Women's Health & Osteoporosis Time Tool Launch Page
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A Resource from the American College of Preventive Medicine

Osteoporosis, like many other chronic diseases, takes years to develop, a gradual process of declining bone strength. Unlike other chronic diseases, it takes a greater toll on women, especially postmenopausal women. After menopause, the rate of bone loss accelerates. Therefore, maintaining bone mass throughout life is a vitally important goal for all women. Having stronger bones going into menopause is the best protection. The impact of osteoporosis cannot be overemphasized. Nearly half of all women eventually suffer an osteoporosis-related fracture. The consequences are enormous, especially if it’s a hip – loss of mobility, independence and quality of life. Only 2 in 5 hip fracture sufferers regain their previous level of function; one in five dies within a year from related complications.

Women underestimate the importance of bone health. Many primary care physicians do as well. They are the frontline for preventing osteoporosis as well as identifying and intervening early. But, because there are no symptoms, it is a difficult process to monitor. Many clinicians are not aware of the risk factors, risk calculation tools, indications for bone density testing and how to comprehensively treat osteoporosis or osteopenia.

The Osteoporosis Time Tool developed by the American College of Preventive Medicine is an innovative educational tool designed to assist the physician in a brief consult on the topic of women and osteoporosis. It will increase awareness, provide education, and offer the guidance of the best evidence and guidelines in the delivery of an effective intervention. The tool includes an executive summary of the evidence and a practical approach to delivering the needed services to patients in the context of a clinical visit. It is complemented by a robust clinical reference document delineating the epidemiology, the clinical evidence, recommendations by various professional and government entities, and additional resources.

This educational activity is intended for primary care physicians.

After completing this program, physician participants should be able to:

  • Describe indications for performing bone densitometry, using DXA

  • Understand the use of the WHO FRAX algorithm for fracture risk

  • Discuss a strategy for pharmacological management of osteoporosis, including options for administration and potential adverse effects

  • Advise patients about adherence to medications for osteoporosis, guidelines for taking oral bisphosphonates

  • Discuss the importance of nonpharmacologic approaches in the overall treatment plan, including the current recommendations for calcium and vitamin D

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME). The American College of Preventive Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American College of Preventive Medicine designates this Enduring Material for a maximum of 1.0 AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The estimated time to complete this activity is 1.0 hour.

To earn CME credit for this educational activity:

  1. Read the CME information on this page.
  2. Read the Time Tool and Clinical Reference.
  3. Complete the CME post-test exam with a score of at least 70%.
  4. Complete the CME evaluation survey.
  5. Your CME certificate will be sent to you via email.


2009 through July 2011. Original release date: July 2009


These materials have been reviewed by the members of the American College of Preventive Medicine to ensure the continued scientific accuracy and medical relevance of information presented and its independence from commercial bias.

  • Susan L. Hall, MD, PhD, MPH
    Loma Linda University; Jerry L. Pettis Veterans Affairs Medical Center
    Loma Linda, California

  • Lionel S. Lim, MD, MPH, FACP, FACPM
    Griffin Hospital
    Derby, Connecticut

  • Kathie E. McAlpine, MD, MPH, MS
    University of Denver
    Denver, Colorado

In the interest of providing an educational experience free of commercial bias, and as the accredited provider of CME for this activity, the American College of Preventive Medicine was responsible for decisions regarding educational content and allocation of funds. All individuals involved in the planning, development, and delivery of educational activities are required to sign a conflict of interest statement in which they disclose any relevant financial interests or other affiliations with industry or other associations which may have direct and substantial interest in the subject matter of the
CME activity. Such disclosure allows program participants to better evaluate the objectivity of the information presented in the program.

  • Susan L. Hall, MD, PhD, MPH has disclosed no financial relationships.
  • Lionel S. Lim, MD, MPH has disclosed no financial relationships.
  • Kathie E. McAlpine, MD, MPH, MShas disclosed no financial relationships.
  • Larry Mattson, Medical Writer, has disclosed no financial relationships.

These pages may be viewed using standard Internet browser applications (e.g. Internet Explorer). They may also be downloaded as PDFs and read using standard PDF reader applications (e.g. Adobe Acrobat Reader).

The American College of Preventive Medicine collects personal information from participants in this online activity for purposes of assigning CME credit only. We will not share or sell your contact information, and your answers to quizzes and feedback forms will be kept confidential.

This material is copyright of the American College of Preventive Medicine.


If you have questions regarding this activity, please contact

Osteoporosis Patient Guide





Copyright 2009 American College of Preventive Medicine. All Rights Reserved.

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