Phosphorus-PTH-Bone: Achieving Balance and
Avoiding Extraosseous Calcification


ASN Official Evening Symposium
San Diego, CA, November, 2003
Welcome, Introduction, and Program Overview
David Bushinsky, MD. and James McCarthy, MD.

Molecular Mechanisms of Parathyroid Control by Phosphate, Calcium, and Vitamin D
Justin Silver, MD, PhD.

Bone Turnover and Extraosseous Calcifications: Is There A Relationship?
Catherine Shanahan, PhD.

Lanthanum Carbonate: A New Agent For The Challenge of Phosphorus Control
Hartmut Malluche, MD
Questions and Answers
Speakers and Moderator




David Bushinsky, MD
University of Rochester Medical Center
Rochester, New York

James T. McCarthy, MD
Mayo Clinic
Rochester, Minnisota

Hartmut Malluche, MD
Division of Nephrology, Bone and Mineral Metabolism
University of Kentucky Medical Center
Lexington, Kentucky

Catherine Shanahan, PhD
Department of Medicine
University of Cambridge
Cambridge, United Kingdom

Justin Silver, MD, PhD
Hadassah Hebrew University Hospital
Jerusalem, Israel



This group of talks is accredited for up to 2.0 CME Category 1 credits by the American Society of Nephrology. This group of talks has a single post-test, which must be completed along with an evaluation form to obtain Category 1 credit. The links to the post-test appear on the individual talk pages.
Date of Web Release: August 1, 2004
CME Credit Eligible Through: May 1, 2005
CME Category 1 Credits/Completion Time: 2.0
Target Audiences: Nephrology Board and Recertification candidates practicing nephrologists and internists.
Method of participation: Listen to the talk, read the PubMed abstracts linked to data slides and talk references, take the post-test, read the abstracts linked to post-test answer feedback material.

STATEMENT OF NEED :
Chronic kidney disease affects 30-40 million Americans, of whom several thousand require renal replacement therapy. These selected lectures are chosen by the HDCN editor and ASN Postgraduate Medical Director to reflect those areas of practice of greatest interest to the clinician, and areas where recent progress has occurred. The web extension of these ASN lectures will allow nephrologists and other physicians who were unable to attend the live sessions to gain similar benefit from these presentations.
ACCREDITATION STATEMENT:
Accreditation Statement
The American Society of Nephrology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American Society of Nephrology designates this educational activity for category 1 credit toward the AMA Physician's Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the activity.

The American Medical Association has determined that non-US licensed physicians who participate in this CME activity are eligible for AMA PRA category 1 credit.
SPONSORSHIP / SUPPORT :
This official evening symposium was sponsored by an restricted educational grant from Shire US, Inc.
FACULTY DISCLOSURE STATEMENTS :
American Society of Nephrology as well as HDCN have conflict of interest policies that requires course faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentations/materials. It is not assumed that these financial interests or affiliations will have an adverse impact on faculty presentations; they are simply noted here to fully inform participants. Speaker disclosures are posted on each individual talk page.
DISCLOSURE OF UNLABELED USE:
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by FDA. The American Society of Nephrology and HDCN do not recommend the use of any agent outside of the labeled indications. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications and warnings. Speaker disclosure about individual talks is posted on each individual talk page.

DISCLAIMER:
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 or suggested in this activity should not be used by clinicians without evaluation of their patient's conditions and possible contraindications on dangers in use, review of any applicable manufacturer's product information, and comparison with recommendations of other authorities.

USER INSTRUCTIONS:
To complete this educational activity, the user will need Windows or Macintosh operating software, a connection to the internet with a 28.8 kbps MODEM or better. The computer should have an audio card with speakers. An audio player, either the Windows Media Player from Microsoft or the Real Player from Real Media (www.real.com) is required and either can be downloaded for free per instructions on the individual lecture pages. Acrobat Reader is required to print the CME certificate, and this can be download free from www.adobe.com.

For any questions concerning this specific activity please send an email to or email@asn-online.org, or call HDCN at 630-325-3276.

For any general questions concerning ASN CME, please contact the American Society of Nephrology.