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In this episode we discuss how periodontal disease worsens A1C and other clinical outcomes in T2DM.

Screening recommendations issued by the USPSTF in the past year will be summarized and reviewed. The most significant and controversial topics will be prioritized. Within the past year, the USPSTF has issued screening recommendation statements on the following topics: cervical, prostate, and ovarian cancer; osteoporosis; CVD; atrial fibrillation; syphilis among pregnant women; adolescent idiopathic scoliosis; and vision problems among young children.

This talk will review relevant approaches to the diagnosis and management of thyroid nodules in the outpatient setting.

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.

Fatigue is a very common presenting symptom in primary care but a small subset of patients with chronic fatigue syndrome have persistent fatigue accompanied by multisystem complaints of unrefreshed sleep, post-exertional malaise, orthostatic symptoms, and cognitive impairment. Those with widespread pain and tenderness fit an alternative diagnosis of fibromyalgia. Both are severely debilitating illnesses of uncertain cause. This lecture discusses the evolving concepts regarding CFS and its relationship to FM. Diagnosis and treatment are discussed.

This presentation will hone in on the practical overlap between psychiatry and medicine in diagnosis and treatment. The speaker will cover (1) the interview, establishing rapport, and the efficient use of time; (2) major areas of psychiatric dysfunction and how they interact with other aspects of health; (3) differential diagnosis of anxiety, psychosis, depression, mood instability, and cognitive problems; (4) behavioral risk, especially suicide; and (5) pharmacological and nonpharmacological treatments.

This episode is a discussion of the recent summary and recommendations of an expert panel that conducted a systemic review on the published perimenopausal literature to identify, characterize and treat women in this population.


A recently-published study looked at the association between a perceived life purpose (using modified Ryff and Keyes Scales of Psychological Wellbeing) and mortality in individuals participating in the Health and Retirement Study (HRS). The results seem to indicate that a strong sense of purpose to one’s life is associated with decreased mortality. Join us as we discuss the implications of this study and how to apply it in practice to improve your patients’ health and wellbeing as well as your own.