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"Excellent course - focused presentation with limited scope. The topics most useful were tick borne, influenza, meningitis and bioterrorism."
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Infectious Diseases CME

 
 
Infectious Diseases: Adult Issues in the Outpatient and Inpatient Settings

March 7-11, 2011 (8:00am-12:15pm)
Location: Hyatt Regency Sarasota, Florida
20 AMA PRA Category 1 Credits™
20 CME Credits - AAFP ACEP ACOG
Course #SEMLA-2520110307
Price: $645.00 - $795.00

by Valerianna Amorosa, M.D. - University of Pennsylvania School of Medicine; Assistant Professor of Clinical Medicine; Chief of Infectious Diseases and Clinic Director, HIV and Infectious Diseases Clinic, Philadelphia VA Medical Center, Philadelphia, PA; Stephen J. Gluckman, M.D., F.A.C.P. - University of Pennsylvania School of Medicine; Professor of Medicine; Chief, Infectious Diseases Clinical Services, Hospital of the University of Pennsylvania; Clinical Director, Global Health, University of Pennsylvania School of Medicine, Philadelphia, PA and Janet Hines, M.D. - University of Pennsylvania School of Medicine; Associate Professor of Clinical Medicine; Medical Director, MacGregor Infectious Diseases Clinic, Hospital of the University of Pennsylvania, Penn Medicine, Philadelphia, PA.

Learning Objectives
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NARRATIVE DESCRIPTION: Following this course, the participant should be able to recognize the epidemiology and classify commonly presenting infectious diseases; determine the clinical manifestations, pathogenesis and methods of diagnosing the presenting diseases; and apply the current recommendations of pharmacologic management, referral or follow-up and prevention. This activity is expected to result in improved competence in making appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes.

The emphasis will be on aligning physician behavior with current guidelines and evidence-based medicine, as indicated within each topic’s specific objectives. Since Infectious Diseases is a specialty field of medicine that affects all areas of Primary Care to include: FM, IM, EM and Pediatrics, this course was designed to cover the spectrum of Infectious Diseases essential to all practicing physicians.

Day 1 The Alphabet Soup of Viral Hepatitis. Fever of Unknown Origin. Acute Pharyngitis. Community Acquired Pneumonia and Respiratory Tract Infections.
Day 2 Soft Tissue and Bone Infections. Infections in the Immunocompromised Patient. Meningitis: Commonly Asked Questions. Chronic Fatigue Syndrome.
Day 3 Gastroenteritis. Common Issues Surrounding Tick-Borne Illnesses in the U.S. Influenza and Pandemic Influenza. Approach to the Patient with Fever and Rash.
Day 4 Health Advice for International Travel. Immunizations for Adults. Antibiotics, Part I: Emerging Infections with Resistant and Multi-Drug Resistant Bacteria. Antibiotics, Part II: Update in Antibiotic Therapy.
Day 5 What Every Primary Care Provider Should Know About HIV. Sexually Transmitted Diseases. Tuberculosis Update. Bloodstream Infections and Infective Endocarditis.

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Infectious Diseases: Adult Issues in the Outpatient and Inpatient Settings
March 7-11, 2011
Location: Hyatt Regency Sarasota, Florida

SPECIFIC OBJECTIVES
Day 1The Alphabet Soup of Viral Hepatitis - Upon completion of this session, the participant should be able to:
1.Compare and contrast viral hepatitides A through E. Similarities and differences will be stressed, particularly the risks of developing chronic infection and the complications of chronic infection.
2.Distinguish the significant features of hepatitis A through E and interpret the various hepatitis serologies.
3.Select appropriate patients for treatment.
a.Established and new treatment options will be covered.
4.Select appropriate strategies and options for patients to prevent the acquisition of hepatitis.
Fever of Unknown Origin - Upon completion of this session, the participant should be able to:
1.Discuss the pathogenesis of fever and its physiologic importance.
2.Describe the major causes of FUO’s.
3.Integrate normal temperature regulation and the relevance of this to disease states.
4.Formulate an approach to FUO for a given patient.
Acute Pharyngitis - Upon completion of this session, the participant should be able to:
1.Summarize the various etiologies to consider and develop a differential diagnosis when approaching an adult with acute pharyngitis.
2.Determine the features and predictors that guide your diagnostic testing of acute pharyngitis.
3.Apply the best courses of treatment and overall management.
Community Acquired Pneumonia and Respiratory Tract Infections - Upon completion of this session, the participant should be able to:
1.Appraise the epidemiology of community acquired pneumonia.
2.Integrate the clinical manifestations and likely pathogens in specific patient populations.
3.Construct the differential diagnosis and employ specific management when making the diagnosis of community acquired pneumonia.
4.Appraise the rising incidence of resistance and utilize alternative therapies when indicated.
5.Determine the role of antibiotics in bronchitis.

Day 2Soft Tissue and Bone Infections - Upon completion of this session, the participant should be able to:
1.Construct an approach to making the diagnosis of common skin and soft tissue infections.
2.Assess common infections to include streptococcal and staphylococcal infections and necrotizing fasciitis, diabetic foot infections, bite wound infections and bone and joint infections.
3.Apply appropriate treatment and management of these commonly seen infections and decide when specialist referral is indicated.
Infections in the Immunocompromised Patient - Upon completion of this session, the participant should be able to:
1.Appraise the immunocompromised patient who is at most risk for serious infections due to diabetes, malignancy, and chemotherapy or medications such as the immunomodulators.
2.Recognize the spectrum of infectious diseases and factors putting patients at risk in these populations.
3.Detect the often times atypical presentations of infection in these groups.
4.Apply an approach to the treatment and follow up of these infections for each type of at risk patient.
Meningitis: Commonly Asked Questions - Upon completion of this session, the participant should be able to:
1.Interpret normal CSF parameters.
2.Interpret abnormal CSF findings and apply them to the proper management of patients.
3.Relate an understanding of some of the more controversial clinical areas associated with the management of meningitis such as:
a.The use of steroids;
b.Who requires a CT scan prior to a lumbar puncture;
c.The effect of prior antibiotic treatment on the interpretations of CSF.
4.Discriminate the causes of aseptic meningitis with specific emphasis on the non-viral, treatable etiologies.
Chronic Fatigue Syndrome - Upon completion of this session, the participant should be able to:
1.Demonstrate how to diagnose CFS and how to distinguish it from chronic fatigue.
2.Relate the history of CFS.
3.Determine the management (and how not to mismanage) a patient with CFS.

Day 3Gastroenteritis - Upon completion of this session, the participant should be able to:
1.Relate the major pathogenic mechanisms that result in diarrhea.
2.Differentiate the major pathogens responsible for acute gastroenteritis.
3.Utilize an efficient approach in the evaluation of a patient with acute gastroenteritis as the normal host and in persons with HIV or recent travel.
Common Issues Surrounding Tick-Borne Illnesses in the U.S. - Upon completion of this session, the participant should be able to:
1.Determine the major tick vectors in the United States and their associated diseases.
2.Relate the proper technique for tick removal.
3.Differentiate the clinical presentations, diagnosis and treatment of the major tick-borne diseases in the United States: Lyme disease, babesiosis, ehrlichiosis, and Rocky Mountain spotted fever.
Influenza and Pandemic Influenza - Upon completion of this session, the participant should be able to:
1.Integrate the epidemiology, infection control precautions and other preventive measures related to influenza infections.
2.Appraise the role of influenza vaccine and antiviral therapy as well as supportive measures in the prevention and treatment of influenza.
3.Discuss the potential for pandemic influenza.
4.Formulate key issues of Bioemergency preparedness for the primary care practitioner.
Approach to the Patient with Fever and Rash - Upon completion of this session, the participant should be able to:
1.Describe the etiology of commonly seen infectious and non-infectious rashes that are associated with fever.
2.Develop a differential diagnosis based upon the type of rash on presentation.
3.Prescribe effective treatment for some common rashes such as meningococcemia, rickettsioses, syphilis, Varicella zoster and the agents of toxic shock syndrome.

Day 4Health Advice for International Travel - Upon completion of this session, the participant should be able to:
1.Analyze a travel itinerary for potential health risks.
2.Prescribe appropriate vaccines and medications for international travel. Specific areas to be covered include:
a.Pre-travel
i.Immunizations,
ii.Malaria prophylaxis,
iii.Medications;
b.Travel safety on planes and boats;
c.During travel
i.Safe food and water,
ii.Traveler’s diarrhea,
iii.HIV and travel,
iv.Pregnancy, breast feeding and travel.
Immunizations for Adults - Upon completion of this session, the participant should be able to:
1.Differentiate between myths and facts concerning vaccine administration.
2.Evaluate indications, contra-indications, efficacy and side effects of adults' immunizations.
3.Recommend immunizations indicated for different risk groups such as health care providers, college students and inhabitants of long term care facilities.
Antibiotics, Part I: Emerging Infections with Resistant and Multi-Drug Resistant Bacteria - Upon completion of this session, the participant should be able to:
1.Detect new and emerging drug-resistant infections.
2.Determine the most prevalent multi-drug resistant infections in the community and in hospitals.
3.Apply the most effective and appropriate treatment and isolation strategy for each infection.
4.Determine when specialist referral will result in an improved outcome.
Antibiotics, Part II: Update in Antibiotic Therapy - Upon completion of this session, the participant should be able to:
1.Appraise the pharmacology and antibacterial spectrum of activity of the newer antibiotics.
2.Assess the indications for use of newer agents based on sites of infection and susceptibility patterns and apply the appropriate drug recommendation to key clinical scenarios.
3.Relate the side effects, adverse reactions and drug-drug interactions affiliated with each antibiotic.

Day 5What Every Primary Care Provider Should Know About HIV - Upon completion of this session, the participant should be able to:
1.Relate the present epidemiology of HIV.
2.Develop an up-to-date understanding of the prognosis for a newly infected person.
3.Assess the major viral and host factors that determine the present approach to the management of a person infected with HIV.
4.Determine risk to health care workers and develop a plan to manage an exposed health care worker.
Sexually Transmitted Diseases - Upon completion of this session, the participant should be able to:
1.Relate the present epidemiology of STDs in this country.
2.Develop a differential diagnosis and a diagnostic and treatment approach for the following STD syndromes:
a.Urethritis;
b.Vaginitis;
c.Genital ulcer(s).
3.Specify the diagnosis and management of syphilis, gonorrhea, chlamydia, herpes simplex, and HPV.
4.Relate the proper use of a condom so that they may properly educate patients.
Tuberculosis Update - Upon completion of this session, the participant should be able to:
1.Appraise how the changing epidemiology of tuberculosis has impacted the incidence of the disease in the U.S.
2.Detect and manage latent tuberculosis infection, including appropriate use of gamma-interferon release assays.
3.Apply the principles of treatment of TB disease, specify how to increase medication adherence, and detect adverse drug reactions.
4.Differentiate patient characteristics to anticipate multi-drug resistance.
Bloodstream Infections and Infective Endocarditis - Upon completion of this session, the participant should be able to:
1.Analyze the epidemiology and risk factors for bloodstream infections and endocarditis in patients presenting to a primary care practice.
2.Employ the diagnosis and management skills for bloodstream infections and infective endocarditis.
3.Recognize post-infection patient management issues and apply appropriate prophylaxis measures.

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