2019 OPGR Evaluation & Post Test: Migraine Headaches

March 7, 2019, Migraine Headaches, Kai Lee, MDESTIMATED TIME TO COMPLETE: 45 Minutes. Activity and content expires: MAR 7, 2022
STATEMENT OF DISCLOSURE: THE PLANNERS AND FACULTY FOR THIS ACTIVITY HAVE NO RELEVANT FINANCIAL RELATIONSHIPS WITH COMMERCIAL INTERESTS. NO OTHERS INDIVIDUALS INVOLVED IN THE PLANNING OR PRESENTATION OF THIS ACTIVITY HAVE ANY RELEVANT FINANCIAL RELATIONSHIPS WITH COMMERCIAL INTERESTS TO DISCLOSE.
ACCREDITATION STATEMENT: JOHN MUIR HEALTH IS ACCREDITED BY THE INSTITUTE FOR MEDICAL QUALITY/CALIFORNIA MEDICAL ASSOCIATION (IMQ/CMA) TO PROVIDE CONTINUING MEDICAL EDUCATION FOR PHYSICIANS.
CREDIT DESIGNATION STATEMENT: JOHN MUIR HEALTH DESIGNATES THIS ENDURING MATERIAL FOR A MAXIMUM OF ONE (0.75) AMA PRA CATEGORY 1 CREDITS™. PHYSICIANS SHOULD CLAIM ONLY THE CREDIT COMMENSURATE WITH THE EXTENT OF THEIR PARTICIPATION IN THE ACTIVITY.
MINIMUM LEVEL OF ACHIEVEMENT: MUST SCORE 75% CORRECT ON POSTTEST.
JMH INTERNET POLICY: HTTPS://WWW.JOHNMUIRHEALTH.COM/WEBSITE-PRIVACY-POLICY1.HTML
CME THAT COUNTS FOR MOC: SUCCESSFUL COMPLETION OF THIS CME ACTIVITY, WHICH INCLUDES PARTICIPATION IN THE EVALUATION COMPONENT, ENABLES THE PARTICIPANT TO EARN UP TO [1] MOC POINTS IN THE AMERICAN BOARD OF PEDIATRICS (ABP) MAINTENANCE OF CERTIFICATION (MOC) PROGRAM.

Please complete and return this evaluation form in order to receive a maximum of 1.0 AMA PRA Category 1 Credit™ for this session

1. Your ABIM Information will be made public on the ACCME's Program and Activity Reporting System (PARS)

2. Physician Info

Physician First Name

Physician Last Name

3. Physician Date of Birth (if expecting ABIM MOC)? This question requires a valid date format of MM/DD/YYYY.

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4. Date of Completion? This question requires a valid date format of MM/DD/YYYY.

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5. As a result of attending this CME activity, which of these do you plan to implement and/or change in your practice? *This question is required.

Space Cell	Definitely	Maybe	No Change
Differentiate between older and newer treatment options for the management of the febrile infant.
Formulate and communicate treatment plans for the management of pediatric patients.
Apply best practice strategies to overcome co-morbidities in complex pediatric patients.
Utilize EBM Guidelines for a multitude of conditions that are encountered in pediatrics
Apply tips and tricks for navigating Epic. (objective used as appropriate)
Utilize Patient Centered Care skill to help patients and their families become better informed and more involved in health care decisions.

6. Please list additional improvements or changes you plan to make as a result of attending this activity *This question is required.

7. Please list any barriers that you must overcome to implement your planned improvements or changes: 

8. Please REFLECT and relate a circumstance when information you received from a previous Clinical Conference has helped you in your practice

9. What topics would you like covered at future sessions?

10. Was their evidence of commercial bias in this session? 

If yes, please explain

11.

A 25 year old female with asthma and migraine headaches 3 times a week currently takes sumatriptan 100mg PRN, which works about 70% of the time, but she uses up her 9 pill monthly supply too early. Which of the below may be the best next treatment step?

12.

A 40 year old male has been experiencing mostly right retro-orbital headaches lasting 4-8 hours each, about once a week, for the last 2 years. They are stabbing and throbbing, accompanied by nausea, are worse with activity, but not associated with any ocular or visual symptoms. These headaches are most consistent with

13.

Which of these is NOT considered an indication for head imaging?

14.

A 52 year old female with a long history of migraine is experiencing 1 migraine per week that is interfering in her work. Excedrin and naproxen no longer work but she has not tried other medications. Which choice below would be the least effective treatment strategy?