In this activity, learners will receive an overview of an ambulatory approach to the evaluation and medical management of urinary incontinence through identifying the steps involved in performing a basic evaluation of a patient with (UI). The speaker will discuss and provide strategies for treatment and explain how treatment can be optimized for each individual patient.

The speaker will discuss insights from behavioral science and answer important questions about unnecessary antibiotic prescribing and successful behavioral interventions that have nearly eliminated inappropriate prescribing. Attendees will learn how to implement changes that will decrease inappropriate antibiotic prescribing while maintaining clinic efficiency and patient satisfaction.

This talk will emphasize new guidelines for cardiovascular disease prevention, highlighting the big three risk factors: hypertension, hyperlipidemia, and diabetes. The talk will also discuss controversies and commonalities, and offer practical tips for implementing the guidelines.

This talk will review the impact of cannabis use and legalization of it in clinical practice.

This case-based lecture will provide the active clinician with strategies, updates, and specific practice recommendations in clinical infectious diseases. Prevention and treatment of Infectious Diseases in the ambulatory setting will be emphasized, with coverage of advances in antimicrobial therapy and immunization. Special attention will be given to the responsible use of antibiotics to reduce the risk of both toxicity and antimicrobial resistance.

This talk will review data on the current diagnosis and management of acute coronary syndromes (ACS). Participants will learn about the scope of the clinical problem, the pathophysiology of ACS, and diagnostic strategies and cardiac markers as well as receive updates on clinical trials data, guideline recommendations, and management strategies. In particular, the speaker will focus on acute management and Class I recommended long-term therapies in the current guidelines that reduce the risk of recurrent events and mortality.

The faculty will provide an overview and update of irritable bowel syndrome (IBS), including the new Rome IV diagnostic criteria, pathophysiology and pharmacologic and non-pharmacologic treatment approaches. The lecture will review the new Rome multidimensional clinical disease profiles (MDCP), which helps to characterize the unique profile of a FGID patient with a classification of diagnosis, clinical modifiers, psychological symptoms, quality of life, and biomarkers that help to guide treatment.

Our patients are aging before our very eyes. A 72-year-old patient who used to come bounding down the hallway, is now, fifteen years later, using a walker and taking ten minutes to enter the exam room. We are facing questions from concerned adult children about whether their parents -- your patients -- are safe living, driving, or managing finances alone. Participants will review the factors that impact aging-in-place, learn about office-based tests evaluating a senior’s independence, receive information regarding available support resources, and gain insights on navigating transitions to long-term communities. The lecture will also discuss the options in long-term care living and innovative alternatives in the long-term care field.

This is a clinical bedside approach to treating the patient with multiple aches and pains based on the target of inflammation in the joint and the distribution of affected joints. Using this approach, we can sort out non-inflammatory arthritis as represented by osteoarthritis from inflammatory synovitis (rheumatoid arthritis), inflammatory enthesitis (ankylosing spondylitis, psoriatic arthritis), and non-inflammatory rheumatic conditions like fibromyalgia. The use of X-rays, ultrasound, and MRI, and common laboratory studies like ESR, CRP, rheumatoid factor, anti-CCP, and ANA will be discussed.

Medical group visits are moving into the mainstream in primary care. They are very popular in the care of prenatal patients, diabetes, and those with chronic health conditions. Participants in this session will learn about different types of group visits and receive insights on overcoming patient confidentiality concerns.

Providers are under increasing pressure to ensure safe and effective prescribing of chronic opiates in light of the opiate epidemic. When a provider needs to taper a dose or wean a patient off chronic opiates, providers may have a lack of knowledge and comfort on how to do so while minimizing symptoms to the patient. This talk will review the signs and symptoms of withdrawal, who is at risk of withdrawal and medications providers can use to minimize withdrawal symptoms. Participants will also walk away with practical rules and guidelines on how to wean patients off chronic opiates or taper to a lower dose. Finally, the talk will review options for transitioning patients to addiction treatment. Participants will get to practice what they learn through several interactive cases.

This talk will highlight common infectious disease issues seen in the primary care clinic. Topics will include diagnosis and management of community-acquired pneumonia, acute bronchitis, rhinosinusitis, and urinary tract infections. The focus will be on practical approaches for management of these conditions with an emphasis on medical decision-making and rational antibiotic selection.