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Celiac Disease: Update on Diagnosis and Treatment

Course Description | Faculty | Accreditation | General Information

Course Description

This course has been supported by a grant from the Sidney E. Frank Foundation.

Celiac disease affects approximately 1% of individuals across North America, Europe, North Africa, the Middle East and India. It is the most common inflammatory gastrointestinal disease and one of the most common autoimmune diseases. Although gastrointestinal symptoms are common, celiac disease can manifest in nearly any organ system, often leading to missed or delayed diagnosis with potentially serious consequences. We discuss the pathophysiology of celiac disease as it pertains to clinical management. Risk factors, diagnostic strategies and treatment considerations in celiac disease are clearly delineated.

Original Release: 3/4/2010
Most Recent Update: 2/2/2012
Termination Date: 2/2/2015

NUMBER OF CREDIT HOURS: The Harvard Medical School designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 2 hours to complete.

COST: $40.00 for the average learner. Participants living in emerging nations receive a 50% discount or can register for free. See our International Pricing Page for details.

OVERALL LEARNING OBJECTIVES:

  1. Understand the pathophysiology of celiac disease
  2. Learn how and when to test for celiac disease
  3. Understand principles of celiac disease manegment

CLINICAL LEARNING OBJECTIVES:

  1. Recognize risk factors for celiac disease
  2. Understand and be able to apply celiac diagnostic guidlines
  3. Appropriately manage patients with known or suspected celiac disease
  4. Understand the complications of celiac disease

METHOD OF PARTICIPATION:

Registrants participate in the learning process by answering interactive multiple choice questions that are dispersed throughout the case presentation. You must answer a question correctly in order to continue through the course. If you answer a question incorrectly, you will be prompted to try again.

In order to earn credit, physicians must complete the entire educational activity before the termination date (see above). Non-physicians may register for the course but are not eligible for AMA PRA Category 1 Credits™. Instead, non-physicians will earn a certificate of participation after successfully completing the course before its termination date.

COMBINATION OF MEDIA USED:

This internet enduring material is a case-based, interactive presentation comprised mainly of text, interactive questions, and images. A variety of media, including video clips, audio clips, and Flash animation, may be presented. Links to any necessary plugins are provided when necessary, but no plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.

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Faculty
DANIEL LEFFLER, MD
Course Director
Dr. Leffler is currently the Director of Clinical Research at the Celiac Center at Beth Israel Deaconess Medical Center. Prior to medical school he completed a Masters degree in Nutrition at Columbia University, where his interest in celiac disease first began. In medical school he had the good fortune to train under Dr. Peter Green before going on to complete both is residency and GI fellowship at BIDMC where began work with Dr. Ciaran Kelly. Dr. Leffler’s current focus, along with clinical care, is in clinical and translational research relating to celiac disease. Major efforts to date have involved the study of factors which influence dietary adherence, non-responsive celiac disease, clinical trial design and immunologic changes which occur with celiac disease activation. This work has facilitated the creation of clinical algorithms which are used throughout the department of gastroenterology and primary care in the diagnosis and treatment of celiac disease. To continue his work in celiac disease, Dr. Leffler has recently been awarded a five year career development grant from the National Institute of Health. Beyond clinical and research activities, Dr. Leffler is active in divisional quality improvement initiatives and medical education and is an instructor at the Harvard Medical School.

DISCLOSURE:
Alba Pharmaceuticals: Past Consultant in Future Celiac Therapies Alvine Pharmaceuticals: Past Consultant in Future Celiac Therapies Shire: Past Consultant in Refractory Celiac Therapies Prometheus Labs: Past Consultant in Celiac testing



MELINDA DENNIS, MD
Course Contributor
Bio Coming Soon.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities



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Reviewers
SANJIV CHOPRA, MD
Reviewer
Dr. Sanjiv Chopra is Professor of Medicine and Faculty Dean for Continuing Medical Education at Harvard Medical School and Senior Consultant in Hepatology at the Beth Israel Deaconess Medical Center, Boston. In his role as Faculty Dean for Continuing Education, Dr. Chopra provides oversight and leadership of the Department and oversees the academic development of our programs. Dr. Chopra is an experienced clinician, researcher, and educator. In his research roles, he has served both as a principal investigator as well as co-investigator. He has more than 120 publications and five books to his credit, addressing topics in disease states, patient care, and leadership. Dr. Chopra’s teaching experience is extensive, and he has won numerous teaching awards for his work with medical students, residents and physicians. Currently, he directs and speaks at 10 multiday CME courses, nine of which are through HMS. For his full bio, please click here.

DISCLOSURE:
Scherring-Plough: Speakers' bureau Roche: Speakers' bureau UpToDate: Royalty income



CHRISTOPHER SMITH, MD
Reviewer
Dr. Christopher Smith is a general internist at Beth Israel Deaconess Medial Center and an Associate Professor of Medicine at Harvard Medical School. He received his undergraduate degree from Loyola University and his Medical Degree from the University of Tennessee College of Medicine. He trained in internal medicine at Beth Israel Deaconess Medical Center. After serving as Chief Medical Resident, Dr. Smith completed a Fellowship in Medical Education and Research through Harvard Medical School and Beth Israel Deaconess Medical Center. He is the Associate Director of the Medical Residency Program at Beth Israel Deaconess Medical Center, the Associate Chief of the Blumgart Medical Firm, and co-director of the Rabkin Fellowship in Medical Education. He has won numerous teaching awards including the Herrman L. Blumgart Faculty Award, the Society of General Internal Medicine National Award for Scholarship in Medical Education, and the S. Robert Stone Award for Excellence in Teaching at Harvard Medical School.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities



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Course Planners
ANDI LONG, EdM
Planner
Andi Long directs the Department of Continuing Education’s Distance Learning group, which offers a variety of online continuing medical education programs to health care professionals around the world. Andi develops strategies for new pilot programs and systematically rolls out new distance learning initiatives and has a leadership role in IT planning and other online processes for HMS DCE. She oversees the day-to-day operations of each distance learning activity and ensures ACCME compliance across all enduring programs. She has had the privilege of working with hundreds of Harvard Medical School Faculty members to develop high-quality, engaging online programs that physicians in more than 170 countries have taken part in. Andi earned her Ed.M. in Technology, Innovation, and Education from Harvard Graduate School of Education and graduated from Bridgewater State College with a degree in English. Her professional interests focus on teaching and learning with new technologies and online course development.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



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Accreditation

NUMBER OF CREDITS: 2 

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Harvard Medical School designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 2 hours to complete.

Within 2 weeks of completing the course, you will receive your certificate via email.

Click the image to view a sample of the certificate


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General Information

HARDWARE/SOFTWARE REQUIREMENTS

Computers
Any computer running Windows, Mac OS, or Unix machines are supported.


Internet Connection
Your computer should be configured to access the Internet. A high speed internet connection may be required to view some of the large multimedia files.

Browsers
Firefox or Internet Explorer 5.5 or higher are recommended. JavaScript and cookies must be enabled.

Plugins
Some of the multimedia resources in this course require Apple Quicktime, RealMedia, or a Flash player. You will be prompted to download the appropriate plugin when necessary. No plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.


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