In order to receive credit for this activity, you must read the front matter, view the activity, complete the post-survey, as well as complete the linked evaluation and application for credit form. Certificates of credit will be emailed to participants who have successfully met these requirements. 

There is no fee to participate in this activity.

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* 1. Where are you in your career?

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* 2. What is your community of practice?

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* 3. The addition of which of the following to an anti-TNF agent is associated with a higher rate of #Crohns #PerianalFistula CPF healing vs the anti-TNF agent alone?

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* 4. A 25-year-old male with a recent diagnosis of CD presents with extreme perianal pain. A pelvic MRI is performed, leading to a diagnosis of CPF and abscess. Drainage of abscess and An examination under anesthesia is performed, during which a seton is placed in an intersphincteric fistula. The patient asks what to expect regarding his future course of therapy.
Which of the following is an appropriate response?

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* 5. A 25-year-old male with a recent diagnosis of CD presents with extreme perianal pain. A pelvic MRI is performed, leading to a diagnosis of CPF and abscess. Drainage of abscess and An examination under anesthesia is performed, during which a seton is placed in an intersphincteric fistula. The patient asks what to expect regarding his future course of therapy. 

Which of the following is an appropriate response?

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* 6. A 42-year-old female with refractory CPF asks about the possibility of receiving mesenchymal stem cell (MSC) therapy on a clinical trial. What do you tell the pt is an important education point regarding MSCs?

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* 7. According to the 2022 proposed new Expert Consensus (pub. in The Lancet Gastroenterology & Hepatology, linked here), refractory CPF despite ostomy requiring proctectomy is considered which class?

EVALUATION FORM

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* 8. Upon completion of this activity, I am able to:

  Strongly agree Agree Disagree Strongly disagree
Review current best practices for the management of Crohn’s perianal fistula (CPF)
Assess data gaps and the need to establish studies evaluating management of patients with treatment refractory CPF
Evaluate current and emerging treatment options for patients with CPF
Describe the health burden and psychosocial effects for patients with CPF

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* 9. Please indicate the extent of your agreement with the following statements:

  Strongly agree Agree Neutral Disagree Strongly disagree
The faculty were effective in presenting the material
Information in this activity is relevant to my clinical practice
The activity increased my knowledge on this topic
The activity provided appropriate and effective opportunities for active learning (e.g., case studies, discussion, Q&A, etc.)
The opportunities provided to assess my own learning were appropriate (e.g., questions before, during or after the activity)

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* 10. Please rate your level of agreement by selecting the appropriate rating:
The content presented:

  Strongly agree Agree Neutral Disagree Strongly disagree
Was scientifically rigorous and evidence based
Was fair, balanced, objective, and free of commercial bias

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* 11. Of the patients with IBD that you will see in the next month, about how many of them will benefit from the information you learned today? 

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* 12. Based upon your participation in this activity, do you intend to change your practice behavior?

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* 13. How confident are you that you will be able to make your intended changes?

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* 14. Which of the following do you anticipate will be the primary barrier to implementing these changes? (check all that apply):

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* 15. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities:

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* 16. For purposes of certification, please complete the following information. *Please note that we will not forward or sell your contact information.*

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* 17. I certify that I have participated in the continuing education activity entitled, "Signed, Sealed, Delivered: Evolving Treatment Options for the Management of Perianal Fistula in Crohn’s Disease - Roundtable #2" and claim 1.0 AMA PRA Category 1 CreditTM.

Thank you for participating in our activity and completing the necessary paperwork. Your certificate will be emailed to you using the email address provided above. Please allow 4-6 weeks to receive your certificate. 

For information about the certification of this program, please contact Partners for Advancing Clinical Education (PACE) at contactus@partnersed.com.
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