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<em>Decision-IQ</em>: A Case Study in the Management of Dysphonia in a Vocal Performer
Decision-IQ Decision-IQ

Decision-IQ: A Case Study in the Management of Dysphonia in a Vocal Performer


This activity was developed by Med-IQ in collaboration with Duke Health.

Med-IQ      Duke Medicine
 

Released:
10/2/18
Expires:
10/1/19

Maximum Credits:

0.25
By clicking "Continue," you are confirming that you have reviewed the CME information and read, understood, and unconditionally agreed to the Privacy Notice and Terms of Use.

Decision-IQ Decision-IQ
By clicking "Continue," you are confirming that you have reviewed the CME information and read, understood, and unconditionally agreed to the Privacy Notice and Terms of Use.
Released:
10/2/18

Expires:
10/1/19

Maximum Credits:
0.25
Decision-IQ Decision-IQ
By clicking "Continue," you are confirming that you have reviewed the CME information and read, understood, and unconditionally agreed to the Privacy Notice and Terms of Use.

Released:
10/2/18
Expires:
10/1/19


Maximum Credits:
0.25


Overview: In this short case-based activity, meet Danielle, a 31-year-old vocal performer who initially presents with hoarseness, vocal fatigue, and voice loss. As you move through this activity, read through links to useful resources to help you make clinical management decisions for this patient. In addition, find out how David Witsell, MD, MHS, and Leda Scearce, MM, MS, CCC-SLP, would manage Danielle’s dysphonia to help her minimize her risk of future injury and return to performing.

CME Information:

Faculty
Leda Scearce, MM, MS, CCC-SLP
Clinical Singing Voice Specialist
Director, Performing Voice Programs and Development
Duke Voice Care Center
Clinical Associate Faculty
Duke University School of Medicine
Durham, NC
 
David Witsell, MD, MHS
Professor, Department of Surgery
Head and Neck Surgery & Communication Sciences
Director, Duke Voice Care Center
Duke University School of Medicine
Durham, NC

Activity Planners
Seth Cohen, MD
Associate Professor of Surgery
Duke University School of Medicine
Durham, NC
 
Jaime Symowicz, PhD
Manager, Educational Strategy and Content
Med-IQ
Baltimore, MD
 
Laura Rafferty, ELS
Managing Editor
Med-IQ
Baltimore, MD
 
Samantha Gordon
CME Specialist
Med-IQ
Baltimore, MD
 
Kathryn Schaefer, MSN, RN, CPHRM
Senior Manager, Accreditation and Compliance
Med-IQ
East Lansing, MI

Learning Objectives
Upon completion, participants should be able to:

  • Summarize the benefits and limitations of management strategies for dysphonia, including voice therapy and surgical interventions

Target Audience
This activity is intended for otolaryngologists.
 
Statement of Need
Individuals working in professions with high vocal demands, such as singers, actors, teachers, coaches, and legal professionals, have a greater risk of developing dysphonia. Dysphonia can contribute to time missed from work, loss of income, and decreased quality of life. About one-half of patients who present with dysphonia also have benign vocal fold changes that contribute to their symptoms. However, additional factors, such as other medical conditions and medication-related adverse effects, may also cause these symptoms. For these reasons, the management of dysphonia often relies on a combination of conservative and interventional strategies—including lifestyle changes, voice therapy, and surgery—with which otolaryngologists need to be familiar.
 
Collaboration Statement
This activity was developed by Med-IQ in collaboration with Duke Health.

Accreditation/Designation Statements
Med-IQ is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
 
Med-IQ designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
Medium/Method of Participation
This CME activity consists of a 0.25-credit online publication. To receive credit, read the introductory CME material, read the publication, and complete the post-survey, evaluation, attestation, and post-test, answering at least 70% of the post-test questions correctly.
 
Initial Release Date: October 2, 2018
Expiration Date: October 1, 2019
Estimated Time to Complete This Activity: 15 minutes

Disclosure Policy
Med-IQ requires any person in a position to control the content of an educational activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines “relevant financial relationships” as those in any amount occurring within the past 12 months, including those of a spouse/life partner, that could create a conflict of interest (COI). Individuals who refuse to disclose will not be permitted to contribute to this CME activity in any way. Med-IQ has policies in place that will identify and resolve COIs prior to this educational activity. Med-IQ also requires faculty to disclose discussions of investigational products or unlabeled/unapproved uses of drugs or devices regulated by the US Food and Drug Administration.
 
Disclosure Statement
The content of this activity has been peer reviewed and has been approved for compliance. The faculty and contributors have indicated the following financial relationships, which have been resolved through an established COI resolution process, and have stated that these reported relationships will not have any impact on their ability to give an unbiased presentation. 
 
Leda Scearce, MM, MS, CCC-SLP, has indicated no real or apparent conflicts.

David Witsell, MD, MHS, has indicated no real or apparent conflicts.

The peer reviewers and activity planners have no financial relationships to disclose.

Statement of Evidence-Based Content
Educational activities that assist physicians in carrying out their professional responsibilities more effectively and efficiently are consistent with the ACCME definition of continuing medical education (CME). As an ACCME-accredited provider of CME, it is the policy of Med-IQ to review and ensure that all the content and any recommendations, treatments, and manners of practicing medicine in CME activities are scientifically based, valid, and relevant to the practice of medicine. Med-IQ is responsible for validating the content of the CME activities it provides. Specifically, (1) all recommendations addressing the medical care of patients must be based on evidence that is scientifically sound and recognized as such within the profession; (2) all scientific research referred to, reported, or used in CME in support or justification of a patient care recommendation must conform to generally accepted standards of experimental design, data collection, and analysis.
 
Med-IQ is not liable for any decision made or action taken in reliance upon the information provided through this activity.
 
Contact Information        
For questions or comments about this activity, please contact Med-IQ.
Call (toll-free) 866 858 7434 or email info@med-iq.com.
 
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ADA Statement
Med-IQ fully complies with the legal requirements of the ADA and the rules and regulations thereof. If any participant in this educational activity is in need of accommodations, please contact Med-IQ at 443 543 5200.
 
Disclaimer
The information provided through this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition.

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Med-IQ is committed to honoring your privacy and protecting any personal information you choose to share with us. For detailed information about our privacy notice, please visit: www.med-iq.com/privacy-statement/.
 
Copyright
© 2018 Med-IQ, Inc. and Duke University Health System

 

Unless otherwise indicated, photographed subjects who appear within the content of this activity or on artwork associated with this activity are models; they are not actual patients or doctors.

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