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Thursday, January 29, 2015

MS- Leaders - CME on: "Clinical Challenges in MS Care: Family Planning, Pregnancy, and Disease-Modifying Therapies"

MS leaders e-mail logo header 

Dear Colleague,

Can you correctly answer this question:

Which one of the following disease-modifying therapies should male and female patients with MS discontinue and undergo an accelerated elimination procedure prior to conception?

A. Dimethyl fumarate
B. Teriflunomide
C. Fingolimod
D. Natalizumab

Participate in this John Hopkins educational activity to learn the answer to this and other questions related to MS therapy in women of childbearing age.

EARN CME or CNE Credit!

The Johns Hopkins University School of Medicine and the Institute for Johns Hopkins Nursing, in cooperation with Medical Logix, LLC, are currently offering this educational program certified for CME and CNE credit, at no charge to participants:

 Video Clinical Dialogue and eCase Challenge:

Jointly presented by the Johns Hopkins University School of Medicine and the 
Institute for Johns Hopkins Nursing

Release Date: May 7, 2014
Expiration Date: May 6, 2015

Estimated time to complete each part of this activity: 60 minutes for each of the two activities. Each part of this activity has been approved for a maximum of 1.0 AMA PRA Category 1 Credit™ and 1.0 contact hour for nurses. There are no fees or prerequisites.

Supported by independent educational grants from
EMD Serono and Genzyme, a Sanofi Company.

Learning Objectives
After participating in this activity, the participant will demonstrate the ability to:
  • Recognize the importance of providing preconception counseling to all patients of childbearing age in order to reduce reproductive risks.
  • Apply the most recent evidence concerning the reproductive safety of approved DMTs when counseling patients with MS who are considering pregnancy or those who are pregnant.
  • Summarize and provide context for the available data (animal and human) concerning the reproductive safety of newer and emerging DMTs.
  • Assess the available evidence regarding DMTs and male reproductive health in order to effectively communicate their potential risks to male patients with MS.
  • Discuss the evidence on the safety of DMTs used during lactation, in order to optimize outcomes for patients with MS who breastfeed their infants.
  • Implement evidence-based treatment strategies to optimize the management of postpartum relapses.
The Johns Hopkins University School of Medicine takes responsibility for the content, quality, and scientific integrity of this CME activity.

Statement of Need
Multiple sclerosis typically affects women of childbearing age and can influence fertility, pregnancy and decisions regarding breastfeeding. Management of a pregnant patient with MS or a patient contemplating pregnancy presents many unique issues and can be quite challenging.

The intent of this Clinical Dialogue, a video-based activity, is to review the most up-to-date evidence on MS, specifically on fertility and pregnancy outcomes, management of MS during pregnancy, the reproductive safety of DMTs, their use when breastfeeding and issues related to postpartum management. We will also address preconception issues, including pregnancy outcomes when it is the male patient who has MS. The eCase Challenge, a text-based activity, will allow the participant to apply the knowledge gained from this Clinical Dialogue in a few real-world clinical scenarios.

It is important to emphasize that the questions and answers discussed in this program must be individualized to the specific circumstances of each patient and their acceptance of risk.

Johns Hopkins Chair and Course Director:
Jack N. Ratchford, MD
Assistant Professor of Neurology
Johns Hopkins University School of Medicine
Baltimore, MD

Jack N. Ratchford, MD
Assistant Professor of Neurology
Johns Hopkins University School of Medicine
Baltimore, MD

Patricia K. Coyle, MD
Professor and Vice Chair
Department of Neurology
Director, Multiple Sclerosis Comprehensive Care Center
SUNY at Stony Brook University Medical Center
Stony Brook, NY

Lynn Stazzone, RN, MSN, NP, MSCN
Nurse Practitioner
Partners MS Center
Brigham and Women's Hospital
Boston, MA

Intended Audience
Healthcare professionals, specifically, neurologists, internists, family practice physicians, nurse practitioners, physician assistants, registered nurses and other providers involved in the care of patients with multiple sclerosis.

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Johns Hopkins University School of Medicine and the Institute for Johns Hopkins Nursing. The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Institute for Johns Hopkins Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Credit Designation Statement
The Johns Hopkins University School of Medicine designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurse Practitioner and Physician Assistant Credit Reciprocity:

American Association of Nurse Practitioners (AANP) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME. Physician assistants may receive a maximum of 2.0 credits of Category 1 for completing this program.

Disclosure Policy Affecting CME Activities
It is the policy of the Johns Hopkins University School of Medicine that the faculty and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). Johns Hopkins University School of Medicine OCME has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity.  Detailed disclosure will be made in the course materials.

 To view the activity, please CLICK HERE 

Please keep in mind that you will need to login with your email address and password to access this program. If you forgot your password, click on the "Forgot Password" link in the top right corner of the site.

We hope you enjoy this informative educational program!

The MS-Leaders Team

The Johns Hopkins University School of Medicine Office of Continuing Medical  Education, Turner 20, 720 Rutland Ave, Baltimore, MD 21205

In cooperation with Medical Logix, LLC

Medical Logix, LLC, 130 W. Main Street, Suite 144, Collegeville, PA 19426

Please do not respond to this email directly. Any questions or concerns,  email: 


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