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Home, Commute or Travel CME™
MP3/Audio CD Course |
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by Glenn Eiger, M.D., F.C.C.P. - Associate Professor of Medicine, Jefferson Medical College, Thomas Jefferson University; Director, Internal Medicine Residency Program and Associate Chairman, Department of Medicine, Albert Einstein Medical Center, Philadelphia, PA; by Stephen J. Gluckman, M.D., F.A.C.P. - Professor of Medicine, University of Pennsylvania School of Medicine; Chief, Infectious Diseases Clinical Services, Hospital of the University of Pennsylvania; Clinical Director, Botswana-Penn Program, Philadelphia, PA; by David A. Horowitz, M.D. - Assistant Professor of Clinical Medicine; Medical Director, Clinical Effectiveness and Quality Improvement, University of Pennsylvania Health System, University of Pennsylvania School of Medicine; Chief Medical Officer, Home Care Division of UPHS, PennCare at Home, Philadelphia, PA; Jeffrey R. Jaeger, M.D. - Assistant Professor of Clinical Medicine, Department of Medicine, University of Pennsylvania School of Medicine; Assistant Program Director, Internal Medicine Residency Program, University of Pennsylvania Health System; Clinical Faculty, Institute for Safe Families, Philadelphia, PA; Keith S. Kaye, M.D., M.P.H. - Associate Professor of Medicine, Division of Infectious Diseases, Duke University School of Medicine; Chair, Hospital Infection Control Committee and Hospital Epidemiologist, Duke University Medical Center, Durham, NC; by Kenneth Kaye, M.D., F.A.C.P. - Associate Professor of Medicine, Harvard Medical School; Attending Physician, Division of Infectious Diseases, Brigham and Women’s Hospital, Boston, MA; by Laurence J. Kinsella, M.D., F.A.A.N. - Professor of Neurology, Saint Louis University Medical School; Chief, Division of Neurology and Neurophysiology, Forest Park Hospital, St. Louis, MO; by Richard Malamut, M.D. - Clinical Associate Professor of Neurology, Drexel University, College of Medicine; Associate Chairman, Division of Neurology and Director, Autonomic Function Laboratory and Electromyography Laboratory, Crozer-Chester Medical Center, Chester, PA; by Gary H. Oberlender, M.D., F.A.C.P. - Private Consultant in Geriatric Medicine; by David E. Riley, M.D. - Professor, Department of Neurology, Case Western Reserve University School of Medicine; Director, Movement Disorders Center, The Neurological Institute, University Hospitals Case Medical Center, Cleveland, OH; by Gerald W. Smetana, M.D. - Associate Professor of Medicine, Harvard Medical School; Director of CME, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA and by Gregory Tino, M.D., F.C.C.P. - Associate Professor of Medicine, University of Pennsylvania School of Medicine; Chief, Pulmonary Clinical Service, Hospital of the University of Pennsylvania, Philadelphia, PA. |
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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.
NEEDS STATEMENT: There is a need to continue to maintain and improve the clinical diagnostic and therapeutic skills of Primary Care Practitioners regarding the field of Internal Medicine. This activity will present this information regarding the diagnosis and management of commonly seen disorders such as HTN, Diabetes, Metabolic Syndrome, Headache, Dementias, PE and various Neurological conditions such as MS, Peripheral Neuropathy, Sleep Disorders and Drugs and the Nervous System in an attempt to improve the knowledge and skills needed in the IM and Primary Care setting. This CME activity provides a practical approach in which the Primary Care Practitioner may learn when to treat when to refer and how to best provide health maintenance.
| SPECIFIC OBJECTIVES
| | TOPIC 1 | Practical Approach to the Patient with Hypertension - Upon completion of this session, the participant should be able to:
| 1. | Review the JNC VII recommendations for treatment of hypertension.
| | 2. | Consider a rational approach to choosing medication in treating hypertension.
| | 3. | Decide when and how to evaluate for secondary causes of hypertension.
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| | TOPIC 2 | Pulmonary Thromboembolic Disease is a very common, difficult to diagnose problem with devastating consequences if not treated promptly. - Upon completion of this session, the participant should be able to:
| 1. | Characterize the epidemiology, risk factors, & clinical presentation of PE & DVT.
| | 2. | Identify the role of DVT prophylaxis and the current status of low molecular weight heparin.
| | 3. | Diagram the diagnostic work-up including V/Q scanning, lower extremity studies, CT scanning, pulmonary angiography and others.
| | 4. | Outline treatment modalities including anticoagulation, thrombolysis & vena cava filters.
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| | TOPIC 3 | Headache and Migraine - Upon completion of this session, the participant should be able to:
| 1. | Review common presentations of various headache disorders.
| | 2. | Describe the pathophysiology of headache and migraine.
| | 3. | Review medication and non-pharmacologic strategies.
| | 4. | Appreciate the prevalence of medication overuse for headaches in daily practice.
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| | TOPIC 4 | Dementia in the Elderly - Upon completion of this session, the participant should be able to:
| 1. | Describe the prevalence and significance of dementia in the elderly population.
| | 2. | List common causes of dementia in the elderly and the value of objectifying cognitive performance.
| | 3. | Identify atypical patterns and differential diagnosis of dementia syndromes.
| | 4. | Describe the risks and benefits of commonly used drugs to treat dementia.
| | 5. | Describe a reasonable medical evaluation of a newly identified patient.
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| | TOPIC 5 | Hepatitis - Upon completion of this session, the participant should be able to:
| 1. | Explain the pathogenesis and clinical manifestations of hepatitis A, B, C, D or E.
| | 2. | Discuss differences in rates of complications.
| | 3. | Summarize treatment options for hepatitis B, C and their rates of success.
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| | TOPIC 6 | 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.
| | 4. | Identify the major pathogens responsible for chronic gastroenteritis.
| | 5. | Utilize an efficient approach in the evaluation of a patient with chronic gastroenteritis.
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| | TOPIC 7 | Waking Up to Sleep Disorders - Upon completion of this session, the participant should be able to:
| 1. | Formulate a diagnostic and therapeutic approach to insomnia.
| | 2. | Describe the clinical features, associated disorders and treatment of sleep apnea.
| | 3. | Describe the clinical features and treatment of narcolepsy and REM-sleep behavior disorder.
| | 4. | Describe the clinical features, associated disorders and treatment of restless legs syndrome.
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| | TOPIC 8 | Preoperative Pulmonary Evaluation - Upon completion of this session, the participant should be able to:
| 1. | Identify patient and procedure-related risk factors for postoperative pulmonary complications.
| | 2. | Appreciate the limited role of preoperative spirometry.
| | 3. | Apply strategies to reduce the risk of postoperative pulmonary complications.
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| | TOPIC 9 | Pulmonary Cases for Review - Three Cases for Your Enjoyment! - Upon completion of this session, the participant should be able to:
| 1. | Identify and properly evaluate a patient with occupational asthma.
| | 2. | Generate a differential diagnosis and approach to a patient with a non-resolving infiltrate.
| | 3. | Recognize the causes and appropriate management of a solitary pulmonary nodule.
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| | TOPIC 10 | Cellulitis, Necrotizing Fasciitis and Diabetic Foot Ulcers - Upon completion of this session, the participant should be able to:
| 1. | Explain typical and atypical manifestations.
| | 2. | Discuss the pathogenesis.
| | 3. | List the principles of medical and surgical treatment.
| | 4. | Describe the prognosis.
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| | TOPIC 11 | Drugs and the Nervous System - Upon completion of this session, the participant should be able to:
| 1. | Identify the common effects of prescribed drugs on the nervous system.
| | 2. | Identify the common effects of illicit drugs on the nervous system.
| | 3. | Recognize the common neurologic complications of alcoholism.
| | 4. | Recognize the common neurologic side effects of antidopaminergic medication.
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| | TOPIC 12 | 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, and chlamydia.
| | 4. | Recognize the sexual transmission of “non-traditional STDs” such as hepatitis B, and cystitis in women.
| | 5. | Describe how to properly use a condom so that they may properly educate patients.
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| | TOPIC 13 | Multiple Sclerosis in the 21st Century - Upon completion of this session, the participant should be able to:
| 1. | Review the clinical features of patients with multiple sclerosis.
| | 2. | Develop a diagnostic testing strategy to confirm a diagnosis of multiple sclerosis.
| | 3. | Explore etiologic questions in multiple sclerosis.
| | 4. | Identify the newest therapeutic advances in the treatment of multiple sclerosis.
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| | TOPIC 14 | Peripheral Neuropathy and Neuropathic Pain Management - Upon completion of this session, the participant should be able to:
| 1. | Appreciate the spectrum of neuropathic signs, symptoms, and causes.
| | 2. | Develop an approach to bedside examination.
| | 3. | Review the mechanism of neuropathic pain.
| | 4. | Discuss the use of effective medications- nortriptyline, gabapentin, others.
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| | TOPIC 15 | Metabolic Syndrome - Upon completion of this session, the participant should be able to:
| 1. | Review the definition and pathophysiology of the Metabolic Syndrome.
| | 2. | Consider the overall prevalence of the syndrome.
| | 3. | Recognize the implications that this syndrome has for the patient.
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| | TOPIC 16 | Practical Approach to the Patient with Diabetes - Upon completion of this session, the participant should be able to:
| 1. | Consider this primer on management.
| | 2. | Identify the patient who is likely to go on to develop complications and appreciate the potential long term course.
| | 3. | Review the current guidelines for therapy and the anticipated outcome goals.
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