ActivityOverview
Mending Through Movement: A Signs and SymptomsTeam Education Program on Treating Osteoarthritis (OA STEP) is a guidedactivity with case study that will improve your knowledge of the signs,symptoms, diagnosis, and management of early-stage osteoarthritis (OA). The activityprovides information on:
Epidemiology and statistics
Symptoms and signs
Diagnosis
Radiology
Treatment and self-management
Resources
Registration is complimentary.
Target Audience
Primary care providers, including internalmedicine and family medicine practitioners, physician assistants, advancedpractice nurses, and nurses.
Learning Objectives
Upon completion of this activity, participantsshould be able to:
Assess the symptoms and signs of joint pain
Select the appropriate workup to diagnose osteoarthritis (OA)
Chooseappropriate non-pharmacologic measures, pharmacologic treatment and painmanagement
CE &MOC Information
ACCME Accreditation Statement
The American College of Rheumatology is accredited by theAccreditation Council for Continuing Medical Education (ACCME) to providecontinuing medical education for physicians.
See the ACR's CMEMission Statement. For more information, download the AMA PRABooklet.
AMA DesignationStatement
The American College of Rheumatology designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CME credit must be claimed by August 31, 2025, at 11:59 PM ET.
MOC
MOC Recognition Statement: AmericanBoard of Internal Medicine (ABIM)
Successfulcompletion of this CME activity, which includes participation in the evaluationcomponent, enables the participant to earn up to 0.50MOC points in the American Board of Internal Medicine's (ABIM) Maintenance ofCertification (MOC) program. It is the CME activity provider'sresponsibility to submit participant completion information to ACCME for thepurpose of granting ABIM MOC credit.
By completing this activity, you provide the ACR permission toshare completion data with the ACCME and the certifying board.
After submitting a reflective statement with keytakeaways from the activity, MOC points will be applied for ABIM diplomates tothe ABIM diplomate number and date of birth provided when you registered.Points are sent nightly to ACCME and then transferred to the ABIM PhysicianPortal. Please allow at least 48 hours for points to display in the portal.
MOC points must be claimed by August 31, 2025, at 11:59 PM ET.
FinancialRelationship Disclosures
ACR Disclosure Statement
Itis the policy of the American College of Rheumatology (ACR) to ensure thatContinuing Medical Education (CME) activities are independent and free ofcommercial bias. To ensure educational content is objective, balanced, andguarantee content presented is in the best interest of its learners and thepublic, the ACR requires that everyone in a position to control educationalcontent disclose all financial relationships with ineligible companies withinthe prior 24 months. An ineligible company is one whose primary business isproducing, marketing, selling, re-selling or distributing healthcare productsused by or on patients. Examples can be found at accme.org.
Inaccordance with the ACCME Standards for Integrity and Independence inAccredited Continuing Education, ACR has implemented mechanisms prior to theplanning and implementation of this CME activity to identify and mitigate allrelevant financial relationships for all individuals in a position to controlthe content of this CME activity.
Natureof Financial Relationships
All individuals that participate in an ACR-sponsored activity and are able to change content or influence the content of the activity must disclose to the planning committee and audience all financial or other relationships with ineligible companies including, but not limited to:
Advisor or review panelmember
Consultant
Employee
Officer or Board Member
Grant/research support
Speaker/honoraria includes speaker’s bureau,symposia, and expert witness
Independent contractor
Executive role and/or ownership interest
Royalties and/or patent beneficiary
Intellectual property/patents
Stock options or bond holdings in a for-profitcorporation or self-directed pension plan
Private investigator
Expert witness
Equity interest
Other: specify details
None: Has no relevant financial relationship(s) with ineligiblecompanies to disclose.
All participants that createdand/or were able to influence the content and delivery of this activity reportedthe following disclosures. All of the relevant financialrelationships listed have been mitigated.
Authors/Planners
Kristine Lohr, MD, MS - No relevant financial relationships todisclose - Planner
Priyanka Iyer, MD, MPH - No relevant financial relationships todisclose - Planner
Sunghye Kim, MD – ARKG-ETF9 - Planner
Ivanshi Gondalia, MD - No relevant financial relationships todisclose - Planner
ContentReviewers
Kevin Hackshaw, MD - No relevant financial relationships todisclose
Meredith Ventura, MD- No relevant financial relationships to disclose
Acknowledgement of Commercial Support
No commercial support was provided for this activity.
EducationalActivity Policies
See ACR educational activity policies, including the online enduring activity refund policy.

Activity Overview
Participants will learn what juvenile idiopathic arthritis (JIA) is, how to take a history and perform a physical exam, the process of diagnosing JIA, and the different types of JIA and what treatment options may be available. Finally, participants will have access to resources to help them co-manage JIA patients and understand how to communicate with patient’s families about JIA.
Registration is complimentary.
Target Audience
Rheumatologists, primary care physicians, advanced practice nurses, nurses, physician assistants, residents, educators, fellows in training and rheumatology interprofessionals who care for pediatric patients with rheumatic diseases, particularly JIA.
Learning Objectives
Upon completion of this activity, participants should be able to:
Identify presenting symptoms and signs of juvenile idiopathic arthritis (JIA)
Explain different JIA treatment options
Describe possible complications of JIA
Identify specialized needs for children with JIA
CE & MOC Information
Credit must be claimed by December 17, 2026, at 11:59 PM ET.
By completing this activity, you provide the ACR permission to share completion data with the ACCME and the certifying board.
After submitting a reflective statement with key takeaways from the activity, MOC points will be applied for ABIM diplomates to the ABIM diplomate number and date of birth provided when you registered. Points are sent nightly to ACCME and then transferred to the ABIM Physician Portal. Please allow at least 48 hours for points to display in the portal.
All participating healthcare professionals should claim only the credit commensurate with the extent of their participation in this activity.
Available Credit
AMA PRA Category 1 Credit(s)™: 1.00
ABIM MOC: 1.00 Medical Knowledge Points
Accreditation Statement
In support of improving patient care, the American College of Rheumatology is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Provider Number: 0003797
See the ACR's CE Mission Statement. For more information, download the AMA PRA Booklet.
AMA Designation Statement
The ACR designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
MOC Recognition Statement: American Board of Internal Medicine (ABIM)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of InternalMedicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Financial Relationship Disclosures
ACR Disclosure Statement
It is the policy of the American College of Rheumatology (ACR) to ensure thatContinuing Medical Education (CME) activities are independent and free of commercial bias. To ensure educational content is objective, balanced, and guarantee content presented is in the best interest of its learners and the public, the ACR requires that everyone in a position to control educational content disclose all financial relationships with ineligible companies within the prior 24 months. An ineligible company is one whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients. Examples can be found at accme.org.
In accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education, ACR has implemented mechanisms prior to the planning and implementation of this CME activity to identify and mitigate all relevant financial relationships for all individuals in a position to control the content of this CME activity.
Nature of Financial Relationships
All individuals that participate in an ACR-sponsored activity and are able to change content or influence the content of the activity must disclose to the planning committee and audience all financial or other relationships within eligible companies including, but not limited to:
Advisor or review panel member
Consultant
Employee
Officer or Board Member
Grant/research support
Speaker/honoraria includes speaker’s bureau, symposia, and expert witness
Independent contractor
Executive role and/or ownership interest
Royalties and/or patent beneficiary
Intellectual property/patents
Stock options or bond holdings in a for-profit corporation or self-directed pension plan
Private investigator
Expert witness
Equity interest
Other: specify details
None: Has no relevant financial relationship(s) with ineligible companies to disclose.
All participants that created and/or were able to influence the content and delivery of this activity reported the following disclosures. All of the relevant financial relationships listed have been mitigated. Juvenile Idiopathic Arthritis (JIA) For Pediatric Providers Financial Relationship Disclosures.
Acknowledgement of Commercial Support
These educational materials were supported by a medical education grant from Pfizer Inc. to design and conduct an independent medical education program, RA-STEP. Its contents are solely the responsibility of the authors and do not necessarily reflect the official views of Pfizer.
Educational Activity Policies
See ACR educational activity policies, including the online enduring activity refund policy.

Activity Overview
Mending Through Movement: A Signs and Symptoms Team Education Program on Treating Osteoarthritis (OA STEP) is a guided activity with case study that will improve your knowledge of the signs, symptoms, diagnosis, and management of early-stage osteoarthritis (OA). The activity provides information on:
Epidemiology and statistics
Symptoms and signs
Diagnosis
Radiology
Treatment and self-management
Resources
Registration is complimentary.
Target Audience
Primary care providers, including internal medicine and family medicine practitioners, physician assistants, advanced practice nurses, and nurses.
Learning Objectives
Upon completion of this activity, participants should be able to:
Assess the symptoms and signs of joint pain
Select the appropriate workup to diagnose osteoarthritis (OA)
Choose appropriate non-pharmacologic measures, pharmacologic treatment and pain management
CE & MOC Information
In support of improving patient care, the American College of Rheumatology is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Provider Number: 0003797
See the ACR's CE Mission Statement. For more information, download the AMA PRA Booklet.
Credit must be claimed by August 31, 2028, at 11:59 PM ET.
All participating healthcare professionals should claim only the credit commensurate with the extent of their participation in this activity.
Available Credit
AMA PRA Category 1 Credit™: 0.50
ABIM MOC: 0.50 Medical Knowledge Points
AMA Designation Statement
The American College of Rheumatology designates this Enduring Material for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
MOC Recognition Statement: AmericanBoard of Internal Medicine (ABIM)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.50 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance ofCertification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Financial Relationship Disclosures
ACR Disclosure Statement
It is the policy of the American College of Rheumatology (ACR) to ensure that Continuing Medical Education (CME) activities are independent and free of commercial bias. To ensure educational content is objective, balanced, and guarantee content presented is in the best interest of its learners and the public, the ACR requires that everyone in a position to control educational content disclose all financial relationships with ineligible companies within the prior 24 months. An ineligible company is one whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients. Examples can be found at accme.org.
In accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education, ACR has implemented mechanisms prior to the planning and implementation of this CME activity to identify and mitigate all relevant financial relationships for all individuals in a position to control the content of this CME activity.
Nature of Financial Relationships
All individuals that participate in an ACR-sponsored activity and are able to change content or influence the content of the activity must disclose to the planning committee and audience all financial or other relationships with ineligible companies including, but not limited to:
Advisor or review panel member
Consultant
Employee
Officer or Board Member
Grant/research support
Speaker/honoraria includes speaker’s bureau, symposia, and expert witness
Independent contractor
Executive role and/or ownership interest
Royalties and/or patent beneficiary
Intellectual property/patents
Stock options or bond holdings in a for-profit corporation or self-directed pension plan
Private investigator
Expert witness
Equity interest
Other: specify details
None: Has no relevant financial relationship(s) with ineligible companies to disclose.
All participants that created and/or were able to influence the content and delivery of this activity reported the following disclosures. All of the relevant financial relationships listed have been mitigated.
Authors/Planners
Kristine Lohr, MD, MS - No relevant financial relationships todisclose - Planner
Priyanka Iyer, MD, MPH - No relevant financial relationships todisclose - Planner
Sunghye Kim, MD – ARKG-ETF9 - Planner
Ivanshi Gondalia, MD - No relevant financial relationships todisclose - Planner
Content Reviewers
Brinda Basida, MD - No relevant financial relationships to disclose
Kevin Hackshaw, MD - No relevant financial relationships todisclose
Meredith Ventura, MD- No relevant financial relationships to disclose
Katherine Yates, MD - No relevant financial relationships to disclose
Acknowledgement of Commercial Support
No commercial support was provided for this activity.
Educational Activity Policies
See ACR educational activity policies, including the online enduring activity refund policy.

Activity Overview
This activity allows primary care providers to increase their competence on the signs, symptoms, therapies, and management of rheumatoid arthritis, leading to increased early diagnosis of rheumatoid arthritis.
Registration is complimentary.
Target Audience
Primary care physicians, including internal medicine and family medicine practitioners, physician assistants, advanced practice nurses, and nurse practitioners.
Learning Objectives
Upon completion of this activity, participants should be able to:
Generate awareness and knowledge of rheumatoid arthritis (RA) in medically underserved areas
Identify the signs and symptoms of RA
Recognize how to initiate care and to make an appropriate referral.
CE & MOC Information
In support of improving patient care, the American College of Rheumatology is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Provider Number: 0003797
See the ACR's CE Mission Statement. For more information, download the AMA PRA Booklet.
Credit must be claimed by December 17, 2026, at 11:59 PM ET.
All participating healthcare professionals should claim only the credit commensurate with the extent of their participation in this activity.
Available Credit
AMA PRA Category 1 Credit™: 1.00
ABIM MOC: 1.00 Medical Knowledge Point
AMA Designation Statement
The American College of Rheumatology designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
MOC Recognition Statement: AmericanBoard of Internal Medicine (ABIM)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance ofCertification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Financial Relationship Disclosures
ACR Disclosure Statement
It is the policy of the American College of Rheumatology (ACR) to ensure that Continuing Medical Education (CME) activities are independent and free of commercial bias. To ensure educational content is objective, balanced, and guarantee content presented is in the best interest of its learners and the public, the ACR requires that everyone in a position to control educational content disclose all financial relationships with ineligible companies within the prior 24 months. An ineligible company is one whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients. Examples can be found at accme.org.
In accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education, ACR has implemented mechanisms prior to the planning and implementation of this CME activity to identify and mitigate all relevant financial relationships for all individuals in a position to control the content of this CME activity.
Nature of Financial Relationships
All individuals that participate in an ACR-sponsored activity and are able to change content or influence the content of the activity must disclose to the planning committee and audience all financial or other relationships with ineligible companies including, but not limited to:
Advisor or review panel member
Consultant
Employee
Officer or Board Member
Grant/research support
Speaker/honoraria includes speaker’s bureau, symposia, and expert witness
Independent contractor
Executive role and/or ownership interest
Royalties and/or patent beneficiary
Intellectual property/patents
Stock options or bond holdings in a for-profit corporation or self-directed pension plan
Private investigator
Expert witness
Equity interest
Other: specify details
None: Has no relevant financial relationship(s) with ineligible companies to disclose.
All participants that created and/or were able to influence the content and delivery of this activity reported the following disclosures. All of the relevant financial relationships listed have been mitigated.
Editors and Planners
Kelly Weselman, MD (Scientific Editor, Planner) – AbbVie11,BMS11, Gilead11, Johnson & Johnson11,Proctor and Gamble11
Bruce Rothschild, MD (Associate Scientific Editor, Planner) – None
Jennifer Barton, MD (Planner) – None
Carole Dodge, CHT, OT (Planner) – None
Maha Mohamad, MD (Planner) – None
Linda A. Russell, MD (Planner) – None
Charlie Gillihan, MD (Reviewer) – None
Noelle Rolle, MD (Reviewer) – None
Jeffrey Tharp, MD (Reviewer) – None
Acknowledgement of Commercial Support
Unrestricted medical educational grant support for this activity has been provided by: Pfizer.
Educational Activity Policies
See ACR educational activity policies, including the online enduring activity refund policy.

Activity Overview
This activity advances the recognition, treatment, and overall care management of patients with rheumatoid arthritis (RA) who fail to achieve treatment targets. It also addresses anti-TNF cycling and when to switch to a therapy with another mechanism of action (MOA).
Registration is complimentary.
Target Audience
Rheumatologists
Learning Objectives
Upon completion of this activity, participants should be able to:
Recognize and measure RA disease activity
Discuss the recognition, treatment, and overall care management of patients with RA who fail to achieve treatment targets
Explain the concept of anti-TNF cycling vs. switching, including benefits and potential challenges
Assess sample clinical scenarios to determine when to switch to a therapy with another mechanism of action when indicated and necessary
CE & MOC Information
In support of improving patient care, the American College of Rheumatology is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Provider Number: 0003797
See the ACR's CE Mission Statement. For more information, download the AMA PRA Booklet.
Credit must be claimed by December 11, 2028, at 11:59 PM ET.
All participating healthcare professionals should claim only the credit commensurate with the extent of their participation in this activity.
Available Credit
AMA PRA Category 1 Credit™: 1.00
ABIM MOC: 1.00 Medical Knowledge Point
AMA Designation Statement
The American College of Rheumatology designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
MOC Recognition Statement: AmericanBoard of Internal Medicine (ABIM)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance ofCertification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Financial Relationship Disclosures
ACR Disclosure Statement
It is the policy of the American College of Rheumatology (ACR) to ensure that Continuing Medical Education (CME) activities are independent and free of commercial bias. To ensure educational content is objective, balanced, and guarantee content presented is in the best interest of its learners and the public, the ACR requires that everyone in a position to control educational content disclose all financial relationships with ineligible companies within the prior 24 months. An ineligible company is one whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients. Examples can be found at accme.org.
In accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education, ACR has implemented mechanisms prior to the planning and implementation of this CME activity to identify and mitigate all relevant financial relationships for all individuals in a position to control the content of this CME activity.
Nature of Financial Relationships
All individuals that participate in an ACR-sponsored activity and are able to change content or influence the content of the activity must disclose to the planning committee and audience all financial or other relationships with ineligible companies including, but not limited to:
Advisor or review panel member
Consultant
Employee
Officer or Board Member
Grant/research support
Speaker/honoraria includes speaker’s bureau, symposia, and expert witness
Independent contractor
Executive role and/or ownership interest
Royalties and/or patent beneficiary
Intellectual property/patents
Stock options or bond holdings in a for-profit corporation or self-directed pension plan
Private investigator
Expert witness
Equity interest
Other: specify details
None: Has no relevant financial relationship(s) with ineligible companies to disclose.
All participants that created and/or were able to influence the content and delivery of this activity reported the following disclosures. All of the relevant financial relationships listed have been mitigated. Rheumatoid Arthritis: Navigating Treatment Paths for Optimal Patient Outcomes Financial Relationship Disclosures
Acknowledgement of Commercial Support
Unrestricted medical educational grant support for this activity has been provided by: Pfizer, Inc.
Educational Activity Policies
See ACR educational activity policies, including the online enduring activity refund policy.