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A Primary Care Perspective on Gout – And What It Tells Us About the Strengths and Limitations of Evidence-Based Medicine
This CME activity is part of the UCLA Department of Medicine Grand Rounds series.


To register for this activity, you will need an access code which can be found on the DOMTV webpage that corresponds with this activity. Click on the graphic above, or click here to find the access code.

This activity is available only to UCLA faculty and staff. CME credit for this activity is restricted to those who did not attend the live grand rounds presentation.

Release Date: March 07, 2017
Expiration Date: March 06, 2018


Gout is a common complaint seen in primary care clinics throughout the nation. Dr. Paul Shekelle uses the treatment of gout as a vehicle to discuss appropriate application of evidence-based medicine in the primary care setting and to be scrupulous in our evaluation of the evidence so that it is appropriately applied to our diverse patient populations.


Paul Shekelle, MD PhD

Professor of Medicine at UCLA School of Medicine

Codirector of the Southern California Evidence-Based Practice Center Site at RAND Corp

Staff physician at West Los Angeles Veterans Affairs Medical Center


At the conclusion of this activity, participants should be able to:

  1. Counsel patients on the risks and benefits of pharmacologic interventions for management of gout.
  2. Select appropriate medications to manage gout.
  3. Apply evidence-based guidelines to a diverse population of patients.

Maintenance of Certification (MOC) for American Board of Internal Medicine (ABIM):

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1 MOC point in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

The UCLA Office of Continuing Medical Education will report your MOC Points to the American Board of Internal Medicine at the end of this calendar month. The ABIM will update your account once your points are processed.


The Office of Continuing Medical Education, David Geffen School of Medicine at UCLA is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Office of Continuing Medical Education, David Geffen School of Medicine at UCLA designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Statement:

The FDA has issued a concept paper which classifies commercial support of scientific and educational programs as promotional unless it can be affirmed that the program is "truly independent" and free of commercial influence. In addition to independence, the FDA requires that non-promotional, commercially supported education be objective, balanced, and scientifically rigorous. The policy further states that all potential conflicts of interest from the CME staff and faculty be fully disclosed to the program's participants. In addition, policy of the Accreditation Council for Continuing Medical Education now mandates that the provider adequately manages all identified potential conflicts of interest prior to the program. We at UCLA fully endorse the letter and spirit of these concepts.

Disclosure Declaration:

Dr. Shekelle has indicated that he does not have an affiliation with organizations which may have interests related to the content of this program.

Joyce Fried, and Drs. Edward Lee and Satya Patel, have indicated that they do not have affiliations with organizations which have interests related to the content of this program. This is pointed out to you so that you may form your own judgments about the presentation with full disclosure of the facts.


To earn credit for this activity, the participant must complete the pre-survey, view the full video content of the activity, successfully complete the post-test by answering three questions correctly and submit the evaluation. Participants have unlimited attempts to complete the activity. A Statement of Credit will be issued immediately upon successful completion of the post-test and evaluation.

To access the content of this activity, you will need register with and log into UCLA's DOMTV website using your "" email address.

Software Requirements:


Windows XP or greater

Internet Explorer (v7 or greater), or Firefox (Latest version)

Sound Card & Speakers

800 x 600 Minimum Monitor Resolution (1024 x 768 Recommended)

Flash Player Plugin (9.0 or later) | Check your version here

Adobe Acrobat Reader

MAC OS 10.4

Safari (Latest version) or Firefox (Latest version)

Sound Card & Speakers

800 x 600 Minimum Monitor Resolution (1024 x 768 Recommended)

Flash Player Plugin (9.0 or later) | Check your version here

Adobe Acrobat Reader

Internet Explorer is not supported on the Macintosh.

Cultural Competency:

With the passage of Assembly Bill 1195, physicians licensed in California must incorporate cultural competency and linguistics into their continuing medical education program of study.

To review an explanation of relevant federal and state laws and regulations regarding linguistic access, click here.

Click here for a list of cultural and linguistic competency resources.

Type:     Internet Activity (Enduring Material)
9 Registered Users