This program has been planned and implemented in accordance with the Essential Areas and policies
of the Missouri State Medical Association through the joint sponsorship of Boone Hospital Center
and Internal Medicine Association of America. Boone Hospital Center is accredited by the MSMA
to provide continuing medical education for physicians.

Boone Hospital Center designates this educational activity for a maximum of 13.5 AMA PRA
Category 1 Credit(s). Physician should only claim credit commensurate with the extent of their
 participation in the activity. Boone Hospital Center designates this educational activity for a maximum
 of 16.2 contact hours of nursing. Boone Hospital Center is approved as a provider for continuing
 medical education in nursing by the Missouri Nurses Association, which is accredited as an approver
 of continuing medical education in nursing by the American Nurses Credentialing Center's Commission
 on Accreditation.

As a sponsor accredited by the MSMA, Boone Hospital Center must ensure balance,
objectivity, and scientific rigor in all its individually sponsored or jointly sponsored educational activities.
All faculty participating in a sponsored activity are expected to disclose to the activity audience any
significant financial interest or other relationship in an educational presentation or with any commercial
supporters of the activity. Significant financial interest or other relationship can include such things
as grants or research support, employee, consultant, major stock holder, member of speakers bureau,
etc. The intent of this disclosure is not to prevent a speaker with a significant financial or other
relationship from making a presentation, but rather to provide listeners with information on which
they can make their own judgements.