The Navy Medicine Manpower Personnel Training & Education Command, Bethesda, Maryland is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.  The Naval Medical Education & Training Command designates this educational activity for a maximum of 12 Category 1 Credits towards the AMA Physician’s Recognition Award.  Each physician should claim only those credits that he/she actually spent in the educational activity.  Policy on Disclosure:  As a sponsor accredited by the ACCME, it is the policy of the Navy Medicine Manpower Personnel Training & Education Command (NM PT&E), Bethesda, Maryland to require the disclosure of the existence of any significant financial interest or any other relationships a faculty member or a sponsor has with the manufacturer(s) or any commercial product(s) discussed in an educational presentation.  No reference to unlabeled/unapproved use of drug(s) or device(s) will be made during this CME activity.