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 280.0 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.

Statement of Disclosure:
In accordance with the Standards for Commercial Support of the ACCME, which require "the disclosure of the existence of any financial interest or any other relationship between a faculty member or a sponsor and the manufacturer(s) of any commercial product(s) discussed in an educational presentation," each faculty member completed disclosure forms for this project. The disclosure information forms indicated no existence of a relationship with any commercial entity or product discussed in this educational activity.

Activity Dates:
Date of Original Release: February 15, 1999
Most Recent CME Review/Update: April 8, 2005
Edition Release Date: October 6, 2005
Expiration Date: April 8, 2010

Copyright Statement:
Med-Challenger IM. Copyright © 1999 by Challenger Corporation. All rights reserved.


Editor-in-Chief and Clinical Reviewer:
Lisa Scatena, MD
Clinical Instructor
Department of Internal Medicine, Dermatology
University of Colorado Health Sciences Center
Denver, CO

Contributing Authors:

Mark Deutchman, MD, FAAFP Professor, Department of Family Medicine Director, Advanced Training Track Director, Rural Health Track University of Colorado Health Sciences Center Denver, CO Libby Edwards, MD Chief of Dermatology Department of Internal Medicine Carolinas Medical Center Clinical Associate Professor of Dermatology Bowman Gray School of Medicine Winston-Salem, NC Dana Kageyama, MD Assistant Professor, Clinical Medicine The University of Arizona College of Medicine Tucson, AZ Richard Kornfeld, MD Assistant Professor Department of Family Medicine University of Colorado School of Medicine Denver, CO Paul Lyons, MD Assistant Chair Clinical Education Department of Family and Community Medicine Temple University School of Medicine Philadelphia, PA Inyanga L. Mack, MD Assistant Chair Community Medicine Department of Family and Community Medicine Temple University School of Medicine Philadelphia, PA Rick Mandel, MD Associate Professor of Medicine College of Medicine Arizona Health Sciences Center Tucson, AZ Brian Mitchell, MD Clinical Assistant V, Medicine The University of Arizona College of Medicine Tucson, AZ

Kevin Moynahan, MD Assistant Professor, Clinical Medicine The University of Arizona College of Medicine Tucson, AZ David Nowels, MD Assistant Professor Department of Family Medicine University of Colorado School of Medicine Denver, CO Wilson Pace, MD Associate Professor Department of Family Medicine University of Colorado School of Medicine Denver, CO Stephen R. Permut, MD, JD Professor and Chair Assistant Dean of Academic Affiliations Department of Family and Community Medicine Temple University School of Medicine Philadelphia, PA William W. Scott, Jr., MD Associate Professor of Radiology & Orthopedic Surgery Johns Hopkins University School of Medicine Baltimore, MD Deborah Seymour, PsyD Assistant Professor Department of Family Medicine University of Colorado School of Medicine Denver, CO Cedric M. Smith, MD, Professor Dept. of Pharmacology and Toxicology School of Medicine and Biological Sciences State University of New York at Buffalo Buffalo, NY Lawrence B. Stack, MD, FACEP Associate Professor of Emergency Medicine Vanderbilt University Nashville, TN

Target Audience:
Med-Challenger is intended for Internists and other practitioners of Primary Care or clinicians otherwise involved in the diagnosis and treatment of acute, emergent, or chronic 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 will be better equipped to:

• confidently manage the broad spectrum of acute, emergent and chronic 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