1. Discussion and Concluding Remarks

2. ARS Polling How familiar are you now with how MS is diagnosed? Very
Somewhat
Not at all

3. ARS Polling
How familiar are you now with the revised McDonald criteria in assessing MS patients?
Very
somewhat
Not at all

4. ARS Polling Very Somewhat Not at all
How familiar are you now with the CMSC standardized protocol for performing MRIs?
Very
Somewhat
Not at all

5. ARS Polling
How often do you now plan to order MRIs for patients you suspect have MS?
Always
Very often
Sometimes
Not very often
Never

6. ARS Polling
How often do you now plan to refer patients for further MS assessment/treatment at the time of a first clinical episode likely to be MS?
Always
Very often
Sometimes
Not very often
Never

7. ARS Polling Always Very often Sometimes Not very often Never
How often do you now plan to provide patients with strategies for managing common side effects of first-line MS therapies?
Always
Very often
Sometimes
Not very often
Never

8. ARS Polling
How often do you now plan to ask patients nonjudgmentally about adherence (eg, “How many injections have you missed in the past 2 months?”)?
Always
Very often
Sometimes
Not very often
Never

9. ARS Polling
How often do you now plan to recommend pharmacologic and nonpharmacologic therapies to manage bothersome MS symptoms (eg, fatigue, bladder dysfunction, spasticity)?
Always
Very often
Sometimes
Not very often
Never

10. Final Conclusions
Pathogenesis of MS involves interactions between genetic and environmental factors; results in inflammation and axonal loss
Diagnosis is based on clinical and radiologic factors
High-risk CIS should be treated the same as CDMS
MS therapies can reduce relapse rates and disability progression
After starting therapy, monitor response, tolerability, and adherence
Several new therapies are being developed, some oral
There are many treatments for common MS symptoms that can improve QOL—ask patients about their symptoms
Various resources are available to help (eg, NMSS, MSAA, Multiple Sclerosis Resource Network–Northwest Region)
Consider referral to MS Centers for complicated cases