Educational Objectives
GENERAL INTERNAL MEDICINE - SEPTEMBER 15, 2012
ADD and ADHD - Daniel Press, MD
- Discuss the controversies around the diagnosis of ADD and the current understanding of its pathophysiology.
- List current treatment options.
- Describe the challenges of comorbid diagnoses.
Primary Care Management of Unhealthy Alcohol Use - Theresa Kim, MD
- Describe the spectrum of unhealthy alcohol use - how much is too much?
- List the tools for screening and assessment of unhealthy alcohol use
- Outline physician strategies for brief intervention counseling
- Discuss pharmacotherapy for alcohol dependence
Sleep Related Disorders - Robert Thomas, MD
- Recognize the role sleep pathology plays in various disease states across systems (e.g., metabolic syndrome and diabetes, mood, attention, hypertension, heart failure)
- Discuss the advantages and limitations of various types of sleep testing.
- Discuss standard and novel therapies for sleep apnea, restless legs, insomnia and circadian rhythm disorders.
Updates in General Internal Medicine - John Goodson, MD
- Describe the trends in risk factor modification over the last two decades are illustrated by the NANES data.
- Describe the emerging clinical syndrome of Stress Cardiomyopathy.
- Review both sides of the current debate concerning the safety of azithromycin.
- Discuss the value of the Timed Up and Go test in the assess of frailty.
- List what are the stipulated requirements for the Annual Wellness Visit and how this service code can be combined with an E/M visit.
- List the optimal systolic BP goals for Type 2 diabetic patients.
- Describe how to manage patients with subclinical hypothyroidism
- Discuss the impact of bariatric surgery.
- Describe how to combine therapies for patients with neuropathic pain.
RHEUMATOLOGY - OCTOBER 13, 2012
Rheumatoid Arthritis: Principles of Drug Treatment and the Role of the PC
Gwendolyn Kate Wanger, MD
- Review the natural history, pathophysiology, and diagnosis of Rheumatoid Arthritis
- Discuss current groups of medications available for treatment of Rheumatoid Arthritis
- Compare strategies currently used for treatment of Rheumatoid Arthritis.
Gout and Pseudogout: Diagnosis of Acute Disease and Long Term Management
Mark Fisher, MD
- Review the risk factors for gout and pseudogout
- Describe how to diagnose crystalline arthropathy
- Review management of acute crystalline arthritis, prophylaxis again attacks, and long term therapy
The Epidemic of Lumbar Spinal Stenosis: Diagnosis, Treatment,
and When to Refer for Surgery - Allison Bailey, MD
- Describe how to diagnose lumbar spinal stenosis by history and physical exam, as well as order and interpret imaging studies when appropriate
- Describe how to individualize the rehabilitative and medical treatment of patients with lumbar spinal stenosis
- Describe when and why to refer patients with lumbar spinal stenosis for surgical evaluation and management
Osteoarthritis: Management of a Common Chronic Disease in Primary Care
David Felson, MD
- Discuss the epidemiology of osteoarthritis
- Describe the management of common osteoarthritis scenarios in primary care
- List the risks and benefits of use of NSAIDS in primary care for management of OA and other effective treatment options
- Describe when should we refer patients to rheumatology or orthopedics
PAIN MANAGEMENT - END OF LIFE CARE - OCTOBER 27, 2012
Opioid Prescribing (Part 1) Assessing and Managing Risk and Benefits
Daniel Alford, MD
- Discuss opioid efficacy and safety
- List opioid risk assessment tools
- Discuss opioid misuse
- Discuss knowing when to continue or discontinue opioid therapy.
Opioid Prescribing (Part 2) Communication Skills using a Risk-Benefit Framework
Daniel Alford, MD
- List the risks, benefits and goals of opioid therapy
- Describe aberrant medication taking behavior and need for increased monitoring
- Discuss lack of benefit and increased harm and need to discontinue opioids
End of Life Part 1 & 2 - Gail Gazelle, MD FACP, FAAHPM
- Discuss the differences between hospice and palliative care are and explain what the Medicare hospice benefit provides
- Describe how to treat two common end-of-life symptoms.
- Describe advance care directives with patients.
- Have increased understanding of withdrawal and withholding of care and of physician-assisted suicide.
RISK MANAGEMENT - NOVEMBER 10, 2012
Clinician Wellness - Charles J. Hatem, MD
- Discuss the concepts of "wellness" and "renewal"
- Describe the strategies for the creation and maintenance of wellness in our professional and personal lives
- List the organizational responsibilities for the preservation of wellness
Avoiding Medical Malpractice: Is Apology the Answer? - Robert Baldor, MD
- Discuss why patients sue their providers
- List the steps providers can take to minimize their risks for such an event
- Describe the aspects of the Massachusetts Disclosure, Apology and Offer (DA&O) Initiative
Screening for Breast Cancer in Women at High Risk - Michelle Specht, MD
- Discuss use of the Gail model to determine who needs more aggressive screening for breast cancer
- Discuss when should we send patients for genetic testing for breast cancer?
- Discuss how often should high risk patients be screened for breast cancer, and when is MRI appropriate?
Case Studies in Non Malignant Pain Management - Janet Pearl. MD
- A case based review of the evaluation and management of common patients with non-malignant pain.
NEPHROLOGY - DECEMBER 15, 2012
Chronic Kidney Disease:The Role of the PCP at Each Stage - Robert Stanton, MD
- Discuss the scope of personal and financial costs of chronic kidney disease in the USA
- Describe the stages of chronic kidney disease
- Describe how to diagnose chronic kidney disease
- List interventions that slow progression
- Describe how to recognize complications of chronic kidney disease
- Desribe when to refer to nephrology
Hyponatremia: Is it Ever Asymptomatic? Steven Borkan, MD
- Recognize that hyponatremia exclusively causes neurologic symptoms
- Describe the role of ADH in promoting hyponatremia
- Introduce recent evidence that even mild hyponatremia is symptomatic
- Review the appropriate rate for correcting hyponatremia
Hypokalemia and Hyperkalemia: Where are the Guidelines? Steven Borkan, MD
- Recognize that hypokalemia and hyperkalemia causes cardiac, skeletal and smooth muscle dysfunction
- Recognize that mild hypokalemia represents a large total body K deficit
- Review goals for treating hypo- and hyper-kalemia
- Identify individual factors that guide treatment of K disorders
Renal Artery Stenosis (RAS): Why Even Peek? Steven Borkan, MD
- Recognize RAS as one of the most common causes of secondary hypertension
- Identify clinical clues and effective tests for supporting the diagnosis of RAS
- Define significant RAS
- Define factors that justify repairing RAS
WOMENS HEALTH - FEBRUARY 9, 2013
Overview of Contraceptive Treatment Options for Women
and Managing Patients on OCP's - Louise King, MD
- Review of oral contraceptive treatment: risks and benefits
- Describe how to address side effects of oral contraceptive therapy
- Discuss alternative treatments for contraception in women
- Discuss what is on the horizon for male contraception besides vasectomy?
Managing Women of Peri-menopausal and Menopausal Age - Rajah Sayegh, MD
- Discuss what is the role for hormone replacement therapy for menopausal symptoms in 2012?
- Discuss alternative treatment options for vasomotor symptoms besides hormones
- List what else the PCP's need to monitor/treat in the postmenopausal woman
Evaluation and Management of Dysfunctional Uterine Bleeding - Susan Lincoln, MD
- Describe how to obtain the gynecologic history
- Describe how to present likely causes to the patient
- Describe the basic evaluation.
- Describe what testing is indicated?
- Outline basic treatment options
Management of Females with Pelvic Pain - Liezl G. Irisari, MD
- Describe common etiologies for female pelvic pain and their diagnosis.
- Discuss common medical and surgical treatments for pelvic pain.
- Review complementry alternative medicine's role in managing female pelvic pain.
DERMATOLOGY - JANUARY 12, 2013
Overview of Acne Vulgaris and Rosacea Treatment-TBA
- Discuss the differential diagnosis of acneiform lesions
- Review treatment options, specifically for acne vulgaris, rosacea, perioral dermatitis and steroid-induced acne
- Discuss the indications for use of spironolactone and irotretnoin for treatment of acne vulgaris
- Discuss the clinical features and management of hydradenitis suppurativa
Psoriasis: Epidemiology, Clinical Manifestations and Long Term Management
Amit Garg, MD
- Review the epidemiology and risk factors associated with psoriasis
- Discuss the systemic manifestations of psoriasis, in particular clinical manifestations of psoriatic arthritis
- Describe how to choose the correct topical treatments to use for psoriasis, and review when systemic therapy, including biologics are indicated for management of psoriasis
- Review the cardiovascular risk associated with psoriasis
Dermatology for the PCP Part 1 & 2 - Daniela Kroshinsky, MD
- A case-based review of common dermatologic conditions encountered in primary care, including differential diagnosis, treatment options and when to refer patients to dermatology
GASTROENTEROLOGY - MARCH 9, 2013
Management of Dyspepsia and GERD in Primary Care: How to Effectively Use PPI's and for How Long? - Anthony Lembo, MD
- Discuss current recommendations regarding diagnosis and management of gerd and dyspepsia
- List the potential risks associated with chronic PPI
- Desribe when to refer patients with dyspepsia and gerd to gastroenterology
H Pylori: When and How to Screen for It and How to Treat - Sonal Ullman, MD
- Identify which patients should be tested for H. pylori
- Recognize the optimal testing strategies for H. pylori
- Discuss treatment regimens for H. pylori
- Understand potential long term sequelae of H. pylori infection.
Inflammatory Bowel Disease: What Every Clinician Needs to Know
Adam Cheifetz, MD
- Discuss the epidemiology, pathophysiology, clinical features, and natural history of Crohn's disease and ulcerative colitis
- List the complications and special situations associated with IBD
- Describe the goals of management in IBD and current treatment strategies for these diseases
Hepatitis C - Robert Lowe, MD
- Discuss screening and diagnosis of hepatitis C in the general population
- Review the epidemiology/prognosis of hepatitis C
- Discuss what are the state of the art treatments for hepatitis C, and what is the PCP's role?
ENT-OPHTHALMOLOGY - APRIL 13, 2013
Hearing Loss for the Primary Care Provider - William Mason, MD
- Identifying Sudden Ideopathic Sensorineural Loss and the need for urgent intervention to restore hearing.
- Discuss the treatment of conductive hearing loss
- Discuss the treatment options for sensorineural hearing loss
The 10 Minute Dizzy Exam - William Mason, MD
- List the 4 most common causes of vertigo seen by the PCP.
- Discuss the treatment of vertigo
- Discuss how to obtain history.
- List the key physical findings leading to prompt diagnosis and treatment.
Oral Health: Common Conditions Encountered in Primary Care - Avner Aliphas, MD
- Describe oral cavity anatomy and how to perform careful physical examination.
- Recognize oral cavity lesions that appear worrisome but are harmless
- Recognize oral cavity lesions that need to be followed or treated.
- Recognize and discuss cancer of the oral cavity
Screening and Management of Glaucoma and Macular Degeneration:
New Therapies and the Role of Antioxidants - Mark Kuperwaser, MD
- Describe the scope and impact of glaucoma in the USA
- Discuss the importance of glaucoma screening
- List the newer diagnostic methods in detecting glaucoma
- Describe the current management of glaucoma: medications, lasers, surgeries
- Discuss the scope and impact of macular degeneration in the USA
- Discuss detection and screening
- Discuss prevention and risk modification: what advice do we (and you) give our patients
- Discuss treatments for DRY macular degeneration
- List the newer treatments for WET macular degeneration
GERIATRICS - MAY 11, 2013
Negotiating with the Difficult Elderly Patient - Eran Metzger, MD
- Desccribe the assessment of the elderly driver and discussion of the risks of continued driving
- Describe the management of behavioral issues in the elderly
- Describe how to negotiate a safety evaluation and discussion of assisted living or nursing home placement when living alone becomes too unsafe
- Describe when should caregivers move towards legal guardianship/financial oversight and how should PCP's initiate these discussions?
Avoidance of Polypharmacy in the Elderly - Margaret Fitzgerald, NP
- Review medications commonly associated with side effects in the elderly and how to assess an elderly patients risk for this
- Discuss safe options for common medical conditions seen in the geriatric population
- Review the Beers Criteria for assessment of inappropriate drug use in the elderly
- Discuss avoidance and management of delirium in the elderly
When to Evaluate for Low Testosterone in Males - William Conners, MD
- Describe when should the PCP screen men for low T and what tests should we send
- List treatment options for low testosterone and risk/benefit analysis of treatment
- Discuss how should the PCP follow patients on testosterone therapy
- Discuss whether there is role for HGH treatment in older men
Treatment Options for Mild Cognitive Impairment and Alzheimer's Disease:
Medical Therapy and Resources for Caregivers - Jane Sillman, MD
- Describe cognitive decline in the elderly patient
- Describe depression in the elderly patient
- Discuss behavioral disturbances in the elderly patient
- Discuss sleep problems in the elderly patient
WOMENS HEALTH - June 1, 2013
Overview of Contraceptive Treatment Options for Women
and Managing Patients on OCP's - Louise King, MD
- Review of oral contraceptive treatment: risks and benefits
- Describe how to address side effects of oral contraceptive therapy
- Discuss alternative treatments for contraception in women
- Discuss what is on the horizon for male contraception besides vasectomy?
Managing Women of Peri-menopausal and Menopausal Age - Rajah Sayegh, MD
- Discuss what is the role for hormone replacement therapy for menopausal symptoms in 2012?
- Discuss alternative treatment options for vasomotor symptoms besides hormones
- List what else the PCP's need to monitor/treat in the postmenopausal woman
Evaluation and Management of Dysfunctional Uterine Bleeding - Susan Lincoln, MD
- Describe how to obtain the gynecologic history
- Describe how to present likely causes to the patient
- Describe the basic evaluation.
- Describe what testing is indicated?
- Outline basic treatment options