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Course Presenter

Anne Marbella, MS

Target Audience

The target audience for this learning activity includes all primary care physicians, nurses, specialists (e.g., gynecologists, endocrinologists, oncologists, cardiologists), pharmacists, nurse practitioners, physician assistants, medical assistants, case managers, and health educators.

Overall Learning Purpose/Goal

The goal of the activity is to provide a resource for health professionals to learn about the safety and efficacy of various therapies for treating symptoms associated with menopause. The video includes a patient-clinician interaction as an example of shared decision making and application of knowledge to clinical practice.

Learning Objectives

At the conclusion of this activity, participants will be able to:

  1. Discuss the comparative effectiveness of different treatments for reducing menopausal symptoms and improving quality of life.
  2. Discuss the effects of menopausal hormone therapy preparations on coronary heart disease, stroke, or venous thromboembolism; gallbladder disease; osteoporotic fractures; or endometrial, breast, colorectal, and ovarian cancer.
  3. Discuss the effects of nonhormone therapy preparations on coronary heart disease, stroke, or venous thromboembolism; gallbladder disease; osteoporotic fractures; and endometrial, breast, colorectal, and ovarian cancer.
  4. Identify factors that affect the applicability of the results of the review.

    For Pharmacists: Provide accurate and appropriate counsel as part of the treatment team.
    For Registered Nurses: Provide appropriate care and counsel for patients and their families.

Credit Available

  • Case Managers — maximum of 1.0 clock hours
  • Nurse Practitioners — maximum of 1.0 contact hours
  • Registered Nurses — maximum of 1.0 contact hours
  • Pharmacists — maximum of 1.0 contact hours
  • Physicians — maximum of 1.0 AMA PRA Category 1 Credit(s)
  •                   & MOC Part II CME — Family Medicine

Faculty & Credentials

Anne Marbella, MS
Scientist, Blue Cross and Blue Shield Association's Center for Clinical Effectiveness,
Evidence-based Practice Center

Anne Marbella is a Scientist at the Center for Clinical Effectiveness, joining the team in 2009. She was with the Medical College of Wisconsin's Department of Family and Community Medicine for many years, first as an Associate in Family Medicine and then as an Epidemiologist. Prior to the Medical College, Ms. Marbella was with the Los Angeles County Department of Health Services as an Epidemiologist and a Data Systems Analyst. In addition, she was a Senior Research Assistant at Baylor College of Medicine and the University of Texas, Houston. She has coauthored numerous publications on a wide variety of health care topics. She has an MS in Epidemiology from the University of Texas, School of Public Health, and an AB in Biology from the University of Chicago.


Physician Continuing Medical Education
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Postgraduate Institute for Medicine and Hayes, Inc. The Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The Postgraduate Institute for Medicine designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MOC Part II CME Activity
Family Medicine
Through the American Board of Medical Specialties ("ABMS") and Association of American Medical Colleges' ("AAMC") joint initiative (ABMS MOC Directory) to create a wide array of Maintenance of Certification ("MOC") Activities, Insert Title has met the MOC requirements as a MOC Part II CME Activity (apply toward general CME requirement) by the following ABMS Member Boards:

Note: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board's general CME requirement (only). Please refer directly to your Member Board's MOC Part II Lifelong Learning and Self-Assessment Program Requirements.

Pharmacist Continuing Education
Postgraduate Institute for Medicine is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Postgraduate Institute for Medicine designates this continuing education activity for 1.0 contact hour(s) (0.1 CEUs) of the Accreditation Council for Pharmacy Education. (Universal Activity Number - 0809-9999-15-256-H01-P) Type of Activity: Knowledge

Nursing Continuing Education
This educational activity for 1.0 contact hours is provided by Postgraduate Institute for Medicine. Designated for 0.0 contact hours of pharmacotherapy credit for Advance Practice Registered Nurses.

Postgraduate Institute for Medicine is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Nurse Practitioner Continuing Education
Hayes, Inc. is approved as a provider of nurse practitioner continuing education by the American Association of Nurse Practitioners: AANP Provider Number 140928. This program has been approved for 1.0 contact hours of continuing education. This program was planned in accordance with AANP CE Standards and Policies and AANP Commercial Support Standards.

Certified Health Education Specialists Continuing Education
Sponsored by Hayes, Inc., a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 1.0 total Category I continuing education contact hours. Maximum entry-level continuing education contact hours available are 1.0.

Case Manager Continuing Education
This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers.

If you have questions about the presentation, please e-mail us at: Educationservices@hayesinc.com.


  • This educational activity has been funded by AHRQ.
  • There has been no outside commercial support for this activity.
  • Presenter(s) and planning committee members have no conflicts of interest, relevant financial relationships, or sponsorships to disclose.

Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

Criteria for successful completion

  • Each participant must complete an evaluation and must successfully pass the posttest with a grade of 75% or higher to obtain the CE credit.
  • For Pharmacists: Upon receipt of the completed activity evaluation form, transcript information will be available at www.mycpemonitor.net within 4 weeks

Required Hardware/Software

AHRQ requires a modern Web browser (Internet Explorer 7+, Mozilla Firefox, Apple Safari, Google Chrome). Certain educational activities may require additional software to view multimedia, presentation, or printable versions of their content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Apple QuickTime, Adobe Acrobat, Microsoft PowerPoint, Windows Media Player, and RealNetworks RealOne Player.