Comanagement of Thyroid Disorders for the Endocrinology Provider
This activity is supported by and educational grant from Horizon Therapeutics USA, Inc.
Overview
Provider Statement
This continuing education activity is provided by 
Support Statement
This activity is supported by an educational grant from Horizon Therapeutics USA, Inc.
Activity Description
Thyroid eye disease (TED) is a multifactorial autoimmune disorder characterized by a spectrum of signs and symptoms. Collaborative efforts among endocrinologists and ophthalmology and optometry providers are necessary to improve patient evaluation as well as clinical and surgical decision-making. Thyroid eye disease is frequently misdiagnosed, due to both its heterogeneous clinical presentation and lack of understanding on the part of clinicians regarding the relationship between TED and hyperthyroidism. Abnormalities in thyroid hormones are pathognomonic to TED. Measurement of these hormones can assist diagnosis, and endocrinologists should be able to aid in early detection of TED to limit disease progression and to ensure that patients are referred to ophthalmologists.
The treatment paradigm of thyroid cancer has shifted in the past decade. Several treatment options are now available for most patients, including those with more aggressive tumors. Endocrinologists need to stay current on the changing treatment landscape as well as the screening approaches that can improve the overall management of patients with thyroid cancer.
The Comanagement of Thyroid Disorders for the Endocrinology Provider monograph will highlight the multidisciplinary and interprofessional approaches that can improve the overall management of patients with thyroid conditions, including thyroid cancer and TED.
Target Audience
The intended audience for the activities is endocrinologists, physician associates, nurse practitioners, and other healthcare professionals involved in the management of patients with thyroid disorders.
Learning Objectives
Upon successful completion of this activity, participants should be better able to:
- Utilize evidence-based methods that can improve the differential diagnosis and staging of TED
- Incorporate referral strategies to improve the overall management of TED.
- Identify therapeutics that have shown to be safe and effective for the treatment of patients with TED.
- Incorporate practices and procedures that can improve the multidisciplinary and interprofessional management of patients with TED.
- Assess the use of risk stratification in differentiated thyroid cancer.
- Utilize therapies that can improve the management of intermediate-risk thyroid cancer.
- Incorporate screening and therapeutic approaches that can improve the overall management of medullary thyroid cancer.
Activity Co-Chairs
Gary J. Lelli, Jr., MD
Vice Chair & Associate Professor of Ophthalmology
Director of Ophthalmic Plastic and Reconstructive Surgery
Co-chair, Quality and Patient Safety in Ophthalmology
Weill Cornell Medicine
Department of Ophthalmology
New York, NY
Terry J. Smith, MD
Frederick G.L. Huetwell Professor
Ophthalmology and Visual Sciences
Professor of Internal Medicine
University of Michigan Medical School
Ann Arbor, MI
Faculty
Laura Boucai, MD, MSc
Associate Member, Memorial Sloan Kettering Cancer Center
Associate Professor of Clinical Medicine
Weill Cornell Medical College
Cornell University
Ithaca, NY
Monte Del Monte, MD, FAAO, FAAP
Active Emeritus Skillman Professor of Pediatric Ophthalmology
Active Emeritus Professor of Pediatrics and Communicable Diseases
Past Director of Pediatric Ophthalmology and Strabismus
WK Kellogg Eye Center
University of Michigan Medical School
Ann Arbor, MI
Marc Dinkin, MD
Associate Professor of Ophthalmology
Director of Neuro-Ophthalmology
Director of Neuro-Ophthalmology Fellowship
Departments of Ophthalmology and Neurology
Weill Cornell Medical Center
New York, NY
Christian Nasr, MD
Chief of Endocrinology
Banner University Medical Group
Clinical Professor
Department of Internal Medicine
Division of Endocrinology
The University of Arizona
College of Medicine – Phoenix
Phoenix, AZ
Steven I. Sherman, MD
Chair and Professor
University of Texas
MD Anderson Cancer Center
Houston, TX
R. Michael Tuttle, MD
Professor of Medicine
Chief, Endocrinology Service
Memorial Sloan Kettering Cancer Center
Weill Cornell School of Medicine
New York, NY
Medical Writer
Valerie Zimmerman, PhD
Planners/Reviewers
Ronald A. Codario, MD, EMBA, FACP, FNLA, RPVI, CHCP
Linda A. Giarraputo, BS, PA-C
Accreditation
In support of improving patient care, Vindico Medical Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credit Designation
Vindico Medical Education designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Vindico Medical Education has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.5 AAPA Category 1 CME credits. Approval is valid until January 30, 2025. PAs should only claim credit commensurate with the extent of their participation.
Nurse practitioners can apply for AMA PRA Category 1 Credit(s)™ through the American Academy of Nurse Practitioners Certification Board (AANPCB). AANPCB will accept AMA PRA Category 1 Credit(s)™ from organizations accredited by ACCME.
This enduring material is approved for 1 year from the date of original release, January 31, 2024, to January 30, 2025.
How to Participate in This Activity and Obtain CE Credit
To participate in this activity, you must read the objectives, answer the polling and pretest questions, view the content, and complete the posttest and evaluation. Provide only one (1) correct answer for each question. A satisfactory score is defined as answering 70% of the posttest questions correctly. Upon receipt of the completed materials, if a satisfactory score on the posttest is achieved, Vindico Medical Education will issue an AMA PRA Category 1 Credit(s)™ Certificate or AAPA Category 1 CME Certificate.
Disclosures
Vindico Medical Education adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a continuing education activity, including faculty, planners, reviewers, or others, are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.
The articles in this monograph were composed by medical writer Valerie Zimmerman, PhD, based on the presentations of Drs. Boucai, Dinkin, Del Monte, Lelli, Nasr, Sherman, Smith, and Tuttle during a live/virtual meeting held on November 17, 2023. The content of this e-monograph has been approved by each of the faculty individually as an accurate representation of their presentations.
Activity Co-Chairs and Faculty report the following relevant financial relationship(s)
Laura Boucai, MD, MSc
No relevant financial relationships to disclose.
Monte Del Monte, MD, FAAO, FAAP
No relevant financial relationships to disclose.
Marc Dinkin, MD
No relevant financial relationships to disclose.
Gary J. Lelli, Jr., MD
Advisor: Horizon
Consultant: Horizon
Christian Nasr, MD
Advisor: Horizon, Siemens Healthineers
Independent Research Contractor: Immunovant
Steven I. Sherman, MD
Consultant: Bayer, Eisai, Lilly, Novartis
Terry J. Smith, MD
Royalties or Patent Beneficiary: (paid to institution): Horizon
Advisor: Horizon, Hunghui, Viridian
Consultant: Horizon, Hunghui, Viridian
Individual Stocks and Stock Options: Viridian
R. Michael Tuttle, MD
Independent Research Contractor (paid to institution): Elesta
Medical Writer reports the following relevant financial relationship(s)
Valerie Zimmerman, PhD
No relevant financial relationships to disclose.
Planners/Reviewers report the following relevant financial relationship(s)
Ronald A. Codario, MD, EMBA, FACP, FNLA, RPVI, CHCP
No relevant financial relationships to disclose.
Linda A. Giarraputo, BS, PA-C
No relevant financial relationships to disclose.
Vindico Medical Education staff report the following relevant financial relationship(s)
No relevant financial relationships to disclose.
Signed disclosures are on file at Vindico Medical Education, Office of Medical Affairs and Compliance.
Unlabeled and Investigational Usage
The audience is advised that this continuing education activity may contain references to unlabeled uses of FDA-approved products or to products not approved by the FDA for use in the United States. The faculty members have been made aware of their obligation to disclose such usage. All activity participants will be informed if any speakers/authors intend to discuss either non–FDA-approved or investigational use of products/devices.
Copyright Statement
Created and published by Vindico Medical Education, 6900 Grove Road, Building 100, Thorofare, NJ 08086-9447. Telephone: 856-994-9400; Fax: 856-384-6680. Printed in the USA. Copyright © 2024 Vindico Medical Education. All rights reserved. No part of this publication may be reproduced without written permission from the publisher. The material presented at or in any Vindico Medical Education continuing education activity does not necessarily reflect the views and opinions of Vindico Medical Education. Neither Vindico Medical Education nor the faculty endorse or recommend any techniques, commercial products, or manufacturers. The faculty/authors may discuss the use of materials and/or products that have not yet been approved by the FDA. All readers and continuing education participants should verify all information before treating patients or utilizing any product.
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