Title: Family Medicine – Sports Medicine: Knee Conditions; Shoulder Pain; Wrist/Hand Injuries

Faculty: George G.A. Pujalte, M.D., F.A.C.S.M., Walter C. Taylor, M.D

Original Release Date: July 1, 2019  Expiration Date: July 1, 2022

TOPIC 1: The Evaluation and Treatment of Knee Conditions and Injuries     

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

1. Differentiate knee conditions using special tests.
2. Identify the anatomical structures of the knee that are pertinent to diagnosing and treating injuries and conditions.
3. Describe the signs and symptoms of common knee injuries and conditions.
4. Recognize what imaging modalities to use to correctly diagnose and, therefore, manage common injuries and conditions of the knee.

TOPIC 2: Evaluation of Shoulder Pain in Athletes and Athletic Individuals

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

1. Differentiate injuries of the shoulder using special   tests.
2. Identify the anatomical structures of the shoulder that are pertinent to diagnosing and treating injuries.
3. Describe the signs and symptoms of common sports injuries to the shoulder.
4. Recognize what imaging modalities to use to correctly diagnose and, therefore, manage common injuries of the shoulder.

TOPIC 3: Common Wrist and Hand Injuries in Athletes.

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

1. Perform a physical examination of the hand and wrist
2. Assess and discuss the treatment for patients with common forms of wrist tendon problems, including an evidenced based approach to DeQuervain’s tendosynovitis
3. Describe the evidence based stepwise treatment approach to patients with osteoarthritis of the 1st carpometacarpal joint
4. Discuss the evaluation of patients with suspected scaphoid fracture
5. Discuss the differential diagnosis and evaluation of patients with ulnar wrist pain

Title: Family Medicine - EKG: ST Segments/T Waves; Atrioventricular Nodal Reentrant Tachycardia; ST-T Resolution Post-MI.

Faculty: Jerry W. Jones, M.D., F.A.C.E.P., F.A.A.E.M

Original Release Date: July 1, 2019  Expiration Date: July 1, 2022

TOPIC 1: Normal/Abnormal P waves, PR intervals and QRS complexes.

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

1. Distinguish P waves originating outside the SA node.
2. Differentiate PR intervals that indicate AV conduction from those that do not.
3. Appraise the appropriateness of the QRS intervals in relation to the leads in which they appear
4. Distinguish normal septal q waves from pathological Q waves.

TOPIC 2: AVNRT: Atrioventricular Nodal Reentrant Tachycardia.

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

1. Relate the typical P wave changes in AVNRT relative to the QRS complex
2. Relate the mechanism of AVNRT and how that knowledge is used to terminate the dysrhythmia
3. Distinguish AVNRT from a rapid atrial flutter with 2:1 conduction

TOPIC 3: Reciprocal changes: What are they and how do they help? | Timeline for ST – T Resolution Post-MI.

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

1. Differentiate between ST depression as an indication of subendocardial ischemia or as a reciprocal change
2. Utilize serial 12-lead ECGs to detect subtle changes in the ST segment when the initial ECG is non-diagnostic
3. Detect dysrhythmias characteristic and diagnostic of reperfusion
4. Relate current ST deviation in relation to the elapsed time following reperfusion

Title: Family Medicine - Pulmonary: COPD; Respiratory Infections; Bronchial Asthma

Faculty: Ganesan Murali, M.D., Michael A. Malone, M.D., Arshad A. Wani, M.D.

Original Release Date: July 1, 2019  Expiration Date: July 1, 2022

TOPIC 1: COPD – Overview of Patient Management.

1. Upon the completion of this session, the participant should be able to: ^{GL, COMP}
2. Appraise the definition and integrate the pathophysiology of COPD.
3. Assess the clinical management of various issues regarding COPD.
4. Treat acute exacerbations and outpatient management including long-term oxygen and pharmacologic treatment based on ATS/ACCP Guidelines.
5. Evaluate the need of referral for surgical and newer treatments for emphysema.

TOPIC 2: 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 3: Bronchial Asthma: An Update.

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

1. Appraise the pathophysiology of this inflammatory disease.
2. Develop a stepwise approach to treatment of asthma and management of status asthmaticus.
3. Differentiate the patient who is not responding and specify indications for subspecialty referral.

Title: Family Medicine - Common Issues & Cases: Thyroid Case Studies; Dermatology Cases; Diabetic Cases

Faculty: O. Fred Miller, III, M.D.; Merri Lou Pendergrass, M.D., Ph.D. and Stephen J. Winters, M.D.

Original Release Date: July 1, 2019  Expiration Date: July 1, 2022

TOPIC 1: Thyroid Case Studies.

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

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.

TOPIC 2: “Cases That Have Taught Me a Lesson.”

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

1. Detect skin changes that point to specific and varied cutaneous disorders encountered in the office.
2. Appraise and recommend therapy for perioral dermatitis.

TOPIC 3: Diabetes/Endocrine Cases.

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

1. Appraise key issues and develop a treatment plan, employing the ADA and ATA Guidelines, for challenging diabetes and endocrine cases.

Title: Family Medicine - Cardiology: Hypertension; Lipids/Cardiovascular Risk Assessment; Peri-operative Cardiac Evaluation

Faculty: John Bielinski, PA-C, Gregary D Marhefka, M.D., F.A.C.C., F.A.C.P., Alyson N. Owen, M.D

Original Release Date: July 1, 2019  Expiration Date: July 1, 2022

TOPIC 1: Hypertension.

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

1. Incorporate latest 2017 HTN guideline.
2. Incorporate lifestyle medicine.
3. Identify secondary work up.
4. Select appropriate therapies for hypertensive urgency and emergency.

TOPIC 2: Lipids and Cardiovascular Risk Assessment.

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

1. Recognize the changes and updates to the current ACC/AHA lipid guidelines.
2. Develop new insights for the assessment of LDL and Total cholesterol levels.
3. Formulate recommendations for when and how to treat hypercholesterolemia as per the most recent ACC/AHA guidelines and Treatment Algorithm while considering the importance of RCT’s such as IMPROVE-IT & AIM-HIGH
4. Determine when to refer his or her patient to a lipid specialist.

TOPIC 3: Peri-Operative Cardiac Evaluation.

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

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