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Course Overview

  • The ALS Respiratory Care Course for Clinicians is an enduring, accredited, online course covering physician-
        directed respiratory care for people with amyotrophic lateral sclerosis (ALS) and related disorders. Nineteen 20-30
        minute lectures are included.
  • The course is jointly sponsored by the Leandro P Rizzuto Foundation and the Jay and Randy Fishman Program of the University of Pennsylvania.
  • Dedication
  • This course is dedicated to the memory of faculty contributor, J. Randall Curtis. Dr. Curtis died of ALS on February 6,
    2023 after an illustrious career devoted to advancing the palliative care of people with respiratory disease
  • Objectives
  • After completing this course, participants should be able to:
  • Availability
  • The course is continuously available online through December 2026.
  • Cost
  • Free to all registrants
  • Target Audience
  • The course is targeted at clinicians practicing in the United States
        but is open to all clinicians everywhere, especially:
  • Content
  • 19 lectures by authoritative clinicians.
  • Accreditation
  • 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 the University
         of Michigan and the University of Pennsylvania, The University of Michigan Medical School is accredited by the ACCME
         to provide continuing medical education for physicians.
  • The University of Michigan Medical School designates this enduring material for a maximum of 10 AMA PRA Category 1
        Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • Successful completion of this CME activity, which includes participation in the evaluation component, enables the
        participant to earn up to 10 points in the American Board of Internal Medicine's(ABIM) Maintenance of Certification
        (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ABIM
        for the purpose of granting MOC credit.
  • This program has been approved for a maximum of 7.25 contact hour(s) of continuing Respiratory Care Education
        (CRCE) credit by the American Association for Respiratory Care.
  • This activity is also recognized by the American Osteopathic Association for AOA Category credits, the Michigan
        Board of Nursing for CE credits, the American Academy of Physician Assistants, and the American Association of
        Nurse Practitioners.
  • Credits
  • Eligible registrants earn CME and MOC credits after viewing each lecture and passing an accompanying 2-question
        test. Registrants who earn credit for 16 or more lectures are eligible to receive a course completion certificate issued by
        the University of Michigan Office of Continuing Medical Education.
  • Disclosures
  • No commercial entity contributed to the funding or participated in the development of this
    education program. Each lecture includes a slide disclosing any current or recent financial interests
    of the lecturer related to the content of their lecture.
  • Speaker Disclosures
  • Jason Ackrivo, MD has a relevant financial relationship with Hillrom as a consultant.
  • Joshua Benditt, MD has a relevant financial relationship with Lung Pacer as a consultant and speaker.
  • Jeanette Brown, MD has a relevant financial relationship with Biogen as a consultant.
  • Philip Choi, MD has a relevant financial relationship with Breas Medical Inc. as a consultant.
  • Merit Cudkowicz, MD has a relevant financial relationship with the following ineligible companies:
  • John Hansen-Flaschen, MD has a relevant financial relationship with the following ineligible companies:
  • Noah Lechtzin, MD has a relevant financial relationship with the following ineligible companies:
  • All relevant financial relationships listed above have been mitigated
  • Michelle Chatwin, PHD, faculty for the nonacccredited educational content, is an employee of Breas Medical AB.
    This relevant financial relationship cannot be mitigated.
  • Michelle Cao, DO; Randall Curtis, MD; Julie Hanley, NP; Karen Kluin CCP-SLC, MS; and
    Bernardo Selim, MD has no relevant financial relationship(s) with ineligible companies to disclose.
  • Course Directors

    John Hansen-Flaschen MD

    Paul F. Harron Jr. Family Emeritus Professor of Medicine
    Founding Director, Fishman Program for Home Assisted Ventilation
    University of Pennsylvania, Philadelphia, Pennsylvania

    Philip Choi MD

    Clinical Associate Professor of Medicine and Neurology
    Director, Chronic Respiratory Failure and Home Ventilation Program
    New York University, New York, NY


    Jason Ackrivo MD
    University of Pennsylvania,

    Joshua Benditt MD
    University of Washington,

    Jeanette Brown MD
    University of Utah,

    Michelle Cao MD
    Stanford University,
    Palo Alto

    Michelle Chatwin PhD
    Royal Brompton Hospital,

    Philip Choi MD
    New York University,
    New York

    Merit Cudkowicz MD
    Massachusetts General Hospital,

    Randall Curtis MD
    University of Washington,

    Julie Hanley NP
    University of Michigan,
    Ann Arbor

    John Hansen-Flaschen MD
    University of Pennsylvania,

    Karen Kluin CCC-SLP MS
    University of Michigan,
    Ann Arbor

    Noah Lechtzin MD
    Johns Hopkins University,

    Bernardo J. Selim MD
    Mayo Clinic Hospital,

    Online Lecture Content

    • Course overview and goals of respiratory care for ALS John Hansen-Flaschen MD
    • What is amyotrophic lateral sclerosis? Merit Cudkowicz MD
    • Living with ALS: a physician-patient perspective Randall Curtis MD
    • Respiratory system involvement in ALS Noah Lechtzin MD MHS

    • Devices for long-term assisted ventilation Philip Choi MD
    • Modes of assisted ventilation Philip Choi MD
    • Selection and fitting of face masks for long-term noninvasive ventilation Michelle Cao MD
    • Assisted ventilation monitoring strategies Jason Ackrivo MD

    • Initiating noninvasive ventilation Jason Ackrivo MD
    • Conducting an in-office device titration session John Hansen-Flaschen MD
    • Day noninvasive ventilation Bernardo Selim MD

    • Troubleshooting I: Upper Airway John Hansen-Flaschen MD
    • Troubleshooting II: Patient-ventilator asynchrony Philip Choi MD
    • Tracheostomy: Indications and Care Julie Hanley NP

    • Speech and Swallow dysfunction in ALS Karen Kluin CCC-SLP
    • Airway clearance techniques Michelle Chatwin PhD
    • Oral secretion management and gastric tube feeding for lung protection Jeanette Brown MD, PhD

    • Palliative Care for ALS Joshua Benditt MD
    • End of Life Care for ALS Joshua Benditt MD