Education Goal
This CME activity is designed to increase the identification and effective treatment of patients with COPD by improving the knowledge, competence and evidence-based performance of healthcare professionals and improving systems of care, in the following areas:

• Specific review of diagnostic and screening guidelines
• Guideline based approach to management strategies
• Specific review of treatment guidelines
• Scientific review of current clinical trial data available in this area
• Emphasis on improving systems of care to enhance clinician performance and patient outcomes

Objectives
At the conclusion of this program participants will be able to:

• Discuss the prevalence of chronic obstructive pulmonary disease in the United States
• Define and classify COPD utilizing the Global Initiative for Chronic Obstructive Disease (GOLD) guidelines
• Implement symptom-based questionnaires for differentiating COPD from Asthma
• Repeat screening and diagnostic systems of care for patients with or at risk of COPD
• Identify treatment options available to patients with COPD
• Discuss the importance of adherence to therapy for patients with COPD

Implementation
The estimated time for completion of this program is two hours. In order to get the greatest value from this program, we recommend a four-step process:

1. Read this manual, taking notes as necessary.
2. Carefully read the test questions and select your answers.
3. Return to the manual for a final review of your notes and finalize your test answers.
4. Complete and submit the CME answer sheet and course evaluation via mail, fax or internet.

Program Faculty
ANTONIO ANZUETO, MD, Professor of Medicine, University of Texas Health Science Center, San Antonio, Texas

Chief, Pulmonary Disease Section, University of Texas Health Science Center, San Antonio, Texas

Director, Pulmonary Function Laboratory, University of Texas Health Science Center, San Antonio, Texas

JOYCE ROUSE, Copywriter, TIV, Inc., St. Louis, Missouri

Program Planning Committee
ANTONIO ANZUETO, MD, Professor of Medicine, University of Texas Health Science Center, San Antonio, Texas

Chief, Pulmonary Disease Section, University of Texas Health Science Center, San Antonio, Texas

Director, Pulmonary Function Laboratory, University of Texas Health Science, San Antonio, Texas

MARGIE MILLER, Director, Continuing Medical Education, University of Oklahoma College of Medicine, Oklahoma City, Oklahoma

JOYCE ROUSE, Copywriter, TIV, Inc., St. Louis, MO

MELISSA WIDMAN, Associate Producer, TIV, Inc., St. Louis, MO

WILLIAM OAKEY, President and CEO, TIV, Inc., St. Louis, MO

Faculty and Planning Committee Disclosure Information
It is the policy of the University of Oklahoma Health Sciences Center to ensure balance, independence, objectivity and scientific rigor in all its educational programs. All faculty members in these educational programs are expected to disclose to the program audience any real or apparent conflict of interest related to the content of their presentation.

Per ACCME guidelines, the following information was received from the faculty and planning committee for Diagnosis and Management of Chronic Obstructive Pulmonary Disease (COPD): A CME Update:

ANTONIO ANZUETO, MD, has disclosed that he has received grants/research support from GlaxoSmithKline, he is a consultant to Bayer, Boehringer Ingelheim, GlaxoSmithKline and Pfizer and he has received honoraria from Bayer, Boehringer Ingelheim, GlaxoSmithKline and Schering-Plough.

Dr. Anzueto’s presentation will include products or services from the above-listed commercial interests and he will make clinical recommendations in this presentation based on the best available evidence.

MARGIE MILLER, University of Oklahoma College of Medicine, has no significant financial relationships to disclose.

WILLIAM OAKEY, TIV, Inc., has disclosed that he is president of TIV, Inc., a medical education company that receives commercial education grants.

JOYCE ROUSE, TIV, Inc., has disclosed that she is an employee of TIV, Inc., a medical education company that receives commercial education grants.

MELISSA WIDMAN, TIV, Inc., has disclosed that she is an employee of TIV, Inc., a medical education company that receives commercial education grants.

Conflict Resolution
The University of Oklahoma College of Medicine, Office of Continuing Medical Education has reviewed this activity’s faculty and planning committee disclosures and resolved all identified conflicts of interest, if applicable.

Americans with Disabilities Act
The University of Oklahoma is an Equal Opportunity Institution. For accommodations on the basis of disability, please call TIV, Inc., 800-473-0138.

ACCME Accreditation and Credits
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 sponsorship of the University of Oklahoma College of Medicine and TIV, Inc. The University of Oklahoma College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Oklahoma College of Medicine designates this activity for a maximum of two (2) AMA PRA Category 1 Credits™. Physicians should claim only credits commensurate with the extent of their participation in the activity.

The American Academy of Physician Assistants (AAPA) accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME.

The American Osteopathic Association (AOA) designates this educational activity for a maximum of two (2) category 2-B credits of the AOA CME program.

AAFP Accreditation and Credits
This activity has been reviewed and is acceptable for up to two (2) Prescribed credits by the American Academy of Family Physicians. AAFP accreditation begins October, 2008. The term of approval is two years from this date with the option for yearly renewal.

How to Obtain Continuing Education Credits
A certificate of completion will be awarded to physicians completing the program with a score of 70% or higher. In order to receive your continuing education credits, the answer sheet and course evaluation form located at the end of this program must be filled out completely and sent to TIV, Inc.:

A certificate of completion will be mailed within 7-10 working days after the receipt of the test and evaluation form. In the event you do not pass, you will be notified regarding a retake examination on the same concepts.

On-line Option: You can complete the program on-line and print the CME certificate immediately upon passing the test with a score of at least 70%. To do so, please visit www.usawellnesscme.com/copd and follow the simple instructions. If you have any questions or problems, please call 800-473-0138.