Current Strategies in Primary Care: Endocrinology, Neurology, and Sports Medicine

Day 1

Concussions in Sports: What is New, What is Old? (Rudolph)

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

1. Become familiar with the guidelines for the evaluation of a concussion, both on the playing surface and in the office, in youth, adolescent & adult athletes utilizing the CDC Head Up
   guideline, and common tools such as SCAT5 & some of the computerized testing tools.
2. Enhance awareness of the Berlin 2016 5th Consensus Statement on Concussion in Sport and
   information from the 6th International Conference in Concussion in Sport Amsterdam
   2022 meeting.
3. Determine the role of vestibular/ocular testing in the acute & office evaluation of a concussed athlete, understanding its potential role in rehabilitation.
4. Review guidelines regarding return-to-school and return-to-play for student athletes diagnosed with a concussion as recommended by the most recent International Consensus guideline.

Caring for the Transgender Athlete: (Rudolph) 

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

1. Enhance knowledge and awareness as to relevant terminology as defined by professional resources on the use of personal pronouns, and understand the preferred terminology used in the medical care of athletes
2. To enhance awareness of the medical and/or surgical means of gender affirmation in athletes.
3. To understand potential medical considerations when caring for the transgender athlete including: bone health, musculoskeletal, cardiovascular, endocrine and other potential risks as included in the Endocrine society Clinical Practice guidelines.
4. Review guidelines of sports participation and competitive sport policies for transgender individuals at different levels per IOC, NCAA & other governing sport committees.

School is Closed, Sports are Cancelled-the Impact on the Health of Adolescent Athletes during the Pandemic: (Rudolph) 

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

1. Enhance knowledge regarding the mental health of adolescents at the onset of the pandemic utilizing the GAD-7 and evaluation of quality-of-life scores from published studies.
2. Understand the change in physical activity of adolescent athletes during the pandemic and
   current findings.
3. Review data published noting findings that suggested that participation in sports was not associated with an increased risk of Covid-19 among Wisconsin high school athletes.
4. Evaluate recommendations for caring for the mental & physical health of athletes post-pandemic as per CDC, NCAA & NFHS guidelines.

STROKE

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

1. OBJECTIVE COMING SOON.

Migraine and Chronic Daily Headache (Kinsella)

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

1. Differentiate between the five sub-types of chronic daily headaches.
2. Appraise the pathophysiology of headache and migraine.
3. Develop a plan for appropriate medication for intractable headache.
4. Assess the prevalence of medication overuse headaches in daily practice and employ the non-pharmacologic guideline for migraines.

Day 2

An Approach to the Dizzy Patient (Kinsella) 

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

1. Detect common presentations of dizziness.
2. Assess the pathophysiology of vertigo and nystagmus.
3. Apply bedside techniques to distinguish dizziness subtypes and identify dangerous causes.
4. Utilize potentially curative treatment for benign positional vertigo.

Peripheral Neuropathy and Neuropathic Pain Management (Kinsella)

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

1. Define the spectrum of neuropathic signs, symptoms, and causes.
2. Develop an approach to bedside examination.
3. Discuss the mechanism of neuropathic pain.
4. Apply effective therapies using evidence-based medicine.

The Weekend Warrior: Common Lower Extremity Injuries (Rudolph) 

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

1. Review the AAOS Clinical Practice guidelines for the evaluation and management of the acute Achilles tendon rupture.
2. Differentiate injuries of the knee utilizing physical exam skills, appropriate exam tests & imaging.
3. Compare clinical guidelines peer reviews of the non-operative versus operative management of the meniscal injury in physically active adults.

My “Hip” Hurts (Rudolph)

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

1. Identify the methodology of basic x-ray interpretation of bones and joints utilizing the Rule of Two guidelines.
2. Evaluate potential etiologies of hip pain in adolescent and adult athletes.
3. Evaluate potential etiologies hip/groin pain in female athletes when x-ray imaging is normal.
4. Recommend potential non-operative strategies that may be employed to assist the athlete in return-to-sport after evaluation for “hip” pain.

Day 3

Polycystic Ovary Syndrome. (Winters)

Upon completion of this session, using evidence-based medicine and clinical practice guidelines, to include Rotterdam Guidelines, the participant should be able to: ^{COMP, EBM, GL}

1. Recognize the distinguishing features of PCOS.
2. Prescribe appropriate laboratory tests to evaluate women with hirsutism.
3. Describe the non-reproductive aspects of PCOS.

Hypo and Hypernatremia (Winters)

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

1. Learn how to diagnose the cause of hyponatremia.
2. Understand Guidelines for the management of hyponatremia based on duration and severity of disease.
3. Be aware of the osmotic demyelination syndrome.
4. Recognize when hypernatremia may represent diabetes insipidus.
5. Understand treatment with desmopressin.

Spondyloarthropathies (Brent)

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

1. Distinguish the clinical features of the different spondyloarthropathies to improve diagnostic accuracy.
2. Utilize clinical features, laboratory studies, and radiological studies to make a diagnosis of axial spondyloarthropathy.
3. Prescribe pharmacologic agents according to ACR and EULAR recommendations and evidence-based results from clinical trials for patients with spondyloarthropathies.

Rheumatoid Arthritis (Brent)

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

1. Demonstrate the role of genetics, environmental factors, immune cells, and proinflammatory cytokines in the pathogenesis of rheumatoid arthritis.
2. Illustrate the clinical features, extra-articular manifestations, and complications of rheumatoid arthritis.
3. Utilize and compare various methods of measuring disease activity in rheumatoid arthritis.
4. Compare and contrast the mechanisms of action of current and emerging therapies for RA and prescribe treatment for patients with rheumatoid arthritis according to ACR guidelines.

Crystal Arthritis (Brent)

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

1. Demonstrate the clinical presentations and manifestations in the course of gout.
2. Monitor and prescribe treatment for patients with gout according to the EULAR and ACR recommendations and guidelines.
3. Demonstrate the clinical presentations, manifestations, and treatment of calcium pyrophosphate deposition disease (CPPD) and pseudogout.

Day 4

Infectious Arthritis (Brent) 

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

1. Determine the risk factors associated with septic arthritis.
2. Utilize the British Society of Rheumatology Guidelines for management of the hot swollen joint in adults to differentiate septic arthritis from other causes of acute monoarticular arthritis.
3. Utilize epidemiological and clinical clues to determine bacterial etiology in patients with septic arthritis.

Approach to the Patient with Rheumatic Diseases (Brent)

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

1. Demonstrate the importance of the history and physical exam including patterns of joints involvement and extra-articular findings in evaluating patients with rheumatic diseases.
2. Distinguish inflammatory (i.e. rheumatoid arthritis) and structural arthritis (i.e. osteoarthritis).
3. Differentiate patterns of articular involvement associated with different arthritides.
4. Utilize laboratory and radiological studies in the evaluation of patients with rheumatic diseases.

Lyme Disease and Other Topics in Rheumatology (Brent)

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

1. Apply CDC and Infectious Diseases Society of America Guidelines for the diagnosis, treatment, and prevention of Lyme disease.
2. Evaluate skin rashes as manifestations of systemic diseases.
3. Using the Guidelines of the Bone Research Society of the United Kingdom to prescribe appropriate therapy for patients with Paget’s disease of the Bone.

Adrenal Insufficiency- Primary and Secondary (Winters) 

Upon completion of this session, using evidence-based medicine and clinical practice guidelines, to include Endocrine Society Guidelines, the participant should be able to: ^{COMP, EBM, GL}

1. Apply principles learned to evaluate the diagnostic tests used to confirm the diagnosis or primary or secondary adrenal insufficiency.
2. Learn the causes of primary and secondary adrenal insufficiency.
3. Employ therapeutic options for patients with primary or secondary adrenal insufficiency.

Thyroid Case Studies. (Winters)

Upon completion of this session, using evidence-based medicine and clinical practice guidelines, to include the American Thyroid Association Guidelines, the participant should be able to: ^{COMP, EBM, GL}

1. Appreciate the role of a diagnostic thyroid scan or ultrasound.
2. Evaluate a patient for hyperthyroidism.
3. Prescribe therapeutic options for patients diagnosed with hypothyroidism.