Program Purpose
Welcome to the American Society for Colposcopy and Cervical Pathology's (ASCCP) Online CME Series. This interactive media program was designed by ASCCP to provide timely, evidence-based information to address the most pressing issues in the screening and management of lower genital tract disease facing physicians and other licensed healthcare providers today.

Is this educational activity right for me?
The target audience is all licensed clinicians who interpret the results of cervical cancer screening tests and those who diagnose, observe, and treat preinvasive disease. The ASCCP Online CME Series has been developed for the gynecologist, family physician, gynecologic oncologist, advanced practice clinician (e.g., NP, CNM, and PA-C), pathologist, pediatrician, and resident working with women and adolescents. These online learning activities will also be relevant to those gynecologists, family physicians, and pathologists who supervise residents and fellows, and for physicians with administrative responsibility for patients.

Professional Performance Gaps and Competencies
As part of its overall CME assessment, planning, and evaluation processes, ASCCP undertakes regular reviews of national and international literature and trend data plus its internal learner data to determine the professional performance gaps experienced by its members. We then identify those medical knowledge, performance in practice, and systems-based practice needs that are to be incorporated into our educational activities. The Online CME Series has been developed specifically to address the following provider needs:

1. improve understanding of abnormal cervical cancer screening tests and cervical intraepithelial neoplasia (CIN)/adenocarcinoma in situ (AIS), including colposcopic image recognition and individualization of generalized management guidelines for specific cases;
2. increase understanding as to the epidemiology, natural history, and immune response of HPV;
3. apply management guidelines to women from special populations with different risks and potential harms from treatment;
4. gain an understanding of HPV vaccine benefits, side effects, cost effectiveness, societal impacts, risks and indications for vaccination and to increase one's ability to communicate these issues to patients, their family members, and colleagues; and,
5. improve knowledge of vulvar diseases and gain skills in the visual recognition, diagnostic evaluation, and management of vulvar disorders.

As you progress through the Series, please be sure to review each activity's Summary page for the specific gaps and competencies that activity is designed to improve.

Format
Each lecture features a PowerPoint lecture containing cytologic, colposcopic, and histologic images, as well as scrolling text and audio accompaniments, thumbnails and search functions. Each lecture takes approximately 1 hour to complete, however, participants may proceed through the lectures at their own pace, with the program allowing the user to bookmark a lecture and return at a later time. Each course includes a short pre-course survey, a self-assessment CME post-test composed of multiple choice clinical questions and case study questions, as well as a course evaluation survey. Upon completion of the CME exam and evaluation survey, the participant will then receive 1 continuing medical education credit (Category 1) for each lecture. Participation in the ASCCP Online CME Series and receipt of CME credit is free.

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.

Computer Requirements
Within any ASCCP Online CME Series lecture, you may easily navigate forwards or backwards and the audio and the slides will remain synchronized. ASCCP recommends the following system requirements for the best presentation viewing:

• Microsoft Windows 2000, Windows XP, Windows 2003, or Vista
• Display screen resolution of 800 x 600 pixels (1,024x768 recommended)
• 100MB of available hard-disk space
• Windows-compatible sound card
• Microsoft Internet Explorer Internet Explorer 6.x, or higher, Mozilla Firefox 1.5 or higher (Windows or Mac)
• Flash® Player 8 or 9 for Windows or Mac Flash Player 9 for Linux® or Solaris™ http://get.adobe.com/flashplayer
• Windows Media Player X.0
• Adobe® Adobe Reader 9® for viewing PDF files created with Adobe Presenter
• Broadband Internet connection (256 Kbps & above)

Disclaimer: The ASCCP Online CME 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 educational 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.

Copyright: ASCCP electronic publications and programs are protected by copyright and all rights are reserved. ASCCP publications and programs may not be reproduced in any form or by any means without written permission from the copyright owner. This includes the posting of electronic files on the Internet, transferring electronic files to other persons, distributing printed output, and photocopying. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the ASCCP.

Notice of Contributed Funds/Commercial Support
The HPV Vaccines: 2009 Update course was produced specifically through grants received in 2006-07 from Merck & Company, GlaxoSmithKline, Digene Corporation, and Roche Molecular. All other lectures in this Series were developed and produced free of commercial support.

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. These activities include: identification of CME needs; determination of educational objectives; selection and presentation of content; selection of all persons in a position to control content of the CME; selection of the educational method; and, evaluation of the activity.

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 or questions to kpoole@asccp.org.

To take one of our online CME courses, select CME Course List from the menu on your right.

For a complete catalog of professional and patient materials, please contact:
American Society for Colposcopy and Cervical Pathology (ASCCP)
152 West Washington Street, Hagerstown, MD 21740 800/787-7227 or 301/733-3640

http://www.asccp.org

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