Online Course

Lupus Series: Virtual Clinic

Date:

Expires Jan. 1, 2023

Program Information

CME: 3.25     MOC: 3.25

The Lupus Series: Virtual Clinic is a four-part series with case-based learning to help non-rheumatologists recognize, refer, and manage patients with lupus in conjunction with a rheumatologist. You will virtually examine four patients, each presenting with different symptoms, decide which labs to order, build the differential diagnosis, and decide next steps for treating the patient, including appropriate referrals, if needed. With the Lupus Series: Virtual Clinic, you receive:

  • Four cases
  • Multiple-choice questions with in-depth answer rationales
  • Image and educational links
  • Up to 3.25 ABIM MOC points and 3.25 AMA PRA Category 1 Credit(s)™ with a passing score of 70% or higher

Target Audience
Non-rheumatologist physicians, physician assistants, and nurse practitioners.

Learning Objectives
Upon completion of this activity, participants should be able to:

Case 1: A 40-year-old Asian female with facial rash, hair loss, fatigue, myalgias and a history of finger color changes in cold weather.

  • Identify classic and atypical presentations of lupus, focusing on patient history, signs, symptoms, and physical examination findings.
  • Identify and understand lab studies typically utilized in new patient-work-up sent when evaluating a new patient with lupus.
  • Effectively communicate results of initial evaluation to patients, including strategies to ensure effective handoff to a specialist, if appropriate.
  • Identify other common disease processes that may mimic lupus.

Case 2: A 27-year-old Hispanic male with a history of thrombocytopenia and recurrent pleurisy coming in with malar rash, pleural friction rub concerning for pleurisy, and hand synovitis.

  • Identify classic and atypical presentations of lupus, focusing on patient history, signs, symptoms, and physical examination findings.
  • Identify and understand lab studies typically utilized in new patient-work-up sent when evaluating a new patient with lupus.
  • Provide self-management and health maintenance education to patient.

Case 3: A 34-year-old Caucasian female with new onset HTN, pitting edema, weight gain, scarring alopecia, scarring rash on the nose, arthritis and fatigue.

  • Identify classic and atypical presentations of lupus, focusing on patient history, signs, symptoms, and physical examination findings.
  • Identify and understand lab studies typically utilized in new patient-work-up sent when evaluating a new patient with lupus.
  • Effectively communicate results of initial evaluation to patients, including strategies to ensure effective handoff to a specialist, if appropriate.
  • Properly and timely refer a patient with suspected lupus to a rheumatology provider.

Case 4: A 49-year-old African American female who presents with oral and nasal ulcers, arthritis and fatigue. 

  • Identify classic and atypical presentations of lupus, focusing on patient history, signs, symptoms, and physical examination findings.
  • Identify and understand lab studies typically utilized in new patient-work-up sent when evaluating a new patient with lupus.
  • Recognize signs and symptoms that may indicate a lupus flare.
  • Highlight high-yield lupus-specific questions and physical examination findings to help confirm a lupus flare or make a lupus flare less likely.
  • Provide counseling and anticipatory guidance for patients in whom lupus is suspected and an initial referral to rheumatology is made.

Registration Fees

Registration is free.

CME and MOC Information

Accreditation Statement                                                   
The American College of Rheumatology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation Statement                                                   
The ACR designates this online activity for a maximum of 3.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activities.

MOC Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 3.25 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Faculty and Disclosures

ACR Disclosure Statement       
The ACR is an independent, professional organization that does not endorse specific procedures or products of any pharmaceutical/biotech concern. Educational activities provided by the ACR must demonstrate balance, independence, and scientific rigor. All those in a position to control the content of an activity must disclose all relevant financial relationship(s) with commercial interest(s). For this educational activity, all conflicts of interest have been resolved through peer review and revisions to ensure independence, evidence base, fair balance, and absence of commercial bias.

Faculty participating in an ACR-sponsored activity must disclose to the editorial team and audience any financial or other relationship(s) including, but not limited to:

  1. Stock, stock options or bond holdings in a for-profit corporation or self-directed pension plan
  2. Research grants
  3. Employment (full or part-time)
  4. Ownership or partnership
  5. Consulting fees or other remuneration (payment)
  6. Non-remunerative positions of influence such as officer, board member, trustee, or public spokesperson
  7. Receipt of royalties
  8. Speakers' bureau
  9. Other

The faculty reported the following disclosures.

Authors

  • Sonam Kiwalkar, MD - No relevant financial relationships to disclose
  • Karen Law, MD - No relevant financial relationships to disclose
  • Janet Jolly, NP-C - No relevant financial relationships to disclose
  • Leslie E. Kahl, MD - No relevant financial relationships to disclose
  • Julianna Desmarais, MD - No relevant financial relationships to disclose

Content Reviewers

  • Kelly K. Land, CFNP - No relevant financial relationships to disclose
  • Courtney L. Bennett Wilke, MPAS, PA-C - No relevant financial relationships to disclose
  • Aimee Pragle, MMSc, MSPH, PA-C - No relevant financial relationships to disclose

Acknowledgement of Support

This project was, in part, supported by the Centers for Disease Control and Prevention under Cooperative Agreement Number 6 NU58 DP006138. Its contents are solely the responsibility of its developers/authors. Points of view or opinions do not, therefore, necessarily represent official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services.

Contact Info / Inquiries

lupus@rheumatology.org
404-633-3777, ext. 804

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