CME/CNE for Primary Care Physicians and Nurses

All of the Hard-to-Find State Required CME/CNE Topics
You Need for License Renewal* for Only $97.00 ($2.49 per credit)

About the CME University Primary Care Library

Purchase unlimited access for 2 years to all 39 of the one-hour CME/CNE Courses (39 credit hours and 30 Contact Hours of CNE) listed below for the one-time fee of only $97.00 (only $2.49 per credit hour).

The CME University Primary Care Library provides easy online access to a comprehensive offering of hard-to-find state-required credits needed by primary care practitioners to renew your license. These AMA PRA Category 1 Credits™ and ANCC Contact Hours focus on hard-to-find subject areas such as pain management/prescribing controlled substances, medical error prevention, infection control, domestic violence, end-of-life care and ethics. The library is continually updated with new courses as state requirements evolve.

The CME University Primary Care Library was developed in conjunction with leading faculty and practicing clinicians from prestigious medical institutions to provide current, concise, practical and cost effective courses for primary care practitioners  to meet your state requirements and keep up with advances in diagnoses/treatment of conditions you see every day. Courses, testing and CME/CNE certificates are easy to access online 24/7.

*Courses related to medical marijuana and addiction will be added by April 2017.


Acrobat PDFPreview Faculty and Learning Objectives

CME UNIVERSITY PRIMARY CARE LIBRARY

List of CME/CNE Courses (minimum of 39 CME and 30 CNE Credits always available)

Health Care Preparedness and the Medical Consequences of Bioterrorism

The use of a biological weapon in the United States could result in a range of consequences, and it is imperative that medical and public health communities be ready to respond should an attack occur. The goals of this activity are to explain the reasons for health care preparedness for bioterrorism, to discuss the major preparedness initiatives for response to bioterrorism, and to outline the highlights of clinical management for Category-A bioterrorism agent-related conditions.

This activity includes information necessary to meet the hard-to-get Bioterrorism, Infection Control, and Universal Precautions state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

This activity is approved for ABIM Maintenance of Certification Part 2 credit.

CME MOC

Clostridium difficile and Overuse of Antibiotics: What to Know

C difficile infections are among the most serious health care complications. The goals of this activity are to discuss the prevalence of C difficile infection, review the risk factors for C difficile infection, and employ strategies to reduce the incidence of C difficile infection.

This activity includes information necessary to meet the hard-to-get Geriatric Medicine, Infection Control, Infectious Disease, Modes of Transmission, OSHA, and Universal Precautions state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Medical Cannabis in 2016: A Changing Landscape

A growing number of states, territories, and the District of Columbia have enacted laws to legalize medical marijuana. The goals of this activity are to discuss the changing views on medical cannabis, to describe the risks and benefits of medical cannabis, and to identify conditions for which medical cannabis has been shown to be effective.

This activity includes information necessary to meet the hard-to-get Pain Management, Pain Management Prescribing/Drug Diversion, Palliative Care, and Prescribing Controlled Substances state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Racial, Ethnic, and Cultural Influences on Palliative and End-of-Life Care

Aging and racial/ethnic diversity of the US population mean that health care providers must be prepared to provide quality end-of-life care for increasingly diverse patients. The goals of this activity are to compare and contrast various cultural traditions, norms, and values of major racial/ethnic groups and how they relate to end-of-life issues, to explain the role of disparities in access and outcomes at the end of life across major racial/ethnic groups, to identify culturally sensitive strategies for addressing decisions about end-of-life care and providing culturally competent palliative and end-of-life care, and to locate resources appropriate for various ethnic groups to aid in the process of end-of-life decision making.

This activity includes information necessary to meet the hard-to-get Cultural Competence, End-of-Life Care, Geriatric Medicine, and Pain Management/Treatment of Terminally Ill and Dying state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

This activity is approved for ABIM Maintenance of Certification Part 2 credit.

CME MOC

Subacromial Impingement Syndrome: A Review of Nonoperative Treatment for Primary Care Physicians

The complexity of the shoulder joint leads to many pathologic process that cause pain and dysfunction, and the treatment of these entities is no less complex than the diagnosis, requiring a combination of known evidence and clinical experience. The goals of this activity are to summarize the anatomy and pathology of the impingement syndrome and explore the diagnosis and nonoperative treatment options.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Drug Therapy for Older Type 2 Diabetes Patients: When Do Hypoglycemia Risks Outweigh HbA1c Goals?

Diabetes is an important health condition for the aging population—at least 20% of patients older than 65 have diabetes, and this number is expected to grow rapidly in the coming decades. The goals of this activity are to review the prevalence of diabetes in the elderly, to explain the consequences of hypoglycemia in the elderly, and to employ strategies to reduce the incidence of hypoglycemia.

This activity includes information necessary to meet the hard-to-get Geriatric Medicine state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Using Injury Algorithms to Discriminate Physical Child Abuse from Trauma

Obtaining a thorough medical history is one of the most important components in the evaluation of an injured child suspected of being an abuse victim. The goals of this activity are to describe the location and patterns of bruising that characterize abuse, to explain the significance of sentinel injuries, to discuss the components of a thorough burn history, and to list features that help discriminate unintentional from abusive burns.

This activity includes information necessary to meet the hard-to-get Child/Dependent Adult Abuse, and Domestic Violence state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

The Case For and Against Annual Checkups

As part of the Choosing Wisely Campaign, the Society of General Internal Medicine recommended against the performance of routine general health checks for asymptomatic adults. Many members of the society disagreed with the recommendation, and its publication spurred considerable controversy. The goals of this activity are to review the evidence for annual checkups, as well as the arguments for and against performing them.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Techniques to Avoid Medical Charting Errors in the Practice Setting

The medical chart enables improvements in patient health and safety and provides evidence in support of care should malpractice allegations be made. The goals of this activity are to explain why the standard of care requires reasonable care, not average or academic care; to describe situations where an increased diligence in charting should occur, and to explain the power of character evidence and how the medical chart influences character evidence.

This activity includes information necessary to meet the hard-to-get Electronic Health Records, Prevention of Medical Errors, and Risk Management state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Deciding When and How to Discontinue Preventive Medications in Elderly Patients

Polypharmacy is common with elderly patients who are prescribed multiple medications on an ongoing basis for their chronic conditions. The goals of this activity are to describe the risk of polypharmacy and the impact of adverse drug events in older adults, to review strategies for taking an accurate medication history in an elderly patient, and to apply a conceptual framework with four components to consider in determining whether a preventive medication is appropriate to be discontinued.

This activity includes information necessary to meet the hard-to-get End-of-Life Care, Ethics, Geriatric Medicine, and Palliative Care state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Prescribing Hormone Therapy for Postmenopausal Women:
Optimizing the Balance of Benefits and Risks

It is estimated that each day, 6000 women in the United States enter menopause. The goals of this activity are to identify appropriate candidates for the use of systemic postmenopausal hormone therapy, to utilize a treatment algorithm to aid decision-making regarding prescription of postmenopausal hormone therapy, and to discuss indications for prescribing low-dose vaginal estrogen therapy to appropriate candidates with genitourinary syndrome of menopause.

This activity includes information necessary to meet the hard-to-get Geriatric Medicine state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

New Options for Treating Hepatitis C in the Coinfected HIV Patient

Hepatitis C is a major public health concern and is even more of a concern in patients with HIV, since about 25% of them are coinfected with this virus. The goals of this activity are to list the newer antiviral agents available to treat hepatitis C in HIV coinfected patients, to recognize the recommended antiviral regimens for this patient population, and to manage important drug-drug interactions between HIV and hepatitis C antiviral agents.

This activity includes information necessary to meet the hard-to-get HIV/AIDS state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Knee Pain in the Primary Care Setting: Evaluation, Treatment Options, and When to Refer

The painful knee is a complex problem, yet only 3% of the common medical school curriculum is devoted to musculoskeletal education. As a result, future primary care physicians lack the confidence to evaluate this complaint. The goal of this activity is to provide the reader with a systematic approach to the evaluation of a patient presenting to the office with a complain of knee pain.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Evidence-Based Complimentary/Integrative Medicine Techniques for Pain Management

Pharmacologic management is just one of several components of a multimodal approach for severe or persistent pain. The goals of this activity are to describe the trends leading from the transition of conventional vs "alternative" strategies to an integrated best practice approach to managing chronic pain, to identify at least three nondrug pain relief options that can be integrated into primary care and three options patients can be referred to in order to receive multidisciplinary or integrated care. It also describes how multimodal therapy using a team-based approach best reduces pain and improves function.

This activity includes information necessary to meet the hard-to-get Pain Management state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Liability Issues in Managing Noncompliant Patients

All physicians, nurse practitioners, and physician assistants probably have had patients who, for whatever reasons, have failed to follow instructions in the agreed-upon health care plan. With the noncompliant patient population reaching an all-time high in the United States, the goals of this activity are discuss the physician/patient relationship, the responsibility of the physician, and the definition of noncompliance, liability, and the termination process.

This activity includes information necessary to meet the hard-to-get Patient Safety and Risk Management state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Laryngopharyngeal Reflux: Diagnostic Pitfalls and Treatment Strategies

A relative paucity of prospective, controlled trials clouds the definition, diagnosis, and management of laryngopharyngeal reflux. The goals of this activity are to describe the pathophysiology of laryngopharyngeal reflux, to highlight the importance of in-depth history taking in directing management of laryngopharyngeal reflux, and to explain the potential role for voice therapy in treatment of laryngopharyngeal reflux.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Resistant Hypertension

Presence of resistant hypertension is associated independently with adverse effects on physical health, as well as emotional distress and decreased quality of life. Therefore, a complete understanding of pathogenesis and treatment of resistant hypertension is essential. The goals of this activity are to discuss the prevalence of resistant hypertension in the United States, to explain the etiology of resistant hypertension, and to describe the pharmacologic and nonpharmacologic treatment of resistant hypertension.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Screening for Elder Abuse in Patients Cared for at Home

Up to 5 million older Americans are victims of abuse and neglect annually. As functional and financial conditions and poor health worsen, dependence, feelings of helplessness, loneliness, and psychological distress increase to the point that the quality of life for abused older adults is severely compromised. The goals of this activity are to differentiate the types of elder abuse, to evaluate variations in definitions of elder abuse, to identify signs and symptoms of elder abuse, and to identify mandatory reporting requirements regarding elder abuse.

This activity includes information necessary to meet the hard-to-get Child/Dependent Adult Abuse, Domestic Violence, Geriatric Medicine, and Patient Safety state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Risks in Untreated Acute Otitis Media in Adults

Acute otitis media is a common illness in adults that may result in severe complications if inadequately treated. The goals of this activity are to discuss the mechanism of intracranial infections following acute otitis media, to describe how to treat infectious processes in the mastoid, and to list the presenting symptoms and signs of acute otitis media.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Diagnosing and Treating Irritable Bowel Syndrome

Irritable bowel syndrome is the most common gastroenterological syndrome diagnosed by physicians in the United States. Despite its prevalence, IBS remains underrecognized globally due to the difficulty many physicians have in its diagnosis and subsequent therapy. The goals of this activity are to explain how the diagnosis of IBS can be established in patients without alarm features using symptom-based criteria and to apply successful management techniques, which include a combination of lifestyle changes, dietary interventions, medications, and behavioral strategies.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Appropriate Screening and Documentation when Sexual Assault Is Suspected in the Adult Patient

Sexual assault is known to be widely underreported and, because those statistics are widely gathered, predicting how frequently clinicians are caring for patients presenting in the aftermath of sexual violence can be a challenge. The goals of this activity are to describe the role of the primary care provider in caring for the acute sexual assault patient, to identify the health consequences of sexual violence across the lifespan, and to outline priorities for health care and appropriate treatment guidelines following an acute episode of sexual assault.

This activity includes information necessary to meet the hard-to-get Domestic Violence and Sexual Assault state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Opioid-Induced Constipation

One of the most widely recognized side effects of opioids is bowel dysfunction. Patients suffer with a variety of symptoms including bloating, cramping, and diminished stool frequency known as opioid-induced constipation. The goals of this activity are to explain the burden that constipation has on pain patients, describe the burden that constipation has on the health care system, and to assess the historic and recently available treatment options for this condition.

This activity includes information necessary to meet the hard-to-get Chronic Pain Management, Pain Management/Treatment of Terminally Ill and Dying, and Prescribing Controlled Substances state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Ethical and Liability Concerns in Admitting Mistakes

Adverse outcomes from medical errors constitute a substantial problem in American medical care. The goals of this activity are to identify reasons to disclose adverse events and barriers to disclosure, to review the evolution of ethical and legal underpinnings of error disclosure, and to employ strategies to best disclose error information and offer an apology.

This activity includes information necessary to meet the hard-to-get Ethics, Patient Safety, and Risk Management state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

How to Differentiate Whooping Cough from Other Respiratory Infections

The resurgence of whooping cough as a serious public health menace is the most recent new challenge from an old disease. The dilemma facing the practicing physician is to determine which patients presenting with bronchitis or worsening cough are likely to have whooping cough and require early antibiotics. The goals of this activity are to recognize the danger of the rising epidemic, to recognize the unique characteristic of an episode of whooping cough in adolescents and adults, to describe the role of antibiotics and appropriate time for treatment, and to explain the need for vaccination in adults and adolescents in preventing infant deaths.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Recognizing Lyme Disease Skin Rash To Avoid Misdiagnosis

When untreated, Lyme disease is often a multisystem systemic infection that has both early and late manifestations of infection. The goals of this activity are to discuss the seasonal and geographic epidemiology of Lyme disease, to describe the clinical presentation of early Lyme disease, to recognize the range of appearances of erythema migrans, the skin lesion of early Lyme disease, to differentiate the presentation of Lyme disease from other tick-borne infections, and to discuss the treatment options for Lyme disease.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Good Infection Control Practice for Managing Contagious Patients in the Waiting Room

Reception and waiting room areas present opportunities for infection transmission among patients, family members, office staff, and other health care personnel. These areas serve as sites for contact among people who may be healthy, people who are ill with a contagious infection, vulnerable patients with an underlying chronic medical condition, or a patient with a compromised immune system. The goals of this activity are to address principles of infection transmission, infection control, office design strategies, triage techniques, and standard precautions for the care of all patients to minimize the risk of transmitting contagious diseases while in a clinical center waiting room.

This activity includes information necessary to meet the hard-to-get Infection Control, Infectious Disease, Modes of Transmission, Patient Safety, Risk Management, and Universal Precautions state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Referral to Hospice for Noncancer Patients: Predicting Disease Course

Determining appropriateness and timeliness of hospice referrals in advanced noncancer illnesses is sometimes challenging. Significant variability in disease trajectories makes prognosis estimates difficult sometimes. The goals of this activity are to list the hospice referral criteria for patients with congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD), describe the clinical course and illness trajectory of patients who experience a neurocritical illness, including hospice referral guidelines and difficulties with prognostication, and to discuss prognosis, disease trajectory, and hospice eligibility in patients with dementia and frailty.

This activity includes information necessary to meet the hard-to-get End-of-Life Care, Ethics, and Geriatric Medicine state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Patient Education Techniques to Assure Appropriate Use of Asthma Controller and Rescue Medications and Improve Adherence

Allergic disease, including asthma, allergic rhinoconjunctivitis, and food allergy, are chronic inflammatory conditions that have reached epidemic proportions worldwide. The goals of this activity are to discuss the prevalence of asthma, allergy, and anaphylaxis in the general population and the impact improper outpatient self-administration of inhalation medication and auto-injector treatment has on morbidity and possible mortality, to describe the correct technique of MDI, MDI with spacer, MDI/spacer with tracheostomy, breath-actuated inhalers, and Diskus® use, as well as their maintenance, to outline the indications and correct technique for epinephrine auto-injector use, and to explain the importance of medication adherence in those with chronic disease such as asthma and anaphylaxis.

This activity includes information necessary to meet the hard-to-get Patient Safety state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

When Life-Sustaining Treatment Is Medically Inappropriate: Practical Strategies for Responding to Family Demands

When patients lack decision-making capacity, clinicians encounter surrogate decision makers who request aggressive treatments that clinicians might consider medically inappropriate or futile. A continued lack of agreement about diagnostic and prognostic information can lead to entrenched conflict between the team and the surrogate(s). The goals of this activity are to identify different definitions of the term "medical futility," to examine the difference between the terms "medical futility" and "medically inappropriate," to summarize areas of ethical consensus within the context of medical futility, and to describe practical management strategies for requests for medically inappropriate treatment.

This activity includes information necessary to meet the hard-to-get End-of-Life Care, Ethics, Geriatric Medicine, and Palliative Care state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

Medical Error Prevention: Infection Control and Avoidance of Injury in Office-Based Vaccine Delivery

Vaccinations play a key role in global public health and are considered to be one of the 10 great public health achievements of the 20th century. Despite the success, concern is growing about vaccination gaps, including financial barriers and difficulties in meeting storage and handling guidelines. Office-based vaccine delivery is an important part of the effort to close vaccination gaps. The goals of this activity are to explain the importance of providing office-based vaccination to improve public health, to describe the key components of effective infection control, to list standard precautions that can be taken to reduce the risk of vaccine-related injury, to discuss methods and tools for screening patients for vaccination, and to list available resources for office-based vaccine delivery.

This activity includes information necessary to meet the hard-to-get Infection Control, Modes of Transmission, OSHA, Patient Safety, Risk Management, Safe Injection Practices, and Universal Precautions state-required CME.

1 AMA PRA Category 1 Credit

1.0 ANCC Contact Hour of Continuing Education

The Fundamentals of Performance-Based Medicine

The term performance-based medicine (PBM) refers to a range of approaches intended to help health care providers improve the efficiency, cost-effectiveness, and quality of health care. These new approaches require systemic changes that affect individual physicians, clinics, and hospitals. This activity provides detailed information on implementing PBM within your practice.

1 AMA PRA Category 1 Credit

Fundamentals of an Accountable Care Organization

The concept of the accountable care organization (ACO) evolved with the theory that high health care costs result from a fragmented, pay-for-volume system, and that transitioning to coordinated care will reduce health care costs without compromising quality. This activity will help readers understand the essential qualities of an ACO, explain how the ACO structure can benefit physicians and patients, and explain how the ACO model can reduce overall health care costs.

1 AMA PRA Category 1 Credit

10 Ways Your Office is Being Mismanaged, And What to Do About It

Physicians are required to stay current on medical training and medical advancements in order to ensure clinical effectiveness and finely honed decision-making abilities. The same holds true for managers. A lack of desire to learn is the first of 10 common ways that physician practices are being mismanaged. This activity details nine other important signs that your practice is being mismanaged and how to rectify them.

1 AMA PRA Category 1 Credit

Federal Anti-Kickback Laws: What Physicians Need to Know

There are five federal fraud and abuse laws that are relevant to practicing physicians. It is essential that physicians be familiar with these laws. Violations can result in levied criminal penalties, loss of reimbursements from federal programs, and even medical license revocation. This activity reviews the anti-kickback statutes and ways to ensure that your practice is adherent.

1 AMA PRA Category 1 Credit

The Intricacies of the Health Insurance Portability and Accountability Act, and the Health Information Technology for Economic and Clinical Health Act What You Don't Do May Harm You

The HIPAA and HITECH acts place a number of information security burdens on physicians and medical practices. This activity provides guidance for developing policies regarding the use of email and social media and for performing data and device destruction. It also provides guidelines for using text messaging with patients and practical advice for evaluating vendor agreements to assure that they are compliant.

1 AMA PRA Category 1 Credit

Physician Self-Referral (Stark Law)

The first initiative to address the issue of physician self-referral occurred in the context of the Anti-Kickback Statute (AKS) of 1972. The AKS of 1972 criminalized the exchange of anything of value in return for referrals. As it became evident that the Anti-Kickback Statute may not have sufficient reach to effectively control physician self-referral, however, the stage was set for the introduction of legislation more specific to the health care industry. This activity examines that new legislation in detail and offers techniques for physicians and practices to comply with the Stark Law.

1 AMA PRA Category 1 Credit

Building a Compliance Program

The goal of a compliance program is to establish standards within an organization to prevent, detect, and resolve conduct that does not conform to the hospital's policies and ethical standards, state and federal law, and requirements of private, state, and federal health care programs. This activity walks the reader through the essential qualities of a modern compliance program, describes organizational changes that can help institute a compliance program, and explains the benefits of having a compliance program, as well as some of the road blocks that are frequently encountered in building an effective program and how to circumvent them.

1 AMA PRA Category 1 Credit

Contract Basics

Contracts are a part of everyday business dealings. Businesses regularly engage in contracts with employees, consultants, vendor, and company executives. A well-written contract ensures that every party to the contract understands his or her duties and obligations and what is considered acceptable conduct. This activity describes the essential contracts for a medical practice and some of the essential components of those contracts.

1 AMA PRA Category 1 Credit

How to Resist Hospital Aggregation

Dealing with rising overhead; complying with ongoing reimbursement changes; handling sticky personnel issues; and overseeing technologic innovation; Running a private medical practice can require a good deal more of physicians than simply delivering patient care. These factors have influenced many independent physicians to consider joining a hospital or health care system. Although being saved by the hospital may seem appealing, especially if you are in financial straits, collecting that steady paycheck may come at a price. Some of the disadvantages of joining a hospital system are described in this activity.

1 AMA PRA Category 1 Credit