Ages and Stages: Optimal Approaches to the Treatment of Ulcerative Colitis Through the Life Span

Release date: May 2010
Expiration date: May 31, 2011
Estimated time to complete activity: 1.25 hours

Co-sponsored by the University of Chicago Pritzker School of Medicine and Curatio CME Institute

Support for this activity has been provided through an independent educational grant from Warner Chilcott.

Hardware/Software Requirements

Javascript-enabled browser
Adobe Flash Player 7.0+

Activity Overview
This interactive CME-certified Web activity presents the case of a patient diagnosed with ulcerative colitis early in life and follows her through several subsequent clinical visits over the course of many years. Participants will be polled regarding treatment strategies at relevant points in this activity. This case addresses practical and individualized management strategies for patients with ulcerative colitis.

Target Audience
This activity has been designed to meet the educational needs of gastroenterologists who manage patients with ulcerative colitis.

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

Discuss the presentation and prognosis of ulcerative colitis diagnosed during childhood
Describe the role of 5-aminosalicylic acid agents in inducing and maintaining remission in patients who have a history of difficult-to-treat ulcerative colitis
Incorporate surveillance and chemoprevention strategies to reduce colorectal cancer risk
Summarize the safety issues related to ulcerative colitis therapies during pregnancy
Discuss the diagnosis and treatment recommendations as outlined in guidelines on osteoporosis in inflammatory bowel disease
Utilize effective strategies that address both prevention and treatment of osteoporosis in patients with ulcerative colitis

Faculty
Stephen B. Hanauer, MD–Program Chair
Professor of Medicine and Clinical Pharmacology
Chief, Section of Gastroenterology, Hepatology and Nutrition
University of Chicago Pritzker School of Medicine
Chicago, Illinois

Sunanda V. Kane, MD, MSPH
Associate Professor of Medicine
Division of Gastroenterology and Hepatology
Mayo Clinic
Rochester, Minnesota

Asher A. Kornbluth, MD
Clinical Professor of Medicine
The Inflammatory Bowel Disease Center
The Henry D. Janowitz Division of Gastroenterology
Mount Sinai School of Medicine
New York, New York

Joel R. Rosh, MD
Associate Professor of Pediatrics
University of Medicine and Dentistry of New Jersey
Director, Pediatric Gastroenterology
Goryeb Children’s Hospital/Atlantic Health
Morristown, New Jersey

Accreditation and Credit Designation Statements
The University of Chicago Pritzker School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Chicago Pritzker School of Medicine designates this educational activity for a maximum of 1.25 AMA PRA Category 1 Credits^™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Method of Participation
There are no fees for participating in this CME/CE activity. To receive credit during the period May 2010 to May 31, 2011, participants must (1) read the learning objectives and disclosure statements, (2) study the educational activity, and (3) complete the activity posttest and evaluation form.

Medium
The Internet was selected as the instructional format to accommodate the learning preferences of a significant portion of the target audience.

Disclaimer
The information presented at this activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician regarding diagnosis and treatment of a specific patient’s medical condition.

Disclosure
In accordance with the ACCME Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of everyone in a position to control content of an educational activity. A relevant financial relationship is a relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. Relationship information appears below:

Stephen B. Hanauer, MD, has disclosed the following relevant financial relationships:

Consultant	Abbott, Alaven, Amgen, AstraZeneca, Bristol-Myers Squibb, Centocor Ortho Biotech, Elan, Eli Lilly, Ferring, Genentech, GlaxoSmithKline, McNeil PPC, Millennium Pharmaceuticals, Novartis, Pfizer, Procter & Gamble Pharmaceuticals, Prometheus, Salix, Shire, UCB
Clinical Research	Abbott, Bristol-Myers Squibb, Centocor Ortho Biotech, Elan, Ferring, Genentech, Pfizer, Procter & Gamble Pharmaceuticals, Prometheus, Salix, Shire, UCB

Sunanda V. Kane, MD, MSPH, has disclosed the following relevant financial relationships:

Consultant	Abbott, Centocor Ortho Biotech
Research Support	Elan, Shire, Procter & Gamble Pharmaceuticals, UCB

Dr. Kane discusses the unlabeled and investigational use of a commercial product.

Asher A. Kornbluth, MD, has disclosed the following relevant financial relationships:

Grant/Research Support	Abbott, Centocor Ortho Biotech, Salix, UCB
Consultant/Scientific	Abbott, Alaven, Axcan, Centocor Ortho Biotech, Given Imaging, Salix, Shire, Prometheus, Takeda, UCB, Warner Chilcott
Advisor	Procter & Gamble Pharmaceuticals, Prometheus, Salix, Shire, UCB
Speakers Bureau/Honorarium	Abbott, Axcan, Prometheus, Salix, Shire, UCB, Warner Chilcott

Joel R. Rosh, MD, has disclosed the following relevant financial relationships:

Consultant	Abbott, Centocor Ortho Biotech, UCB
Grant/Research Support	Abbott, UCB
Speakers Bureau/Honorarium	Abbott, Abbott Nutrition, Centocor Ortho Biotech, Shire

Dr. Rosh discusses the unlabeled and investigational use of a commercial product.

Curatio CME Institute
L.J. Fiedler, RN, BSN, Vice President, Medical Education Programs, has disclosed no relevant financial relationships.
Jonathan S. Simmons, ELS, Managing Editor, has disclosed no relevant financial relationships.

University of Chicago Center for Continuing Medical Education
The staff of the Center for Continuing Medical Education has no financial arrangements or affiliations to disclose.

Unapproved Product Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the US Food and Drug Administration. Curatio CME Institute, the University of Chicago Pritzker School of Medicine, and Warner Chilcott do not recommend the use of any agent outside the labeled indications.

The opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of Curatio CME Institute, the University of Chicago Pritzker School of Medicine, or Warner Chilcott. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

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Curatio CME Institute