Release Date: Friday, February 13, 2015    Expiration Date: Saturday, February 13, 2016

  Program Overview

Overactive bladder (OAB) is a chronic, debilitating condition that impacts approximately 34 million Americans. Though OAB is a common condition, it is estimated that less than 30% of patients receive treatment, likely attributed to the reluctance of patients to talk to their healthcare providers about the condition. Left untreated, OAB can significantly impact a patient’s quality of life, including physical, psychological, social, domestic, occupational, and sexual aspects. The economic cost of OAB is also staggering, estimated at nearly $66 billion annually in the US.

To improve patient quality of care and satisfaction, clinicians should take a proactive approach to screen patients and provide education regarding OAB. This should include information about normal lower urinary tract function, what is known about OAB, the benefits vs. risks/burdens of the available treatment options, and the importance of adherence to treatment. It is also essential for clinicians to educate their patients on expected outcomes from current therapeutic options and develop realistic patient-centered goals for treatment.

As the science relevant to OAB evolves and improves, and the literature continually expands, PCPs must stay up-to-date on new treatment strategies and therapeutic options. With the implementation of the Affordable Care Act, many who were previously uninsured will now pursue medical assistance to manage long-standing signs and symptoms. Often-times, the first provider-patient contact will be with a PCP, who will be in an ideal position to screen, diagnose and treat patients with OAB.

Target Audience

This educational activity is designed as a comprehensive approach to address the practice needs of primary care providers, including family physicians, physician assistants, nurse practitioners, and allied healthcare professionals, who are at the forefront of caring for adult patients who may be suffering from OAB. This program targets healthcare providers who are involved in the screening and management of patients experiencing symptoms of OAB.

Learning Objectives

Healthcare professionals participating in this educational activity will be able at its conclusion to:

  • Identify patients with OAB through screening and appropriate diagnostic techniques
  • Evaluate current treatment options to individualize therapy based on effectiveness and adverse event profile
  • Implement strategies to regularly assess patient satisfaction with OAB treatment and adjust therapy when necessary to improve effectiveness and adherence

  Educational Format

This webcast on demand is based on the CME Satellite Symposium presented during the AAFP Scientific Assembly and is divided into three episodes. Each episode opens with an interactive patient case scenario that reflects the challenges and decision-making process that occurs regularly in clinical practice when caring for patients with OAB.

Please Note: If you have received credit for attending the live symposium by the same name, you are not eligible to apply for credit for this online version.

Episode 1: OAB Practice Case 1
                   Epidemiology, Screening, and Diagnosis
                   Patrick J. Shenot, MD

Episode 2: OAB Practice Case 2
                   Initiating Treatment
                   Mickey Karram, MD
Episode 3: OAB Practice Case 3
                   When Patients Do Not Reach Treatment Goals:                    What Do You Do?
                   Scott A. MacDiarmid, MD


Mickey Karram, MD
Director of Fellowship Program
Female Pelvic Medicine & Reconstructive Surgery
The Christ Hospital
Professor of OB/GYN & Urology
University of Cincinnati
Cincinnati, OH

Scott A. MacDiarmid, MD, FRCPSC
Alliance Urology Specialists
Bladder Control and Pelvic Pain Center
Greensboro, NC

Patrick J. Shenot, MD
Residency Program Director
Associate Professor of Urology
Deputy Chairman
Department of Urology
Thomas Jefferson University
Philadelphia, PA

Program Reviewer - Katherine Margo, MD
Associate Professor of Family Medicine and Community Health
Director of Student Programs
Department of Family Medicine and Community Health
University of Pennsylvania School of Medicine
Philadelphia, PA




This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Independent Healthcare Education and Vemco MedEd, LLC. Center for Independent Healthcare Education (Center) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Physician Assistants
AAPA accepts AMA PRA Category 1 Credit™ for the PRA from organizations accredited by ACCME.

Nurse Practitioners
Nurse Practitioners will receive certificate of AMA PRA Category 1 Credit™ as this is an ACCME accredited program and its accreditation is recognized by Nurse Practitioner boards.

For questions regarding accreditation, please contact


Method of Participation and Instruction for Credit

  1. Review the entire CME information including target audience, learning objectives, and disclosures.
  2. Review each episode.
  3. Complete the Online Post Test, Evaluation, and Credit Application form
  4. Please note that to receive credit you must achieve a score of at least 70%.
  5. Certificate of Credit will be emailed within 4 weeks of successful completion of the activity.

In accordance with policies set forth by the Accreditation Council for Continuing Medical Education (ACCME), Center for Independent Healthcare Education requires all faculty members and spouses/significant others with an opportunity to affect the content of a continuing education activity to disclose any relevant financial relationships during the past 12 months with commercial interests. A commercial interest is any entity producing, marketing, reselling or distributing health care goods or services consumed by or used on patients. Relationships with commercial interests and conflicts of interest resulting from those relationships must be revealed to the audience and resolved prior to the activity

Relevant relationships include roles such as speaker, author, consultant, independent contractor (including research), employee, investor, advisory committee member, board member, review panelist, and investigator. If a potential speaker or author indicates a possible conflict of interest, the conflict will be resolved by choosing another speaker or author for that topical area, or the slides, handouts, and/or monograph will be reviewed and approved by a qualified commercially-disinterested peer.


Mickey Karram, MD
Scott A. MacDiarmid, MD
Patrick J. Shenot, MD
Katherine Margo, MD
Paul DeLisle
Marco Cicero, PhD
Maja Drenovac, PharmD





Mickey Karram, MD (faculty/planner) has relevant financial relationships with commercial interests:
Advisory Board: Astellas Pharma, Medtronic, AMS, Ethicon
Speaker’s Bureau: Astellas Pharma, Medtronic, AMS, Ethicon
Dr. Karram does not discuss the off-label use of a product.

Scott A. MacDiarmid, MD (faculty/planner) has relevant financial relationships with commercial interests:
Advisory Board: Pfizer, Astellas Pharma, Uroplasty, Allergan and Medtronic
Consultant: Bard, Pfizer, Astellas Pharma, Uroplasty, Allergan and Medtronic
Speaker’s Bureau: Pfizer, Astellas Pharma, Uroplasty, Allergan and Medtronic
Dr. MacDiarmid does not discuss the off-label use of a product.

Patrick Shenot, MD (faculty/planner) has relevant financial relationships with commercial interests:
Grant Recipient/Research Support: Allergan and NovaBay Pharmaceuticals
– grant to Thomas Jefferson University
Dr. Shenot does not discuss the off-label use of a product.

No (other) speakers, authors, planners or content reviewers have any relevant financial relationships to disclose. No (other) speakers or authors will discuss off-label use of a product.

Content review confirmed that the content was developed in a fair, balanced manner free from commercial bias. Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.


There is no fee to participate in this activity.

Hardware/Software Requirements
Microsoft Internet Explorer, Mozilla Firefox, Apple Safari or Google Chrome with the QuickTime Plug-in
Note: Please disable any “pop-up blocker” features.

Adobe® Reader version 7 or above to view PDF files (If you do not have Adobe® Reader, you can download it for free from
Adobe Flash Player version 10 or above to view multimedia content (If you do
not have Adobe Flash Player, you can download it for free from

Connection Speed
Cable, DSL, or better of at least 300 kbps

System Check
Please e-mail any questions or concerns to

Copyright Statement
Copyright © 2015 Vemco MedEd, LLC. All Rights Reserved. Permission for accreditation use granted to Center for Independent Healthcare Education.

Privacy Policy

Joint Providership

This activity is jointly provided by Center for Independent Healthcare Education
and Vemco MedEd.

Commercial Support
This activity is supported by an educational grant from
Astellas Scientific and Medical Affairs, Inc.


By clicking on an Episode below, I acknowledge that I have read the entire CME information.