Path of the Patient: Hip Fracture
Release date: June 2010
Expiration date: June 30, 2011
Estimated time to complete activity: 1.25 hours
This educational initiative is co-sponsored by Curatio CME Institute and the National Osteoporosis Foundation.
Support for this activity has been provided through an educational donation from

Activity Overview
This activity follows the case of Selma, a 73-year-old woman who sustained a hip fracture. Alongside Selma, activity participants meet the health care professionals who manage her care. At each step in the case, participants hear perspectives from Selma and her team of clinicians. The activity describes the risks associated with hip fracture in an older patient, presents tools for evaluating and diagnosing osteoporosis, and discusses options for osteoporosis treatment and fracture prevention.
Target Audience
This activity has been designed to meet the educational needs of physicians and other health care professionals in endocrinology, rheumatology, obstetrics/gynecology, and primary care who manage patients who have or are at risk for osteoporosis.
Learning Objectives
Upon completion of this activity, participants should be able to:
- Assess the effect of hip fracture on patient morbidity and mortality
- Design a plan for managing osteoporosis and monitoring bone density in a patient who has sustained a hip fracture
- Evaluate pharmacologic options for the treatment of osteoporosis
- Calculate calcium intake and correct deficiencies in recommended calcium requirements
Faculty Editors
Felicia Cosman, MD
Kenneth G. Saag, MD, MSc
Author
Julie Kennedy
Medical Writer
Curatio CME Institute
Exton, Pennsylvania
Steering Committee
Felicia Cosman, MD—Chair
Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
New York, New York
Medical Director, Clinical Research Center
Helen Hayes Hospital
West Haverstraw, New York
Mary Knudtson, DNSC, NP, FAAN
Executive Director
University of California, Santa Cruz
Santa Cruz, California
Professor of Clinical Nursing
University of California, Irvine
Irvine, California
Jeffrey P. Levine, MD, MPH
Associate Professor
Departments of Family Medicine and Obstetrics, Gynecology & Reproductive Sciences
Director of Women's Health Programs, Department of Family Medicine
Master Educators Guild
UMDNJ–Robert Wood Johnson Medical School
New Brunswick, New Jersey
Michael J. Maricic, MD
Clinical Associate Professor of Medicine
University of Arizona School of Medicine
Co-Director, Clinical Research
Catalina Pointe Rheumatology
Tucson, Arizona
Susan Randall, RN, MSN, FNP-BC
Senior Director, Education
National Osteoporosis Foundation
Washington, DC
Kenneth G. Saag, MD, MSc
Jane Knight Lowe Professor of Medicine
Division of Clinical Immunology and Rheumatology
University of Alabama at Birmingham School of Medicine
Professor of Epidemiology
University of Alabama at Birmingham School of Public Health
Birmingham, Alabama
Accreditation
Physicians
Curatio CME Institute is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Curatio CME Institute designates this educational activity for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Nurse Practioners
This program was planned in accordance with AANP CE Standards and Policies and AANP Commercial Support Standards. This program has been approved for 1.25 contact hours of continuing education by the American Academy of Nurse Practitioners. Program ID 1007226.
Method of Participation
There are no fees for participating in this CME activity. To receive credit during the period June 2010 to June 30, 2011, participants must (1) read the learning objectives and disclosure statements, (2) complete the educational activity, and (3) complete the presurvey, postsurvey, and activity evaluation.
The postsurvey and evaluation can be accessed at the end of the activity. Please e-mail any questions to cmeinfo@curatiocme.com.
Media
The Internet was selected as the instructional format to accommodate the learning preferences of a significant portion of the target audience.
Disclosure
In accordance with the ACCME Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of everyone in a position to control content of an educational activity. A relevant financial relationship is a relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. Relationship information appears below:
Felicia Cosman, MD, has disclosed the following relevant financial relationships:
| Advisory Board | Amgen, Eli Lilly, Merck, Novartis |
| Consultant | Amgen, Eli Lilly, Merck, Novartis, Zosano |
| Speaker | Amgen, Eli Lilly, Merck, Novartis |
Mary Knudtson, DNSC, NP, FAAN, has disclosed the following relevant financial relationships:
| Consultant | Procter & Gamble |
| Speaker | PriCara |
Jeffrey P. Levine, MD, MPH, has disclosed the following relevant financial relationships:
| Advisory Board | Amgen, Eli Lilly, Novartis |
| Consultant | Procter & Gamble |
Michael J. Maricic, MD, has disclosed the following relevant financial relationships:
| Advisor, Grants, Research, Speaker | Amgen, Eli Lilly, Merck, Novartis, Procter & Gamble, Roche |
Kenneth G. Saag, MD, MSc, has disclosed the following relevant financial relationships:
| Consultant | Amgen, Eli Lilly, Merck, Novartis, Procter & Gamble/Sanofi-Aventis, Roche |
| Speaker | Novartis |
National Osteoporosis Foundation
Susan Randall, RN, MSN, FNP-BC, Senior Director, Education, has disclosed no relevant financial relationships.
Audrey Shively, MSHSE, CHES, Manager, Research and Professional Education, has disclosed no relevant financial relationships.
Curatio CME Institute
Shari Dermer, PhD, Director, Scientific Services, has disclosed no relevant financial relationships.
Julie Kennedy, Medical Writer, has disclosed no relevant financial relationships.
Jonathan S. Simmons, ELS, Managing Editor, has disclosed no relevant financial relationships.
Derek Warnick, CME Director, has disclosed no relevant financial relationships.
Disclaimer
The information presented at this activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician regarding diagnosis and treatment of a specific patient's medical condition.
Unapproved Product Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the US Food and Drug Administration. Curatio CME Institute, the National Osteoporosis Foundation, and Amgen do not recommend the use of any agent outside the labeled indications.
The opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of Curatio CME Institute, the National Osteoporosis Foundation, or Amgen. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
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