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by Kevin S. Ferentz, M.D. - University of Maryland School of Medicine; Associate Professor and Director of Clinical Operations, Department of Family and Community Medicine, Baltimore, MD; Lisa R. Ferentz, M.S.W., L.C.S.W.-C., DAPA - University of Maryland School of Medicine; Clinical Instructor and Faculty Member, Department of Family and Community Medicine; Founder and President, The Institute for Advanced Psychotherapy Training and Education, Inc.; Clinical Social Worker, Private Practice and Clinical Social Work Consultant, Baltimore, MD; Stephen J. Gluckman, M.D., F.A.C.P. - University of Pennsylvania School of Medicine; Professor of Medicine; Chief, Infectious Diseases Clinical Services, Hospital of the University of Pennsylvania; Visiting Professor for Infectious Diseases, University of Botswana; Laurence J. Kinsella, M.D., F.A.A.N. - Saint Louis University Medical School; Professor of Neurology; Chief, Division of Neurology and Neurophysiology, Forest Park Hospital, St. Louis, MO; Gary H. Oberlender, M.D., F.A.C.P. - Consultant in Geriatric Medicine; Thomas P. Olenginski, M.D., F.A.C.P. - Geisinger Medical Center, Geisinger Health System; Associate, Department of Rheumatology, Danville, PA; Craig M. Oliner, M.D., F.A.C.C. - Jefferson Medical College, Thomas Jefferson University; Associate Professor of Medicine, Section of Cardiology; Medical Director, Coronary Care Unit, Albert Einstein Medical Center, Philadelphia, PA; Alyson N. Owen, M.D. - Jefferson Medical College, Thomas Jefferson University; Assistant Professor of Medicine, Section of Cardiology; Director of Quality Assurance, Echocardiography Laboratory, Thomas Jefferson University Hospital, Philadelphia, PA; John W. Pendleton, M.D. - University of Virginia School of Medicine; Assistant Professor of Clinical Medicine, Roanoke-Salem Program; Chief, Rheumatology Section, Veterans Affairs Medical Center, Salem, Virginia; Staff Rheumatologist, Carilion Clinic, Carilion Roanoke Memorial Hospital, Roanoke, VA; David E. Riley, M.D. - Case Western Reserve University School of Medicine; Professor, Department of Neurology; Director, Movement Disorders Center, University Hospitals Neurological Institute, University Hospitals Case Medical Center, Cleveland, OH; and Jerry Zuckerman, M.D. - Jefferson Medical College, Thomas Jefferson University; Assistant Professor of Medicine; Medical Director, Infection Prevention and Control, Division of Infectious Diseases, Albert Einstein Medical Center, Philadelphia, PA.

OVERALL OBJECTIVES: The overall objective is to provide the participant with practical and clinically relevant information. Upon completion of this CME activity, the physician or healthcare provider should be able to describe the current approach to formulating differential diagnoses, diagnostic, therapeutic, and preventive management of the various disciplines presented.

SPECIFIC OBJECTIVES FOR EACH TOPIC
TOPIC 1	Hypertension - Beyond the Guidelines - Upon completion of this session, the participant should be able to: 1. Define hypertension for the general population and various subgroups. 2. Recognize the importance of isolated systolic hypertension. 3. Recognize that low diastolic pressure may be prognostically good or bad.
TOPIC 2	Women and Coronary Artery Disease - Upon completion of this session, the participant should be able to: 1. Describe how coronary risk factors affect women. 2. Outline a strategy for evaluating chest pain in women. 3. Identify the different clinical profiles of men and women with acute myocardial infarction. 4. Assess the risks and benefits of therapeutic modalities in women with coronary disease.
TOPIC 3	An Approach to the Dizzy Patient - Upon completion of this session, the participant should be able to: 1. Define common presentations of dizziness. 2. Describe the pathophysiology of vertigo and nystagmus. 3. Apply bedside techniques to distinguish dizziness subtypes. 4. Demonstrate potentially curative treatment for benign positional vertigo.
TOPIC 4	Mitral Valve Disease - Upon completion of this session, the participant should be able to: 1. Identify the patient with mitral valve disease through history and physical examination. 2. Describe the role of non-invasive and invasive testing in diagnosis and management. 3. List appropriate medical therapy and indications for mitral valve replacement and repair. 4. Recognize the symptoms and adverse outcomes that do and do not result from mitral valve prolapse.
TOPIC 5	Food for Thought: Understanding and Working With Eating Disorders - Upon completion of this session, the participant should be able to: 1. Identify the behavioral and psychosocial triggers that promote eating disordered behaviors. 2. Define and explain anorexia, bulimia and binge eating behaviors. 3. Recognize the clinical “red flags” that indicate eating disordered behavior. 4. Identify and propose interventions designed to treat eating disordered behaviors.
TOPIC 6	Obesity - Upon completion of this session, the participant should be able to: 1. State the epidemiology of obesity in America and the health risks associated with obesity. 2. Assess patients that are obese and that are in need of treatment. 3. Recommend and utilize various treatment options available, including diet, exercise, medications, and bariatric surgery.
TOPIC 7	Sensible Approaches to Geriatric Infections - Upon completion of this session, the participant should be able to: 1. Describe atypical presentation of infectious illness in the elderly. 2. Identify causes of pneumonia and UTI and describe the approach to antibiotic selection. 3. Describe considerations in emerging antibiotic resistance. 4. List the issues in reasonable antibiotic use.
TOPIC 8	Meningitis: Commonly Asked Questions - Upon completion of this session, the participant should be able to: 1. Review normal CSF parameters. 2. Interpret CSF. 3. Discuss frequently asked questions about meningitis, such as: Use of steroids; who requires a CT scan prior to lumbar puncture and the effects of prior antibiotic treatment of CSF. 4. Discuss the approach to aseptic/viral meningitis.
TOPIC 9	Adult Immunizations, Part 1 - Upon completion of this session, the participant should be able to: 1. Summarize the adult immunization schedule. 2. List recommendations for timing and spacing of immunobiologics. 3. Summarize indications, efficacy and current recommendations for the following vaccine preventable diseases: Influenza, pneumococcus and pertussis.
TOPIC 10	Adult Immunizations, Part 2 - Upon completion of this session, the participant should be able to: 1. Summarize indications, efficacy and current recommendations for the following vaccine preventable diseases: Hepatitis A, Hepatitis B, varicella-zoster, meningococcus and human papilloma virus. 2. Identify strategies to increase immunizations in adults.
TOPIC 11	Risk Management and Care of the Elderly - Upon completion of this session, the participant should be able to: 1. Define basic principles of effective risk management practices. 2. Identify newer concepts and approaches in dealing with medical errors. 3. Describe the benefits of honest disclosure of medical errors.
TOPIC 12	Osteoarthritis: Diagnosis and Treatment in the Older Patient - Upon completion of this session, the participant should be able to: 1. Describe newer understandings of the pathophysiology of OA. 2. Recognize the typical and atypical clinical features of OA. 3. Describe the various treatments of OA and how to integrate them. 4. Distinguish OA symptoms from those of other localized or generalized disorders.
TOPIC 13	Osteoporosis Case Studies - Upon completion of this session, the participant should be able to: 1. List the current FDA approved treatments. 2. Appreciate potential side effects of therapies. 3. Respect the importance of Vertebral Fracture Assessment (VFA) and implications of fracture. 4. Employ the WHO FRAX Absolute Fracture Risk Tool and realize its limitations.
TOPIC 14	Parkinson’s Disease and Its Differential Diagnosis - Upon completion of this session, the participant should be able to: 1. Identify the clinical features of the syndrome of parkinsonism. 2. Describe other important typical features of Parkinson’s disease and clinical features atypical for Parkinson’s disease. 3. Recognize long-term complications of Parkinson’s disease and major treatment options. 4. Distinguish among the common types of tremor and devise a therapeutic plan for a patient with essential tremor.
TOPIC 15	Cobalamin (B-12) Deficiency and Other Neurologic Disorders of Gastrointestinal Function - Upon completion of this session, the participant should be able to: 1. Define recent advances in B-12 deficiency, Post-Gastroplasty Neuropathy, and Copper deficiency. 2. Examine the changing clinical presentation of this illness. 3. Apply newer laboratory techniques to the diagnosis. 4. Apply an algorithm for the diagnosis and treatment of B-12 deficiency.
TOPIC 16	The Identification and Treatment of Traumatized Patients - Upon completion of this session, the participant should be able to: 1. Describe the characteristics associated with traumatic events. 2. Recognize and explain the “red flags” or symptomatic manifestations of trauma in patients. 3. Explain how to obtain a trauma history from a patient. 4. Identify and propose interventions designed to treat the symptoms of trauma.

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