Navigating the Evolving Migraine Treatment Landscape: A Personalized Approach for Rural and Underserved Settings

Released On
August 31, 2022

Expires On
August 31, 2023

Media Type

Completion Time
60 minutes

Neurology, Obstetrics & Gynecology, Pain Management, Primary Care


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This activity is jointly provided by Postgraduate Institute for Medicine and RME Collaborative.

This online program is recorded content from the live session at the Rural Health Clinical Congress Spring 2022 and co-supported by independent medical education grants from AbbVie, Inc.; Janssen Therapeutics, Division of Janssen Products, LP; Regeneron Pharmaceuticals, Inc.; Sanofi and Regeneron Pharmaceuticals; and Takeda Pharmaceuticals U.S.A., Inc. This activity is supported by an independent medical education grant from AbbVie, Inc.

Credit Available

  • Physicians — maximum of 1.0 AMA PRA Category 1 Credit(s)
  • Nurses — 1.0 Contact Hour (0.5 contact hour of pharmacotherapy credit)

All other healthcare professionals completing this course will be issued a statement of participation.

Target Audience

This activity is designed specifically for primary care clinicians, registered nurses, and advanced practice registered nurses who care for patients from rural and underserved areas.

Program Overview

In recent years, increased understanding of migraine pathophysiology has led to the development of more effective, better tolerated options for acute and preventive migraine treatment. However, the condition is still frequently undiagnosed, misdiagnosed, or undertreated, leading patients to use inappropriate or unsafe medications or visit the emergency department to seek symptom relief. In this activity, expert faculty will discuss best practices for migraine assessment in the primary care setting as well as the safety and efficacy of novel targeted therapies for migraine management. Strategies for developing individualized treatment plans for patients and improving care in rural and underserved communities will also be discussed.

This enduring activity is a recorded session from Rural Health Clinical Congress Spring 2022 that took place on May 21, 2022.

Learning Objectives

Upon completion of this activity, participants should be better able to:

  • Utilize an evidence-based approach to assess and diagnose patients with migraine
  • Recognize novel therapeutic options for acute and preventive migraine treatment
  • Develop a patient-centered treatment plan for migraine tailored to the needs and goals of the individual patient
  • Discuss interprofessional strategies for improving access to migraine care and treatment in rural and underserved settings




Stewart J. Tepper, MD

Professor of Neurology
Geisel School of Medicine at Dartmouth
Hanover, NH
Director, Dartmouth Headache Center
Dartmouth-Hitchcock Medical Center
Lebanon, NH


Barbara P. Yawn, MD, MSc, FAAFP

Professor of Family and Community Health
University of Minnesota
Minneapolis, MN

Joint Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and RME Collaborative. Postgraduate Institute for Medicine 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.


Credit Designation

Physician Continuing Medical Education
The Postgraduate Institute for Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Continuing Nursing Education
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.0 contact hour. Designated for 0.5 contact hour of pharmacotherapy credit for Advanced Practice Registered Nurses.

Disclosure of Conflicts of Interest

Postgraduate Institute for Medicine and RME Collaborative adhere to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Postgraduate Institute for Medicine requires faculty, planners, and others in control of educational content to disclose all their financial relationships with ineligible companies (commercial interests). All identified conflicts of interest (COI) are thoroughly vetted and mitigated according to Postgraduate Institute for Medicine policy. Postgraduate Institute for Medicine is committed to providing its learners with high quality accredited continuing education activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of an ineligible company.

The faculty reported the following relevant financial relationships with ineligible entities related to the educational content of this CE activity:


Stewart J. Tepper, MD, has disclosed the following relevant financial relationships: grant/research support from Allergan/AbbVie, Inc., Amgen, Inc., Eli Lilly and Company, Lundbeck, Neurolief, Inc., Novartis Pharmaceuticals Corporation, Satsuma Pharmaceuticals, Inc., and Zosano Pharma Corporation; consultant/advisory board for AEON BioPharma, Inc., Allergan/AbbVie, Inc., Amgen, Inc., Aruene Corporation, Axsome Therapeutics, Inc., BioDelivery Sciences International, Inc., Biohaven Pharmaceuticals, Inc., ClearView Healthcare Partners, Click Therapeutics, Inc., CoolTech Medical, Eli Lilly and Company, Impel Pharmaceuticals, Inc., Lundbeck, NeuroFront Therapeutics, Ltd., Neurolief, Inc., Novartis Pharmaceuticals Corporation, Palion Medical, PULMATRiX, Inc., Satsuma Pharmaceuticals, Inc., Teva Pharmaceuticals, Theranica Bio-Electronics, Ltd., Tremeau Pharmaceuticals, Inc., Unity HA, Xoc Pharmaceuticals, Inc., and Zosano Pharma Corporation.

Barbara P. Yawn, MD, MSc, FAAFP, has no relevant financial relationships to disclose.

Planners, Managers, and Reviewer

The RME Collaborative and Postgraduate Institute for Medicine planners, managers, and reviewer have nothing to disclose.

Instructions for Participation and Credit

This activity is offered at no cost to participants. To receive CME credit, participants must:

  1. Read the CME/CE information, including learning objectives and disclosure statements.
  2. Complete the pre-test.
  3. View the online activity.
  4. Complete the post-test and evaluation form.

A post-test score of 75% or higher is required to obtain credit. Your certificate will be made available for immediate download.

Course Viewing Requirements

Supported Browsers:
Internet Explorer 8.0+ for Windows 2003, Vista, XP, Windows 7, Windows 8.1 and above
Google Chrome 28.0+ for Windows, Mac OS, or Linux
Mozilla Firefox 23.0+ for Windows, Mac OS, or Linux
Safari 6.0+ for Mac OSX 10.7 and above

Supported Phones & Tablets:
Android 4.0.3 and above
iPhone/iPad with iOS 6.1 or above

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications. The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

©RME Collaborative, a division of Talem Health, LLC 2022. All Rights Reserved. These materials may be used for personal use only. Any rebroadcast, distribution, or reuse of this presentation or any part of it in any form for other than personal use without the express written permission of Talem Health, LLC is prohibited.


Internet Activity

Fee Information

There is no fee for this educational activity.

Contact Information

General Questions
For general information or questions about this activity, please contact RME Collaborative at 800-913-9370 or

Accreditation Support
For questions regarding the certification of this activity, please contact Postgraduate Institute for Medicine at