Release Date: January 31, 2022
Expiration Date: January 31, 2023
Time to Complete Activity: 1.5 hours
*This activity expired for credit on January 31, 2023 and is no longer available for credit

Steering Committee 
William P. Adams Jr, MD
Associate Professor of Plastic Surgery 
Program Director Aesthetic Fellowship UTSW
UT Southwestern Medical Center
Dallas, TX
President
The Aesthetic Society
Past President
Aesthetic Surgery Education and Research Foundation (ASERF)

Caroline A. Glicksman, MD, MSJ
Clinical Assistant Professor
Hackensack Meridian School of Medicine 
Nutley, NJ
Glicksman Plastic Surgery
Sea Girt, NJ
Co-Chair ASERF Scientific Research Committee
Secretary
ASERF Board of Directors 

Patricia A. McGuire, MD, FACS
Clinical Instructor of Surgery 
Washington University School of Medicine 
Private Practice Plastic Surgery
St. Louis, MO
ASERF Board of Directors

Patient Advocate 
Jamie Jolly, PharmD
Charlotte, NC

Dani Woolhouse
Australia 

Target Audience 
This activity has been designed to address the educational needs of plastic surgeons and other healthcare practitioners who are involved in the management of patients presenting with claims of systemic symptoms of breast implant illness (BII).

This activity is provided by Paradigm Medical Communications, LLC.  
In collaboration with The Aesthetic Society. 

Supporter Acknowledgment 
This activity is supported by an educational grant from AbbVie Inc. 

Program Overview
BII is a recent clinical phenomenon characterized by a wide range of chronic, nonspecific, systemic symptoms whose etiology is attributed to a patient’s breast implants. While potential links between systemic disease and breast implants have been investigated for more than 4 decades, the pathogenesis of this constellation of symptoms and diagnostic criteria remains unclear. Women, especially those who are dissatisfied with physician interactions, are increasingly choosing to have their implants removed in an attempt to manage these symptoms, in part due to unverified information they have found on social media and other sources that are nonclinical or lack scientific verification. To properly address the needs of these patients, plastic surgeons need to be able to identify potential symptoms of BII; assess whether any or all of a patient’s symptoms are related to her implants; make educated decisions regarding workup, diagnosis, and management; and communicate with patients effectively and empathetically to support a collaborative, informed decision-making process. 

Learning Objectives
Upon completion of this activity, participants should be able to:

• Recognize the wide scope of systemic symptoms that may be associated with the collective illness of BII that patients with implants may report
• Describe strategies for appropriate diagnostic workup and treatment to address needs of patients who present with systemic symptoms of BII based on the latest clinical and scientific data
• Devise an effective and compassionate communication plan to educate patients who have suspected BII to ensure collaborative decision-making regarding treatment decisions

Physician Accreditation Statement
Paradigm Medical Communications, LLC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Physician Credit Designation Statement
Paradigm Medical Communications, LLC designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

PA Continuing Education
PAs may claim a maximum of 1.5 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.

Nurse Practitioner Continuing Education
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME. Individuals are responsible for checking with the AANPCP for further guidelines.

Hardware/Software Requirements
This accredited CME activity is designed using HTML5 web components. As you navigate the video using the supplied controls, the slides will sync to the speaker.

Supported Browsers (Desktop/Mobile)
Chrome 45+, Firefox 40+, Edge, Edge Chromium, Opera 31+

PDF documents
This activity may contain PDF documents. Most current browsers support viewing of PDFs natively, but you may also download a free version of Adobe Acrobat Reader here: http://get.adobe.com/reader

Technical Support: If you have any technical problems or playback issues, email us at contactus@paradigmmc.com.

Instructions for Participation 
To receive a certificate of participation, participants must:

• Follow instructions to register or log in with your professional information and complete the pre-activity assessment
• View the online activity in its entirety
• Complete and submit the online posttest and evaluation. You must answer 70% of the posttest questions correctly to earn credit. You will have unlimited opportunities to successfully complete the posttest

A certificate of participation will be available for download/printing immediately following your successful completion of the posttest and evaluation.

For questions regarding CME credit, contact the Paradigm CME Department at (845) 398-5949 or cme@paradigmmc.com.

There is no fee required for participation in this activity.

Disclosure of Relevant Financial Relationships
In accordance with the Accreditation Council for Continuing Medical Education’s (ACCME) Standards for Integrity and Independence in Accredited Continuing Education, Paradigm requires that all planners, faculty, and others who are in a position to control the content of this activity disclose all financial relationships with ineligible companies during the past 24 months.

All relevant relationships are identified and mitigated according to Paradigm policy prior to individuals assuming their roles, and are disclosed prior to learners’ engagement in the activity. Paradigm is committed to providing learners with high-quality accredited continuing education that promotes improvements or quality in healthcare and not a specific proprietary business interest of an ineligible company. 

The content of this activity was independently reviewed to ensure that it is fair and balanced, scientifically rigorous, evidence based, and aligned with the public interest. All relevant relationships have been mitigated. 

Patricia A. McGuire, MD, FACS
Consultant: Establishment Labs

William P. Adams Jr, MD
Stocks: Tepha Inc (expired 7/21)

Caroline A. Glicksman, MD, MSJ
Other: Establishment Labs (Clinical Trial)

Jamie Jolly, PharmD
Has no relevant financial relationships with ineligible companies to disclose.

Dani Woolhouse
Has no relevant financial relationships with ineligible companies to disclose.

Paradigm Medical Communications, LLC staff members have no relevant financial relationships with ineligible companies to disclose.

Independent peer reviewer has no relevant financial relationships with ineligible companies to disclose.

Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not approved by the FDA.

Disclaimer
This CME activity represents the views and opinions of the individual faculty, and does not constitute the opinion or endorsement of, or promotion by, Paradigm Medical Communications, LLC or The Aesthetic Society. Reasonable efforts have been taken to present educational subject matter in a balanced, unbiased fashion, and in compliance with regulatory requirements. However, each activity participant must always use his or her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses.

If included, signed statements of informed consent granting permission for publication have been obtained for all photographs and videos in which an individual can be identified.

As an ACCME-accredited provider, Paradigm Medical Communications, LLC must ensure that its activities include a balanced view of therapeutic options. Use of generic names contributes to this impartiality. The use of trade names should not be viewed as an endorsement of specific products by Paradigm Medical Communications, LLC. 

Terms of Use and Privacy Policy
Disclaimer
The materials provided for this activity are for informational purposes only and should not be used for diagnosis or treatment of a health problem without consulting a licensed medical professional. This CME activity represents the views and opinions of the individual faculty, and does not constitute the opinion or endorsement of, or promotion by, Paradigm Medical Communications, LLC. References to any entity, product, service, or source of information on this website should not be considered an endorsement, either direct or implied, by Paradigm Medical Communications, LLC. Paradigm Medical Communications, LLC accepts no liability for the content referenced in this activity.

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Security/safeguarding personal information
This website has physical and procedural safeguards in place to prevent unauthorized access to personal information used to access this website.

Collection and use of your personal information
The submission of certain personally identifiable information is necessary to award and track the credits participants may earn after completing the program. Required items include first name, last name, degree, and email address. These items are necessary. Participants are also required to complete an evaluation of the CME activity. All evaluative information submitted is collected and retained, and used by Paradigm Medical Communications, LLC to continuously improve the learning experience.

Paradigm Medical Communications, LLC does not transfer, sell, or share personal information with outside parties. Paradigm Medical Communications, LLC will not otherwise disclose personal information unless required to in a legal process. Paradigm Medical Communications, LLC staff members review individual test results to the extent necessary to record and track participants’ credits.

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If you have any questions or comments, please email us at contactus@paradigmmc.com. 

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