To start this activity, click Begin at the bottom of this pageUpdate on the Medical Management of Kidney Stones

Release Date: July 2013

Expiration Date: July 2014

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Estimated time to complete the educational activity: 1 hour

This activity is jointly sponsored by Medical Education Resources and Haymarket Medical Education.

Statement of Need: Kidney stone prevention is often neglected, and deserves more attention by nephrologists and urologists. Adequate and quantitative counseling regarding fluid intake is the first step and is effective and inexpensive. Appropriate dietary manipulations can be prescribed based on 24-hour urine collections. While dietary adherence may be difficult for many patients to achieve, at present, medical therapies are effective and underutilized.

Target Audience: This activity has been designed to meet the needs of nephrologists andurologists who treat patients with nephrolithiasis.

Educational Objectives: After completing the activity, the participant should be better able to:

  • Assess dietary effects on calcium stone formation
  • Discuss pharmacologic options for treating hypercalciuria
  • Discuss the etiology and appropriate management fro differing types of calculi

Accreditation Statement: This activity has been planned and implemented in accordancewith the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Medical Education Resources (MER) and Haymarket Medical Education. MER is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation: Medical Education Resources designates this enduring materialfor a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the creditcommensurate with the extent of their participation in the activity.

Disclosure of Conflicts of Interest: Medical Education Resources ensures balance, independence, objectivity, and scientific rigor in all our educational programs. In accordance with this policy, MER identifies conflicts of interest with its instructors, content managers, and other individuals who are in a position to control the content of an activity. Conflicts are resolved by MER to ensure all scientific research referred to, reported, or used in a CME activity conforms to the generally accepted standards of experimental design, data collection, and analysis. MER is committed to providing its learners with high-quality CME activities that promote improvements or quality in health care and not a commercial interest.

The faculty reported the following financial relationships with commercial interests whose products or services may be mentioned in this CME activity:

Name of Faculty Reported Financial Relationship
David S. Goldfarb, MD

Consultant: Takeda, Keryx


Lecture Honoraria: Quintiles, Mission

Ownership Interest: Ravine Group

Lama Nazzal, MD No financial relationships to disclose

The content managers, Jody A. Charnow and Marina Galanakis, of Haymarket Medical Education, and the content manager at Medical Education Resources, have disclosed that they have no relevant financial relationships or conflicts of interest.

Method of Participation: There are no fees for participating in and receiving CME credit for this activity. During the period July 2013 through July 2014, participants must: 1) read the learning objectives and faculty disclosures, 2) study the educational activity, 3) complete the posttest and submit it online. Physicians may register at, and 4) complete the evaluation form online.

A statement of credit will be issued only upon receipt of a completed activity evaluation form and a completed post-test with a score of 70% or better.