Accreditation Statement
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the University of Colorado School of Medicine and Challenger Corporation.

The University of Colorado School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Certification Statement
The University of Colorado School of Medicine designates this educational activity for a maximum of 350.0 Category 1 credits toward the AMA Physician's Recognition Award. Each physician should claim only those credits he/she actually spent in the activity.

Disclosure Policy
It is the intent of University of Colorado School of Medicine to assure that its educational mission, and continuing medical education activities in particular, should not be influenced by the special interests of individuals associated with its programs. Having an interest in or an affiliation with any corporate organization does not necessarily influence a faculty's presentation, but the relationship must be made known to the program audience in accordance with the Standards of the Accreditation Council for Continuing Medical Education.

Disclosure of Proprietary Interests
According to CME guidelines, authors must disclose all associations with proprietary entities that may have a direct relationship to their subject of discussion. All authors of this program have signed disclosure forms indicating any associations with proprietary entities related to their subjects of discussion.

Activity Dates
Date of Original Release: December 1, 2003
Most Recent Review/Update: February 15, 2005
Edition Release Date: March, 2005
Expiration Date: December 1, 2008

This course will be reviewed within three years of the release date.

Copyright Statement
Challenger ConCert/Rosen's® Copyright 2003 Challenger Corporation. All rights reserved.

© Copyright 2002 Elsevier Science, Inc. All Rights Reserved. Rosen's Emergency Medicine is a copyrighted work owned by Elsevier, Inc., hereinafter referred to as "Elsevier." Reproduction or distribution of the Work or such accompanying materials except as set forth herein without the express written consent of Elsevier is prohibited. Marx J, Hockberger R, Walls R, et al. eds. Rosen's Emergency Medicine: Concepts and Clinical Practice, 5th ed., St. Louis, Mo; Mosby. User is granted a non-exclusive, non-transferable license to use the Work as a reference or informational tool for User's use only. User shall not reproduce, sell, license, subscribe, lease or distribute the Work, nor shall User permit any other person or entity to use, reproduce, sell, license, subscribe, lease or distribute the Work.

Editor-In-Chief:
Kevin Coonan, MD
NLM Fellow and Adjunct Assistant Professor
Division of Emergency Medicine -and-
Department of Medical Informatics
University of Utah School of Medicine
Salt Lake City, UT

Contributing Editor:
Lawrence B. Stack, MD, FACEP
Associate Professor of Emergency Medicine
Vanderbilt University
Nashville, TN

Target Audience
Med-Challenger is intended for practitioners of Primary Care or Emergency Medicine or clinicians otherwise involved in the diagnosis and treatment of acute or emergent medical problems.

Educational Objectives
The objective of the Med-Challenger continuing medical education program is to provide an interactive review of the knowledge base of acute care and emergency medicine. After completing this course, the participating clinician should be better equipped to:

• Confidently manage the broad spectrum of acute and emergent medical problems encountered in the practice of primary care and emergency medicine.
  
  
• Formulate appropriate differential diagnoses for patients presenting with acute medical problems of uncertain etiology.
  
  
• Efficiently initiate therapeutic and diagnostic procedures for patients presenting with acute medical disorders.
  
  
• Cope effectively with the uncertainty that is inherent in the initial treatment of acute and emergent disorders, effectively stabilizing critical patients while refining the differential diagnosis.
  
  
• Handle efficiently the spectrum of common disorders involving all organ systems. In particular, the physician will be better equipped to resuscitate seriously ill patients and to diagnose and treat acute: cardiovascular disorders; diseases of the eye, ear, nose, throat, skin and soft tissues; endocrinologic disorders; traumatic and environmental injuries; gastrointestinal diseases; gynecologic and obstetric disorders; hematologic and oncologic problems; immunologic, allergic and rheumatologic diseases; infectious diseases; life-threatening signs and symptoms; musculoskeletal disorders; pulmonary diseases; and intoxications and poisonings.
  
  
• Demonstrate mastery of the knowledge and cognitive skills required to achieve objectives 1-5 by scoring at least 80% on all topics studied for CME credit.