Title: FMfc-Family Medicine- Female Challenges : Abnormal Uterine Bleeding; Premenstrual Syndrome; Pelvic Pain

Faculty: Albert J. Peters, D.O., F.A.C.O.G.

Original Release Date: July 1, 2021  Expiration Date: July 1, 2024

SPECIFIC OBJECTIVES FOR EACH TOPIC:

TOPIC 1: Abnormal Uterine Bleeding

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

1. Define abnormal uterine bleeding.
2. Differentiate between functional and organic causes.
3. Manage most non-surgical etiologies of this problem.

TOPIC 2: Premenstrual Syndrome.

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

1. Correctly diagnose patients with this disorder using NIH guidelines.
2. Utilize current effective and FDA-approved therapies.
3. Formulate an appropriate differential diagnosis for PMS.

TOPIC 3: Pelvic Pain.

Upon completion of this session, using ACOG Practice Guidelines, International Pelvic Pain Society (IPPS) and the Cochrane Abstract Database, the participant should be able to: ^{EBM,GL, COMP}

1. Assess the patient with acute or chronic pain.
2. Identify the differential diagnosis and choose appropriate management options for the patient.
3. Differentiate patients who require immediate attention to their pelvic pain versus the chronic pain patient.

Title: FMma-Family Medicine-Health Maintenance :Adult Health Screening and Immunizations – Evidence-Based Approach; Smoking Cessation; Anemia.

Faculty: Kevin S. Ferentz, M.D., Herbert L. Muncie, Jr., M.D.

Original Release Date: July 1, 2021  Expiration Date: July 1, 2024

SPECIFIC OBJECTIVES FOR EACH TOPIC:

TOPIC 1: Adult Health Screening and Immunizations – Evidence-Based Approach.

Upon completion of this session, using the USPSTF and Cochrane Abstract Database, the participant should be able to: ^{EBM, GL, COMP}

1. Apply the evidence-based recommendations for preventive screening tests for adults.
2. Determine the immunizations required for adults.
3. Appraise the side effects of adult immunizations.
4. Select the contraindications for each adult immunization and their alternative therapy.
5. Plan when screening tests can be discontinued in adults.

TOPIC 2: Smoking Cessation.

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

1. Recognize the role of smoking in disease etiology and the Health Consequences as identified in the 2014 Surgeon General and CDC Report.
2. Develop methods of how to recognize influence and build confidence in a patients’ ability to quit smoking as per the AHCPR Guidelines.
3. Utilize techniques and develop resources to enhance a patients' ability to stop smoking, such as the NCI and smokefree.gov.
4. Recognize the various benefits or advantages, indications and contraindications for use of the various available drugs and devices to assisting your patient in smoking cessation.

TOPIC 3: Obesity.

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

1. State the epidemiology of obesity in America and the health risks associated with obesity.
2. Assess patients who are obese and determine that they are in need of treatment.
3. Recommend and utilize the ACC/AHA/TOS Guidelines for the Management of Overweight and Obese Adults with options available, including diet, exercise, medications, and bariatric surgery.
4. Employ the Endocrinology Society Guidelines on Pharmacological Management of Obesity.

Title: FMen-Family Medicine- Endocrinology : Thyroid Tests; Treating patients with Type 2 DM; Osteoporosis Prevention and Treatment

Faculty: Herbert L. Muncie, Jr., M.D.

Original Release Date: July 1, 2021  Expiration Date: July 1, 2024

SPECIFIC OBJECTIVES FOR EACH TOPIC:

TOPIC 1: Use and Interpretation of Thyroid Tests.

Upon completion of this session, using the American Thyroid Association Guidelines and the Cochrane Abstract Database, the participant should be able to: ^{EBM, GL, COMP}

1. Integrate the serum tests for thyroid function.
2. Interpret thyroid tests results that occur in clinical settings.
3. Recommend the appropriate follow-up testing of abnormal thyroid tests and the frequency of these evaluations.
4. Appraise the need to treat subclinical hypothyroidism or subclinical hyperthyroidism.

TOPIC 2: Treating Patients with Type 2 Diabetes Mellitus.

Upon completion of this session, using the American Diabetes Association, the European Association for the Study of Diabetes Guidelines and the Cochrane Abstract Database, the participant should be able to: ^{EBM, GL, COMP}

1. Evaluate the therapeutic goals in treating type 2 diabetes and their impact on morbidity and mortality.
2. Recommend the approach for choosing an oral hypoglycemic agent to treat type 2 diabetes.
3. Specify the clinical situations that would require the use of insulin to treat type 2 diabetes and the probable dosage form and average amounts required for control of A1c.
4. Develop the therapeutic options for preventing diabetic complications.

TOPIC 3: Osteoporosis: Treatment and Prevention.

Upon completion of this session, using the USPSTF, NOF Guidelines and the Cochrane Abstract Database, the participant should be able to: ^{EBM, GL, COMP}

1. Debate the importance of the risk factors for an osteoporosis fracture.
2. Employ the diagnostic testing for patients at risk with osteoporosis.
3. Select the therapeutic medication to treat osteoporosis based upon the indications and side effects.
4. Assess the therapeutic role of repeating the DXA scan in patients treated for osteoporosis.

Title: FMne-Family Medicine- Neurology : Seizures and Epilepsy – Diagnosis; Seizures and Epilepsy – Management.; An Approach to the Dizzy Patient.

Faculty: Laurence J. Kinsella, M.D., F.A.A.N., David E. Riley, M.D.

Original Release Date: July 1, 2021  Expiration Date: July 1, 2024

SPECIFIC OBJECTIVES FOR EACH TOPIC:

TOPIC 1: Seizures and Epilepsy – Diagnosis.

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

1. Differentiate among the major types of seizures.
2. Apply epidemiologic aspects to the diagnosis of epilepsy.
3. Employ AAN and AES practice guidelines regarding sudden unexpected death in epilepsy. (SUDEP)
4. Distinguish seizures from syncope.
5. Formulate a plan for diagnostic investigation.

TOPIC 2: Seizures and Epilepsy – Management.

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

1. Determine when treatment with anticonvulsant medication is warranted using evidence-based medicine.
2. Choose among the many available anticonvulsant medications.
3. Manage problems confronted by women with epilepsy.
4. Counsel patients regarding their driving privileges.

TOPIC 3: An Approach to the Dizzy Patient.

Upon completion of this session, using evidence-based medicine, 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.

Title: FMps-Family Medicine- Psychiatry : Depression and Anxiety in Primary Care. ; Practical Approach to the Outpatient with Dementia.; Identification and Treatment of Traumatized Patients.

Faculty:Kevin S. Ferentz, M.D. David A. Horowitz, M.D. Lisa R. Ferentz, M.S.W., L.C.S.W.-C., DAPA

Original Release Date: July 1, 2021  Expiration Date: July 1, 2024

SPECIFIC OBJECTIVES FOR EACH TOPIC:

TOPIC 1: Depression and Anxiety in Primary Care.

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

1. Explain the incidence and prevalence of anxiety and depression.
2. Evaluate patients with signs and symptoms of anxiety and depression so as to make an accurate diagnosis as per the APA and DSM-5 Criteria.
3. Prescribe appropriate medications and/or behavior modification to treat the various degrees of anxiety and depression as well as bipolar disorder from initiation to continuation and maintenance, when needed
4. Identify the suicidal patient and take appropriate actions for their safety as well as the public.

TOPIC 2: Practical Approach to the Outpatient with Dementia.

Upon completion of this session, while applying recommendations from the AAN and the USPSTF, the participant should be able to: ^{GL, COMP}

1. Formulate a practical approach to screening for dementia.
2. Discuss medication management to include polypharmacy, drug-drug interactions, as well as new drugs and their potential efficacy and side effects.
3. Develop a long-term follow-up and referral process that considers cost-effective and resource management.

TOPIC 3: Identification and Treatment of Traumatized Patients.

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

1. Describe the characteristics associated with traumatic events.
2. Interpret the “red flags” or symptomatic manifestations of trauma in patients.
3. Demonstrate how to obtain a trauma history from a patient during the H and P.
4. Identify and propose interventions designed to treat symptoms of trauma and increase comfort during physical exam.