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WELCOME TO FUNGUSCME.ORG

FungusCME.org is the official continuing education site of the collaboration of
the Mycoses Study Group Education & Research Consortium and Terranova Medica.
The MSG-ERC’s mission includes setting the annual educational and research
agendas for mycology and providing top-quality continuing education initiatives
to MSG-member institutions and to other institutions and practitioners
throughout the United States and globally. We thank our generous commercial
supporters for their commitment to our live and web-based continuing education
efforts. We hope you enjoy the variety of continuing activities present on this
site, and we welcome your input on ongoing educational needs in the area of
invasive mycoses.


FEATURED COURSE

TREATMENT FAILURE IN MYCOLOGY: ADDRESSING THE ROOT CAUSE

This case-based CME/CPE/CNE activity is focused on addressing causes of
treatment failure in serious fungal infections to improve patient outcomes.
Using a multidisciplinary approach, the faculty will address inadequate testing,
antifungal resistance, adherence issues, source control, and pharmacologic
issues, including inadequate use of therapeutic drug monitoring. The cases will
span resistant dermatophytes, coccidioidomycosis, candidemia, and an invasive
mold infection.

View Course


COURSE CATALOG

NEW ACTIVITY! CASE STUDIES IN OPTIMAL MANAGEMENT OF INVASIVE CANDIDIASIS

This multimedia CME/CPE enduring activity from the live MSGERC Town Hall held on
July 7, 2023, discusses the newest trends in the management of invasive
candidiasis. The expert faculty discuss hospital and health care-associated
infection scenarios: a patient coming in from a long-term acute care hospital
(LTACH), an invasive fungal infection in a stem cell transplant patient, and an
intra-abdominal infection in a hospitalized surgical patient.

View Course

COMMUNITY-ACQUIRED PNEUMONIA: WHEN TO THINK FUNGUS

This CME/CNE/CPE activity will explore community-acquired pneumonia cases,
illustrating when to consider coccidioidomycosis, blastomycosis, and
histoplasmosis endemic mycoses as potential etiologies. The activity will
feature use of CDC/MSGERC/CSG algorithms to recognize patients at risk for these
infections as well as diagnostic strategies. This activity was developed for a
target audience of primary care providers, specialists who prescribe biologics,
pulmonologists, as well as urgent care and emergency medicine providers who see
patients with community acquired pneumonia.

View Course

CHALLENGING INVASIVE FUNGAL INFECTIONS: CURRENT AND EMERGING PHARMACOLOGIC
STRATEGIES

The optimal management of invasive fungal infections requires a collaborative
approach focused on optimal agent selection, pharmacologic optimization, and a
clear strategy to identify and address treatment failure. For some pathogens,
the challenge is further exacerbated by the limitations of existing regimens.
Fortunately, emerging therapeutic approaches show promise for a range of
invasive mycoses. In this activity, featuring cases from the virtual live event
MSGERC Town Hall: Challenging Invasive Fungal Infections, mycology experts
illustrate strategies to optimize the management of challenging invasive mold
and Coccidioides infections. The activity features mycology experts Drs Luis
Ostrosky-Zeichner, George R. Thompson III, and James Lewis, with additional
commentary from Dr Nathan Wiederhold.

View Course

MANAGING INVASIVE CANDIDIASIS: KEY STRATEGIES TO MAKE A DIFFERENCE

In this activity, Drs Ostrosky-Zeichner and Peter Pappas illustrate strategies
to make a difference in the management of invasive candidiasis. Using an
infographic approach to reinforce key concepts, they make a compelling call to
action for more state-of-the-art management of this common fungal infection.

View Course

CHALLENGING INVASIVE FUNGAL INFECTIONS: RISK ASSESSMENT AND DIAGNOSIS

Thinking fungus, diagnosing the fungal pathogen to the genus and species level,
and addressing antifungal resistance are key steps to improving outcomes for
invasive fungal infections (IFIs). This activity, featuring cases from the
virtual live event MSGERC Town Hall: Challenging Invasive Fungal Infections, is
designed to help clinicians identify at-risk patients and secure the IFI
diagnosis. It will highlight the problem with low awareness of endemic mycoses
as potential causes of CAP as well as the importance of appropriate use of
antifungal susceptibility testing. The activity features mycology experts Drs
Luis Ostrosky-Zeichner, George R. Thompson III, and Nathan Wiederhold,with
additional commentary by Dr James Lewis.

View Course

COVID-19–ASSOCIATED INVASIVE FUNGAL INFECTIONS: EXPERT GUIDANCE ON CASES FROM
THE COMMUNITY

Patients with severe COVID-19 who require mechanical ventilation are at
increased risk for invasive fungal infections (IFIs), which increase morbidity
and mortality. As part of a CDC Cooperative agreement, the faculty for the
COVID-19–associated Fungal Infections Educational Initiative have developed a
series of tools for diagnosing and managing these IFIs. In this interactive,
case-based activity, mycology experts Drs George R. Thompson, III; Dimitrios
Kontoyiannis; and Minh-Hong Thi Nguyen apply these tools in challenging
COVID-19–associated IFI cases submitted by community clinicians. The activity
addresses COVID-19—associated pulmonary aspergillosis (CAPA),
COVID-19--associated mucormycosis, and coccidioidomycosis relapse after recovery
from COVID-19.

View Course

COVID-19—ASSOCIATED INVASIVE FUNGAL INFECTIONS: MULTIDISCIPLINARY MANAGEMENT

Patients with severe COVID-19 who require mechanical ventilation are at
increased risk for invasive fungal infections (IFIs). However, many clinicians
do not have a strategy to screen for these infections. As part of a CDC
Cooperative agreement, the faculty for the COVID-19–Associated Fungal Infections
Educational Initiative (https://covidandfungus.org/) have developed a series of
tools to assist healthcare providers in recognizing and managing these
infections. In this interactive, case-based activity, expert faculty from the
disciplines of infectious diseases/medical mycology, pulmonology, intensive-care
medicine, and infectious diseases pharmacy weigh in on challenging
COVID-19–associated IFI cases. Join them as they work together to develop
strategies for the management of candidemia, COVID-19—associated pulmonary
aspergillosis, and cryptococcosis in patients with severe COVID-19.

View Course

CUTANEOUS LESIONS POST CAR T-CELL THERAPY, CASE 2 OF TRANSFORMATIVE CARE FOR
INVASIVE MOLD INFECTIONS: STRATEGIES THAT MAKE A DIFFERENCE IN PATIENT OUTCOMES

In the second case of this initiative moderated by Dr Luis Ostrosky-Zeichner, Dr
Matthew Lunning presents a case of cutaneous lesions post CAR T-cell therapy in
a patient with large B-cell lymphoma. The critical care/pulmonary perspective is
provided by Chadi Hage, the infectious diseases perspective by Marisa Miceli,
and the microbiologic perspective by Dr Nathan Wiederhold. Benchmark your
practices and evaluate your institutional barriers to appropriate care of this
challenging case involving cell-mediated therapy for a hematologic malignancy.

View Course

MEDIASTINAL MASS POST LUNG TRANSPLANT, CASE 1 OF TRANSFORMATIVE CARE FOR
INVASIVE MOLD INFECTIONS: STRATEGIES THAT MAKE A DIFFERENCE IN PATIENT OUTCOMES

In this text- and audio- panel discussion moderated by Dr Luis
Ostrosky-Zeichner, Dr Chadi Hage presents a case illustrating the diagnosis and
management of a mediastinal mass post lung transplantation. The critical
care/pulmonary perspective is provided by Dr Hage, the infectious diseases
perspective by Dr Marisa Miceli, and the microbiologic perspective by Dr Nathan
Wiederhold. Benchmark your practices and evaluate your institutional barriers to
appropriate care of patients with invasive fungal disease in the critical care
setting.

View Course

UPDATES IN MEDICAL MYCOLOGY: ARCHIVED CONTENT FROM A CME WEBCAST ACTIVITY FOR
LATIN AMERICA

This Spanish language CME has been designed to address unmet educational needs
regarding invasive yeast/endemic mycoses and mold infections in Latin America.
Using a case-based approach, the activity features video lectures from Drs
Francisco Marty and Arnaldo Lopes Colombo, with a recorded Q/A moderated by the
chairperson, Luis Ostrosky-Zeichner.

View Course

THE NEW ANTIFUNGAL TOOLKIT 2019: REVIEW OF ITRACONAZOLE FORMULATIONS AND
APPLICATION IN ENDEMIC MYCOSES

Originally launched in 2014 and updated through 2019, The New Antifungal Toolkit
is an Internet CME curriculum that provides current information about newer
FDA-approved agents/formulations for the management of invasive fungal
infections (IFIs) and evaluates their role in strategies to optimize antifungal
therapy. In the 2019 updates, we provide a review of SUBA-itraconazole, updates
on endemic mycoses, as well as updates to the pharmacopeia section.

View Course

INVASIVE MOLD FACE-OFF: MEETING THE CHALLENGE ACROSS THE DISEASE
SPECTRUM—ENDURING WEB ACTIVITY

Invasive molds can be formidable foes for clinicians to face off with. In this
highly interactive and visual case-based activity, Drs John Perfect, Tom
Patterson, and Francisco Marty provide expert perspective on the prevention and
management of invasive molds. Addressing topical issues such as cryptic
Aspergillus spp and azole resistance, aspergillosis associated with influenza,
antifungal prophylaxis and breakthrough infections, mucormycosis diagnosis and
treatment, green herring syndrome, and diagnosis and management of fusariosis,
this fast-paced activity will arm you with the tools you need to effectively
face off against these challenging fungal infections.

View Course

FUNGAL FRONTIERS: EXPERT DECISION MAKING IN MEDICAL MYCOLOGY

This interactive, multimedia activity is designed to evaluate different
approaches to managing clinical scenarios at the frontiers of invasive fungal
infections. Explore the levels of evidence behind different strategies,
contrasting expert decision making with your own approach and those of your
peers. Specific content on Candida auris infection, pharmacologic aspects of
antifungal prophylaxis in an HSCT patient, and management of a refractory mold
infection will be provided.

View Course

MYCOLOGY MINUTESTM FROM THE 8TH TRENDS IN MEDICAL MYCOLOGY (TIMM) MEETING AND
TOP 2017 PAPERS

Dr Sibylle Mellinghoff reviews high-impact poster/oral presentations and papers
related to diagnostics, including MALDI-TOF, GM testing, β-D-glucan testing,
fungus-specific T cells, as well as therapeutic dose monitoring,
multidrug-resistant fungi, mold lung infections, and emerging therapeutics. Dr
Martin Hönigl provides an overview of the clinical implications of this
research. We hope you find these timely updates helpful for you in caring for
patients with invasive fungal disease.

View Course

MYCOLOGY MINUTESTM FROM THE IDWEEK 2017 MEETING

Dr Justin Hayes of the University of Alabama School of Medicine (UAB) reviews
recent data on: the impact of ID consultation/diagnostics on candidemia
outcomes; Candida auris and antifungal resistance; antifungal prophylaxis; and
CNS histoplasmosis and screening for cryptococcal antigenemia in solid organ
transplant recipients. Dr Peter G. Pappas, also of UAB, provides a clinical
commentary on these studies. We hope you find this edition of the Minutes an
enlightening and thought-provoking encapsulation of emerging science/data in
mycology.

View Course

THE NEW ANTIFUNGAL TOOLKIT 2017: THE PHARMACOPEIA AND BEYOND

Originally launched in 2014 and updated through 2016, The Antifungal Toolkit:
The Pharmacopeia and Beyond is an Internet CME curriculum that provides current
information about newer FDA-approved agents/formulations for the management of
invasive fungal infections (IFIs) and evaluates their role in strategies to
optimize antifungal therapy. In the 2017 updates, we have updated the discussion
of newer agents/formulations, emerging agents/diagnostics, and pharmacologic
principles/data.

View Course

INVASIVE MYCOSES: EMERGING PARADIGMS & PRACTICAL APPLICATIONS (NOW WITH AN
UPDATE FROM IDWEEK 2016)

This is an interactive, enduring multimedia activity based on content presented
at the 2016 MSGERC symposium at ASM Microbe. With content spanning from updates
on diagnostics and pharmacologic considerations for therapies to challenges in
the management of invasive aspergillosis, invasive mucormycosis, and
breakthrough infections, this activity addresses key clinical issues for optimal
invasive fungal disease (IFD) management. In addition, we have also included
fungus-specific updates from the Microbe meeting in the companion Mycology
Minutes™ activity (see link below). We hope you find these activities helpful as
you hone and update your strategies for managing these difficult infections.

View Course

INVASIVE MYCOSES IN HEMATOLOGIC MALIGNANCIES: DISARMING THE FUNGAL SABOTEUR

In this interactive, enduring multimedia activity based on a 2015 American
Society of Hematology Satellite Symposium, experts in hematology/oncology,
infectious diseases, and pharmacy discuss optimal strategies to prevent and
treat invasive mycoses in hematologic malignancy patients. This initiative
features both video and text-based presentations of key epidemiologic data,
diagnostic and therapeutic options, pharmacologic considerations, and
guidelines/expert opinion on strategies to decrease the spectre of invasive
fungal infections for patients with hematologic malignancies. It features
in-depth discussion of real-world issues encountered in optimizing therapy and
an international, esteemed faculty.

View Course

CHALLENGES IN IFD MANAGEMENT: FORWARD-THINKING STRATEGIES

Challenges in IFD Management: Forward-Thinking Strategies is an enduring
activity based on content presented at 2015 MSG-ERC symposia at ICAAC/ICC and ID
Week. The activity is designed to provide top-line updates on invasive fungal
disease (IFD) diagnostics and therapeutics as well as
controversial/forward-looking topics in mycology reviewed in a panel-discussion
format. The activity includes relevant, interactive case challenges that
highlight practical aspects of IFD case, interdisciplinary management, as well
as international perspectives on patient-care strategies.

View Course

CLINICAL DECISION MAKING IN MYCOLOGY: WORKING THROUGH DIFFICULT SCENARIOS

Clinical Decision Making in Mycology: Working Through Difficult Scenarios is the
enduring activity from the Mycoses Study Group Education & Research Consortium
(MSG-ERC) CME symposium presented at ICAAC 2014. This activity is designed to
address the relationship between decision making and outcomes in invasive
mycoses. After an introduction and review of emerging therapeutic and diagnostic
options, the activity will turn to an in-depth exploration of 2 cases—a
hematologic malignancy and an intensive care unit case—that illustrate key
decision points affecting potential outcomes across the disease spectrum. By
using a branching, decision-tree approach that follows the cases out to
potential logical conclusions, the activity challenges learners to evaluate
their own practice patterns in an effort to overcome barriers and achieve better
outcomes for invasive fungal infections (IFIs).

View Course

THE NEW ANTIFUNGAL TOOLKIT: THE PHARMACOPEIA AND BEYOND (2014)

The New Antifungal Toolkit: The Pharmacopeia and Beyond is an Internet CME
curriculum that will provide current information about new FDA-approved
agents/formulations for the management of invasive fungal infections (IFIs) and
evaluate the role of these newer options in strategies to optimize antifungal
therapy. As such, the activity will move beyond the typical drug pharmacopeia to
address dosing in special populations (eg, pediatrics, patients with renal
insufficiency, specific host types), health economic data, as well as
comparative effectiveness, where appropriate. The activity will also include a
broader pharmacopeia of all FDA-approved agents for invasive mycoses as a useful
point of comparison as well as a practice reference. Planned updates at 4 and 8
months will cover any additional FDA approvals and keep the learner up to date
as research data for newer agents mature and clinical experience grows.

View Course

INVASIVE FUNGAL INFECTIONS AFTER SOLID ORGAN TRANSPLANTATION

In this interactive, enduring, multimedia activity is based on the third and
final component of the ICAAC 2013 satellite symposium, Invasive Mycoses:
Consider the Source, Consider the Host. In Invasive Fungal Infections After
Solid Organ Transplantation, Barbara D. Alexander, MD, MHS, FIDSA, discusses a
case highlighting the management of an invasive mold infection in a patient post
lung transplantation. In this activity, Dr Alexander reviews fungal epidemiology
based on type of organ transplanted and time from transplantation, explores the
performance characteristics of fungal diagnostics specifically in the SOT
setting, reviews the guidelines for management of fungal infections in SOT, and
discusses genomics and other host defense issues impacting response to therapy.
The activity will also include bonus material about current and emerging
antifungal therapy and diagnostic options (developed by Peter G. Pappas, MD,
FACP).

View Course

PEDIATRIC MYCOSES: SAME BUT DIFFERENT

In this interactive, enduring, multimedia activity is based on the second
component of a liveICAAC 2013 satellite symposium, Theoklis Zaoutis, MD, MSCE,
discusses cases illustrating the state-of-the-art management of invasive fungal
infections (IFIs) in children. Highlighting important issues for the prevention
and management of invasive candidiasis and invasive mold infections in oncology
and ICU settings, Dr Zaoutis also reviews the levels of evidence behind
different diagnostic tests in children, drug dosing strategies, as well as the
role of therapeutic dose monitoring. The activity will also include bonus
material about current and emerging antifungal therapy and diagnostic options
(developed by Peter G. Pappas, MD, FACP).

View Course



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