CME Presentations

Carcinoid Syndrome - Nursing



  • Dana Stafford, RN, BSN

    Dana Stafford, RN, BSN

    Dana Stafford, RN, BSN

    Clinical Nurse Coordinator, UK

    Dana Stafford, RN, is a nurse clinical coordinator at the University of Kentucky Hospital in Lexington. Her career began almost 21 years ago as a nursing assistant. Dana has 10 years of experience working on an adult oncology unit and in outpatient radiation medicine and oncology at the University of Kentucky Markey Cancer Center. Her experience as a bedside and outpatient nurse shaped her career to work with patients and families to help maximize their health. Dana’s philosophy has always been to learn as much as she can from every experience.
  • Tiffany Valone, PA-C, MS, OT

    Tiffany Valone, PA-C, MS, OT

    Tiffany Valone, PA-C, MS, OT

    Lee Moffitt Cancer Center & Research Institute

    Tiffany Valone, PA-C, MS, OT, is a certified physician assistant in the Division of Gastrointestinal Oncology at H. Lee Moffitt Cancer Center and Research Institute in Tampa, Florida. Mrs Valone has been a co-investigator on multiple clinical trials and plays an active role in training and mentoring new gastrointestinal oncology advanced practice professionals, physician assistant students, and pre-physician assistant students. In clinical practice, her focuses include neuroendocrine tumors, pancreatobiliary cancers, and colorectal cancers. Mrs Valone is a member of the Florida Society of Clinical Oncology, the Association of Physician Assistants in Oncology, and the North American Neuroendocrine Tumor Society. In 2015, she was awarded the Advanced Practice Professional of the Year.
  • Shanetia Avinger, DNP, APRN, FNP-C

    Shanetia Avinger, DNP, APRN, FNP-C

    Shanetia Avinger, DNP, APRN, FNP-C

    Avinger Clinical Consultants, LLC

    Shanetia S. Avinger, DNP, APRN, FNP-C, is the owner of Avinger Clinical Consultants, LLC and is a neuroendocrine, gastrointestinal medical oncology, and research nurse practitioner at Cancer Treatment Centers of America in Atlanta, Georgia. Leveraging diverse nursing knowledge and expertise as a registered nurse for over 9 years and now an oncology nurse practitioner, her experience has enabled her to significantly impact the lives and health of patients. When Dr Avinger is not providing evidence-based health care, she can be found participating as an active member in several professional organizations, including as the executive board member of Sigma Theta Tau International Honor Society and an expert panelist for the Advanced Practitioner Society of Hematology and Oncology.
  • Pamela Ryan, BSN, RN, ONN-CG

    Pamela Ryan, BSN, RN, ONN-CG

    Pamela Ryan, BSN, RN, ONN-CG

    Neuroendocrine Nurse Navigator

    Pamela W. Ryan, BSN, RN, ONN-CG, is an oncology nurse navigator at Ochsner Medical Center in Kenner, Louisiana. Her research interests are neuroendocrine tumors, general and surgical oncology, and kidney/pancreas transplants, and she was the principal investigator on a nurse observational drug study. Pamela has authored or co-authored articles published in various peer-reviewed journals, including The American Surgeon, has authored a book chapter, and many educational guides on neuroendocrine tumors and transplantation. Pamela is a member of several professional organizations, such as the North American Neuroendocrine Tumor Society and the Oncology Nursing Society. She was awarded the Monica Warner Patient Advocacy Award in 2019.

CME Information

Nursing Perspectives on Detecting Carcinoid Syndrome and Addressing Disease Burden

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After completing this activity, the participant should be better able to:
  • Evaluate patients for CS, based on specific symptoms associated with the syndrome, and exclude differential diagnoses
  • Describe the impact of disease burden in CS as it relates to quality of life, social life, work life, and leisure activities
  • Monitor patients for changes in disease burden in order to make decisions about revising or escalating medications
  • Make recommendations for treatment approaches for CS that reduce disease burden
This activity is jointly provided by Global Education Group and PlatformQ Health Education, LLC in collaboration with The Healing NETS Foundation.


This activity is supported by an educational grant from Lexicon Pharmaceuticals


This activity was released on August 25, 2020 and is valid for 12 months. Requests for credit must be made no later than August 25, 2021.


The intended audience for this activity is nurses and nurse practitioners who care for patients with carcinoid syndrome.


Patients with CS often go undiagnosed for many years, because of its rarity, and often because symptoms are non-specific and episodic, especially during the early stages of the disease and in non-functioning NETs. Clinicians fail to appreciate the symptom burden experienced by patients with CS because patients are reticent to report them and clinicians fail to encourage open communication, which may lead to undertreatment and failure to escalate treatment. Patients require better education about nutritional interventions that may improve their symptoms and do not appear to be receiving this information from their clinicians. Further, data from the literature shows that clinicians demonstrate a lack of knowledge, competence, and confidence on the uses of medical therapies that could reduce these symptoms if used optimally.

Education is needed to ensure that clinicians communicate with patients effectively to uncover their symptoms, maintain a high index of suspicion for CS, and have a good knowledge of currently available medical therapies and their uses in managing this condition. Nurses are playing a major role in screening for distress in patients, spend more time with patients, and are more likely to discuss symptoms and response to treatment with their patients. They are therefore well-placed to assist in recognizing features suggestive of CS and in making an accurate assessment and diagnosis of the syndrome. Additionally, their involvement as part of the multidisciplinary team in managing these patients and providing a holistic approach to patient care makes them an important target for education.


Global Education Group is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

This educational activity for 1.0 contact hour is provided by Global Education Group. Nurses should claim only the credit commensurate with the extent of their participation in the activity.


This activity should take approximately 1 hour to complete.


In order to receive credit for this activity, the participant must (1) read the target audience, learning objectives, and disclosure statements, (2) complete the educational activity online, and (3) complete the post-test and activity evaluation. To receive CE credit, participants must receive a minimum score of 70% on the post-test.


Participants will need a computer with a recent version of Adobe Flash installed, as well as an internet connection sufficient for streaming media.


There is no fee for this educational activity.


Global Education Group (Global) requires instructors, planners, managers and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by Global for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

The faculty reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Name of Faculty or Presenter Reported Financial Relationship
Pamela Ryan Speaker’s Bureau: Ispen, Novartis, AAA
Tiffany Valone Consultant/Independent Contractor: Lexicon,
Speaker’s Bureau: Ispen, Novartis, Lexicon
Shanetia S. Avinger Speaker’s Bureau: Lexicon Pharmaceuticals, Inc
Dana Stafford Nothing to disclose

The planners and managers reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Name of Faculty or Presenter Reported Financial Relationship
Ashley Marostica, RN, MSN Nothing to disclose
Lindsay Borvansky Nothing to disclose
Andrea Funk Nothing to disclose
Liddy Knight Nothing to disclose
Ashley Cann Nothing to disclose
Tariqa Ackbarali Nothing to disclose
Bridget Griffin Nothing to disclose


This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Global Education Group (Global) and PlatformQ Health Education, LLC. 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 any organization associated with this activity. 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 in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.


Accreditation Support: For information about the accreditation of this program, please contact Global at 303-395-1782 or

Technical Support: For any technical issues or issues with your CME Certificate, please contact OMedLive at 877-394-1306 or at