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Home, Commute or Travel CME™
MP3/Audio CD Course |
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Specific Learning Objectives
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by William T. Ayoub, M.D., F.A.C.P., F.A.C.R. - Geisinger Medical Group, Geisinger Health System; Associate, Department of Rheumatology, State College, PA; by Lawrence H. Brent, M.D. - Jefferson Medical College, Thomas Jefferson University; Associate Professor of Medicine; Head, Division of Rheumatology and Director, Einstein Arthritis Center, Albert Einstein Medical Center, Philadelphia, PA; Thomas P. Olenginski, M.D., F.A.C.P. - Geisinger Medical Center, Geisinger Health System; Associate, Department of Rheumatology, Danville, PA; and by Frederick Sunderlin, M.D. - Jefferson Medical College, Thomas Jefferson University; Clinical Professor of Medicine; Associate, Department of Endocrinology, Geisinger Medical Center; Adjunct Professor of Medicine, Temple University School of Medicine; Clinical Professor, School of Graduate Studies, Lock Haven University, Lock Haven, 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.
EDUCATIONAL GAP AND NEEDS ANALYSIS STATEMENT: Endocrine and Rheumatologic disorders are commonly diagnosed and treated by Primary Care Providers. Primary Care Providers must maintain adequate knowledge to diagnose and effectively treat commonly seen Endocrine conditions, many with possible serious and even fatal consequences if not properly diagnosed and treated. Needs analysis specifically identifies the ability to diagnose and properly treat or refer Diabetes, Thyroid, Calcium and Adrenal disorders, Septic Arthritis, Vasculitis, SLE and Scleroderma as vital skills for the Primary Care Provider. In addition, laboratory testing and analysis continues to be evolving for both of these areas of medicine. Educational gap analysis has identified two areas that must be addressed: increased knowledge and increased confidence on the part of Primary Care Physicians in the disciplines of Endocrinology and Rheumatology. To address these needs and close these gaps, an annual update, presenting current thinking and new information, will help Primary Care physicians obtain adequate knowledge and provide them with the confidence to diagnose and treat their patients’ Endocrine and Rheumatic conditions.
| SPECIFIC OBJECTIVES
| | TOPIC 1 | Treatment Strategies in Type 2 Diabetes - Upon completion of this session, the participant should be able to:
| 1. | Describe new pharmacologic agents available for glucose control.
| | 2. | Apply concepts of pathophysiology to the selection of pharmacotherapy for Type 2 Diabetes.
| | 3. | Discuss a cost-effective approach to the management of diabetic complications.
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| | TOPIC 2 | Clinical and Laboratory Approach to the Patient with Rheumatic Diseases - Upon completion of this session, the participant should be able to:
| 1. | Discuss a systematic approach to the evaluation of the patient with rheumatic disease including:
| a. | Relate the central role of the history and physical examination.
| | b. | Discussing key x-ray findings in patients with rheumatic diseases.
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| | 2. | Appreciate the importance of synovial fluid analysis.
| | 3. | Appreciate the use and limitations of laboratory testing.
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| | TOPIC 3 | Thyroid Case Studies - Upon completion of this session, the participant should be able to:
| 1. | Review the etiologies and pathogenesis of hyper and hypothyroidism.
| | 2. | Apply cost effective principles in the laboratory evaluation of thyroid conditions.
| | 3. | Design effective treatment protocols for various thyroid conditions.
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| | TOPIC 4 | Rheumatologic Procedures - Upon completion of this session, the participant should be able to:
| 1. | Summarize techniques and indications for intraarticular and soft tissue injections in rheumatology.
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| | TOPIC 5 | The Dyslipidemias: Evidence-Based Decision Making - Upon completion of this session, the participant should be able to:
| 1. | Discuss landmark outcomes studies in reducing cardiovascular risk.
| | 2. | Review the available lipid lowering therapies.
| | 3. | Apply evidence-based protocols to at-risk patients.
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| | TOPIC 6 | Septic Arthritis - Upon completion of this session, the participant should be able to:
| 1. | Describe the diagnosis and risk factors for septic arthritis.
| | 2. | Appreciate the importance of early treatment, and indications for surgery.
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| | TOPIC 7 | Male Hypogonadism: Clinical Features - Upon completion of this session, the participant should be able to:
| 1. | Discuss the concept of “male menopause”.
| | 2. | Design a cost-effective strategy to investigate causes of male hypogonadism.
| | 3. | Treat various endocrine conditions arising in men.
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| | TOPIC 8 | Rheumatology Pearls - Upon completion of this session, the participant should be able to:
| 1. | Outline several clinical points related to rheumatic diseases which emphasize efficient diagnosis and treatment.
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| | TOPIC 9 | Polycystic Ovary Syndrome - Upon completion of this session, the participant should be able to:
| 1. | Review current concepts in risk factors and pathophysiology.
| | 2. | Develop a simple laboratory screening process for diagnosis.
| | 3. | Apply our understanding of pathophysiology to design a treatment strategy.
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| | TOPIC 10 | Crystal Arthropathies - Upon completion of this session, the participant should be able to:
| 1. | Describe the diagnosis and treatment of crystal arthropathies including gout and pseudogout.
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| | TOPIC 11 | Disorders of Calcium Metabolism - Upon completion of this session, the participant should be able to:
| 1. | Discuss the differential diagnosis of hypercalcemia.
| | 2. | Apply a cost effective workup to elevated calcium states.
| | 3. | Evaluate hypocalcemic disorders using common laboratory studies.
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| | TOPIC 12 | Vasculitis - Upon completion of this session, the participant should be able to:
| 1. | Describe the clinical manifestations of the various vasculitides and the appropriate diagnostic evaluation.
| | 2. | Describe treatment modalities used in vasculitis.
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| | TOPIC 13 | Systemic Lupus Erythematosus - Upon completion of this session, the participant should be able to:
| 1. | Appreciate the varied clinical presentations and course of systemic lupus erythematosus.
| | 2. | Describe the use of laboratory testing in diagnosis.
| | 3. | Identify treatment options in systemic lupus erythematosus.
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| | TOPIC 14 | Pituitary Potpourri - Upon completion of this session, the participant should be able to:
| 1. | Provide a differential diagnosis based on clinical features.
| | 2. | Formulate a laboratory workup using a “best test” approach.
| | 3. | Discuss treatment options.
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| | TOPIC 15 | Scleroderma - Upon completion of this session, the participant should be able to:
| 1. | Describe the clinical manifestations of scleroderma.
| | 2. | Relate that treatment is available for symptomatic manifestations.
| | 3. | Describe the diagnostic work-up and treatment of Raynaud’s Phenomenon.
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| | TOPIC 16 | Adrenal Case Studies - Upon completion of this session, the participant should be able to:
| 1. | Discuss the evaluation of the incidental adrenal mass.
| | 2. | Diagnose and treat adrenal insufficiency.
| | 3. | Manage patients with excessive adrenal steroid levels.
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