BREATHE COPD: Best Practices for REcognition, Treatment, and Adherence THat Are Individualized and Evidence-Based

Release Date: August 13, 2021
Last Reviewed: August 5, 2021
Expiration Date: August 13, 2022
Time to Complete Activity: 1.0 hour

*This activity expired for credit on August 13, 2022 and is no longer available for credit

Brian W. Carlin, MD

Sleep Medicine and Lung Health Consultants
Pittsburgh, PA

Barbara P. Yawn, MD, MSc, FAAFP
Adjunct Professor
Department of Family and Community Health 
University of Minnesota
Minneapolis, MN 

This activity is jointly provided by Paradigm Medical Communications, LLC and Educational Review Systems, Inc. 

In collaboration with The COPD Foundation

Disclosure of Financial Support
This program is supported by an independent medical education grant from Mylan Specialty LP, a Viatris Company, and Theravance Biopharma, Inc.

Target Audience
This activity has been designed to address the educational needs of primary care providers, hospitalists, internists, gerontologists, pulmonologists, clinical pharmacists, nurse practitioners, PAs, respiratory therapists, residents, and fellows engaged or interested in the care of patients with chronic obstructive pulmonary disease (COPD). It may also benefit other healthcare professionals involved in the care of patients with COPD.

Statement of Need
This educational activity will familiarize clinicians with best practices for diagnosing COPD and strategies to determine appropriate maintenance medication and device selection based on the unique characteristics, uses, and challenges associated with the variety of inhalers and nebulizers that are available. This education will be instrumental in helping clinicians select both a medication plan and device that suits their patients’ individual needs, abilities, and preferences to ensure adherence and reduce the rate of negative outcomes such as exacerbations, hospitalizations, and mortality.  

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

  • Diagnose patients with COPD in accordance with guideline recommendations and with vigilance for comorbidities that may contribute to symptom burden 
  • Formulate evidence-based treatment plans for patients with COPD based on symptom severity and exacerbation history 
  • Individualize selection of COPD medication device based on individual characteristics, including technique needed for proper actuation and use

Physician Accreditation Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Paradigm Medical Communications, LLC and Educational Review Systems, Inc. Paradigm Medical Communications, LLC is accredited by the ACCME to provide continuing medical education for physicians.

Physician Credit Designation Statement
Paradigm Medical Communications, LLC designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Pharmacist Accreditation and Designation Statement
Educational Review Systems is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. Participants of the session who complete the evaluation and provide accurate NABP e-Profile information will have their credit for 1 contact hour (0.1 CEU) submitted to CPE Monitor as early as 14 days after completion and no later than 60 days after completion. Please know that if accurate e-Profile information is not provided within 60 days of the event, credit cannot be claimed after that time. The participant is accountable for verifying the accurate posting of CE credit to their CPE Monitor account within 60 days.

UAN  # 0761-9999-21-280-H01-P

This is a knowledge-based activity.

Continuing Respiratory Care Education (CRCE) Credit
This Non-traditional program has been approved for 1.00 contact hour(s) Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425 N. MacArthur Blvd. Suite 100 Irving TX 75063. Course # 185911000.

PA Continuing Education
PAs may claim a maximum of 1.0 Category 1 credit 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.

Instructions for Participation 
To receive a CME certificate of participation, you should:

  • Follow instructions to register or log in with your professional information and complete the preactivity 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

There is no fee required for participation in this activity.

Hardware/Software Requirements
This certified 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, Safari 8+, 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:

Technical Support: If you have any technical problems or playback issues, email us at

In accordance with ACCME requirements on disclosure, faculty and contributors are asked to disclose any financial relationships occurring over the past 12 months with ineligible companies whose products or services are associated with the area of medicine featured in the activity. These relationships are described below. Any potential conflicts of interest have been mitigated.

Brian W. Carlin, MD
Consulting Fees: Aerogen Pharma
Speakers Bureau: Mylan N.V.; Sunovion Pharmaceuticals, Inc; Theravance Biopharma

Barbara P. Yawn, MD, MSc, FAAFP
Consulting Fees: AstraZeneca; Boehringer Ingelheim Pharmaceuticals, Inc; GlaxoSmithKline; Teva Pharmaceutical Industries Ltd

Paradigm Medical Communications, LLC staff members have no financial relationships to disclose.

Educational Review Systems, Inc staff members have no financial relationships to disclose.

The COPD Foundation staff members have the following financial relationships to disclose:

David Mannino, MD
Consultant: AstraZeneca; GlaxoSmithKline
Stocks: GlaxoSmithKline

Kristen Szymonik has no financial relationships to disclose.

Independent peer reviewer has no financial relationships to disclose.

Resolution of Conflict of Interest
Paradigm Medical Communications, LLC has implemented a system to resolve conflicts of interest for each CME activity to help ensure content is objective, fair and balanced, independent, and aligned with the public interest. Conflicts, if any, are mitigated through one or more processes. All CME content in this activity was independently reviewed to ensure that it is free of commercial bias, scientifically rigorous, aligned with the public interest, and compliant with all regulatory guidance and the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education

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.

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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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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.

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