Vaccination rates in the adult population lie far below Healthy People 2010 recommendations. The Centers for Disease Control and Prevention recommend vaccinations from birth through adulthood. However, the key to success is to maintain a high rate of immunization; unfortunately, many adults are not vaccinated as recommended, leaving them needlessly vulnerable to illness, long-term suffering, and even death.

Clinicians face a variety of barriers surrounding adult immunization management, including keeping up-to-date on new guidelines and recommendations set by the Advisory Committee on Immunization Practices, effectively communicating with patients about factors relating to vaccine preventable diseases and their prevention, as well as overcoming social, psychological, and cultural barriers; systems barriers; and setting a sustainable vaccination schedule. 

This educational E-Case will help clinicians address the above barriers and promote improved vaccination rates among patients at the point
of care.

Release date: September 7, 2012
Expiration date: September 7, 2013

Target Learner
This activity is designed for primary care physicians and health care professionals engaged in the preventive care of their adult patients
and community.

Learning Objectives
Upon completion of this activity, learners will be able to:
• Effectively communicate the individual, population, and economic benefits of adult immunization to your patients and within your community
• Identify changes that can impact the systematic discussion and delivery of adult vaccinations
• Integrate the screening and administering of adult vaccinations within your office setting
• Apply system changes and address office barriers to the systematic inclusion of adult immunization in primary care

Faculty Chair
Andrew W. Urban, MD
Associate Professor of Medicine
Section of Infectious Disease
University of Wisconsin School of Medicine and Public Health
Madison, WI

Marie Brown, MD, FACP
Assistant Professor of Medicine
Department of Internal Medicine
Rush University Medical Center
Chicago, IL

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Interstate Postgraduate Medical Association (IPMA) and MedEdRules, LLC (MEDEDR). IPMA is accredited by the ACCME to provide continuing medical education for physicians.
The University of North Texas Health Science Center is accredited by the American Osteopathic Association (AOA) to award continuing medical education to physicians.

Credit Designation
Interstate Postgraduate Medical Association designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of North Texas Health Science Center has requested that the AOA Council on Continuing Medical Education approve this program for 1 hour of AOA Category 2A CME credits. Approval is currently pending. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Continuing Education Units
IPMA is approved by the California Board of Registered Nursing, provider number 6971, for 1.2 contact hours.  Each person should retain this certificate for 4 years after the course has been completed.

RNs outside of California must verify with their licensing agency for approval of this course.

All Others: May be eligible for up to 1.0 hour of continuing education.  Consult your governing rules to determine if appropriate subject matter criteria will apply to credit hours.

Faculty and Planners Disclosure Statements
As a provider dedicated to independent education and accredited by the ACCME, IPMA must ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. It is the policy of IPMA to require disclosure of the existence of any significant financial interest or other relationship a faculty member, planner, or a sponsor has with either the commercial supporter of this activity or the manufacturer(s) of any commercial product(s) discussed in an educational presentation. Accordingly:

Andrew W.  Urban, MD has nothing to disclose.
Marie Brown, MD, FACP has nothing to disclose.

Dixie Blankenship, Director of Program Development and Compliance, IPMA, has nothing to disclose.
Heidi Ness, Associate Director, IPMA, has nothing to disclose.

University of North Texas Health Science Center (UNTHSC)

Pamela McFadden, Associate Vice President, UNTHSC has nothing to disclose.
Lauren Ray, CME Coordinator, UNTHSC, has nothing to disclose.


Jennifer Spear Smith, Chief Learning Officer, MEDEDR, has reported that she is a consultant for Pfizer Inc., Healthcare Compliance.
Amanda Hartley, PhD, medical writer, has nothing to disclose.
Karin McAdams, Vice President, Curriculum Development, MEDEDR, has nothing to disclose.
Melissa Wiles, Vice President, Educational Design and Strategic Alliances, MEDEDR, has nothing to disclose.

Independent Reviewer
Robert Lee, MD, has nothing to disclose.

Peer Review
This activity has been reviewed by a physician of the target audience.

Disclosure of Unlabeled or Investigational Products
This continuing medical educational activity does include information or reference(s) to unlabeled or unapproved uses of drugs or devices. 

Method of Participation to Earn CME/CE Credit
There are no fees or pre requisites for participating in and receiving credit for this online educational activity.  In order to obtain credit for participating in this activity during the period of September 7, 2012 through September 7, 2013, participants must:
1. Read the educational objectives and disclosure statements.
2. Complete the online pretest.
3. Review the entire enduring material.
4. Complete the online posttest questions and score 70% or higher.
5. Complete the evaluation.
6. Credit will be issued only upon receipt of a posttest with a score of 70% or higher and a completed activity evaluation. After submitting these forms, you will be able to print out your credit certificate.

This activity should take 1 hour to complete.

Hardware/Software Requirements:
Internet Explorer (version 7 recommended), Firefox 3.6+, Adobe Flash, PDF Reader.

The content and views presented in this educational activity are those of the faculty and do not necessarily reflect those of IPMA, MEDEDR, or others. This material is prepared based upon a review of multiple sources of information, but is not exhaustive of the subject matter. Therefore, health care professionals and other individuals should review and consider other publications and materials on the subject matter before relying solely upon the information contained within this educational activity.

Privacy Policy
At IPMA, we care about providing you with tools and information to manage and protect your online privacy. IPMA retains records solely for keeping records in accordance with ACCME policies. We will not share your information with any other organizations. We will keep you informed of our CME activities.

Please email if you do not want to receive any communications from us.

Joint Sponsorship
Jointly Sponsored by Interstate Postgraduate Medical Association and MedEdRules, LLC.

Commercial Support
This CME activity is supported by an educational grant from Pfizer Inc.

© Copyright 2012 by IPMA. This also contains material copyrighted by third parties.

Contact Information
PO Box 5474
Madison, WI  53705
608.231.9045 fax 877.292.4489