personally identifiable information from you unless you provide it to us voluntarily and knowingly. The
information you provide in order to provide you with credit for completing the online activity includes the following information: first and last name, street
address, city, state, zip code, telephone number, area of practice, email address and other pertinent information. This information will be collected
when you claim credit registration form.
We limit the use of information provided to us on the CME site to the following:
We will only use aggregate information derived, in part, from your use of our site to improve our site and our service to you.
We will maintain records of the data you provide during registration.
Contact Us:
For CME Information or credit details contact AA-PE at cme@mdedu.org.
Copyright:
©2009 AAPE and Stream 57. All rights reserved. None of the contents of this activity may be reproduced in any form without prior written permission
from AA-PE or Stream 57.
AAPE and Stream 57 respect the privacy of every individual who participates in this activity. Because your privacy is important to us, we provide you with
notice about the collection and use of your information. By continuing with this activity, you accept the practices described in this privacy notice.
We collect two types of information:
Standard Web server traffic pattern information. General traffic, site usage, and length of stay information is collected and stored in log files. This type of
information may be shared externally only on an aggregated basis. We do not use cookies on our Web site.
Personal information. We do not collect personally identifiable information from you unless you provide it to us voluntarily and knowingly. The
information you provide in order to provide you with credit for completing the online activity includes the following information: first and last name, street
address, city, state, zip code, telephone number, area of practice, email address and other pertinent information. This information will be collected
when you claim credit registration form.
We limit the use of information provided to us on the CME site to the following:
We will only use aggregate information derived, in part, from your use of our site to improve our site and our service to you.
We will maintain records of the data you provide during registration.
Contact Us:
For CME Information or credit details contact AA-PE at cme@mdedu.org.
Copyright:
©2009 AAPE and Stream 57. All rights reserved. None of the contents of this activity may be reproduced in any form without prior written permission
from AA-PE or Stream 57.