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by David A. Horowitz, M.D. - University of Pennsylvania School of Medicine; Assistant Professor of Clinical Medicine; Senior Medical Director for Quality, University of Pennsylvania Health System; Chief Medical Officer, PennCare at Home, Home Care Division of UPHS, Philadelphia, PA and Kendal Williams, M.D., M.P.H. - University of Pennsylvania School of Medicine; Assistant Clinical Professor, Hospitalist Division; Service Chief, Penn Presbyterian Medical Center; Director, UPHS Center for Evidence-Based Practice, Philadelphia, PA.
Learning Objectives
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| EDUCATIONAL GAP AND NEEDS ANALYSIS STATEMENT: The specialty of Internal Medicine is a diverse and important specialty in today’s Primary Care-centered healthcare environment. The breadth of responsibility for patient care in Internal Medicine and Primary Care in general calls for a broad scope of topics. This CME activity responds to these challenging needs and offers important and timely reviews and updates for Primary Care in the areas of Cardiology, Endocrinology, Neurology and even special focus areas such as Medical Errors and Patient Safety, which are now mandated by many states for CME. Therefore, physicians and practitioners from most specialties will benefit from the information provided in this review and update in Internal Medicine, which should translate to improved patient clinical outcomes.
| | Day 1 |
Practical Approach to Thyroid Disease: 1. Hypothyroidism/Elevated TSH and 2. Patient with a Thyroid Nodule. Practical Approach to the Patient with Hypertension. Practical Approach to the Patient with Headache. Update on the Management of COPD and Asthma in the Hospitalized
Patient. Update on the Management of Congestive Heart Failure. |
| Day 2 |
Update on the Management of Stroke. Update on the Evaluation of Chest Pain. Update on the Management of Acute Coronary Syndromes. Surgical, Medical, and Behavioral Approaches to the
Patient with Obesity, Parts I & II. |
| Day 3 |
Practical Approach to the Outpatient with Dementia. Practical Approach to the Patient with Diabetes. Practical Approach to the Patient with Hyperlipidemia. The Evaluation and Management of Syncope. The Inpatient Management of Diabetes. |
| Day 4 |
Delirium, Dementia, and Psychosis – The Diagnosis and Management of the Inpatient with Mental Status Change. Overview of the Inpatient Management of Skin and Soft Tissue Infections. Overview of the Current Management of Nosocomial Infections. Practical Approach to the Patient with Potential DVT. Practical Primer: A Measured Approach to the Patient Safety and Error Theory. |
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Internal Medicine Review and Update: Inpatient and Outpatient Care for the Hospitalist and PCP
December 22-24, 26, 2008
Location: Hyatt Regency Sarasota, Florida
OBJECTIVES
| 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. |
| SPECIFIC OBJECTIVES
| | Day 1 | Practical Approach to Thyroid Disease: 1. Hypothyroidism/Elevated TSH 2. Patient with a Thyroid Nodule. - Upon completion of this session, the participant should be able to:
| 1. | Appreciate the role of the screening TSH and what to do with the results.
| | 2. | Develop a reasonable and cost-effective approach to diagnosing the thyroid nodule.
| | 3. | Discuss the management of hypothyroidism.
| | 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.
| | Practical Approach to the Patient with Headache. - Upon completion of this session, the participant should be able to:
| | 1. | Review the differential diagnosis of a patient presenting with the complaint of headache.
| | 2. | More confidently evaluate the patient with headache and appreciate the indications for imaging.
| | 3. | Develop a treatment plan that considers lifestyle changes as well as medications.
| | Update on the Management of COPD and Asthma in the Hospitalized Patient. - Upon completion of this session, the participant should be able to:
| | 1. | Review the initial management and stabilization of asthmatic and COPD patients.
| | 2. | Review the GOLD criteria for the management of COPD.
| | 3. | Distinguish between Asthma/COPD and its common mimics.
| | Update on the Management of Congestive Heart Failure. - Upon completion of this session, the participant should be able to:
| | 1. | Distinguish the forms and differing presentations of cardiomyopathy subtypes.
| | 2. | Review the initial management of patients with acute congestive heart failure.
| | 3. | Review the strategies for the effective chronic management of CHF that impact the care of hospitalized patients.
| | 4. | Discuss controversies in the treatment of CHF patients.
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| | Day 2 | Update on the Management of Stroke. - Upon completion of this session, the participant should be able to:
| 1. | Review common presentations of cerebrovascular insufficiency.
| | 2. | Update the initial management of patients with a suspected acute CVA.
| | 3. | Describe cutting edge strategies and therapies for the management of hemorrhagic and thrombotic strokes.
| | 4. | Characterize the prognosis and initial rehabilitation strategies of CVA patients.
| | Update on the Evaluation of Chest Pain. - Upon completion of this session, the participant should be able to:
| | 1. | Review the contribution of history, physical exam and EKG findings to the evaluation of chest pain.
| | 2. | Distinguish ischemic EKG changes from their common mimics.
| | 3. | Update the use of cardiac biomarkers in the diagnosis of ACS.
| | 4. | Review the diagnostic strategies for the evaluation of chest pain patients presenting to the emergency room.
| | Update on the Management of Acute Coronary Syndromes. - Upon completion of this session, the participant should be able to:
| | 1. | Distinguish the forms of ACS and their relative prognoses.
| | 2. | Review the appropriate initial management of patients experiencing acute coronary syndromes.
| | 3. | Categorize the therapeutic options for patients with unstable angina and post-MI.
| | 4. | Review the secondary prevention strategies for patients who have experienced an acute coronary syndrome.
| | Surgical, Medical, and Behavioral Approaches to the Patient with Obesity, Parts I & II. - Upon completion of this session, the participant should be able to:
| | 1. | Consider the indications for bariatric surgery in addition to the nonsurgical approaches to weight loss.
| | 2. | Recognize the outcomes, advantages and disadvantages of bariatric surgery.
| | 3. | Review the current popular diets available and marketed to your patients.
| | 4. | Take in to consideration unique needs of the obese patient in order create a comprehensive approach to the treatment of obesity.
| | 5. | Explain the basic physiology of obesity.
| | 6. | Manage the medications available for the treatment of obesity.
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| | Day 3 | Practical Approach to the Outpatient with Dementia. - Upon completion of this session, the participant should be able to:
| 1. | Review a practical approach to screening for dementia.
| | 2. | Discuss medication management to include Polypharmacy, drug-drug interactions, as well as new drugs and their potential efficacy and side effects.
| | 3. | Develop a long-term follow-up and referral process that considers cost effective and resource management.
| | 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.
| | Practical Approach to the Patient with Hyperlipidemia. - Upon completion of this session, the participant should be able to:
| | 1. | Discuss the current NCEP guidelines.
| | 2. | Develop a practical approach for considering the new medications available.
| | 3. | Consider the new targets developed for cholesterol end points.
| | The Evaluation and Management of Syncope. - Upon completion of this session, the participant should be able to:
| | 1. | Present a strategy to differentiate the causes of a syncopal event.
| | 2. | Review an evidence-based algorithm to evaluate recurrent syncopal episodes.
| | 3. | Review the diagnostic tests available for the evaluation of recurrent syncopal episodes and their appropriate use.
| | 4. | Review the therapeutic options for recurrent syncope.
| | The Inpatient Management of Diabetes. - Upon completion of this session, the participant should be able to:
| | 1. | Describe the basic principles of the inpatient management of diabetes.
| | 2. | Review the use of basal insulin and short acting insulin analogues in the hospital.
| | 3. | Review the evidence supporting improved management of inpatient diabetes.
| | 4. | Discuss the transitional strategies for new or poorly controlled diabetics from inpatient to outpatient care.
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| | Day 4 | Delirium, Dementia, and Psychosis – The Diagnosis and Management of the Inpatient with Mental Status Change. - Upon completion of this session, the participant should be able to:
| 1. | Review the diagnostic approach to the hospitalized patient with acute mental status change.
| | 2. | Review the evidence-based management of delirium in the hospital setting.
| | 3. | Update the management of psychiatric illness in the hospital.
| | Overview of the Inpatient Management of Skin and Soft Tissue Infections. - Upon completion of this session, the participant should be able to:
| | 1. | Review the clinical presentation and categorization of common skin and soft tissue infections and their common mimics.
| | 2. | Review the changing epidemiology and resistance patterns impacting skin and soft tissue infections.
| | 3. | Provide a rational management strategy for skin and soft tissue infections.
| | 4. | Describe the management of skin and soft tissue infections in the diabetic patient.
| | Overview of the Current Management of Nosocomial Infections. - Upon completion of this session, the participant should be able to:
| | 1. | Review the recent trends in the epidemiology and anti-microbial resistance patterns of common hospital acquired infections.
| | 2. | Categorize the various types of hospital acquired infections and their common presentations.
| | 3. | Describe the appropriate management of hospital acquired infections.
| | 4. | Evaluate potential strategies to prevent hospital acquired infections.
| | Practical Approach to the Patient with Potential DVT. - Upon completion of this session, the participant should be able to:
| | 1. | Obtain an appropriate medial history to better identify those patients at risk.
| | 2. | More confidently evaluate and assess the patient suspected of having DVT.
| | 3. | Better manage patients with the confirmed diagnosis of DVT to include prophylaxis.
| | Practical Primer: A Measured Approach to Patient Safety and Error Theory. - Upon completion of this session, the participant should be able to:
| | 1. | Discuss a “primer” on medical error theory.
| | 2. | Develop a systems approach to learning and practice.
| | 3. | Apply the general principles of safety to reduce errors and improve outcomes.
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