CME as Individualized as You Are^TM!

Title: Family Medicine - Cardiology: Atrial Fibrillation; Peripheral Vascular Disease; Peri-Operative Cardiac Evaluation                                              

Faculty: Premraj Makkuni, M.D., F.A.C.C.; Gregary D. Marhefka, M.D., F.A.C.C., F.A.C.P and Alyson N. Owen, M.D. 

Original Release Date: July 1, 2017 Expiration Date: July 1, 2020

TOPIC 1: Atrial Fibrillation.

Upon completion of this session, the participant should be able to:

1. Relate the importance of anticoagulation, based upon CHADS2VASC Risk Scores and the ACC/AHA Guidelines in the management of atrial fibrillation.
2. List various pharmaceutical and non-pharmaceutical methods of normalizing ventricular rate.
3. Compare two possible strategies for cardioversion in atrial fibrillation.
4. Assess the potential benefit and harm of antiarrhythmic therapies.               

TOPIC 2: Peripheral Vascular Disease.

Upon completion of this session, the participant should be able to: 

1. Recognize the indications for ordering ABIs as per the ACCF/AHA Guidelines.
2. Apply as per the current ACCF/AHA Guidelines, the indications for screening abdominal aortic aneurysms.
3. Discriminate indications, strengths and weaknesses of different surgical techniques for abdominal aortic aneurysm repair.
4. Employ non-surgical therapies for peripheral vascular disease.
5. Identify when renal artery interventions may be indicated.

TOPIC 3: Peri-Operative Cardiac Evaluation.

Upon completion of this session, the participant should be able to: 

1. Formulate guideline based strategies for peri-operative risk evaluation.
2. Relate peri-operative cardiovascular physiology.
3. Appraise evidence behind recommendations.
4. Prescribe peri-operative risk reduction strategies.

Title: Family Medicine - Sports Medicine: Knee Osteoarthritis; Injuries; Hip Pain

Faculty: Deepak Patel, M.D., F.A.A.F.P.

Original Release Date: July 1, 2017  Expiration Date: July 1, 2020

TOPIC 1: Knee Osteoarthritis

Upon completion of this session, the participant should be able to: COMP

1. Detect signs and symptoms suggestive of osteoarthritis.
2. Counsel patients on the benefits of exercise for treatment and prevention.
3. Counsel patients when to consider glucosamine, chondroitin, supplements, icing,  bracing, acupuncture, and surgery.
4. Determine when visco supplements or cortisone injection may be helpful.

TOPIC 2: Pearls and Pitfalls of Diagnosis of Sports Medicine Injuries

Upon completion of this session, the participant should be able to:COMP

1. Detect and refer hand injuries that may require urgent surgical referral.
2. Perform the most effective tests for De Quervain’s tenosynovitis.
3. Distinguish ankle sprains from high ankle sprains.
4. Evaluate foot injuries for Lis Franc sprain.

TOPIC 3: Pearls of the Evaluation and Management of Hip Pain

Upon completion of this session, the participant should be able to: COMP

1. Determine the etiology of greater trochanteric hip pain.
2. Consider differential diagnosis of anterior hip pain in adult and pediatric patients.
3. Select physical examination techniques or tests to best evaluate hip pain.
4. Develop treatment plans for hip pain.

Title: Family Medicine - Gastroenterology: Irritable Bowel Syndrome; C-difficile; Dyspepsia

Faculty: Michael A. Malone, M.D. and Jerry Zuckerman, M.D.

Original Release Date: July 1, 2017  Expiration Date: July 1, 2020

TOPIC 1: Irritable Bowel Syndrome

Upon completion of this session, the participant should be able to: EBM, COMP

1. Appraise possible etiologies for Irritable Bowel Syndrome.
2. Select and utilize diagnostic criteria to identify IBS, based on the current medical evidence and expert recommendations.
3. Use the current medical literature to assess and screen for other conditions that can present with similar IBS symptoms.
4. Detect “red flag” signs and symptoms that should make one question the diagnosis of IBS.
5. Formulate an EBM diagnostic evaluation for patients with signs and symptoms of IBS.
6. Use the current medical literature to develop an EBM treatment plan for Irritable Bowel Syndrome.                   

TOPIC 2: Update on C-difficile Infection (CDI)

Upon completion of this session, according to SHEA, IDSA, CDC and HICPAC evidence-based guidelines and WHO recommendations, the participant should be able to: EBM, GL, COMP

1. Relate the etiology and pathogenesis of CDI.
2. Diagnose the infection.
3. Treat or otherwise manage CDI.
4. Apply measures to prevent CDI.

TOPIC 3: Dyspepsia

Upon completion of this session, the participant should be able to: EBM, COMP

1. Appraise symptoms and common etiologies for dyspepsia. 
2. Use EBM to detect “alarm symptoms” that are suspicious for GI malignancy.
3. Apply current medical evidence and expert guidelines to construct a diagnostic evaluation for Dyspepsia.
4. Determine appropriate treatment for Dyspepsia based on current medical evidence and the likely etiology.

Title: Family Medicine – Endocrinology: Hyperglycemia in Type 2 Diabetes; Hyperlipidemia and Cardiovascular Disease; Endocrine Disorders
Faculty: Michael A. Malone, M.D. and Merri Lou Pendergrass, M.D., Ph.D.

Original Release Date: July 1, 2016  Review Date: July 1, 2017  Expiration Date: July 1, 2019

TOPIC 1: Treatment of Hyperglycemia in Type 2 Diabetes.

Upon completion of this session, the participant should be able to: GL, COMP

1. Understand the glucose targets in T2DM.
2. Employ the current ADA and ACE guidelines for pharmacological therapy.
3. Develop individualized therapeutic regimens to optimize glycemic control.               

TOPIC 2: Hyperlipidemia and CV Disease Prevention - A Review of the Literature and Recent AHA Guidelines.

Upon completion of this session, the participant should be able to: EBM, GL, COMP

1. Create a diagnostic and treatment plan for patients based on the current evidence and AHA Guidelines.
2. Explain similarities and differences between the most recent and previous guidelines.
3. Identify areas of strength and weakness in the recent AHA Guidelines.
4. Utilize the most recent cholesterol guidelines at the point of care.

TOPIC 3: Common Endocrine Disorders.

Upon completion of this session, the participant should be able to: GL, COMP

1. Recognize, evaluate and treat common endocrine abnormalities and employ the ALE and ATA guidelines to include:
   1. Hypoglycemia,
   2. Hypercalcemia,
   3. Low testosterone,
   4. Adrenal masses.

Title: Family Medicine – Common Problems and Challenges: Respiratory Infections; Anemia; Depression
Faculty: Kevin S. Ferentz, M.D.; Michael A. Malone, M.D.; and Gerald W. Smetana, M.D.

Original Release Date: July 1, 2016  Review Date: July 1, 2017  Expiration Date: July 1, 2019

TOPIC 1: Evaluation and Treatment of Respiratory Infections Commonly Seen in Primary Care.
Upon completion of this session, the participant should be able to: EBM, COMP

1. Formulate appropriate evaluation strategies for patients who present with respiratory conditions.
2. Identify history and exam findings that help differentiate common respiratory conditions.
3. Determine situations when antibiotics are appropriate for the treatment sinus infections.
4. Utilize severity index tools in the evaluation of pneumonia.
5. Utilize EBM to determine appropriate treatment for common respiratory conditions.
6. Discuss some of the controversies in the treatment of common respiratory infections seen in primary care.               

TOPIC 2: Anemia.
Upon completion of this session, the participant should be able to: GL, COMP

1. Develop a diagnostic strategy to ascertain the etiology of the anemia.
2. Utilize the guidelines for diagnosing anemia in children and adults in terms of available testing.
3. Develop a clinical approach to treating various anemias to include Iron Deficiency and “Anemia of Chronic Disease” due to infections, inflammatory dz’s, CKD, Malignancies, Cytokines, Interferons, TNF’s, etc.
4. Describe the role of consultants in the evaluation and management of anemia.

TOPIC 3: Rational Management of Depression in Primary Care.
Upon completion of this session, the participant should be able to: COMP

1. Employ an appropriate initial approach to the patient with depression.
2. Determine the proper role of second generation antidepressants.
3. Assess the effectiveness of augmentation and switching strategies.
4. Specify the most common side effects of commonly used antidepressants.

Title: Family Medicine - Infectious Diseases: MRSA; Immunizations; Tuberculosis
Faculty: Janet M. Hines, M.D.; Keith S. Kaye, M.D., M.P.H.; and Jerry Zuckerman, M.D.

Original Release Date: July 1, 2016  Review Date: July 1, 2017  Expiration Date: July 1, 2019

TOPIC 1: Methicillin Resistant Staphylococcus aureus (MRSA). 
Using the evidence-based guidelines from the CDC, IDSA and SHEA, upon completion of this session, the participant should be able to: EBM, GL, COMP

1. Evaluate the epidemiology of MRSA.
2. Diagnose the important infections caused by MRSA.
3. Analyze the risk factors and outcomes associated with MRSA control.
4. Appropriately treat MRSA infections.               

TOPIC 2: Adult Immunizations. 
Upon completion of this session, using IDSA, ACIP, CDC and ACP evidence-based guidelines and recommendations, the participant should be able to: EBM, GL, COMP

1. Prescribe appropriate vaccines for the following vaccine preventable diseases:
   1. Hepatitis A;
   2. Hepatitis B;
   3. Varicella-Zoster;
   4. Meningococcus;
   5. Human Papilloma Virus.

TOPIC 3: Tuberculosis Update. 
Upon completion of this session, the participant should be able to: COMP

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.

Title: Family Medicine – Time and Efficiency Skills: Neurologic Exam; Rheumatology Tests; Communication Skills
Faculty: William T. Ayoub, M.D., F.A.C.P., F.A.C.R.; Gary H. Oberlender, M.D., F.A.C.P.; and David E. Riley, M.D.

Original Release Date: July 1, 2016  Review Date: July 1, 2017  Expiration Date: July 1, 2019

TOPIC 1: The Neurological Examination.
Upon completion of this session, the participant should be able to:

1. Organize the disparate parts of the neurologic examination into a personally relevant, manageable and reproducible diagnostic tool.
2. Perform a concise screening neurologic exam for asymptomatic patients.
3. Perform a problem-tailored neurologic exam for patients with neurologic complaints.
4. Obtain maximum yield from the examination of a patient with an altered mental status.               

TOPIC 2: Laboratory and Radiological Tests in Rheumatology.
Upon completion of this session, the participant should be able to: GL, COMP

1. Interpret the various classes of synovial fluid analysis.
2. Determine the use and limitations of laboratory testing with emphasis upon the American College of Rheumatology Choosing Wisely recommendations.
3. Discuss key x-ray findings in patients with rheumatic diseases.

TOPIC 3: Improving Communication Skills in Medical Practice.
Upon completion of this session, the participant should be able to: COMP

1. Appraise the variety of ways that people perceive communication and process information.
2. Assess your personal communication strengths and limitations.
3. Determine communication issues unique to older patients.
4. Develop practices and apply skills to maximize effective communication and listening based on current literature.

Title: Family Medicine – Endocrine Challenges in Women: Amenorrhea; PCOS; Contraceptives
Faculty: Herbert L. Muncie, Jr., M.D.; Albert J. Peters, D.O., F.A.C.O.G.; and Frederick Sunderlin, M.D.

Original Release Date: July 1, 2016  Review Date: July 1, 2017  Expiration Date: July 1, 2019

TOPIC 1: Amenorrhea.
Upon completion of this session, using ACOG Practice Guidelines, the participant should be able to: GL, COMP

1. Assess the various causes of primary and secondary amenorrhea and their associated health risks, as well as apply the appropriate evaluation for both.
2. Begin a management plan specific to the etiology of amenorrhea.
3. Categorize the various anatomic and functional levels of distinction with respect to amenorrhea.            

TOPIC 2: Polycystic Ovary Syndrome.
Upon completion of this session, the participant should be able to: COMP

1. Review current concepts in risk factors and pathophysiology.
2. Develop a simple laboratory screening process for diagnosis.
3. Apply understanding of pathophysiology to design a treatment strategy based on specialty society statements.

TOPIC 3: Contraceptive Options - Helping Women Make an Informed Choice.
Upon completion of this session, using the ACOG Practice Guidelines and the Cochrane Abstract Database, the participant should be able to: EBM, GL, COMP

1. Appraise the pharmacologic differences in oral contraceptives and their role in contraceptive efficacy.
2. Formulate the treatment options for contraception other than oral contraceptives.
3. Specify the relative and absolute contraindications to oral contraceptives.
4. Relate the circumstances that would be eligible for emergency contraception and the appropriate emergency contraception method for each situation.

Title: Family Medicine - Dermatology: Rosacea; Common Problems in Office Dermatology; Evidence-Based Cases
Faculty: Jeffrey Miller, M.D., M.B.A. and O. Fred Miller, III, M.D.

Original Release Date: July 1, 2016  Review Date: July 1, 2017  Expiration Date: July 1, 2019

TOPIC 1: Approach to Rosacea and the Red Face.
Upon completion of this session, the participant should be able to: COMP

1. Identify Rosacea.
2. Develop a treatment plan for Rosacea.
3. Distinguish Rosacea from other causes of the “Red Face.”               

TOPIC 2: Common Problems in Office Dermatology.
Upon completion of this session, the participant should be able to: COMP

1. Develop a differential diagnosis of common disorders based on lesion morphology and distribution.
2. Differentiate the many manifestations of cutaneous fungal disease.
3. Analyze fungal foot and nail changes and select appropriate therapy.

TOPIC 3: Evidence-Based Case Studies in Dermatology.
Upon completion of this session, the participant should be able to: EBM, COMP

1. Formulate evidence-based treatment for photo-damaged skin.
2. Formulate evidence-based treatment for common skin diseases, such as: molluscum contagiosum and pityriasis rosea.
3. Assess the one side effect of isotretinoin therapy that predicts higher risk for future hyperlipidemia.

Title: Family Medicine - Common Problems: Acute Aortic Syndromes; Back Pain; Dermatologic Conditions in Athletes
Faculty: Adam R. Guttentag, M.D.; Gregary D. Marhefka, M.D., F.A.C.C., F.A.C.P. and George G.A. Pujalte, M.D., F.A.C.S.M.

Original Release Date: July 1, 2016  Review Date: July 1, 2017  Expiration Date: July 1, 2019

TOPIC 1: Acute Aortic Syndromes.
Upon completion of this session, the participant should be able to: COMP

1. Identify key symptoms and signs.
2. Recognize specific aortic imaging modalities’ strengths and weaknesses, acutely and in follow-up.
3. Determine need and timing for medical therapy and/or surgical therapy.
4. Assess complications of medical and surgical therapies.               

TOPIC 2: Back Pain Imaging.
Upon completion of this session, the participant should be able to: COMP

1. Use evidence based guidelines for deciding which patients require immediate imaging for evaluation of back pain.
2. Discuss the utility of various forms of imaging for specific lumbar pathologies.
3. Analyze a radiologist’s report of lumbar imaging with respect to the patient’s specific symptoms.

TOPIC 3: More than Skin Deep: Dermatologic Conditions in Athletes.
Upon completion of this session, the participant should be able to: COMP

1. Describe how skin conditions impact athletes in ways unique to them, as compared to the general population.
2. Diagnose and treat various skin conditions that are especially common in athletes and active individuals.
3. Recommend various prevention strategies that may be employed in athletics to stop the spread of some skin conditions.
4. Appraise the various “allow participation” and “return-to-play” rules and regulations stipulated by the various sports organizations in the United States, such as the National Federation of High Schools (NFHS) and the National Collegiate Athletics Association (NCAA).