Resource Center Title

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COPD Advanced Patient Management: Post Acute Care Resource Center:

Activity Two


Activity Presentation Titles

Dyspnea in COPD
- Richard ZuWallack, MD

Ambulatory Home Oxygen: What is the Evidence and Who Does it Help?
- Gerard J. Criner, MD

Program Goals

Dyspnea in COPD: The purpose of the Dyspnea educational activity is to improve the management of symptoms, conditions, presentations and quality of life issues commonly associated with the post-acute care of advanced (moderate to severe) COPD patients in their home environment. A principle focus will be to increase clinicians’ knowledge of clinical indications, evidence and approaches to current, as well as new and innovative technologies. Physicians, home care providers and other healthcare professionals will learn techniques to better manage the signs and symptoms of the home COPD patient that impact COPD exacerbations, hospital readmissions, quality of life and activities of daily living. Additional emphasis will be placed on clinical evidence and case studies specific to the home COPD patient encountering multi-faceted quality of life challenges such as dyspnea, sleep disordered breathing, airway secretions or activities of daily living, and associated interventions including oxygen therapy, non-invasive ventilation, airway clearance, mask selection, sleep therapy and remote monitoring and tele-monitoring. A multi-disciplinary, multi-national panel of pulmonary experts will provide depth of perspective on managing these clinically challenging patients in the home.

Ambulatory Home Oxygen - What is the Evidence and Who does it Help?: The beneficial effects of ambulatory home oxygen have been demonstrated since the 1950s when Cotes and Gibson prescribed oxygen to ambulatory COPD patients using small portable high pressures cylinders. Over the last 70 years, oxygen has been prescribed to millions of COPD patients in the home. Additionally, it is common clinical practice to prescribe supplemental oxygen for COPD patients with hypoxemia at hospital discharge following flares of their underlying chronic respiratory disorder without any substantial evidence. Despite the importance of long-term oxygen therapy in clinical home management, there are many gaps in our current knowledge regarding its mechanisms of action, indications for prescription and short and long term benefits. Research conducted over 35 years ago regarding long-term oxygen administration still provides the basis for clinical decision making and insurance coverage policies. However, recent research contributes significantly to our current understanding of the effectiveness of long term oxygen in patients with COPD and mild to moderate hypoxemia at rest, or with exertion only. This activity will focus on our current knowledge of supplemental oxygen in COPD to influence important endpoints, such as mortality, functional performance, sensation of dyspnea, cognitive function, and quality-of-life, and to highlight areas where future research is needed.

Target Audience

This activity is intended for medical professionals who have a clinical interest in the management of COPD patients as seen by the following medical specialists: Pneumologists, Respirologists, Respiratory Physiotherapists, Respiratory Therapists (Hospital, Home), Thoracic Surgeons, Home Healthcare Providers, Critical Care Medicine Specialists, Internal Medicine Specialists, Primary Care Physicians (General and Family Practitioners), Advanced Practice Nurses, Nurse Practitioners, Physician Assistants, Managed Care Medical Directors, and other Practitioners and Payers.

Learning Objectives

Dyspnea in COPD: After completion of this activity, participants will be able to:

  1. Describe overriding symptoms, qualitative distinctions and assessment of Dyspnea in advanced COPD.
  2. Discuss hyperinflation as an important factor in Dyspnea.

Ambulatory Home Oxygen: After completion of this activity, participants will be able to:

  1. Describe the evidence for ambulatory home oxygen in patients with COPD.
  2. Discuss which patients with COPD benefit from ambulatory home oxygen.
  3. Explain the impact of long term oxygen in COPD patients with mild to moderate hypoxemia at rest.
  4. Compare the impact of long term oxygen on COPD patients with exertional hypoxemia only.



Gerard J. Criner, MD, FACP, FACCP
Professor and Chair
Department of Thoracic Medicine and Surgery
Lewis Katz School of Medicine at Temple University
Philadelphia, PA

Prof. Dr. med. Michael Dreher
Department of Cardiology, Pneumology, Angiology and Intensive Care
University Hospital Aachen


Carolyn M. D'Ambrosio, MD, MSc.
Director, Harvard-Brigham and Women's Hospital
Pulmonary and Critical Care Fellowship
Faculty, Harvard Medical School
Boston, MA

Jens Geiseler, MD
Chief physician - Clinic for pneumology, ventilatory and sleep medicine
Klinikum Vest, Centre Paracelsus-Klinik Marl

Pr. Jean-Louis Pepin
Hopital Nord Albert Michallon Quai Michallon
Grenoble, France

Richard ZuWallack, MD
Associate Chief, Pulmonary and Critical Care
St. Francis Hospital, Hartford, CT
Professor of Medicine, University of Connecticut

Educational Activity Agenda

Dyspnea in COPD; and Ambulatory Home Oxygen: What is the Evidence and Who Does it Help?

  • Front Matter and Registration (3 minutes)
  • Faculty Introduction, Presentations and Roundtable Discussions (106 minutes)
  • Post Test, Evaluation, and Credit Application (10 minutes)

Release and Expiration Dates

Enduring Archive Release Date: April 1, 2017
Enduring Archive Expiration Date: April 1, 2019

Disclosure of Conflicts of Interests

Global Education Group requires instructors, planners, managers and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by Global for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

Faculty Disclosures

The faculty reported the following financial relationship or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Gerard J. Criner, MD

  • Nothing to disclose

Michael Dreher, MD

  • Consultant: Philips
  • Grant/Research Support: ResMed
  • Honoraria: ResMed, Weinmann, Philips, Hamilton, Heinen + Löwenstein 

Carolyn D'Ambrosio, MD

  • Advisor/Consultant: Advanced ICU Care, Alabama Sleep Clinic

Jens Geisler, MD

  • Nothing to disclose

Jean-Louis Pepin, MD

  • Nothing to disclose

Richard ZuWallack, MD

  • Grant/Research Support: Boehringer Ingelheim
  • Honoraria: Glaxo Smith-Kline, Boehringer Ingelheim

Planners and Managers

The planners and managers reported the following financial relationship or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Ashley Marostica, RN, MSN

  • Nothing to disclose

Amanda Glazar, PhD

  • Nothing to disclose

Andrea Funk

  • Nothing to disclose

Laura Gilsdorf

  • Nothing to disclose

Gail Varcelotti, BS, RRT, FAARC

  • Nothing to disclose

CME Provider Accreditation Statement

This activity is provided by Global Education Group.     

Physician Accreditation Statement - CME

Global Education Group is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 

*This CME/CE activity complies with all requirements of the federal Physician Payment Sunshine Act. If a reportable event is associated with this activity, the accredited provider managing the program will provide the appropriate physician data to the Open Payments database.

Physician Credit Designation - CME

Global Education Group designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing Continuing Education

Global Education Group is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's COA.  

This educational activity for up to 2.0 contact hour is provided by Global Education Group. Nurses should claim only the credit commensurate with the extent of their participation in the activity.

Global Education Group

For information about the physician accreditation for this activity, please contact Global Education Group at (303) 395-1782, or

How to Obtain CME/CE Credit

Attendees are expected to view the entire activity before attempting to take the test and/or complete the activity evaluation. Successful completion will lead to the issuance of a certificate for AMA PRA Category 1 Credit™ or nursing credit. To receive credit, the course must be completed between April 1, 2017 and April 1, 2019

Participation in this activity should be completed in approximately 2.0 hours. Please follow these steps in order to receive CME/CE credit for viewing the webcast:

  • Read all of the CME/CE accreditation information above.
  • View the complete electronic (web) activity.
  • Click on the link to apply for CME/CE credits.
  • Complete the online registration (registration is free).
  • Complete the online test and/or evaluation. Participants must receive a test score of at least 75% and answer all evaluation questions to receive a certificate.

After successfully completing the online test and/or evaluation, your application will be immediately processed and you will be given the opportunity to download a personalized CME/CE certificate for participation in this activity. 

Should you have any CME/CE questions regarding this activity, please contact:

Global Education Group
5575 S. Sycamore Street, Suite 200
Littleton, CO 80120
Phone: 303-395-1782
Fax: 303-648-5311


Credit Designation - AARC

This Non-traditional program has been approved for 2.0 contact hour Continuing Respiratory Care  Education (CRCE) credit by the American Association for Respiratory Care; 9425 N. MacArthur Boulevard, Suite 100, Irving TX 75063

Credit Designation - CSRT


This educational offering has been approved for 2.0 continuing education credit/professional development credit by the Canadian Society of Respiratory Therapists. Global Education Group (CME provider) maintains all responsibility for  this offering and its content.  201-2460 Lancaster Road, Ottawa, ON K1B 4S5

How to Obtain AARC / CRCE and CSRT Credit

Attendees are expected to review all academic materials before attempting to apply for credit. Successful completion of this activity will lead to the issuance of a certificate for 2.0 contact hour of CRCE and CSRT approved continuing education.

To receive credit, please follow these steps:

  • Complete the online registration (registration is free).
  • Review all of the academic materials provided.
  • Click on the CRCE / CRST link to apply for credit.
  • Complete the online test and/or evaluation. Participants must receive a test score of at least 70% and answer all evaluation questions to receive a certificate.
  • Qualified applicants will be provided with an online (printable) CRCE / CSRT certificate based on their attendance and satisfactory completion of this academic activity.

Fee Information

There is no fee for this educational activity.

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Global Education Group (Global) does not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of any organization associated with this activity. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Policy on Privacy and Confidentiality

Global Education Group protects the privacy of personal and other information regarding participants, educational partners, and joint sponsors. Global Education Group and our joint sponsors will not release personally identifiable information to a third party without the individual's consent, except such information as is required for reporting purposes to the appropriate accrediting agency.

Global Education Group, CHEST, Elsevier, and Dane Garvin Ltd. maintain physical, electronic and procedural safeguards that comply with federal regulations to guard your non-public personal information.

Medium Used

This program has been made available online.
"Dyspnea in COPD; and Ambulatory Home Oxygen: What is the Evidence and Who Does it Help?"

System Requirements

To view this educational activity you will need a web browser with Javascript and either Flash or HTML5 enabled.  Nearly all modern web browsers will work.

Commercial Support Statement

This online Resource Center is supported by an Educational Grant from Philips Respironics, Inc.


Copyright© 2017 by the American College of Chest Physicians. All Rights reserved. Permission for accreditation use granted to Global Education Group (Global). Web interface provided by Dane Garvin Ltd.