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Internal Medicine Meeting 2022 Pre-Courses

Thirteen full-day courses kick-off Internal Medicine Meeting 2022. Take advantage of these 1- and 2-day pre-courses for focused, in-depth learning on a variety of internal medicine subjects. Pre-course attendance is in-person only, and many fill up quickly. Register early and save with Early Bird pricing through January 31, 2022.

Pre-Course Pricing Information

Register for Pre-Courses

Two-Day Pre-Courses

Tuesday and Wednesday, April 26-27

PRE 2209 Critical Care Medicine 2022

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

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

This Pre-Course will provide the opportunity to understand the principles of diagnosis and management of common clinical issues encountered in the management of patients 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 in the critically ill adult patient.

Topics discussed include management of acute coronary syndromes and myocardial infarction, acute stroke, acute respiratory failure (including acute respiratory distress syndrome), circulatory shock, pulmonary embolism, drug overdose, sepsis and septic shock, surgical emergencies (i.e., ischemic bowel and necrotizing fasciitis), acute airflow obstruction in obstructive lung disease, and severe pneumonia. Also discussed will be the management of patients with a wide variety of infectious diseases, approaches to acute encephalopathy, blood product utilization, mechanical ventilatory support of the critically ill patient, care of patients with cancer in the intensive care unit, 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 preventing complications of critical illness.

PRE 2210 ACP Rapid Board Review 2022

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

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

G. Nicholas Verne, MD, FACP
Lemuel W. Diggs Professor and Chair, Department of Medicine, The University of Tennessee Health Science Center

Whether preparing for the initial board exam or refreshing your knowledge for maintenance of certification, this popular 2-day Pre-Course provides an effective, fast-paced overview of core topics in internal medicine designed to focus on material that has a high probability of being included on the ABIM General Internal Medicine examinations. Taught by a faculty of clinician-educators, each an expert in their subspecialty, this condensed, high-yield review uses an audience-response system to actively engage participants and allow them to compare their answers with those of their peers. Each topic is introduced with a clinical case and a related multiple-choice question, the rationale for the correct answer is explained, and key clinical points are emphasized to promote learner retention. Participants also receive valuable tips for successful test-taking strategies included with course materials. This Pre-Course is an efficient way to prepare for an ABIM exam if you are short on time and seek a high-quality review.

Learning Objectives:

  1. Enhance your knowledge of internal medicine by working through challenging clinical cases and questions guided by expert faculty.
  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 evidence-based guidelines.

PRE 2211 Point-of-Care Ultrasound: Foundational Skills for Internists

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

David M. Tierney, MD, FACP
Program Director - Internal Medicine Residency, Director - IMBUS Program, Department of Graduate Medical Education, Abbott Northwestern Hospital, Minneapolis, MN

Noelle M. Northcutt, MD, FACP
Assistant Professor, Division of Hospital Medicine, Denver Health Hospital, Aurora, CO

Point-of-care ultrasound (POCUS) is an emerging patient assessment tool for internists. This intensive 2-day Pre-Course is designed to teach core POCUS skills to internists who practice in a variety of settings.

If you are excited about the potential for POCUS to expand your clinical assessment skills, join this course taught by internationally acclaimed faculty. Online prelearning assignments and live lectures will provide a comprehensive foundation of core ultrasound knowledge. Utilizing a small-group, hands-on format, attendees will practice ultrasound scanning on live models to support the development of bedside image acquisition skills.

Learning Objectives:

  1. Identify indications and rationale for performing the following examinations: pulmonary ultrasound, focused cardiac ultrasound, kidney and bladder ultrasound, evaluation of abdomen for free fluid, and evaluation of lower extremity for deep venous thrombosis.
  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. Describe the principles of ultrasound operation, artifacts, and image optimization.

Note: This is a POCUS foundation course. Internists who complete this course will meet prerequisite training requirements for enrollment in additional internal medicine POCUS courses that will be offered by ACP. Visit acponline.org/pocus for more information.

One-Day Pre-Courses

Tuesday, April 26

PRE 2201 Diabetes for the Internist

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

Andrea D. Coviello, MD, MSE, FACE
Associate Professor of Medicine, Division of Endocrinology, Metabolism, and Nutrition, Department of Medicine, Duke University School of Medicine, Duke Health, Durham, NC

The number of people with diabetes continues to increase, particularly at younger ages and with the rise in rates of overweight and obesity. With longer duration of diabetes, more people develop chronic kidney disease and cardiovascular disease. Therapeutic options are also advancing, giving greater opportunities to improve the health of our patients, but the complexity of care is also increasing. This Pre-Course will discuss the diagnosis of prediabetes and diabetes, including less common forms, such as maturity-onset diabetes of the young and latent autoimmune diabetes in adults. Faculty will review the role of lifestyle interventions as well as appropriate indications and practical utilization of weight-loss medications and/or bariatric surgery in patients with overweight and diabetes. The risks and benefits of new insulin and noninsulin pharmacologic therapies will be presented. The role of diabetes medications, cholesterol-lowering agents, and blood pressure control to reduce cardiovascular risk will be discussed.

Learning Objectives:

  1. Review current guidelines for the management of patients with diabetes and prediabetes.
  2. Provide guidance on the evaluation, classification, and treatment of diabetes, including less common conditions, such as monogenic diabetes syndromes as well as medication-induced diabetes.
  3. Review new insulin products and diabetes technology (including new pens, pumps, and sensors) available for patients with type 1 and 2 diabetes.
  4. Review the current management of diabetes in pregnancy.
  5. Discuss the role of nutrition and weight management in overweight patients with diabetes.
  6. With a case-based approach, discuss the prevention and treatment of cardiovascular disease in patients with diabetes.
  7. Within a panel discussion format, review questions and challenges that arise in your practice.

PRE 2202 Dermatology for the Internist

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

Jennie T. Clarke, MD
Professor of Dermatology, Department of Dermatology, University of Utah School of Medicine, Salt Lake City, UT

Patients often present to their internist with skin concerns. Many of these concerns are common conditions that, once identified, can be easily addressed without a referral to a dermatologist. Additionally, many skin conditions are known to be associated with systemic comorbidities for which screening and management in primary care is indicated. With the aid of an audience-response system, faculty will engage participants in identifying many of these conditions and will review appropriate steps for their diagnosis and management in the primary care setting. Practical approaches, including biopsy techniques, will also be reviewed.

Learning Objectives:

  1. Identify common dermatologic problems that present in the primary care setting, and initiate appropriate treatment.
  2. Describe the potential comorbidities seen in patients with psoriasis, hidradenitis suppurativa, pruritus, and urticaria.
  3. Recognize skin findings and conditions associated with short and long-term systemic complications/risk.
  4. Recognize common skin cancers and benign skin growths and understand indications for various approaches to management.

PRE 2203 Perioperative Medicine 2022

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

Geno J. Merli, MD, MACP, FHM, FSVM
Professor, Medicine & Surgery, Associate Chief Medical Officer and Senior Vice President, Vascular Medicine/Jefferson Vascular Department, Thomas Jefferson University Hospitals, Philadelphia, PA

This Pre-Course will review the assessment and management of patients with medical comorbidities undergoing surgical procedures. Expert faculty will discuss postoperative nausea and vomiting, preoperative blood pressure control, and fasting before surgery. Venous thromboembolism (VTE) prophylaxis in the postoperative period for patients with renal impairment, hereditary or acquired coagulation disorders, or history of recurrent VTE and the best VTE prophylaxis in joint replacement surgery will be reviewed. Preoperative validated risk assessment tools, mitigation strategies for identified comorbidities, and management of postoperative complications will be emphasized. Topics will include managing perioperative medications; preoperative cardiac findings (abnormal ECGs, aortic murmurs, pacemakers, AICD devices); pulmonary risk factors; managing the patient with chronic kidney disease and frailty risk indices with modification strategies; postoperative cardiac complications; managing cannabis, suboxone, and methadone; using the target-specific anticoagulants; and treating postoperative delirium.

Learning Objectives:

  1. Understand the assessment and management of patients with medical comorbidities undergoing inpatient and outpatient surgical procedures.
  2. Review guidelines and best practices for preoperative laboratory testing, perioperative medication use, and common anesthesia-related issues.
  3. Review preoperative validated risk assessment tools, strategies to mitigate risk, and management of patients with a variety of pre- and postsurgery cardiac and pulmonary problems.
  4. Understand management of cardiac-indicated antiplatelet agents and the appropriate use of direct oral anticoagulants in the perioperative period, which will include rescue and reversal agents for emergent surgery.
  5. Assess key management strategies for frail, elderly patients; patients with chronic kidney disease; and patients with substance use disorders.

PRE 2212 Point-of-Care Ultrasound: Ultrasound-Guided Procedures

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

Gigi Liu, Md, MSc, FACP
Assistant Professor of Medicine, Hospitalist/Proceduralist/COVIDist, Division of Hospital Medicine, Department of Medicine and Interventional Radiology, Johns Hopkins Hospital, Baltimore, MD

Participants will learn evidence-based approaches and techniques from national experts on ultrasound-guided procedures commonly performed by general internists. Ample hands-on learning augmented by simulation experience, including practice on phantoms, will be provided. Case-based discussions on pitfalls and ways to troubleshoot common problems will be included.

Learning Objectives:

  1. Understand the indications and contraindications for the five common bedside ultrasound-guided procedures for general internists: peripheral vascular access, central vascular access, thoracentesis, paracentesis, and lumbar puncture.
  2. Explain the rationale for using ultrasound guidance for these five bedside procedures.
  3. Identify the relevant sonoanatomy specific for these five bedside procedures with hands-on scanning practice.
  4. Understand the limitations and pitfalls of ultrasound as it relates to each procedure, anatomic differences, and the physics of ultrasound.
  5. Perform ultrasound-guided peripheral vascular access, central vascular access, thoracentesis, paracentesis, and lumbar puncture using simulators with strong understanding of ultrasound needle guidance.

*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.

Wednesday, April 27

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.

Please note that if you have already registered for Internal Medicine Meeting 2022, additional fees apply for Pre-Courses. You may register for a Pre-Course without purchasing full meeting registration.

    Members Nonmembers
Pre-Course Physicians Residents, Fellows & Transitional Medical Graduate Residents* & Research Fellows Other
Tuesday, April 26 / Wednesday, April 27 - Must attend both days
PRE 2209 Critical Care Medicine 2022 $550 $470
through Jan 31
$355 $275
through Jan 31
$550 $470
through Jan 31
$890 $800
through Jan 31
PRE 2210 ACP Rapid Review for Exam Preparation
PRE 2211 Point-of-Care Ultrasound: Foundational Skills for Internists $1,565 $1,425
through Jan 31
$1,565 $1,425
through Jan 31
$1,565 $1,425
through Jan 31
$2,225 $2,025
through Jan 31
Tuesday, April 26
PRE 2201 Diabetes for the Internist $320 $240
through Jan 31
$225 $145
through Jan 31
$325 $240
through Jan 31
$485 $400
through Jan 31
PRE 2202 Dermatology for the Internist
PRE 2203 Perioperative Medicine 2022
PRE 2212 Point-of-Care Ultrasound: Ultrasound-Guided Procedures $1,035 $945
through Jan 31
$1,035 $945
through Jan 31
$1,035 $945
through Jan 31
$1,465 $1,335
through Jan 31
Wednesday, April 27
PRE 2204 Cardiology for the Internist 2022: The Key Points $320 $240
through Jan 31
$225 $145
through Jan 31
$320 $240
through Jan 31
$485 $400
through Jan 31
PRE 2205 Hospital Medicine: Success in a Complex Environment
PRE 2206 Practice Office Orthopedics and Sports Medicine for the Internist
PRE 2207 Advances in Therapy
PRE 2208 ACP Quality Improvement Leadership Training: Best Practices in Engaging and Empowering Clinical Teams in Continuous Improvement
PRE 2213 Point-of-Care Ultrasound: Advanced Skills for Outpatient Practice+ $795 $725
through Jan 31
$795 $725
through Jan 31
$795 $725
through Jan 31
$1,125 $1,025
through Jan 31

*Verification letter required.