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Digital Seminar

Reflux & Heartburn with a Retroflex of Health and Wellness

Melissa Dyrdal, MSN, RN, APRN, FNP-BC
2 Hours 01 Minutes
Audio and Video
May 11, 2023
Product Code:
Media Type:
Digital Seminar


Content provides a comprehensive assessment of patients presenting with foregut symptoms to improve their overall health and wellness. The education, assessment, diagnostics, and treatment options provide quality care to our patients along with satisfaction and confidence to providers dealing with these prominent diseases.


Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see below.  For speaker disclosures, please see the faculty biography.


Earn up to 2.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 

Pharmacology Nurse Practitioners

This self-study program offers 30 instructional minutes of pharmacology content which is designed to qualify for .5 contact hours toward your pharmacology requirement. 

Nurses, Nurse Practitioners, and Clinical Nurse Specialists

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 2.0 contact hours. Expires: 02/24/2026.

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 2.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 2.0 self-study contact hours.

CE Broker

Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 2.0 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 2.0 hours for completing this self-study program. This activity was originally recorded on 5/11/2023. It was last reviewed on 3/17/2023 and is valid until 03/17/2206


PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™.


PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 5/11/2023. It was last reviewed on 3/17/2023 and is valid until 03/17/2026.


Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.

Other Professions

This self-study activity qualifies for 2.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Melissa Dyrdal, MSN, RN, APRN, FNP-BC's Profile

Melissa Dyrdal, MSN, RN, APRN, FNP-BC Related seminars and products

Melissa S. Dyrdal, MSN, RN, APRN, FNP-BC, is an experienced nurse practitioner and the Clinical GERD/Bariatric Program Supervisor at Minnesota Reflux & Heartburn Center at Cuyuna Regional Medical Center (CRMC). She is responsible for patient assessment, education, and development of treatment plans. She is certified in the execution, analysis, and full interpretation of high-resolution manometry (HRM) & ambulatory pH/pH impedance studies. She is the GI lab supervisor, ensuring program development & maintenance, data entry, and quality control. Melissa is research certified, currently the study coordinator at CRMC for the US Regent 1 trial, an endoscopic procedure for the treatment of DMII, and actively involved in peer and community education.

Speaker Disclosures:
Financial: Melissa Dyrdal has an employment relationship with Minnesota Reflux and Heartburn Center/CRMC. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Melissa Dyrdal is a member of the American Association of Nurse Practitioners, the American Foregut Society, the American Society for Metabolic and Bariatric Surgery, and the Society of American Gastrointestinal and Endoscopic.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Visit our FAQ page at or contact us at


  1. Differentiate between and determine treatment approaches for reflux, Barrett’s esophagus, and esophageal motility disorders.
  2. Formulate a treatment plan for obesity/insulin resistance.
  3. Determine assessment/diagnostic(s) and treatment approaches for GERD/Obesity.
  4. Develop a lifelong disease management plan, including evolving treatment(s), surveillance and follow up for various GI disorders.


Reflux & Heartburn
  • Pathophysiology/effects
  • Typical vs Atypical
  • Patient referrals
Comprehensive Evaluation
  • EGD/pH/HRM
  • Gastric Emptying
  • Esophagram
  • Planimetry
  • CT
Treatment options
  • Lifestyle/diet
  • Medication
  • Endoscopic
  • Surgical
Medical Weight Management
  • Assessment/consult
  • Diagnostics/Labs
  • Processed Food Addiction
  • Treatment route
Quality of life/success
  • Education
  • Options
  • Referral(s)
Patient/provider relationship for lifelong disease
  • Openness/trust
  • Continued knowledge and education
  • Accountability
  • Follow through

Target Audience

  • Nurses
  • Nurse Practitioners
  • Physician Assistants
  • Physicians


Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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