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Wednesday Pre-Courses

One-Day Pre-Courses

Wednesday, April 27

Register for Pre-Courses

PRE 2204 Cardiology for the Internist 2022: The Key Points

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

Howard H. Weitz, MD, MACP, FRCP (Lond.), FACC
Bernard L. Segal Professor of Clinical Cardiology, Senior Associate Dean, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA

David L. Fischman, MD, FACP
Professor of Medicine, Division of Cardiology, Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA

This Pre-Course will provide a focused update of the diagnostic, preventive, and therapeutic approaches to the patient at risk for, or with known, cardiovascular disease. Expert clinician-educators will focus on the cardiovascular disease issues which internists most frequently encounter and will provide “Key Points” to update the audience and foster patient care. Subjects covered will include identification and management of acute and chronic coronary artery disease, optimal treatment of acute and chronic heart failure, update in the treatment of hypertension, risk assessment and risk reduction for the patient with cardiac disease who undergoes noncardiac surgery, approach to the patient with valvular heart disease, approach to the care of the pregnant patient who has cardiac disease, atrial fibrillation update, approach to the treatment of the patient with edema, and discussion of selected cases.

Learning Objectives:

  1. Update the internist on the diagnostic and therapeutic approaches to the patient with known cardiovascular disease.
  2. Become familiar with the guidelines and recent studies regarding hypertension, valvular heart disease, optimal blood pressure control, and care of the patient with cardiovascular disease who undergoes noncardiac surgery.
  3. Understand approaches for decreasing the risk for complications and decreasing hospital readmissions for patients with a variety of cardiovascular issues.
  4. Become familiar with optimal surgical and pharmacologic treatments for the care of patients with coronary artery disease, heart failure, valvular heart disease, and atrial fibrillation.
  5. Become familiar with the transition of care following hospital discharge for patients with a variety of cardiac issues.
  6. Become familiar with the role of technological advances in cardiac care that the internal medicine specialist may use in patient care: point-of-care ultrasound, telemedicine, and wearable cardiac rhythm monitoring devices.

PRE 2205 Hospital Medicine: Success in a Complex Environment

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

Jamie Newman, MD, MHA, MACP
Associate Professor, Internal Medicine, Mayo Clinic, Rochester, MN

Roger Yu, MD, FACP, FHM
Assistant Professor of Medicine, Division of Hospital Medicine, Department of Medicine, Scripps Green Hospital, La Jolla, CA

The hospital is a complex environment. Navigating it on behalf of our patients requires a broad and constantly growing body of clinical knowledge combined with an understanding of the systems that support them. This Pre-Course will take you through the challenges of common and uncommon clinical conundrums, aggravating administrative assignments, and Byzantine bureaucratic barriers.

First and foremost, we will keep in mind the needs of the patient, as well as the effect on the hospital and the hospitalist. Individual lectures will involve review of up-to-date medical care using a case-based format and an audience-response system. This Pre-Course will present an advanced and practical perspective of hospital medicine.

Learning Objectives:

  1. Review inpatient management of complex patients in case-based presentations.
  2. Present best practice for the care of patients hospitalized for COVID-19 infection.
  3. Provide updates in the latest hospital medicine literature.

PRE 2206 Practical Office Orthopedics and Sports Medicine for the Internist

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

Edward (Ted) Parks, MD
Associate Professor, University of Colorado School of Medicine, Denver, CO

Musculoskeletal complaints and sport-related injuries are very common in primary care, but internists receive little instruction in office-based orthopedics. Most of these conditions do not require surgery and can therefore be managed by the knowledgeable internist. This Pre-Course is designed to provide participants with the knowledge and tools needed to correctly evaluate, diagnose, and treat most orthopedic complaints seen in the internal medicine office. The Pre-Course will utilize a case-based approach to familiarize participants with basic joint and tendon anatomy and landmarks and make participants comfortable with performing a concise, targeted office exam. This will be combined with knowledge of the epidemiology of musculoskeletal complaints in primary care to develop an accurate diagnostic approach. Treatment of these common conditions will be discussed, with special emphasis on a practical, evidence-based, and cost-effective approach to physical therapy and medical devices (e.g., splints).

Learning Objectives:

  1. Know the epidemiology of the most common orthopedic and sports medicine conditions seen in the internal medicine office.
  2. Identify basic joint and tendon anatomy in major joint and musculoskeletal regions.
  3. Perform targeted, practical, and evidence-based diagnostic maneuvers for common musculoskeletal complaints.
  4. Feel competent and confident in diagnosing musculoskeletal problems through history and physical examination.
  5. Recognize indications for judicious use of imaging.
  6. Develop treatment plans, including medication, exercises, and use of splints or braces.
  7. Identify clinically appropriate resources for patient education and for home exercise plans.
  8. Recognize which patients require further testing or orthopedics consultation and which can be safely treated under the guidance of the internist.

PRE 2207 Advances in Therapy

Wednesday, 8:00 a.m.–5:00 p.m.

Douglas S. Paauw, MD, FACP
Professor of Medicine, Rathmann Family Foundation Endowed Chair for Patient-Centered Clinical Education, Department of Medicine, University of Washington School of Medicine, Seattle, WA

This Pre-Course will focus on pearls to help the practicing internist maximize the utility of drug therapies. Newer medications and new uses for older medications will be covered. Current recommendations for “best therapy” for different diseases will also be covered. Common side effects of medications will be emphasized. Faculty will provide practical information on medications used for common medical problems, diabetes, and infectious diseases; safe use of medications in elderly patients; and drug interactions.

Learning Objectives:

  1. Prescribe appropriate drug therapies for diseases commonly seen in the office.
  2. Understand safe drug prescribing for elderly patients.
  3. Understand the use and appropriate utility of new diabetes therapies.
  4. Gain a better understanding of drug reactions and interactions.

PRE 2208 ACP Quality Improvement Leadership Training: Best Practices in Engaging and Empowering Clinical Teams in Continuous Improvement

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

Julie L. Oyler, MD, FACP
Associate Professor, Associate Program Director, Department of Medicine, Section of General Internal Medicine, University of Chicago, Chicago, IL

Darlene Tad-y, MD, Member
Associate Professor of Medicine, Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, CO

ACP's seventh annual quality improvement (QI) training program aims to support meaningful implementation of quality improvement strategies based on principles of clinician engagement, patient and family partnership, team-based care, and maximizing efficiency while minimizing burden. Participants will receive step-by-step guidance, based on the ACP Advance QI approach, to help them through their QI journey, including how to: 1) establish the what and why for change; 2) identify how to measure change; 3) plan for change and identify solutions; and 4) implement and sustain change.

Participants will have the opportunity to work in small groups to apply each step of the ACP QI approach under the guidance of national expert physician coaches. Participants will be provided with proven and practical tools to improve care for patients, promote patient engagement and partnerships, and apply practice redesign strategies to maximize skills of all team members and reduce administrative complexity. At the conclusion of this Pre-Course, participants will be able to understand and apply QI strategies to tackle a wide range of practice issues that are meaningful to their highest priority challenges. Participants will be invited to join ACP's engaging peer-to-peer learning network to support continued implementation of QI activities. This Pre-Course will launch you on your QI journey and provide you with the skills you will need throughout your career to lead the way through the changing tides of health care.

Learning Objectives:

  1. Describe the four steps of the ACP QI approach, including establishing the what and why for change, identifying how to measure change, planning for change and identifying solutions, and implementing and sustaining change.
  2. Explain the rationale for integrating clinician engagement, team-based care, patient and family partnership, and the need to maximize efficiency and minimize burden into QI implementation.
  3. Identify and apply practical strategies for QI implementation using ACP resources and tools.

PRE 2213 Point-of-Care Ultrasound: Advanced Skills for Outpatient Practice

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

Michael Wanger, MD, FACP, FAIUM
Director of Internal Medicine Ultrasound, Associate Professor of Medicine, Division of Hospital Medicine, Prisma Health-Upstate and University of South Carolina School of Medicine-Greenville, Greenville, SC

Point-of-care ultrasound (POCUS) is an emerging patient assessment tool for internists. This 1-day course is designed to build on ACP’s 2-day Point-of-Care Ultrasound: Foundational Skills for Internists* course, and will focus on extended and advanced POCUS applications tailored for internists who practice in the outpatient setting.

Internationally acclaimed faculty will provide proctored instruction so attendees can gain experience with POCUS and expand their outpatient clinical assessment skills. The learning format will alternate between didactic lectures and small-group, hands-on training. Attendees will practice with live models to develop bedside image-acquisition skills. Attendees will have an opportunity to customize their learning by working on solidifying challenging concepts, learning additional techniques and applications, and receiving individualized feedback from instructors.

Learning Objectives:

  1. Identify indications and rationale for performing the following examinations: PEARLS approach to a multisystem ultrasound physical; abdominal aortic aneurysm screening; gallbladder pathology; skin and soft tissue: lumps and bumps; and musculoskeletal ultrasound: joint, tendon, and nerve pathology.
  2. Perform the ultrasound exams listed above.
  3. Interpret normal and abnormal images for the applications listed above.
  4. Interpret POCUS findings in clinical case scenarios.
  5. Review practical strategies for successful integration of POCUS into the outpatient setting.

* Prerequisite Requirement:
Registrants for this course must have attended ACP’s Point-of-Care Ultrasound: Foundational Skills for Internists 2-day course. Alternate 2-day introductory courses that include a minimum of 50% hands-on time might be considered as a surrogate for ACP’s course. A course agenda and certificate of completion must be submitted for approval. Attestation of significant experience might also be considered as a surrogate at the course director’s discretion. Please submit this information to ACPPOCUS@ acponline.org. You will receive a response within 10 days. If you are not approved for the course, you will receive a full refund.

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