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Family Medicine CME

 
 
Family Medicine: A Review and Update of Common Clinical Problems

June 14-18, 2010 (8:00am-12:15pm)
Location: Hyatt Regency Sarasota, Florida
20 AMA PRA Category 1 Credits™
20 CME Credits - ACEP AAFP ACOG
Course #SEMLA-2420100614
Price: $645.00 - $795.00

by Robert L. Dickman, M.D., F.A.A.F.P., A.G.S.F. - Tufts University School of Medicine; Jaharis Family Chair of Family Medicine, Department of Family Medicine, Boston, MA; 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, 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. and Gary H. Oberlender, M.D., F.A.C.P. - Consultant in Geriatric Medicine

Learning Objectives
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NARRATIVE DESCRIPTION: Following this course, the participant should be able to identify the etiologies and recognize the clinical presentations of the commonly seen disorders presented; indicate diagnostic tests available and the suggested use for making a diagnosis; implement available treatment options and appropriate long-term care when indicated. 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.

When indicated in the specific objectives, emphasis will be on current guidelines and evidence-based medicine with a focus on diagnosis, treatment and when to refer. This course was designed to inter-relate the disorders presented in an effort to help all practitioners at the level of a practicing physician integrate their medical knowledge with other providers and specialists. By doing this, it will provide them with the confidence to appropriately diagnose and refer or effectively treat their patients’ conditions to optimize their care.

Day 1 Sensible Prescribing Practices for the Elderly. Routine Adult Care. Advanced Nutritional Assessment and Therapy. Improving Compliance.
Day 2 Delirium in the Elderly - Current Concepts. Asthma. Evaluation and Treatment of Dementia. Coronary Artery Disease.
Day 3 Food for Thought: Understanding and Working with Eating Disorders. Vitamin B-12 Deficiency in the Elderly. Anemia. Contemporary Issues in End of Life Care.
Day 4 Identification and Treatment of Traumatized Patients. Osteoporosis. Depression and Anxiety in Primary Care. Musculoskeletal Disease in the Elderly.
Day 5 Smoking Cessation. Urinary Incontinence. Obesity. Atrial Fibrillation.

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Family Medicine: A Review and Update of Common Clinical Problems
June 14-18, 2010
Location: Hyatt Regency Sarasota, Florida

SPECIFIC OBJECTIVES
Day 1Sensible Prescribing Practices for the Elderly - Upon completion of this session, the participant should be able to:
1.Recognize the limits of studies on drug safety and efficacy as they apply to the elderly.
2.Appreciate the subtle but significant drug side effects in the elderly.
3.Describe undesirable prescribing practices and better approaches.
Routine Adult Care - Upon completion of this session, the participant should be able to:
1.Identify the current primary care guidelines for recommended screening tests for adults.
2.List the various recommended immunizations for adults.
Advanced Nutritional Assessment and Therapy - Upon completion of this session, the participant should be able to:
1.Utilize readily available clinical data to make accurate and comprehensive nutritional assessments.
2.Identify common vitamin and mineral deficiencies in seniors.
3.Identify a range of therapeutic nutritional approaches for acutely ill, chronically ill, and frail patients.
4.Apply nutritional therapies towards improved wellness.
Improving Compliance - Upon completion of this session, the participant should be able to:
1.Identify the patient/physician communication issues that enhance compliance.
2.Enumerate techniques that they may use in their own practice to increase compliance.

Day 2Delirium in the Elderly - Current Concepts - Upon completion of this session, the participant should be able to:
1.List diagnostic features and common causes of delirium.
2.Appreciate causes of persistent delirium.
3.Describe non-pharmacologic and pharmacologic treatment approaches to the delirious patient.
4.Identify options to address agitation.
Asthma - Upon completion of this session, the participant should be able to:
1.Describe the epidemiology of asthma.
2.List the various modalities to diagnose asthma.
3.List the different treatments for asthma, both pharmacological and environmental.
Evaluation and Treatment of Dementia - Upon completion of this session, the participant should be able to:
1.List common causes of dementia in the elderly and the value of objectifying cognitive performance.
2.Describe the risks and benefits of commonly used drugs to treat dementia.
3.Describe a reasonable medical evaluation of a newly identified patient.
4.Recognize the value of caregiver education and support.
Coronary Artery Disease - Upon completion of this session, the participant should be able to:
1.Describe the common presenting symptom complexes of patients.
2.Describe the diagnostic evaluation of a patient with chest pain.
3.Enumerate current medication and surgical treatment options.

Day 3Food 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.
Vitamin B-12 Deficiency in the Elderly - Upon completion of this session, the participant should be able to:
1.Describe normal B-12 physiology and the pathophysiology of B-12 deficiency and its causes.
2.Describe the use of metabolic markers in B-12 deficiency.
3.Define work-up of B-12 deficiency in clinical practice.
Anemia - Upon completion of this session, the participant should be able to:
1.List the guidelines for diagnosing anemia in children and adults.
2.List the common diagnostic studies available for diagnosing the etiology of the anemia.
3.Describe the role of consultants in the evaluation and management of anemia.
Contemporary Issues in End of Life Care - Upon completion of this session, the participant should be able to:
1.Describe a practical approach to assessment of the whole patient in a hospice setting.
2.Describe effective approaches to common physical symptoms in the terminally ill.
3.Describe effective clinical care of patients and their families in the last days of life.
4.Describe dementia as a terminal illness.

Day 4Identification 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.
Osteoporosis - Upon completion of this session, the participant should be able to:
1.Describe the pathological and clinical manifestations of Osteoporosis.
2.Appreciate the current approach to Osteoporosis screening in the elderly.
3.Describe the treatment of Osteoporosis including Ca, Vitamin D, Bisphosphonates and Calcitonin.
Depression and Anxiety in Primary Care - Upon completion of this session, the participant should be able to:
1.Explain the incidence and prevalence of anxiety and depression.
2.Recognize the signs and symptoms associated with anxiety and depression.
3.Enumerate and describe treatment strategies available for these disorders.
Musculoskeletal Disease in the Elderly - Upon completion of this session, the participant should be able to:
1.Describe the typical symptoms, physical findings and laboratory abnormalities in Polymyalgia Rheumatica (PMR).
2.Develop a differential diagnosis of monoarticular arthritis in the elderly.
3.Appreciate the typical and atypical presentations of Giant Cell Arteritis (GCA).
4.Recognize the difference in treatment for PMR and GCA.

Day 5Smoking Cessation - Upon completion of this session, the participant should be able to:
1.Recognize the role of smoking in disease etiology.
2.Identify smoking cessation techniques which can be utilized in their practice setting.
Urinary Incontinence - Upon completion of this session, the participant should be able to:
1.Differentiate between Detrusor Instability, Stress and Overflow Incontinence.
2.Discuss the treatment of each type of Urinary Incontinence.
3.Appreciate the Standard of Care in the treatment of asymptomatic bacteruria in the elderly.
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.
Atrial Fibrillation - Upon completion of this session, the participant should be able to:
1.Appreciate the incidence, prevalence and complications of AF in the elderly.
2.Describe the advantages and disadvantages of rate vs rhythm control in the elderly.
3.Determine the CHAD score and the indication for anti-coagulation in the elderly.
4.Recognize the potential benefit and harm of antiarrhythmic therapies.

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