289 - 300 of 7241 results
1 CME CREDIT

Now that the capabilities of medicine provide increasingly complex care and technology to keep patients alive in health states they might not desire, the clinician is responsible for anticipating future care needs and guiding treatments as patients become more ill and less functional. Advance care planning is an essential tool in the primary care practitioner’s armamentarium, and this skill set must be honed to ensure that patients receive care consistent with their informed preferences and appropriate to their prognosis. Clinicians must feel comfortable introducing advance care planning, carrying out serial discussions with patients about prognosis, using appropriate tools and practice structures, and coordinating care among the team of clinicians caring for their patients across care venues. Sometimes the process requires setting limits and addressing maladaptive coping. Building strong relationships with patients and families and a consistent focus on goals of care is key to high quality treatment for the complex patient and achieving optimal end of life care.


1 CME CREDIT

This activity is designed to improve PCPs understanding of leadership in order to help them apply this to their practice.


0.77 CME CREDIT

Vaginitis is one of the most common gynecologic problems seen in ambulatory practice. Join us in discussing the differential diagnosis, which includes not only a vaginal infection, but also cervicitis, a physiologic discharge, atrophic vaginitis, and iatrogenic vaginitis. A precise diagnosis can be achieved with a careful history, focused examination, and skilled use of the office laboratory. This talk will pave the way to an accurate diagnosis, after which, effective therapy can be prescribed.


1 CME CREDIT

Faculty will review the prior data regarding antiplatelet and anticoagulant therapy. He will also present highlights from the recent late breaking clinical trial presentations from the European Society of Cardiology.


0.75 CME CREDIT

This presentation will discuss how to assess stroke risk for your patients and provide evidence-based recommendations on the prevention of ischemic stroke or transient ischemic attacks. Diagnostic imaging options and risk calculations for patients will be covered. The role of antithrombotic therapy for stroke prevention and the role and timing of carotid revascularization will be reviewed. Finally, use of statins and antihypertensives in stroke prevention will be discussed.


0.75 CME CREDIT

This talk will comprehensively overview presenting features of dizziness in a typical primary care practice. Using history and the physical exam, the speaker will flush out the differential diagnosis from among the four major causes of dizziness. Participants will receive an in-depth look at the benign causes that can be diagnosed in the clinic and the more concerning causes that warrant urgent neurologic evaluation.


0.75 CME CREDIT

This talk will review the new ACC-AHA Hypertension guidelines and emphasize what’s old, what’s new, and what has changed.


1 CME CREDIT

Heart failure (HF) affects 5.7 million men and women in the United States, with 915,000 new cases occurring annually and a resultant 1,000,000 hospitalizations, which translates into an annual estimated cost of over $30 billion dollars. Mortality with this condition is high, approximately 50% at five years. Implementation of the advances in management of heart failure have the potential to improve patients' quality of life, reduce the need for hospitalizations, reduce total medical costs, and prolong survival. This lecture will review the current evidence-based, guideline recommended diagnosis and management of heart failure. The essential roles of evidence-based heart failure medications, device therapy, patient education, and disease management will be discussed.


1 CME CREDIT

The epidemiology of acute coronary syndromes has changed dramatically in the past few decades, with lower overall incidence of myocardial infarction (MI) -- particularly ST elevation MI -- and improved survival after an incident MI. The diagnosis and classification of MI is challenging, particularly in the era of sensitive troponin assays. Clinicians must be aware of the frequent occurrence and causes of troponin elevations from conditions other than MI. Following diagnosis, risk stratification for patients with non-ST elevation ACS is critical to making prudent decisions and selecting among the multitude of different options for invasive and medical therapies. When considering potent antiplatelet and antithrombotic therapies, it is of paramount importance to also consider bleeding risk. Primary care clinicians play a critical role in determining the optimal duration of dual antiplatelet therapy, ensuring appropriate use and adherence to evidence-based medical therapies, and addressing lifestyle factors that can help prevent or modify the course after an ACS event.


0.5 CME CREDIT

The opioid epidemic has gripped the nation and shows no signs of slowing down. While the primary driver of opioid deaths is fentanyl, the opioid epidemic started from an increase in opioid prescriptions in the 1990s. The government and healthcare agencies have a number of proposals and initiatives centered around the 2016 CDC guidelines regarding opioid therapy to decrease the availability of prescription opioids. Despite the national climate regarding opioid use and the concerted push to decrease opioid consumption, many patients continue to push providers for opioid prescriptions to treat chronic pain. There are multiple risk mitigation strategies that can help providers identify non-compliant patients and decrease the risk of harm. Providers are encouraged to wean patients down or off opioids and promote non-opioid pharmacotherapy and multidisciplinary therapies.


0.75 CME CREDIT

The faculty will discuss approaches to the diagnosis and treatment of hypothyroidism. The indications and targets for thyroid hormone replacement will be reviewed, including those for subclinical hypothyroidism. There are special conditions influencing selection of thyroid preparation and adjustment of dose that will be discussed: thyroid cancer, persistent hypothyroid symptoms, cardiac disease, and interfering drugs. The systematic approach to the evaluation of hyperthyroidism will feature the appropriate selection of tests and imaging studies, and application of new guidelines. Participants will learn about the treatment of hyperthyroidism with anti-thyroid drugs and receive guidance on selection of drug and assessing response to therapy. New guidelines on the treatment of thyroid disease associated with infertility and pregnancy will be described.


1 CME CREDIT

Shoulder and knee pain are very common conditions in primary care, but many providers are not familiar or comfortable with the elements of the history and physical exam hallmarks that are most helpful in making the correct diagnosis. In this talk, the faculty will review historical features, physical exam maneuvers, and differential diagnosis for shoulder and knee pain in adult patients. Emphasis will be on the physical exam, and physical exam maneuvers will be demonstrated. We will also discuss initial office-based treatment for the common causes of shoulder and knee pain, including indications for orthopedics referral.