Primary Care Internal Medicine: Principles and Practice


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Primary Care Internal Medicine: Principles and Practice

  1. 1. Cambridge Center Marriott Cambridge, Massachusetts OCTOBER14-18,2013 PRIMARY CARE INTERNAL MEDICINE JOHN D. GOODSON, MD Course Director Massachusetts General Hospital OFFERED BY THE DEPARTMENTS OF MEDICINE AT THE DEPARTMENT OF FAMILY MEDICINE AT Cambridge Health Alliance Massachusetts General Hospital Beth Israel Deaconess Medical Center Cambridge Health Alliance Mount Auburn Hospital Up-to-Date InformatIon for ClInICal praCtICe Principles and Practice HARVARD MEDICAL SCHOOL Department of Continuing Education Earn up to 43 AMA PRA Category 1 Credits™
  2. 2. The practice of primary care is diverse and stimulating with endless opportunities to learn and grow. Primary care internal medicine is the most intellectually rigorous and challenging of the medical specialties. New research and information about emerging treatments challenge clinicians to stay current and up-to-date. This course is designed by primary care clinicians. The lectures, workshops and clinical mentoring sessions provide valuable content at the right pace. Our faculty presents with clarity and focus that optimizes the transfer of new knowledge for the care of your patients. WE USE MULTIPLE EDUCATIONAL FORMATS ➤ Lectures address key aspects of your practice. ➤ Case-based workshops let you customize the course-content to meet your needs. ➤ Sessions focus on the management of common clinical topics, including essential pathophysiology, diagnosis and therapy. ➤ Master clinicians teach the inner workings of their clinical thinking. ➤ The Journal of the American Medical Association (JAMA) Clinical Crossroad demonstrates the diagnostic process. COURSE OBJECTIVES At the conclusion of this course, participants will be able to: ➤ Recognize the interactions among medication prescribed by general internists and specialty physicians. ➤ Appraise the specific diagnostic tests used in general internal medicine and specialty practices, including test sensitivity, specificity and predictive values. ➤ Summarize the current treatment strategies for common conditions in medical and non-medical specialties, including cardiovascular, pulmonary, neurologic/neurovascular, endocrine, ophthalmic, orthopedic, immunologic, reproductive, dermatologic, gastrointestinal, hepatic, geriatric, psychiatric, metabolic, and sleep medicine. ➤ Discuss the expected results of therapies used in general internal medicine and specialty practice. ➤ Recognize the side effects of therapies used in general internal medicine and specialty practice. ➤ Specify the disease prevention and health promotion goals of general internal medicine. ➤ Define the intellectual framework for assessing new medical information. ➤ Identify and address the clinical issues faced most frequently in office practice. ➤ Analyze updates from subspecialties relevant to office practice. ➤ Apply problem-solving strategies to achieve better patient outcomes. ➤ Design new strategies for patient interaction and shared decision-making. ➤ Apply the clinical decision-making processes of master clinicians. EXPERIENCE Please join us for this activity LEARNINGHear what your colleagues had to say about last year’s course ‟The caliber and knowledge of the speakers made this an exceptional conference.” ‟The speakers were excellent! I was amazed at the volume and quality of information that was covered in five days! My expectations were exceeded in all areas – BRAVO!!! I will definitely return!” ‟Overall quality of content was very high with excellent presenters who conveyed non-biased information in an easy to digest way. Great review for me.” ‟The venue made it easy to learn in a comfortable environment without distractions.” ‟Fluent, information packed lectures with good data presentation, clear balanced conclusions, and speaker’s opinions from those who actually ad- vance the field. Even the lectures that I thought wouldn’t be interesting were very stimulating and useful.” ‟This is the best CME I have attended! The course materials are well organized. The material will be a use- ful reference.”
  3. 3. WWW.PCIM.EDU NOW ACCREDITED FOR CANADIAN AND EUROPEAN PHYSICIANS DISTRACTION FREE • This course is independent from industry sponsorship and influence. • Your faculty is determined to create an experience that encourages learning and professional growth. LEARNING IS OUR FOCUS • Step away from the day-to-day demands of clinical practice to focus on your own professional growth. • You will leave with enthusiasm and renewed commitment to your professional work. A WAY OF THINKING • Acquire skills in assessing information from all sources. • Understand how to use new information in patient care. • Learn how to effectively involve patients in the shared decision-making and use of medical information. SUPERB TEACHING • Our past participants have rated this course among Harvard’s best. WHO OWNS THE MEDICAL EVIDENCE? DOCTORS, PATIENTS AND THE ART OF SHARING Mary McNaughton-Collins, MD, MPH Associate Professor of Medicine Harvard Medical School; Physician, Internal Medicine Associates Massachusetts General Hospital; Medical Director, Informed Medical Decisions Foundation MASTER CLINICIANS AT WORK Sanjiv Chopra, MD Professor of Medicine Faculty Dean for Continuing Education Harvard Medical School; Senior Consultant in Hepatology, Beth Israel Deaconess Medical Center Frank J. Domino, MD Professor and Family Medicine Clerkship Director, University of Massachusetts Medical School Charles J. Hatem, MD Harold Amos Academy Professor of Medicine Harvard Medical School; Chair, Department of Medical Education, Mount Auburn Hospital Martin A. Samuels, MD Professor of Neurology Harvard Medical School; Chair, Department of Neurology, Brigham and Women’s Hospital PCIM Program Features Visit our website to see what is being covered PROGRAM DIRECTOR John D. Goodson, MD Massachusetts General Hospital ASSOCIATE DIRECTORS Charles J. Hatem, MD Mount Auburn Hospital Richard J. Pels, MD Cambridge Health Alliance Jennifer E. Potter, MD Beth Israel Deaconess Medical Center COURSE DIRECTORS JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (JAMA) CLINICAL CROSSROADS The Journal of the American Medical Association (JAMA) Clinical Crossroads is a case-based review with a particular emphasis on existing evidence, guidelines, and the dilemmas physicians face as they deal with individual patients.
  4. 4. MONDAY, OCTOBER 14 7:00 Registration and Continental Breakfast 7:45 Introduction and Welcome John D. Goodson, MD 8:00 Updating Your Knowledge Base for Clinical Practice: Bringing Information to Patient Care** John D. Goodson, MD 9:00 Smoking Cessation: Where Are We Now Nancy A. Rigotti, MD 10:00 Coffee Break 10:15 Colon Cancer: Screening, Evaluation and Treatment David P. Ryan, MD 11:15 Asthma and Chronic Obstructive Lung Disease Christopher H. Fanta, MD 12:15 Lunch On Your Own 1:30 Diabetes: Innovative Management David M. Nathan, MD 3:00 Break 3:20 CASE-BASED WORKSHOPS A A1 Female Urinary Incontinence May M. Wakamatsu, MD A2 Otolaryngology in Primary Care (Repeated Session B) Stacey T. Gray, MD A3 Fluid and Electrolyte Abnormalities Ishir Bhan, MD A4 Case Studies in Women’s Health Jennifer E. Potter, MD A5 Using Tablets, Smart Phones and Other Handheld Devices for Decision and Practice Support James J. Heffernan, MD A6 EKG Interpretation for Clinical Practice Peter J. Zimetbaum, MD A7 Preoperative Medical Evaluation (Repeated Session E) Meridale V. Baggett, MD Douglas Wright, MD 4:30 Session Ends, Break 4:45 CASE-BASED WORKSHOPS B B1 Low Back Pain in the Athlete Joanne Borg-Stein, MD B2 Otolaryngology in Primary Care (Repeated Session A) Stacey T. Gray, MD B3 Master Clinician Session: Cannot Miss Diagnoses in Primary Care** (Repeated Session F) Charles J. Hatem, MD B4 Therapeutic Approaches to the Knee (Procedure Instruction Session) Bertram Zarins, MD B5 Pneumonia: Making the Right Choices Benjamin T. Davis, MD B6 Suturing Workshop James Kimo Takayesu, MD B7 Is it Cancer Doc? Diagnosis and Management of Common Breast Complaints in Primary Care Katherine T. Johnston, MD 6:15 Daily Program Ends “I am committed to providing each participant with the finest clinical continuing educational experience that Harvard has to offer.” John D. Goodson, MD Course Director TUESDAY, OCTOBER 15 6:45 Continental Breakfast 7:30 Antibiotic Choices for Office Practice Paul E. Sax, MD 8:30 Contemporary Management of Heart Failure G. William Dec, Jr., MD 9:30 Cerebrovascular Disease Galen V. Henderson, MD 10:30 Coffee Break 10:45 Osteoporosis John D. Goodson, MD 11:45 Master Clinician Session: Adventures in Liver Land Sanjiv Chopra, MD 12:45 Lunch On Your Own 1:30 Rheumatology Pearls for the Generalists Paul F. Dellaripa, MD 2:15 Depression/Anxiety Anne D. Emmerich, MD 3:00 Break 3:20 CASE-BASED WORKSHOPS C C1 Nephrolithiasis Brian Eisner, MD C2 A Rational Approach to the Use of Dietary Supplements and Herbs Donald B. Levy, MD C3 Wrist and Hand Complaints Charles S. Day, MD C4 Dermatology A-Z: A Refresher for Primary Care (Repeated Session F) Daniela Kroshinsky, MD C5 Palliative Care: What Do You Need to Know?** Vicki A. Jackson, MD C6 Thyroid Disease (Repeated Session D) William M. Kettyle, MD C7 Motivational Interviewing for Weight Loss** Frank J. Domino, MD 4:30 Session Ends, Break 4:45 CASE-BASED WORKSHOPS D D1 New Approaches to Valvular Heart Disease Jonathan J. Passeri, MD D2 Movements Disorders U. Shivraj Sohur, MD D3 HIV Nesli O. Basgoz, MD D4 Headaches Rebecca C. Burch, MD D5 Sexually Transmitted Diseases Donna Felsenstein, MD D6 Thyroid Disease (Repeated Session C) William M. Kettyle, MD D7 Chronic Pain Management for Non-Cancer Patients** Richard J. Pels, MD 6:15 Daily Program Ends
  5. 5. WEDNESDAY, OCTOBER 16 6:45 Continental Breakfast 7:30 Advanced Treatment Choices for Ischemic Heart Disease Eric M. Isselbacher, MD 8:30 Active Management of Chronic Kidney Disease David J. R. Steele, MD 9:30 Dementia Andrew E. Budson, MD 10:30 Coffee Break 10:45 Obesity Lee M. Kaplan, MD 11:45 Hematology in Primary Care Practice Lisa Weissmann, MD 12:45 Lunch Provided Master Clinician Luncheon Session: How Neurologists Think: What My Errors Taught Me?** Martin A. Samuels, MD 1:45 The Placebo Effect: Quantifying the Intangible in Clinical Care Ted J. Kaptchuk, PhD 2:45 Diseases of the Colon: IBS and IBD Joshua Korzenik, MD 3:45 Break 4:00 CASE-BASED WORKSHOPS E E1 Practical Approaches to Insomnia Karen J. Carlson, MD E2 Supraventricular Arrhythmias Jeremy N. Ruskin, MD E3 Ophthalmology in Primary Care (Repeated Session F) Laura C. Fine, MD E4 Preoperative Medical Evaluation (Repeated Session A) Meridale V. Baggett, MD Douglas Wright, MD E5 Allergy and Urticaria James A. MacLean, MD E6 Foot and Ankle Problems George H. Theodore, MD E7 Travel Medicine Edward T. Ryan, MD 5:30 Daily Program Ends 7:30 - 9:30 EVENING SESSION WHO OWNS THE MEDICAL EVIDENCE? DOCTORS, PATIENTS AND THE ART OF SHARING** Mary McNaughton-Collins, MD FRIDAY, OCTOBER 18 6:45 Continental Breakfast 7:30 Radiology Update: How to Effectively Employ Current Imaging Technologies Ramin Khorasani, MD 8:30 Heart Disease in Athletes Young and Old Aaron L. Baggish, MD 9:30 GERD, Ulcer Disease and Celiac Sprue Anthony J. Lembo, MD 10:30 Coffee Break 10:45 Sleep Disorders: Assessment and Therapeutic Options Matt T. Bianchi, MD 11:45 Lipid Management: Goals and Therapies Jorge Plutzky, MD 12:45 Course Concludes THURSDAY, OCTOBER 17 6:45 Continental Breakfast 7:30 Managing Menopause Amid Controversy Carol K. Bates, MD 8:30 Hypertension Gerald W. Smetana, MD 9:30 COPD and Interstitial Lung Disease Walter J. O’Donnell, MD 10:15 Coffee Break 10:30 Contraception Jane S. Sillman, MD 11:20 The Use of Biologics in Clinical Practice: A Primer for Primary Care Clinicians Robert P. Friday, MD 12:15 Lunch Provided JAMA: Clinical Crossroads William J. Barbaresi, MD 1:30 Breast/Ovarian Cancer Risk Assessment and Prevention** Nadine M. Tung, MD 2:30 Antithrombotic Therapy: Proteins and Platelets David J. Kuter, MD 3:30 Break 3:45 CASE-BASED WORKSHOPS F F1 Ophthalmology in Primary Care (Repeated Session E) Claudia U. Richter, MD F2 Shoulder Pain (Procedure Instruction Session) Thomas J. Gill, MD F3 Dermatology A-Z: A Refresher for Primary Care (Repeated Session C) Daniela Kroshinsky, MD F4 Case Studies in Office Endocrinology J. Carl Pallais, MD F5 Master Clinician Session: Cannot Miss Diagnoses in Primary Care** (Repeated Session B) Charles J. Hatem, MD F6 Opioid and Buprenorphine Management** David Roll, MD, Joji Suzuki, MD F7 Alcoholism H. Robin Barnes, MD 5:15 Daily Program Ends register now! www.pCIm.eDU Program changes/substitutions may be made without notice. ** Meets criteria for Risk Management credit in Massachusetts
  6. 6. Meridale V. Baggett, MD Aaron L. Baggish, MD William J. Barbaresi, MD H. Robin Barnes, MD Nesli O. Basgoz, MD Carol K. Bates, MD Ishir Bhan, MD Matt T. Bianchi, MD Joanne Borg-Stein, MD Andrew E. Budson, MD Rebecca C. Burch, MD Karen J. Carlson, MD Sanjiv Chopra, MD Benjamin T. Davis, MD Charlie S. Day, MD G.William Dec, Jr., MD Paul F. Dellaripa, MD Frank J. Domino, MD Brian Eisner, MD Anne D. Emmerich, MD Christoper H. Fanta, MD Donna Felsenstein, MD Laura C. Fine, MD Robert P. Friday, MD Thomas J. Gill, MD John D. Goodson, MD Stacey T. Gray, MD Charles J. Hatem, MD James J. Heffernan, MD Galen V. Henderson, MD Eric M. Isselbacher, MD Vicki A. Jackson, MD Katherine T. Johnston, MD Lee M. Kaplan, MD Ted J. Kaptchuck, PhD William M. Kettyle, MD REGISTRATION INFORMATION: Please see registration form for tuition details. Registration by credit card (VISA or MasterCard) can be made at: Registration by check (draft on a United States bank), please make payable to Harvard Medical School and mail with registration form to Harvard Medical School—Department of Continuing Education, PO Box 417476, Boston, MA 02241-7476. Telephone or fax registration is not accepted. Registration with cash payment is not permitted. Upon receipt of your paid registration an email confirmation from the HMS-DCE office will be sent to you. Be sure to include an email address that you check frequently. Your email address is used for critical information including: registration confirmation, evaluation and certificate. INQUIRIES: By phone 617-384-8600, Monday-Friday, 10 AM to 4 PM (EST) or by email at: ONLINE INFORMATION: To register or view activity information online, To ensure proper registration, please add the first three characters of the source code found at the bottom of this registration form. DISCLOSURE POLICY: Harvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards, and Policies. It is HMS's policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity.These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations. REFUND POLICY: A handling fee of $60 is deducted for cancellation. Refund requests must be received by postal mail, email or fax one week prior to this activity. No refunds will be made thereafter. COURSE LOCATION: All sessions for this course will be held at the Cambridge Center Marriott, Two Cambridge Center, 50 Broadway, Cambridge, MA 02142 (Telephone: 617-494-6600). ACCOMMODATIONS /TRAVEL: A limited number of rooms have been reserved at the Cambridge Center Marriott (Telephone: 617-494-6600) until September 23, 2013. Please specify Group Code: HMSHMSA if reserving by phone and Group Code: HMS via online to receive a reduced room rate of $289 per night Single/Double. Please do not purchase non-refundable airline ticket(s) until you have received an email from our office confirming your paid registration. For airline reservations contact the HMSTravel Desk toll free 1-877-4-HARVMD (1-877-442-7863) Monday - Friday 9 AM - 8 PM (EST). From outside the U.S., Canada and Virgin Islands, please call 617-559-3764. 2013 FACULTY REGISTRATIONACCREDITATION TARGET AUDIENCE This course is designed for Family Practice, Internal Medicine, General Practice, Nurse Practitioners, PhysicianAssistants and other healthcare providers that are interested in expansion of their knowledge and skills. ACGME COMPETENCIES This course is designed to meet one or more of the following Accreditation Council of Graduate Medical Education competencies: • Patient care • Medical knowledge • Professionalism • Systems-based practice The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Harvard Medical School designates this live activity for a maximum of 43 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AMA PRA Category 1 Credits™ claimed by physicians attending live events certified and organized in the United States for AMA PRA Category 1 Credits™ can be claimed through the agreement on mutual recognition of credits between UEMS and AMA, considered as being equal to the European Continuous Medical Education Credits (ECMEC© ) granted by the UEMS. One AMA PRA Category 1 Credits™ is equivalent to one (1) hour of European EAC- CME Credit (ECMEC© ), therefore up to 43 ECMEC© Credits are available. Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity. The Royal College of Physicians and Surgeons of Canada recognizes conferences and workshops held outside of Canada that are developed by a university, academy, hospital, specialty society or college as accredited group learning activities. RISK MANAGEMENT: This activity meets the criteria of the Massachusetts Board of Registration in Medicine for 10.75 credits of Risk Management Study. This includes 3 credits of Opioid Education and Pain Management Training and 1.25 credits of End-of-Life Care Studies.Please check with your individual state licensing board requirements before claiming these credits.
  7. 7. CHOOSE YOUR FEE TUITION m Physicians - Early Registration (postmarked on or before August 30, 2013) $1450 (USD) m Physicians $1550 (USD) m Residents/Fellows in Training & Allied Health Professionals Early Registration (postmarked on or before August 30, 2013) $1250 (USD) m Residents/Fellows in Training & Allied Health Professionals $1350 (USD) Your tuition includes continental breakfast, lunchtime workshops, syllabus and a flash drive. OCTOBER 14-18, 2013 COURSE #331255 PLEASE PRINT CLEARLY ALL FIELDS REQUIRED Source Code: A B C D E F G X Z Z Z WORKSHOP REGISTRATION prImary Care Internal meDICIne 3:20 Workshop A 1st Choice ______ 2nd Choice ______ 3rd Choice ______ 4th Choice ______ 4:45 Workshop B 1st Choice ______ 2nd Choice ______ 3rd Choice ______ 4th Choice ______ MONDAY - OCTOBER 14 3:20 Workshop C 1st Choice ______ 2nd Choice ______ 3rd Choice ______ 4th Choice ______ 4:45 Workshop D 1st Choice ______ 2nd Choice ______ 3rd Choice ______ 4th Choice ______ TUESDAY - OCTOBER 15 Workshops are assigned on a first-come, first-serve basis. See program for specific workshop titles. For each workshop below, please indicate your first choices by inserting the appropriate workshop number (A1, A2, etc) in the spaces provided. Please do not sign up more than twice for the same workshop. We will be able to assign you to at least one of the sessions. 4:00 Workshop E 1st Choice ______ 2nd Choice ______ 3rd Choice ______ 4th Choice ______ WED, OCT 16 1st Choice ______ 2nd Choice ______ 3rd Choice ______ 4th Choice ______ THURSDAY - OCTOBER 17 3:45 - Workshop F : Online registrants - add the first three characters of the source code found here  PLEASE NOTE: YOUR EMAIL ADDRESS IS USED FOR CRITICAL INFORMATION ABOUT THE COURSE INCLUDING: REGISTRATION CONFIRMATION, EVALUATION AND CERTIFICATE. PLEASE BE SURE TO INCLUDE AN EMAIL ADDRESS YOU CHECK DAILY OR FREQUENTLY. Ramin Khorasani, MD Joshua Korzenik, MD Daniela Kroshinsky, MD David J. Kuter, MD Anthony J. Lembo, MD Donald B. Levy, MD James A. MacLean, MD Mary McNaughton-Collins, MD David M. Nathan, MD Walter J. O’Donnell, MD J. Carl Pallais, MD Jonathan J. Passeri, MD Richard J. Pels, MD Jorge Plutzky, MD Jennifer E. Potter, MD Claudia U. Richter, MD Nancy A. Rigotti, MD David Roll, MD Jeremy N. Ruskin, MD David P. Ryan, MD Edward T. Ryan, MD Martin A. Samuels, MD Paul E. Sax, MD Jane S. Sillman, MD Gerald W. Smetana, MD U. Shivraj Sohur, MD David J. R. Steele, MD Joji Suzuki, MD James Kimo Takayesu, MD George H.Theodore, MD Nadine M.Tung, MD May M.Wakamatsu, MD Lisa Weissmann, MD Douglas Wright, MD Bertram Zarins, MD Peter Zimetbaum, MD Full Name____________________________________________________________________________________________ First Middle Initial Last MailingAddress________________________________________________________________________________________ Street __________________________________________________________________________________________________ City State Zip Code Country Daytime Phone (_____)__________________________________Fax Number(_____)_________________________________ EmailAddress________________________________________________________________________________________ m Please check if you wish to be excluded from receiving email notices of future Harvard Medical School - Department of Continuing Education programs. Profession_______________________________________________Degree________________________________________ Primary Specialty (Physicians Only)___________________________________________________ Board Certified? mYes mNo Professional School Attended (Physicians Only) m Harvard Medical School m U.S. Medical School m International Year of Graduation___________________________________________________________________________________________ ✂
  8. 8. HARVARDMEDICALSCHOOL DepartmentofContinuingEducation POBox825 Boston,MA02117-0825 Visitourwebsiteat WWW.PCIM.EDU EARLYREGISTRATIONSPECIAL RegisterbyAugust30thtoSave$100 Over95%ofthecourseparticipantsratedthis courseas"superior"or"aboveaverage"as comparedtootherpostgraduatecoursesthey haveattended,placingthiscourseamongthe highest-ratedofHarvardCMEcourses. Seeinsidefordetails... PCIMOCTOBER14-18,2013 PrinciplesandPractice Non-profitOrg. U.S.Postage PAID Boston,MA Permit#1325