ACOEM offers CME for reading selected articles in our peer-reviewed Journal of Occupational and Environmental Medicine (JOEM). One (1) credit can be earned per article.
Earning Credit
To earn credits, you must have an active individual subscription to JOEM for the issue in which the ACOEM Online CME course is offered. The CME activity itself must not be expired.
About the Article
Objective:
Accurate and reliable shoulder tendinopathy examination maneuvers are essential for diagnosing and treating shoulder pain; however, studies have reported varying results as to the accuracy of common maneuvers. Thus, data from a large, cross-sectional study were used to systematically quantify the reliability and accuracy of clinical diagnostic tests.
Methods:
Baseline data from the WISTAH cohort study were used to evaluate inter-tester reliability and accuracy of common provocative shoulder examination tests compared with a case definition of shoulder tendinitis.
Results:
Inter-tester reliability showed reliable consistency between providers with kappa coefficients between 89.5% and 94.8% for all tests. However, sensitivity was generally poor (3.0% to 60.6%). Specificity was consistently high (96.2% to 99.6%).
Conclusion:
Common shoulder provocative tests show low sensitivity but high specificity, which implies that the primary utility of examination maneuvers is for their negative predictive values.
Accessing the Online Exam
After reading the article referenced in the title of this product and purchasing this CME product, navigate to ACOEM Connect. Select "Education>Access My Online Learning" to complete the online exam and evaluation.
You will have unlimited opportunities to pass the exam to earn CME credit for each article. You may also claim MOC credit.
Credits offered
• 1 AMA PRA Category 1 Credit TM
• 1 ABPM Maintenance of Certification credit
Expiration Date
This activity expires on December 31, 2021. Claiming must be completed before then to earn credit.