Getting Started
Welcome to GERDigest
This comprehensive resource aims to provide concise solutions to "must know" issues in GERD!
Please read these tips and pointers to get your personal learning plan underway.
- You must register to access all content on GERDigest
- The Homepage displays all available content. To select an activity, simply click on the + button to the left of each topic
- Selected activities change color, indicting they have been added to your “My Learning Centre” page
- Click on the “Go to My Learning Centre” button. All the activities you have selected for completion can be viewed here
- Activities will remain on this page until completed. New activities can be added as they become available– just follow the steps above
- Certificates of participation are provided for all completed activities by clicking the “Certificate of participation” link
- To view a completed activity, simply click on the “My completed learning” link
- You can submit a question to our panel of experts via your learning page. Recent questions and answers can also be viewed here
Enjoy your personal learning experience on GERDigest!
Mainpro-M1 Accredited Case Consults
for Family Physicians
To view an activity or take credits, click on the "+" sign to the left of the photos to add it to "My Learning Basket" at the left.
Some patients with GERD respond only partially to PPIs or do not want to take PPIs long-term. This activity evaluates which GERD patients benefit most from anti-reflux surgery and how to choose which procedure to use. Special considerations of anti-reflux surgery in obese patients will also be discussed.
0.5 Mainpro-M1 credits.
GERD may manifest typically with heartburn and regurgitation; however these classic reflux symptoms are not always present. A significant number of patients with GERD present with atypical or extraesophageal symptoms. This activity reviews the challenges associated with diagnosing this condition and discusses latest treatment strategies for patients with suspected extraesophageal reflux.
0.5 Mainpro-M1 credits.
Does a GERD diagnosis affect insurance status because of an increased risk of esophageal cancer?
0.5 Mainpro-M1 credits.
Have you ever felt frustrated by being powerless to help patients who harm themselves through unhealthy lifestyles and behaviours?
0.25 Mainpro-M1 credits.
This activity will focus on the presentation and evaluation of a patient with an extraesophageal problem that might be related to acid reflux.
0.25 Mainpro-M1 credits.
A busy family physician (FP) has a patient with newly-diagnosed Barrett's esophagus. The patient has a number of questions for the FP - especially about the risk of cancer development. The FP decides to put his local gastroenterologist (GE) "in the hot seat" about this when they next meet.
0.5 Mainpro-M1 credits.
This program will review the challenges that clinicians have in diagnosing and treating disorders such as irritable bowel syndrome (IBS) and functional dyspepsia. The considerable overlap that these conditions have with other GI conditions will be explored as well as how treating other conditions may have an impact on functional GI disorders.
0.5 Mainpro-M1 credits.
Patients with cardiovascular problems often take PPIs because they are at increased risk of GI problems, especially upper GI bleeding from gastric or duodenal ulcers. The possible drug interaction between clopidogrel and PPIs is receiving a lot of attention. Does this have any bearing on day to day clinical practice with regard to the choice of PPI that is used?
Recently concerns have been raised about an increased risk of fractures in patients taking PPIs. Do patients taking a PPI need to be screened for osteopenia or osteoporosis?
Are patients taking PPIs at increased risk of developing C. difficile infection or community acquired pneumonia?
0.5 Mainpro-M1 credits.
This activity reviews the issues relating to unmet needs in the treatment of GERD and looks at the new therapeutic approaches under investigation to address these unmet needs.
0.5 Mainpro-M1 credits.
Some patients with GERD have incomplete symptom control with conventional PPIs. This may be due partly to inadequate compliance and / or failing to take the PPI ahead of a meal. This activity discusses some newer PPI formulations that may help to improve symptom control in such patients.
0.5 Mainpro-M1 credits.
Some patients with GERD have persistent symptoms despite PPI treatment and may benefit from treatment with a PPI with a longer duration of action. This activity evaluates treatments currently available for these patients.
0.25 Mainpro-M1 credits.
Questions to ask, and investigations to consider, in order to explore alarm symptoms such as dysphagia, weight loss, and chest pain.
0.25 Mainpro-M1 credits.
This activity reviews the physiology of gastric acid secretion, its relationship to heartburn, and the mechanism of action of proton pump inhibitors.
0.25 Mainpro-M1 credits.
There is a worldwide increase in the prevalence of GERD and several contributing factors have been identified. This activity will focus on these drivers and the implications for the management of GERD.
0.25 Mainpro-M1 credits.
Some patients with gastroesophageal reflux disease relapse despite maintenance treatment with a PPI. This activity will focus on how to identify and manage such patients.
0.5 Mainpro-M1 credits.
This is a short case that looks at the controversial and confusing relationship of H. pylori infection and gastroesophageal reflux disease
0.25 Mainpro-M1 credits.
"It is all about what this condition is doing to my life"
GERD, NERD, functional heartburn/dyspepsia
This patient illustrates the spectrum of presentations that may be associated with gastroesophageal reflux and includes epigastric pain and dyspepsia and weight loss.
0.5 Mainpro-M1 credits.
This case explores the patient-physician dialogue and the pharmacological issues leading to a poor response to GERD therapy, and what to do to address this.
0.5 Mainpro-M1 credits.
This case explores the latest data on the evaluation, management, and impact of nighttime GERD.
0.5 Mainpro-M1 credits.
CCCEP Accredited Activities
for Pharmacists - NEW
Patient-centred resource which equips pharmacists to educate and counsel patients on the management of GERD
PHARMACIST TRAINERS: Click here to access the training slides using the Username and Password provided via email.
CAG MOCERT Accredited Activities
for Gastroenterologists - Coming Soon
In-depth and educational pieces each covering specific aspects of GERD such as obesity and functional heartburn
- Nocturnal heartburn and its effects on sleep disturbances
- Differentiation between functional heartburn and NERD
- Weakly-acidic reflux and the potential use of impedance monitoring
- H. pylori eradication and relationship with GERD and acid secretion: Treat it or keep it? Evidence for/against eradication
- The role of obesity in GERD
- Changing concepts in the pathophysiology of esophageal inflammation in GERD
The GERD Patient Resource
This is a resource which is dedicated to helping patients understand GERD.
Patients can receive:
- Tailored patient information leaflets
- Please click here for access
PHYSICIAN TRAINERS: Click here to access the training slides using the Username and Password provided via email.
This article will assist physicians in tuning and refining their searches for medical information on the web. Websites will be reviewed with respect to their ease of access, user friendliness, credibility and costs (if any).


NEW Surgical approaches to the management of GERD
NEW Extraesophageal manifestations of GERD: What's due to acid reflux?
NEW Can GERD impact life insurance?
NEW A patient centred approach to managing GERD - supporting a patient's ability to make effective lifestyle and behaviour changes
"I have a terrible cough...is this related to my heartburn?"
"What should I know about Barrett's esophagus?"
"Functional GI disorders: Myth or reality?"
"I read in the paper that the acid inhibition pill you gave me is dangerous...should I stop taking it?"
"My patient is not improving on her current PPI and is dissatisfied...is there anything new I can try"
"A patient with GERD who might benefit from a new generation PPI treatment"
A patient with intermittent symptoms of GERD despite treatment with a conventional PPI
"This heartburn is terrible...I'm worried it is something more serious could I have heart disease?"
Why do I get this terrible burning in my chest? And how does the PPI I am prescribed help stop it?
"Why am I seeing so much GERD?"
"I'm taking my heartburn medication...so why am I still experiencing these troublesome symptoms?"
"Isn't this caused by that infection you can get in your stomach?"
"My medicine is just not doing the job for me"
"It often wakes me in the night and now I'm so tired it is affecting my work"

