Managing Migraine in Emergency Medicine Practice Settings

Faculty

Jessica Ailani, MD, FAHS, FAAN
Moderator
Professor of Clinical Neurology
Director, Georgetown Headache Center
Medstar Georgetown University Hospital
Washington, DC
Karen Greenberg, DO, FACOEP-D, FAAEM, FAHA
Assistant Dean of Clinical Education
Assistant Professor of Emergency Medicine
Assistant Professor of Neurosurgery
Drexel University College of Medicine
Philadelphia, PA

Statement of Need

In this CME Outfitters Briefcase activity, we will examine a patient case interaction within an emergency department (ED) setting to explore critical concepts in migraine management. Despite advancements, unmet needs persist for patients with migraine, particularly among women, marginalized communities, and those who present to emergency care settings. Addressing these disparities requires prioritizing accurate diagnosis and the implementation of appropriate pharmacotherapy while also considering social determinants of health and access to care. Given the recent position statement from the American Headache Society endorsing calcitonin gene-related peptide receptor antagonists (CGRP-RAs) for first-line prevention of migraine, it is crucial for emergency medicine practitioners to ensure all patients have access to the latest, evidence-based treatments. 


In this activity, expert faculty will guide you through the evaluation of a patient in the ED, followed by discussions on treatment options, referral processes, accurate diagnosis, and subsequent visits with a neurologist. We will address the educational needs of emergency medicine, non-migraine specialist practitioners and discuss common challenges faced by the multidisciplinary care team to determine the best treatment options for patients.
 

Learning Objectives

At the conclusion of this activity, learners will be able to better:

  • Utilize validated screening tools and diagnostic aids to diagnose migraine in the emergency medicine (EM) practice setting
  • Integrate knowledge of the role of CGRP in migraine and updated professional guidance into shared decision-making for acute treatment and prevention of episodic migraine with CGRP-RAs

Financial Support

This activity is supported by independent educational grants from AbbVie and Pfizer Inc.

Target Audience

HCPs involved in the  management of adults with migraine, including primary care, women’s health, and EM physicians, physician associates (PAs), nurse practitioners (NPs), and nurses 

Credit Information

Jointly Accredited Provider

In support of improving patient care, CME Outfitters, LLC, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Physicians (ACCME) 1.0

CME Outfitters, LLC, designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses (ANCC) 1.0

This activity is designated for 1.00 contact hours.

California Residents: This continuing nursing education activity was approved by the California Board of Registered Nursing. CME Outfitters, LLC’s provider number is CEP15510.

Interprofessional (IPCE) 1.0

This activity was planned by and for the healthcare team, and learners will receive 1.00 Interprofessional Continuing Education Credit for learning and change.

Physician Assistants (AAPA): 1.0

CME Outfitters, LLC, has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.00 AAPA Category 1 CME credits. Approval is valid until 10/22/2025. PAs should only claim credit commensurate with the extent of their participation.

ABIM MOC 1.0

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC 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 ACCME for the purpose of granting ABIM MOC credit.

MIPS Improvement Activity

Completion of this accredited CME activity meets the expectations of an Accredited Safety or Quality Improvement Program (IA_PSPA_28) for the Merit-based Incentive Payment Program (MIPS). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Royal College MOC

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Disclosure Declaration

Dr. Ailani reports the following financial relationships:

Advisory Board: LinPharma; Merz Pharma; Pfizer Inc.; and Vectura Fertin Pharma, Inc.

Consultant: AbbVie Inc.; AEON Biopharma, Inc.; Dr. Reddy Laboratories; eNeura Inc.; Gore; Ispen Pharma; Lilly; LinPharma; Lundbeck; Merz Pharma; Pfizer Inc.; Satsuma Pharmaceuticals, Inc.; Scilex Pharmaceuticals; and Tonix Pharmaceuticals

Grants: Clinical Trials (Grant to institution): AbbVie Inc.; Ispsen Pharma; Lundbeck; and Parema

Other financial or material support: Editorial Boards/Steering Committee: SELF Magazine (medical editor)

Dr. Greenberg reports no financial relationships to disclose.

The following individuals have no financial relationships to disclose: 

Jeffrey Helfand, DO (Peer Reviewer)
Albert Eubanks, RN (Peer Reviewer)
Mary Gleason, PhD, CHCP (Planning Committee)
Erin Spencer, PharmD (Planning Committee)
Scott J. Hershman, MD, FACEHP, CHCP (Planning Committee)
Sandra Caballero, PharmD (Planning Committee)
Sharon Tordoff (Planning Committee)

Questions about this activity?

Call us at 877.CME.PROS (877.263.7767).

BC-130-102224-90

Managing Migraine in Emergency Medicine Practice Settings
Event Date: 10/22/2024