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Lecture Hall Wound Care | Science

Biochemical Imbalances in the Nonhealing Wound


Available Credits
CME 1
CPME 1

Vickie Driver
Vickie Driver, DPM, MS, FACFAS
Director of Clinical Research Foot Care
Endovascular and Vascular Services Director
Research Fellowship and International Scholars Program
Boston University School of Medicine and Boston University Medical Center
System Requirements Method of Participation Disclosure Information

Every podiatrist will sometime in their career have a patient with an ulcer that just won't heal. The reason that the chronic wound exists is discussed in this lecture by Dr. Driver. The lecture discusses the balance between cytokines and growth factors in wound healing. She also talks of the role that matrix metalloproteases play in chronic ulcers, and the wound care products such as Promogram and Regranex that can jump start a chronic wound into a healing wound.

Goal and Objective
After participating in this activity, the viewer should be better able to:
1. Describe and differentiate the roles of growth factors and cytokines in the wound bed.
2. Discuss the normal wound repair process.
3. Describe normal and pathophysiologic roles of proteases in the wound bed.
4. Discuss issues of and strategies for addressing biochemical imbalances in the wound environment.

Estimated time to complete this activity is 62 minutes.

Physicians, diabetes educators, and other health care professionals who treat patients with diabetes.
Accreditation and Designation of Credit
MEDICINE: Accreditation Statement: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Mount Sinai School of Medicine and Present eLearning Systems LLC. The Mount Sinai School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation Statement: The Mount Sinai School of Medicine designates this Enduring material activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Release Date: 12/30/2006 Expiration Date: 06/15/2012
Re-Accrediation Date: 01/01/2009 2nd Re-Accreditation Date:06/15/2011
Peer Review: on 12/30/2008
Activity Number: 101012

PODIATRY: The Ohio College of Podiatric Medicine(OCPM) is an approved sponsor of Continuing Podiatric Medical Education through the Council on Podiatric Medical Education (CPME).

The Ohio College of Podiatric Medicine credits this activity for 1 credit hour.

Release Date: 12/30/2006 Expiration Date: 12/30/2012

Peer Review: on 12/30/2006

System Requirements
Biochemical Imbalances in the Nonhealing Wound
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Method of Participation
Biochemical Imbalances in the Nonhealing Wound
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Complete the 4 steps to earn CE/CME credit:
  • Complete and submit the required pre-test
  • View Lecture
  • Complete and submit post-test and program evaluation. Credit will be issued with a passing score of 70% or better.
  • Click Print Certificate.
Disclosure Information
Biochemical Imbalances in the Nonhealing Wound
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It is the policy of PRESENT e-Learning Systems and it's accreditors to insure balance, independence, objectivity and scientific rigor in all its individually sponsored or jointly sponsored educational programs. All faculty participating in any PRESENT e-Learning Systems sponsored programs are expected to disclose to the program audience any real or apparent conflict(s) of interest that may have a direct bearing on the subject matter of the continuing education program. This pertains to relationships with pharmaceutical companies, biomedical device manufacturers, or other corporations whose products or services are related to the subject matter of the presentation topic. The intent of this policy is not to prevent a speaker with a potential conflict of interest from making a presentation. It is merely intended that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts.
Vickie Driver, DPM, MS, FACFAS Vickie R. Driver, DPM, MS has disclosed that she serves on the Speaker�s Bureau for Eli Lilly, 3M and Ethicon.