Pri-Med's new weekly CME/CE web series, Primary Care Pulse, features live conversations about timely topics and concerns facing primary care clinicians.

Join expert faculty from the Baylor College of Medicine at PrimaryCareNOW: A Pri-Med Virtual Conference. Earn up to 13 CME/CE credits in two days.

PrimaryCareNOW: A Pri-Med Virtual Conference. Earn up to 19.50 CME/CE credits in three days.

Mobility disorders are a menace of old age, often resulting in falls, injuries, and especially hip fractures -- the sixth leading cause of death in the elderly. Primary care physicians have difficulties in both detecting and correctly identifying these abnormalities. In a paper published in the Journal of the American Geriatrics Society in 2004 [52(9):1527-31], the authors concluded that "community physicians appear to underdetect falls and gait disorders, leading to a paucity of recommendations and treatments." Hence the need to revisit the most common gait abnormalities. This multimedia presentation will provide a panorama of bipedalism, from its origin six million years ago in the savannahs of East Africa, to its rise as the unique trait of our species, and eventually to its status as a major cause of disability once full bipedalism is lost. The talk will review the physiology of ambulation and the prevalence of gait disorders in the population. In addition to detailed information on psychogenic and antalgic gaits, participants will learn about the seven major gait abnormalities. Whenever possible, the speaker will enliven the delivery by reviewing "famous patients," or vignettes of historical figures and celebrities who suffered the disorder.

Now that the capabilities of medicine provide increasingly complex care and technology to keep patients alive in health states they might not desire, the clinician is responsible for anticipating future care needs and guiding treatments as patients become more ill and less functional. Advance care planning is an essential tool in the primary care practitioner’s armamentarium, and this skill set must be honed to ensure that patients receive care consistent with their informed preferences and appropriate to their prognosis. Clinicians must feel comfortable introducing advance care planning, carrying out serial discussions with patients about prognosis, using appropriate tools and practice structures, and coordinating care among the team of clinicians caring for their patients across care venues. Sometimes the process requires setting limits and addressing maladaptive coping. Building strong relationships with patients and families and a consistent focus on goals of care is key to high quality treatment for the complex patient and achieving optimal end of life care.

This activity is designed to improve PCPs understanding of leadership in order to help them apply this to their practice.

Falls are a major cause of morbidity and serious health issues in older adults that can have devastating outcomes. Using real-world cases and audience participation, this lecture will discuss a hands-on approach to identifying fall risks, preventing falls, assessing patients post-fall, and treating older adults. Office-based balance and gait assessments that can be conducted in small spaces will be demonstrated. Evidence will be presented about updated recommendations on fall treatments, including simple recommendations to multi-level interventions that improve the care of older adults. Advice on selecting the right durable medical equipment (e.g., canes, walkers, rollators, wheelchairs, and scooters) and measuring for the correct size equipment will be provided. Very few people outlive their canes so many older adult patients use hand-me-downs, resulting in poor posture, gait instability, and additional falls. After attending this lecture, you will understand how to best care for your older adult patients who are prone to fall. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 8, 2020, and they are subject to change as new information is published.

This interactive session will review common questions that come up in primary care through a wheel game format. Faculty will cover a variety of topics including obstructive sleep apnea, thyroid disease, LGBTQ health, dizziness, adolescent health, as well as current hot topics in medicine. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on 2/8/2020, and they are subject to change as new information is published.

Microaggressions are everyday occurrences that impact an individual’s sense of well-being. They occur because of implicit bias and can have an effect on our relationships with our patients, colleagues, and on our own sense of well-being. Repetitive exposure can also have an impact on the individual. The faculty will use examples to discuss the concept of microaggression, including definitions and terminology. From this talk, you will receive strategies for managing occurrences in the moment and frameworks for recognizing and reducing implicit bias.

In this inspirational talk, Travis Mills will offer his perspective on overcoming trauma as a U.S. Army Veteran and quadriplegic. He will provide a unique voice on PTSD and trauma in order to help clinicians better understand the experience of a patient and improve their own interactions with patients who have experienced trauma. With a lens towards resiliency, Travis will highlight effective communication skills and will provide clinicians with tools and resources to help patients who have undergone trauma navigate their new normal and receive better care. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on 2/8/2020 and they are subject to change as new information is published.

Research consistently shows that sexual satisfaction is a critical component of relationship and life satisfaction. Yet sexual dysfunctions are common, and they impact relationships, self-esteem, and quality of life. Clinicians often feel inadequately trained to address these issues. In this talk, faculty will present on several key topics regarding sexuality and sexual dysfunction: approaches to discussing sexual issues with patients, common sexual problems for men and women, treatment of sexual dysfunction, and indicators for specialist referral. The faculty will also review the changing socio-sexual climate today and how these trends may impact the lives of your patients. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 8, 2020, and they are subject to change as new information is published.

After this session, you will be able to assess risk of medical errors and prevent them in your medical practices. Please note that any data, indications, and guidelines presented in this activity are current as of the recording/release on February 8, 2020, and they are subject to change as new information is published. This online activity is approved by the Florida Board of Nursing for APRNs, 1 hour on Medical Errors (approved as of 2/10/20). This activity meets the criteria of the Florida Board of Medicine; approval is not required. CE Broker Provider #50-27480, Activity #20-766570