Livestream: Improving Early Identification and Integrated Management of Cardio-Renal-Metabolic Risk in Family Medicine

Faculty

Jay H. Shubrook, DO, FACOFP, FAAFP, BC-ADM
Moderator
Professor
Director, Diabetes Institute
Touro University California
Vallejo, CA

Statement of Need

Cardiovascular-kidney-metabolic (CKM) syndrome represents a progressive, interconnected continuum in which type 2 diabetes, chronic kidney disease, heart failure, and overlapping cardiometabolic risk factors mutually accelerate one another’s progression. In everyday family medicine practice, however, these conditions are often managed in disease-specific silos. Albuminuria testing remains underutilized, estimated glomerular filtration rate (eGFR) trends are frequently interpreted in isolation, and clinicians must reconcile multiple parallel guideline frameworks – often within a single, time-pressured visit. The result is missed opportunities for early identification and integrated risk modification across organ systems. By empowering multidisciplinary care teams with education on the interconnected CKM landscape, clinicians can move beyond isolated diagnoses, identify risk sooner, and deliver proactive, protective therapies that improve outcomes across CKM care.

This CME Outfitters livestream symposium equips family medicine clinicians with practical, workflow-ready strategies to recognize and manage CKM disease as a unified continuum. In this activity, participants will explore the shared pathophysiology linking cardiovascular, kidney, and metabolic disease; sharpen their use of combined eGFR and uACR screening and KDIGO risk stratification; and apply guideline-aligned, patient-centered approaches that include shared decision-making and multidisciplinary coordination to optimize cardiorenal protection across overlapping comorbidities.

Learning Objectives

At the conclusion of this activity, learners will be able to better:

  • Identify the shared pathophysiologic mechanisms linking cardiovascular, kidney, and metabolic disease including how these mechanisms inform integrated cardiorenal risk management strategies in FM settings
  • Assess risk for CKD and cardiovascular complications using guideline-recommended screening tools (eGFR and uACR) to inform earlier intervention and referral decisions
  • Apply patient-centered, guideline-aligned management strategies that support multidisciplinary care, SDM, and longitudinal monitoring to improve outcomes across the CKM continuum

Financial Support

This activity is supported by an independent medical educational grant from Boehringer Ingelheim Pharmaceuticals, Inc.

Target Audience

Family medicine (FM) physicians, nurse practitioners (NPs), and physician associates (PAs)

Credit Information

Jointly Accredited Provider

In support of improving patient care, CME Outfitters, LLC, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Physicians (ACCME) 1.5

CME Outfitters, LLC, designates this live activity for a maximum of 1.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses (ANCC) 1.5

This activity is designated for 1.50 contact hours.

California Residents: Provider approved by the California Board of Registered Nursing, Provider # CEP 15510, for 1.50 Contact Hours.

Physician Assistants (AAPA): 1.5

CME Outfitters, LLC, has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.50 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

ABIM MOC 1.5

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.50 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

MIPS Improvement Activity

Completion of this accredited CME activity meets the expectations of an Accredited Safety or Quality Improvement Program (IA_PSPA_28) for the Merit-based Incentive Payment Program (MIPS). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Royal College MOC

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and mitigated any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.

Dr. Shubrook reports the following financial relationships:

Advisory Board: Abbott; Bayer; Boehringer Ingelheim; Idorsia Pharmaceuticals; Insulet; NovoNordisk; and Sanofi

Consultant: Abbott; Bayer; NovoNordisk; and Sanofi

Grants: Abbott; and Breakthrough T1D

The following individuals have no financial relationships to disclose:

Thai Nguyen, MD, MHA (Peer Reviewer)
Shirley Michelle Franks, DNP, APRN, FNP-BC, PMC MSN Ed (Peer Reviewer)
Keshia Pitt, PhD (Planning Committee)
Warren Beckman (Planning Committee)
Sandra Caballero, PharmD (Planning Committee)
Sharon Tordoff (Planning Committee)

*All identified conflicts of interest have been mitigated.

Unlabeled Use Disclosure
Faculty of this CME/CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices. CME Outfitters, LLC, the faculty, planners, and reviewers do not endorse the use of any product outside of the FDA labeled indications. Medical professionals should not utilize the procedures, products, or diagnosis techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use.

Obtaining Credit

Post-tests, credit request forms, and activity evaluations must be completed online (requires free account activation), and participants can print their certificate or statement of credit immediately (0% pass rate required). This website supports all browsers except Internet Explorer for Mac.

Questions about this activity?

Call us at 877.CME.PROS (877.263.7767).

MMS-166-102026-25

Livestream: Improving Early Identification and Integrated Management of Cardio-Renal-Metabolic Risk in Family Medicine
Event Date: 10/20/2026 at 08:00 pm EDT