primary care 2015 cme update - cleveland clinic...primary care 2015 cme update view over > this...

Primary Care 2015 CME Update

February 2 – 6, 2015 Grand Hyatt HotelBangkok, Thailand


> OverviewThis course is designed for the US Department of State (DOS) to provide an annual educational forum for their health care providers (physicians, physician assistants, and nurse practitioners). These health care providers face a wide array of clinical issues, from the simple and routine health care visit to the complex and challenging care of acute and chronic symptoms and disease states. The content is collaboratively developed between the course provider and the continuing education team at the DOS and is based on real experiences and updates in medical knowledge. As the only course these providers may attend during the year, the interaction between the faculty and the attendees is critical to the course’s success and encompasses theatre style presentations to informal small group discussions and hands-on skills sessions.

> Learning Objectives 1. Review the current status, challenges, and new initiatives of MED programs. 2. Discuss medical-ethical-legal dilemmas overseas. 3. Review the Health Unit Standard Assessment Survey. 4. Reviewissuesrelatedtoconflictresolution. 5. Review late-breaking infectious disease “outbreaks” and lessons learned. 6. Discuss updates in screening recommendations for preventive care. 7. Review immunization recommendations and vaccine administration techniques. 8. Review infection control issues and protocols related to personal protective equipment (PPE). 9. Discuss wound assessment, cleansing, preparation, anesthetic techniques, suture closure techniques, and post-closure

wound management.10. Reviewtechniquesforperformingcommonminorofficeprocedures.11. Review updates on hypertension and diabetes. 12. Review updates on liver disease and review management of elevated LFTs, hepatitis C, non-alcoholic fatty liver disease,

hemochromatosis and phlebotomies. 13. Discuss current guidelines, recognition, diagnosis, and treatment for common musculoskeletal and rheumatologic issues. 14. Review updates on aging health issues. 15. Review clinical pearls for the pediatric patient in primary care.16. Provide pharmacologic updates on new drugs for the primary care provider.17. Review point of care lab testing procedures.18. Review regional medical issues and updates.

> Target AudienceThis activity is designed for family practitioners, internists, emergency physicians, nurse practitioners and physician assistants.

> Accreditation StatementThe Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Cleveland Clinic Foundation Center for Continuing Education designates this live activity for a maximum of 37.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit.

The Ohio Board of Nursing will accept at face value the number of contact hours awarded for an educational activity that has been approved for CE by a nationally accredited system of CE approval. Therefore, the 37.5 AMA PRA Category 1 Credits™ will be accepted for nursing credits.

This Live activity, Primary Care 2015 CME Update, from 02/02/2015 – 03/13/2015, has been reviewed and is acceptable for up to 37.50 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

> DisclaimerThe information in this educational activity is provided for general medical education purposes only and is not meant to substitute fortheindependentmedicaljudgmentofaphysicianrelativetodiagnosticandtreatmentoptionsofaspecificpatient’smedicalcondition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by The Cleveland Clinic Foundation. In no event will The Cleveland Clinic Foundation be liable for any decision made or action taken in reliance upon the information provided through this CME activity.1

February 2 – 6, 2015 Grand Hyatt Hotel :: Bangkok, Thailand

> Activity DirectorJonathan Schaffer, MD, MBAManaging Director, eClevelandClinicInformation Technology DivisionOrthopaedic Research CenterCenter for Adult Reconstructive SurgeryDepartment of Orthopaedic SurgeryCleveland Clinic

Abby Abelson, MDChairDepartment of Rheumatic and

Immunologic DiseasesCleveland Clinic

Tom Abelson, MDMedical Director, Beachwood Family

Health CenterStaff, Head and Neck InstituteCleveland Clinic

Karl AlbrechtExecutive DirectorTheOfficeofMedicalServicesThe Department of State

Andrea Anderson, RNManager, Travel Clinic Program TheOfficeofMedicalServicesThe Department of State

Deborah Barbour, MDCardiologist, Exam ClinicTheOfficeofMedicalServicesThe Department of State

Stanley Bennett, RMMRegional Medical Manager for Africa RegionTheOfficeofMedicalServicesThe Department of State

Bruce W. Dayton, PhDAssociate DirectorMoynihan InstituteResearch Professor of Political Science Maxwell School of Citizenship and

Public Affairs Syracuse University

Peter Evans, MDDirector, Upper Extremity CenterDepartment of Orthopaedic SurgeryCleveland Clinic

William Green, RMMRegional Medical Manager for

Western Hemisphere TheOfficeofMedicalServicesThe Department of State

Ibrahim Hanouneh, MDAssociate StaffDepartment of Gastroenterology

and HepatologyCleveland Clinic

Ermie Herring, RN, MSN, PMPChief, Medical InformaticsTheOfficeofMedicalServicesThe Department of State

George Johnston, MDDirector, Quality ImprovementTheOfficeofMedicalServicesThe Department of State

Gregory Martin, MDChief, Infectious Diseases and

Tropical MedicineTheOfficeofMedicalServicesThe Department of State

Kathleen McCray, RMODirector, Emergency Medical PreparednessTheOfficeofMedicalServicesThe Department of State

Kristine McVey, MLS (ASCP)cm

Regional Medical Laboratory ScientistU.S. Embassy Jakarta Health UnitThe Department of State

Michael Nesemann, RMMRegional Medical Manager for Europe

and Eurasia TheOfficeofMedicalServicesThe Department of State

Kimberly Ottwell, RMMRegional Medical Manager for the Near East and South Central AsiaTheOfficeofMedicalServicesThe Department of State

Gary Penner, RMOMedical DirectorTheOfficeofMedicalServicesThe Department of State

Wayne Quillin, RMOClinical Director, Medical InformaticsTheOfficeofMedicalServicesThe Department of State

Joseph Saseen, PharmDProfessor, School of PharmacyUniversity of Colorado AnschutzMedical Campus

Elaine Schulte, MDChairDepartment of General PediatricsCleveland Clinic

Raul Seballos, MDVice ChairmanDepartment of Preventative MedicineCleveland Clinic

Marcia Singleton, MLS (ASCP)cm

Regional Medical Laboratory ScientistU.S. Embassy New Delhi Health UnitThe Department of State

Mario Skugor, MDStaffEndocrinology, Diabetes and

Metabolism InstituteCleveland Clinic

Dean Smith, RMODeputy Medical DirectorTheOfficeofMedicalServicesThe Department of State

> Faculty

2

> Planning CommitteeMark Cohen, RMOClinical DirectorTheOfficeofMedicalServicesThe Department of State

Assefa Kidane Deputy Executive DirectorTheOfficeofMedicalServicesThe Department of State

Jeri Lockman, ANPDirector, Medical Provider (NP/PA) and

CME ProgramsTheOfficeofMedicalServicesThe Department of State

Charles Rosenfarb, RMORegionalMedicalOfficerTheOfficeofMedicalServicesThe Department of State

Joanne Silva, FNPDeputy Director, Medical Provider

(NP/PA) ProgramsTheOfficeofMedicalServicesThe Department of State

Tammy Young, FNPMedical Provider (NP/PA) RoverTheOfficeofMedicalServicesThe Department of State


> Faculty Disclosure

In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Education (ACCME),TheClevelandClinicFoundationCenterforContinuingEducationrequiresresolutionofallfacultyconflictsofinteresttoensure CME activities are free of commercial bias.

The following faculty have indicated they have no relationship which, in the context of their presentation(s), could be perceived as apotentialconflictofinterest:

Abby Abelson, MDTom Abelson, MDKarl AlbrechtAndrea Anderson, RNDeborah Barbour, MDStanley Bennett, RMMMark Cohen, RMOBruce Dayton, PhD

Peter Evans, MDWilliam Green, RMMIbrahim Hanouneh, MDErmie Herring, RNGeorge Johnston, MDAssefa KidaneJeri Lockman, ANPGregory Martin, MD

Kathy McCray, RMOKristine McVey, MLSMichael Nesemann, RMMKimberly Ottwell, RMMGary Penner, RMOWayne Quillin, RMOCharles Rosenfarb, RMOJoseph Saseen, PharmD

Jonathan Schaffer, MDElaine Schulte, MDRaul Seballos, MDJoanne Silva, FNPMarcia Singleton, MLSMario Skugor, MDDean Smith, RMOTammy Young, FNP

> Evaluation Form and CME Certificate

TheevaluationandCMEcertificatesareavailableonline.InordertoreceiveAMA PRA Category 1 Credits™, please go to www.ccfcme.org/MyCMEtocompletethecourseevaluationandtoprintyourCMEcertificate.Onceyouenterthesite,pleaseenter02010454. The above code is active for 30 days following the symposium.

User Instructions:Ifyouareafirst-timeuserof“MyCME,”youwillneedtocreateasix-digitpasswordcomprisedofanycombinationoflettersand/ornumbers.This will become your permanent log in for future Cleveland Clinic “MyCME” programs.

1. Log in to www.ccfcme.org/MyCME

2. Click on “New User?” located under the login box

3.Completeallthefieldsintheformandclickon“CreateAccount”

4. Click on “Click Here To Login”

5. Login using the information you just provided in the registration form

6. In the “Regularly Scheduled Series” box, enter the code “02010454”

7.Completeallthefieldsandhit“submit”

8.YourofficialCMEcertificatewillappear.Pleaseprintandkeepwithyourpermanentfiles.

Please note: Be sure to print your CME certificate and keep for your files. This is your permanent record; no other certificate will be generated.

3

> Claiming AAFP CreditsPhysicians may claim AAFP credits by one of the following methods:

I. AAFP Online www.aafp.org/online A. Log in B. Go to Courses C. Click on course D. Claim credits

II. Call AAFP 800.274.2237 A. Give your course information B. They will then claim the credits for you

III. Fax AAFP 913.906.6075 A. Send AMA PRA Category 1 Credits™certificatethatyoucanprintonMyCMEandcourseinformation B. They will then claim the credits for you


> Program Agenda

Monday, February 2, 2015DOS Management Day

SESSION 01

8:00am MEDAdministrativeUpdate Karl Albrecht Gary Penner, RMO Dean Smith, RMO

SESSION 02

9:00am RiskManagement:MedicalClearances Mark Cohen, RMO

10:00am BREAK

SESSION 03

10:15am RiskManagement: Health Unit Standard Assessment Survey George Johnston, MD

SESSION 04

10:45am OrganizationalandInterpersonalConflict Dynamics – General Session Overview Bruce Dayton, PhD

12:15pm LUNCH

SESSION 05

1:15pm ConflictResolution– ReflectiveListeningandAssertion Bruce Dayton, PhD

3:15pm BREAK

SESSION 06

3:30pm ConflictResolution– Interest-Based Problem Solving Bruce Dayton, PhD

5:00pm Conclude

4


> Program Agenda

Tuesday, February 3, 2015

BREAKOUT GROUPS A, B, AND CMust attend one of the PPE and one of the TST sessions.

•Option1:SkillsStations

a. Personal Protective Equipment (PPE) Kathleen McCray, RMO

b. Tuberculin Skin Test (TST) Andrea Anderson, RN

•Option2:Case-BasedDiscussionGroups

a. Pharmacology–Challenges: Combination Therapies for Resistant Hypertension Joseph Saseen, PharmD

b.Liver–HepatitisCVirusInfection: Cure for All Ibrahim Hanouneh, MD

c. Diabetes – Adult Patients Mario Skugor, MD

d. Infectious Disease – Hot Topics Gregory Martin, MD

e. Electronic Health Record (EHR) Demonstration Ermie Herring, RN, MSN, PMP Wayne Quillin, RMO

SESSION 07

8:00am AcuteBacterialSkinInfections Animal Bites and Rabies Gregory Martin, MD

10:00am BREAK

SESSION 08

10:15am PharmacologyA Joseph Saseen, PharmD

SESSION 09

11:15am RegionalMedicalManagers(RMMs) Breakout Session Stanley Bennett, RMM William Green, RMM Michael Nesemann, RMM Kimberly Ottwell, RMM

12:15pm LUNCH

SESSION 10

1:15pm SkillsandDetails01: Personal Protective Equipment (PPE), Tuberculin Skin Test (TST), Anaphylaxis Andrea Anderson, RN Kathleen McCray, RMO

SESSION 11

2:30pm BreakoutGroupsA

3:15pm BREAK

SESSION 12

3:30pm BreakoutGroupsB

SESSION 13

4:15pm BreakoutGroupsC

5:00pm Conclude

5


> Program Agenda

Wednesday, February 4, 2015

6

BREAKOUT GROUPS A, B, AND CMust attend one of the Laboratory Point of Care Testing sessions.


a. Laboratory Point of Care Testing (POCT) Kristine McVey, MLS (ASCP)cm Marcia Singleton, MLS (ASCP)cm


a. Pediatrics – Prescribing Stimulants and More Elaine Schulte, MD

b. Rheumatology – Challenging Cases, Critical Issues Abby Abelson, MD

c. Pharmacology–Challenges: Managing Statin Myalgia Joseph Saseen, PharmD

d. ENT - Common Pediatric Issues Tom Abelson, MD


SESSION 14

8:00am PharmacologyB Joseph Saseen, PharmD

10:00am BREAK

SESSION 15

10:15am ScreeningRecommendationsand Health Promotions Update Raul Seballos, MD

SESSION 16

11:15am PediatricsforPrimaryCare/WellChildCare Elaine Schulte, MD

12:15pm LUNCH

SESSION 17

1:15pm SkillsandDetails02: Laboratory Point of Care Testing (POCT) Kristine McVey, MLS (ASCP)cm

Marcia Singleton, MLS (ASCP)cm

SESSION 18


3:15pm BREAK

SESSION 19


SESSION 20


5:00pm Conclude


> Program Agenda

Thursday, February 5, 2015

SESSION 21

8:00am MED Cardiology Case Studies – AHA/ACC Guidelines Deborah Barbour, MD

10:00am BREAK

SESSION 22

10:15am Aging Raul Seballos, MD

SESSION 23

11:15am LiverDisease Ibrahim Hanouneh, MD

12:15pm LUNCH

SESSION 24

1:15pm SkillsandDetails03:OfficeProcedures Abby Abelson, MD Tom Abelson, MD Peter Evans, MD Jonathan Schaffer, MD

SESSION 25


3:15pm BREAK

SESSION 26


SESSION 27


5:00pm Conclude

BREAKOUT GROUPS A, B, AND C


a. Knee and Lower Extremity Exam and Injections, Anesthetic Blocks Jonathan Schaffer, MD

b. Bursitis, Olecranon, Prepatellar, Elbow Abby Abelson, MD

c. ENT – Common Challenges Tom Abelson, MD

d. Shoulder Challenges, Exam, Differential, Procedures Peter Evans, MD


a. Pediatrics – Infectious Disease and Immunization Updates Elaine Schulte, MD

b. Aging and Recommendations Raul Seballos

c. Liver – Abnormal Liver Enzymes in Asymptomatic Patient Ibrahim Hanouneh, MD

d. Diabetes – Other than Types 1 or 2 Mario Skugor, MD


7


8

> Program Agenda

Friday, February 6, 2015

SESSION 28

8:00am MusculoskeletalUpdate–UpperExtremity Peter Evans, MD

SESSION 29

9:00am MusculoskeletalUpdate–Rheumatology Abby Abelson, MD

10:00am BREAK

SESSION 30

10:15am PediatricsforPrimaryCare/ Pediatric Obesity Elaine Schulte, MD

10:45am PediatricsforPrimaryCare/ ENT-SpecificCases Tom Abelson, MD Elaine Schulte, MD

SESSION 31

11:15am DiabetesUpdate Mario Skugor, MD

12:15pm LUNCH

SESSION 32

1:15pm SkillsandDetails04:WoundCare Tom Abelson, MD Peter Evans, MD George Johnston, MD Jonathan Schaffer, MD

SESSION 33


3:15pm BREAK

SESSION 34


SESSION 35


5:00pm Conclude

BREAKOUT GROUPS A, B, AND C


a. Knee Wounds, Suturing the Lower Extremity, Foreign Body, Anesthetic Blocks Jonathan Schaffer, MD

b. ENT-Related Wounds and Repair Tom Abelson, MD

c. Upper Extremity Wounds and Repair, Anesthetic Peter Evans, MD

d. Cleaning Wounds and Suturing George Johnston, MD


a. Pediatrics – Why is Jonathan Failing in School? Elaine Schulte, MD

b. Aging and Recommendations Raul Seballos, MD

c. Liver – ABC in the Management of Acute Liver Failure Ibrahim Hanouneh, MD

d. Diabetes – Pediatric Focus Mario Skugor, MD



_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

primary care 2015 cme update - cleveland clinic...primary care 2015 cme update view over > this...

Documents