Improving Outcomes in Patients With Refractory Idiopathic and Neurogenic Detrusor Overactivity:
Management Strategies
Release Date: August 31, 2015
Last Reviewed:  February 12, 2015
Expiration Date:  August 31, 2016
Time to Complete Activity:  1.0 hour
*This activity expired for credit on August 31, 2016 and is no longer available for credit
This activity is provided by Global Education Group.  Paradigm Medical Communications, LLC is the educational partner.

David A. Ginsberg, MD
Associate Professor of Urology
Department of Urology
University of Southern California
Los Angeles, CA
Chief of Urology
Rancho Los Amigos National Rehabilitation Center
Downey, CA
Lynne Kolton Schneider, PhD (Medical Writer)
Boca Raton, FL
Thomas K. Watanabe, MD
Associate Professor (Adjunct)
Department of Physical Medicine and Rehabilitation
Temple University School of Medicine
Philadelphia, PA
Clinical Director, Drucker Brain Injury Center
Moss Rehab at Elkins Park
Elkins Park, PA
Target Audience
This activity has been designed to address the educational needs of physicians, physician assistants, and nurse practitioners in the field of physical medicine and rehabilitation, including those specializing in medical rehabilitation, musculoskeletal medicine, neuromuscular rehabilitation and central nervous system rehabilitation, urologists, neurologists, primary care physicians, and other interested healthcare practitioners. 
Learning Objectives
Upon proper completion of this activity, participants should be better able to:
  • Identify a systematic approach to the evaluation and diagnosis of OAB and NDO.
  • Discuss individualized management plans for NDO that incorporate evidence on treatment efficacy, benefits, and drawbacks, as well as patient perspectives and potential need for timely referral.
Describe a multidisciplinary team approach to care of patients with NDO that includes communication strategies for incorporating patient perspectives and establishing realistic patient expectations.
Physician Accreditation Statement
Global Education Group is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
This CME/CE activity complies with all requirements of the federal Physician Payment Sunshine Act. If a reportable event is associated with this activity, the accredited provider managing the program will provide the appropriate physician data to the Open Payments database.

Physician Credit Designation Statement
Global Education Group 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.

Physician Assistant Continuing Education
AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1.0 hour of Category 1 credit for completing this program.
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.

For information about the accreditation of this program, please contact Global at (303) 395-1782 or
Disclosure of Commercial Support
This activity is supported by an educational grant from Allergan, Inc.
Instructions for Participation
To receive a CME certificate of participation, participants must:
  • Read the entire publication, including the Continuing Medical Education information.
  • Register or log in at to complete and submit the online posttest and evaluation OR complete the posttest/evaluation form at the end of the article and mail or fax it to Paradigm Medical Communications, LLC, 523 Route 303, Orangeburg, NY 10962; fax (845) 398-5108.
Answer 70% of the posttest questions correctly to earn credit. Online completion of the posttest allows unlimited opportunities to successfully complete the posttest.
Following online completion of the posttest and evaluation, a certificate of participation will be available for download/printing immediately. Participants who submit a posttest/evaluation form via mail or fax will receive an email with a link to their certificate of participation within 1 to 2 weeks following receipt of completed form.

For questions regarding CME credit, contact the Paradigm CME Department at (845) 398-5949.
There is no fee required for participation in this activity.
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Disclosure and Resolution of Conflict of Interest
Global Education Group (Global) and Paradigm Medical Communications, LLC (Paradigm) require instructors, planners, managers, and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity.  All identified conflicts of interest are thoroughly vetted by Global and Paradigm for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations. 
The faculty reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:
Name of Faculty or Presenter
Reported Financial Relationship
David A. Ginsberg, MD
Consultant: Allergan, Inc
Research Support: Allergan, Inc; Medtronic, Inc
Honoraria: Allergan, Inc
Lynne Kolton Schneider, PhD
No financial relationships to disclose
Thomas K. Watanabe, MD
No financial relationships to disclose

The planners and managers reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:
Name of Planner or Manager
Reported Financial Relationship
Ashley Marostica, RN, MSN
No financial relationships to disclose
Amanda Glazer, PhD
No financial relationships to disclose
Kelly Enders
No financial relationships to disclose
Laura Gilsdorf
No financial relationships to disclose
Paradigm Medical Communications, LLC staff members have no financial relationships to disclose.

Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Global and Paradigm do not recommend the use of any agent outside of the labeled indications. 
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of any organization associated with this activity. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
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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. Any views or opinions presented are solely those of the Faculty, and do not necessarily represent those of Global Education Group or 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 Global or Paradigm. Global and Paradigm accept 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 Global and Paradigm to continuously improve the learning experience.
Global and Paradigm do not transfer, sell, or share personal information with outside parties. Global and Paradigm will not otherwise disclose personal information unless required to in a legal process. Global and Paradigm staff members review individual test results to the extent necessary to record and track participants’ credits.
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