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1 CME CREDIT

Polypharmacy and COVID-19

1.00 CME/MOC
1.00 AANP | 0.50 Pharmacology

COVID-19 has disproportionately impacted older adults through early high infection rates, social isolation, anxiety, depression and mortality. This session on polypharmacy and COVID-19 will improve how you treat the sequalae of COVID-19 in older adults and increase your awareness of polypharmacy. It will also provide the newest research on non-pharmacologic ways of treating the long-term effects of COVID-19 on older adults. Through interactive patient cases, Dr. Lee Lindquist will provide examples on how to safely and effectively manage the medications of your older adult patients during the COVID-19 pandemic. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on 8/13/2020, and they are subject to change as new information is published.


1 CME CREDIT

Watch expert faculty discuss assess and treat migraine through the case of a young man with recurrent headaches. Treatment will focus on traditional and new preventive therapies for chronic migraine as well as patient self-management strategies to optimize management. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on 8/13/2020, and they are subject to change as new information is published.


Keeping up with the many new drugs approved for use in the U.S. each year is a constant challenge. However, only a small number of new drugs each year are novel, work by a new mechanism, and are relevant for primary care practice. This talk will provide a balanced evaluation of these important novel drugs and address efficacy, side effects, cost, and the impact on primary care practice.


This short curriculum cuts to the heart of primary and secondary cardiovascular disease prevention in people with type 2 diabetes. The following two activities will help you individualize treatment and optimize adherence through shared decision-making tactics that account for CV risk factors, comorbidities, and patient preferences. This curriculum includes: • 1 educational video webcast • 1 simulated digital “tele-visit” with a standardized patient Pri-Med has partnered with RealCME to offer the Pri-Med community the innovative opportunity to schedule time for a simulated digital “tele-visit” with a standardized patient (SP), who is trained to simulate the symptoms and characteristics of patients you see in your practice. This interactive session is designed to complement the “Heart of the Matter” video webcast by enabling you to practice shared-decision making. You can benefit from scheduling this activity after viewing the educational webcast, but you are also welcome to sign up for this simulated digital tele-visit activity without viewing the webcast. The “patient” is a 52-year-old who is following up with you for their type 2 diabetes, with a history of obesity, hypertension, hypercholesterolemia, and coronary artery disease. The patient is on maximum dose of metformin, with an A1c today of 8.6%. A highly experienced observer will review your session and send you feedback via a customized scorecard. There is no cost for this activity, but there are limited sessions available. To schedule your free virtual visit, you will need this access code: PriMed2020 Link to activity: https://m.pri-med.com/T1ZMR080r000iMb30E5hYA0 Access code: PriMed2020


Most physicians are consumers of commercial air travel, and half of physicians have responded to a medical emergency on an airplane. Responding to a medical problem on an aircraft is one of the purest expressions of our Hippocratic Oath but provokes anxiety in many providers because of patient populations and conditions outside our normal scope of practice and the haphazard environment of an aircraft. Medical emergencies on flights are becoming more common as air travel is more accessible, people fly greater distances in larger aircrafts, and the inflight population ages. This talk will cover the pathophysiologic stress of commercial air travel, the approach to a midair patient and common inflight emergencies, interventions that can be performed in response to a medical emergency, the equipment available on the aircraft, as well as preparatory flight strategies for physicians. We will also discuss management considerations if asked to serve in other community medical emergencies such as encountering a motor vehicle accident.


0.25 CME CREDIT

This podcast will provide an update on the medical literature and practice guidelines pertaining to exercise. Participants will deepen their understanding of the physical and mental health benefits of exercise and will examine the evidence for a variety of common approaches to exercise (cardiovascular, strength training, high intensity interval training). Barriers to participation in exercise regimens – both for patients and providers – will be explored.


Initial findings of the Women’s Health Initiative (WHI) published in 2002 forever changed the way menopause hormone therapy has been viewed in the United States. After WHI, use of systemic menopause hormone therapy (MHT) decreased by as much as 80 percent among U.S. women. In the following decade and half, additional data derived from WHI coupled with new research findings resulted in confusion and misunderstandings for patients and clinicians alike on the appropriate use of MHT to manage menopause. This presentation will blend the findings of WHI with newer learnings and provide a practical approach to using MHT.


0.25 CME CREDIT

In this episode, James P. Kiley, Ph.D., NHLBI Division of Lung Diseases Director, will discuss the background behind the updated asthma guidelines, outlining the key topic areas covered, the rigorous process used to update the recommendations, and the new features designed to help clinicians implement them in practice.


FAQ for Best Practices: Geriatric Update

As the proportion of older adults increases, providing up to date and quality care to them is of great importance to general internists, who provide the bulk of their primary care. Update in Geriatrics will review important advances in the clinical care of older adults published recently. Topics will include advances in the diagnosis and management of geriatric syndromes, management of multi-morbidity, and systems of care. Chronic disease treatment trials focused on older adults or with a significant proportion of older adults will also be included. The strength of the evidence will be discussed as well as potential impact the work could have on current clinical practice and education. Articles selection criteria will emphasize high quality studies that may be immediately applicable in practice. Guest: Lee A. Lindquist, MD, MPH, MBA

As the proportion of older adults increases, providing up to date and quality care to them is of great importance to general internists, who provide the bulk of their primary care. Update in Geriatrics will review important advances in the clinical care of older adults published recently. Topics will include advances in the diagnosis and management of geriatric syndromes, management of multi-morbidity, and systems of care. Chronic disease treatment trials focused on older adults or with a significant proportion of older adults will also be included. The strength of the evidence will be discussed as well as potential impact the work could have on current clinical practice and education. Articles selection criteria will emphasize high quality studies that may be immediately applicable in practice.


0.25 CME CREDIT

In this episode, Michelle M. Cloutier, M.D., chair of the National Asthma Education and Prevention Program Coordinating Committee (NAEPPCC) Expert Panel Working Group and professor emerita of UCONN School of Medicine, will provide highlights from the updated recommendations to the national asthma guidelines that are most relevant to primary care providers and share how clinicians can turn the new information into practice. Understanding the 2020 Focused Updates to the Asthma Management Guidelines is a two-part podcast series informing clinicians about the updated asthma guidance, highlighting important changes to the recommendations, and discussing how these changes can improve diagnosis, treatment, and management of patients with asthma.