Internal Medicine CME

Each week, three articles in the New England Journal of Medicine have a companion CME exam available online. You can earn up to one CME credit for each exam successfully completed. NEJM subscribers receive 20 online exams per year as part of their subscription. Non-subscribers may pay on an hourly basis ($19 per single credit or $109 for 10 exams) and read the articles and take the exams completely online.

Target Audience:
Physicians focusing on Family Medicine and Internal Medicine.

ReachMD consists entirely of podcasts offering 0.25 to 0.75 credit-hours. These can be listened to on your computer, mp3 player, XM Satellite radio or iPhone. Most activities are in general adult medicine and OB/GYN.

Target Audience: Physicians focusing on Family Medicine, Internal Medicine, and OB-GYN.

After completing Safe and Effective Opioid Prescribing for Chronic Pain, you will be able to:
• Discuss the breadth and quality of evidence for the use of opioids for chronic pain, including current gaps in knowledge.
• Describe appropriate assessment, monitoring and documentation strategies to meet best practice standards and medico-legal requirements to support opioid prescribing.
• Apply appropriate communications strategies when initiating, managing, and, if necessary, terminating opioids for patients with chronic pain.
• Describe, screen for, and manage potential co-morbidities in chronic pain patients.
• Apply a practical framework for decision-making on the initiation, maintenance, and discontinuation of opioid analgesics for the treatment of chronic pain.
This program meets the criteria of the Massachusetts Board of Registration in Medicine for 4 hours of risk management study and 4 hours of opioid education.

Target Audience:
Physicians, nurse practitioners, physician assistants, dentists, and pharmacists

Southern Medical Journal offers many CME courses offering a range of CME credits.

Topics covered include:
Vaccines, Obesity, Personality Disorders, Hypertension, HIV/AIDS, Osteoperosis, and many more.

Target Audience: Multiple Specialties

The major focus of this site is Global Health.

Examples of modules include:
• Module 1: Introduction to Health Care for Immigrant and Refugee Populations
• Module 2: Disaster Response and Clinical Medicine in Resource-Limited Settings
• Module 3: Public Health and Noninfectious Disease in Developing Countries
• Module 4: Parasitic Infections
• Module 5: Bacterial, Mycobacterial (TB), and Fungal Infections
• Module 6: Viral Infections
• Module 7: Travel Medicine

You will also find 2 courses unrelated to global health:
• Nitrous Oxide for Pediatric Procedural Sedation
• FASD: Early Identification and Intervention in the Primary Care Setting

Target Audience:
Physicians focusing on Family Medicine, Infectious Disease, Internal Medicine, Preventive Medicine, and Pediatrics.

What’s NRCME Certification?

As of May 2014, a federal ruling requires that healthcare professionals performing physical exams on commercial motor vehicle drivers must have National Registry of Certified Medical Examiners (NRCME) certification. In order to receive certification, you must complete training and pass a federal certification test to meet the Federal Motor Carrier Safety Administration’s (FMCSA) guidelines.

Why is This a Great Opportunity for You?

With an estimated 7 million to 14 million commercial drivers coupled with legislation requiring every state to track and electronically tie the medical exam to the Commercial Drivers License (CDL), the number of exams performed is expected to increase exponentially. Use this requirement to retain your position as a DOT examiner in your community or to expand your practice base as a certified DOT examiner.

What is the NRCME Plus Online Training System®?

NRCME Plus Online Training System® gives healthcare providers — MDs, DOs, DCs, NPs/APNs, and PAs — the knowledge to become a certified medical examiner and apply the FMCSA driver physical qualifications standards and guidelines. This training program is 100% online in a self-guided module format that is mobile device ready, does not require audio or flash, and is equipped with auto-save features to set your place if your training is interrupted.

Why Choose Oakstone CME’s Training Program?

NRCME Plus Online Training System® is the only NRCME training on the market that:

• Includes unlimited access to training and no expiration date or time period to complete your training
• Offers a Q&A deck with 550+ practice questions to help you assess your knowledge
• Offers an online resource library with valuable information to support and supplement your training and to provide a continuing reference throughout your service as a certified medical examiner

Additionally, NRCME Plus Online Training System® was developed by 1 of the 10 original consultants who convened in Washington, DC to develop the FMCSA guidelines. It’s also worth noting that 95% of those who complete our training pass the certification test the first time.

Learning Objectives:

After successful completion of this CME activity, the participant will be able to:

• Apply the Federal Motor Carrier Safety Administration (FMCSA) driver physical qualification regulations and advisory criteria to pass the FMCSA certification test for the National Registry of Certified Medical Examiners (NRCME)
• Apply the Federal Motor Carrier Safety Administration (FMCSA) driver physical qualification regulations and advisory criteria when performing examinations for CMV drivers and determining medical certification
• Gain specific guidance and understand sources of information for questions on CMV examinations and requisite documentation necessary for such exams

Intended Audience:

Medical doctors, doctors of osteopathy, doctors of chiropractic, physicians assistants, nurse practitioners, and advanced practice nurses who are specifically interested in performing CMV driver physical exams and obtaining NRCME certification.

Activity Description / Statement of Need:

In this online, self-learning activity:

Osteoporosis is a disease common among elderly patients and is increasing in frequency as senior citizens begin to represent a larger share of the US population. In the US, fragility fractures are associated with 1.7 million hospitalizations, and the number of annual of osteoporotic fractures is expected to rise to three million annually in the next few years, with annual treatment costs expected to be $25.3 billion. Despite the morbidity and mortality associated with osteoporosis, practice gaps related to suboptimal screening, risk assessment, and management practices have led to underdiagnosis and undertreatment of this condition. Osteoporosis screening may identify people at increased risk of low-trauma fracture who may benefit from interventions to minimize risk. The USPSTF recommends screening for osteoporosis with BMD testing in all women 65 years or older and in postmenopausal women younger than 65 years but at increased risk of osteoporosis. However, the literature has consistently illustrated underutilization of screening and diagnostic measures. About 60% of women for whom the USPSTF recommends screening do not receive BMD testing,  with some patient populations more likely than others to miss out on screening and care. Clinicians should be aware that prior fragility fracture is sufficient for diagnosis of osteoporosis, and yet only one-quarter of patients with a prior fragility fracture were aware they had this condition. Underdiagnosis therefore represents a compelling safety consideration, as 20% of patients become dependent on long-term care after a hip fracture, and 20% die within a year from related complications.

Target Audience:

HCPs specializing in: endocrinology, internal medicine, geriatrics, and women’s health; physician assistants, nurse practitioners, and pharmacists who practice in those areas of specialty; and those who otherwise commonly care for or clinically encounter patients with postmenopausal osteoporosis.

Activity Description / Statement of Need:

In this online, self-learning activity:

Atopic dermatitis (AD) is a chronic, highly pruritic inflammatory skin disease that is one of the most common skin disorders in children but may develop at any age. It affects 15-30% of children and two to ten percent of adults in developed countries, and between 10-30% of children who have the condition continue to experience it in adulthood. AD is thought to arise from a complicated interplay between multiple genes and environmental triggers, with known risk factors including family history and loss of function mutations in filaggrin. Complications include food allergy, asthma, and allergic rhinitis, and aside from genetics, its pathophysiology involves T-cell mediated inflammation and epidermal dysfunction. The disease is associated with a considerable healthcare burden placed on patients and their families; pruritis aside, patients not uncommonly suffer a loss of sleep and experience secondary infections, anxiety, and depression.

Target Audience:

The following HCPs: Pediatric and adult dermatologists, allergists, and internists; physician assistants, nurse practitioners, and pharmacists who treat patients with dermatologic conditions; and any other HCPs with an interest in or who diagnose, treat, or manage patients with AD.