Learning Center

Module 2: Physical Examination of Hemodialysis Access

LEARNING OBJECTIVES

Upon completion of the educational activity, participants should be able to:

  • Discuss the accuracy and reproducibility of physical examination of the hemodialysis access.
  • Obtain knowledge of the basic principles of physical examination and the characteristics of a normal arteriovenous access.
  • Be able to evaluate and assess the mature fistula by history and physical examination and select the most appropriate access from history and physical examination and the ability to diagnose common hemodialysis problems.
  • Be able to diagnose common post-placement hemodialysis access problems from history and physical examination.

TARGET AUDIENCE The activity has been designed to meet the educational needs of vascular surgeons, interventional radiologists, nephrologists, general surgeons and physicians who perform open and or interventional dialysis access procedures in patients in the US and Internationally.

METHOD OF PARTICIPATION

To obtain credit, a score of 70% or better on the post-test is required. Please proceed with the activity until you have reviewed module materials, successfully answered all post-test questions, completed the evaluation, and have received a digital copy of your CME certificate. You must participate in the entire activity to receive credit. If you have questions about this CME activity, please contact Complete Conference Management at cme@CCMCME.com.

ACCREDITATION STATEMENT

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Complete Conference Management and Online CME, Inc.

 Complete Conference Management is accredited by the ACCME to provide continuing medical education for physicians.

 Physician Assistants

NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME.

CREDIT DESIGNATION

Complete Conference Management designates this enduring activity for a maximum of 3.0 AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

FACULTY

 

Ingemar Davidson, MD, PhD, FACS

Dr. Davidson has no relevant financial relationships reported.

Gerald Beathard, MD, PhD

Dr. Beathard has no relevant financial relationships reported.

Bart Dolmatch, MD, FSIR Dr. Dolmatch is a consultant and advisor to Bard, Humacyte, Bluegrass Vascular Tech, Merit Medical and Histosonics.

Nicholas Inston, MD, PhD

Dr. Inston has been an investigator for TVA and Humacyte and an educational consultant for Merit Medical, Gore and SynerMed. 

Behram Kahn, MD

Dr. Kahn has no relevant financial relationships reported study.

John Ross, MD Dr. Ross is a consultant for Bard Peripheral Vascular, WL Gore and Associates, LeMaitre Vascular Inc. and Boston Scientific.

John Swinnen, MD

Dr. Swinnen has no relevant financial relationships reported study

 

SUPPORTING FACULTY

 

Magdalena Biss-Mierzwińska, MD

Dr. Magdalena Biss-Mierzwińska has no relevant financial relationships reported.

Pierre Bourquelot, MD

Dr. Bourquelot has no relevant financial relationships reported.

Teresa Chuva, MD

Dr. Teresa Chuva has no relevant financial relationships reported.

Maurizio Gallieni, MD

Dr. Gallieni has no relevant financial relationships reported.

Ulf Hedin, MD

Dr. Hedin has no relevant financial relationships reported.

Jackie Pei Ho, MD

Dr Ho has no relevant financial relationships reported.

Jose Ibeas, MD, PhD

Dr. Ibeas has no relevant financial relationships reported.

Aurang Zaib Khawaja MD

Dr Khawaja has no relevant financial relationships reported

Hailei Li, MD, PhD

Dr. Li has no relevant financial relationships reported.

NC Liew, MD

Dr. Liew has no relevant financial relationships reported

Alexandro Mallios, MD

Dr. Mallios is a consultant and advisor to Avenu Medical

Linda Nuth, MD

Dr. Nuth has no relevant financial relationships reported

Kittipan Perkasem, MD

Dr. Perkasem has no relevant financial relationships reported

Ramon Roca Tey, MD, PhD Dr. Roca Tey has no relevant financial relationships reported.

Tobias Steinke, MD

Dr. Steinke is a consultant and advisor to Angiomed Karlsruhe GER, CR Bard Karlsruhe GER, TVA Medical Austin Texas USA.

Martina Tedesco, MS Dr. Tedesco has no relevant financial relationships reported

STAFF / REVIEWERS

Tracey Fernandez, CMP

Ms. Fernandez has no relevant financial relationships reported.

Barbara O’Brien, MSN, BSN, RN   Ms. O’Brien has no relevant financial relationships reported.

 

COMMERCIAL SUPPORT

This activity is supported by unrestricted educational grants from the following companies: Arrow International, Inc./Teleflex, Lutonix Technology Center/Bard, Boston Scientific Corporation, Le Maitre Vascular, Inc., Medtronic and W.L. Gore

CME Credit hours Earned: 3.0 Hour(s)

CME CREDIT HOURS EARNED

3 Hour(s)

FEE $150

 DISCLOSURES

In accordance with the Accreditation Council for Continuing Medical Education (ACCME) Standards for Commercial Support, educational programs sponsored by Complete Conference Management must demonstrate balance, independence, objectivity and scientific rigor. All faculty, authors, editors and planning committee members participating in a CCM-sponsored activity are required to disclose any relevant financial interest or other relationship with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services that are discussed in an educational activity.

Disclosure of Unlabeled Use and Investigational Product

This educational activity may include discussion of uses of agents that are investigational and/or unapproved by the FDA. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

DISCLAIMER

Complete Conference Management makes every effort to develop CME activities that are scientifically based. This activity is designed for educational purposes. Participants have a responsibility to utilize this information to enhance their professional development in an effort to improve patient outcomes. Conclusions drawn by the participants should be derived from careful consideration of all available scientific information. The participant should use his/her clinical judgment, knowledge, experience and diagnostic decision-making before applying any information, whether provided here or by others, for any professional use.

REQUIRED HARDWARE / SOFTWARE

A computer with an internet connection. Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser. Other additional software may be required such as PowerPoint or Adobe Acrobat Reader.

Key:

Complete
Failed
Available
Locked
SECTION 1: INTRODUCTION
SECTION 2: PRE-TEST
15 Questions  |  1 attempt  |  0/15 points to pass
15 Questions  |  1 attempt  |  0/15 points to pass
SECTION 3: PHYSICAL EXAMINATION
SECTION 4: TWO BASIC MANEUVERS
SECTION 5: CHARACTERISTICS OF THE NORMAL FISTULA
SECTION 6: EVALUATION OF THE MATURE AVF
SECTION 7 : PHYSICAL EVALUATION PRIOR TO ACCESS PLACEMENT
Agree to terms to continue.
Agree to terms to continue.
SECTION 8: EVALUATION FOR FISTULA MATURATION
SECTION 9: SYSTEMATIC EVALUATION FOR FISTULA MATURATION
SECTION 10: SUMMARY
SECTION 11: POST-TEST
15 Questions  |  Unlimited attempts  |  10/15 points to pass
15 Questions  |  Unlimited attempts  |  10/15 points to pass
Survey
5 Questions
Medical Certificate
Up to 3.00 medical credits available  |  Certificate available
Up to 3.00 medical credits available  |  Certificate available