Edward Fox, MD, PhD
Clinical Associate Professor
Department of Neurology
University of Texas Dell Medical School
Austin, TX

Director, Multiple Sclerosis Clinic
Central Texas Neurology Consultants
Round Rock, TX

Lori Mayer, DNP, MSN, RN, MSCN
Director, Medical Research, MS Clinic of Central Texas
Central Texas Neurology Consultants
Round Rock, TX

Provided By

This activity is jointly provided by Postgraduate Institute for Medicine and CMEology


Activity Details

0.5 AMA PRA Category 1 Credits
0.5 Contact Hour(s)
Released: September 12, 2017
Expires: September 12, 2018
30 minutes to complete

Statement of Commercial Support

This activity is supported by an educational grant from Genentech, Inc.

Physician Continuing Medical Education

Accreditation Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Postgraduate Institute for Medicine and CMEology. The Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation
The Postgraduate Institute for Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Continuing Nursing Education

Postgraduate Institute for Medicine is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This educational activity for 0.5 contact hours is provided by Postgraduate Institute for Medicine.

Activity Description

In this activity, experts in multiple sclerosis will discuss the management of suboptimal response to therapy in patients with MS, including the use of care coordination and the application of systems-based change and interventions.

Statement of Educational Need

Since the advent of the first treatment for relapsing-remitting multiple sclerosis more than 2 decades ago, considerable changes have altered management approaches. In recent decades, the goals of treatment for MS have generally shifted from reducing the frequency and severity of relapses and delaying progression to preventing new or enhancing lesions on magnetic resonance imaging and reducing brain atrophy. Healthcare providers increasingly rely on coordination of care and systems-based strategies to manage MS in patients who have a suboptimal response to therapy.

Goals (Purpose) of Program

Healthcare providers who complete this activity should be able to coordinate care and work within healthcare systems to effectively manage treatment of patients with MS, particularly those with a suboptimal response to disease-modifying therapies.

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Identify patients for whom treatment goals may need updating or revision
  • Apply current recommendations for target outcomes in MS management to the evaluation of suboptimal response in appropriate patients

Target Audience

This certified activity is designed to address the educational needs of neurologists, neurology advanced practice clinicians, and other healthcare providers who care for patients with multiple sclerosis.

Requirements for Successful Completion

Upon successfully completing the post-test with a score of 75% or better and the activity evaluation, the certificate will be made available immediately.


Internet activity

Conflict of Interest Policy/Disclosure Statement

Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. PIM is committed to providing its learners with high-quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

The faculty have disclosed the following:
Edward Fox, MD, PhD
Consulting Fees:  Acorda Therapeutics, Bayer, Biogen, Inc., EMD Serono, Genentech, Genzyme, Novartis, Teva Pharmaceutical Industries, TG Therapeutics, Inc.; Contracted Research: Acorda Therapeutics, Biogen, Inc., Chugai Pharma USA, Inc., EMD Serono, Genentech, Novartis, Ono Pharma USA, Inc., Teva Pharmaceutical Industries, TG Therapeutics, Inc.

Lori Mayer, DNP, MSN, RN, MSCN
Consulting Fees (e.g. advisory boards):  Biogen, Inc., EMD Serono, Genentech, Novartis, Sanofi Genzyme; Fees for Non-CME/CE Services Received Directly from a Commercial Interest or their Agents (e.g. speakers’ bureaus): Biogen, Inc., EMD Serono, Novartis, Sanofi Genzyme.

The following CMEology planners and managers, Rob Lowney, Dannielle McGuire, and Dana Ravyn, PhD, MPH, hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this CME/CE activity of any amount during the past 12 months.

The following PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, RN, BSN, and Jan Schultz, RN, MSN, CHCP, hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this CME/CE activity of any amount during the past 12 months.

Instructions for Receiving Credit

A brief post-test and course evaluation will follow the completion of the course. Please complete these questionnaires to claim credit for this course.


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications. 

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners.  Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Contact Information for Questions About the Activity

For questions about the accreditation of this activity, please contact Postgraduate Institute for Medicine at: (303) 799-1930 or

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