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Live CME Seminars
Family Medicine CME |
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by Peter M. Hartmann, M.D., D.F.A.P.A. - Penn State College of Medicine; Clinical Professor of Family and Community Medicine; Vice President, Medical Affairs, York Hospital of WellSpan Health, York, PA; Robert S. Fawcett, M.D., M.S.Ed. - York Hospital of WellSpan Health; Medical Director, Family Practice Residency Program; Certificate of Added Qualifications in Sports Medicine, York, PA and Herbert L. Muncie, Jr., M.D. - Louisiana State University Health Sciences Center School of Medicine; Professor of Family Medicine and Director, Medical Student Education, Department of Family Medicine; New Orleans, LA.
Learning Objectives
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Family Medicine: An Evidence-Based Approach to Patient Care
April 4-8, 2011
Location: Hyatt Regency Sarasota, Florida
| SPECIFIC OBJECTIVES
| | Day 1 | Anemia – A Finding, Not Yet a Diagnosis - Upon completion of this session, using the Cochrane Abstract Database and AAFP Guidelines, the participant should be able to:
| 1. | Determine the etiologies for common anemia.
| | 2. | Construct the diagnostic evaluation needed to determine the etiology of anemia.
| | 3. | Recommend the evidence-based therapeutic options for each identified anemia.
| | 4. | Formulate the appropriate follow-up evaluations for assessing the treatment efficacy for each anemia.
| | Treating Patients with Type 2 Diabetes Mellitus - Upon completion of this session, using the American Diabetes and the European Association for the Study of Diabetes Guidelines and Cochrane Abstract Database, the participant should be able to:
| | 1. | Evaluate the therapeutic goals in treating type 2 diabetes and their impact on morbidity and mortality.
| | 2. | Recommend the approach, based upon evidence-based guidelines, for choosing oral hypoglycemic agents to treat type 2 diabetes.
| | 3. | Select the clinical situations that would require the use of insulin to treat type 2 diabetes and the probable dosage form and average amounts required for control of A1c.
| | Bipolar Disorder in Primary Care - Utilizing guidelines from the APA and DSMIV, upon completion of the session, the participant should be able to:
| | 1. | Apply the criteria to diagnose bipolar disorder.
| | 2. | Detect bipolar disorder in patients that commonly present in primary care.
| | 3. | Avoid common medication mistakes in patients with bipolar disorder.
| | 4. | Determine when to refer to a psychiatrist.
| | Post Traumatic Stress Disorder - Utilizing guidelines from the APA, upon completion of the session, the participant should be able to:
| | 1. | Detect PTSD in Iraq War Veterans.
| | 2. | Formulate the APA guidelines for diagnosing PTSD.
| | 3. | Recommend treatment for PTSD.
| | 4. | Demonstrate how to identify PTSD in the primary care setting.
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| | Day 2 | Obstructive Sleep Apnea - Utilizing guidelines from the NICE and evidence-based medical literature, upon completion of this session, the participants should be able to:
| 1. | Detect sleep apnea “in disguise.”
| | 2. | Specify complications of sleep apnea to better inform patients of their resulting risks, dangers and sequelae.
| | 3. | Employ diagnostic methods for sleep apnea.
| | 4. | Recommend treatment for sleep apnea as well as strategies to improve compliance.
| | Low Back Pain - Utilizing guidelines from the JQIC and evidence-based medical literature, in a lecture and demonstration format, upon completion of this session, the participants should be able to:
| | 1. | Illustrate major anatomic structure involved in low back pain.
| | 2. | Perform an appropriate physical exam that results in conservation of your time as well as health care resources.
| | 3. | Differentiate common causes of low back pain.
| | 4. | Select appropriate treatment options for low back pain.
| | Osteoporosis: Diagnosis and Treatment - Upon completion of this session, using the USPSTF, NOF Guidelines and the Cochrane Abstract Database, the participant should be able to:
| | 1. | Interpret the risk factors that increase a patient’s risk of an osteoporosis fracture.
| | 2. | Recommend the diagnostic testing for patients at risk for osteoporosis.
| | 3. | Select the therapeutic class of medication to treat osteoporosis based upon their indications and side effects.
| | 4. | Discuss the therapeutic role of repeating the DXAS scan in patients treated for osteoporosis.
| | Evaluation and Treatment of Hypertensive Patients - Upon completion of this session, using the JNC VII Guidelines, the Cochrane Abstract Database and the evidence-based reports from Clinical Evidence, the participant should be able to:
| | 1. | Recommend the non-pharmacologic treatment options to manage hypertension.
| | 2. | Determine the appropriate pharmacologic treatment options for patients with compelling indications based upon JNC VII Guidelines.
| | 3. | Formulate the appropriate therapeutic goal for controlling blood pressure in different patient populations and the combination of medications that can achieve that goal.
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| | Day 3 | Asthma Update - Upon completion of the session, the participant should be able to:
| 1. | Apply the pathophysiology of asthma to the mechanism of various medications in thwarting the disease process.
| | 2. | Utilize the NHLBI guidelines for assessing a patient's impairment and risk from asthma.
| | 3. | Assess side effects of asthma medications and be able to answer patients' concerns regarding them.
| | 4. | Apply the step-care process and appropriate combinations of medications for asthma.
| | Update on COPD - Upon completion of the session, the participant should be able to:
| | 1. | Use the two evidence-based treatments that have been shown to alter the course of COPD to intervene in the disease process.
| | 2. | Develop an approach to the smoker in order to ensure the greatest likelihood of achieving cessation.
| | 3. | Employ the basic pathophysiology of COPD to evaluate the likely efficacy of treatments.
| | 4. | Specify when and why to use various medications in COPD.
| | Dealing with Difficult Patients - Utilizing evidence-based medical literature in a case-based lecture format, upon completion of this session, the participants should be able to:
| | 1. | Illustrate by example 3 types of patients most doctors hate to see.
| | 2. | Apply useful strategies for dealing with difficult patients.
| | 3. | Detect counter-transference reactions to patients.
| | 4. | Assess the impact of the reality that you cannot be successful with all your patients in terms of how you practice medicine.
| | Adult ADHD - Utilizing guidelines from WHO, upon completion of this session, the participants should be able to:
| | 1. | Apply the criteria for diagnosing adult ADHD.
| | 2. | Analyze controversies surrounding adult ADHD.
| | 3. | Detect common ways adult ADHD presents in primary care.
| | 4. | Apply treatment approaches for adult ADHD.
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| | Day 4 | Migraine Headaches – Update on Diagnosis and Treatment - Upon completion of this session, using the International Headache Society and U.S. Headache Consortium Guidelines and the National Guideline Clearinghouse and the evidence-based reports from Clinical Evidence, the participant should be able to:
| 1. | Develop the approach for evaluating a patient with possible migraine headaches based upon evidence-based guidelines.
| | 2. | Relate the advantages of supportive therapy and lifestyle changes in treating migraine headaches compared to pharmacologic therapy.
| | 3. | Recommend the pharmacologic options for treating the acute pain of a migraine headache based upon evidence-based guidelines.
| | 4. | Design a prophylactic therapy regimen for patients with recurrent migraine headaches.
| | Adult Health Screening and Immunizations – Evidence-Based Approach - Upon completion of this session, using the USPSTF and Cochrane Abstract Database, the participant should be able to:
| | 1. | Apply the evidence based recommendations for preventive screening tests for adults.
| | 2. | Determine the immunizations required for adults in various clinical encounters.
| | 3. | Determine the side effects of adult immunizations and their management.
| | 4. | Select the contraindications for each adult immunization and their alternative therapy.
| | 5. | Recommend when screening tests can be discontinued in adults.
| | Running Injuries - Upon completion of the session, the participant should be able to:
| | 1. | Recognize and integrate the importance of both force and repetition in running pathology.
| | 2. | Develop and apply a practical diagnostic and therapeutic approach to running injuries.
| | 3. | Formulate and recommend the running shoe prescription to avoid and/or treat running injuries.
| | Chronic Pain - Upon completion of the session, the participant should be able to:
| | 1. | Recognize and avoid non-justifiable reasons for hesitancy in prescribing narcotics for chronic pain.
| | 2. | Identify and apply justifiable reasons for hesitancy in prescribing narcotics for chronic pain.
| | 3. | Differentiate between addiction and pseudo-addiction in treating patients with narcotics.
| | 4. | Formulate your approach diagnostically and therapeutically for the patient with exacerbation of pain from fibromyalgia, low back pain and migraine.
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| | Day 5 | Domestic Violence - Upon completion of the session, the participant should be able to:
| 1. | Illustrate an ability to recognize the potential domestic violence victim in your office.
| | 2. | Consider domestic violence from the victim's point of view and reasons she/he may not wish to act on it.
| | 3. | Develop an awareness for the frequency of domestic violence and specific risk factors to consider.
| | 4. | Demonstrate effective methods for addressing domestic violence as a problem.
| | The Knee: A Critical Evaluation of Two Common Problems - Upon completion of the session, the participant should be able to:
| | 1. | Relate the anatomy, body-mechanics, and pathophysiology of iliotibial band friction syndrome to treatment strategies for ITB including training changes, medication and specific exercises.
| | 2. | Relate the anatomy and physiology of the meniscus to treatment of tears.
| | 3. | Relate important points in history, physical and testing to a diagnosis of damaged meniscus.
| | 4. | Differentiate the benefits and implications of surgical vs. conservative management of meniscal tears.
| | Hormonal Contraceptives: Good, Bad and Controversial - Upon completion of this session, using the ACOG Practice Guidelines and the Cochrane Abstract Database, the participant should be able to:
| | 1. | Appraise the pharmacologic differences in oral contraceptives and their role in contraceptive efficacy.
| | 2. | Differentiate the relative and absolute contraindications to oral contraceptives.
| | 3. | Determine the circumstances that would be eligible for emergency contraception and the most appropriate method of emergency contraception for each situation.
| | Venous Thromboembolism (VTE): Diagnosis and Treatment - Upon completion of this session, using the ACCP and ATS Guidelines and the Cochrane Abstract Database, the participant should be able to:
| | 1. | Determine the appropriate diagnostic testing for evaluating a patient for VTE based upon the sensitivity and specificity of the diagnostic tests.
| | 2. | Employ the algorithm for diagnosing a PE in multiple clinical settings.
| | 3. | Differentiate the advantages of outpatient treatment compared to inpatient treatment for VTE.
| | 4. | Recommend the appropriate frequency of monitoring and the adjustments needed for warfarin therapy in the treatment of VTE.
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