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Wednesday Pre-Courses

One-Day Pre-Courses

Wednesday, April 10

PRE 1904 Advances in Therapy

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

Douglas S. Paauw, MD, MACP
Professor of Medicine, Rathmann Family Foundation Endowed Chair in 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 to 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 therapy for psychiatric disease, diabetes, and infectious diseases; safe use of medications in the elderly; and drug interactions.

Learning Objectives:

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

Register for PRE 1904 Advances in Therapy

PRE 1905 Cardiology for the Internist 2019: The Key Points

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

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

Howard H. Weitz, MD, FACC, MACP
Bernard L. Segal Professor of Medicine, Director, 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 that 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, prevention of heart failure readmission, 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 and patent foramen ovale, atrial fibrillation update, electrocardiogram review, 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.v
  4. Become familiar with optimal surgical and pharmacologic treatments for the care of patients with coronary artery disease, heart failure, valvular heart disease, patent foramen ovale, and atrial fibrillation.
  5. Become familiar with the transition of care following hospital discharge for patients with a variety of cardiac issues.

Register for PRE 1905 Cardiology for the Internist 2019: The Key Points

PRE 1906 The Hospitalist: A Day in the Life

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

Jamie Newman, MD, MHA, FACP
Associate Professor, Internal Medicine, Department of Hospital Internal Medicine,
Mayo Clinic, Rochester, MN

Roger Yu, MD, FACP, FHM
Assistant Professor of Medicine, Department of Medicine, Division of Hospital 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 follow one hospitalist through the course of a shift as they charge into the challenges of common and uncommon clinical conundrums, aggravating administrative assignments, and Byzantine bureaucratic barriers. The hospitalist on service will rely on the experience of other hospitalists and specialists from across the country, as well as the advice of the audience, to survive the shift. First and foremost, we will keep in mind the needs of the patient, as well as the impact 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 perspective of hospital medicine.

Learning Objectives:

  1. Review inpatient management of complex patients in case-based presentations, including nephrology, dermatology, cardiology, and critical care.
  2. Succeed at adapting to new rules and regulations to better advocate for patients.
  3. Review the latest hospital medicine literature.
  4. Review proper documentation to capture the clinical status of your patients.

Register for PRE 1906 The Hospitalist: A Day in the Life

PRE 1908 Practical Office Orthopedics and Sports Medicine for the Internist

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

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

Musculoskeletal complaints and sports-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, cost-effective approach to physical therapy and medical devices (splints, etc.).

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, 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, etc.
  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.

Register for PRE 1908 Practical Office Orthopedics and Sports Medicine for the Internist

PRE 1909 Battling Burnout Together: You Are Not Alone

Wednesday, 8:00 a.m.–5:00 p.m.

Eileen D. Barrett, MD, MPH, FHM, FACP
Division of Hospital Medicine, Department of Internal Medicine,
University of New Mexico, Albuquerque, NM

More than 50% of physicians may experience burnout, and nearly two in four will develop depression. Physicians are more likely to commit suicide and are more likely to be successful than their age-matched peers in the general population. Between 300 and 400 physicians (including some in training programs) complete suicide each year in the United States, and a far greater number attempt suicide or endorse suicidal ideation. Depression can be devastating for physicians and their families, patients, and health care teams, as depressed physicians are more likely to struggle personally, academically, and professionally. How institutions, learning environments, and peers contribute to this phenomenon is of great interest, as is sharing best practices and creating adequate support systems for colleagues in need. We have more to learn on how we best support these colleagues. This interactive and thought-provoking Pre-Course provides an overview of burnout, mood disorders, and suicide among physicians and trainees with a focus on prevention and support strategies that can be employed on an individual and institutional level. In particular, ways in which leadership can play a role in creating a culture of support for physicians struggling with mental illness will be explored. Participants will leave with ideas they can institute on both an individual and organizational level.

Learning Objectives:

  1. Identify the individual and organizational factors contributing to physician burnout and mental illness and the impact on patients, colleagues, and the health system.
  2. List best practices that leadership and individuals can put into place to support physicians in need.
  3. Discuss challenges associated with supporting physicians struggling with mental health, and identify signs that someone may be in trouble.
  4. Construct a commitment to change for individuals and leadership with guidance from faculty experts.

Register for PRE 1909 Battling Burnout Together: You Are Not Alone

PRE 1910 Transforming Your Practice to Improve Patient Outcomes, Increase Efficiency, Maximize Reimbursement, and Increase Joy in Practice

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

Doron Schneider, MD, FACP
Assistant Professor, Chief Safety and Quality Officer,
Abington-Jefferson Health, Abington, PA

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

ACP’s quality improvement (QI) training program aims to facilitate practice transformation to improve patient outcomes and experience, reduce costs, and increase efficiency. Participants will be provided with proven and practical tools to improve care for patients, promote patient engagement and partnerships, apply practice redesign strategies to maximize skills of all team members, reduce administrative complexity, increase joy in practice, maximize reimbursement under new value-based payment models, and promote health equity among diverse patient populations. At the conclusion of this Pre-Course, participants will be able to apply QI strategies to tackle challenging practice issues associated with caring for patients with chronic and acute illnesses, such as implementing team-based care, improving care coordination, and achieving high-value care. Participants from past QI Pre-Courses have established an engaging peer-to-peer learning network and are experiencing significant improvements. This full-day course will launch you on your journey to becoming a QI champion in your own practice and will provide the skills you will need throughout your career to lead the way through the changing tides of health care.

Learning Objectives:

  1. Articulate the rationale for practice transformation to key stakeholders.
  2. Identify several performance gaps and opportunities for improvement in your practice setting.
  3. Practice using plan-do-study-act (PDSA) and other basic QI tools to improve care.
  4. Identify several strategies to partner with patients and families in QI.
  5. Draft a focused QI work plan to address at least one of the performance gaps identified in your practice.
  6. Determine how to effectively apply ACP tools to drive QI and measure reporting, such as the Genesis Registry, Peer Learning, ACP Practice Advisor, Patient Education Resources, and Quality Payment Advisor.
  7. Identify potential members of the team to help you with your QI work plan.

Register for PRE 1910 Transforming Your Practice to Improve Patient Outcomes...

PRE 1914 Women in Medicine: A New Era of Leadership

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

Fariha Shafi, MD, FACP
Associate Professor of Medicine, Section of General Internal Medicine, Department of Medicine,
University of Missouri, Kansas City, MO

Over the past few decades, the number of women matriculating into medical school has continued to climb; however, the number of women promoted to leadership positions continues to lag. The lack of female role models in leadership roles signals to women that they must choose between career advancement and their personal life. The gender gap also represents a loss of talent for academic health centers as they fail to recruit and retain the best and the brightest. Because women bring important experiences and understanding to the table and have many unique skills to contribute to health care, they are an important part of effective leadership teams. While we encourage female physicians to persevere, pursue their dreams, and follow their passions, we must also empower women with skills necessary to both take a seat at the table and make themselves heard when they get there. This interactive, workshop-based Pre-Course will assist attendees with developing skills needed to thrive as leaders and will provide the opportunity to network and collaborate with others.

Learning Objectives:

  1. Delineate leadership styles, and identify strategies for successful leadership.
  2. Apply the concepts of principled negotiation, and recognize the power of emotions used during negotiation.
  3. Recognize and understand bias, and learn ways to mitigate it.
  4. Identify opportunities for individual and organizational change that support women’s leadership, professional health, and wellness.
  5. Network, collaborate, and thrive.

Register for PRE 1914 Women in Medicine: A New Era of Leadership

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