Family Medicine: An Evidence-Based Approach to Patient Care

OVERALL OBJECTIVES: Following this course, the participant should be able to appraise the etiologies and the clinical presentations of the commonly seen disorders presented; indicate diagnostic tests available and the suggested use for making a diagnosis; implement available treatment options and appropriate long-term care when indicated. This activity is expected to result in improved competence in making an appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes.

When indicated in the specific objectives, emphasis will be on aligning physician behavior with current guidelines and evidence-based medicine with a focus on diagnosis, treatment and when to refer. This course was designed to inter-relate the disorders presented in an effort to help all practitioners at the level of a practicing physician integrate their medical knowledge with other providers and specialists. By doing this, it will provide them with the competence to appropriately diagnose and refer or effectively treat their patients’ conditions to optimize their care.
+ show speakers and program
NO SPEAKERS MENTIONED
Following this course, the participant should be able
to appraise the etiologies and the clinical
presentations of the commonly seen disorders
presented; indicate diagnostic tests available and the
suggested use for making a diagnosis; implement
available treatment options and appropriate long-term
care when indicated. This activity is expected to
result in improved competence in making an
appropriate diagnosis and providing effective
treatment and referral or follow-up care with the
overall goal of improving patient outcomes.
When indicated in the specific objectives, emphasis
will be on aligning physician behavior with current
guidelines and evidence-based medicine with a focus
on diagnosis, treatment and when to refer. This
course was designed to inter-relate the disorders
presented in an effort to help all practitioners at the
level of a practicing physician integrate their medical
knowledge with other providers and specialists. By
doing this, it will provide them with the competence to
appropriately diagnose and refer or effectively treat
their patients’ conditions to optimize their care.
SPECIFIC TOPIC OBJECTIVES
Day 1
Anemia – A Finding, Not Yet a Diagnosis.
Upon completion of this session, using the Cochrane
Abstract Database and AAFP Guidelines, the
participant should be able to:
1. Distinguish the etiologies for the common
anemias.
2. Construct the diagnostic evaluation to determine
the etiology of each anemia.
3. Develop the therapeutic options for each
identified anemia.
4. Formulate the appropriate follow-up evaluations
for assessing the treatment efficacy.
Venous Thromboembolism (VTE): Diagnosis and
Treatment.
Upon completion of this session, using the ACCP and
ATS Guidelines and the Cochrane Abstract Database,
the participant should be able to:
1. Determine the diagnostic testing for evaluating a
patient for possible VTE.
2. Apply the algorithm for diagnosing a pulmonary
embolism in multiple clinical settings.
3. Differentiate the advantages and disadvantages
of outpatient treatment compared to inpatient
treatment for venous thromboembolism (VTE).
4. Order the frequency of monitoring and the
adjustments needed for warfarin therapy in the
treatment of VTE.
Chronic Pain.
Upon completion of this session, the participant
should be able to:
1. Appraise the nature of pain and use the
appropriate terminology, avoiding terms such as
“real pain” and “malingering”, when
communicating with pain patients.
2. Appropriately prescribe opioids using commonly
accepted guidelines such as the Utah Clinical
Guidelines on Prescribing Opioids for Treatment
of Pain and the Canadian Guidelines for Safe
and Effective Use of Opioids for Chronic Non-
Cancer Pain.
3. Determine when it is appropriate to withdraw a
patient from opioids and formulate an effective
withdrawal plan.
4. Outline reasons why the primary care physician
is in the best position to manage most patients’
pain.
Update on COPD.
Upon completion of this session, the participant
should be able to:
1. Use the two evidence-based treatments that
have been shown to alter the course of COPD to
intervene in the disease process.
2. Develop an approach to the smoker in order to
ensure the greatest likelihood of achieving
cessation.
3. Employ the basic pathophysiology of COPD to
evaluate the likely efficacy of treatments.
4. Specify when and why to use various
medications in COPD.
Day 2
Asthma Update.
Upon completion of this session, the participant
should be able to:
1. Apply the pathophysiology of asthma to the
mechanism of various medications in thwarting
the disease process.
2. Utilize the NHLBI Guidelines for assessing a
patient's impairment and risk from asthma.
3. Assess side effects of asthma medications and
be able to answer patients' concerns regarding
them.
4. Apply the step-care process and appropriate
combinations of medications for asthma.
Foot and Ankle Injuries.
Upon completion of this session, the participant
should be able to:
1. Perform an appropriate primary care examination
of the foot and ankle employing commonly
accepted principles and techniques.
2. Apply the Ottawa foot and ankle rules to avoid
unnecessary radiographs.
CME Sponsors: American Medical Seminars, Inc.
Activity Title: Family Medicine: An Evidence-Based Approach to Patient Care
Activity Dates: February 11-15, 2013
Presenting Faculty: Robert S. Fawcett, M.D., M.S.Ed.; Michael A. Malone, M.D. and Herbert L. Muncie, Jr., M.D.
© 2012 American Medical Seminars, Inc. ALL RIGHTS RESERVED
www.ams4cme.com
\\ams-server-01\amsfiles\2012-2013(S27A15V10)\27thSeries-Live\2.3Objectives\FM-Fawcett-Malone-Muncie\FawcettMaloneMuncieOBJ.doc 4/11/2012-ac
SPECIFIC OBJECTIVES
The Way CME Should Be®
TM
3. Evaluate the biomechanical component to
injuries of the foot and ankle relating them with
the patient’s choice of footwear, foot structure,
training habits and history of injury to narrow the
differential diagnosis.
Evaluation and Treatment of Hypertensive
Patients.
Upon completion of this session, using the most
recent JNC Guidelines, the Cochrane Abstract
Database and the evidence-based reports from
Clinical Evidence, the participant should be able to:
1. Employ the non-pharmacologic treatment options
to manage hypertension.
2. Specify the pharmacologic treatment options for
patients with compelling indications based upon
JNC Guidelines.
3. Formulate the therapeutic goal for controlling
blood pressure in different patient populations
and the combination of medications that can
achieve that goal.
4. Distinguish the side effect risks for each class of
antihypertensive medications.
Treating Patients with Type 2 Diabetes Mellitus.
Upon completion of this session, using the American
Diabetes Association, the European Association for
the Study of Diabetes Guidelines and the Cochrane
Abstract Database, the participant should be able to:
1. Evaluate the therapeutic goals in treating type 2
diabetes and their impact on morbidity and
mortality.
2. Recommend the approach for choosing an oral
hypoglycemic agent to treat type 2 diabetes.
3. Specify the clinical situations that would require
the use of insulin to treat type 2 diabetes and the
probable dosage form and average amounts
required for control of A1c.
4. Develop the therapeutic options for preventing
diabetic complications.
Day 3
Coronary Artery Heart Disease in Women.
Upon completion of this session, using the American
College of Cardiology, the American Heart
Association, the USPSTF Guidelines and the
Cochrane Abstract Database, the participant should
be able to:
1. Differentiate the symptoms that women with
coronary artery disease (CAD) exhibit in contrast
to those experienced by men.
2. Recommend the evidence-based interventions to
prevent CAD in women.
3. Formulate the recommendations to treat the risk
factors for CAD in women.
4. Specify the treatment required for women with
proven CAD.
Osteoporosis: Treatment and Prevention.
Upon completion of this session, using the USPSTF,
NOF Guidelines and the Cochrane Abstract
Database, the participant should be able to:
1. Debate the importance of the risk factors for an
osteoporosis fracture.
2. Employ the diagnostic testing for patients at risk
with osteoporosis.
3. Select the therapeutic medication to treat
osteoporosis based upon the indications and side
effects.
4. Assess the therapeutic role of repeating the DXA
scan in patients treated for osteoporosis.
Domestic Violence.
Upon completion of this session, the participant
should be able to:
1. Illustrate an ability to recognize the potential
domestic violence victim in your office.
2. Consider domestic violence from the victim's
point of view and reasons she/he may not wish to
act on it.
3. Develop an awareness for the frequency of
domestic violence and specific risk factors to
consider.
4. Demonstrate effective methods for addressing
domestic violence as a problem.
The Knee: A Critical Evaluation of Two Common
Problems.
Upon completion of this session, the participant
should be able to:
1. Relate the anatomy, body-mechanics, and
pathophysiology of iliotibial band friction
syndrome to treatment strategies for ITB
including training changes, medication and
specific exercises.
2. Relate the anatomy and physiology of the
meniscus to treatment of tears.
3. Relate important points in history, physical and
testing to a diagnosis of damaged meniscus.
4. Differentiate the benefits and implications of
surgical vs. conservative management of
meniscal tears.
Day 4
Migraine Headaches – Update on Diagnosis and
Treatment.
Upon completion of this session, using the
International Headache Society and U.S. Headache
Consortium Guidelines and the National Guideline
Clearinghouse and the evidence-based reports from
Clinical Evidence, the participant should be able to:
1. Construct the approach for evaluating a patient
with possible migraine headaches.
CME Sponsors: American Medical Seminars, Inc.
Activity Title: Family Medicine: An Evidence-Based Approach to Patient Care
Activity Dates: February 11-15, 2013
Presenting Faculty: Robert S. Fawcett, M.D., M.S.Ed.; Michael A. Malone, M.D. and Herbert L. Muncie, Jr., M.D.
© 2012 American Medical Seminars, Inc. ALL RIGHTS RESERVED
www.ams4cme.com
\\ams-server-01\amsfiles\2012-2013(S27A15V10)\27thSeries-Live\2.3Objectives\FM-Fawcett-Malone-Muncie\FawcettMaloneMuncieOBJ.doc 4/11/2012-ac
SPECIFIC OBJECTIVES
The Way CME Should Be®
TM
2. Assess the advantages of supportive therapy and
lifestyle changes in treating migraine headaches
compared to pharmacologic therapy.
3. Appraise the pharmacologic options for treating
the acute pain of a migraine headache.
4. Recommend a prophylactic therapy regimen for
patients with recurrent migraine headaches.
Adult Health Screening and Immunizations –
Evidence-Based Approach.
Upon completion of this session, using the USPSTF
and Cochrane Abstract Database, the participant
should be able to:
1. Apply the evidence-based recommendations for
preventive screening tests for adults.
2. Determine the immunizations required for adults.
3. Appraise the side effects of adult immunizations.
4. Select the contraindications for each adult
immunization and their alternative therapy.
5. Plan when screening tests can be discontinued in
adults.
Irritable Bowel Syndrome.
Upon completion of this session, the participant
should be able to:
1. Appraise possible etiologies for Irritable Bowel
Syndrome.
2. Select and utilize diagnostic criteria to identify
IBS.
3. Assess and screen for other conditions that can
present with similar IBS symptoms
4. Detect “red flag” signs and symptoms that should
make one question the diagnosis of IBS.
5. Formulate a diagnostic evaluation for patients
with signs and symptoms of IBS.
6. Use EBM to develop a treatment plan for Irritable
Bowel Syndrome.
Dyspepsia.
Upon completion of this session, the participant
should be able to:
1. Appraise symptoms and common etiologies for
dyspepsia.
2. Use EBM to detect “alarm symptoms” that are
suspicious for GI malignancy.
3. Apply current medical evidence and expert
guidelines to construct a diagnostic evaluation for
Dyspepsia.
4. Determine appropriate treatment for Dyspepsia
based on current medical evidence and the likely
etiology.
Day 5.
Carpal Tunnel Syndrome.
Upon completion of this session, the participant
should be able to:
1. Apply an evidence-based approach to the
identification of Carpal Tunnel Syndrome.
2. Detect clues that can help identify likely etiologies
for Carpal Tunnel Syndrome.
3. Construct a differential diagnosis for Carpal
Tunnel Syndrome.
4. Determine which patients would benefit from
nerve conduction studies.
5. Discriminate the severity of Carpal Tunnel
Syndrome.
6. Use EBM to select an appropriate treatment plan
for Carpal Tunnel Syndrome.
Dementia.
Upon completion of this session, the participant
should be able to:
1. Detect symptoms consistent with the diagnosis of
dementia.
2. Distinguish dementia from treatable conditions
that have similar presentations.
3. Construct a diagnostic plan utilizing EBM and
Expert Guidelines.
4. Differentiate the common Dementia syndromes
and distinguish the characteristics between them.
5. Use EBM to design a treatment plan for
dementia.
Hormonal Contraceptives: Good, Bad and
Controversial.
Upon completion of this session, using the ACOG
Practice Guidelines and the Cochrane Abstract
Database, the participant should be able to:
1. Appraise the pharmacologic differences in oral
contraceptives and their role in contraceptive
efficacy.
2. Formulate the treatment options for contraception
other than oral contraceptives.
3. Specify the relative and absolute
contraindications to oral contraceptives.
4. Relate the circumstances that would be eligible
for emergency contraception and the appropriate
emergency contraception method for each
situation.
Use and Interpretation of Thyroid Tests.
Upon completion of this session, using the American
Thyroid Association Guidelines and the Cochrane
Abstract Database, the participant should be able to:
1. Integrate the serum tests for thyroid function.
2. Interpret thyroid tests results that occur in clinical
settings.
3. Recommend the appropriate follow-up testing of
abnormal thyroid tests and the frequency of these
evaluations.
4. Appraise the need to treat subclinical
hypothyroidism or subclinical hyperthyroidism.

11 Feb - 15 Feb 2013

Sarasota
United States of America
meeting website