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Not a Simple Nodule
This CME activity includes two interactive clinical cases that were reviewed by the ATS Assembly on Clinical Problems:
- Suspicion of Lung Cancer with Nodal Metastases in an Immunocompromised Patient
- Incidental Pulmonary Nodule in a 75-Year-Old Man
After reviewing details related to each patient's history, physical exam, laboratory findings, and radiographic images, participants in this activity determine the most likely diagnosis, appropriate therapeutic treatments, and other considerations impacting patient medical outcomes. Participants receive immediate, detailed feedback and explanations, which are supported by well-respected medical journals and other peer-reviewed resources.
Target Audience
Clinicians (physicians, nurses, fellows, residents), researchers, administrators, and policymakers: anyone involved in the delivery of care and the science of patients with pulmonary disorders
Learning Objectives
After successfully completing this module, learners will be able to:
- Discuss the clinical details surrounding each case
- Diagnose the medical conditions/disorders based on a review of the clinical details
- Prescribe appropriate therapeutic treatments, medical follow-ups, and referrals for each patient
- Explain the rationale for the diagnoses and treatments proposed by the case authors
- Independently verify the rationale via the case references
| Name | Title | Institution | Role | Relationship |
| William A. Bulman, MD | Assistant Professor | Columbia University Medical Center | Original case author: Suspicion of Lung Cancer with Nodal Metastases in an Immunocompromised Patient | No relevant financial relationships to disclose |
| Charles Powell, MD | Professor of Medicine and Chief of the Division of Pulmonary | Mount Sinai School of Medicine | Original case author: Suspicion of Lung Cancer with Nodal Metastases in an Immunocompromised Patient | No relevant financial relationships to disclose |
| Roger Maxfield, MD | Professor of Medicine | Columbia University Medical Center | Original case author: Suspicion of Lung Cancer with Nodal Metastases in an Immunocompromised Patient | No relevant financial relationships to disclose |
| Leanne K. Strack, DO | Clinical Instructor and Pulmonary/Critical Care Fellow | The Ohio State University | Original case author: Incidental Pulmonary Nodule in a 75-Year-Old Man | No relevant financial relationships to disclose |
| Charles L. Hitchcock, MD, PhD | Professor Emeritus | The Ohio State University | Original case author: Incidental Pulmonary Nodule in a 75-Year-Old Man | No relevant financial relationships to disclose |
| Karen Wood, MD | Adjunct Associate Professor | The Ohio State University | Original case author: Incidental Pulmonary Nodule in a 75-Year-Old Man | No relevant financial relationships to disclose |
| Alyssa Soskis, MD | Assistant Professor of Medicine | Duke University School of Medicine | • Case content reviewer: Suspicion of Lung Cancer • Case content reviewer: Incidental Pulmonary Nodule | No relevant financial relationships to disclose |
| Bess M. Flashner, MD | Instructor in Medicine | Beth Israel Deaconess Medical Center | • Planner • Chair: ATS Assembly on Clinical Problems eLearning Committee • Case content reviewer: Suspicion of Lung Cancer • Case content reviewer: Incidental Pulmonary Nodule | No relevant financial relationships to disclose |
| Blair Stone, MD | Fellow | University of Pittsburgh | • Case content reviewer: Suspicion of Lung Cancer • Case content reviewer: Incidental Pulmonary Nodule | No relevant financial relationships to disclose |
| Matt Gorgone, MD | Assistant Professor | University of Pittsburgh | • Case content reviewer: Suspicion of Lung Cancer • Case content reviewer: Incidental Pulmonary Nodule | No relevant financial relationships to disclose |
| Sridesh Nath, MBBS | Fellow | University of Pittsburgh | • Case content reviewer and editor: Suspicion of Lung Cancer • Case content reviewer: Incidental Pulmonary Nodule | No relevant financial relationships to disclose |
| Tony V. Macedonia, MD | Fellow | University of Pittsburgh | • Case content reviewer: Suspicion of Lung Cancer • Case content reviewer and editor: Incidental Pulmonary Nodule | No relevant financial relationships to disclose |
Accreditation Statement
The American Thoracic Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Disclosure Declaration
It is the policy of the ATS to ensure independence, balance, objectivity, scientific rigor, and integrity in all of its continuing education activities. As an accredited CME provider, the ATS requires that its planners, reviewers and presenters comply with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. The ATS also requires specific disclosure of relationships with companies and organizations associated with tobacco or cannabis and prohibits or limits participation of faculty in official ATS activities, including CME, if any tobacco industry relationship or some types of cannabis industry relationships are present. To see the most recent policies regarding potential conflict of interest as well as the mechanisms to resolve such conflicts, press the COI Policy link below.
This educational activity may include discussion of unapproved uses of a drug, product, or device. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Instructions to Receive Credit
To earn credit for this course, follow these instructions:
- Launch and complete the module by:
- Viewing the data for both cases
- Answering questions about each case. The module specifies the number of questions you need to answer correctly to pass and earn credit.
- Reading the rationales for the correct answer to each question
- Complete the course evaluation.
- Once you complete the modules and the evaluation, the system will grant you credit.
- To view your transcript and print your certificate, go to the My Learning drop-down list. Then select Transcript
Available Credit
- 0.50 AMA PRA Category 1 Credit(s)™The American Thoracic Society designates this for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 0.50 Participation