Patient's at Risk | Elderly Patient

OVERALL OBJECTIVES: The overall objective is to provide the participant with practical and clinically relevant information. Upon completion of this CME activity, the physician or healthcare provider should be able to describe the current approach to formulating differential diagnoses, as well as, the diagnostic, therapeutic, and preventive management of the various disciplines presented.

NEEDS STATEMENT FOR PART I: There is a need to maintain a breadth of knowledge to effectively care for the variety of patient presentations in the primary care physician’s office. Therefore, there is a need for an annual review and update of many practical issues in General and Primary Care Medicine which is provided by this CME activity. Commonly seen disorders such as HTN and Diabetes which are both approaching epidemic-like occurrence, as well as Use of Antibacterial Agents, the workup of Syncope and Adult Immunizations, all of which have a significant impact on healthcare costs and outcomes, will be presented in this course. There is also considerable emphasis on the Neurological Exam and Diagnosis to include Tests and Imaging. This Part 1 of our Primary Care activity will provide a practical approach to diagnosis and treatment of these and other common adult medicine disorders that face the primary care practitioner daily.

SPECIFIC OBJECTIVES FOR PART I
TOPIC 1 Newer Antibacterial Agents - At the conclusion of this session, the participant should be able to:

1. Relate the antibacterial spectrum of activity.
2. Describe the pharmacology of the agents.
3. List the indications and dosing recommendations.
4. Identify the side effects, adverse reactions and drug interactions.

TOPIC 2 Hypertension Update: Creeping Up on a Silent Killer - At the conclusion of this session, the participant should be able to:

1. Outline the latest JNC guidelines in the treatment of hypertension.
2. Discover the rationale for the selection of different antihypertensive agents in select subgroups of patients.
3. Discriminate amongst the newest antihypertensive agents and the rationale for choosing these over older agents.

TOPIC 3 Treating Patients with Type 2 Diabetes Mellitus - At the conclusion of this session, the participant should be able to:

1. Obtain a complete neurological review of symptoms.
2. Perform a more complete screening neurological examination.
3. Decide when to use supplementary portions of the exam in selected clinical situations.
4. Discover the most common pitfalls and errors in performing the neurological examination.

TOPIC 5 Interpreting the Neurological Exam: A Case-Based Approach - At the conclusion of this session, the participant should be able to:

1. Recognize common abnormalities on the neurological examination.
2. Enhance their ability to determine whether a lesion is in the central or peripheral nervous system.
3. Categorize weakness and numbness by their patterns of distribution and recognize these patterns as aids to localization.
4. Discuss selected cases which will serve as examples of how to recognize and localize classic problems noted on the neurological examination.

TOPIC 6 Multiple Sclerosis in the 21st Century - At the conclusion of this session, the participant should be able to:

1. Review the clinical features of patients with multiple sclerosis.
2. Develop a diagnostic testing strategy to confirm a diagnosis of multiple sclerosis.
3. Explore etiologic questions in multiple sclerosis.
4. Identify the newest therapeutic advances in the treatment of multiple sclerosis.

TOPIC 7 Infective Diarrhea - At the conclusion of this session, the participant should be able to:

1. Differentiate the presentation of toxigenic and invasive diarrhea.
2. Identify food-borne pathogens.
3. Explain when to use fecal WBC, stool cultures, and stool O&P examinations.
4. Summarize the indications for antibiotic therapy.
5. Identify appropriate antibiotic choices.

TOPIC 8 A Common Symptom: Syncope - At the conclusion of this session, the participant should be able to:

1. Recognize the common underlying pathophysiology for all causes of syncope.
2. Distinguish between benign and life-threatening causes of syncope.
3. Maximize the diagnostic yield in the work-up of syncope.
4. Use the clinical history to help focus the work-up for syncope.

TOPIC 9 Thyroid Nodules - At the conclusion of this session, the participant should be able to:

1. Describe the incidence of thyroid nodules in the primary care setting.
2. Discuss features from history and physical examination that increase the likelihood of malignancy.
3. Outline the best diagnostic approach to a thyroid nodule.
4. Review common cytologic findings from fine needle aspirate and their clinical significance.

TOPIC 10 Urinary Tract Infection - At the conclusion of this session, the participant should be able to:

1. Relate the epidemiology of UTIs.
2. Distinguish the attributes of lower tract and upper tract infections and reinfections and relapses.
3. Identify chronic bacterial prostatitis.
4. Describe the approach to antimicrobial therapy, to include the use of short course therapy.
5. Summarize the approach to prevention.

TOPIC 11 Approach to the Patient with Fever and Rash - At the conclusion of this session, the participant should be able to:

1. Develop a differential diagnosis based upon the type of rash on presentation.
2. Discuss the most common rashes in this setting. The emphasis will be on those infections that are treatable such as meningococcemia, rickettsioses, syphilis, Varicella zoster and the agents of toxic shock syndrome.

TOPIC 12 Adult Immunization - At the conclusion of this session, the participant should be able to:

1. Summarize current recommendations for the following vaccine preventable diseases: influenza, pneumococcal infection, hepatitis B, hepatitis A, varicella-zoster, and meningococcal infection.

TOPIC 13 Neurodiagnostics Tests: How Can They Help You Make the Diagnosis? - At the conclusion of this session, the participant should be able to:

1. Discover the clinical relevance of the findings reviewed in CAT scan and MRI reports.
2. Explore the rationale for ordering neuroradiologic testing.
3. Visualize and recognize common neuroradiologic abnormalities.

TOPIC 15 Evaluation of the Painful Knee in the Primary Care Setting - At the conclusion of this session, the participant should be able to:

1. Recognize key historical features to help distinguish between common causes of knee pain in the primary care setting.
2. Demonstrate physical examination skills utilized in the diagnosis of common causes of knee pain.
3. Describe the treatment of common knee injuries in the primary care setting and determine which injuries require orthopedic consultation.

TOPIC 16 Evaluation and Treatment of the Painful Shoulder in the Primary Care Setting - At the conclusion of this session, the participant should be able to:

1. Review the anatomy of the shoulder in relation to common mechanisms of injury.
2. Describe and utilize key historical and physical examination skills needed to accurately diagnose common causes of shoulder pain in the primary care setting.
3. Describe the initial management of common shoulder injuries.

NEEDS STATEMENT FOR PART II: There is a need to maintain a breadth of knowledge to effectively care for the variety of patient presentations in the primary care physician’s office. Therefore, there is a need for an annual review and update of many practical issues in General and Primary Care Medicine which is provided by this CME activity. Commonly seen problems such as Stable and Unstable Angina, CHF, CAP, Hepatitis, the Musculoskeletal Exam and Soft Tissue Injections, Pediatric Immunizations, Pediatric Staph and Strep Infections, and Abnormal Uterine Bleeding are offered in this course. Also, uncommonly discussed yet commonly seen issues such as Low Back Pain, Nutrition in the Elderly, and the clinical Identification and Treatment of the Traumatized Patient will be presented. The supporting EBM and guidelines presented will help to improve healthcare resource utilization, efficiencies and costs. Overall, this Part 2 of our Primary Care activity will provide a practical approach to common adult, pediatric and gynecologic medicine disorders that face the primary care practitioner daily.

SPECIFIC OBJECTIVES FOR PART II
TOPIC 1 Unstable Angina Pectoris, Non ST-Elevation Myocardial Infarction, and Stable Angina - At the conclusion of this session, the participant should be able to:

1. Recognize the patient with unstable angina or non ST-elevation infarction and tailor therapy to the degree of risk.
2. Identify who benefits from revascularization.
3. Identify the determinants of myocardial oxygen demand and supply, and the effects of medications on these determinants.
4. Outline a step-wise approach to the treatment of stable angina.

TOPIC 2 Primary Care-Based Management of CHF - At the conclusion of this session, the participant should be able to:

1. Describe the correctable causes of CHF.
2. Discuss the “new paradigm” in CHF management addressing disease mechanisms.
3. Describe the role of new and old classes of drugs in CHF management.
4. Develop a treatment plan for a patient with CHF.

TOPIC 3 The Alphabet Soup of Viral Hepatitis - At the conclusion of this session, the participant should be able to:

1. Describe and characterize the 5 known types of viral hepatitis (A through E). Similarities and differences will be stressed, particularly the risks to develop chronic infection, the complications of chronic infection, and treatment.
2. Recognize hepatitis clinically and will reinforce their ability to interpret hepatitis serologies. They should be able to select appropriate patients for new treatment options available to some patients with chronic disease. Specific items covered include: a. Clinical syndromes of acute and chronic hepatitis.
b. Serologic diagnosis.
c. Complications of chronic hepatitis and newer treatment options.

TOPIC 4 Community-Acquired Pneumonia - At the conclusion of this session, the participant should be able to:

1. Modify how to stratify your patients with CAP into those needing outpatient (most) vs. inpatient (few) treatment, using the PORT scoring system.
2. Paraphrase the different antibiotic options in treating CAP including the role of respiratory tract fluoroquinolones, and newest macrolide agents as well as more conventional therapies.
3. Describe the role and timing of ordering chest x-rays, blood cultures and initiation of antibiotic therapy in treating those with CAP.

TOPIC 5 Improving Nutritional Care in the Elderly - At the conclusion of this session, the participant should be able to:

1. Describe issues and uncertainties in contemporary geriatric nutrition.
2. Identify changes in body metabolism due to aging.
3. Utilize easily derived clinical data to make an accurate nutritional assessment.
4. Describe relative risks and benefits among various options in aggressive feeding of elderly patients.

TOPIC 6 Essential Tremor & Parkinson’s Disease - At the conclusion of this session, the participant should be able to:

1. Recognize mild Parkinson’s disease and other disorders that produce parkinsonism.
2. Discuss what medications to begin in their patients with Parkinson’s disease and essential tremor.
3. Identify the intractable patient with Parkinson’s disease or essential tremor and discuss advanced strategies for treatment of these movement disorders including deep brain stimulation.
4. Recognize and identify other types of tremor in addition to those seen in Parkinson’s disease and essential tremor.

TOPIC 7 Abnormal Uterine Bleeding - At the conclusion of this session, the participant should be able to:

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

TOPIC 8 Staphylococcal and Streptococcal Infections - At the conclusion of this session, the participant should be able to:

1. Outline treatment options and preventative measures for staphylococcal and streptococcal diseases.
2. Discuss the clinical manifestations, epidemiology, and diagnostic methods for common and serious Staphylococcus aureus and Streptococcus pyogenes infections.

TOPIC 9 Pediatric Immunization Update - At the conclusion of this session, the participant should be able to:

1. Review recent changes in childhood immunizations and newly available vaccines.
2. Anticipate future innovations in immunization.

TOPIC 10 Chronic Fatigue Syndrome - A Blessing or a Curse for the Primary Care Physician? - At the conclusion of this session, the participant should be able to:

1. Explain how to diagnose CFS and how to distinguish it from chronic fatigue.
2. Discuss the history of CFS.
3. Summarize how to manage (and how not to mismanage) a patient with CFS.

TOPIC 11 Psychiatric Disorders in Primary Care: Depression - At the conclusion of this session, the participant should be able to:

1. Improve their knowledge of the diagnosis of depression and its impact on chronic illness.
2. Identify treatment modalities that will more likely prevent a second episode of depression.
3. Become more familiar with medical diagnoses that are associated with depression such as lupus and coronary artery disease.
4. Better identify those patients who require a psychiatric referral.

TOPIC 12 HIV Infection Primer for the Primary Care Physician - At the conclusion of this session, the participant should be able to:

1. Discuss the latest epidemiology of HIV infection.
2. Relate the utility of diagnostic tests (e.g. viral load, CD4 count) and their application for disease management.
3. Discuss the principles of antiretroviral treatment and currently available medications.
4. Describe prophylaxis to prevent opportunistic infections.

TOPIC 13 The Identification and Treatment of Traumatized Patients - At the conclusion of this session, the participant should be able to:

1. Describe the characteristics associated with traumatic events.
2. Recognize and explain the “red flags” or symptomatic manifestations of trauma in patients.
3. Explain how to obtain a trauma history from a patient.
4. Identify and propose interventions designed to treat the symptoms of trauma.

TOPIC 14 Low Back Pain - At the conclusion of this session, the participant should be able to:

1. Enhance cost-effectiveness by using validated indications for imaging studies.
2. Recognize the red flags you do not want to miss and appreciate their significance.
3. Adopt current management standards.

TOPICS 15 AND 16 Musculoskeletal Exam and Articular and Soft Tissue Injections for the Primary Care Physician, Part 1 and Part 2 - At the conclusion of this session, the participant should be able to:

1. Describe the equipment necessary for specific injections.
2. Identify the contraindications to and complications of injections.
3. Describe the proper technique for handling of and the necessary tests on synovial fluid.
4. Describe the technique for the injection of several commonly affected structures.

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Primary Care: Part 1, Adult Medicine

Media: Audio CD

Shipped in 8 days

Cat.# AMS-2C

$550.00

BUY

OVERALL OBJECTIVES: The overall objective is to provide the participant with practical and clinically relevant information. Upon completion of this CME activity, the physician or healthcare provider should be able to describe the current approach to formulating differential diagnoses, diagnostic, therapeutic, and preventive management of the various disciplines presented.

NEEDS STATEMENT: There is a need to maintain a breadth of knowledge to effectively care for the variety of patient presentations in the primary care physician’s office. Therefore, there is a need for an annual review and update of many practical issues in General and Primary Care Medicine which is provided by this CME activity. Commonly seen disorders such as HTN and Diabetes which are both approaching epidemic-like occurrence, as well as Use of Antibacterial Agents, the workup of Syncope and Adult Immunizations, all of which have a significant impact on healthcare costs and outcomes, will be presented in this course. There is also considerable emphasis on the Neurological Exam and Diagnosis to include Tests and Imaging. This Part 1 of our Primary Care activity will provide a practical approach to diagnosis and treatment of these and other common adult medicine disorders that face the primary care practitioner daily.

SPECIFIC OBJECTIVES
TOPIC 1 Newer Antibacterial Agents - At the conclusion of this session, the participant should be able to:

1. Describe the therapeutic goals in treating Type 2 Diabetes and their medical rationale.
2. Compare and contrast the oral agents for treating Type 2 Diabetes.
3. Identify the need for insulin in Type 2 Diabetes and list the therapeutic insulin options.

TOPIC 4 The Nuts and Bolts of Performing a Neurological Examination - At the conclusion of this session, the participant should be able to: 1. Obtain a complete neurological review of symptoms.
2. Perform a more complete screening neurological examination.
3. Decide when to use supplementary portions of the exam in selected clinical situations.
4. Discover the most common pitfalls and errors in performing the neurological examination.

TOPIC 5 Interpreting the Neurological Exam: A Case-Based Approach - At the conclusion of this session, the participant should be able to:

1. Enhance their knowledge of the indications for neurodiagnostic studies and answer the questions: Should every seizure patient have an EEG? Should every numb hand have an EMG?
2. Recognize false positives and incidental findings obtained from neurodiagnostic testing.
3. Discover the limitations of EMG, EEG and lumbar puncture.
4. Enhance their ability to obtain useful information from neurodiagnostic tests.
5. Better advise their patients as to what is involved in the performance of these selective neurodiagnostic tests.

TOPIC 14 Neuroradiology: Interpreting the Interpretations of CAT Scan and MRI - At the conclusion of this session, the participant should be able to:
1. Discover the clinical relevance of the findings reviewed in CAT scan and MRI reports.
2. Explore the rationale for ordering neuroradiologic testing.
3. Visualize and recognize common neuroradiologic abnormalities.

TOPIC 15 Evaluation of the Painful Knee in the Primary Care Setting - At the conclusion of this session, the participant should be able to:
1. Recognize key historical features to help distinguish between common causes of knee pain in the primary care setting.
2. Demonstrate physical examination skills utilized in the diagnosis of common causes of knee pain.
3. Describe the treatment of common knee injuries in the primary care setting and determine which injuries require orthopedic consultation.

TOPIC 16 Evaluation and Treatment of the Painful Shoulder in the Primary Care Setting - At the conclusion of this session, the participant should be able to: 1. Review the anatomy of the shoulder in relation to common mechanisms of injury.
2. Describe and utilize key historical and physical examination skills needed to accurately diagnose common causes of shoulder pain in the primary care setting.
3. Describe the initial management of common shoulder injuries.

TOP

Primary Care:
Part 2, Adult, Pediatric and Women's Health

Media: Audio CD

Shipped in 8 days

Cat.# AMS-3C

$550.00

BUY

OVERALL OBJECTIVES: The overall objective is to provide the participant with practical and clinically relevant information. Upon completion of this CME activity, the physician or healthcare provider should be able to describe the current approach to formulating differential diagnoses, diagnostic, therapeutic, and preventive management of the various disciplines presented.

NEEDS STATEMENT: There is a need to maintain a breadth of knowledge to effectively care for the variety of patient presentations in the primary care physician’s office. Therefore, there is a need for an annual review and update of many practical issues in General and Primary Care Medicine which is provided by this CME activity. Commonly seen problems such as Stable and Unstable Angina, CHF, CAP, Hepatitis, the Musculoskeletal Exam and Soft Tissue Injections, Pediatric Immunizations, Pediatric Staph and Strep Infections, and Abnormal Uterine Bleeding are offered in this course. Also, uncommonly discussed yet commonly seen issues such as Low Back Pain, Nutrition in the Elderly, and the clinical Identification and Treatment of the Traumatized Patient will be presented. The supporting EBM and guidelines presented will help to improve healthcare resource utilization, efficiencies and costs. Overall, this Part 2 of our Primary Care activity will provide a practical approach to common adult, pediatric and gynecologic medicine disorders that face the primary care practitioner daily.

SPECIFIC OBJECTIVES
TOPIC 1 Unstable Angina Pectoris, Non ST-Elevation Myocardial Infarction, and Stable Angina - At the conclusion of this session, the participant should be able to:

1. Enhance cost-effectiveness by using validated indications for imaging studies.
2. Recognize the red flags you do not want to miss and appreciate their significance.
3. Adopt current management standards.

TOPICS 15 and 16 Musculoskeletal Exam and Articular and Soft Tissue Injections for the Primary Care Physician, Part 1 and Part 2 - At the conclusion of this session, the participant should be able to:

TOP

Best of the Series

Media: Audio CD

Shipped in 8 days

Cat.# AMS-4C

$550.00

BUY

OVERALL OBJECTIVES: The overall objective is to provide the participant with practical and clinically relevant information. Upon completion of this CME activity, the physician or healthcare provider should be able to describe the current approach to formulating differential diagnoses, diagnostic, therapeutic, and preventive management of the various disciplines presented.

NEEDS STATEMENT: There is a need to maintain a breadth of knowledge to effectively care for the variety of patient presentations in the PCP’s office. Therefore, there is a need for a comprehensive review and update of many practical issues in General and Primary Care Medicine which is provided by this CME activity. This activity is a compilation of highly evaluated Post-Activity results of all of the AMS live presentations and provides a broad scope of our highly rated presentations throughout our entire series as identified retrospectively by actual seminar participants. Topics of timely and important need are covered in this comprehensive review and include Stroke, HTN, Diabetes, Metabolic Syndrome, Heart Failure, Osteoporosis, Rheumatoid Arthritis and Antibiotic Resistance. This one CME activity identifies practical approaches to diagnosing and treating these common disorders with an emphasis on Evidence for treatment options provided.

SPECIFIC OBJECTIVES
TOPICS 1 and 2 Adult Preventive Health – Part I and Part II - At the conclusion of this session, the participant should be able to:

1. Describe the criteria for a good screening test.
2. Describe the rationale behind the recommended Health Maintenance Procedures.
3. Implement the recommended Health Maintenance Procedures including Screening, Counselling, Preventive Medications, and Immunizations.

TOPIC 3 Practical Approach to the Patient with Hypertension - At the conclusion of this session, the participant should be able to:

1. Review the JNC VII recommendations for the treatment of hypertension.
2. Consider a rational approach to choosing medication in treating hypertension.
3. Decide when and how to evaluate for secondary causes of hypertension.

TOPIC 4 Brain Attack! Nine Mistakes Made in the Acute and Prophylactic Therapy of Stroke and TIA - At the conclusion of this session, the participant should be able to:

1. Identify and treat risk factors for stroke.
2. Recognize what imaging studies are appropriate in their stroke patients.
3. Appreciate that in stroke too, time is brain and discover what immediate interventions, including thrombolytics, are necessary in their acute stroke patients.
4. Better manage and triage patients with intracerebral hemorrhage.

TOPIC 5 Practical Approach to the Patient with Diabetes - At the conclusion of this session, the participant should be able to:

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

TOPIC 6 Metabolic Syndrome - At the conclusion of this session, the participant should be able to:

1. Review the definition and pathophysiology of the Metabolic Syndrome.
2. Consider the overall prevalence of the syndrome.
3. Recognize the outcome and implications that this syndrome has for the patient.

TOPIC 7 Effective Therapy of Neuropathic Pain - At the conclusion of this session, the participant should be able to:

1. Review current thinking about the pathophysiology of neuropathic pain.
2. Discuss the clinical features of a patient with neuropathic pain.
3. Explore the pharmacologic options available to treat patients with neuropathic pain.

TOPIC 8 Cellulitis, Necrotizing Fasciitis and Diabetic Foot Ulcers - At the conclusion of this session, the participant should be able to:

1. Explain typical and atypical manifestations.
2. Discuss the pathogenesis.
3. List the principles of medical and surgical treatment.
4. Describe the prognosis.

TOPIC 9 Systemic Lupus Erythematosus - At the conclusion of this session, the participant should be able to:

1. Appreciate the varied clinical presentations and course of systemic lupus erythematosus.
2. Describe the use of laboratory testing in diagnosis.
3. Identify treatment options in systemic lupus erythematosus.

TOPIC 10 Osteoporosis 101: Bone Density Testing - At the conclusion of this session, the participant should be able to:

1. Recall that DXA testing is the best relative risk predictor of fracture.
2. Differentiate peripheral DXA versus central DXA.
3. Discuss the clinical indications for DXA testing.
4. Apply and utilize the DXA data - Extend into clinical decision making.

TOPIC 11 Osteoporosis 102: Case Studies - From DXA to Treatment - At the conclusion of this session, the participant should be able to:

1. List the available FDA-approved treatments for osteoporosis prevention and treatment.
2. Utilize case studies to highlight evidence-based clinical decisions.
3. Describe the potential side effects of available therapies.
4. Employ follow-up DXA studies to monitor osteoporosis treatment.

TOPIC 12 Update on Antimicrobial Resistance - At the conclusion of this session, the participant should be able to:

1. Describe the pattern of emergence of resistance to certain infecting bacteria.
2. Identify epidemiology that may indicate potential resistance among the organisms discussed such as: a. Staphylococci;
b. Pneumococci;
c. Enterococci;
d. Gram negative bacilli.

3. Summarize the approach to current therapeutic regimens while considering resistance.

TOPIC 13 Tuberculosis - At the conclusion of this session, the participant should be able to:

1. Identify groups at risk for developing active tuberculosis.
2. Describe the principles of antituberculous therapy.
3. Describe Mantoux technique for tuberculin skin testing.
4. Summarize indications for treatment of latent TB infection.

TOPIC 14 Heart Failure - At the conclusion of this session, the participant should be able to:

1. Review the new ACC/AHA guidelines.
2. Better advise patients about the new medications available for heart failure management.
3. Become familiar with the use of technology (i.e. transplant and implantable defibrillators).

TOPIC 15 Clinical Aspects of Rheumatoid Arthritis - At the conclusion of this session, the participant should be able to:

1. Outline the clinical features of rheumatoid arthritis.
2. Appreciate the systemic nature of the disease.

TOPIC 16 Treatment of Rheumatoid Arthritis - At the conclusion of this session, the participant should be able to:

1. Outline a rational approach to the treatment of rheumatoid arthritis.
2. Summarize the use and toxicity of disease modifying agents.

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Internal Medicine: A Clinical Review and Update

Media: Audio CD

Shipped in 8 days

Cat.# AMS-5C

$550.00

BUY

OVERALL OBJECTIVES: The overall objective is to provide the participant with practical and clinically relevant information. Upon completion of this CME activity, the physician or healthcare provider should be able to describe the current approach to formulating differential diagnoses, diagnostic, therapeutic, and preventive management of the various disciplines presented.

NEEDS STATEMENT: There is a need to continue to maintain and improve the clinical diagnostic and therapeutic skills of Primary Care Practitioners regarding the field of Internal Medicine. This activity will present this information regarding commonly seen disorders such as HTN, CAP, Diabetes, Headache, Dementias, DVT and The Diagnosis and Management of Syncope in an attempt to improve the knowledge and skills needed in the IM and Primary Care setting. This CME activity addresses the issues of diagnosing and treating these common IM disorders in which the Primary Care Physician may learn when to treat when to refer and how to best provide health maintenance. Commonly seen chronic disease states in this age of rapid drug and technology development challenge the system in terms of cost control. Also, the effective and efficient use of laboratory and diagnostic resources in not only diagnosing but also to properly monitor these chronic disease states, needs to be communicated and this activity will provide information regarding these issues.

SPECIFIC OBJECTIVES
TOPIC 1 Community-Acquired Pneumonia - At the conclusion of this session, the participant should be able to:

1. Identify the microbial causes of community acquired pneumonia.
2. Describe the accepted methods, and potential pitfalls of making the diagnosis.
3. List the prognostic factors related to outcome.
4. Describe treatment options according to severity of illness.

TOPIC 2 Management of Type 1 Diabetes - At the conclusion of this session, the participant should be able to:

1. Review current diagnostic criteria for the diagnosis of diabetes.
2. Discuss new insulin regimens for intensive glucose control.
3. Screen for and manage cardiovascular complications of diabetes based on evidence-based studies.

TOPIC 3 Treatment Strategies in Type 2 Diabetes - At the conclusion of this session, the participant should be able to:

1. Describe new pharmacologic agents available for glucose control.
2. Apply concepts of pathophysiology to the selection of pharmacotherapy for Type 2 Diabetes.
3. Discuss a cost-effective approach for the management of diabetic complications.

TOPIC 4 Approach to the Patient with Hypertension - At the conclusion of this session, the participant should be able to:

1. Appreciate that all antihypertensive medications do not equally reduce cardiovascular risk.
2. Apply the JNC-7 guidelines to clinical care of hypertensive patients.
3. Recognize compelling indications for selection of initial antihypertensive therapy.

TOPIC 5 Vitamin B-12 Deficiency in the Elderly - At the conclusion of this session, the participant should be able to:

1. Describe biochemical pathways of B-12 and normal physiology.
2. Describe the use of metabolic markers in B-12 deficiency.
3. Define work-up of B-12 deficiency in clinical practice.

TOPIC 6 The Clinician’s Approach to Peripheral Neuropathy - At the conclusion of this session, the participant should be able to:

1. Appreciate the multiple presentations of the neuropathy of diabetes.
2. Review the differential diagnosis of patients who present with peripheral neuropathy.
3. Discuss the diagnostic work-up of patients with peripheral neuropathy.
4. Explore therapeutic options available for peripheral neuropathy.

TOPIC 7 Practical Approach to the Patient with Potential DVT - At the conclusion of this session, the participant should be able to:

1. Obtain an appropriate medial history to better identify those patients at risk.
2. More confidently evaluate and assess the patient suspected of having DVT.
3. Better manage patients with the confirmed diagnosis of DVT to include prophylaxis.

TOPIC 8 Diagnosis of Primary Headache Syndromes - At the conclusion of this session, the participant should be able to:

1. Discuss the historical features of migraine, tension-type, and cluster headache.
2. Recognize which historical features best discriminate between migraine and tension-type headache.
3. List the triggers for migraine.

TOPIC 9 Treatment of Primary Headache Syndromes - At the conclusion of this session, the participant should be able to:

1. Appreciate the role of abortive therapy for migraine.
2. Recognize the range of options for pharmacologic preventive therapy for migraine.
3. Develop non-pharmacologic treatment strategies for migraine.

TOPIC 10 Alzheimer’s Disease (AD) & Other Dementias - At the conclusion of this session, the participant should be able to:

1. More confidently evaluate their patients with dementia and answer the question: What testing should be done in a patient with suspected Alzheimer’s disease?
2. Better answer the question: What are the red flags suggesting that special testing for other causes of dementia is appropriate?
3. Recognize when to initiate a Cholinesterase inhibitor or NMDA antagonist in patients with Alzheimer’s disease.
4. Discuss what interventions for depression and agitation can be most helpful in their patients with Alzheimer’s disease.

TOPIC 11 Osteoporosis - At the conclusion of this session, the participant should be able to:

1. Review a practical approach to determine the most effective screening modalities.
2. Develop a treatment plan that considers lifestyle changes as well as treatment and monitoring.
3. Consider an approach and indications to screening for osteoporosis in men.

TOPIC 12 Practical Approach to the Patient with Hyperlipidemia - At the conclusion of this session, the participant should be able to:

1. Discuss the current NCEP guidelines.
2. Develop a practical approach for considering the new medications available.
3. Consider the new targets developed for cholesterol end points.

TOPIC 13 Syncope: A Review of Fits, Faints and Funny Spells - At the conclusion of this session, the participant should be able to:

1. Distinguish between neurologic and non-neurologic causes of syncope.
2. Discuss the clinical features of dysautonomia, POTS and neurocardiogenic syncope.
3. Review the role of diagnostic testing in patients presenting with syncope.
4. Explore the therapeutic options available for patients with dysautonomia and neurocardiogenic syncope.

TOPIC 14 Dizziness - At the conclusion of this session, the participant should be able to:

1. Differentiate between the most common causes of dizziness.
2. Distinguish between central and peripheral causes of vertigo.
3. Describe physical examination maneuvers used to diagnose and treat vertigo.

TOPIC 15 Preoperative Cardiac Evaluation - At the conclusion of this session, the participant should be able to:

1. Develop risk stratification for perioperative cardiac risk.
2. Demonstrate knowledge of preoperative cardiac risk guidelines.
3. Properly use beta-blockers for patients at risk for perioperative cardiac complications.

TOPIC 16 New or Emerging Infectious Diseases - West Nile Virus, Avian Influenza - At the conclusion of this session, the participant should be able to:

1. Explain the etiology and pathogenesis of these infections.
2. Describe the clinical approach and methods of diagnosing these infections.
3. Summarize the management of these infections.

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Emergency Medicine:
An Evidence-Based Review and Update

Media: Audio CD

Shipped in 8 days

Cat.# AMS-6C

$550.00

BUY

OVERALL OBJECTIVES: The overall objective is to provide the participant with practical and clinically relevant information. Upon completion of this CME activity, the physician or healthcare provider should be able to describe the current approach to formulating differential diagnoses, diagnostic, therapeutic, and preventive management of the various disciplines presented.

NEEDS STATEMENT: The specialty of Emergency Medicine presents physicians and practitioners with its own set of unique diagnostic and treatment challenges. These challenges come in the form of life-threatening diagnostic and treatment dilemmas, cost-effective practice and risk management. This CME activity suggests methods of decision analysis, clinical approach and practice behaviour to improve outcomes in patient care through reliance on algorithms predicated upon evidence-based studies and guidelines. New diagnostic and treatment information in the areas of Chest Pain, DVT/PE as well as pitfalls in Orthopaedics can improve patient outcomes and risk management. Life-threatening outcomes in patient presentations such as Airway Management and Aortic Disasters can improve with awareness and use of guidelines for diagnosis and treatment. And finally, cost-effective use of the laboratory should be considered and selectively incorporated into daily practice by the Emergency and Primary Care Physician. A review and update of commonly seen patient presentations as given in this activity will help to maintain the level of knowledge needed to keep the practitioner current in practical, cost-effective and risk-reduced clinical behaviour.

SPECIFIC OBJECTIVES
TOPIC 1 Cutting Edge ED Airway Management - At the conclusion of this session, the participant should be able to:

1. Discuss essentials of airway pharmacology.
2. Discuss a fundamental approach to airway assessment.
3. Describe the technique of rapid sequence intubation.

TOPIC 2 Advanced Airway Techniques: State-of-the-Art - At the conclusion of this session, the participant should be able to:

1. Describe a general approach to the patient with a difficult airway.
2. Discuss contemporary airway rescue techniques.
3. Present an algorithm for management of the failed airway.

TOPIC 3 Chest Pain: A Nearly Evidence-Based Approach - At the conclusion of this session, the participant should be able to:

1. Describe the various etiologies of chest pain and identify essential elements of the patient’s history.
2. Appreciate both the utility and the limitations of the ECG.
3. Describe the role of cardiac enzymes in the evaluation of chest pain in the ED, and how to interpret and act upon the results.
4. Discuss the impact of the various platelet-modifying agents in acute coronary syndrome.
5. Outline a cost-effective approach to the management of chest pain.
6. Describe some of the rapid evaluation strategies that are being used in today’s ED.
7. List some of the more common pitfalls when diagnosing and treating chest pain.

TOPIC 4 Aortic Disasters - At the conclusion of this session, the participant should be able to:

1. Describe the pathophysiology and clinical presentation of aortic dissection and AAA.
2. Outline the diagnostic options for emergency detection of these life-threatening vascular emergencies.
3. Review the essentials of emergency management of aortic dissection and AAA.

TOPIC 5 Serious Infections of the Pediatric Head and Neck - At the conclusion of this session, the participant should be able to:

1. Recognize differences and similarities in the clinical appearance, diagnosis and treatment of peritonsillar, retropharyngeal, and para-pharyngeal space infections.
2. Outline the approach to the child with red, swollen eye or cheek.

TOPIC 6 Acute Management of Pediatric Asthma - At the conclusion of this session, the participant should be able to: 1. Describe the pathophysiology of asthma and rationale for therapeutic interventions.
2. Summarize recent data on steroids, theophylline, ipatropium bromide, and magnesium sulfate in the treatment of acute asthma in childhood.

TOPIC 7 Electrolytes at Panic Levels - At the conclusion of this session, the participant should be able to:

1. Identify common symptoms and signs that suggest an electrolyte abnormality.
2. Recognize characteristic EKG findings in various electrolyte abnormalities.
3. List the various therapies used to treat hyperkalemia.

TOPIC 8 Thyroid Emergencies - At the conclusion of this session, the participant should be able to:

1. Describe the presentation of life-threatening hyperthyroid states to the Emergency Department.
2. Prepare a comprehensive treatment plan for the patient with thyroid storm and thyrotoxicosis.
3. Describe the presentation of myxedema coma.
4. Justify the use of intravenous synthroid in the potentially hypothyroid patient.

TOPIC 9 As the World Turns: Peripheral Vertigo in the ED - At the conclusion of this session, the participant should be able to:

1. Review the common causes of peripheral vertigo.
2. Appreciate the pathophysiology of benign positional vertigo.
3. Discuss how to perform various diagnostic tests in the evaluation of patients with peripheral vertigo.
4. Discover how to perform various therapeutic maneuvers, such as the Epley maneuver, in the treatment of patients with benign positional vertigo.

TOPIC 10 Neurologic Emergencies - Part I - At the conclusion of this session, the participant should be able to:

1. Recognize spinal cord compression, Guillain-Barré Syndrome, Myasthenic Crisis.
2. Develop an approach to examination and diagnosis.
3. Incorporate cost-effective testing.
4. Apply principles to treatment and rehabilitation.

TOPIC 11 Neurologic Emergencies - Part II - At the conclusion of this session, the participant should be able to:

1. Recognize status epilepticus, coma, and subarachnoid hemorrhage.
2. Appreciate pupillomotor function in CNIII Palsies and prognosis.
3. Incorporate cost-effective testing.
4. Apply principles to treatment and rehabilitation.

TOPIC 12 Mastering Local and Regional Anesthesia - At the conclusion of this session, the participant should be able to: 1. Describe the pharmacology of local anesthetics.
2. Discuss recent controversies in local anesthetic techniques.
3. Review regional anesthetic techniques appropriate for the ED.

TOPIC 13 Wrist Injuries - At the conclusion of this session, the participant should be able to:

1. Discuss diagnosis and management of common wrist injuries, including some recent radiologic and orthopedic evidence.
2. Review wrist injuries and fractures that could easily be missed.
3. Discuss some pitfalls in management of wrist injuries.

TOPIC 14 Pitfalls in Orthopedics - At the conclusion of this session, the participant should be able to:

1. Outline high-risk scenarios in emergency orthopedics.
2. Discuss severe true orthopedic emergencies.
3. Review commonly missed/mis-managed orthopedic conditions, using a case-based approach.
4. Discuss the causes, clinical presentation, diagnosis and management of compartment syndrome.
5. Review the approach to the patient with penetrating extremity trauma.
6. Discuss the indications for vascular assessment in knee dislocations.

TOPIC 15 Deep Venous Thrombosis - At the conclusion of this session, the participant should be able to:

1. Recognize the limitations of physical examination in the diagnosis of deep vein thrombosis.
2. Direct the work-up of a patient with leg pain and swelling.
3. Manage a patient with leg symptoms and a prior history of deep vein thrombosis.

TOPIC 16 Evaluation and Management of Pulmonary Embolism - At the conclusion of this session, the participant should be able to:

1. Identify the risk factors for pulmonary embolism.
2. Describe the limitations of ventilation/perfusion scans in diagnosis of pulmonary embolism.
3. Summarize the treatment of moribund patient who presents with a clinical picture of pulmonary embolism.
4. Discuss the benefits of low molecular weight heparin compared to regular heparin in the treatment of thromboembolic disease.

TOP

Family Practice:
An Evidence-Based Approach to Clinical Medicine

Media: Audio CD

Shipped in 8 days

Cat.# AMS-7C

$550.00

BUY

OVERALL OBJECTIVES: The overall objective is to provide the participant with practical and clinically relevant information. Upon completion of this CME activity, the physician or healthcare provider should be able to describe the current approach to formulating differential diagnoses, diagnostic, therapeutic, and preventive management of the various disciplines presented.

NEEDS STATEMENT: There is a need to maintain a breadth of knowledge to effectively care for the variety of adult, adolescent and pediatric presentations in the primary care physician’s office. Therefore, there is a need for an annual review and update of many common issues in General and Primary Care Medicine which is provided by this CME activity. Commonly seen disorders such as Acute Coronary Syndromes, HTN, DVT/PE, Obesity which is approaching epidemic-like occurrence, as well as Hypercholesterolemia, Depression, PCOS, Adolescent Medicine and UTI in Pediatrics, all of which have an incredible impact on healthcare costs and utilization, will be presented in this course and provide new thoughts for consideration to these common problems. This Family Practice activity will suggest a practical approach to diagnosis and treatment of these and other common adult, adolescent and pediatric disorders that face the primary care practitioner on a daily basis.

SPECIFIC OBJECTIVES
TOPIC 1 Update on the Diagnosis and Treatment of Acute Coronary Syndromes - At the conclusion of this session, the participant should be able to:

1. Describe the pathophysiology of acute coronary syndromes.
2. Develop an algorithm to stratify the mortality risk for patients with acute coronary syndromes.
3. Develop a treatment plan for patients with acute coronary syndromes.
4. Discuss the use of anti-platelet medications and statins in acute coronary syndrome prevention.

TOPIC 2 Hypertension - At the conclusion of this session, the participant should be able to:

1. Describe the current approach to the treatment of hypertension.
2. Describe the important aspects of the Joint National Committee recommendations for the individualized treatment of Hypertension.
3. Identify which patients need further evaluation for secondary forms of hypertension.
4. List the advantages and disadvantages of home blood pressure monitoring.

TOPIC 3 Anemia - At the conclusion of this session, the participant should be able to:

1. List the guidelines for diagnosing anemia in children and adults.
2. List the common diagnostic studies available for diagnosing the etiology of the anemia.
3. Describe the role of consultants in the evaluation and management of