Jim Visit 1: A 78-year-old male presenting for a post-discharge office visit following hip fracture repair

Title:	Jim Visit 1: A 78-year-old male presenting for a post-discharge office visit following hip fracture repair
Topic:	Cardiology
Relevant Terms:	Cardiovascular, Deep Vein Thrombosis, Thrombosis, Venous Thromboembolism
Primary Audience:	Hospital-based and other physicians and allied healthcare professionals involved in the management of patients at risk for VTE
Launch Date:	29-Dec-09
Credits:	0.5 AMA PRA Category 1 Credit™ 0.5 ACPE contact hour 0.5 ANCC contact hour
Expiration Date:	The accreditation for this activity has expired.
Curriculum Name:	The Venous Thromboembolism Virtual Clinic

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Learning Objectives

Upon completion of the activity, participants should be able to:

Stratify patients by level of venous thromboembolism (VTE) risk in the hospital and post-discharge
Demonstrate awareness of current evidence, practice guidelines, and quality measures for optimal VTE prophylaxis in the inpatient and outpatient setting
Implement and/or promote adherence to evidence-based VTE prophylaxis to ensure continuity of prevention from the hospital to post-acute care
Apply educational tools to advocate for policies and protocols for VTE prevention across at-risk patient populations and practice settings

Faculty

Franklin A. Michota, MD
Director of Academic Affairs
Department of Hospital Medicine
Cleveland Clinic Foundation
Cleveland, Ohio

Franklin A. Michota, MD

Dr. Michota is Director of Academic Affairs in the Department of Hospital Medicine at the Cleveland Clinic in Cleveland, Ohio. Dr. Michota graduated from The Ohio State University College of Medicine and completed his postgraduate work at the Cleveland Clinic. Upon completion of his chief resident year he established and developed the Hospital Medicine Program at the Cleveland Clinic. For 11 years, Dr. Michota was the Section Head of Hospital Medicine in the Department of General Internal Medicine. He has extensive clinical experience in both acute and subacute patient settings.

Dr. Michota has been an active teacher for colleagues, fellows, residents, and students, and he is currently an Associate Professor of Medicine at the Cleveland Clinic Lerner College of Medicine at Case Western Reserve University and a Fellow of the American College of Physicians and the Society of Hospital Medicine. He has worked closely with the National Board of Medical Examiners, participating as well as Chairing test material development and review committees. Dr. Michota was a Charter Member of the Society of Hospital Medicine, and has served on both the National Education and Research Committees. He participated in the development of the Hospitalist Core-Competencies position paper and he has spoken frequently at the annual Society of Hospital Medicine national meeting. He has directed and co-directed multiple symposia and continuing medical eduation (CME) courses, including the annual Cleveland Clinic Intensive Review of Internal Medicine and annual Perioperative Summit. He is a former Associate Program Director of Internal Medicine as well as Director of the Cleveland Clinic Hospital Medicine Fellowship Program.

Dr. Michota has also been very active in local as well as national Quality Improvement Initiatives. Dr. Michota is a member of the Coalition to Prevent Deep Vein Thrombosis (DVT), helping to establish March as DVT Awareness Month. He has worked with the American Public Health Association, the Centers for Disease Control and Prevention, and the US Surgeon General's Office to make DVT prophylaxis a national health priority. Dr. Michota is a past member of the The Joint Commission/National Quality Forum Technical Advisory Panel for the development of national voluntary consensus standards for the prevention and care of venous thromboembolism.

Dr. Michota is a Section Editor for a new reference text for hospitalists—Comprehensive Hospital Medicine—and remains a co-editor of The Cleveland Clinic Intensive Review of Internal Medicine textbook, now in its 5th Edition. He is Medical Editor-in-Chief of Hospitalist News. In summary, Dr. Michota has authored or co-authored over 30 articles and book chapters, and has given over 300 CME presentations across the United States, on the topics of venous thromboembolism, congestive heart failure, laboratory testing, preoperative evaluation, and perioperative care.

Lynn B. Oertel, MS, ANP, CACP
Clinical Nurse Specialist
Anticoagulation Management Service
Massachusetts General Hospital
Boston, Massachusetts

Ann K. Wittkowsky, PharmD, CACP, FASHP, FCCP
Clinical Professor of Pharmacy
University of Washington
School of Pharmacy
Director of Anticoagulation Services
University of Washington Medical Center
Seattle, Washington

Independent Clinical Reviewer
Kenneth A. Bauer, MD
Professor of Medicine
Harvard Medical School
Director, Thrombosis Clinical Research
Beth Israel Deaconess Medical Center
Boston, Massachusetts

Activity Overview

This virtual patient activity consists of one outpatient visit. Participants can earn up to 0.5 hours of credit for completion of this activity.

To be eligible for documentation of credit, participants must participate in the entire patient visit, complete the 5-question post-test with a score of 80% or better, and complete the evaluation form. Participants who successfully complete the post-test and evaluation form online may immediately print their documentation of credit.

Estimated time to complete: 0.5 hours

Release Date: December 29, 2009

Expiration Date: December 29, 2010

This educational activity is a knowledge-based activity.

For questions regarding this educational activity, please contact Angela Scarnici at 609-371-1137.

There is no fee associated with this activity.

Hardware/Software Requirements

PC
Internet Explorer (v6 or greater), or Firefox

MAC
Safari

CME Accreditation

North American Center for Continuing Medical Education, LLC (NACCME) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

NACCME designates this educational activity for a maximum of 0.5 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CPE Accreditation

North American Center for Continuing Medical Education, LLC (NACCME) is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This activity is approved for 0.5 contact hour (0.05 CEU) of continuing pharmacy education (UAN 276-000-09-045-H01-P).

Any participant wanting to file a grievance with respect to any aspect of a continuing pharmacy education activity accredited by NACCME may contact John Savage, Director, Medical Education, NACCME, in writing at 300 Rike Drive, Suite A, Millstone Township, NJ 08535, or by e-mail at jsavage@naccme.com. The Director of Medical Education will review the grievance and respond within 30 days of receiving the written statement. If the participant is unsatisfied with the response, an appeal to the Vice President, Medical Education, NACCME, may be made for a second level of review.

CNE Accreditation

North American Center for Continuing Medical Education, LLC (NACCME) is an approved provider of continuing nursing education by the Pennsylvania State Nurses Association an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

This continuing nursing education activity was approved for 0.5 contact hour(s).

Provider approved by the California Board of Registered Nursing, Provider #13255 for 0.5 contact hour(s).

Independent Clinical Reviewer: Kenneth A. Bauer, MD, Professor of Medicine, Harvard Medical School, Director, Thrombosis Clinical Research, Beth Israel Deaconess Medical Center, Boston, Massachusetts

Planning Committee

The planning committee comprises Kenneth A. Bauer, MD, Franklin A. Michota, MD, Lynn B. Oertel, MS, ANP, CACP, and Ann K. Wittkowsky, PharmD, CACP, FASHP, FCCP; Kristin Dickie, Mary Johnson, Randy Robbin, and John Savage, NACCME.

Financial Disclosure and Conflicts of Interest

According to the disclosure policy of NACCME, faculty, editors, managers, and other individuals who are in a position to control content are required to disclose any relevant financial relationships with relevant commercial companies related to this activity. All relevant conflicts of interest that are identified are reviewed for potential conflicts of interest. If a conflict is identified, it is the responsibility of NACCME to initiate a mechanism to resolve the conflict(s). The existence of these interests or relationships is not viewed as implying bias or decreasing the value of the presentation.

All educational materials are reviewed for fair balance, scientific objectivity of studies reported, and levels of evidence.

The faculty has reported the following:
Dr. Bauer: Consultant—Bayer Healthcare, Johnson & Johnson; Promotional speakers bureau—GlaxoSmithKline; Board member—GTC Biotherapeutics Corporation
Dr. Michota: Consultant—Genentech, Osaka, sanofi-aventis U.S.
Ms. Oertel: Consultant—sanofi-aventis U.S.
Dr. Wittkowsky: Consultant—Roche Diagnostics; Promotional speakers bureau—sanofi-aventis U.S.

Ms. Dickie, Ms. Johnson, Mr. Robbin, and Mr. Savage have disclosed no relevant financial relationships with any commercial interests.

NACCME requires faculty to inform participants whenever off-label/unapproved uses of drugs and/or devices are discussed in their presentations.

The faculty has disclosed that no off-label/unapproved use(s) of drugs and/or devices will be discussed.

Privacy Policy

NACCME protects the privacy of personal and other information regarding participants, educational partners, and joint sponsors. NACCME and our joint sponsors will not release personally identifiable information to a third party without the individual's consent, except such information as is required for reporting purposes to the appropriate accrediting agency.

NACCME maintains physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

Copyright © 2009 by North American Center for Continuing Medical Education, LLC. All rights reserved. No part of this accredited continuing education activity may be reproduced or transmitted in any form or by any means, electronic or mechanical, without first obtaining permission from North American Center for Continuing Medical Education.

Grant Support

Supported by an educational grant from sanofi-aventis U.S.

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