For centuries, society has avoided addressing violence among family members. As medical caregivers, we must remember that the definition of violence includes not only actual injuries, but also the consequences of the threat of violence. Battery is the single most common cause of injuries to women. Annually in the U.S., between 2-4 million women experience severe assault. The actual incidence of battery is difficult to determine. Misconception is a huge barrier in recognizing domestic violence; some might believe that violence does not occur in relationships that appear normal, that battered women are responsible for their own abuse, or that domestic violence is a private matter. Domestic violence is a pattern of behavior, marked by many recurrences. Interventions are more effective when the violence is identified early. Many times, there is a long history of emotional and sexual abuse prior to the recognition of inflicted injuries. Although this presentation is from the medical perspective, the concepts are pertinent to all persons working with women and families. This online activity is approved by the Florida Board of Nursing for APRNs, for 1 hour on Domestic Violence (approved as of 2/11/20). This activity meets the criteria of the Florida Board of Medicine; approval is not required. CE Broker Provider #50-27480, Activity #20-688615

Infectious diseases cause some of the more common problems seen in the ambulatory setting and are the most common reasons for prescribing antibiotics. However, choosing appropriate therapy for these disorders can frequently be difficult due to patient demands, practitioner unfamiliarity with appropriate indications for antibiotics, local microbial resistance patterns, and formulary restrictions. The purpose of this talk is to discuss some of the more common infectious diseases seen in outpatient clinics and identify which ones require antibiotic therapy. The speaker will discuss some of the more commonly available antibiotic agents, how to prescribe them appropriately, and some of the problems associated with their use. Participants will also learn about concepts of antibiotic stewardship.

This talk will review the diagnosis and treatment of C. difficile. The speaker will focus on treating severe and recurrent infections and updating participants on new guidelines for the management of C. difficile associated diarrhea.

Patients often present with regional pain in a joint like the wrist, or a region such as the elbow and forearm. Others may present with a generalized polyarthritis affecting many joints. This session presents a clinical history and physical findings of three patients and discusses appropriate evaluation and management of these common disorders.

This talk will focus on the ambulatory management of asthma in the adult. We will review the concept of asthma control (as opposed to severity) and how it is assessed. A systematic approach to achieving good asthma control, as developed by the National Asthma Education and Prevention Program, will be reviewed. In addition, we will consider novel therapeutic approaches that have been studied since the release of the last set of guidelines in 2007, including intermittent inhaled steroids in mild asthma, anticholinergic bronchodilators, bronchial thermoplasty, and anti-IL5 monoclonal antibody.

In this session, Dr. Chopra, a world-renowned hepatologist, thinker, inspirational speaker, and best-selling author, will discuss the health benefits of coffee, the development of liver disease, and how to live a fulfilled life filled with happiness.

Using a live model, we will demonstrate a comprehensive examination of the ankle, paying particular attention to specific findings related to common problems encountered by the clinician.

This talk will cover indications for anticoagulation in atrial fibrillation, matters of bridging, and anticoagulant choice based on pharmacology and availability of anticoagulation reversal.

One in ten people will have a seizure in their lifetime, and the majority occur in childhood. This talk will focus on common epilepsy syndromes, as well as episodic behaviors or movements, and how to distinguish between seizures, convulsive syncope, migraines, movement disorders, and other stereotyped behaviors.

There is a well-recognized need to improve communication about end of life care between medical providers and patients. Advance care planning involves clarifying patients’ illness understanding and understanding their values, beliefs, and goals of care to ensure care at the end of life honors these goals. Unfortunately, simply increasing completion rate of advance directives does not impact care at the end of life. Strategies for successful advance care planning in primary care clinic will be discussed in this talk. Specifically, the talk will outline a framework for discussing care planning for healthy, chronically ill, and terminally ill patients.

The talk will focus on tobacco cessation as a priority for health care providers. It will review five basic ways to get tobacco users to quit, including tobacco cessation treatment. The speaker will discuss the principles of tobacco cessation, and a streamlined approach that emphasizes the use of telephone-based tobacco cessation counseling known as "quitlines." It touches on other resources for cessation. Learners will receive an overview of the major types of pharmacotherapy and how to prescribe them for patients. However, providers will be reminded that pharmacotherapy is not recommended for certain special populations. The speaker will also touch on other forms of tobacco products that providers should be aware of, including electronic nicotine delivery devices (e-cigarettes or vaping products) and hookah.

Get your questions answered by Dr. Richard Hamill, a faculty expert in Infectious Disease. You ask: we listen. You will learn practical solutions to common clinical challenges and tips to apply the latest knowledge in practice.