| | PAD | | | Prevent the Event: Early Detection and Management of the PAD Patient
Overview PAD is frequently unrecognized and many patients at risk are currently not identified and treated. Current estimates are that 8-12 million Americans have PAD, with the highest incidence among those over 70 years of age, regardless of health status, and people over 50 years of age with diabetes mellitus.
This lecture will overview the tremendous risk associated with PAD, discuss the major risk factors for developing PAD, and highlight the role of primary care in detecting and diagnosing the condition through increased use of ABI screening. Current therapies will be discussed including symptom improvement and prevention of future CV events with an emphasis on patient compliance issues.
Objectives Identify the risk factors for those patients most at risk for PAD and therefore should be screened utilizing ABI
Name the 2 goals of management of PAD
Faculty Stanley G. Rockson, MD, FACC Chief of Consultative Cardiology Professor of Medicine, Stanford University School of Medicine Stanford, CA
David S. Kountz, MD, FACP Associate Professor of Medicine Robert Wood Johnson Medical School New Brunswick, NJ
| | | Insomnia | | | Managing Insomnia in Primary Care: Understanding Current and Developing Pharmacological and Nonpharmacological Therapies
Overview Insomnia, defined as complaints of disturbed sleep in the presence of adequate opportunity and circumstance for sleep, is the most common adult sleep pathology. Besides cognition, other pathologic processes have been deleteriously associated with insomnia, including cardiovascular morbidity and glycemic control. The latest evidence about sleep pathology will be presented, including spectral analysis that indicates sleep patterns, including slow wave sleep, are important, rather than just total sleep time. Nonpharmacologic approaches, as well as current and developing pharmacotherapies used to address these sleep pathologies will be described.
Objectives Identify the underlying causes and comorbid conditions of insomnia for increased confidence in treatment
Assess the current and developing nonpharmacologic and pharmacologic approaches to the management of primary and co- morbid insomnia
Faculty David Neubauer, MD Associate Professor Department of Psychiatry Johns Hopkins University School of Medicine Associate Director Johns Hopkins Sleep Disorders Center Baltimore, MD
Paul P. Doghramji, MD, FAAFP Family Physician Collegeville Family Practice Medical Director of Health Services, Ursinus College Collegeville, PA
| | | Adult Vaccines | | | Adult Immunizations: Overcoming Obstacles in Primary Care
Overview Despite the great advances in medical care represented by adult immunization, the challenges continue to be numerous and varied. This activity will explore the barriers, clarify the "myths," and provide the most updated information on adult vaccines to increase immunization rates.
Objectives Identify the Advisory Committee on Immunization Practices (ACIP) recommended adult vaccines and the recommended immunization schedules for each ACIP recommended adult vaccine
Increase knowledge and confidence regarding safety, risks, benefits, and side effects of adult immunizations and create a strategy to increase patient immunization rates, including the use of a health maintenance form or other tool for immunization review
Faculty Sharon G. Humiston, MD, MPH Associate Professor of Emergency Medicine and Pediatrics University of Rochester Medical Center Rochester, NY
| | | Migraine | | | Diagnosis and Effective Treatment of Migraine to Limit Allodynia and Progression to Chronic Headache
Overview This educational activity will describe and reinforce tools that enable clinicians to efficiently recognize and diagnose migraine that may have been previously undiagnosed and untreated, or who may have lapsed from treatment, and to communicate realistic treatment goals to reach the goal of improved patient outcomes.
Objectives Identify the symptoms and patterns of headache for accurate assessment of migraine, including associated risks for progression to chronic migraine, and utilize simple screening tools to overcome diagnostic challenges
Create a migraine management strategy tailored to individual patient needs that incorporates a stratified approach to pharmacological and nonpharmacological therapies and communication of realistic treatment goals to help improve patient outcomes
Faculty Frederick R. Taylor, MD, FAHS Adjunct Professor of Neurology University of Minnesota School of Medicine Director, Park Nicollet Headache Clinic and Research Center Minneapolis, MN
M. Susan Burke, MD, FACP Clinical Assistant Professor of Medicine Thomas Jefferson University Philadelphia, PA Director, Internal Medicine Clinical Care Center Lankenau Hospital Wynnewood, PA
| | | Pain Management | | | Management of Patients with Refractory Chronic Low Back Pain in the Primary Care Setting
Overview Patients with refractory chronic low back pain represent a clinical challenge to primary care practitioners. Worsening persistent pain, an array of comorbid conditions, and loss of function coupled with a lack of evidence for treatment can create a clinical conundrum. Learn how to improve the longitudinal management of patients presenting to your practice with this ubiquitous and demanding condition.
Objectives Select validated tools for use in comprehensive assessment and risk-stratification of patients with refractory chronic low back pain treated with opioids
Devise a treatment plan specific to the needs of chronic low back pain patients that demonstrate an understanding of recommended guidelines published jointly by the ACP/APS
Faculty Penny Tenzer, MD Associate Professor Vice Chair and Director, Residency Program Department of Family Medicine & Community Health Chief of Service for Family Medicine, University of Miami Hospital University of Miami Miller School of Medicine Miami, FL
Gerald M. Sacks, MD Director of Pain Management Saint John's Health Center Santa Monica, CA
| | | Gout | | | Front-line Management of Gout: A Step-by-Step Guide to Best Practice
Overview This program will address the key "must-know" points in gout management. The provision of case-based presentations will provide primary care clinicians with a clear step-by-step comprehension of how to manage gout and establish effective, supportive patient interaction to optimize life-long adherence to life-style and therapeutic regimens. There will be opportunities to interact with the faculty and obtain their expert opinions on clinical issues faced in managing patients with gout.
Objectives Identify that the long-term goal of gout treatment is to reduce serum urate to <6.0 mg/dL and to define the key steps in selecting and individualizing urate lowering therapy according to the disease stage; together with recognizing the importance of monitoring serum urate levels
Educate patients that an important factor in successful management includes their long-term commitment to adherence with the recommended life-style and drug interventions
Faculty D. Wayne Bell, MD Family Practitioner Bowling Green Family Care Center Medical Director, Diabetes Day Care Center Wood County Hospital Bowling Green, OH
Kenneth G. Saag, MD, MSc Jane Knight Lowe Professor of Medicine Division of Clinical Immunology and Rheumatology University of Alabama at Birmingham School of Medicine Professor of Epidemiology University of Alabama at Birmingham School of Public Health Birmingham, Alabama
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