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Home, Commute or Travel CME Video DVD Course |
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by Craig M. Oliner, M.D., F.A.C.C. - Jefferson Medical College, Thomas Jefferson University; Associate Professor of Medicine, Section of Cardiology; Medical Director, Coronary Care Unit, Albert Einstein Medical Center, Philadelphia, PA; and by Alyson N. Owen, M.D. - Jefferson Medical College, Thomas Jefferson University; Assistant Professor of Medicine, Section of Cardiology; Director of Quality Assurance, Echocardiography Laboratory, Thomas Jefferson University Hospital, 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.
EDUCATIONAL GAP AND NEEDS ANALYSIS STATEMENT: Heart disease and Cardiac disorders are commonly referred for definitive diagnosis and treatment with subsequent long-term follow-up care being provided by Primary Care Providers. Primary Care Providers must therefore maintain adequate knowledge to diagnose, refer and effectively treat commonly seen cardiac conditions, many with possible serious and even fatal consequences if not properly managed. Needs analysis specifically identifies the ability to diagnose Atrial Fibrillation, causes of Syncope, Stable and Unstable Angina and various Cardiac Emergencies as vital skills for the Primary Care Provider. Educational gap analysis has identified two areas that must be addressed: increased knowledge and increased confidence on the part of Primary Care Physicians in managing disorders in Cardiology. 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, refer and provide followup treatment for their patients’ cardiac conditions.
| SPECIFIC OBJECTIVES
| | TOPIC 1 | Unstable Angina Pectoris, Non ST-Elevation Myocardial Infarction, and Stable Angina - Upon completion of this session, the participant should be able to:
| 1. | | Recognize the patient with unstable angina or non ST-elevation infarction and tailor therapy to the degree of risk.
| | 2. | | Identify who benefits from revascularization.
| | 3. | | Identify the determinants of myocardial oxygen demand and supply, and the effects of medications on these determinants.
| | 4. | | Outline a step-wise approach to the treatment of stable angina.
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| | TOPIC 2 | Atrial Fibrillation - Upon completion of this session, the participant should be able to:
| 1. | | Grasp the importance of anticoagulation in the management of atrial fibrillation.
| | 2. | | List various pharmaceutical and non-pharmaceutical methods of normalizing ventricular rate.
| | 3. | | Compare two possible strategies for cardioversion in atrial fibrillation.
| | 4. | | Recognize the potential benefit and harm of antiarrhythmic therapies.
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| | TOPIC 3 | Syncope - Upon completion of this session, the participant should be able to:
| 1. | | Recognize the common underlying pathophysiology for all causes of syncope.
| | 2. | | Distinguish between benign and life-threatening causes of syncope.
| | 3. | | Maximize the diagnostic yield in the work-up of syncope.
| | 4. | | Use the clinical history to help focus the work-up for syncope.
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| | TOPIC 4 | Sudden Cardiac Death, Bradycardia and Atrioventricular Block - Upon completion of this session, the participant should be able to:
| 1. | | Identify which patients need additional evaluation and treatment of ventricular arrhythmias.
| | 2. | | Describe which patients need additional evaluation and treatment of cardiac conduction abnormalities.
| | 3. | | Recognize indications for permanent electronic pacemakers.
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| | TOPIC 5 | Cardiac Emergencies - Upon completion of this session, the participant should be able to:
| 1. | | Differentiate cardiac from non-cardiac pulmonary edema.
| | 2. | | Differentiate between chronic and acute heart failure.
| | 3. | | Outline beneficial therapies for acute pulmonary edema.
| | 4. | | Define cardiogenic shock in hemodynamic and clinical terms.
| | 5. | | Generate a differential diagnosis for shock.
| | 6. | | Recognize the importance of revascularization in the patient with shock due to acute myocardial infarction.
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| | TOPIC 6 | Women and Coronary Artery Disease - Upon completion of this session, the participant should be able to:
| 1. | | Describe how coronary risk factors affect women.
| | 2. | | Outline a strategy for evaluating chest pain in women.
| | 3. | | Identify the different clinical profiles of men and women with acute myocardial infarction.
| | 4. | | Assess the risks and benefits of therapeutic modalities in women with coronary disease.
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| | TOPIC 7 | Diastolic Heart Failure and Hypertrophic Cardiomyopathy - Upon completion of this session, the participant should be able to:
| 1. | | Describe the prevalence and pathophysiology of diastolic failure.
| | 2. | | Identify effective treatment strategies for diastolic heart failure.
| | 3. | | Assess prognosis in patients with hypertrophic cardiomyopathy.
| | 4. | | Describe appropriate treatment strategies in patients with hypertrophic cardiomyopathy.
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