CME Newsletter #2

Progress in Practice: Special Considerations in the Management of Overactive Bladder
While much of the literature on overactive bladder (OAB) addresses the needs of women, the condition occurs equally in both sexes, and its prevalence increases with age. Although many OAB treatment strategies are available, some patients do not respond adequately to initial therapy, treatment selection for elderly patients can be challenging, and for all patients, the potential for adverse effects and drug-drug interactions must be minimized. This issue of The Urology University CME Newsletter presents an expert overview of these special considerations in OAB management. The authors review the workup of men with OAB symptoms, discuss the use of antimuscarinic agents in older adults, examine potential safety and tolerability issues associated with antimuscarinic agents, and offer management strategies for patients with refractory OAB. With an eye to the future, they also discuss investigational therapies that may have a role in the management of OAB.

Continuing Medical Education (CME) Info

Step 2
Presented by the Warren Alpert Medical School of Brown University, Office of Continuing Medical Education. This activity is supported by educational grants from Astellas Pharma US, Inc., and Pfizer Inc.


Accreditation Statement
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 the Warren Alpert Medical School of Brown University and Health and Wellness Education Partners. The Alpert Medical School is accredited by the ACCME to provide continuing medical education to physicians.

Statement of Responsibility
The Alpert Medical School takes responsibility for the content, quality, and scientific integrity of this CME activity.

Credit Designation Statement
The Alpert Medical School designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Program Release: September 1, 2009
Program Expiration: September 1, 2011

Estimated time to complete: 50 minutes

There are no prerequisites for participation.

Target Audience
Primary care physicians (PCPs), obstetricians-gynecologists who function as PCPs for their patients, general urologists, nurse practitioners, and physician assistants.

CME Credit
For receipt of CME credit, an evaluation and posttest must be completed at the conclusion of the activity. A minimum score of 70% is required to receive a CME credit certificate.

The Office of Continuing Medical Education (CME) is committed to protect the privacy of its members and customers. The CME Office maintains its internet site as an information resource and service for physicians, other health professionals and the public. The CME Office will keep your personal information confidential when you participate in a CME Internet-based program. Your information will never be given to anyone outside of the CME Office. CME collects only the information necessary to provide you with the services which you request.

The opinions and recommendations expressed by faculty and other experts whose input is included in this activity are their own. This enduring material is produced for educational purposes only. The use of the Alpert Medical School name implies review of educational format design and approach. Please review the complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings, and adverse effects, before administering pharmacologic therapy to patients.

AMERICAN ACADEMY OF FAMILY PHYSICIANS (AAFP) CREDIT
This activity has been reviewed and is acceptable for up to 1.0 Prescribed credit by the American Academy of Family Physicians. AAFP accreditation begins October 1, 2009. Term of approval is for one year from this date, with option for yearly renewal.

AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS (AAPA) CREDIT
AAPA accepts certificates of participation for educational activities certified for Category 1 credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1 hour of Category 1 credit for completing this program.