An Evidence-Based Approach to the Diagnosis and Management of Migraines in Adults in the Primary Care and General Neurology Setting

Monday, December 17, 2018, 12:00 AM - Saturday, December 17, 2022, 12:00 AM, Online Course

Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Department of Neurology at the Stanford University School of Medicine.

This online CME activity provides a practical approach to the diagnosis and management of migraine for primary care providers and general neurologist. We will cover key concepts in the diagnosis and management of migraine through an online interactive video-based course with cases to reinforce your knowledge. Migraine is a type of chronic headache disorder which requires ongoing maintenance to prevent attacks. It is one of the most disabling conditions and a common disorder evaluated by primary care physicians and general neurologists. The diagnosis of migraine and standard of care treatment approaches including pharmacologic and nonpharmacologic strategies will be reviewed. Patient and family counseling as well as educational resources for patients will also be provided upon completion of the course. 

Intended Audience

This course is designed for physicians, physician assistants and nurse practitioners from family practice, primary care, internal medicine, neurology and psychiatry. 

  Release Date: December 17, 2018
  Expiration Date: December 17, 2022
  Estimated Time to Complete:  1.50 hours
  CME Credits Offered: 1.50
  Registration Fee: FREE

AMA PRA Category 1 Credits™ (1.50 hours), Non-Physician Participation Credit (1.50 hours)

1. Develop strategies to accurately diagnose migraine headaches and provide appropriate treatment plans.
2. Distinguish migraine headache from other headache disorders.
3. Recognize the reasons not to use opioids or butalbital containing products for migraine treatment.
4. Utilize non-opiate standard of care medication treatments for migraine.
5. Employ national headache diagnostic and management recommendations.
6. Use evidence-based medicine to treat migraines, specifically, prescribing triptans as first line therapy for severe migraines.

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation

American Medical Association (AMA)
Stanford Medicine designates this Enduring Material for a maximum of 1.50 AMA PRA Category 1 Credits^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Accessibility Statement
 
 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  

Cultural and Linguistic Competency

The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: http://lane.stanford.edu/portals/cultural.html

Bibliography

Acute Treatment of Migraine (Vargas, 2018)  https://journals.lww.com/continuum/Fulltext/2018/08000/Acute_Treatment_of_Migraine.7.aspx

Preventive Therapy of Migraine (Schwedt, 2018) https://journals.lww.com/continuum/Fulltext/2018/08000/Preventive_Therapy_of_Migraine.8.aspx

Migraine Treatment in Pregnancy and Lactation (Calhoun, 2017)  https://link.springer.com/article/10.1007%2Fs11916-017-0646-4

Hormonal Contraceptives and Migraine with Aura - Is there still a risk (Calhoun, 2017)   https://onlinelibrary.wiley.com/doi/abs/10.1111/head.12960

For a complete list, please view the References/Bibliography page in the Course.

• Disclosures

• The following planners, speaker, and author have indicated that that they have no relationships with industry to disclose relative to the content of this activity:

  Addie Peretz, MD
  Clinical Assistant Professor of Neurology and Neurological Sciences
  Stanford University School of Medicine
  Course Co-Director
  Speaker

  Robert Cowan, MD, FANN
  Clinical Professor of Neurology and Neurological Sciences
  Clinical Professor (by courtesy) of Anesthesiology, Perioperative and Pain Medicine 
  Stanford University School of Medicine
  Course Co-Director
  Author

  Rebecca Miller-Kuhlmann, MD
  Clinical Assistant Professor of Neurology and Neurological Sciences
  Stanford University School of Medicine
  Planner
  Author

  Yohannes Woldeamanuel, MD
  Instructor, Neurology and Neurological Sciences
  Stanford University School of Medicine
  Planner

  Nada Hindiyeh, MD
  Clinical Assistant Professor, Neurology and Neurological Sciences
  Stanford University School of Medicine
  Planner

Stanford University School of Medicine has received and has used undesignated program funding from Pfizer, Inc. to facilitate the development of innovative CME activities designed to enhance physician competence and performance and to implement advanced technology. A portion of this funding supports this activity.