• Apr 01, 2016

    Module 2 | What is the Role of HPV Testing

    Walter K. Kinney, MD, Herschel W. Laswon, MD, Thomas C. Wright, Jr, MD
    CME 0.25 AMA PRA Category 1 Credit
    Non Member: $0.00

    Activity Summary:

    Studies have shown that certain Human papillomavirus (HPV) types are a requisite for the development of cervical cancer and other cancers of the lower genital tract. The introduction of molecular testing for HPV has facilitated the earlier detection of cervical cancer precursors and identify those women at greatest risk of future disease. Today there are multiple methods of screening for cervical precancer and clear information is needed to sort out which tests offer the greatest opportunity to assure most women that they do not have disease risk, and identify those women early at risk of current and future cervical neoplasia. This CME activity, Module 2, consists of a panel discussion on HPV screening of women 25 – 29 years of age. Panelists will discuss the current screening recommendations for women 25 – 29 years of age, performance of different screening strategies, benefits of using cervical cytology and HPV testing, and effects of HPV vaccination on screening.

     

    Audience:

    This activity is intended for clinicians from a variety of specialties including obstetrics and gynecology, family medicine and, internal medicine, for residents in obstetrics/gynecology and family medicine, for advanced practice clinicians working in family planning and other community clinics, private offices and hospital settings, for pathologists who supervise residents and fellows, and for physicians with administrative responsibility for gynecology patients.

     

    Learning Objectives:

    Upon completion of the course, participants will:

    • Understand the epidemiology of HPV and cervical neoplasia
    • Understand consensus screening and management guidelines and the new guidance for primary HPV screening and how to apply them in a clinical setting
    • Understand methods and rationale for screening women under age 30
    • Understand important differences between the use of specific laboratory developed testing techniques and those that have undergone intense testing and validation and achieved FDA approval and licensing.
    • Understanding the effect of vaccines on cervical cancer screening in the future.

     

    CME Information:

    ACCME Accreditation

    The American Society for Colposcopy and Cervical Pathology (ASCCP) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

    Continuing Medical Education Credits

    The American Society for Colposcopy and Cervical Pathology designates this enduring material for a maximum of .25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Note

    Many professions recognize AMA PRA Category 1 Credits™. To claim AMA CRA Category 1 Credit™ through other professions, please visit the following websites:

     

    Faculty/Disclosures:

    Walter K. Kinney, MD
    Clinical Professor of Obstetrics and Gynecology
    University of California, Davis
    Division Director
    Gynecologic Oncology
    The Permanente Medical Group
    Sacramento, California

    Herschel W. Lawson, MD
    Chief Medical Officer, ASCCP
    Adjunct Associate Professor
    Emory University School of Medicine
    Atlanta, Georgia

    Thomas C. Wright, Jr, MD
    Past President, ASCCP
    Professor Emeritus of Pathology and Cell Biology
    Columbia University Medical Center
    New York, New York

    Moderator:

    Warner K, Huh, MD
    Professor
    Division of Gynecologic Oncology
    Department of Obstetrics and Gynecology
    University of Alabama, Birmingham
    Birmingham, Alabama

    Management of Conflicts of Interest and Contributed Funds:

    As an accredited provider of CME credit, ASCCP is required to comply with the ACCME's Standards for Commercial Support and has implemented a management process to ensure that anyone in a position to affect the content of the educational activity (e.g., faculty, planners, etc.) disclosed all relevant financial relationships with a commercial interest and ensured that those relationships do not influence presentation materials. All faculty have agreed to base their presentations on best available evidence. ASCCP discloses to learners any financial relationship(s) to healthcare-related commercial interests existing within the past 12 months to include the following information:

    1. the name of the individual;
    2. the name of the commercial interest; and,
    3. the nature of the relationship the person has with each commercial interest.

    Slides and slide notes are reviewed for possible bias prior to the activity's release by the Accreditation Committee and peer-reviewers, and potential conflicts of interest are resolved prior to the live presentation. Any discussion of off-label use of products is noted when appropriate, as is discussion of 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. Disclosures of these commitments and/or relationships are published in these lecture materials and provided prior to the start of the activity, so the learners may formulate their own judgments regarding the presentation(s). Under ASCCP policy, anyone declining either to disclose or amend material to eliminate potential bias identified by the Accreditation Committee will be replaced.

    Author, Reviewers, and Planners' Disclosure Information:

    The following are all reported disclosures of interest or potential conflicts from the 12 months preceding this activity.

    • Warner K, Huh, MD, Roche (DSM); Merck & Co, Inc. (AB)
    • Thomas C. Wright, Jr, MD, Roche (C) (SB); GenProbe/Hologics (C) (SB); Cepheid (C); Inovio (C)

    Those reporting no financial relationships or conflict of interest to disclose:

    • Herschel W. Lawson, MD (ASCCP Chief Medical Officer, Accreditation Committee Chair, Planner)
    • Kerry O. Curtis, (ASCCP Executive Director, Planner)
    • Beth C. Huff, MSN, NP (Reviewer)
    • Chanise Reese-Queen (ASCCP Education Director, Planner)
    • Edward J. Mayeaux, Jr, MD, DABFP, FAAFP (Author)
    • Kevin Ault, MD (Reviewer)
    • Walter K. Kinney, MD (Author)

    Notice of Contributed Funds

    This HPV screening webinar was funded in part through an unrestricted education grant received in 2014 from Roche Diagnostics. The planning and implementation of this CME activity was conducted without influence of any commercial interest.

     

    Statement of Independence

    This CME activity was planned and produced in accordance with the ACCME Essentials Areas and Elements and the Updated Criteria. ASCCP also states that all decisions relating to the development and production activities of each lecture were made independent of any commercial interest. The ASCCP strives to develop and present educational activities that are balanced, scientifically rigorous, and that serve to improve patient outcomes. To that end, we welcome your comments about how to better serve your needs. Please forward your recommendations to cme@asccp.org.

     

    Disclaimer

    The ASCCP Webinar Series is an educational resource and as such does not define a standard of care, nor is it intended to dictate an exclusive course of treatment or procedure to be followed. It presents methods and techniques of clinical practice that are acceptable and used by recognized authorities, for consideration by licensed physicians and healthcare providers to incorporate into their practice. Variations of practice, taking into account the needs of the individual patient, resources, and limitation unique to the institution or type of practice, may be appropriate.

    The statements and opinions expressed within this education program are those of the authors and not necessarily those of the American Society for Colposcopy and Cervical Pathology (ASCCP). ASCCP disclaims any responsibility and/or liability for such information.

     

    Reproduction Prohibited

    Reproduction of this material is not permitted without written permission from the copyright owner.