Online CME Courses

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SMA Online CME Courses make it easy to obtain AMA PRA Category 1 Credits™.

Courses are available to anyone and are free to SMA Premium Members. Prices vary based on number of credit hours. Get started now! Become a member of SMA and get free CME today!

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Online CME Courses

Driving and Patients with Dementia

Price: $10 | Credits: 1

Driving is often a sensitive issue that may pose significant risks to the patient and community. Agnosia, apraxia, and easy distractibility make it unsafe for the patient with Alzheimer’s disease to drive.

Agnosia Interferes with Daily Hygiene in Patients with Dementia

Price: $10 | Credits: 1

Caregivers of patients with dementia often state that they do not know when a catastrophic reaction will unexpectedly erupt. They find themselves sucked in, unable to change course and unable to avoid or change the catastrophic outcome.

Fronto-Temporal Dementia, Diabetes Mellitus & Excessive Eating

Price: $10 | Credits: 1

Diabetes mellitus is common among older people. Hypoglycemia is a sign of poorly controlled diabetes mellitus and may lead to irritability, agitation, anxiety, hunger and an excessive food intake, which in turn may make the control of diabetes more difficult.

Insomnia and Mild Cognitive Impairment

Price: $10 | Credits: 1

Insomnia is a common problem in older people, especially in patients with dementia whose circadian rhythm is often impaired. Insomnia exerts such a toll on caregivers that it is often the main reason for seeking to institutionalize their loved ones with dementia.

Visual Hallucinations and Paranoid Delusions

Price: $10.00 | Credits: 1

Visual well-formed hallucinations, fluctuations in the level of cognition and alertness and extrapyramidal signs are core features of dementia with Lewy bodies. Some patients realize that what they are seeing or hearing are just hallucinations and learn to accept them.

Impulsive, Disinhibited Behavior—Dining in a Restaurant

Price: $10 | Credits: 1

Dining in a restaurant with a loved one who has dementia can be an ordeal, especially if the expectations of the caregiver do not match those of the patient and the restaurant environment is not suitable for patients with dementia.

Repetitive Questioning II

Price: $10 | Credits: 1

Repetitive questioning is a major problem for caregivers, particularly taxing if they are unable to recognize and understand the reasons why their loved one keeps asking the same question over and over again.

Repetitive Questioning Exasperates Caregivers

Price: $10 | Credits: 1

Repetitive questioning is a frequent problem in patients with Alzheimer’s disease resulting from their poor attention span and impaired short-term memory. A number of factors may trigger and maintain repetitive questioning. Caregivers should try identifying and addressing the underlying reason(s) for repetitive questioning.

Patients with Dementia Are Easily Distracted

Price: $10 | Credits: 1

Mild Cognitive Impairment (MCI) is the middle ground between normal, age-appropriate memory impairment and dementia. Whereas patients with MCI are able to cope with the memory deficit those with dementia are not: their memory impairment and other cognitive deficits are of sufficient magnitude to interfere with the patients’ ability to cope independently with daily activities.

Hallucinations Are Real to Patients with Dementia

Price: $10 | Credits: 1

In this case study, we present a patient with preexistent posttraumatic stress disorder and psychosis who has been recently diagnosed with Dementia with Lewy Bodies. He is experiencing vivid hallucinations. What went wrong between him and his wife as a result of these hallucinations is presented. Alternative actions that could have been used are suggested.

Patients with Dementia are Easy Victims to Predators

Price: $10 | Credits: 1

Patients with dementia, especially Alzheimer’s disease and particularly those in early stages, are susceptible to become victims of predators: Their agnosia prevents them from detecting and accurately interpreting subtle signals that otherwise would have alerted them that they are about to fall for a scam. Furthermore, their judgment is impaired very early in the disease process, often before other symptoms manifest themselves and usually before a diagnosis is made.

Too Many Choices Confuse Patients with Dementia

Price: $10 | Credits: 1

In this case study, we describe how an essentially simple benign task (choosing a dress to wear) can rapidly escalate and result in a catastrophic outcome. We examine what went wrong in the patient/caregiver interaction and how that potentially catastrophic situation could have been avoided or defused

Hot Topics in Hypertension and Heart Failure

Price: $35 | Credits: 4.25

This activity consists of 3 “bundled” courses from SMA’s online library, and includes: The Hypertension Landscape in 2017: The NEW Guidelines are Here; Resistant Hypertension: The New Guidelines; and A Case-Based Update on Heart Failure: Focus on the 2017 Guidelines. The activity concludes with a series of case studies, highlighting the content.

Hot Topics in Psychiatry

Price: $35 | Credits: 3.75

This activity consists of 3 “bundled” courses from SMA’s online library, and includes: The Recognition and Management of Personality Disorders; The Recognition and Management of Depression; and Inappropriate Use of Psych Meds in 2017-What You Need to Know. The activity concludes with a series of case studies, highlighting the content.

Hot Topics in Women’s Health

Price: $35 | Credits: 3.75

This activity consists of 3 “bundled” courses from SMA’s online library, and includes: Vaccines in Women: A Look at HPV and Zoster; The Well Woman Visit: Do Asymptomatic Women Need Annual Gyn Exams?; and Breast and Cervical Cancer Screening In Woman: An Update. The activity concludes with a series of case studies, highlighting the content.

Breast and Cervical Cancer Screening In Woman: An Update

Price: $10.00 | Credits: 1

There are several differing breast cancer screening recommendations for average risk women. Presenting these guidelines to patients and counseling them on which set of guidelines and specific mammographic tests best fit their personal screening risk/benefit equation can be challenging. Understanding the risk/benefit trade offs can help facilitate this shared decision between physician and patient.

Inappropriate Use of Psych Meds in 2017-What You Need to Know

Price: $10.00 | Credits: .75

The goal of the session is to refine the knowledge of the prescriber with respect to diagnosis and potential side effects of medications as well as drug interactions to maximize benefit to the patient.

Medical Management of the Patient with Obesity: Using Drugs, Devices and Surgery to Improve Health

Price: $10.00 | Credits: 1

The goal of this activity is to give health care providers an overview of how to employ more intensive approaches when patients with obesity-related health issues struggle to lose weight. The content will include pharmacology, devices, and bariatric surgery with the perspective of primary care.

A Case-Based Update on Heart Failure: Focus on the 2017 Guidelines

Price: $10.00 | Credits: 1

Heart failure is the leading cause of initial hospitalization and re-hospitalization within 30 days of discharge in those over 65 years of age. While the treatment of heart failure with reduced ejection fraction (HFrEF) remains evidence-based from clinical outcome trials, clinicians fail to use these strategies to keep patients from hospitalization and CV death. This activity will address this practice gap using patient vignettes to suggest how best to treat patients with heart failure. In addition, the concept of heart failure with preserved ejection fraction (HFpEF) will be discussed, where the evidence base for improvement in outcome is currently lacking and treatment is based on symptomatic improvement.

The Recognition and Management of Depression

Price: $10.00 | Credits: 1

Clinical depression is the most common psychiatric disorder worldwide; in the United States, approximately one in six people will experience clinical depression in their lifetime. Patients with untreated depression have a lower quality of life, higher risk of suicide, and worse physical outcomes when combined with other medical conditions.

Resistant Hypertension: The New Guidelines

Price: $10.00 | Credits: 1.25

This activity will review key secondary causes of hypertension including endocrine tumors, mineralocorticoid excess, and sleep apnea. A reasonable approach for those with resistant hypertension will be presented to further improve BP control rates in this high-risk population.

The Well Woman Visit: Do Asymptomatic Women Need Annual Gyn Exams?

Price: $10.00 | Credits: .75

Multiple organizations have differing guidelines on the use of routine pelvic exams, and the content/need of "well woman" visits for asymptomatic women. This activity will address how these guidelines came about, how to interpret them, and how to discuss them with patients to come to a shared decision on the need for routine gynecology screening.

Sleep Apnea-When to Consider, How to Diagnose, What to Do

Price: $10.00 | Credits: 1.25

Evaluating patients with sleep apnea requires an understanding of many disorders, which may present with similar symptoms. A correct diagnosis is paramount to managing these patients. The goal of this activity is to update providers about current epidemiology, diagnosis, and management of OSA.

Obesity is a Chronic Disease-Understanding the Pathophysiology, Evaluating the Patient

Price: $10.00 | Credits: 1

Health care providers may be unsure of the biology of regulation of food intake and energy expenditure. That knowledge is important when considering patients with obesity as having a chronic disease and treating them appropriately.

Vaccines in Women: A Look at HPV and Zoster

Price: $10.00 | Credits: 1

32% of Americans will experience a Zoster outbreak during their lifetime, and 1 out of 5 patient with Zoster experience post herpetic neuralgia. Zostavax, a live attenuated vaccine, reduced incidence of shingles outbreaks by 51% and post-herpetic neuralgia by 67%.

The Recognition and Management of Personality Disorders

Price: $10.00 | Credits: 1

The goal of this activity is to describe the characteristics of patients with personality disorders and understand how these conditions may potentially complicate their care.

COPD 2017-An Update on All Things New

Price: $10.00 | Credits: 1

The goal of this activity is to update healthcare professionals about diagnosing COPD using pulmonary function tests, the appropriate use of inhalers, pulmonary rehabilitation, and medications to reduce exacerbations.

The Hypertension Landscape in 2017: The NEW Guidelines are Here

Price: $10.00 | Credits: 1

This activity will highlight the improvements in BP control rates, the proper way to take BP, definitions of white-coat and masked hypertension and the importance of out-of-office BP measurement. It will review the classes of antihypertensive drugs indicated for first-line treatment for hypertension and the differing targets for BP control based on the recent SPRINT trial. It will highlight efforts to improve current BP control rates to what can be achieved in the Kaiser Permanente Health Program when using their algorithm for BP control.

The Enigma of the Southeast: Hypertension and Stroke Risks

Price: $10.00 | Credits: .75

This activity will outline specific factors and interventions that have proven successful in reducing stroke, and clinical practice guidelines outlining target blood pressures.

Intimate Partner Violence

Price: $10.00 | Credits: .75

The goal of this session is to provide clinicians with screening techniques, communication skills, community resources for victims, and skills to recognize patients who may be suffering from depression or other associated health issues related to domestic violence.

Sudden Cardiac Death: Recognizing Cardiac Conditions in the Young Athlete

Price: $10.00 | Credits: 1

The Seattle criteria for interpretation of electrocardiograms (ECGs) in athletes will be discussed, followed by presentation of different ECGs to assist the learner to recognize high risk conditions in athletes that can lead to sudden cardiac death.

Pediatric and Adult Fatty Liver: Diagnosis and Treatment

Price: $10.00 | Credits: 1

The goal of this session is to provide an update regarding the guidelines for diagnosis of fatty liver, including diagnosis and treatment in children versus adults.

Heart Disease in Women

Price: $10.00 | Credits: .75

The goal of this activity is to educate about unique aspects of heart disease and women. The presentation will include review of these unique conditions including: microvascular ischemia, SCAD, cardiac hemodynamics during pregnancy and how to risk stratify women with with cardiac disease prior to pregnancy.

Health Care in the LGBTQ Population

Price: $10.00 | Credits: .75

Many providers are unaware of the unique health disparities that LGBT (lesbian, gay, bisexual, and transgender) patients face. This activity with provide the learners with the opportunity to better understand the unique needs of the LGBT patient, and be able to translate those needs to better clinical care.

Concussion Management

Price: $10.00 | Credits: 1.25

The goal of this activity is to summarize current concussion guidelines to allow prompt recognition of concussions, explain differences in presentation and time course based on age/gender/relevant comorbidities, review return to play work/guidelines, discuss indications for imaging as well as medication and complementary therapies which can facilitate a rapid return to work/play.

Medical Marijuana and the Endocannabinoid System

Price: $10.00 | Credits: .75

The goal of this activity is to update providers about the human endocannabinoid system, how cannabis works with the endocannabinoid system to directly help with disease processes, and how to use cannabis to decrease, or remove other medications patients are using.

Medical Marijuana Use in End of Life Issues and Pain Management

Price: $10.00 | Credits: .50

The use of medical cannabis is increasing in popularity despite our limited understanding about its clinical benefits and evidence. The information presented during this activity is designed to bridge the gap.

Increasing Breast Conservation Using Oncoplastic Techniques

Price: $10.00 | Credits: .50

The goal of this activity is to present data on the safety of oncoplastic procedures, provide clinical examples of offering breast conserving surgery to those considered likely mastectomy candidates while also discussing the risks and benefits.

Keeping Abreast of Hereditary Cancer Syndromes

Price: $10.00 | Credits: .50

The goal of this activity is to provide the learners with an overview of screening and eligibility for genetic counseling and testing of inherited breast cancer syndromes. Included will be a discussion about the implications for risk assessment, surveillance, and treatment guidelines of high and moderate penetrance genes.

Social Media and Physicians

Price: $10.00 | Credits: 1

The goal of this session is to raise awareness on the potential positive impact of digital communication and social media for patient education, to dispel myths, and for advocacy.

Update on Breast Cancer Survivorship

Price: $10.00 | Credits: .25

A recent guideline published jointly by the American Society of Clinical Oncology and the American Cancer Society has provided much needed guidance for healthcare professionals who care for female breast cancer survivors. This activity will provide an overview of implementation of the guideline, to hopefully assist providers to work with survivors to reduce the risk of breast cancer recurrence and improve the overall health of the patient.

Advances and Challenges in Immunologic Therapy for Breast Cancer

Price: $10.00 | Credits: .50

Immunotherapy is just one of several individualized, personal medical approaches to combating cancer, and it holds promise for many patients, particularly those who struggle with severe side effects from conventional drug, radiation, and hormone therapies.

Domestic Violence Management and Surviorship

Price: $20.00 | Credits: 1.25

Domestic violence is frequently encountered by healthcare providers and should be addressed properly. Victims are often not recognized, and lack of knowledge on adequately identifying domestic violence is commonly presented as a barrier.

HIV/AIDS: Where Are We Now?

Price: $10.00 | Credits: .75

The goal of this activity is to update providers about recognizing the signs and symptoms of HIV/AIDS, and populations at risk. The discussion will include the latest in approaches to treatment, new prevention tools, new ways to help stop the spread of HIV infection, and communication strategies to educate patients about the risks of acquiring HIV.

Identification and Management of Tumor Protein p53 Gene Carriers Detected Through Multigene Panel Testing

Price: $10 | Credits: 1

Technological advances made possible through next-generation sequencing-based tests have led to a broad approach to testing for multiple genes simultaneously (called multigene panel testing), including those for which the patient does not meet clinical testing criteria.

Early Postoperative Complications After Oncoplastic Reduction

Price: $10 | Credits: 1

Breast-conserving surgery with adjuvant radiation therapy (BCT) has been established as safe oncologically. Oncoplastic breast surgery uses both oncologic and plastic surgery techniques for breast conservation to improve cosmetic outcomes. In this study, the risk factors associated with complications after oncoplastic breast reduction is evaluated.

Genomic Assays in Ductal Carcinoma In Situ: Implications for Management Decisions

Price: $10 | Credits: 1

Ductal carcinoma in situ (DCIS) is a noninvasive form of breast cancer with an unpredictable risk of either progression to invasive disease or recurrence. The typical treatment of DCIS occurs at the time of diagnosis, which results in the overtreatment of certain patients with a low propensity for disease progression or recurrence.

Hematologic Malignancies Discovered on Investigation of Breast Abnormalities

Price: $10 | Credits: 1

Hematological malignancies of the breast share a presentation similar to primary breast carcinomas but differ substantially in therapeutic approach and clinical outcomes. In this study, the frequency of hematological malignancies, their relative primary and secondary occurrences, and further characterization of the distinct histopathologies of these malignancies with a special focus on lymphomas are investigated.

2017 Menopause

Price: $10 | Credits: 1.25

The goal of this session is to provide essential information about diagnosis and recommended treatments for major depressive illness during the prenatal, perinatal, pre-menopausal and post-menopausal stages of a woman’s lifespan, with a focus on common and severe presentations.

2017 Obesity and Pregnancy

Price: $10 | Credits: 1

The impact of prior bariatric surgery on pregnancy also will be discussed. Information to assist with communication with patients and their families regarding the complications of obesity during prenatal and intrapartum care will be provided.

2017 Management of the Perimenopause

Price: $10 | Credits: .75

The goal of this session is to discuss appropriate treatment of the perimenopause, which requires an understanding of the hormonal and physiologic changes of this period; a review of the symptoms; and a knowledge of effective treatment strategies that address the symptoms allowing comprehensive, yet individualized patient-centered care.

2017 Controversies in Hypertension Therapy

Price: $10 | Credits: 1

Evidenced-based medicine continues to be updated with regard to the clinical management of hypertension. New clinical trials, such as the SPRINT and HOPE-3 trials, which have clinical practice implications have recently been reported.

2017 Controversies in Mammogram Screening Guidelines

Price: $10 | Credits: .50

There is widespread confusion within both the medical community and the general public regarding the differing current mammogram screening guidelines that have been published by various medical specialty societies and organizations.

2017 Osteoporosis Update

Price: $10 | Credits: 1

The goal of this session is to provide guidance about implementing these recommended guidelines, the effective use of medications, and best practices when discussing treatment strategies with patients. There are also new medications on the horizon, which also will be highlighted.

2017 Zika: Where Are We Now?

Price: $10 | Credits: 1

The Centers for Disease Control and Prevention (CDC) has recently updated its interim guidance for persons with possible Zika virus exposure who are planning to conceive, interim guidance to prevent transmission of Zika virus through sexual contact, and guidance on timing of conception after possible Zika virus exposure.

2017 Choosing the Appropriate Contraceptive

Price: $10 | Credits: 1

There also are unique challenges when offering contraception to patients with complex medical problems. The 2016 U.S. Medical Eligibility Criteria for Contraceptive Use is a useful tool for healthcare providers.

2017 Mood Disorders in Women

Price: $10 | Credits: .75

Throughout the stages of a woman’s lifespan, depression presents differently. Women report major depression ta nearly twice the rate of men. Women of childbearing age are at a higher risk for major depression.

2017 Rheumatologic Disorders in Pregnancy

Price: $10 | Credits: 1

The goal of this session is to provide a foundation for the understanding of the role of autoimmune disorders in the development of common morbidities of pregnancy. The importance of a multidisciplinary approach in the care of these patients to improve maternal and neonatal outcomes also will be emphasized.

2017 The Opioid Epidemic: Tools for Solutions

Price: $30 | Credits: 3

Healthcare providers who encounter patients seeking prescription medications or routinely provide care to manage pain need to be able to recognize signs of addiction and identify manipulative patient behaviors, and know appropriate options to assist with managing these patients.

2017 Cardiovascular and Hypertensive in Women

Price: $10 | Credits: 1.25

The goal of this session is to provide an in-depth overview of the major predictors of CVD in women, specifically gender-specific factors.

2017 Women’s Health Smartphone Apps: What You Should Know and Use

Price: $15 | Credits: 2.5

The following apps will be demonstrated, Part 1: ASCCP Mobile (American Society for Colposcopy and Cervical Pathology, Frederick MD), ASCVD Risk Estimator (American College of Cardiology, Washington DC, and American Heart Association, Dallas, TX), FRAX (iter9, LLC), and LactMed (National Library of Medicine, Bethesda, MD); Part 2: MenoPro (North American Menopause Society, Pepper Pike, OH), and STD Tx Guide (Centers for Disease Control and Prevention, Atlanta GA).

2017 Update on Current Pap Smear Screening Guidelines and Management of Abnormal Pap Results

Price: $10 | Credits: .50

To assist clinicians in better understanding and implementing the guidelines, the ASCCP has developed a comprehensive, user-friendly app, by which algorithms and recommendations can be viewed following a few simple keystrokes entering important patient data. This app will be demonstrated during the session.

2017 The Treatment of Depression in Primary Care

Price: $10 | Credits: .75

There are many effective, evidence-based treatments available for depression, including medications, psychotherapy, and self-management; however, major depressive disorder (MDD) is often under-diagnosed and under-treated.

2017 The Use of Mental Health Screening Tools in the Primary Care Setting : PHQ-2, PHQ-9, and GAD-7

Price: $10 | Credits: .50

Depression and anxiety are often comorbid with or the underlying cause of many of the concerns that primary care patients present within the office setting. The use of concise mental health screening tools is designed to assist with the identification of these conditions and facilitate developing treatment plans to address them.

2017 Managing Hyperthyroidism, Subclinical Thyroid Disease and Hyperthyroidism: New Guidelines for Better Care

Price: $10 | Credits: 1.5

In 2016 and early in 2017, the American Thyroid Association (ATA) published new guidelines that provide more effective care for thyroid disease in women including management of thyroid disorders during pregnancy. These guidelines are not widely known or followed.

2017 Update in Diabetes Management and the Role of the Microbiome

Price: $10 | Credits: 1

The goal of this session is to provide evidence-based dietary information that may improve the microbiome. In addition, an overview of the recently Food and Drug Adminstration-approved new diabetes medications and how they may be integrated into practice will be discussed, as well as new important warnings placed on older medications.

Sedative-Hypnotics: Their Use and Misuse

Price: $20 | Credits: .75

It is estimated that 80 percent of benzodiazepine abuse occurs within a pattern of polysubstance abuse, with the highest correlation occurring with concurrent addiction to opioids and alcohol.

Addictive Disorders: Management Principles and MPHP Approach

Price: $20 | Credits: 1

The CDC has stated that the United States is in the midst of the worst drug epidemic in the history of our nation. An underlying contributing factor to the inappropriate use of controlled substances is the lack of proper education about addiction as a brain disease. This lecture helps to address this issue.

Opioid Prescribing Pearls: How to Avoid Obvious Pitfalls; Use Appropriately

Price: $20 | Credits: 1.25

This is a new lecture incorporating the new guidelines just put out by the government on prescribing opioids. They will be incorporated into review of responsibilities, obligations, and management of prescribing controlled substances.