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• Describe the normal microbiome as well as the abnormalities that are a product of sepsis and severe illness
• Restate which therapeutic interventions have the potential to enhance and also negatively impact outcomes
• Design single and multi-institutional research studies addressing the human biome

This continuing education activity is intended to meet the needs of all practitioners who care for critically ill patients.

This online activity will provide the latest research and findings concerning the human microbiome, conservatively estimated at 10 trillion and counting bacteria.

The Society of Critical Care Medicine (SCCM) supports recommendations that will promote lifelong learning through continuing education. SCCM promotes activities that encourage the highest quality in education that will enhance knowledge, competence, or performance in critical care practice. This activity will meet the following competencies: 

• Medical knowledge
• Professionalism
• Practice-based learning and improvement
• Patient care

You can access the pretest, course materials, and posttest; complete your evaluation; and claim your ACE credit by logging in to your MySCCM account with your SCCM Customer ID and password, then clicking on the icon for the course you are enrolled in under the MyLearning tab. If needed, you can click "Forgot my password" to reset your secure password.  

Physicians:

Accreditation Statement: The Society of Critical Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

Designation Statement: The Society of Critical Care Medicine designates this online educational activity for a maximum of 3.75 AMA PRA Category 1 credits™. Physicians should claim only those hours of credit that they actually spent in the educational activity.

The ACCME credits that physicians earn from this activity will be submitted to ACCME’s CME Passport, a free, centralized web application where you can create a personalized account to view, track, and generate transcripts of your reported ACCME credit. Visit www.cmepassport.org to create your account.

Nurses: The Deep Dive: Microbiomes activity has been approved by the California Board of Registered Nursing, Provider No. 8181, for up to 3.75 contact hours.  

Pharmacists: The Society of Critical Care Medicine is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This live/online educational activity provides up to 3.75 contact hours of continuing education credit.  

(0236-0000-24-147-H01-P)

SCCM reports to a continuing pharmacy education (CPE) tracking service, CPE Monitor, which will authenticate and store data for completed CPE units received by pharmacists and pharmacy technicians. The tracking system will make CPE data for each participant available to the state boards of pharmacy where the participant is licensed or registered. After CPE units are processed by the Accreditation Council for Pharmacy Education (ACPE) and the National Association of Boards of Pharmacy (NABP), pharmacists and pharmacy technicians will be able to log in to a comprehensive electronic profile to access information about their completed CPE. 

Successful completion of this accredited continuing education (ACE) activity, which includes participation and a passing score of 70% in the evaluation component/posttest, enables the participant to earn up to 3.75 medical knowledge maintenance of certification (MOC) points in the American Board of Internal Medicine (ABIM), American Board of Anesthesia (ABA), American Board of Surgery (ABS),  American Board of Pediatrics (ABP), and American Board of Thoracic Surgery (ABTS) MOC programs. Participants will earn MOC points equivalent to the amount of ACE credits claimed for the activity.

This course meets the requirements for MOC for up to 3.75 credits.

To provide due process in the evaluation and mediation of grievances concerning ACE activities, this Grievance Procedures Policy was developed. Grievances may concern, but are not limited to, the awarding of credit for individual participation and/or registration fees issues.

• A written complaint or grievance should be submitted to the Education Department.
• The Education Department will attempt to resolve the grievance of the complainant.
• If the initial response is unsatisfactory to the complainant, the matter will be referred to the CEO/EVP for action.
• If the response from the CEO/EVP is unsatisfactory to the complainant, the matter will be referred to the SCCM Executive Committee. The ruling of the Executive Committee will be final.

Planners: 
Marilyn N. Bulloch, PharmD, BCPS, SPP, FCCM
Auburn University Harrison School of Pharmacy
Tuscaloosa, Alabama, USA
Advisory Board – Shionogi (terminated)

Chet A. Morrison, MD, FACS, FCCM
Washington Hospital Healthcare System
Central Michigan University
Fremont, California, USA
No relevant financial relationship(s) to disclose

Kirsten Nadler, MS
Society of Critical Care Medicine
Mount Prospect, Illinois, USA
No relevant financial relationship(s) to disclose

Roshni Sreedharan, MD, FASA, FCCM
Anesthesiologist Cleveland Clinic Foundation
Cleveland, Ohio, USA
No relevant financial relationship(s) to disclose

Tamas Szakmany, MD, PhD, FCCM
Aneurin Bevan University Health Board
Newport, United Kingdom
Board Member – ICNARC; Speaker – ThermoFisher Ltd; Advisory Board – Paion UK, LTD (terminated)

Faculty: 
Kwame Akuamoah- Boateng, DNP, ACNP, FCCM
VCU Health
Richmond, Virginia, USA
No relevant financial relationship(s) to disclose

 Gail Cresci, PhD, RD
Cleveland Clinic
Cleveland, Ohio, USA
Grant Support: Nestle Nutrition; Speaker’s Bureau: Kate Farms

 Robert Dickson, MD
University of Michigan
Ann Harbor, Michigan, USA
No relevant financial relationship(s) to disclose

 Chet A. Morrison, MD, FACS, FCCM
Washington Hospital Healthcare System
Central Michigan University
Fremont, California, USA
No relevant financial relationship(s) to disclose

 Leopoldo Segal, MD, MS
NYU Grossman School of Medicine
New York, New York, USA
No relevant financial relationship(s) to disclose

 Paul Wischmeyer, MD, EDIC, FASPEN, FCCM
Duke University School of Medicine
Durham, North Carolina, USA
Grant Support: Abbott, Baxter, Fresenius; Consultant: Abbott, Fresenius, Baxter, Mend Inc, Nutricia; Honoraria: Abbott, Baxter, Fresenius, Danone-Nutricia, DSM, Nestle