There is no “best practice” standard for scoring the supraglottic index. For patients with asthma, we envision the scoring method taught here to be the future standard.
Currently, pulmonologists are not taught to evaluate the upper airway during bronchoscopy. Allergists who perform laryngoscopy focus on the nasal passage also may not know how to evaluate the supraglottic area. ENT physicians and other care givers may know how to evaluate the supraglottic area, but perhaps not with regard to refractory asthma.
The Supraglottic Index Learning Program is intended to educate pulmonologists and allergists on anatomy and abnormalities of the supraglottic area to help in phenotyping refractory asthma in order to direct specific personalized therapy for their patients.
- Intended audience: Pulmonologists, allergists, ENT, PA, NP, and other health care professionals who treat patients with asthma (in particular, refractory) and have a possibility of high reflux
- Topic areas: Respiratory and GI
- Medical subject(s): Laryngopharyngeal reflux, microaspiration
Program Developed By:
- Learn upper airway anatomy of the supraglottic area.
- Determine specific abnormalities of the epiglottis, false cords, arytenoids, posterior commissure, and piriform recesses in asthmatic patients.
- Learn a scoring system, the supraglottic index (SGI).
- Determine from the SGI if laryngopharyngeal reflux (LPR) with potential aspiration plays a major role in the asthmatic pathobiology.
- Be able to evaluate if further work-up and directed therapy is needed for LPR.
Instructions for Participation and Receiving Credit
There are no fees for participating in or receiving credit for this online educational activity. You may complete the full activity in a single visit or return to complete it at a later time. This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 70% on the post-test.
Follow these steps to earn CME/CE credit:
- Read the target audience, learning objectives, and author disclosures.
- Study the educational content online (includes review of a SGI scoring overview and 8 videos approximately 5-10 minutes each).
- Download and print the case study worksheet and note responses to the 30 test cases.
- Click on the link made available to you at the end of the activity in order to note your SGI score from your worksheet online. This is the activity post-test. To receive a certificate, you must receive a passing score on the post-test. In addition, you must complete the Activity Evaluation to provide feedback for future programming.
- Once a passing score is achieved and the Activity Evaluation is completed, you will be able to download and print your certificate.