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Nonalcoholic Steatohepatitis (NASH)

Course Description | Faculty | Accreditation | General Information

Course Description

Nonalcoholic Steatohepatitis (NASH) is being increasingly recognized in the clinical setting. The burgeoning epidemic of type 2 diabetes and obesity places many individuals at risk for developing this recently recognized disorder. The term nonalcoholic fatty liver diesease, or NAFLD, encompasses fatty liver, NASH, and cirrhosis. This course highlights the epidemiology, clinical features, and diagnosis of this hepatic disorder. The pros and cons of performing a liver biopsy -- the only difinitive way to make the diagnosis and stage the extent of liver damage -- are discussed. Treatment options and the lack of a truly effective therapy are clearly dileneated.

Original Release: 8/11/2006
Most Recent Update: 1/1/1900
Termination Date: 1/1/1900

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

COST: $40.00
click here for pricing outside the United States of America

OVERALL LEARNING OBJECTIVES:

  1. Define the criteria for NASH.
  2. Discuss the epidemiology of this common hepatic disorder.
  3. Discuss the pros and cons of performing a liver biopsy in the management of patients with suspected NASH.
  4. Understand the relationship of NASH to cryptogenic cirrhosis.
  5. Explore the strategies for the current treatment of NASH, and at the same time realize their limitations.

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Faculty
SANJIV CHOPRA, MD
Course Co-Director
Dr. Sanjiv Chopra is Professor of Medicine and Faculty Dean for Continuing Medical Education at Harvard Medical School. He is Director, Clinical Hepatology at the Beth Israel Deaconess Medical Center, Boston, Massachusetts.

Dr. Chopra has approximately 100 publications. He has four books to his credit: Disorders of the Liver, which has been translated into Japanese and Italian, Pathophysiology of Gastrointestinal Diseases, Gastroenterology: Problems in Primary Care, and Dr. Sanjiv Chopra's Liver Book.

Dr. Chopra is an Editor-in-Chief of UpToDate in Gastroenterology and Hepatology, an outstanding and innovative clinical reference on CD-ROM.

Dr. Chopra was the recipient of the George W. Thorn Award, presented by the Brigham and Women's Hospital Housestaff, Harvard Medical School, in 1985 for his outstanding contribution to clinical education. In 1991 he received the highest accolade from the 1991 graduating class of Harvard Medical School, The Excellence in Teaching Award. The citation read: "Outstanding clinician, devoted teacher and mentor. We thank you for your dedication to excellence in teaching. -Harvard Medical School. Class of 1991."

In 1995 Dr. Chopra was the recipient of the Robert S. Stone Award, a prestigious award given to a faculty member who is an outstanding clinician and teacher and is chosen by colleagues, housestaff and students from the Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

In 1999 Boston Magazine listed Dr. Chopra as one of the finest doctors in his specialty.

In 2003 he was honored by being the recipient of the AGA Distinguished Educator Award.

Dr. Chopra is widely acclaimed as a superb educator. He is a most sought after speaker and has addressed medical audiences throughout the United States and in several countries abroad.

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


BARRY KELLEHER, MD
Course Co-Director
Dr. Kelleher is an Instructor in Medicine at Harvard Medical School and is a Staff Hepatologist at Boston's Beth Israel Deaconess Medical Center.

DISCLOSURE:



SANGIK OH, MD
Course Co-Director
Dr. Oh completed his gastroenterology fellowship at Beth Israel Deaconess Medical Center in Boston. During his gastroenterology fellowship, Dr. Oh earned his Masters degree in Medical Science from Harvard Medical School. He was the recipient of 2002 AASLD/Schering Advanced Hepatology Fellowship Award.

Upon completion of his fellowship, he joined the faculty at Harvard Medical School as an Instructor of Medicine and as a staff physician at Beth Israel Deaconess Medical Center. He also served as the fellowship director of hepatology program at Beth Israel Deaconess Medical Center. In 2005, he joined Tacoma Digestive Disease Center, a private GI group in Washington state.

DISCLOSURE:



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Reviewers
MARK D. ARONSON, MD
Reviewer
Bio and Photo Coming Soon.

DISCLOSURE:



STEWART FACTOR,
Reviewer
Bio and Photo Coming Soon.

DISCLOSURE:



GRACE HUANG, MD
Reviewer
Grace Huang, MD, is the Director of the Office of Educational Technology at the Carl J. Shapiro Institute for Education and Research, a joint venture between HMS and Beth Israel Deaconess Medical Center (BIDMC) in Boston. She also works as a hospitalist at BIDMC. She has spent a number of years designing web-based modules on clinical skills, including computer-based case simulations (“virtual patients”), physical diagnosis tutorials, interactive pathophysiology diagrams, and procedure-based instruction. She serves as a consultant to the Association of American Medical Colleges in their initiative to promote scholarship and sharing of educational materials through MedEdPORTAL. Her clinical research interest is in the impact of a formal hospital-based procedure service on complication rates among internal medicine residents.

DISCLOSURE:
Dr. Huang's spouse works at Pfizer, Inc., and she holds stock options and shares in the same company.


GERALD W. SMETANA, MD
Reviewer
Gerald W. Smetana, M.D. is a member of the Division of General Medicine and Primary Care at Beth Israel Deaconess Medical Center and an Associate Professor of Medicine at Harvard Medical School. He received his medical degree from the University of California, San Francisco and completed his medical residency at Beth Israel Hospital. He is a teacher clinician with an active primary care internal medicine practice who has devoted much of his 20 year career in medicine to teaching medical students, residents, and practicing physicians. Dr. Smetana held the position of Associate Firm Chief at Beth Israel Medical Center for 10 years during which time he received the Herrman Blumgart award for outstanding contribution to the education and professional development of the medical housestaff. He was also the recipient of the 2004 National Award for Scholarship in Medical Education from the Society of General Internal Medicine. He has been selected by his peers as one of the Best Doctors in America in a national survey. Dr. Smetana's academic interests include hypertension, perioperative medical evaluation, and headache. He is the lead author of numerous systematic reviews for the peer reviewed literature and text chapters on these topics. He chairs a committee at the American College of Physicians to develop a position statement on preoperative pulmonary evaluation. He is also chair of a Society of General Internal Medicine committee that is preparing a series of systematic reviews on the outcomes of medical care provided by generalists versus specialists.

DISCLOSURE:



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Accreditation

NUMBER OF CREDITS: 2 

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

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

Upon completion of the course you will get a certificate via e-mail within 2 weeks.

Click the image to view a sample of the certificate


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General Information

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Computers
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