CME Corner

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Program Detail

Program Title

Nailing Down Fungus: The Clinical Problem of Onychomycosis
Release Date: September-20-05
Credit Expiration Date: December-01-06


Barbara Sinni-McKeehen, MSN, ARNP, DNC
Dermatology Nurse Practitioner and Clinical Administrator
Dermatology Section, Medical Service
Bay Pines VA Medical Center
Bay Pines, Fla.

Credit Hours

1.2 contact hours


Online Presentation

Program Description

Onychomycosis is a progressive, potentially significant infection, especially in high-risk populations such as elderly patients, the immunocompromised, and diabetics. An estimated 50% of all nail disorders are onychomycosis, affecting as many as 30 million adults in the U.S.

This program describes the causes and potential sequelae of onychomycosis; the clinical appearance of onychomycosis versus other nail conditions that mimic it; and the proper use of the KOH test, PAS staining of nail plate, and fungal culture in differential diagnosis.

Treatment options for onychomycosis include oral antifungal drugs. The program describes the mechanisms of action, dosages, and potential adverse reactions of these drugs, and also reviews the most recent published clinical studies of antifungal therapy.

Program Developer/Facilitator


Target Audience

Nurse practitioners. This program has been approved for 1.2 contact hours of continuing education by the American Academy of Nurse Practitioners.

Learning Objectives

Upon completion of this educational activity, the participant should be able to:

  1. Select appropriate diagnostic procedures to differentiate conditions affecting the nails and identify patients at high risk for onychomycosis complications.
  2. Employ currently available pharmacologic and nonpharmacologic treatments for onychomycosis.
  3. Educate patients about the clinical course of onychomycosis and their role in management of the disease.
  4. Develop and initiate a plan for onychomycosis management, including the scheduling of follow-up examinations and appropriate tests.


Ms. Sinni-McKeehen has no significant financial interest or other relationship with the manufacturers of any commercial products or services discussed in this educational presentation or with commercial supporters of this activity.

Credit Statements

This program has been approved for 1.2 contact hours of continuing education by the American Academy of Nurse Practitioners. Program ID 05051007.

Commercial Support Statements

Supported by an educational grant from Novartis.


  1. Click on the "Start program" icon. If you are not already logged in to the site, this will bring you to the login/registration page where you will be able to register as a new member or check existing registration information. When ready, click on the "Continue to Program" icon at the bottom of the screen.
  2. The next screen will permit you to check for or download the Flash player required to run this program. You will also find buttons that will permit you to start the program presentation, access other program elements, and take the post-test.
  3. Clicking on "Slides" on this screen will begin the program presentation.
  4. You must be registered with in order to complete the post-test. When you click on the post-test button you will be brought to a screen which will confirm your registration status and provide an opportunity to register if you haven't done so previously.
  5. Instructions for completing and submitting the post-test and program evaluation are provided on the post-test screen. A credit certificate will be awarded for a score of 70% or better and may be printed immediately after passing the post-test.

Certificate Fee



The information contained in this program does not necessarily reflect the opinions or recommendations of Novartis, The American Academy of Nurse Practitioners, or Medical Communications Media, Inc. Diagnostic procedures or treatments discussed in the program should not be utilized by clinicians without evaluation of patients’ conditions and possible contraindications or risks, and without a review of applicable manufacturer’s product information and comparison with recommendations of other authorities.

By clicking START PROGRAM I acknowledge that I have read the CME/CE information above.

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