I. Overview

This program will educate caregivers on anatomy and abnormalities of the supraglottic area to help in phenotyping refractory asthma in order to direct specific personalized therapy for their patients.


II. Faculty

Richard Martin, MD
Chairman, Department of Medicine
National Jewish Health

James Good, MD
Professor, Department of Medicine
National Jewish Health

III. Target Audience

This activity was developed for pulmonologists, allergists, ENTs, PAs, NPs and other healthcare professionals who treat patients with asthma (in particular, refractory) and have a possibility of high reflux.


IV. Learning Objectives

At the conclusion of this activity, participants should be able to:

a. Recall upper airway anatomy of the supraglottic area
b. Determine specific abnormalities of the epiglottis, false cords, arytenoids, posterior commissure, and piriform recesses in asthmatic patients
c. Use a scoring system, the supraglottic index (SGI)
d. Determine from the SGI if laryngopharyngeal reflux (LPR) with potential aspiration plays a major role in the asthmatic pathobiology
e. Evaluate if further work-up and directed therapy is needed for LPR


V. Date of Release and Termination

CME Released: September XX, 2013
Valid for Credit Through: September XX, 2014

VI. Accreditation and Designation Statements

National Jewish Health is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. National Jewish Health designates this enduring material for a maximum of X.X AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.


VII. Estimated Time to Complete Activity

Estimated time to complete the activity: X.X hours

VIII. Instructions for Participation and Credit

There are no fees for participating in or receiving credit for this online educational activity. 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:

a. Read the target audience, learning objectives, and author disclosures.
b. Study the educational content online.
c. Download and print the case study worksheet and note responses
d. Online, note the responses from your worksheet and select “enter”. To receive a certificate, you must receive a passing score. In addition, you must complete the Activity Evaluation to provide feedback for future programming.
e. Once a passing score is achieved and the Activity Evaluation is completed, you may click “print my certificate”.


IX. Disclosure of Conflicts of Interest

In accordance with the Accreditation Council for Continuing Medical Education, National Jewish Health requires that all program faculty, content developers, CME approval committee, and medical writers in a position to control the content of this activity are expected to disclose any or not significant financial interest or other relationship with any proprietary entity producing health care goods or services, with the exemption of non-profit or governmental organizations and non-health care related companies. Our goal is to ensure that there is no compromise of the ethical relationship that exists between those in a position to control the content of the activity and those participating in the activity and their respective professional duties.

Significant financial interest is defined as receiving, or in the past twelve months having received, a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received or expected.

All CME Educational Activities sponsored by National Jewish Health are reviewed by our faculty CME committee to ensure a balanced and evidence-based presentation. Any potential conflict of interest among program faculty has been identified and resolved according to ACCME guidelines.

Richard Martin, MD discloses he is a consultant for Teva, Merck, AstraZeneca, Amgen, MedImmune, Sunovion, Novartis, and Genentech. He is a speaker for Teva, Merck, Sunovion, Novartis, Genentech and ACAAI. He is an investigator for MedImmune, and has received royalties from UpToDate and Informa.

James Good, MD discloses he is an investigator for MedImmune, and is a speaker for Genentech and Merck.

Reviewer, MD discloses…

X. Hardware/Software Requirements

To access activities, users will need:

a. A computer with an Internet connection.
b. Internet Explorer 7 or higher, Firefox 4 or higher, Safari 2 or higher, or any other W3C standards compliant browser.
c. Adobe Flash Player and/or an HTML5 capable browser for video playback.
d. Adobe Acrobat Reader.

XI. Contact Information

For questions regarding this activity, please contact the Office of Professional Education at National Jewish Health: 303.398.1000 or