CME

Links

Multidisciplinary Education

Multidisciplinary Management of Patients With Peripheral Arterial Disease

Establishment of Protocols and Coordination of Care: Lower Extremity Arterial Disease

This monograph is a compilation of the material presented at Establishment of Protocols and Coordination of Care: Lower Extremity Arterial Disease on May 10, 2008 at the Arizona Heart Institute Translational Research Center in Phoenix, Arizona.

What did attendees at this conference have to say?

“DM and PAD are seen in my practice everyday. Their impact is huge and understanding them is crucial.”
“This symposium has alerted me to the endemic problem of the metabolic syndrome and its affect on our
citizens.”
“I will diagnose and treat my patients with a higher standard of care in PAD. The continuation of podiatric
to vascular care is the most logical ‘next step’ in providing the highest quality of care for my podiatric
patients. Thank you for providing this multidisciplinary education.”
“By recognizing the early signs of PAD and ordering the needed diagnostic studies, I can refer my patients
back to their PCP’s with definite recommendations regarding their health care and further treatment.”
“This is one of the most informative, well planned and organized lectures this year!”
“My practice involves diabetic wound care. Evaluation and proper referral for treatment of PAD are crucial
for good patient outcomes.”

To receive a CME Certificate for this activity

Read the CME information on this page
Access (and/or download) the enduring material at the bottom of this page
Complete the pre-test
Review the biographies of hte contributing authors
Read the monograph
Complete the post-test
Complete the evaluation and application for CME credit forms
Fax the post-test, evaluation, and application for CME credit forms to 602.265.8885

CME Information

Practice Gap Analysis

Peripheral arterial disease (PAD) affects more than eight million individuals in the United States. In addition, there is significant cardiovascular morbidity and mortality associated with PAD. One in five patients with PAD have a heart attack or stroke, are hospitalized, or die due to cardiovascular events within one year of diagnosis. PAD is largely caused by atherosclerosis and is associated with leg pain, restricted mobility, ulceration, progressive limb ischemia, amputation, and death.

Despite the prevalence of PAD, it is often under diagnosed and under treated, especially in high-risk groups such as individuals with diabetes mellitus (DM). Additionally, a knowledge gap exists between the public and healthcare providers regarding PAD risk factors, symptoms and consequences of the disease.

To address this gap, International Congress Foundation, in collaboration with Arizona Heart Institute and Arizona Institute of Footcare Physicians, presented Establishment of Protocols and Coordination of Care: Lower Extremity Arterial Disease on May 10, 2008 at the Arizona Heart Institute Translational Research Center in Phoenix, Arizona. This multidisciplinary event provided a collaborative sharing of knowledge and a forum to educate physicians and healtcare professionals about benchmarks for pathogenesis, pathophysiology, early detection, diagnosis and treatment for PAD. As well, the presentations included recommendations for the current approaches to the management of lower extremity arterial disease and related conditions including diabetes mellitus.

This monograph is a compliation of the material presented at the above-mentioned conference.

Method of Participation

This activity is in monograph form. The estimated time to complete this activity, including review of the materials, is 2.0 hours. You should:

Read the goals and objectives and other CME information
Take the self-assessment pre-test (does not effect your eligibility to receive CME credit)
Read the monograph

To receive a maximum of 2.0 AMA PRA Category 1 Credits™ :

Complete the post-test (must correctly answer 70% of the questions to receive CME credit)
Complete the evaluation
Complete the application for CME credit
Fax the post-test, evaluation and application to 602.265.8885

Term of Approval

November 2008 through November 2010. Original release date: November 1, 2008

Target Audience

This CME activity is designed to meet the needs of healthcare professionals (physicians, nurse practitioners, physician assistants, residents and fellows) in the areas of family practice, internal medicine, podiatry, cardiology, vascular and endovascular medicine, wound care and related specialities.

Content Focus

Medical knowledge, practice-based learning and improvement and system-based practice.

Goal

This enduring material was designed to affect physician practice patterns and foster a multidisciplinary approach to the treatment of patients with PVD. After completing this activity, participants should be able to improve patient care by:

Providing preventative care for patients with foot and leg pain by incorporating cardiovascular risk screening into their practice
Recognizing non-arterial diseases which mimic PAD
Promoting early diagnosis and reduction of risk factors by developing a well-coordinated multidisciplinary approach to caring for patients with PVD
Referring patients with diabetes for blood sugar control and/or treatment
Incorporating into their practice the current practice guidelines for the management of patients with diabetes mellitus

Accreditation/Credit Designation

International Congress Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. International Congress Foundation designates this educational activity for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in this activity.

Program Directors

Edward B. Diethrich, MD

Medical Director

Arizona Heart Institute and Arizona Heart Hospital

Phoenix, Arizona

Kerry Zang, DPM, FACFAS, DABPS

Arizona Institute of Footcare Physicians

Mesa, Arizona

Disclosure

It is the policy of International Congress Foundation (ICF) to ensure balance, independence, objectivity, and scientific rigor in all its educational activities. Selection of presenters and content development is not influenced by commercial entities.

The following individual has reported financial or other relationships with commercial entities whose products/services may relate to the educational content of this activity:

Edward B. Diethrich, MD: Program Director and Contributor

Major stockholder: Endologix; Other support: Gore & Associates

The following individuals have reported no financial or other relationships with commercial entities whose products/services may relate to the educational content of this activity:

Gabriel Hilkovitz, MB, BcH: Contributor
Venkatesh Ramaiah, MD: Contributor
Julio Rodriguez-Lopez, MD: Contributor
Kerry Zang, DPM: Contributor
Planning Committee

The following individual has reported that he will discuss the off-label use of a commercial product:

Julio Rodriguez-Lopez, MD: Contributor

Biliary stents in the femoral artery

Physicians are urged to fully review all available data on products or procedures before using them to treat patients.

Commercial Support

This CME activity is not supported by any commercial organization.

Educational Objectives

After completing this enduring material, participants should be able to:

Describe the prevalence and incidence of PAD
Discuss the risk factors and natural progression of PAD and the correlating risk factors for cardiovascular events
Understand the epidemiology of diabetes mellitus and its association with PAD
Recognize when to refer patients with diabetes for control of blood sugar and/or treatment to reduce the incidence of ulceration, infection and amputation
Incorporate cardiovascular risk-factor screening into practice to provide preventive care for patients with foot and leg pain
Conduct a history and physical exam associated with stages of PAD—including asymptomatic disease, intermittent claudication, and critical limb ischemia in order to determine the appropriate coordination of care
Explain the differential diagnosis of non-arterial diseases that mimic PAD
Order appropriate noninvasive vascular studies and explain the results to patients
List the advantages and disadvantages of CT and MR in the assessment of PAD
Order appropriate laboratory tests for patients with cardiovascular risk factors and communicate results to primary care physicians and/or the cardiovascular specialist
Describe pharmacologic strategies for atherosclerotic PAD, including statins, antiplatelet therapy and vasodilators
Explain how to test for diabetes
Incorporate into practice current guidelines for the management of patients with diabetes mellitus
Identify the indications for revascularization modalities for patients with lower extremity peripheral vascular disease
Recognize when to refer patients with foot and leg pain for intervention
Discuss pre-operative considerations (e.g., diabetes control) with patients referred for cardiovascular intervention
Counsel patients on prevention strategies that modify disease potential

Click the icon to access / download the enduring material:

For More Information

Please contact the ICF Education Department by phone: 602-707-4403 or email: CME@azheart.com.

Other CME/CE Opportunities: