| | Insomnia | | | Insomnia: New Directions in Evaluation and Treatment
Overview
Despite a high prevalence in the United States, insomnia remains underdiagnosed and undertreated. Extensive research has identified several factors that contribute to the inadequate treatment of insomnia, including the failure of patients to report insomnia to clinicians and clinician misperceptions about the risks associated with hypnotic medications. This program will address effective strategies for diagnosing and treating patients with insomnia.
Objectives
Identify risk factors, determine appropriate screening tools, and accurately diagnose insomnia
Evaluate current and emerging nonpharmacologic and pharmacologic therapies for acute and chronic insomnia on the basis of efficacy and safety and apply this knowledge/skill with patients
Faculty
Joseph A. Lieberman III, MD, MPH
Associate Editor, Delaware Medical Journal
Professor of Family Medicine, Jefferson Medical College
Philadelphia, PA
Thomas Neylan, MD
| | | Thyroid | | | The Highs and Lows of Thyroid Disorders
Overview
Thyroid disorders are frequently underdiagnosed and undertreated due to their nonspecific symptoms and gradual onset. By understanding how to diagnose and treat patients with thyroid disorders, Primary Care Clinicians can accurately identify and manage patients that might otherwise go untreated. This program will discuss the diagnostic and therapeutic modalities associated with hyperthyroidism, hypothyroidism and thyroid nodules.
Objectives
Identify current diagnostic and treatment modalities for hypo- and hyperthyroid disorders
Define approaches for the management of thyroid nodules
Faculty
Ellen Miller, MD
Clinical Associate Professor of Medicine, Albert Einstein College of Medicine
Bronx, NY
Vice President of Academic Affairs, Southside Hospital
Bayshore, NY
| | | Diabetes | | | Running a Winning Campaign Against Type 2 Diabetes: Evidence Based Therapeutic Decisions on Glycemic Control and Cardiovascular Risk
Overview
More than 20 million people are affected by diabetes and of this population nearly 65% will suffer early cardiovascular death. To effectively treat diabetes and reduce the risk of a cardiovascular event, glucose levels must be monitored and quickly controlled through changes in intervention, as outlined by the ADA/EASD treatment algorithm. Recent data provided by the National Health and Nutrition Examination Surveys (NHANES) revealed that there is some overall improvement in reaching the appropriate treatment standards, however, with the number of diabetes cases increasing by 1.5 million each year and the recent labeling changes affecting therapeutic options, it is more important than ever to be familiar with the pharmacologic treatment options for type 2 diabetes and the associated cardiovascular risk.
Objectives
Identify the current goals for A1C, blood pressure, and lipid levels set forth by the American Diabetes Association and apply them to the treatment strategies listed on the ADA/EASD algorithm in an effort to choose the best therapeutic option for each individual patient
Assess when patients with type 2 diabetes require cardiovascular risk reduction in addition to glycemic control and develop evidence-based approaches to treatment based on the ADA/EASD algorithm by reviewing adverse events
Faculty
Richard Pratley, MD
Professor of Medicine
Director, Diabetes and Metabolism
Translational Medicine Unit
University of Vermont College of Medicine
Burlington, VT
Thomas A. Buchanan, MD
Professor Chief, Division of Endocrinology
Program Director, General Clinical Research Center Keck School of Medicine *
University of Southern California
Los Angeles, CA
| | | Chronic Constipation | | | Up-to-the-Second Advances in the Primary Care Management of Chronic Constipation and Other Functional Bowel Disorders
Overview
Chronic Constipation is a multi-symptom gastrointestinal motility disorder that negatively impacts the lives of approximately 33 million Americans. Due to the overlap in symptoms reported by patients with irritable bowel syndrome-constipation and chronic constipation, clinicians often find it challenging to differentiate between the two. With a changing landscape of therapeutic options available, it is imperative that clinicians be able to establish and accurate diagnosis so the proper foundation is provided for determining initial therapy and developing a treatment plan.
Objectives
Differentiate chronic constipation from other functional bowel disorders
Identify the therapies that can be used to treat chronic constipation and other functional bowel disorders
Faculty
David A. Peura, MD
Professor of Medicine
University of Virginia Health Sciences Center
Charlottesville, VA
| | | Dyslipidemia | | | The Moving LDL Target: Getting Your Patients to Goal
Overview
The current use of lipid lowering therapy in clinical practice has fallen short of the recommendations of national guidelines. Clearly, not an easy venture when treating patients with dyslipidemia, many with multiple risk factors and many with resulting coronary events that may be preventable if patients were treated aggressively to meet the NCEP-ATP lll goals. This presentation will address the clinical challenges of goal attainment (lack of compliance, aggressive treatment by clinicians, not leaving patients 15 points from goals), and provide clinicians with the pathways and knowledge to help attain their patients to goal.
Objectives
Describe at least two challenges in treating dyslipidemia to NCEP-ATP III goals, implement strategies that will help to assess CHD risk accurately, and get patients to targeted goals
Identify patients at increased risk for cardiovascular events and develop a treatment plan with at least 2 lipid lowering strategies, including the use of multiple therapies, which will help these patients achieve guideline-based targets taking into consideration current lifestyle and pharmacologic treatment options available thus reducing overall cardiovascular risk
Faculty
Benjamin J. Ansell, MD
Director, UCLA Center for Primary Care-Based Cardiovascular Disease Prevention
Associate Professor of Internal Medicine
University of California, Los Angeles (UCLA) School of Medicine
Los Angeles, CA
Daniel E. Diamond, MD, FAAFP
Assistant Clinical Professor, Department of Family Medicine
University of Washington School of Medicine
Seattle, WA
| | | Menopause | | | A Case-Based Approach to Managing Symptomatic Menopausal Patients in Primary Care
Overview
Symptomatic treatment for menopausal women balances findings from clinical trials, guidelines, practice recommendations, and patient beliefs. Together clinicians will evaluate data and recommend initial treatment and follow up to meet a patient's needs for symptom management.
Objectives
Proactively assess and address menopausal issues with appropriate patients using clinician and patient education resources to improve communication and management of menopausal issues
Consistently apply with confidence the best evidence and up-to-date expert consensus recommendations to the clinical care and peri and menopausal patient
Faculty
Michael Policar, MD
Associate Professor of Obstetrics and Gynecology
UCSF School of Medicine
San Francisco, CA
| | | Rheumatoid Arthritis | | | The Triangle of Treatment: Taking a Team Approach to Managing Rheumatoid Arthritis
Overview
Rheumatoid arthritis (RA) is a complex immunologic and chronic inflammatory disease that affects more than 2 million people in the United States. Characterized by inflammation of the joints, periarticular bone resorption and cartilage destruction, RA is also an inherently aggressive, systemic disease that leaves patients vulnerable to comorbidities such as cardiovascular disease, osteoporosis, lymphoma, infection, and stroke. While primary care clinicians may not directly treat the disease long term, they are the first to come in contact with potential RA patients. Therefore it is important for all clinicians to be aware of the necessary steps in RA diagnostic and treatment modalities.
Objectives
Identify 3 early warning signs of rheumatoid arthritis (RA)
Describe current and evolving treatment options for RA, and be alert to monitoring and side effects related to these therapies
Faculty
Kathryn F. Hobbs, MD
Associate Clinical Professor of Medicine
Department of Internal Medicine
University of Colorado Denver Medical School
Denver, CO
Marc D. Cohen, MD
Professor of Medicine
Chief of Rheumatology
National Jewish Medical and Research Center
Denver, CO
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