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Medicine Grand Rounds - Osteoporosis Update

Dr. Adler advocates for better screening for osteoporosis for men and women with certain risk factors, to reduce the substantial morbidity and mortality associated with hip and other fractures. Data support that screening with DEXA and application of the Fracture Risk Assessment Tool (FRAX ) identifies individuals at risk for osteoporotic fractures, and that follow-up therapy significantly lowers the incidence of fracture. He discusses several different therapies and the scheduling of each in order to achieve maximum benefit while avoiding possible side effects, including osteonecrosis of the jaw and atypical femur fracture.

Activity Details

Start Date: August 2, 2019
End Date: August 2, 2021

You may claim CME credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Register for the learning activity by creating an account or logging in to your account.
  2. Click Continue to navigate to the Activity Material tab. Click View Presentation to view the recording. View the entire presentation.
  3. Return to this Activity page.
  4. Click Continue to navigate to the Evaluation tab; then click the Launch button to start the evaluation.
  5. Complete and Submit the evaluation and attestation form.

When the evaluation is submitted, you will be awarded credit. You may access your transcript for verification of participation at any time via Your Account. Need help? Visit the Support Page, send an Email, or call the Center for Learning and Professional Development at (603) 653-1234, Option 1.

  • Robert A. Adler, MD
    Chief, Endocrinology and Metabolism
    McGuire Veterans Affairs Medical Center, Richmond, VA
    Professor of Internal Medicine and Epidemiology
    Virginia Commonwealth University School of Medicine

    Dr. Robert Adler received his medical degree and internal medicine training at Johns Hopkins and completed his endocrinology fellowship at Massachusetts General Hospital and Walter Reed Army Medical Center. From 1976 to 1984, Dr. Adler was on the faculty of Dartmouth Medical School and a staff endocrinologist at the Dartmouth-Hitchcock Medical Center.

    He is a member of the several editorial boards and was Co-Chair of the American Society for Bone and Mineral Research Task Force on Long-Term Bisphosphonate Treatment for Osteoporosis.
Learning Outcome

Participants will be able identify which patients should be screened for osteoporosis, consider approaches to the long-term management of osteoporosis, and recognize the benefits of sequential therapy.


Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Requirements for Successful Completion

In order to receive credit for this Continuing Medical Education (CME) activity, you must:

  • View the entire presentation
  • Complete the online Attestation of Attendance & Evaluation Form (you must register to access).

In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.

The following Activity Physician Director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for Osteoporosis Update (Medicine Grand Rounds) have reported the following financial interest or relationship* with various companies/organizations. The Activity Director and Planning Committee member roles were resolved by altering the individual’s control over content about the products or services of the commercial interest by the Associate Dean for CME and the Department of Medicine Chair. The speaker role was resolved by validating the activity content through independent peer review by Kelly Kieffer, MD. All potential conflict(s) were resolved.

* Kelly Kieffer, MD ~ her spouse is a consultant for OcculoBio. 

* Richard I. Rothstein, MD ~ has research support from Baranova (research grant to Dartmouth-Hitchcock Medical Center) and has other financial interest from Allurion. 

* Robert A. Adler, MD ~ has grant/research support from Radius Health, Abbvie.

Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.

*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Provider Contact Information

Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
Dartmouth-Hitchcock Medical Center

Type:     Internet Activity (Enduring Material)
20 Registered Users