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Live CME Seminars
Infectious Disease CME |
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by Valerianna Amorosa, M.D. - University of Pennsylvania School of Medicine; Assistant Professor of Clinical Medicine; Chief of Infectious Diseases and Clinic Director, HIV and Infectious Diseases Clinic, Philadelphia VA Medical Center, Philadelphia, PA and 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.
Learning Objectives
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NARRATIVE DESCRIPTION: Following this course, the participant should be able to recognize the epidemiology and classify commonly presenting infectious diseases; identify the clinical manifestations, pathogenesis and methods of diagnosing the presenting diseases; and apply the current recommendations of pharmacologic management, referral or follow-up and prevention. This activity is expected to result in increased confidence in making an appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes.
The emphasis will be on current guidelines and evidence-based medicine, as indicated within each topic’s specific objectives. Since Infectious Diseases is a specialty field of medicine that affects all areas of Primary Care to include: FM, IM, EM and Pediatrics, this course was designed to cover the spectrum of Infectious Diseases essential to all practicing physicians.
| | Day 1 |
Fever of Unknown Origin. The Alphabet Soup of Viral Hepatitis. Emerging and Multi-Drug Resistant Infections. Update in Antibiotic Therapy. |
| Day 2 |
Infections in the Immunocompromised Patient. Approach to the Patient with Fever and Rash. Meningitis: Commonly Asked Questions. Chronic Fatigue Syndrome. |
| Day 3 |
Gastroenteritis. Common Issues Surrounding Tick Borne Illnesses in the U.S. Tuberculosis Update. Bloodstream Infections and Infective Endocarditis. |
| Day 4 |
Soft Tissue and Bone Infections. Influenza and Pandemic Influenza. Health Advice for International Travel. Immunizations for Adults. |
| Day 5 |
What Every Primary Care Provider Should Know About HIV. Sexually Transmitted Diseases. Community Acquired Pneumonia and Respiratory Tract Infections. Acute Pharyngitis. |
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Infectious Diseases: Adult Issues in the Outpatient and Inpatient Settings
March 8-12, 2010
Location: Hyatt Regency Sarasota, Florida
| SPECIFIC OBJECTIVES
| | Day 1 | Fever of Unknown Origin - Upon completion of this session, the participant should be able to:
| 1. | Discuss the pathogenesis of fever and its physiologic importance.
| | 2. | Identify the major causes of FUOs.
| | 3. | Implement an efficient approach to the initial diagnostic work-up of the patient with an FUO.
| | 4. | Recognize normal temperature regulation.
| | The Alphabet Soup of Viral Hepatitis - Upon completion of this session, the participant should be able to:
| | 1. | Describe and characterize the 5 known types of viral hepatitis (A through E). Similarities and differences will be stressed, particularly the risks to develop chronic infection, the complications of chronic infection, and treatment.
| | 2. | Recognize hepatitis clinically and will reinforce their ability to interpret hepatitis serologies. They should be able to select appropriate patients for new treatment options available to some patients with chronic disease. Specific items covered include:
| a. | Clinical syndromes of acute and chronic hepatitis.
| | b. | Serologic diagnosis.
| | c. | Complications of chronic hepatitis and newer treatment options.
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| | Emerging and Multi-Drug Resistant Infections - Upon completion of this session, the participant should be able to:
| | 1. | Identify new and emerging infectious diseases.
| | 2. | Recognize the most prevalent multi-drug resistant infections in the community and in hospitals.
| | 3. | Describe the most effective and appropriate treatment strategy for each infection.
| | 4. | Determine when specialist referral will result in an improved outcome.
| | Update in Antibiotic Therapy - Upon completion of this session, the participant should be able to:
| | 1. | Relate the pharmacology and antibacterial spectrum of activity of the newer antibiotics.
| | 2. | Discuss the indications for use of newer agents based on sites of infection and susceptibility patterns and apply the appropriate drug recommendation to key clinical scenarios.
| | 3. | Identify the side effects, adverse reactions and drug – drug interactions affiliated with each antibiotic.
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| | Day 2 | Infections in the Immunocompromised Patient - Upon completion of this session, the participant should be able to:
| 1. | Identify the immunocompromised patient who is at most risk for serious infections due to diabetes, malignancy, and chemotherapy or medications such as the immunomodulators.
| | 2. | Recognize the spectrum of infectious diseases and factors putting patients at risk in these populations.
| | 3. | Describe the often times atypical presentations of infection in these groups.
| | 4. | Apply an approach to the treatment and follow up of these infections for each type of at risk patient.
| | Approach to the Patient with Fever and Rash - Upon completion of this session, the participant should be able to:
| | 1. | Describe the etiology of commonly seen infectious and non-infectious rashes that are associated with fever.
| | 2. | Develop a differential diagnosis based upon the type of rash on presentation.
| | 3. | Discuss the treatment of some common rashes such as meningococcemia, rickettsioses, syphilis, Varicella zoster and the agents of toxic shock syndrome.
| | Meningitis: Commonly Asked Questions - Upon completion of this session, the participants 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.
| | Chronic Fatigue Syndrome - Upon completion of this session, the participant should be able to:
| | 1. | Explain how to diagnose CFS and how to distinguish it from chronic fatigue.
| | 2. | Discuss the history of CFS.
| | 3. | Summarize how to manage (and how not to mismanage) a patient with CFS.
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| | Day 3 | Gastroenteritis - Upon completion of this session, the participant should be able to:
| 1. | Identify the major pathogenic mechanisms that result in diarrhea.
| | 2. | Identify the major pathogens responsible for acute gastroenteritis.
| | 3. | Utilize an efficient approach in the evaluation of a patient with acute gastroenteritis as the normal host and in persons with HIV or recent travel.
| | Common Issues Surrounding Tick Borne Illnesses in the U.S. - Upon completion of this session, the participant should be able to:
| | 1. | Identify the major tick vectors in the United States.
| | 2. | Describe the proper removal of a tick.
| | 3. | Outline the clinical presentation, diagnosis and treatment of the major tick borne diseases in the United States: Lyme disease, babesiosis, ehrlichiosis, and rocky-mountain spotted fever.
| | Tuberculosis Update - Upon completion of this session, the participant should be able to:
| | 1. | Explain how the changing epidemiology of tuberculosis has impacted the incidence of the disease in the U.S.
| | 2. | Manage latent tuberculosis infection, understand how to increase medication adherence.
| | 3. | Describe the principles of treatment of TB disease and recognize adverse drug reactions.
| | 4. | Discuss multi-drug resistance.
| | Bloodstream Infections and Infective Endocarditis - Upon completion of this session, the participant should be able to:
| | 1. | Describe the epidemiology and risk factors for patients presenting to a primary care practice.
| | 2. | Discuss the diagnosis and management of bloodstream infections and infective endocarditis.
| | 3. | Recognize post-infection patient management issues and convey appropriate prophylaxis measures.
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| | Day 4 | Soft Tissue and Bone Infections - Upon completion of this session, the participant should be able to:
| 1. | Identify an approach to making the diagnosis of common skin and soft tissue infections.
| | 2. | Recognize common infections to include streptococcal and staphylococcal infections and necrotizing fasciitis, diabetic foot infections, bite wound infections and bone and joint infections.
| | 3. | Apply appropriate treatment and management of these commonly seen infections and decide when specialist referral is indicated.
| | Influenza and Pandemic Influenza - Upon completion of this session, the participant should be able to:
| | 1. | Describe the epidemiology, infection control precautions and other preventive measures related to Influenza infections.
| | 2. | Identify the role of influenza vaccine and antiviral therapy as well as supportive measures in the prevention and treatment of influenza.
| | 3. | Discuss the potential for pandemic influenza.
| | 4. | Identify key issues of Bio-emergency preparedness for the primary care practitioner.
| | Health Advice for International Travel - Upon completion of this session, the participant should be able to:
| | 1. | Analyze a travel itinerary for potential health risks.
| | 2. | Prescribe appropriate vaccines and medications. Specific areas to be covered include:
| a. | Pre-travel.
| i. | Immunizations;
| | ii. | Malaria prophylaxis;
| | iii. | Medications.
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| | b. | Travel safety on planes and boats.
| | c. | During travel.
| i. | Safe food and water;
| | ii. | Traveler’s diarrhea;
| | iii. | HIV and travel;
| | iv. | Pregnancy and breast feeding.
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| | Immunizations for Adults - Upon completion of this session, the participant should be able to:
| | 1. | Differentiate between myths and facts about vaccine administration.
| | 2. | List indications, contra-indications, efficacy, and side effects of adult immunizations.
| | 3. | Identify immunizations indicated for different risk groups such as health care workers, college students and inhabitants of long term care facilities.
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| | Day 5 | What Every Primary Care Provider Should Know About HIV - Upon completion of this session, the participant should be able to:
| 1. | Outline the present epidemiology of HIV.
| | 2. | Have an up-to-date understanding of the prognosis for a newly infected person.
| | 3. | List the major viral and host factors that determine present approach to management.
| | 4. | Identify risks to health care workers and the management of an exposed health care worker.
| | Sexually Transmitted Diseases - Upon completion of this session, the participant should be able to:
| | 1. | Outline the present epidemiology of STDs in this country.
| | 2. | List a differential diagnosis for the following STD syndromes:
| a. | Urethral discharge and dysuria;
| | b. | Vaginal discharge/vaginitis;
| | c. | Genital ulceration.
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| | 3. | Explain the diagnosis and management of syphilis, gonorrhea, chlamydia, herpes and HPV.
| | 4. | Describe how to properly use a condom so that they may properly educate patients.
| | Community Acquired Pneumonia and Respiratory Tract Infections - Upon completion of this session, the participant should be able to:
| | 1. | Describe the epidemiology of community acquired pneumonia.
| | 2. | Recognize the clinical manifestations and likely pathogens in specific patient populations.
| | 3. | Discuss the differential diagnosis and specific management when you make the diagnosis of community acquired pneumonia.
| | 4. | Appraise the rising incidence of resistance and utilize alternative therapies when indicated.
| | 5. | Review the role of antibiotics in bronchitis.
| | Acute Pharyngitis - Upon completion of this session, the participant should be able to:
| | 1. | Summarize the various etiologies to consider and develop a differential diagnosis when approaching an adult with acute pharyngitis.
| | 2. | Identify the features and predictors that guide your diagnostic testing of acute pharyngitis.
| | 3. | Describe the best courses of treatment and overall management.
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