Welcome to Acute and Chronic Rhinosinusitis: A Comprehensive Review
This course, offered by the Department of Otolaryngology – Head and Neck Surgery at the Icahn School of Medicine at Mount Sinai, is designed to inform primary care physicians and general otolaryngologists, as well as nurses, physician assistants and medical assistants, about the differences between acute and chronic rhinosinusitis and how to distinguish and treat them. It is also applicable to individuals who wish to broaden their knowledge and vernacular about this disease process, especially those who may suffer from this condition. The course has been divided into four modules, each of which is followed by multiple choice questions to help attendees further understand this condition:
Week 1 – CME Information, Accreditation and Introduction
Week 2 – Module 1: Normal Sinus Anatomy and Function (15 min. + quiz)
Week 3 – Module 2: Acute Rhinosinusitis: Diagnosis and Treatment (17 min. + quiz)
Week 4 – Module 3: Chronic Rhinoinusitis: Diagnosis and Treatment (18 min. + quiz)
Week 5 – Module 4: The Role of Surgery for Sinusitis and Activity Evaluation (36 min. + 2 quizzes)
The primary objective of this course is to provide physicians with a thorough understanding of how to better diagnose and treat patients who suffer from acute and chronic rhinosinusitis.
Those participating in this course have the option to receive CME credit.
Please review the CME Information and Accreditation prior to proceeding with the course modules.
Release Date: January 16, 2018
Expiration Date: January 16, 2020
Estimated Time to Complete: One Hour and Forty Five Minutes
CME Fee: $30.00
CME Credits Offered: 1.75
CME Reviewer: Marita S. Teng, MD
How to Receive CME Credit:
For physicians who are interested in earning CME credits and other allied health professions who wish to receive a Verification of Attendance certificate, you must:
a. Complete Signature Track (details to follow after enrolling in this course)
b. Complete registration process through the Icahn School of Medicine at Mount Sinai, CME Office using the following link:
(You will be required to pay an additional non-refundable fee of $30.00 in addition to the $49.00 fee for signature track.)
To obtain your CME/CE certificate: Email an attached copy of your Verified Certificate from Coursera to the CME office at the Icahn School of Medicine at firstname.lastname@example.org and request your CME certificate. Please make sure the subject line reads: Coursera CME
Technical Design and Development
CME Information, Accreditation
Module 1: Normal Sinus Anatomy and Function
Dr. Govindaraj of the Department of Otolaryngology – Head and Neck Surgery at the Icahn School of Medicine at Mount Sinai, describes an overview of the normal sinus anatomy and function. Illustrated images and CT scans are used to review the anatomy of the paranasal sinuses. The microscopic appearance of the sinus mucosa is reviewed, utilizing dynamic multimedia to enhance the viewer’s understanding. The module concludes with a review of the various sinus drainage pathways. Upon completion of this activity, participants will be able to: a) Describe the normal anatomy of the sinuses. b) Describe normal sinus function. c) Assess the importance of mucociliary function.
Module 2: Acute Rhinosinusitis: Diagnosis and Treatment
In this module about acute sinusitis Dr. Govindaraj will focus on diagnosis and management. This will help you distinguish between acute bacterial from viral rhinosinusitis. The bacterial pathogens responsible for acute sinusitis are covered in-depth, as well as when antibiotic therapy can be withheld in select cases. In addition, the current Academy Guidelines for the management of acute sinusitis are reviewed, focusing on the diagnostic criteria, as well as evidence-based management of this disease process. Upon completion of this activity, participants will be able to: a) Explain difference between acute and chronic rhinosinusitis. b) Appropriately diagnose acute and chronic rhinosinusitis. c) Recognize the proposed pathogenesis of acute and chronic rhinosinusitis.
Module 3: Chronic Rhinoinusitis: Diagnosis and Treatment
Dr. Govindaraj focuses on the diagnosis and management of chronic rhinosinusitis. The diagnostic criteria is reviewed and compared to acute sinusitis which will help to clearly distinguish between these two entities. Associated disorders that predispose patients to chronic sinusitis are discussed, as well as the diagnostic evaluation that should be performed in the workup of these patients. The role of systemic and topical therapies is also reviewed. Additionally, the current Academy Guidelines are covered in-depth, as well as the evidence-based medical management of this disease process. Upon completion of this activity, participants will be able to: a) Identify the causative agents for acute and chronic rhinosinusitis. b) Assess the medical management of acute and chronic rhinosinusitis. c) Evaluate the recommended antibiotic choices for acute and chronic rhinosinusitis
Module 4: The Role of Surgery for Sinusitis
We will focus on the role of surgery and the management of refractory acute and/or chronic rhinosinusitis. We hope you will appreciate the potential benefits offered by sinus surgery, as well as the indications to pursue this treatment modality. The latter half of this module is geared toward the general otolaryngologist, who performs sinus surgery. The necessary preparation and steps of the procedure are reviewed, as well as important anatomic landmarks during surgical dissection. Short video segments are used in order to enhance the viewer’s understanding. Themodule concludes with a brief discussion of the potential complications associated with sinus surgery. Upon completion of this activity, participants will be able to: a) Identify the indications for sinus surgery. b) Assess the potential complications of endoscopic sinus surgery. c) To perform and recognize the components of an endoscopic sinus surgery.
All learners are urged to complete an evaluation. Your comments are essential for improving the effectiveness of Icahn School of Medicine at Mount Sinai’s continuing medical education activities.