Asthma

[2010 revision]

Introduction to this self-study CME activity

Purpose

The management of asthma focuses on controlling inflammation rather than on "rescue" treatment.  Clinicians must determine the severity of disease and an appropriate management strategy, including educating patients to modify their therapy as needed for long-term suppressive therapy.  This self-study activity assists clinicians in accomplishing these management goals.  Drug recommendations and costs assist clinicians in making cost effective decisions when prescribing medications.  [The CME information is not intended for acute management of a specific case.]

New with this update:

  • Reconceptualization of asthma care into levels of initial severity, levels of follow-up control, and stepwise treatment addressing patients age 0–4 years, 5–11 years, and ≥ 12 years.
  • One-page overview of care with more specific guidance for diagnosis of asthma and follow up
  • Tables to guide classification of initial severity and of follow-up control, along with specific treatment steps up and down
  • Updated tables of drugs commonly used for asthma with dose ranges and current costs

Objectives

Participants in this CME activity will understand and be able to implement evidence-based cost-effective clinical strategies for the diagnosis and treatment of asthma in children and adults.

Audience

This self-study activity is appropriate for primary care clinicians and other health care providers who treat adult patients with asthma.

Authors

Team Leaders

  • Sean K Kesterson, MD
    General Medicine

Team Members

  • Manuel Arteta, MD
    Pediatric Pulmonology
  • R Van Harrison, PhD
    Medical Education
  • Alan P Baptist, MD. MPH
    Allergy & Clinical Immunology
  • Cary E Johnson, Pharm.D
    College of Pharmacy
  • James A Freer, MD
    Emergency Medicine
  • Joyce E Kaferle, MD
    Family Medicine
  • Cyril M Grum, MD
    Pulmonary & Critical Care Medicine
  • Jill A Noble, MD
    General Pediatrics

Author Disclosures

Neither the team lead, the team members, nor the consultants have financial relationships with commercial companies whose products are discussed in this CME activity.

Other Acknowledgements

UMHS Guidelines Oversight Team

  • William E. Chavey, MD
  • R. Van Harrison, PhD
  • Connie J. Standiford, MD

Literature Search Services

  • Taubman Medical Library

Production of Internet Format and Website Maintenance

  • Ellen Patrick, MA

CME Accreditation and Credit Designation

The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Michigan Medical School designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This CME activity was released in March 2010, with credit available through February 2016.  The activity was reviewed for currency of content in February 2016 and availability of credit extended through May 2019.  Continuation of credit from that date depends on a thorough review of the content currency and accuracy.  

Method of Participation

  1. View the web pages. You may print the self-study text to read off-line.
  2. Complete the on-line learning assessment test with a score of 70% or higher.  After you initially take the test, the test will be immediately electronically scored. 
    If fewer than 70% of the questions are answered correctly, the questions that were not answered correctly will be noted in red.  Review the CME content related to those topics and retake the test.
    If 70% or more of the questions are answered correctly, the correct and incorrect answers for all questions will be shown along with explanations of the basis for the correct answer.  The link to register and receive credit is shown at the end of the items and explanations. 
  3. Complete the electronic credit request and activity evaluation.  An electronic certificate of participation will be provided immediately.
  4. Print the certificate of participation for your personal records.