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Live CME Seminars
Family Medicine CME |
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by Peter M. Hartmann, M.D., D.F.A.P.A., F.A.A.F.P. - Penn State College of Medicine; Clinical Professor of Family and Community Medicine; Vice President, Medical Affairs, York Hospital of WellSpan Health, York, PA; Robert S. Fawcett, M.D. - York Hospital of WellSpan Health; Medical Director, Family Practice Residency Program; Certificate of Added Qualifications in Sports Medicine, York, PA and 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.
Learning Objectives
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NARRATIVE DESCRIPTION: Following this course, the participant should be able to identify the etiologies and recognize the clinical presentations of the commonly seen disorders presented; indicate diagnostic tests available and the suggested use for making a diagnosis; implement available treatment options and appropriate long-term care when indicated. This activity is expected to result in increased confidence in making an appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes.
When indicated in the specific objectives, emphasis will be on current guidelines and evidence-based medicine with a focus on diagnosis, treatment and when to refer. This course was designed to inter-relate the disorders presented in an effort to help all practitioners at the level of a practicing physician integrate their medical knowledge with other providers and specialists. By doing this, it will provide them with the confidence to appropriately diagnose and refer or effectively treat their patients’ conditions to optimize their care.
| | Day 1 |
Evaluation and Treatment of Hypertensive Patients. Treating Patients with Type 2 Diabetes Mellitus. Dealing with Difficult Patients. Migraine Headaches. |
| Day 2 |
Sleep Apnea. Low Back Pain. Osteoporosis: Diagnosis and Treatment. Anemia – A Finding, Not Yet a Diagnosis. |
| Day 3 |
Hormonal Contraceptives: Good, Bad and Controversial. Venous Thromboembolism (VTE): Diagnosis and Treatment. Benign Prostatic Hyperplasia. Erectile Dysfunction. |
| Day 4 |
Adult ADHD. The Suicidal Patient. COPD. Asthma. |
| Day 5 |
Meniscal Tears/Iliotibial Band Friction Syndrome. Domestic Violence. Post Traumatic Stress Disorder. Bipolar Disorder in Primary Care. |
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Family Medicine: An Evidence-Based Approach to Patient Care
March 22-26, 2010
Location: Hyatt Regency Sarasota, Florida
| 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.
| | 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.
| | Dealing with Difficult Patients - Utilizing evidence-based medical literature in a case-based lecture format, upon completion of this session, the participants should be able to:
| | 1. | List 3 types of patients most doctors hate to see.
| | 2. | Apply useful strategies for dealing with difficult patients.
| | 3. | Recognize counter-transference reactions to patients.
| | 4. | Accept that you cannot be successful with all patients.
| | Migraine Headaches - Utilizing guidelines from the USHC and evidence-based medical literature, upon completion of this session, the participants should be able to:
| | 1. | List symptoms and the triggers that commonly cause migraine headaches.
| | 2. | List the danger signs/symptoms in headache patients.
| | 3. | Distinguish migraine from sinus headaches.
| | 4. | Describe prophylaxis and treatment options for migraine headaches.
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| | Day 2 | Sleep Apnea - Utilizing guidelines from the NICE and evidence-based medical literature, upon completion of this session, the participants should be able to:
| 1. | Identify sleep apnea “in disguise.”
| | 2. | Describe complications of sleep apnea to better inform your patients of their resulting risks, dangers and sequelae.
| | 3. | Identify diagnostic methods for sleep apnea.
| | 4. | Discuss treatment for sleep apnea as well as strategies to improve compliance.
| | Low Back Pain - Utilizing guidelines from the NQIC and evidence-based medical literature in a lecture and demonstration format, upon completion of this session, the participants should be able to:
| | 1. | Identify major anatomic structure involved in low back pain.
| | 2. | Perform an appropriate physical exam that results in conservation of your time as well as health care resources.
| | 3. | Identify common causes of low back pain.
| | 4. | Describe treatment options for low back pain.
| | Osteoporosis: Diagnosis and Treatment - Upon completion of this session, the participant should be able to:
| | 1. | List the risk factors associated with osteoporosis.
| | 2. | Discuss the current methods for evaluating patients at risk for osteoporosis.
| | 3. | Describe the various therapeutic classes of medications and their appropriate use.
| | Anemia – A Finding, Not Yet a Diagnosis - Upon completion of this session, 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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| | Day 3 | Hormonal Contraceptives: Good, Bad and Controversial - Upon completion of this session, the participant should be able to:
| 1. | Describe clinical differences in oral contraceptives.
| | 2. | Decide the appropriate agent for specific patients.
| | 3. | Give attention to relative and absolute contraindications to oral contraceptives.
| | Venous Thromboembolism (VTE): Diagnosis and Treatment - Upon completion of the 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. | Describe the proper monitoring and adjustment of warfarin therapy for DVT/PE.
| | Benign Prostatic Hyperplasia - Utilizing guidelines from the AUA and evidence-based medical literature, upon completion of this session, the participants should be able to:
| | 1. | Distinguish irritation vs. obstructive symptoms of BPH.
| | 2. | Discuss pitfalls in distinguishing BPH from prostate cancer.
| | 3. | Describe the diagnostic approach to BPH.
| | 4. | List advantages of watchful waiting over active treatment and improve your educational efforts in shared decision making with your patients.
| | Erectile Dysfunction - Utilizing guidelines from the AUA, upon completion of this session, the participants should be able to:
| | 1. | Distinguish organic from psychological causes.
| | 2. | Describe the workup of ED.
| | 3. | Discuss non-surgical treatments for ED.
| | 4. | Discuss when to refer for surgery.
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| | Day 4 | Adult ADHD - Utilizing guidelines from WHO, upon completion of this session, the participants should be able to:
| 1. | List criteria for diagnosing adult ADHD.
| | 2. | Discuss controversies surrounding adult ADHD.
| | 3. | Describe common ways ADHD presents in primary care.
| | 4. | List treatment approaches for adult ADHD.
| | The Suicidal Patient - Utilizing guidelines from the APA, upon completion of this session, the participants should be able to:
| | 1. | Discuss how to identify patients with suicidal ideation.
| | 2. | Determine how not to get sued in caring for a suicidal patient.
| | 3. | Discuss the comprehensive evaluation of the suicidal patient.
| | 4. | Discuss the role of the primary care provider in the management of the suicidal patient.
| | COPD - Upon completion of the session, the participant should be able to:
| | 1. | Name the two evidence-based treatments that have been shown to alter the course of COPD.
| | 2. | Discuss how to approach the smoker in order to ensure the greatest likelihood of achieving cessation.
| | 3. | Describe the basic pathophysiology of COPD.
| | 4. | Discuss when and why to use various medications in COPD.
| | Asthma - Upon completion of the session, the participant should be able to:
| | 1. | Explain the pathophysiology of asthma and how the various medications work to thwart the disease process.
| | 2. | Utilize the NHLBI guidelines for assessing a patient's impairment and risk from asthma.
| | 3. | Discuss side effects of asthma medications and be able to answer patients' concerns regarding them.
| | 4. | Apply the step-care process and appropriate combinations of medications for asthma.
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| | Day 5 | Meniscal Tears/Iliotibial Band Friction Syndrome - Upon completion of the session, the participant should be able to:
| 1. | Explain the anatomy, body-mechanics, and pathophysiology of iliotibial band friction syndrome.
| | 2. | Discuss treatment strategies for ITB including training changes, medication and specific exercises.
| | 3. | Describe the anatomy and physiology of the meniscus and how this relates to tears and their treatment.
| | 4. | Discuss important points in history, physical and testing that lead to a diagnosis of damaged meniscus.
| | 5. | Discuss the benefits and implications of surgical vs. conservative management of meniscal tear.
| | Domestic Violence - Upon completion of the session, the participant should be able to:
| | 1. | Recognize the potential domestic violence victim in your office.
| | 2. | Consider domestic violence from the victim's point of view and reasons she/he may not wish to act on it.
| | 3. | Develop an awareness for the frequency of domestic violence and specific risk factors to consider.
| | 4. | Discuss effective methods for addressing domestic violence as a problem.
| | Post Traumatic Stress Disorder - Utilizing guidelines from the APA, upon completion of the session, the participant should be able to:
| | 1. | Describe how to identify PTSD in Iraq War Veterans.
| | 2. | List the APA diagnostic criteria for PTSD.
| | 3. | Discuss the treatment of PTSD.
| | 4. | Discuss how to identify PTSD in the primary care setting.
| | Bipolar Disorder in Primary Care - Utilizing guidelines from the APA and DSMIV, upon completion of the session, the participant should be able to:
| | 1. | List the criteria for bipolar disorder.
| | 2. | Describe common ways bipolar disorder presents in primary care.
| | 3. | Avoid common medication mistakes in patients with bipolar disorder.
| | 4. | Determine when to refer to a psychiatrist.
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