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| Janice Walker Fillmore M.D. |
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by Herbert L. Muncie, Jr., M.D. - Louisiana State University Health Sciences Center School of Medicine; Professor of Family Medicine and Director, Predoctoral Education, Department of Family Medicine, New Orleans, LA and 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 Chairman, Department of Family Medicine and Director, Rural Education; Certificate of Added Qualification in Sports Medicine, New Orleans, LA.
Learning Objectives
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| EDUCATIONAL GAP AND NEEDS ANALYSIS STATEMENT: Family Medicine has become a lead specialty of Managed Care and Primary Care Medicine. Sports Medicine problems commonly present to Urgent Care Centers. There is a need to promote preventive care and a healthy population. This is an immediate challenge for Family Medicine and Primary Care Physicians. When you consider the recent changes in attitudes, behaviors and therapies in areas such as venous thromboembolism, diabetes, hypertension, osteoporosis, sports medicine in general and the “epidemic-like” incidence of use of steroids, there is a need to review and update knowledge in these areas. This activity will help to maintain the practice competence and knowledge of these commonly seen patient problems to improve clinical outcomes.
| | Day 1 |
Evaluation and Treatment of Hypertensive Patients. Musculoskeletal Examination: An Evidence-Based Approach. Treating Patients with Type 2 Diabetes Mellitus. Sports Pre-Participation Examination. |
| Day 2 |
Exercise Prescription – Safely Planning Exercise for Patients. Chronic Obstructive Pulmonary Disease (COPD): Evaluation and Treatment. Ankle Injuries Masquerading as Sprains. Venous Thromboembolism (VTE): Diagnosis and Treatment. |
| Day 3 |
Hormonal Contraceptives: Good, Bad and Controversial. Shoulder Injuries. Treatment of Sexually Transmitted Infections. Concussions – Who Plays and Who Stays. |
| Day 4 |
Common Fractures. Dysfunctional Uterine Bleeding (DUB). Integrative Medicine: Common Therapies. Osteoporosis: Treatment and Prevention. |
| Day 5 |
Migraine Headaches: Update on Diagnosis and Treatment. Steroids and Stimulants in Sports. Use and Interpretation of Thyroid Tests. Common Medical Problems in Athletes. |
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Urgent Care, Sports Medicine and Primary Care: An Evidence-Based Trifecta
May 11-15, 2009
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 | Evaluation and Treatment of Hypertensive Patients. - Upon completion of this session, the participant should be able to:
| 1. | Describe non-pharmacologic methods to manage hypertension.
| | 2. | Compare and contrast the advantages and disadvantages of antihypertensive medications and their compelling indications.
| | 3. | Identify the therapeutic goal for different patient populations and the combination therapies to achieve that goal.
| | Musculoskeletal Examination: An Evidence-Based Approach. - Upon completion of this session, the participant should be able to:
| | 1. | Define strategies for proper performance of a musculoskeletal examination.
| | 2. | Identify musculoskeletal abnormalities found during the examination.
| | 3. | List and recognize specific physical findings in the patient presenting with the complaint of LBP.
| | 4. | Perform musculoskeletal examination with confidence.
| | Treating Patients with Type 2 Diabetes Mellitus. - Upon completion of this session, the participant should be able to:
| | 1. | Describe the therapeutic goals in treating Type 2 Diabetes and their medical rationale.
| | 2. | Compare and contrast the oral agents for treating Type 2 Diabetes.
| | 3. | Identify the need for insulin in Type 2 Diabetes and list the therapeutic insulin options.
| | Sports Pre-Participation Examination. - Upon completion of this session, the participant should be able to:
| | 1. | Discuss pertinent history and physical findings for sports participation.
| | 2. | Recognize the contraindications to sports participation.
| | 3. | Develop strategies for allowing participation with certain conditions.
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| | Day 2 | Exercise Prescription - Safely Planning Exercise for Patients. - Upon completion of this session, the participant should be able to:
| 1. | Discuss the need for exercise.
| | 2. | Discuss patient evaluation for exercise readiness.
| | 3. | Become familiar with writing an exercise prescription.
| | Chronic Obstructive Pulmonary Disease (COPD): Evaluation and Treatment. - Upon completion of this session, the participant should be able to:
| | 1. | List the diagnostic criteria for COPD.
| | 2. | Describe the natural history of COPD and the influence of smoking cessation.
| | 3. | Compare and contrast the pharmacologic treatment options to reduce morbidity associated with COPD.
| | 4. | Describe the usual follow-up assessments of patients diagnosed with COPD.
| | Ankle Injuries Masquerading as Sprains. - Upon completion of this session, the participant should be able to:
| | 1. | Review important anatomical landmarks.
| | 2. | Discuss clinical presentation and diagnosis of ankle injuries that are NOT sprains.
| | 3. | Develop a practical approach to the management of these injuries.
| | Venous Thromboembolism (VTE): Diagnosis and Treatment. - Upon completion of this session, the participant should be able to:
| | 1. | Describe the sensitivity and specificity of the diagnostic tests available for the identification of DVT.
| | 2. | Explain the algorithm for diagnosing a PE in various clinical settings.
| | 3. | Compare the role of inpatient and outpatient treatment of DVT.
| | 4. | Describe the proper monitoring and adjustment of warfarin therapy for DVT/PE.
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| | Day 3 | Hormonal Contraceptives: Good, Bad and Controversial. - Upon completion of this session, the participant should be able to:
| 1. | Describe the pharmacologic differences in oral contraceptives.
| | 2. | Differentiate relative and absolute contraindications to oral contraceptives.
| | 3. | Identify patients who need emergency contraception and describe the methods of emergency contraception.
| | Shoulder Injuries. - Upon completion of this session, the participant should be able to:
| | 1. | Review the anatomy of the shoulder and related structures.
| | 2. | Discuss historical and physical findings.
| | 3. | Identify treatment strategies that are suggested for specific conditions.
| | Treatment of Sexually Transmitted Infections. - Upon completion of this session, the participant should be able to:
| | 1. | Describe the therapeutic approach to evaluating a patient for a sexually transmitted disease.
| | 2. | Describe the treatment of STDs.
| | Concussions - Who Plays and Who Stays. - Upon completion of this session, the participant should be able to:
| | 1. | Discuss the definition and causes of a concussion.
| | 2. | Review the pertinent anatomy.
| | 3. | Discuss the guidelines for an adequate evaluation and decisions regarding the ability to return to play.
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| | Day 4 | Common Fractures. - Upon completion of this session, the participant should be able to:
| 1. | Review bone metabolism and repair.
| | 2. | Discuss common fractures.
| | 3. | Become familiar with the various treatment recommendations presented.
| | Dysfunctional Uterine Bleeding (DUB). - Upon completion of this session, the participant should be able to:
| | 1. | Describe the hormonal control of normal menstruation.
| | 2. | Compare and contrast the ways to determine ovulatory or non-ovulatory dysfunctional bleeding.
| | 3. | Differentiate the types of dysfunctional uterine bleeding and their therapies.
| | Integrative Medicine: Common Therapies. - Upon completion of this session, 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.
| | Osteoporosis: Treatment and Prevention. - Upon completion of this session, the participant should be able to:
| | 1. | Identify the patient at risk for an osteoporotic fracture.
| | 2. | Discuss the current methods for evaluating patients at risk for osteoporosis.
| | 3. | Describe the therapeutic classes of medications, their indications and their side effects.
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| | Day 5 | Migraine Headaches: Update on Diagnosis and Treatment. - Upon completion of this session, the participant should be able to:
| 1. | Discuss the process for evaluating a patient with possible migraine headaches.
| | 2. | Discuss the advantages of supportive therapy and lifestyle changes to treat migraine headaches.
| | 3. | Compare and contrast the pharmacologic options for treating an acute migraine headache.
| | 4. | Identify when prophylactic therapy is appropriate for patients with recurrent migraine headaches.
| | Steroids and Stimulants in Sports. - Upon completion of this session, the participant should be able to:
| | 1. | Become familiar with commonly used ergogenic aids.
| | 2. | Discuss the rationale for their use.
| | 3. | Determine which ones are beneficial or not.
| | 4. | Be able to make some recommendations when patients ask about them.
| | Use and Interpretation of Thyroid Tests. - Upon completion of this session, the participant should be able to:
| | 1. | Compare the utility of the various serum tests for thyroid function.
| | 2. | Distinguish the combination of results that occur in clinical settings.
| | 3. | Describe the appropriate follow-up of abnormal thyroid tests.
| | Common Medical Problems in Athletes. - Upon completion of this session, the participant should be able to:
| | 1. | Review common medical diseases seen in athletes.
| | 2. | Develop management strategies in the athletic population.
| | 3. | Discuss return to play guidelines.
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