Internal Medicine Review and Update: Inpatient and Outpatient Care for the Hospitalist and PCP
|Event Date/Time: Nov 19, 2007||End Date/Time: Nov 23, 2007|
|Early Registration Date: Oct 20, 2007|
DAY 1 - PRACTICAL APPROACH TO THE PATIENT WITH HEADACHE – Differential diagnosis of a patient presenting with the complaint of headache. The patient with headache and the indications for imaging. Treatment plan that considers lifestyle changes as well as medications. PRACTICAL APPROACH TO THE PATIENT WITH HYPERTENSION – JNC VII recommendations for treatment of hypertension. Approach to choosing medication in treating hypertension. When and how to evaluate for secondary causes of hypertension. UPDATE ON THE EVALUATION OF CHEST PAIN – Contribution of history, physical exam, and EKG findings to the evaluation of chest pain. Distinguish ischemic EKG changes from their common mimics. The use of CPK and troponin measurement for the detection of coronary ischemia. Initial management of patients with chest pain. UPDATE ON THE MANAGEMENT OF ACUTE CORONARY SYNDROMES – Forms of acute coronary syndrome and their relative prognoses. Initial management of patients experiencing an acute coronary syndrome. Therapeutic options for patients with unstable angina and post-MI. Secondary prevention strategies for patients who have experienced an acute coronary syndrome. DAY 2 - UPDATE ON THE MANAGEMENT OF STROKE – Common presentations of cerebrovascular insufficiency. Initial management of a suspected acute cerebrovascular accident. Cutting edge strategies and therapies for the management of hemorrhagic and thrombotic strokes. Prognosis and initial rehabilitation strategies for CVA patients. UPDATE ON THE MANAGEMENT OF CHF, COPD, AND ASTHMA IN THE HOSPITALIZED PATIENT – The role of BNP in the distinction of CHF from pulmonary disease. Common errors in the hospital management of patients with cardiopulmonary disease. Evidence-based review of the most effective therapies for asthma and COPD. Evidence-based review of proven therapies for congestive heart failure. PRACTICAL APPROACH TO THE PATIENT WITH DIABETES – Primer on management. The patient who is likely to go on to develop complications and the potential long term course. Current guidelines for therapy and anticipated outcome goals. SURGICAL APPROACHES TO THE PATIENT WITH OBESITY – Popular diets available and marketed to your patients. Indications for bariatric surgery; nonsurgical approaches to weight loss. Outcomes, advantages and disadvantages of bariatric surgery. DAY 3 - PERI-OPERATIVE CARDIOVASCULAR ISSUES: QUESTIONS AND ANSWERS – Approach to consultation. Elements of appropriate preoperative evaluation. Preoperative measures that can minimize operative and postoperative complications. Perioperative risk factors associated with post-op cardiac complications. PRACTICAL PRIMER: A MEASURED APPROACH TO PATIENT SAFETY AND ERROR THEORY – “Primer” on medical error theory. Approach to learning and practice. General principles of safety to reduce errors and improve outcomes. OVERVIEW OF THE CURRENT MANAGEMENT OF COMMON HOSPITAL ACQUIRED INFECTIONS – Recent trends in the epidemiology and anti-microbial resistance patterns of common hospital acquired infections. Types of hospital acquired infections and their common presentations. Management of hospital acquired infections. Strategies to prevent hospital acquired infections. IMPROVING THE QUALITY AND SAFETY OF THE HOSPITALIZED PATIENT – New strategies to reduce inpatient mortality. JCAHO patient safety goals for hospitalized inpatients and strategies to achieve them. Improving patient “hand-offs” and evidence-based strategies to improve the transition of care from hospital to home. DAY 4 - THE EVALUATION AND MANAGEMENT OF SYNCOPE – Strategy to differentiate the causes of a syncopal event. Evidence-based algorithm to evaluate recurrent syncopal episodes. Diagnostic tests available for the evaluation of recurrent syncopal episodes and their appropriate use. Therapeutic options for recurrent syncope. THE INPATIENT MANAGEMENT OF DIABETES – Principles of the inpatient management of diabetes. Use of basal insulin and short acting insulin analogues in the hospital. Evidence supporting the avoidance of hyperglycemia and hypoglycemia in the hospital setting. Transitional strategies for new or poorly controlled diabetics from inpatient to outpatient care. PRACTICAL APPROACH TO THE PATIENT WITH POTENTIAL DVT – Obtain an appropriate medial history to better identify those patients at risk. Evaluate and assess the patient suspected of having DVT. Manage patients with the confirmed diagnosis of DVT to include prophylaxis. PRACTICAL APPROACH TO THE PATIENT WITH HYPERLIPIDEMIA – Current NCEP guidelines. Approach for considering the new medications available. New targets developed for cholesterol end points. DAY 5 - PRACTICAL APPROACH TO THYROID DISEASE: 1. HYPOTHYROIDISM/ELEVATED TSH 2. PATIENT WITH A THYROID NODULE – Role of the screening TSH and what to do with the results. Reasonable and cost-effective approach to diagnosing the thyroid nodule. Management of hypothyroidism. PRACTICAL APPROACH TO THE PATIENT WITH DEMENTIA – Screening for dementia. Medication management to include Polypharmacy, drug-drug interactions, as well as new drugs and their potential efficacy and side effects. Long-term follow-up and referral process that considers cost effective and resource management. INTRODUCTION TO THE PRINCIPLES OF EVIDENCE-BASED MEDICINE – Types of clinical questions - risk, prognosis, therapy, and diagnosis- and the most appropriate form of evidence to answer them. Diagnostic decision-making and how to assess the value of clinical tests. How to apply the results of diagnostic tests to clinical decisions. Therapeutic decision-making and how to critically assess the value of new and existing therapies. OVERVIEW OF THE INPATIENT MANAGEMENT OF SKIN AND SOFT TISSUE INFECTIONS – Clinical presentation and categorization of common skin and soft tissue infections and their mimics. Changing epidemiology and resistance patterns impacting skin and soft tissue infections. Rational management strategy for skin and soft tissue infections. Management of skin and soft tissue infections in the diabetic patient.