Diabetes Clinical Simulator Challenge

Faculty Planning Committee

Program Chair
Michael A. Bush, MD 

Planning Committee
Rodolfo R. Alamia, MD, CDE
David L. Bronson, MD, FACP
Michael E. Cobble, MD, AAFP, ADA, AHA, ASA, NLA
Luigi F. Meneghini, MD, MBA
Susan Potts Sloan, MD
Ernesto Tamez, Jr, PA
Penny Tenzer-Iglesias, MD
Eugene Wright, Jr, MD

Release Date
November 1, 2006

Expiration Date
November 1, 2007

Jointly Sponsored by Temple University School of Medicine, Liberty Communications Network, and The Center for Healthcare Education.



This activity is supported by an educational grant from Novo Nordisk.

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Temple University School of Medicine, Liberty Communications Network, and The Center for Healthcare Education.  Temple University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.


Case Number: DM-12
Age: 55
Sex: Male
Description:
55-year-old European-American has stopped exercising and gained weight. His HbA1c is 8.4% despite rosiglitazone-metformin 4 mg/1000 mg twice daily and glipizide-extended release 10 mg once daily.


Case Number: DM-22
Age: 58
Sex: Male
Description:
58-year-old Latino with type 2 diabetes (eight years), hypertension and hyperlipidemia returns for a third office visit with higher post-prandial glucose levels. He has taken several different oral agents in the past and is now finishing his last prescription for metformin 1000 mg and glyburide 10 mg (both bid). Family history is positive for obesity in most members, type 2 DM (father and uncle) and MI at age 57 (uncle).

Case Number: DM-32
Age: 70
Sex: Female
Description:
70-year-old Japanese-American, who was recently diagnosed with type 2 diabetes mellitus after a routine physical exam where she was worried about gum disease. She now has concerns about her cholesterol levels, which have fluctuated from 160 to 240 mg/dL, and a continued lack of glycemic control. She has been fairly resistant to prescription medications but has become increasingly interested in achieving target goals after starting lifestyle modification, metformin and simvastatin in the past few months.
Authors and Disclosures
It is the policy of Temple University School of Medicine, Office for Continuing Medical Education to insure balance, independence, objectivity, and scientific rigor in all its individually sponsored educational programs. All faculty participating in any Temple University sponsored programs are expected to disclose to the program audience ANY real or apparent conflict(s) of interest that may have a direct bearing on the subject matter of the continuing education program.  This pertains to relationships with pharmaceutical companies, biomedical device manufacturers, or other corporations whose products or services are related to the subject matter of the presentation topic.  The intent of this policy is that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts.  ALL faculty for Diabetes Control in Clinical Practice: A CaseMed Approach  have provided disclosure information.  Listed below are those faculty who have indicated a relationship with a commercial company.  Such disclosure should not be construed as a conflict of interest, but rather as a disclosure of a current or previous financial arrangement.  All other faculty have indicated they do not have a financial relationship to disclose.  Temple University School of Medicine assures independence and balance of content by resolving current conflicts of interest by reviewing all speaker’s PowerPoint slides prior to their presentation to ensure that the content is based on a structured review for the best scientific evidence at the time of the presentation. 

Program Chair
Michael A. Bush, MD
Former Chairman, Division of Endocrinology
Cedars Sinai Medical Center
University of California, Los Angeles;
Practicing Endocrinologist
Medical Associates, Inc.
Los Angeles, California
Disclosure: Amylin Pharmaceuticals, Eli Lilly and Co., Merck & Co., Inc., NovoNordisk, sanofi-aventis, and Pfizer Labs

Planning Committee
Rodolfo R. Alamia, MD, CDE
Medical Director
Sweet Vida Medical Center
Austin, Texas
Disclosure: Abbott Laboratories, AstraZeneca Pharmaceuticals, Forest Laboratories, Novartis Pharmaceuticals Corp.,  NovoNordisk, and Pfizer Labs

David L. Bronson, MD, FACP
Chair, Division of Regional Medical Practice
The Cleveland Clinic Foundation
Cleveland, Ohio
Disclosure: Thomson Healthcare

Michael E. Cobble, MD, AAFP, ADA, AHA, ASA, NLA
Board Certified Clinical Lipidologist
Adjunct Faculty
University of Utah School of Medicine;
Medical Director
Canyons Medical Center
Sandy, Utah
Disclosure: Abbott Laboratories, AstraZeneca Pharmaceuticals, Atherotech, CV Terapeutics, Eli Lilly and Co., GlaxoSmithKline, Kos Pharmaceuticals, LCIC, Takeda Pharmaceuticals America, and Wyeth Pharmaceuticals

Luigi F. Meneghini, MD, MBA
Associate Professor of Clinical Medicine
Director of the Eleanor & Joseph Kosow Diabetes Treatment Center
at the Diabetes Research Institute
University of Miami Miller School of Medicine
Miami, Florida
Disclosure: Novo Nordisk, Eli Lilly, Sanofi-Aventis, GSK, Amylin, Pfizer, Merck,
Nipro systems, Medtronic

Susan Potts Sloan, MD
Associate Professor of Medicine
Department of Internal Medicine
James H. Quillen College of Medicine
East Tennessee State University;
President, The Association of American Indian Physicians
Gray, Tennessee
Disclosure: No financial relationships or affiliations to disclose

Ernesto Tamez, Jr, PA
Sweet Vida Medical Center
Austin, Texas
Disclosure: Bristol-Myers Squibb

Penny Tenzer-Iglesias, MD
Vice Chair, Primary Care and Specialty Practices
Department of Family Medicine
Community Health Director, Family Medicine Residency Program
University of Miami Miller School of Medicine
Miami, Florida
Disclosure: No financial relationships or affiliations to disclose

Eugene Wright, Jr, MD
Medical Director & Vice President of the Primary Care Network
Cape Fear Valley Health System
Fayetteville, North Carolina
Disclosure: Amylin Pharmaceuticals, Eli Lilly and Co., and NovoNordisk

CME Information

Target Audience


This activity is designed for attendees of the Diabetes Control in Clinical Practice (DCCP) regional meetings as well as any health care professional interested in the treatment and management of diabetes.




Learning Objectives

Upon completion of this CME program, the participant should be able to:

Understand the pathology and prevalence of type 2 diabetes.

Review current treatment guidelines and consequences associated with poor glycemic control.

Become acquainted with new therapies now available to treat multiple aspects of type 2 diabetes.

Learn about the various forms of insulin analogues and how to institute and adapt to individual patient profiles.

Discover practical tips to improve patient adherence to prescribed lifestyle changes and therapies.

Develop skills to overcome cultural barriers and to successfully inform and provide support for patients with type 2 diabetes.



Certification Statement


Temple University School of Medicine designates this educational activity for a maximum of
4.0 AMA PRA Category 1 Credits.
TM  Registered Nurses will receive 4.0 Contact Hours. Physicians and nurses should only claim credit commensurate with the extent of their
participation in the activity.

All other health care professionals completing education credit for this activity will be issued a certificate of participation.



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 time designated 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 credit:

1. Read the target audience, learning objectives, and author disclosures.
2. Study the educational content within the three simulated cases.
3. Complete the evaluation provided.
4. Print your certificate.



Hardware/Software Requirements

The simulation requires version 4.x browsers or higher from Microsoft or Netscape or Mozilla FireFox version 1.5.x or higher. Certain activities may require additional software to view multimedia, presentation or printable versions of their content.
There are no specific hardware requirements.



Legal Disclaimer

This software and documentation is a convenient compilation of published resources provided as reference material and/or instructional aides for physicians and other health care professionals in exercising their independent judgment for the purpose of treating patients. Every possible effort is made to ensure the material presented in the software and documentation accurately and reliably reflects published standards of care, however, recommendations for care and treatment change rapidly, and opinions can be controversial. Mention of specific drugs or products in this software and documentation does not constitute endorsement by Temple University School of Medicine, Liberty Communications Network/CaseMed, The Center for Healthcare Education, TheraSim, Inc., the authors, or reviewers. With regard to specific drugs or products, physicians and other authorized health care professionals are advised to consult their normal high quality resources before prescribing to their patients. Therefore, physicians and other health care professionals are required to consult all other reliable sources and confirm the information contained in this software and documentation. It is up to the individual physician or other health care professional to use his or her best medical judgment in determining the appropriate patient care or treatment consistent with the applicable standard of care, because no single reference or service can take the place of medical training, education, experience, and the proper application thereof.

Some of the information contained in this software and documentation may cite the use of a particular drug or dosage, for an indication, or in a manner other than recommended or FDA-approved. Therefore, the manufacturer's package inserts should be consulted for complete prescribing information.

Temple University School of Medicine has maintained responsibility for the development of content within the essentials and policies of the Accreditation Council for Continuing Medical Education (ACCME). The material presented here does not necessarily reflect the views of Temple University School of Medicine, Liberty Communications Network/CaseMed, TheraSim, Inc., The Center for Healthcare Education, or production staff.

Copyright © 2006 Temple University School of Medicine, Liberty
Communications Network/CaseMed, and TheraSim, Inc.