Sleep benefits memory in a myriad of ways. Most simply, it stabilizes recent memories and enhances recently practiced skills. In this session, Dr. Robert Stickgold will describe how the brain changes across sleep cycles, why certain memories are retained after sleep, and how dreaming works. Faculty will take a look at the interplay of dreams on memory processing and formation. Join us for this unique session that can assist you in understanding both your own sleep and the importance of sleep for your patients. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on 12/03/2020, and they are subject to change as new information is published.
This program addresses the challenges of diagnosing and treating primary headache disorders in the time of COVID-19, including factors like social distancing and maintaining patient adherence. The discussion will feature a patient with chronic migraine, along with two medical experts–a headache specialist and a primary care physician– who will differentiate between migraine and cluster headache based on burden and presentation. A particular focus will be on individualizing treatment paradigms for patients with migraine disorders. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on [September 12, 2020], and they are subject to change as new information is published.
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.
Memory loss is a common complaint across the age spectrum. This presentation will give a practical and cost-effective approach to assessing memory loss in the primary care setting.
This patient case follows the course of a young woman who presents with a complaint of recurrent “sinus” headaches. You will review the proper diagnosis of migraine and, through a series of encounters with the patient, learn to individualize management of episodic migraine, including the use of acute pharmacologic treatment options. Please note that any data, indications, and guidelines presented in this activity are current as of the posting on 6/18/2020 and they are subject to change as new information is published.
Syncope is defined as a transient loss of consciousness due to cerebral hypoperfusion with spontaneous return to baseline function without intervention. It is a common chief complaint of patients presenting to the emergency department. The differential diagnosis for syncope is broad, and the management varies significantly depending on the underlying etiology. A thorough history and certain physical exam findings can assist in evaluating for life-threatening diagnoses. Risk-stratifying patients into low, moderate, and high-risk groups can assist in medical decision-making and help determine the patient’s disposition. Advancements in ambulatory monitoring have made it possible to obtain prolonged cardiac evaluations of patients in the outpatient setting. This talk will focus on the diagnosis and management of the various types of syncope.
Under the impetus of the Human Genome Project, a rapidly growing number of genes and mutations are becoming targets for molecular testing in patients and whole populations affected with or at risk for genetic disorders. The rapid pace of gene discovery—and the ease with which modern molecular biologic technology enables translation of these findings into clinical tests and potential gene-targeted therapies—has placed unprecedented demands on both the clinical laboratory and the clinicians who must decide if and when a particular test is appropriate and informative. Given the relatively small size of the specialty of medical genetics and the small number of trained genetic counselors in the country, much of this test ordering and interpretive burden must fall on primary care clinicians. The situation becomes even more acute and complex as we move into the era of genome-level DNA sequencing and direct-to-consumer genetic testing, with all that it can reveal about the patient’s present and future risk factors. This presentation will provide a contemporary overview of the current state of this field, with consideration of which applications can be handled adequately in primary care and which would benefit from referral to a medical genetics center. In addition, the many thorny ethical dilemmas raised by this powerful technology will be discussed.
"Wow, I Am Glad I Knew That!" a Review of Recent Practice-Changing Clinical Guidelines and Evidence (Recorded at Pri-Med East)
The amount of information available in the form of clinical trials and cohort studies is overwhelming, especially for primary care clinicians. Moreover, practice guidelines do not always reflect what is feasible or even best practice in specific clinical settings. This session will highlight some of the strongest research and guidelines that may alter clinical practice, with a focus on literature published in the past year. Every participant should take away several practical points that help them provide better patient care. The session will have an interactive component, which will allow for different perspectives and collective wisdom to make the best use of current evidence.
Take part in this interactive video-based activity that has been engineered to support your learning! Join neurology and primary care experts as they discuss the diagnosis of migraine and its acute management through a combination of video, quiz-questions, pop-up teaching points, and downloadable resources. Faculty will describe newer classes of acute treatment that have recently been approved for migraine, reviewing their indications, and comparing them with older treatment options. Through this activity, you will have access to a robust resource library, including slides, abstracts, and practice tools selected by the faculty, and which can be downloaded for future reference.
Watch this virtual patient case study involving sequential telemedicine encounters between noted neurologist, Dr. Rashmi Halker Singh, and a young woman with 10 years of migraine whose attacks have recently worsened. Through the telemedicine encounters, Dr. Halker Singh provides practical tips about assessment and individualized treatment, including pharmacologic therapy and patient self-management strategies to optimize chronic migraine management.
Guest: Alan Ehrlich, MD, FAAFPMusic Credit: Richard Onorato
There are various treatment options for patients with acute sciatica. Choosing the best option should be tailored to the specific needs of the patient, and when possible, include early recommendation for physical therapy (PT). In this episode we review research on use of PT for treatment of sciatica and discuss how you can incorporate PT recommendations into patient care.
Join sleep specialist Dr. Alon Avidan for this podcast as he reviews the pathophysiology, diagnosis and treatment of insomnia. He will use a specific patient case to discuss how insomnia often presents in the primary care setting and evolves over time. He will highlight the best diagnostic tools and explain how in addition to pharmacologic treatments, cognitive and behavioral therapy can be used for treatment of insomnia.