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Patient Case: Osteoarthritis (OA) of the Knee


Activity Info

Review and assess the interventions designed to improve the clinical outcomes of patients with chronic osteoarthritis (OA) pain.

CME Information


Activity Title

Patient Case: Osteoarthritis (OA) of the Knee


Pain Management

Accreditation Type

AMA PRA Category 1 Credit(s)™/MOC point(s) in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program

0.25 points ABMS MOC Part II CME Activity:
• Anesthesiology
• Family Medicine
• Physical Medicine and Rehabilitation
• Psychiatry and Neurology
• Radiology

Release Date

March 15, 2020

Expiration Date

March 14, 2021

Estimated Time to Complete Activity

15 minutes


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

  • Identify key facets of pain pathways/pain pathophysiology
  • Summarize guidelines/standards of care for OA
  • Describe pain assessment tools that should be used for ongoing pain assessment
  • Formulate a safe, appropriate, and multimodal treatment plan


Robin Dore, MD
Clinical Professor of Medicine
Divison of Rheumatology
David Geffen School of Medicine, UCLA
Los Angeles, CA

Paul Doghramji, MD, FAAFP
Family Physician
Collegeville Family Practice
Medical Director of Health Services
Ursinus College
Collegeville, PA

Michael I. Danto, MD
Physical Medicine and Rehabilitation
Orthopaedic Specialty Institute
Orange County, CA

Theodore Bruno, MD
Chief Medical Officer
The France Foundation
Old Lyme, CT

Louis Kuritzky, MD
Family Physician
University of Florida
Gainesville, Florida


  1. There are no fees for participating in and receiving credit for this activity.
  2. Review the activity objectives and CME/CE information.
  3. Complete the CME/CE activity.
  4. Complete the online posttest. A score of at least 75% is required to successfully complete this activity. The participant may take the test until successfully passed.
  5. Complete the CME/CE evaluation/attestation form, which provides each participant with the opportunity to comment on how participating in the activity will affect their professional practice; the quality of the instructional process; the perception of enhanced professional effectiveness; the perception of commercial bias; and his/her views on future educational needs.
  6. Credit documentation/reporting:
    • If you are requesting AMA PRA Category 1 Credits™ or a certificate of participation—your CME/CE certificate will be available for download.
    • If you are requesting ABIM MOC points, your MOC points will be submitted electronically to the ACCME, which will register data and notify certifying boards.
    • If you are requesting ABMS MOC points, please alert your board that you completed this activity.



This activity is provided by The France Foundation.

This activity is intended for physicians and allied health clinicians.

There are a vast number of challenges in the proper differentiation, assessment, and management of chronic pain (specifically with osteoarthritis [OA] and low back pain [LBP]), and how key facets of pain pathways/pain pathophysiology can help to inform these assessments. There is a need to increase the knowledge and confidence of physiatrists and PCPs (including internal medicine, NP, and PAs) who manage these patients to know the advances in current and emerging management strategies, including the use of a multimodal approach to therapies. An emphasis for a greater integrated multidisciplinary approach for delivering quality coordinated care within and across settings together, in order to improve pain management and patient care in the community is also needed.

The France Foundation is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The France Foundation designates this enduring activity for a maximum of 0.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


ABIM MOC Recognition Statement: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Through the American Board of Medical Specialties (“ABMS”) ongoing commitment to increase access to practice relevant Maintenance of Certification (“MOC”) Activities through the ABMS Continuing Certification Directory, “Integrative Solutions to Challenges in Chronic Pain Management” has met the requirements as an MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards:

MOC Part II CME Activity
Family Medicine
Physical Medicine and Rehabilitation
Psychiatry and Neurology

In accordance with the ACCME Standards for Commercial Support, The France Foundation (TFF) requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. TFF resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. Furthermore, TFF seeks to verify that all scientific research referred to, reported, or used in a CME/CE activity conforms to the generally accepted standards of experimental design, data collection, and analysis. TFF is committed to providing learners with high-quality CME/CE activities that promote improvements in health care and not those of a commercial interest.

Activity Staff Disclosures
The planners, reviewers, editors, staff, CME committee, or other members at The France Foundation who control content have no relevant financial relationships to disclose.

Faculty Disclosures–Content Creators
The following faculty report that they have relevant financial relationships to disclose:

  • Robin Dore, MD, is a consultant for Amgen, Abbvie, Gilead, Lilly, Radius and Sanofi. She is on a speaker’s bureau for Amgen, Abbvie, Lilly, Pfizer, Radius, UCB, and Sanofi. She has done research for Amgen, Abbvie, Biogen, Gilead, Lilly, and Pfizer.

The following faculty report that they have no relevant financial relationships to disclose:

  • Paul Doghramji, MD, FAAFP
  • Michael I. Danto, MD

Faculty Disclosures–MOC Reviewers
The following faculty report that they have relevant financial relationships to disclose:

  • Theodore Bruno, MD, is a stock shareholder of Allergan. His spouse is an employee of Allergan.
  • Louis Kuritzky, MD, is a consultant for Amgen, Allergan, Boehringer Ingelheim Pharmaceuticals, Inc, Lilly, Lundbeck, NovoNordisk, Sanofi, and Shire. In addition, he is on the speaker’s bureau for Amgen.

TFF requires CME faculty (speakers) to disclose when products or procedures being discussed are off label, unlabeled, experimental, and/or investigational, and any limitations on the information that is presented, such as data that are preliminary, or that represent ongoing research, interim analyses, and/or unsupported opinion. Faculty in this activity may discuss information about pharmaceutical agents that is outside of U.S. Food and Drug Administration approved labeling. This information is intended solely for continuing medical education and is not intended to promote off-label use of these medications. TFF does not recommend the use of any agent outside of the labeled indications. If you have questions, contact the Medical Affairs Department of the manufacturer for the most recent prescribing information.

This program is supported by an independent education grant funded by Pfizer Inc., in partnership with Lilly USA, LLC.

The France Foundation presents this information for educational purposes only. The content is provided solely by faculty who have been selected because of recognized expertise in their field. Participants have the professional responsibility to ensure that products are prescribed and used appropriately on the basis of their own clinical judgment and accepted standards of care. The France Foundation, and the commercial supporter(s) assume no liability for the information herein.

Copyright © 2020 The France Foundation. Any unauthorized use of any materials on the site may violate copyright, trademark, and other laws. You may view, copy, and download information or software ("Materials") found on the Site subject to the following terms, conditions, and exceptions:

  • The materials are to be used solely for personal, noncommercial, informational and educational purposes. The materials are not to be modified. They are to be distributed in the format provided with the source clearly identified. The copyright information or other proprietary notices may not be removed, changed, or altered.
  • Materials may not be published, uploaded, posted, or transmitted (other than as set forth herein) without The France Foundation's prior written permission.


The France Foundation protects the privacy of personal and other information regarding participants and educational collaborators. The France Foundation will not release personally identifiable information to a third party without the individual's consent, except such information as is required for reporting purposes to the ACCME.

The France Foundation maintains physical, electronic, and procedural safeguards that comply with federal regulations to protect against the loss, misuse, or alteration of information that we have collected from you.

Additional information regarding The France Foundation's Privacy Policy can be viewed at

If you have questions about this CME activity, please contact The France Foundation at 860-434-1650 or



Video | Primary Care | MOC | CME (AMA PRA Category 1 Credit) | 0.50 - 30 mins | Immunology | Internal Medicine | Pain Management | Family Medicine | Nurse | Nurse Practitioner | Physical Medicine & Rehabilitation | Pharmacist | 

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