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Tuesday and Wednesday Pre-Courses

Two-Day Pre-Courses

Tuesday, April 9 and Wednesday, April 10

PRE 1911 Critical Care Medicine 2019

Tuesday and Wednesday, 8:00 a.m.-5:00 p.m.

Robert A. Balk, MD, MCCM, FCCP, MACP
Professor of Medicine, Director, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine,
Rush University Medical Center and Rush Medical College, Chicago, IL

This Pre-Course will provide the opportunity to understand the principles of diagnosis and management of common clinical problems and conditions encountered in the intensive care unit. Particular attention will be placed on the recognition of disease process, acute management of critical illness, and prevention of complications of critical illness in the critically ill adult patient. Topics discussed include management of acute coronary syndromes and myocardial infarction, acute congestive heart failure, atrial fibrillation, acute stroke, acute respiratory distress syndrome, circulatory shock, pulmonary embolism, drug overdose, sepsis and septic shock, surgical emergencies (i.e., ischemic bowel and necrotizing fasciitis), obstructive lung disease, and severe pneumonia. Also discussed will be the management of patients with a wide variety of infectious diseases, approaches to mental status evaluation, blood product utilization, mechanical ventilatory support of the critically ill patient, care of the cancer patient in the ICU, and methods for preventing common complications in the critically ill patient.

Learning Objectives:

  1. Update the internist on common disorders and diseases encountered in the intensive care unit.
  2. Review the diagnostic techniques used in the management of the critically ill adult.
  3. Discuss recommendations for the management of common critical illnesses encountered in the intensive care unit and strategies for the prevention of complications of critical illness.

Register for PRE 1911 Critical Care Medicine 2019

PRE 1912 Update in General Internal Medicine and MOC Exam Prep

Tuesday and Wednesday, 8:00 a.m.-5:00 p.m.

Fred A. Lopez, MD, MACP
Richard Vial Professor and Vice Chair, Department of Medicine,
Louisiana State University School of Medicine, New Orleans, LA

G. Nicholas Verne, MD, FACP
Professor and Chairman, The Harry B. Greenberg Chair in Internal Medicine, Department of Medicine,
Tulane University School of Medicine, New Orleans, LA

This Pre-Course provides an update in internal medicine and preparation for an MOC exam. Taught by a faculty of clinician–educators, each an expert in his/her subspecialty, the course uses a highly interactive format to engage participants. Clinical scenarios and challenging multiple-choice questions are springboards for discussion of recent advances across the spectrum of internal medicine. With the use of an audience-response system, participants can compare their clinical judgment with that of their peers. This course is an effective way to update your knowledge and/or prepare for an ABIM exam.

Learning Objectives:

  1. Increase and refresh knowledge of internal medicine through discussion of challenging cases frequently seen in practice.
  2. Become adept at working through difficult exam type questions logically and successfully.
  3. Implement changes in clinical practice in accordance with recent advances and guidelines.

Register for PRE 1912 Update in General Internal Medicine and MOC Exam Prep

PRE 1913 Point-of-Care Ultrasound for Internists and Hospitalists

Tuesday and Wednesday, 8:00 a.m.-5:00 p.m.

Michael Blaivas, MD, MBA, FAIUM, FACEP
Professor of Medicine, University of South Carolina, Department of Emergency Medicine,
Piedmont Newnan, Columbia, SC

Keith Boniface, MD
Professor of Emergency Medicine, Chief, Emergency Ultrasound, Department of Emergency Medicine,
The George Washington University, Washington, DC

Renee K. Dversdal, MD, FACP
Assistant Professor, Director, OHSU Point of Care Ultrasound, Division of Hospital Medicine, Department of Medicine,
Oregon Health & Science University, Portland, OR

This Pre-Course will introduce the internist to point-of-care ultrasound skills and applications that may be applied from the office to any hospital setting to provide answers to specific clinical questions in real time. Ultrasound allows the clinician a focused diagnostic modality directly at the patient’s bedside and directs the performance of procedures. Could this be a deep vein thrombosis (DVT), or is there some other cause for this swollen leg? Point-of-care ultrasound is proven by multiple studies as a rapid and accurate evaluation and diagnosis of DVT at the time of the evaluation. Multiple procedures, such as peripheral and central line placement, joint and tendon aspiration and injection, thora/paracentesis, and pericardiocentesis, benefit from ultrasound guidance. Point-of-care echo is a quick way to estimate ejection fraction and volume status, assess for severe structural changes, and rule out a pericardial effusion.

Point-of-care abdominal ultrasound is a rapid way to detect free air, gallbladder disease, and aortic disease. Additional clinical questions ultrasound may help you answer are: Is that a simple cellulitis or one complicated by an underlying abscess that needs drainage? How deep is the abscess? Can it be drained safely in the office/bedside or the operating room? Is that lump you palpate on exam solid, cystic, or vascular?

Hear lectures from national experts on point-of-care ultrasound and learn evidence-based approaches and techniques. Ample hands-on learning, guided by seasoned clinicians who use ultrasound in their practices on a daily basis, will be augmented by simulation experience, including procedure practice on phantoms, as well as amazing computer-based simulation presenting actual patient pathology and allowing attendees to learn from real clinical scenarios. If you want to embrace ultrasound and are interested in increasing efficiency and safety in your own practice, this course is a great place to start.

Learning Objectives:

  1. Describe the principles of ultrasound operation, use of artifacts, and optimization of images.
  2. List indications and rationale for focused diagnostic Ultrasound applications for cardiac, lung, and abdominal applications.
  3. Perform and interpret focused diagnostic ultrasound for cardiac, lung, and abdominal applications.
  4. Explain the rationale for using ultrasound guidance for thoracentesis, paracentesis, and vascular access.
  5. Perform ultrasound-guided thoracentesis, paracentesis, and vascular access using simulators.
  6. Understand point-of-care ultrasound use for focused musculoskeletal evaluation, joint injection, and arthrocentesis.

A portion of the second day of this course will be divided into two tracks based on principle practice location: hospital-based and office-based. The hospital-based track will focus on thoracentesis, paracentesis, and central venous catheterization. The office-based track will focus on common ambulatory applications for point-of-care ultrasound, such as lower-extremity musculoskeletal; upper-extremity musculoskeletal; and soft tissue ultrasound, including abscess detection. You will be asked to choose one of these two tracks at the time of registration.

Register for PRE 1913 Point-of-Care Ultrasound for Internists and Hospitalists

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