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Live CME Seminars
Internal Medicine CME |
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by David A. Horowitz, M.D. - University of Pennsylvania School of Medicine; Assistant Professor of Clinical Medicine; Associate Chief Medical Officer, Penn Medicine; Chief Medical Officer, PennCare at Home, Home Care Division, 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; Co-Director, Center for Evidence-Based Practice, Penn Medicine, Philadelphia, PA.
Learning Objectives
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Internal Medicine Review & Update: Inpatient and Outpatient Care for the Hospitalist & PCP
November 22-26, 2010
Location: Hyatt Regency Sarasota, Florida
| SPECIFIC OBJECTIVES
| | Day 1 | Practical Approach to the Patient with Potential DVT - Upon completion of this session, using multiple research trials as well as applying recommendations from the ACCP, AAFP/ACP, and the AHA/ACC, the participant should be able to:
| 1. | Obtain an appropriate medical 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 Approach to Thyroid Disease: 1. Hypothyroidism/Elevated TSH 2. Patient with a Thyroid Nodule - Upon completion of this session, by applying recommendations from the AAFP, AACE, ACP, ATA, USPSTF, IOM, and ACOG, 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.
| | 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, based on the guidance of the ADA and the American Society of Clinical Endocrinologists (ADA/ASCE Position Statement).
| | 2. | Apply the ADA and ASCE principles of inpatient diabetes management by demonstrating them in common clinical scenarios.
| | 3. | Discuss the chronic care management of diabetes.
| | 4. | Illustrate strategies to integrate the inpatient care with the chronic care of the diabetic patient.
| | 5. | Identify challenging diabetes management scenarios in the inpatient setting and distinguish between potential management strategies.
| | The Evaluation and Management of Syncope - Upon completion of this session, the participant should be able to:
| | 1. | Illustrate a strategy to differentiate the causes of a syncopal event.
| | 2. | Debate the value of the various diagnostic approaches for the workup of syncope.
| | 3. | Describe the therapeutic options for recurrent syncope based on recent systematic reviews of effective strategies.
| | 4. | Demonstrate the principles of syncope evaluation and management in common clinical scenarios.
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| | Day 2 | Overview of the Current Management of Hospital Acquired Infections - Upon completion of this session, the participant should be able to:
| 1. | Based on evidence and publications from the CDC, 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. | Based on SHEA and HICPAC guidelines and current practice standards, illustrate the appropriate management of various hospital acquired infections.
| | 4. | Relate evidence-based strategies to prevent and manage hospital acquired infections to the inpatient environment.
| | 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.
| | 2. | Differentiate common non-infectious conditions that can mimic skin and soft tissue infections.
| | 3. | Based on evidence from the CDC and standard of care publications, review the changing epidemiology and resistance patterns impacting skin and soft tissue infections.
| | 4. | Discuss and differentiate between common skin and soft tissue infections and less common infections seen in only specific conditions.
| | 5. | Based on standard of care publications and systematic reviews of evidence-based strategies, describe the management of skin and soft tissue infections in the diabetic patient.
| | Practical Approach to the Patient with Diabetes - Upon completion of this session, using multiple research trials as well as recommendations from the ADA, EASN, AGA, CDA, AACE, ACP, and the AAFP, the participant should be able to:
| | 1. | Consider this primer on management.
| | 2. | Distinguish the patient who is likely to go on to develop complications and appreciate the potential long-term course.
| | 3. | Apply the current guidelines for therapy and access the anticipated outcome goals.
| | Practical Approach to the Patient with Headache - Upon completion of this session, while applying recommendations from the IHC, NHF, AAFP, AAN, ACP, 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.
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| | Day 3 | Practical Approach to the Outpatient with Dementia - Upon completion of this session, while applying recommendations from the AAN and the USPSTF, the participant should be able to:
| 1. | Formulate 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 Primer: A Measured Approach to Patient Safety and Error Theory - Upon completion of this session, using multiple research trials as well as the recommendations of the IOM, 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.
| | 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. | Differentiate between delirium, dementia, and psychosis in the hospitalized patient.
| | 3. | Based on a systematic review of the best evidence, demonstrate the management of delirium in the hospital setting.
| | 4. | Review the diagnosis and treatment of alcohol withdrawal syndromes and demonstrate an evidence-based approach to its prevention and management.
| | Update on the Management of COPD and Asthma in the Hospitalized Patient - Upon completion of this session, the participant should be able to:
| | 1. | Differentiate between the initial management and stabilization of asthmatic and COPD patients.
| | 2. | Illustrate the evidence-based Global Obstructive Lung Disease (GOLD) criteria for the chronic management of COPD.
| | 4. | Demonstrate the acute and chronic management of asthma taking into account recent studies on the safety and effectiveness of various agents.
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| | Day 4 | Update on the Evaluation of Chest Pain - Upon completion of this session, the participant should be able to:
| 1. | Based on recent standard of care publications, 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. | Review the evidence for use of cardiac biomarkers and cardiac CT scans in the diagnosis of ACS.
| | 4. | Apply the diagnostic strategies for the evaluation of chest pain to 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. | Based on the most recent AHA/ACC guidelines, illustrate the appropriate initial management of patients experiencing acute coronary syndromes.
| | 3. | Based on the most recent AHA/ACC guidelines, categorize the therapeutic options for patients with unstable angina and post- MI.
| | 4. | Based on the most recent AHA/ACC guidelines, demonstrate appropriate secondary prevention strategies for patients who have experienced an acute coronary syndrome.
| | Non-Surgical and Surgical Approaches to the Patient with Obesity - Upon completion of this session, using multiple research trials as well as applying recommendations from the AGA, NIH – NHLBI, ACP, AHA, ASBS, and ACS, the participant should be able to:
| | 1. | Determine the indications for bariatric surgery in addition to the nonsurgical approaches to weight loss.
| | 2. | Assess the outcomes, and evaluate the 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 5 | Practical Approach to the Patient with Hypertension - Upon completion of this session, using multiple research trials as well as recommendations of the JNC VII, the participant should be able to:
| 1. | Apply the JNC VII recommendations for treatment of hypertension.
| | 2. | Develop 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 Hyperlipidemia - Upon completion of this session, using multiple research trials as well as the recommendations of the NCEP (ATP III), the participant should be able to:
| | 1. | Apply 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.
| | 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. | Illustrate the initial management of patients with a suspected acute CVA.
| | 3. | Develop cutting edge strategies and therapies for the management of hemorrhagic and thrombotic strokes.
| | 4. | Based on the new evidence from advanced imaging technology, distinguish between stroke and TIA and illustrate the new guidance for the management of TIA episodes.
| | Update on the Management of Congestive Heart Failure in the Hospitalized Patient - Upon completion of this session, the participant should be able to:
| | 1. | Distinguish the forms and differing presentations of congestive heart failure subtypes.
| | 2. | Based on the AHA guidelines, review the initial management of patients with acute left sided congestive heart failure.
| | 3. | Based on the AHA guidelines, illustrate the strategies for the effective chronic management of left sided CHF that impact the care of hospitalized patients.
| | 4. | Discuss diastolic heart failure and illustrate effective management strategies.
| | 5. | Differentiate the various forms of pulmonary hypertension and illustrate the differences in their management.
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