American Urological Association (AUA) Primary Care Update in Urology Webcast

Title:	American Urological Association (AUA) Primary Care Update in Urology Webcast
Topic:	Urology
Relevant Terms:	Benign Prostatic Hyperplasia (BPH), Cardiometabolic Syndrome, ED/Hypogonadism, Geriatrics, Hypertension, Lower Urinary Tract Symptoms (LUTS), Overactive Bladder (OAB), Pediatric Urology, Prostate Cancer And Kidney
Primary Audience:	Primary care providers (MDs/ DOs/ NPs/ PAs)
Launch Date:	03-Jul-12
Credits:	3 AMA PRA Category 1 Credits™ 3 AAFP CME Credits
Expiration Date:	05-Jul-13

Learning Objectives

After completing this activity, the participant will demonstrate the ability to:

Discuss screening methods, causes and treatment options of erectile dysfunction, hypogonadism and metabolic syndrome
Outline specific urologic conditions in the elderly population
Describe screening methods, identification and treatment options of Lower Urinary Tract Symptoms (LUTS), Overactive Bladder (OAB) and Benign Prostatic Hyperplasia (BPH)
Discuss the surgically correctable causes of hypertension
Outline basic pediatric urologic problems and their management including urinary tract infections, enuresis, undescended testis and torsion of the testis
Explain screening, detection, treatment and impact of prostate cancer
Review risk factors, identification, and how to manage kidney stone disease

Faculty

Eric R. Sargent, MD
Associate Professor
Department of Surgery
Division of Urology
University of Vermont
Burlington, VT

Howard N. Winfield, MD
Director, Urology and Robotic Surgery
DCH Regional Health System
West Alabama Urology Associates
Tuscaloosa, AL

Ajay Nehra, MD
Mayo Clinic
Rochester, MN

Ajay Nehra, MD

Ajay Nehra, MD, comes to Rush from the Mayo Clinic in Rochester, Minn. He received his medical degree from the All India Institute of Medical Sciences in New Delhi, where he also completed an internship. He completed a transitional surgical internship at Malden Hospital in Massachusetts, a surgical residency at Boston University School of Medicine, and a residency and chief residency in urology at Maimonides Medical Center in Brooklyn, N.Y. Additional training included a term as an American Foundation for Urologic Disease research scholar and fellowships at the Boston University School of Medicine in neuro-urology and female urology, and male sexual dysfunction and infertility.

With research interests in men's health and erectile dysfunction (ED), Dr. Nehra has been the principal investigator for seven clinical multicenter studies on the efficacy and safety of a number of investigational treatments for ED. He is a co-investigator in a National Institutes of Health project on aging. Dr. Nehra has contributed more than 125 articles and 140 abstracts to the New England Journal of Medicine, JAMA; The Journal of the American Medical Association, Mayo Clinic Proceedings, the Journal of Urology, Urology, European Urology, the British Journal of Urology, Urologic Clinics of North America, Current Urology Reports, the Journal of Andrology, the International Journal of Impotence Research and many other journals. He has written chapters on erectile dysfunction and prosthetic surgery, and prostate cancer and urinary incontinence. He has also coauthored a book of commentary on sexual dysfunction in medicine.

He is the editor of the Journal of Men's Health and is a member of editorial boards of the Journal of Urology, the Journal of Andrology and the International Journal of Impotence Research. He has been an invited panelist at the World Health Organization's International Consultation on Erectile Dysfunction and the American Urological Association's update panels on clinical practice guidelines for the treatment of male infertility and erectile dysfunction, among other such meetings. He has been the co-chair of the Third Princeton Consensus Conference and is the current co-chair of the erectile dysfunction guidelines at the American Urological Association. Dr. Nehra has also been an invited visiting professor and presenter on urologic topics in the United States and abroad.

Brian R. Matlaga, MD
Associate Professor of Urology
Johns Hopkins University School of Medicine
Director of Ambulatory Care, James Buchanan Brady Urological Institute
Director of Stone Disease, Brady Urological Institute
Baltimore, MD

Matthew Thom, MD
West Alabama Urology Associates
Tuscaloosa, AL

Matthew T. Rosenberg, MD
Medical Director
Mid Michigan Health Centers
Jackson, MI

Matthew T. Rosenberg, MD

Dr. Rosenberg earned his medical degree at the University of California, Irvine. He trained in general surgery at the University of California, Irvine, and in urologic surgery at the Brigham and Women's Hospital in Boston before changing fields to general practice. Dr. Rosenberg now practices in Jackson, Michigan, and serves as Medical Director of Mid-Michigan Health Centers. He is on staff at Allegiance Health in Jackson, Michigan where he served as the Chief of the Department of Family Medicine from 2003 – 2006.

Dr. Rosenberg has a special interest in the medical management of urologic diseases. He has authored and coauthored articles appearing in International Journal of Clinical Practice, The Journal of Urology, BJU International, Urology and other peer-reviewed journals. In 2007 he was the editor for a supplement edition of the Cleveland Clinic Journal of Medicine entitled Medical Urology for the Primary Care Provider. In 2008 he was the editor of a similar supplement for the Canadian Journal of Urology. He is currently the section editor of Urology for the International Journal of Clinical Practice in addition to being a reviewer for several other national and international journals. In 2011 he was appointed by the AUA Office of Education to be the Coordinator of Primary Care Education.

He has presented his original research at many national meetings, including those of the National Institutes of Health, American Urological Association, the Sexual Medicine Society of North America and the European Society for Sexual Medicine as well as the meetings of the International Continence Society and World Association of Sexology. In 2006 Dr. Rosenberg was named the National Continence Care Champion by the National Association for Continence (NAFC). In 2010 he was a guest speaker at the Asian Society of Urology in Singapore and the annual meeting of the Mexican Association of Urology.

Although Dr. Rosenberg has published in many different areas of Urology he began his research over a decade ago with the initial diagnosis and treatment of Painful Bladder Syndrome (Interstitial Cystitis). He designed and carried out two of the largest epidemiologic studies performed on this disease state in North America.

Tomas Griebling, MD
John P. Wolf 33° Masonic Distinguished Professor of Urology
University of Kansas
Professor, Vice Chair, Residency Program Director
Assistant Dean for Student Affairs
School of Medicine
University of Kansas
Kansas City, KS

Method of Participation
1. Read the CME information.
2. Click "Enter the Activity" link located at the bottom of the page.
3. Login with your Epocrates or CME Companion user ID and password. If you do not have an Epocrates or CME Companion account, you will be prompted to create one. It is recommended that you use your email address for your username and a password when creating your account.
4. To claim credit, complete the pre-test, view the webcast, pass the posttest with 80% accuracy and submit the evaluation.

CME Information

Program Description
The purpose of this program is to aid primary care providers in screening, detection and referral of common urological health issues. Topics to be addressed include ED/Hypogonadism and Cardiometabolic Syndrome, Geriatrics in Urology, Lower Urinary Tract Symptoms (LUTS)/Overactive Bladder (OAB)/Benign Prostatic Hyperplasia (BPH), Hypertension: Surgically Correctable Etiologies, Pediatric Urology, Prostate Cancer and Kidney Stone Disease.

Accreditation
The American Urological Association Education & Research, Inc. (AUAER) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation
American Urological Association
The American Urological Association Education & Research, Inc. designates this enduring material for a maximum of 3.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Academy of Family Physicians This Enduring Material activity, Primary Care Update in Urology, has been reviewed and is acceptable for up to 3 Prescribed credit(s) by the American Academy of Family Physicians.
AAFP certification begins June 29, 2012. Term of approval is for one year from this date with the option of yearly renewal. Physicians should claim only the credit commensurate with the extent
of their participation in the activity.

The AUAER takes responsibility for the content, quality, and scientific integrity of this CME activity.

Medium or Combination of Media Used
Online

Method of Participation in the Learning Process
Participants must complete the pre-test, view the webcast, pass the posttest with 80% accuracy and submit the evaluation to claim credit and print a certificate for this activity.

Navigation Instructions
A segmented, navigational bar is located at the top of the screen for participants to monitor their progress during the activity. Each segment represents a page of the activity. As you complete each page of the activity, a pointer moves to the right. The activity begins with a pre-test and review (pages 1-2). This is followed by the activity content/presentations (pages 3-10), activity feedback and references (page 11), posttest (pages 12-13), pre-posttest results (page 14), evaluation form (page 15) and claim credit form (page16).

Hardware/Software Requirements

PC-compatible computer running Windows XP
Macintosh computer running OS X 10.1 or later
Linux computer capable of running Mozilla Firefox 3.0 or later

Processor speed of 800 MHz (1GHz preferred). A minimum of 128 MB of RAM or more preferred). A modem speed of at least 56k (broadband preferred). Internet browser should be one of the following: Internet Explorer 8.0 or later, Firefox 3.0 or later, Chrome 4.0 or later, or Safari 4.0 or later. Software requirement: Adobe Acrobat Reader 9 or newer.

Estimated Time to Complete the Educational Activity
3 hours

Release Date
July 5, 2012

Expiration Date

July 3, 2013

AUAER Disclosure Policy
As a provider accredited by the ACCME, the AUAER must ensure balance, independence, objectivity and scientific rigor in all its activities.

All persons in a position to control the content of an educational activity (i.e., activity planners and presenters) provided by the AUAER are required to disclose to the provider any relevant financial relationships they have with any commercial interest. The AUAER must determine if an individual's commercial relationships may influence the educational content with regard to exposition or conclusion, and resolve any conflicts of interest prior to the commencement of the educational activity. The intent of this disclosure is not to prevent individuals with relevant financial relationships from serving as planners or presenters, but rather to provide the audience with information on which they can make informed judgments about the material presented.

Faculty Disclosures

Sargent, Eric R.: Nothing to Disclose

Winfield, Howard: North Central Section of the AUA, Leadership Position – Financial: No

Griebling, Tomas: Pfizer: Health Publishing, Scientific Study/Trial; Medtronic: Health Publishing, Scientific Study/Trial. Financial: Yes

Matlaga, Brian R.: Boston Scientific: Consultant/Advisor, Financial: Yes

Nehra, Ajay: Nothing to Disclose

Rosenberg, Matthew: Astellas: Consultant or Advisor, Meeting Participant/Lecturer Allergan:
Consultant/Advisor; Forest: Other, Pfizer: Consultant or Advisor/Other Purdue: Consultant or Advisor/Other; Endo:Consultant or Advisor Financial All: Yes

Thom, Matthew: Nothing to Disclose

Planners' Disclosures

Elspeth McDougall, MD, FRCSC, MHPE

Associate Dean of Continuing & Simulation Medical Education

Director, Minimally Invasive Surgery Education Center

Chair, AUA Office of Education

University of California – Irvine

Irvine, CA
Disclosure: Ethicon Endo-Surgery: Other: Equipment Support, Other: Equipment Support ; Karl Storz Endoscopy America: Other: Equipment Support

Amling, Christopher Lee: Janssen: Meeting Participant or Lecturer

Badlani, Gopal: Olympus: Scientific Study or Trial; Allergan: Scientific Study or Trial; Lithotripsy Group: Piedmont Stone & Physcian Discovery: Investment Interest

Carroll, Peter Robert: NIH: Scientific Study or Trial ; Department of Defense: Scientific Study or Trial ; Myriad Genetics: Scientific Study or Trial; Genomic Health: Scientific Study or Trial; Abbott Pharmaceuticals: Scientific Study or Trial; AUA Update: Leadership Position; Astra Zeneca: Meeting Participant or Lecturer
Cohen, Marc S.: Nothing to disclose

Flanigan, Robert C.: NIDDK (NIH): Consultant or Advisor; WJ Weiser: Employee; National Cancer Institute: Scientific Study or Trial

Fulgham, Pat Fox: Urology Clinics of North Texas: Investment Interest

Gilbert, Bruce R.: Bayer Healthcare Pharmaceuticals Inc.: Scientific Study or Trial; Auxilium: Scientific Study or Trial; Clarus Pharmaceutcals: Scientific Study or Trial

Hernandez, Christina: Nothing to disclose

Jarrard, David F.: Johnson and Johnson: Consultant or Advisor

Joseph, David B.: Tengion: Scientific Study or Trial; Centers for Disease Control and Prevention: Scientific Study or Trial

Kogan, Barry A.: Watson Pharmaceuticals: Consultant or Advisor; United Urology: Investment Interest

Lee, Benjamin R.: Nothing to disclose

Mathe, Mary: Nothing to disclose

McDougall, Elspeth Marguerita: Ethicon Endo-Surgery: Other: Equipment support , Other: Equipment Support ; Karl Storz Endoscopy America: Other: Equipment Support

Mian, Badar Munir: Nothing to disclose

Mourtzinos, Arthur P.: Johnson & Johnson: Other: Proctor, pelvic floor cadaver lab instructor; Allergan: Other: Lecturer ; Coloplast: Other: Proctor, pelvic floor cadaver lab instructor ; American Medical Systems: Other: Proctor, pelvic floor cadaver lab instructor ; Astellas: Other: Lecturer

Parsons, J. Kellogg: AMS: Meeting Participant or Lecturer

Sandhu, Jaspreet Singh: American Medical Systems: Consultant or Advisor

Steers, William Donald: National Institutes of Health: Consultant or Advisor, Meeting Participant or Lecturer; Food and Drug Administration: Consultant or Advisor; Allergan: Scientific Study or Trial; New England Research Institute (NERI): Consultant or Advisor, Scientific Study or Trial
Stoffel, John T.: Nothing to disclose

Sundaram, Chandru P.: Nothing to disclose

Sweet, Robert Marten: Red Llama Incorporated: Leadership Position,Investment Interest,Owner, Product Development,Employee ; American Medical Systems Holding, Inc.: Meeting Participant or Lecturer,Scientific Study or Trial; Coruthers Health Consulting: Consultant or Advisor; Allergan: Scientific Study or Trial;
Medtronic: Scientific Study or Trial; Olympus: Other: International Surgical Simulation Fellowship
Wang, Zhou: Nothing to disclose

Wein, Alan J.: ENDO Pharmaceuticals: Consultant or Advisor,Meeting Participant or Lecturer; Allergan: Consultant or Advisor,Meeting Participant or Lecturer; Medtronic: Consultant or Advisor,Meeting Participant or Lecturer; Ferring Pharmaceuticals: Consultant or Advisor, Meeting Participant or Lecturer; Pfizer: Consultant or
Advisor, Meeting Participant or Lecturer; Astellas: Consultant or Advisor, Meeting Participant or Lecturer

Resolution of Identified Conflict of Interest

All disclosures will be reviewed by the program/course directors or editors for identification of conflicts of interest. Peer reviewers, working with the program directors and/or editors, will document the mechanism(s) for management and resolution of the conflict of interest and final approval of the activity will be documented prior to implementation. Any of the mechanisms below can/will be used to resolve conflict of interest:

Peer review for valid, evidence-based content of all materials associated with an educational activity by the course/program director, editor, and/or Education Content Review Committee or its subgroup.
Limit content to evidence with no recommendations
Introduction of a debate format with an unbiased moderator (point-counterpoint)
Inclusion of moderated panel discussion
Publication of a parallel or rebuttal article for an article that is felt to be biased
Limit equipment representatives to providing logistics and operation support only in procedural
demonstrations
Divestiture of the relationship by faculty

Commercial Support Acknowledgement Support for this activity is provided by educational grants from Astellas Scientific and Medical Affairs, Inc., Cook Medical, Endo Pharmaceuticals, HealthTronics and Lilly USA, LLC.

Off-label or Unapproved Use of Drugs or Devices
It is the policy of the AUAER to require the disclosure of all references to off-label or unapproved uses of drugs or devices prior to the presentation of educational content. The audience is advised that this continuing medical education activity may contain reference(s) to off-label or unapproved uses of drugs or devices. Please consult the prescribing information for full disclosure of approved uses.

Disclaimer
The opinions and recommendations expressed by faculty, authors, and other experts whose input is included in this program are their own and do not necessarily represent the viewpoint of the AUAER.

Evidence Based Content
As a provider of continuing medical education accredited by the ACCME, it is the policy of the AUAER to review and certify that the content contained in this CME activity is valid, fair, balanced, scientifically rigorous, and free of commercial bias.

Privacy Policy
http://www.auanet.org/content/education-and-meetings/statements-and-policies.cfm?sub=confidentiality

Contact

Denise Williams, MEd

Enduring Materials Coordinator
Office of Education
American Urological Association
1000 Corporate Boulevard
Linthicum, MD 21090
P 410-689-3751
F 410-689-3904
CME@AUAnet.org

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