Secondary Logo

Journal Logo

Continuing Medical Education: April 2016

American Journal of Gastroenterology: April 2016 - Volume 111 - Issue 4 - p 458
doi: 10.1038/ajg.2016.88

ACG Clinical Guideline: Management of Patients With Acute Lower Gastrointestinal Bleeding

The American College of Gastroenterology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American College of Gastroenterology designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity enables the participant to earn up to 1 MOC point 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 points.

Back to Top | Article Outline

Target audience

This program is designed for physicians in gastroenterology and hepatology as well as physician assistants, nurse practitioners and other advanced-practice healthcare professionals interested in the latest information on diagnostic GI and state-of-the-art treatment of these illnesses.

Back to Top | Article Outline

Learning objectives

After this activity, the participant will recognize the indications and goals of packed red blood cell and platelet transfusions in patients with lower GI bleeding; demonstrate knowledge about continuing and stopping aspirin, clopidogrel, and NSAIDs in cases with lower GI bleeding; and diagnose diverticular bleeding and manage with ideal endoscopic therapy

After continual participation in the American Journal of Gastroenterology continuing medical education activities, the participant should be able to:

  • Formulate diagnostic and treatment approaches for various liver diseases, including but not limited to hepatitis B, hepatitis C, NAFLD, cirrhosis.
  • Specify a treatment plan for the various gastric and esoph ageal diseases, including but not limited to GERD, Barrett ' s esophagus, eosinophilic esophagitis, gastroparesis, IBS, chronic diarrhea.
  • Apply colorectal cancer screening methods and the most current screening guidelines.
  • Describe nutritional issues related to GI illness and the complications facing these GI patients.
  • Evaluate new and emerging endoscopic methods in the management of GI disease.
  • Implement appropriate treatment strategies for the various GI illnesses facing the pediatric patient.
  • Provide resources and applicable training information to GI fellows.
Back to Top | Article Outline

Authors/disclosure information

Authors of articles selected for AJG CME have disclosed to readers relevant fi nancial relationships with the manufacturer(s) of any of the products or provider(s) of any of the services discussed in their article. Disclosures will appear with the article in the section labeled “Confl ict of Interest.” If the authors of the article have no relationships to disclose, “none” will be listed in this section.

Back to Top | Article Outline

Journal CME Committee/Disclosures

Bret Lashner, MD, FACG, CME Editor: no fi nancial relationships to disclose.

John R. Saltzman, MD, FACG, Chair, ACG Educational Affairs Committee: no fi nancial relationships to disclose.

Steven Carpenter, MD, CME Committee: no fi nancial relationships to disclose.

Joseph Cheatham, MD, CME Committee: no fi nancial relationships to disclose.

Christine Hachem, MD, FACG, CME Committee: no fi nancial relationships to disclose.

Edith Ho, MD, CME Committee: no fi nancial relationships to disclose.

Renuka Umashanker, MD, FACG, CME Committee: Advisory Board: AbbVie, Gilead; Speaker's Bureau: Forrest Laboratories.

Ganesh Veerappan, MD, FACG, CME Committee: no financial relationships to disclose.

Santhi Swaroop Vege, MD, FACG, CME Committee: Consultant: Calcimedia; Royalties: BCH Bombay, UpToDate.

ACG staff involved with this activity have nothing to disclose.

Back to Top | Article Outline

Instructions on participation and receiving credit:

There are no fees for participating in or receiving credit for this educational activity. For information on applicabi lity and acceptance of continuing medical education credit for this activity, please consult your professional licensing board.

This activity is designed to be completed within one hour; physicians should claim only those credits that refl ect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid period. One year from the release date, tests will expire and credit will no longer be off ered.

Follow these steps to earn AMA PRA Category 1 Credit™:

  1. Read the target audience, learning objectives, and author disclosures.
  2. Read the article in print or online format.
  3. Reflect on the article.
  4. Access the CME Exam for the article online ( and choose the best answer to each test question.
  5. All questions must be answered correctly to obtain credit.
  6. Complete the required evaluation component of the online activity and the required fields for the creation of your CME certificate.

If you have any questions or concerns regarding this activity, please contact the ACG at (301) 263–9000 or

© The American College of Gastroenterology 2016. All Rights Reserved.