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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; 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; Glenn Eiger, M.D., F.C.C.P., F.A.C.P. - Jefferson Medical College, Thomas Jefferson University; Associate Professor of Medicine; Director, Internal Medicine Residency Program and Associate Chairman, Department of Medicine, Albert Einstein Medical Center, Philadelphia, PA; Keith S. Kaye, M.D., M.P.H. - Wayne State University School of Medicine; Professor of Medicine, Division of Infectious Diseases; Corporate Medical Director of Hospital Epidemiology and Antimicrobial Stewardship, Detroit Medical Center, Detroit, MI; Kim Edward LeBlanc, M.D., Ph.D., F.A.A.F.P., F.A.C.S.M. - Louisiana State University Health Sciences Center School of Medicine; Marie Lahasky Professor and Head, Department of Family Medicine; Professor, Department of Orthopedics and Director, Rural Education; Certificate of Added Qualifications in Sports Medicine, New Orleans, LA; Jeffrey Miller, M.D. - Penn State College of Medicine; Associate Professor of Dermatology, Vice-Chair, Department of Dermatology; Hershey, PA; 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; Albert J. Peters, D.O., F.A.C.O.G. - Sher Institute for Reproductive Medicine (SIRM); Medical Director; New Jersey; Gary H. Oberlender, M.D., F.A.C.P. - Consultant in Geriatric Medicine; Gerald W. Smetana, M.D. - Harvard Medical School; Associate Professor of Medicine; Senior Physician, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA; C. Christopher Smith, M.D. - Harvard Medical School; Associate Professor of Medicine; Associate Director, Internal Medicine Residency Training Program, Associate Firm Chief, Blumgart Medical Firm, and Co-Director, Rabkin Fellowship in Medical Education, Beth Israel Deaconess Medical Center of Harvard Medical School, Boston, MA; 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 and Gregory Tino, M.D., F.C.C.P., F.A.C.P. - University of Pennsylvania School of Medicine; Associate Professor of Medicine; Chief, Pulmonary Clinical Service, Hospital of the University of Pennsylvania, Philadelphia, PA. |
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PURPOSE: The purpose of the American Medical Seminars, Inc. CME Program is to develop and deliver clinically relevant, evidence-based CME activities in an effort to align physician behavior with current clinical guidelines and the evidence to improve their competence and the care they provide their patients.
OVERALL OBJECTIVES: Upon completion of this CME activity, through the use of clinical vignettes emphasizing Guidelines and Evidence-Based Medicine, the physician or healthcare provider should be able to formulate a differential, make a diagnosis and develop a plan for the prevention and/or therapeutic management of the various disorders presented.
| SPECIFIC OBJECTIVES FOR EACH TOPIC
| | TOPIC 1 | Sensible 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.
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| | TOPIC 2 | Newer Antibacterial Agents - Upon completion of this session, using FDA publications and approvals as well as IDSA and SHEA evidence-based guidelines, the participant should be able to:
| 1. | Relate the antibacterial spectrum of activity.
| | 2. | Describe the pharmacology of the agents.
| | 3. | List the indications and dosing recommendations.
| | 4. | Identify the side effects, adverse reactions and drug interactions.
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| | TOPIC 3 | 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. | Describe the evidence-based recommendations for preventive screening tests for adults.
| | 2. | List the routine immunizations recommended for adults.
| | 3. | Describe the common side effects of adult immunizations.
| | 4. | List the contraindications for each adult immunization.
| | 5. | Discuss when screening tests can be discontinued in adults.
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| | TOPIC 4 | Treatment of Primary Headache Syndromes - Upon completion of this session, the participant should be able to:
| 1. | Appreciate the role of abortive therapy for migraine, tension-type, and cluster headache.
| | 2. | Recognize the range of options for pharmacologic preventive therapy for migraine, tension-type, and cluster headache.
| | 3. | Develop non-pharmacologic treatment strategies for migraine.
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| | TOPIC 5 | Evaluation of Abnormal Liver Enzymes in the Primary Care Setting - Upon completion of this session, the participant should be able to:
| 1. | Describe a diagnostic approach to assess patients with asymptomatic elevations in liver studies.
| | 2. | Describe the common causes of asymptomatic elevations in transaminase levels.
| | 3. | Review the natural history of hepatitis B infection, including serologic markers and indications for treatment.
| | 4. | Review the epidemiology, evaluation and potential treatment options for nonalcoholic steatohepatitis.
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| | TOPIC 6 | 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 7 | Lung Cancer - Primary lung cancer remains a major cause of morbidity and mortality. A number of new approaches to diagnosis and therapy have been developed. Upon completion of this session, the participant should be able to:
| 1. | Discuss the epidemiology of lung cancer.
| | 2. | Define the major types of lung carcinoma, particularly small cell and non-small cell cancer.
| | 3. | Characterize the basic clinical aspects of both small cell and non-small cell cancer including staging, natural history, and associated extrapulmonary syndromes.
| | 4. | Outline a diagnostic strategy for patients with suspected lung cancer.
| | 5. | Identify current treatment options for small cell and non-small cell lung cancer.
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| | TOPIC 8 | Interstitial Lung Disease - The focus of the discussion will be on sarcoidosis and idiopathic pulmonary fibrosis. These are two disorders a primary care provider should be familiar with. We will review the recent literature so that upon completion of this session, the participant should be able to:
| 1. | Characterize the spectrum of interstitial lung disease.
| | 2. | Develop a basic understanding of the diagnostic work-up, which can include high resolution CT scanning and tissue biopsy.
| | 3. | Identify the clinical and radiographic manifestations of sarcoidosis. An overview of management will be provided.
| | 4. | Outline the typical presentation of idiopathic pulmonary fibrosis as well as management issues.
| | We will present a variety of cases with x-rays, CT scans and pathology to illustrate important features. The discussion will focus on basic concepts and will include guidelines on specialist’s referral.
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| | TOPIC 9 | Integrative Medicine: Common Therapies - Upon completion of this session, using systematic reviews of clinical evidence, the participant should be able to:
| 1. | Identify the ten most commonly used natural products.
| | 2. | Discuss the science of the use of these natural products.
| | 3. | Review the indications and contraindications for the use of these natural products and potential drug interactions.
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| | TOPIC 10 | Chronic Anovulation - Upon completion of this session, the participant should be able to:
| 1. | Discriminate between the hypothalamic, pituitary and ovarian causes of anovulation.
| | 2. | Investigate associated health risks.
| | 3. | Formulate an appropriate treatment regimen.
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| | TOPIC 11 | Evaluation and Initial Management: Benign Breast Disease - Upon completion of this session, using the American Cancer Society guidelines as well as the Cochrane Abstract Database, the participant should be able to:
| 1. | Describe benign breast disease.
| | 2. | Evaluate for various conditions such as breast pain, breast lumps, and nipple discharge.
| | 3. | Describe findings associated with breast cancer.
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| | TOPIC 12 | 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 13 | Spondyloarthropathies - Upon completion of this session, the participant should be able to:
| 1. | Differentiate the clinical features of the different spondyloarthropathies to improve diagnostic accuracy.
| | 2. | Describe treatment modalities.
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| | TOPIC 14 | Abnormal Uterine Bleeding - Upon completion of this session, the participant should be able to:
| 1. | Define abnormal uterine bleeding.
| | 2. | Differentiate between functional and organic causes.
| | 3. | Manage most non-surgical etiologies of this problem.
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| | TOPIC 15 | Anemia: A Finding, Not Yet a Diagnosis - Upon completion of this session, using the Cochrane Abstract Database, the participant should be able to:
| 1. | List the most common anemias and their usual etiology.
| | 2. | Compare the diagnostic evaluation needed to determine the etiology of the anemia.
| | 3. | Identify the therapeutic options for each of the identified anemias.
| | 4. | Describe the follow-up plans for assessing the efficacy of treatment for each anemia.
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| | TOPIC 16 | The Most Common Dermatology Referrals - Upon completion of this session, the participant should be able to:
| 1. | Identify the most common dermatology referrals
| | 2. | Develop referral strategies for the common dermatology referrals.
| | 3. | Initiate treatment regimens for the common dermatology referrals.
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