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Challenger Cesarean Delivery
Clinical Procedures and Techniques: Video, Monograph and Interactive CME

Challenger Cesarean Delivery is a multimedia educational resource that teaches the principles and techniques of performing and assisting at cesarean delivery and tubal ligation. Although the procedure must ultimately be taught in the operating room, viewing high-quality video of the standard technique and its variations is helpful to both new learners and more experienced physicians interested in improving their skills.

  • Comprehensive Content
  • Interactive Review and Testing
  • Navigation and Environment
  • Anywhere Flexibility
  • Fast CME Fulfillment
  • Free Support
  • And Into The Future

    Designed to Address Multiple Needs
    In medicine the best tools are the most versatile and easiest to use. If you're one of the thousands of physicians seeking clinical review, CME credit hours, or a quick and modern clinical reference resource, wouldn't you like a tool to fulfill all your needs? Look no further. Challenger Cesarean Delivery contains a video covering all aspects of cesarean deliveries and a CD-ROM with Q & A assessing your comprehension and retention of the material in one, cost-effective, easy-to-use package.

    Your Clinical Content Comprehensive Resource



    Click the image to see a video clip.
    Challenger Cesarean Delivery includes a 58-minute VHS video, narrated by Mark Deutchman, MD, covering the steps of cesarean delivery, major technique variations, tubal ligation, and instruments. A printed monograph and interactive CD-ROM accompany the video.

    Challenger Cesarean Delivery consists of state-of-the-art clinical information in both the video presentation and the monograph; its 7 chapters cover 33 essential topics in cesarean delivery. Every physician practicing in a primary or acute care setting is an odds-on favorite to encounter complicated, if not life-threatening, obstetrical problems, some of which require surgical delivery. Physicians practicing in rural or underserved medical areas where they, for all practical purposes, serve as the local providers of women's health care, will find the program of unparalleled value. The 50 Questions and Answers included on the CD-ROM will enhance your mastery of the subject and allow you to earn up to 6 AMA Category 1 CME credits from the University of Colorado School of Medicine.

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    Practice, Review, Assess, and Score!
    The Challenger learning methodology is elegantly designed to promote the highest level of retention possible. Questions are written by clinical experts to emulate clinical examination standards and to enhance knowledge of current best practices. Whether you are seeking to acquire continuing medical education credits, preparing for an examination or re-affirming your knowledge, our review and testing structure will help.

    Our three step - Practice, Review, Assess - progression incorporates a proven educational regime called programmed learning. At the start of each topic chapter of the interactive CME quiz, three tabs are displayed. Each tab's content is formatted for a specific function and use. You can toggle from tab to tab as you wish, allowing for a more personalized flow of study.

    The "Practice" tab - The test run. Answer each question in a section and receive pop up feedback and remediation. Limited tries keep the session honest. Correct and incorrect indicators appear next to your selected answers. All answers are revealed when all tries are exhausted.

    The "Review" tab - The study guide. The Review section presents the questions in the order seen in the Practice section, but with all answers and remediation displayed. Terminology in this section is linked to definitions from Dorland's Medical Dictionary. Once your review is finished, you may either re-enter the Practice section or proceed to the Assessment.

    The "Assessment" - The scored test. One or more assessments will be available for each topic. Questions seen in the Practice view will display in random order. At the end of each assessment your responses are scored and a detailed breakdown displayed.

    The scoring report indicates correct answers and incorrect answers given for each question. These scores, if the required score is met, can be sent to Challenger Corporation for fast CME certificate fulfillment.

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    Internet-Based Search Engine

    Whether you are looking for a specific topic, collection of images, or specific phrase, Challenger's Internet-based search engine allows you to locate references in seconds. Best of all, you can launch right into the clinical section you wish to see. With this searchable, point-of-care reference, not only will you have immediate access to the latest developments in your specialty, you will also save time by identifying the specific information you need when you need it.


    Fast Navigation in an Interactive Environment
    The Challenger Interactive Viewer (CIV) environment integrates all content and dynamic testing functionality in a clear, point-and-learn format. The review progression in the interactive CME quiz is designed to allow quick navigation while providing a step-by-step structure to enhance learning and retention. Read, view, absorb, and retain material at your own pace.

    Unlike most clinical review software programs where navigation is hard to use or confusing, navigating through Challenger courses, sections, and topics is a breeze thanks to Challenger's Interactive Viewer (CIV). Quickly jump to your area of interest, topic to sub-topic, in a straightforward outline form.

    Find what you need, fast. The CIV is graphically laid out to provide large, on-screen selections for fast, easy navigation. Entry into each content section opens the Interactive Viewer Window where content is displayed. Topics list neatly down one side. Want to switch topics? Just click the topic title in the list. Practice, Review and Assessment tabs line the top of the window for multiple content review options. To return to the main table of contents, simply close the window or select the central home button.

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    Built-in Flexibility - Two Points of Access
    Don't have time to drive or fly to that CME seminar? Have it come to you. When you purchase any Challenger program, you will receive a CD-ROM and an instructional help guide. You will also be automatically set up in our Challenger Online Learning Portal, so you can access your course material via the web from any computer with an Internet connection. Review, study and take assessments online just as if you were at home. This convenience is crucial, given time constraints shouldered by today's clinical professionals.


    Quick and Easy CME Fulfillment - For FREE
    Obtaining your CME certificates has never been easier. You can request CME credits any time upon completion of the course. Challenger provides multiple score submission options and simple-to-follow instructions. Just mail or fax your printed scores or submit them directly via your online Challenger account. Your scores and required evaluation form (provided) are processed promptly and at NO COST to you. Challenger works closely with our prestigious, institutional sponsors to maintain the most rewarding educational experience possible. For most of our courses, Challenger issues CME certificates on behalf of our sponsors directly from our office, speeding their delivery.

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    Free Technical Support - We're Always There
    We'll be with you every step of the way. Should you need assistance, our technical support staff is on standby to assist you for FREE.

    Into The Future - The Changing Face of Medicine
    Challenger prides itself on staying up-to-date in all aspects of medicine. All courses are routinely peer-reviewed and updated. Should your program expire, upgrades are provided to Challenger clients at a fraction of standard retail cost. This way, as the face of medicine changes, our valued customers can cost-effectively keep their coursework and reference library current. Of course, the best value Challenger offer is the Challenger Lifetime Subscription - all products and upgrades for a one-time enrollment fee.

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    Course Highlights...


    Course includes VHS procedural video, interactive CME quiz, and printed clinical monograph

    Over 55 minutes of VHS video capturing all aspects of cesarean delivery with illustrated slides and alternative techniques

    Expert instructional commentary by Mark Deutchman, MD

    CD-ROM and Internet access to 50 interactive questions covering cesarean techniques

    Category 1 CME Credit
    6.0 AMA credits available from the University of Colorado School of Medicine

    Video contents peer-reviewed by a panel of 20 physicians, including 11 family physicians and 9 obstetricians in the United States, Canada, the United Kingdom, Belgium, and Brazil

    Author:
    Mark Deutchman, MD, FAAFP
    Professor, Department of Family Medicine
    Director, Advanced Training Track
    Director, Rural Health Track
    University of Colorado Health Sciences Center
    Denver, CO


    International Reviewers:
    Duncan Etches, MD, Vancouver, Canada
    Kim Hinshaw, MD, Tyne & Wear, UK
    Philip Loquet, MD, Antwerp, Belgium
    Marcos Ymayo, MD, Sao Paolo, Brazil


    United States Reviewers:
    Lesley Atwood, MD, Hastings, MN
    Libby Baxley, MD, Columbia, SC
    Tom Burke, MD, Anchorage, AK
    Tim Canavan, MD, Harrisburg, PA
    Ron Dommermuth, MD, Bremerton, WA
    Steven Eisinger, MD, Rochester, NY
    Bob Gobbo, MD, Merced, CA
    John Hill, DO, Denver, CO
    Barbara Kelly, MD, Denver, CO
    Larry Leeman, MD, Albuquerque, NM
    Neil Murphy, MD, Anchorage, AK
    Stephen Ratcliffe, MD, Lancaster, PA
    Wm. M. Rodney, MD, Nashville, TN
    Chip Taylor, MD, Pensacola, FL


    Post-question remediation for instant feedback and better retention

    Multiple score submission options and direct CME certificate fulfillment


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    Chapter Listing...


    Background and Context

    • Economic Issues
    • Cesarean Delivery Rates: Goals vs. Reality
    • Types of Physicians Performing Cesarean Delivery

    Indications for Cesarean Delivery

    • Indications
    • Repeat Cesarean
    • Diagnosis of Dystocia
    • Non-Reassuring Fetal Heart Rate

    Preparation for Surgery

    • Preparation for Surgery
    • Role of the Surgical Assistant
    • Operative Note

    Surgical Technique

    • Simplified Technique
    • Difference from the Pfannenstiel Technique
    • Illustrated Steps

    Options in Surgical Technique

    • Abdominal Incision
    • Visceral Peritoneum
    • Opening the Uterus
    • Delivery of the Placenta
    • Closure of the Uterus
    • Peritoneal Closure
    • Subcutaneous Tissues
    • Skin Closure
    • Final Check of the Uterus
    • Perimortem Cesarean Delivery

    Postoperative Care

    • Postoperative Orders
    • Counseling Points

    Complications

    • Identifying Patients at Risk for Surgical Complications
    • Abdominal Dystocia
    • Cesarean Delivery in the Patient with Chorioamnionitis
    • Uterine Hemorrhage
    • Bladder Injury
    • Bowel Injury
    • Postoperative Fever
    • Thromboembolic Complications

    Product ID: CESAREAN


    Accreditation

    Accreditation Statement
    This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the University of Colorado School of Medicine and Challenger Corporation.

    The University of Colorado School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

    Certification Statement
    The University of Colorado School of Medicine designates this educational activity for a maximum of 6.0 Category 1 credits toward the AMA Physician's Recognition Award. Each physician should claim only those hours of credits he/she actually spent in the activity.

    Disclosure Policy
    It is the intent of University of Colorado School of Medicine to assure that its educational mission, and continuing medical education activities in particular, should not be influenced by the special interests of individuals associated with its programs. Having an interest in or an affiliation with any corporate organization does not necessarily influence a faculty's presentation, but the relationship must be made known to the program audience in accordance with the Standards of the Accreditation Council for Continuing Medical Education.

    Disclosure of Proprietary Interests
    According to CME guidelines, authors must disclose all associations with proprietary entities that may have a direct relationship to their subject of discussion. All authors of this program have signed disclosure forms indicating that they have no associations with proprietary entities related to their subjects of discussion.

    Activity Dates
    Edition Release Date: September 11, 2007

    This course will be reviewed within three years from date of last review.

    Copyright Statement
    Challenger Cesarean Delivery. Copyright © 2003 by Challenger Corporation. All rights reserved.

    Elsevier Logo © 2003 Elsevier Science, Inc. All Rights Reserved.
    Dorland's Illustrated Medical Dictionary is a copyrighted work owned by Elsevier, Inc., hereinafter referred to as "Elsevier". Reproduction or distribution of the Work or such accompanying materials except as set forth herein without the express written consent of Elsevier is prohibited.

    User is granted a non-exclusive, non-transferable license to use the Work as a reference or informational tool for User’s use only. User shall not reproduce, sell, license, subscribe, lease or distribute the Work, nor shall User permit any other person or entity to use, reproduce, sell, license, subscribe, lease or distribute the Work.

    Author:
    Mark Deutchman, MD, FAAFP
    Professor, Department of Family Medicine
    Director, Advanced Training Track
    Director, Rural Health Track
    University of Colorado Health Sciences Center
    Denver, CO

    International Reviewers:
    Duncan Etches, MD, Vancouver, British Columbia, Canada
    Kim Hinshaw, MD, Tyne & Wear, United Kingdom
    Philip Loquet, MD, Antwerp, Belgium
    Marcos Ymayo, MD, Sao Paolo, Brazil

    United States Reviewers:
    Lesley Atwood, MD, Hastings, Minnesota, USA
    Libby Baxley, MD, Columbia, South Carolina, USA
    Tom Burke, MD, Anchorage, Alaska, USA
    Tim Canavan, MD, Harrisburg, Pennsylvania, USA
    Ron Dommermuth, MD, Bremerton, Washington, USA
    Steven Eisinger, MD, Rochester, New York, USA
    Bob Gobbo, MD, Merced, California, USA
    John Hill, DO, Denver, Colorado, USA
    Barbara Kelly, MD, Denver, Colorado, USA
    Larry Leeman, MD, Albuquerque, New Mexico, USA
    Neil Murphy, MD, Anchorage, Alaska, USA
    Stephen Ratcliffe, MD, Lancaster, Pennsylvania, USA
    Wm. M. Rodney, MD, Nashville, Tennessee, USA
    Chip Taylor, MD, Pensacola, Florida, USA

    Target Audience: Challenger Cesarean Delivery is intended for all physicians, emergent and primary care providers and specialists, who require information on cesarean delivery practices.

    Educational Objectives:
    The educational objectives of Challenger Cesarean Delivery are as follows. On completing the program, the medical practitioner should be able to:
    1. Describe the essential steps of cesarean delivery including simplified technique options.

    2. Describe the major complications of cesarean delivery and how to anticipate them.

    3. Describe methods of treating complications of cesarean delivery.

    4. Demonstrate mastery of the knowledge and cognitive skills required to achieve objectives 1-3 by scoring at least 80% on all topics studied for CME credit.

    System Requirements

    CIV System Requirements

    Free Technical Support: (888) 242-5536 (Toll-Free) or email tech support.



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