Title: Hospital Medicine - EKG: AV Block/Dissociation; Inferior/Posterolateral MIs; Lethal Dysrhythmias/Heart Disease

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: 3rd Degree AV Block and AV Dissociation.

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

1. Distinguish a 3rd degree AV block from a simple AV dissociation.
2. Discuss capture beats and fusion beats and demonstrate their utility in the diagnosis of AV dissociation and its differentiation from 3rd degree AV block.
3. Relate the differences between a junctional escape pacemaker and a ventricular escape pacemaker.
4. Illustrate the differences between a 3rd degree AV block in the AV node and one in the infranodal regions.

TOPIC 2: Inferior MIs and Posterolateral MIs.

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

1. Detect ST elevations indicating acute inferior epicardial ischemia
2. List two other areas of the heart commonly affected when inferior epicardial ischemia is evident
3. Distinguish between anterior subendocardial ischemia and posterolateral epicardial ischemia
4. Recommend a preferred approach to a patient with chest pain and a non-diagnostic admission 12-lead ECG

TOPIC 3: Two Signs of Potentially Lethal Dysrhythmias and Two Signs of Potentially Lethal Heart Disease.

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

1. Detect the ECG changes of Brugada Syndrome
2. Detect changes suggestive of hyperkalemia
3. Detect the changes of Wellens Syndrome
4. Detect de Winter T wave changes and relate their importance

Title: Hospital Medicine - Rheumatology: Vasculitis; Lyme Disease; Lupus

Faculty: William T. Ayoub, M.D., F.A.C.P., F.A.C.R., Lawrence H. Brent, M.D.

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

TOPIC 1: Vasculitis.

Upon completion of these sessions, the participant should be able to:

1. List the various types of vasculitis as defined by the Chapel Hill consensus conference.
2. Identify the clinical and diagnostic criteria of giant cell arteritis.

TOPIC 2: Lyme disease and Other Topics in Rheumatology.

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.

TOPIC 3: Systemic Lupus Erythematosus.

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

1. Describe the varied clinical presentations and manifestations in the course of systemic lupus erythematosus.
2. Order and interpret laboratory testing used in the diagnosis of systemic lupus erythematosus in accordance with ACR Guidelines.
3. Monitor and employ treatment options for patients with systemic lupus erythematosus according to EULAR recommendations and evidence-based results from clinical studies.

Title: Hospital Medicine - Radiology: Back Pain Imaging; Pelvic Imaging; Non-Invasive Vascular Imaging

Faculty: Adam R. Guttentag, M.D., Ryan J. Smith, M.D.

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

TOPIC 1: Back Pain Imaging.

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

1. Use evidence based guidelines to help decide 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 2: Pelvic Imaging.

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

1. Order appropriate radiologic studies for evaluating patients with dysfunctional uterine bleeding, according to the American College of Radiology Appropriateness Criteria.
2. Utilize the most appropriate imaging studies for evaluating female patients with pelvic pain, according to the American College of Radiology Appropriateness Criteria.
3. Determine which studies are most appropriate for evaluating patients with post-menopausal bleeding using the American College of Radiology Appropriateness Criteria

TOPIC 3: Non-Invasive Vascular Imaging: Aorta, Carotids and More.

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

1. Design an evidence based algorithm for integrating imaging into evaluation of patients with suspected carotid stenosis.
2. Select appropriate tests to order for patients with suspected acute aortic syndromes.
3. Integrate modern non-invasive techniques into evaluation of suspected visceral and peripheral artery disease.

Title: Hospital Medicine - Geriatrics: Geriatric Patient; Vitamins B12 & D; Communication Skills

Faculty: John W. Pendleton, M.D., F.A.C.P., F.A.C.R., Gary H. Oberlender, M.D., F.A.C.P

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

TOPIC 1: The Geriatric Patient: Evidence-Based Answers to Frequently Asked Questions.

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

1. Apply evidence based recommendations to patient’s questions about the use of multivitamins.
2. Recommend the most appropriate treatment for nocturnal leg cramps.
3. Advise the appropriate dietary recommendations for patients with arthritis.
4. Recommend evidence based treatment for restless leg syndrome.

TOPIC 2: Vitamin B-12 and Vitamin D in Seniors.

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

1. Integrate the normal physiology of Vitamins B-12 and D.
2. Differentiate the pathologic syndromes associated with B-12 and D deficiency.
3. Develop an evidence based evaluation of B-12 and D deficiency for seniors.
4. Develop an evidence based approach to treatment options for B-12 and D in seniors.

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: Hospital Medicine - Endocrinology: Diabetes; Adrenal Insufficiency; Cushing's Syndrome

Faculty: David A. Horowitz, M.D., Stephen J. Winters, M.D.

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

TOPIC 1: Practical Approach to the Patient with Diabetes.

Upon completion of this session, using multiple research trials as well as recommendations from the ADA, EASN, AGA, CDA, AACE, ACP, and the AAFP, the participant should be able to: ^{GL, COMP}

1. Consider this primer on management.
2. Distinguish the patient who is likely to go on to develop complications and appreciate the potential long-term course.
3. Apply the current guidelines for therapy and access the anticipated outcome goals.

TOPIC 2: Adrenal Insufficiency- Primary and Secondary.

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

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

TOPIC 3: Cushing’s Syndrome and other Functional Disorders of the Adrenal.

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

1. Outline the etiology of Cushing’s syndrome.
2. Evaluate a patient with an adrenal tumor.
3. Evaluate a patient for suspected hyperaldosteronism.
4. Recognize when to refer patients for more advanced cardiac care.

Title: Hospital Medicine - Cardiology: Acute Aortic Syndromes; Antiplatelets, Anticoagulants, ACS; Carditis

Faculty: Gregary D Marhefka, M.D., F.A.C.C., F.A.C.P.

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

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 aortic imaging strengths and weaknesses.
3. Determine interval screening/ timing for medical and/or surgical treatment.
4. Assess complications of treatment.

TOPIC 2: Antiplatelets, Anticoagulants and Stenting in Acute Coronary Syndrome.

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

1. Recognize indications for antiplatelets.
2. Relate differences between bare metal, drug-eluting stents.
3. Relate differences between restenosis and stent thrombosis.
4. Understand strengths and weaknesses of different antiplatelet and anticoagulation strategies in AF and stents.

TOPIC 3: Distinguishing, Diagnosing and Treating Carditis: Pericarditis, Myocarditis and Endocarditis.

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

1. Relate treatment differences between acute and recurrent pericarditis.
2. Distinguish acute pericarditis, myopericarditis and myocarditis.
3. Identify acute myocarditis patients requiring endomyocardial biopsy.
4. Describe differential diag of valvular masses.
5. Integrate surgical indications in endocarditis.