Cesarean Scar Ectopic Pregnancy Online Course

This course is based on SMFM Consult Series #63: Cesarean Scar Ectopic Pregnancy, published in 2022 in the American Journal of Obstetrics and Gynecology.  

This course addresses the risk factors and clinical presentation of CSEP, describes how to correctly diagnose CSEP, and presents the current treatment modalities that are used to manage these high-risk pregnancies. After completing the course, the learner should be able to:

1. Describe the clinical presentation of a CSEP.
2. Identify and describe the optimal strategy for diagnosis of CSEP.
3. List 6 ultrasonographic criteria for diagnosis of a CSEP.
4. Explain why expectant management is not recommended for CSEP.
5. List the medical and surgical modalities that are currently recommended to treat  CSEP and describe the risks and benefits of each.
6. Discuss how a CSEP may impact a future pregnancy. 

This course is designated for a maximum of 4 AMA PRA Category 1 Credits™. Participants must complete the pretest, online course, and completion survey to obtain credits.

This course expires on April 17, 2025. 

Continuing Medical Education Credits

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 Global Learning Collaborative and the Society for Maternal-Fetal Medicine. The Global Learning Collaborative is accredited by the ACCME to provide continuing medical education for physicians.”

Global Learning Collaborative (GLC) designates this enduring activity for a maximum of 4 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AIUM

The AMA PRA Category 1^TM credits from this activity are accepted by the AIUM for practice accreditation in Detailed First Trimester Ultrasound.

Disclosures

In accordance with the ACCME Standards for Integrity and Independence, Global Learning Collaborative (GLC) requires that individuals in a position to control the content of an educational activity disclose all financial relationships with any ineligible company within the preceding 24 months. 

The following individuals in control of this course’s content have no relevant financial relationships:

Course Director: 

Christina Buniak, MD, MPH, Massachusetts General Hospital, Boston, MA

Authors:

Christina Han, MD, Geffen School of Medicine, Los Angeles, CA

Audrey Merriam, MD, MS, Faculty, Yale School of Medicine, New Haven, CT

Russell Miller, MD, Columbia University, New York, NY

Alireza Shamshirsaz, MD, Boston Children’s Hospital/Harvard Medical School, Boston, MA

Lynn Simpson, MD, Columbia University Medical Center, New York, NY

Reviewers:

Alison Cahill, MD, MSCI, University of Texas, Austin, TX

Heidi Leftwich, DO, University of Massachusetts, Worcester, MA: Worcester Foundation Grant, COVID-19 Pandemic Fund—research grant

Christian Pettker, MD, Yale University, New Haven, CT

Flint Porter, MD, University of Utah Health, Salt Lake City, UT

Anthony Sciscione, MD, Christiana Care, Wilmington, DE

Eleazar Soto, MD, University of Texas, Houston, TX

Joanne Stone, MD, Mount Sinai Health System, New York, NY

Staff: 

Kathleen Scogna, Associate VP, Online Education, The Society for Maternal-Fetal Medicine, Washington, DC

The following individuals in control of this course’s content have the following relevant financial relationships:

 Authors:

Andrea Edlow, MD, MSc, Massachusetts General Hospital, Boston, MA: Merck Pharmaceuticals, Simons Foundation—research grant; Mirivie, Inc.—consulting fees

Karin Fox, MD, Baylor College of Medicine, Houston, TX: Symposia Medicus--consulting fees

Cynthia Gyamfi-Bannerman, MD, MS, University of California, San Diego, CA: Hologic--consulting fees

 Reviewers:

Lorraine Dugoff, MD, University of Pennsylvania, Philadelphia, PA: Labcorp, Natera—research grants

Torri Metz, MD, University of Utah Health, Salt Lake City, UT: Pfizer—research grant 

Luis Pacheco, MD, University of Texas Medical Branch, Galveston, TX: Coagulant Therapeutics—consulting fees

Sindhu Srinivas, MD, MSCE, University of Pennsylvania, Philadelphia, PA: NIH, Huff Powell & Bailey LLC, Palladium Risk Retention Group—consulting fees 

For this activity, all relevant financial relationships have been mitigated.