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This talk will focus on several pulmonary topics that often arise in the primary care setting. I have chosen these topics based on scenarios that are common and confusing. For instance, I will review my approach to patients who come to clinic with a diagnosis of asthma for whom the clinical suspicion is low including spirometry and methacholine challenge interpretation. Next, we will review the evidence for using long term oxygen therapy in respiratory patients including the various oxygen delivery systems. I will also cover the approach to chronic cough when the typical therapies have failed to improve symptoms. I will finish with the current evidence and approach to lung cancer screening. If time remains we will answers additional questions from the audience.

Failure to prescribe anticoagulation to prevent stroke in high-risk atrial fibrillation (AF) patients is a persistent and pervasive problem. Despite a multitude of evidence-based clinical practice guidelines, and five effective oral anticoagulants for stroke prevention, at least 30% of these patients remain unprotected. This talk will focus on understanding the root causes of the failure to prevent stroke crisis. The role of antithrombotic therapy, in particular direct oral anticoagulants, will be reviewed. Strategies for implementation of best practices for stoke prevention in AF will be highlighted.

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

Recently, there has been a deluge of research and news surrounding e-cigarettes and vaping – particularly regarding adolescent usage. Join us as we discuss a recent study describing the prevalence of cannabis use in e-Cigarettes and some strategies for addressing this in your practice.


During this podcast, Dr. Diana Isaacs will give an in-depth review of the currently available pharmacologic options for the treatment of severe hypoglycemia. She will explain their differences and highlight shared decision-making strategies clinicians can employ during patient encounters to select therapies for the treatment of severe hypoglycemia. Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 05/08/2020 and they are subject to change as new information is published.


Clinical practice guidelines from the American College of Obstetrics and Gynecology and the United States Preventive Services Task Force recommend against routine Pap smears and bimanual exams in adolescents. This recommendation includes those planning on starting oral contraceptives or with possible sexually transmitted diseases. A recent study found nearly half of all such exams in this age group lack indications. While the evidence indicates a new direction, clinicians have been slow to change their practice. Join us as we discuss the reasons for these guidelines and review appropriate indications for these exams.


Listen to this Q&A session about special topics on COVID-19 infection, including COVID in pregnancy and pediatric patients