Earn 41.5 CME Credit Hours (Rx=7.25) on your time with this engaging new package of 2022 courses! Learn about spotting a heart attack, new dermatology drugs, diabetes, pediatric ortho, contraception use across the lifespan, and more. Features 8 tracks, 8 presenters, and our new enhanced viewing platform.
Course Overview For Package 4
- Cardiology &
- Pain Management
- Women’s Health
Basic Rhythm Interpretation
In this lecture, we will cover all the waves on the EKG and what they mean. We will also discuss the intervals, how to use them, and why they are essential. A review of Basic Arrhythmias will also be covered in this presentation.
Basic 12 Lead Interpretation
This course is a one-hour Basic 12 lead review. We will review normal cardiac conduction, normal EKGs, normal intervals and wave morphology, and some basic rhythm interpretation. Learn how to assess heart rate using the EKG and just a rhythm strip and how to trouble-shoot the EKG (artifact and 60 cycle interference). We will also discuss the PQRST model of EKG interpretation.
Challenging Cases (Rx=0.25)
Solve the mystery! In this lecture, we will have the opportunity to discuss the following cases:
A 29-year-old with palpitations and went home and collapsed from VT.
A 10-year-old female with a rash on the face, transferred to a tertiary facility with a pulmonary embolus, had V-tach on the way and lived. What was the connection between the two?
A 36-year-old female thinking she had bronchitis, wanted a Z pack and ended up getting airlifted to a nearby facility. She was diagnosed with prolonged QT syndrome and ended up going into V-tach in the hospital.
Afib Masterclass (Rx=0.25)
In this presentation, we will discuss which anticoagulant is the safest, which patients need anticoagulation, and what to do when you can’t anticoagulate your patient. How to risk-stratify your patient for stroke will also be discussed. This lecture has useful tips and a review on how to treat AFIB, including what medications to use. Also included in this presentation is a handy link to the updated CHADs score.
ACS Deep Dive (Rx=0.25)
This course will follow a patient with ACS from the emergency room to his cardiology follow up appointment. Learn about the “cardiac happy meal,” a combination of medications used post ACS event. We will conclude this topic with STEMI detection on the EKG.
Optional Workshop: Conquering Cardiology: Mastering the EKG
Do you know how much to worry about the next EKG that comes across your desk? Do you feel overwhelmed by all the things we have to know but don’t know where to start?
You may know how to pick up the big stuff like a STEMI, but do you know the 3 deadly things you can’t miss when the EKG software says non-specific st t wave changes?
When you are doing sports physicals, do you know the two deadly things you can’t miss on a Young person‘s EKG?
Do you know the 5 things you should always look for and document on any patient with palpitations? Do you know how to find an S1 q3 t3 and why this MATTERS?
Do you know what a Q wave is and when to worry about it? Do you know why the numbers on the top of the EKG matter, and how they can help you make the diagnosis of some lethal arrhythmias?
In this 2.5 hours hands-on course, we will cover all these things and more! We will discuss reciprocal changes and contiguous leads. You will get a chance to draw them on your sample EKG and make it into a cheat sheet you can use in the clinic. You will go hands-on in your workbook with 17 EKGs in class using pattern recognition to spot the high-risk findings. This hands-on approach helps you “put it all together” finally. If you feel overwhelmed by all the things we have to know but don’t know where to start, this is a quick condensed course that only focuses on the high-risk findings you need to know to be a safe provider.
Join the thousands of people who have already joined this Course in the past and are feeling more comfortable reading EKGs.
It’s Alive: Skin Infections (Rx=0.25)
Bugs, Bugs, Bugs! They are everywhere. Want to become an expert on infections and infestations from Tinea to Herpes to bed bugs and scabies then this systematic look at skin infections is the place to start. Clinical photographs will highlight skin infections you will see daily in your clinical practice and how to diagnoses these using cultures, KOH, and your clinical acumen!
Hair Today, Gone Tomorrow (Rx=0.25)
Hair and money, no one has enough of it! Hair loss complaints can be a last-minute, “Oh by the way” but if they are causing you to pull out your own hair this is right up your alley. We will review the basics: hair anatomy, the phases of hair growth and types of hair loss and then take a comprehensive look at the many types of scarring and non-scarring hair loss. Dissecting cellulitis of the scalp, alopecia areata, trichotillomania… you will have seen it all by the end of this jam-packed session.
The Itch That Rashes (Rx=0.5)
Are your patient’s itchy rashes keeping you up at night? Atopic Dermatitis, nummular dermatitis, dyshidrosis, lichen simplex chronicus. These are itchy and bothersome chronic conditions can be identified and treated by every provider. Learn lifestyle modifications, treatments, and management for these common and troublesome skin rashes.
The Usual Suspects: Rosacea, Acne, Lichen Planus, Psoriasis, Contact Dermatitis (Rx=0.5)
Dermatology can be daunting. Let’s get visual with lots of great clinical photographs and talk about common diagnoses that are high yield to equip you for your everyday skin complaints. Learn tips for diagnoses and treatment of Rosacea, Acne, Lichen Planus, Psoriasis, Contact Dermatitis, and practical tips for how to solve all your patients’ skin questions.
Dermatology Updates! Top Tips to Be in the Know (Rx=1.0)
Let’s review clinically important changes in dermatology over the past year, including new medications, new guidelines, and new OTC treatments available. The 2018 American Joint Committee on Cancer staging guidelines for melanoma staging has recently been updated. The National Comprehensive Cancer Network recommendations for sentinel lymph node biopsy were released in 2017. This lecture will also highlight the myriad of new biologic treatments for psoriasis as well as new topicals and injectables to treat atopic dermatitis, urticaria, and hidradenitis suppurativa. It will finish with a new prescription-strength OTC that will be beneficial for many patients to prevent photoaging.
Practical Guidance in Pharmacotherapy for DM 2 (Rx=1.0)
Pathophysiology of type 2 diabetes mellitus (DM2) is complex, with multiorgan defects contributing to hyperglycemia and its complications. Eight pathophysiologic organ defects were described as the “ominous octet” and is widely accepted in diabetes management. There are now 12 different classes of antidiabetic medications, including insulin. Each class has its own mechanism of action, and differentiating them is very important in order to build appropriate antidiabetic regimen for patients with DM 2 to address their multiorgan defects and reverse hyperglycemia. Numerous options with potential side effects/adverse events can be overwhelming not only for the patients but clinicians. Using the right medication with appropriate precautions can enhance patients’ adherence and outcomes.
Continuous Glucose Monitoring (CGM)
Do you remember the times we had to pee in a cup to see how well glucose is managed? Ever since home fingerstick glucose monitoring was available, monitoring diabetes control using urine glucose became history. With A1c and home glucose monitoring, rates of diabetes complications have significantly decreased, improving the lives of patients with diabetes. However, A1c and home glucose monitoring have its limitations, which can be filled by the new technology, continuous glucose monitoring (CGM). With new advances in technology and improved access, the use of CGM is rising, and more and more patients are interested in it. Soon, we may be saying, Do you remember the times we had to poke ourselves and get blood out to test it?
Type 3 Diabetes?
Due to the “epidemic” of patients with type 2 diabetes (DM2), any patients presenting with hyperglycemia are often defaulted to having DM2. Although much less common than DM2, other forms of diabetes (secondary diabetes) are present in 5-10% of diabetes and shall be considered. Timely and accurate diagnosis of these forms of diabetes will allow patients to address the real underlying pathology and get appropriate treatment to prevent disease progression.
It Hurts When I Touch Something…. Finger Injuries in the Primary Care Office
Primary and Urgent Care providers often find themselves in a position where they are seeing more and more patients presenting with finger injuries/infections. While these injuries may look dramatic, the reality is that most can be treated in a simple fashion with excellent results. However, if the provider is unfamiliar with recognizing injuries or infections involving the finger, then the outcome becomes uncertain. This lecture will emphasize developing background knowledge that will enhance the provider’s ability to recognize common finger injuries and infections. We’ll focus on key historical findings, appropriate physical exam techniques, radiographic studies, and treatment recommendations. Plus, we’ll drill down on topics such as Subungual Hematomas/Nail bed injuries, Paronychia, Felon, Abscess, and Herpetic Whitlow, Trigger Finger, and Mallet finger injuries.
Flat Tires and Busted Shocks: Foot and Knee Problems in the Not So Young Adult
Patients will frequently show up with recurrent pains that affect the knee and foot. Most of the time, knee pain gets labeled as arthritis, while foot pain mostly goes undiagnosed. If we listen long enough, our patients will tell us what is wrong with them. However, it is our job to decipher those words in order to come up with the correct diagnosis. This lecture will emphasize key historical pearls, focus physical exam maneuvers, order and interpret diagnostic studies appropriately, and provide evidence-based treatment options. We’ll emphasize conditions such as Patellofemoral pain syndrome, osteoarthritis of the knee, Meniscus/Osteochondral injuries, Posterior Tibial Tendonitis, Retrocalcaneal bursitis/tendonitis, Plantar Fasciitis, and 5th Metatarsal Fractures.
The Eyes See What the Mind Lets In… A Review of Essential Skills to Help With Interpretations of Skeletal Radiographs
Many of us look at skeletal x-rays on a daily basis, but how many of us really know what it is that we are seeing? For those less skilled in x-ray interpretation, the task of x-ray review can be daunting and may lead to overlooked diagnoses. The lecture will help you to learn the essentials needed to identify normal skeletal x-ray findings, expand your ability to recognize obvious injury patterns, and most importantly, identify those fracture patterns often missed by the less-skilled provider(s). This lecture will focus on the following regions; shoulder, elbow (Adults and Peds), Wrist u0026amp; Hand, Ankle, Foot, and Spine.
Pain in the Neck, Pain in the Buttock…What Really Matters?
This lecture will draw upon the information learned from the day’s lectures. These clinical cases will summarize the important points that are often overlooked in patient evaluation, interpretation of radiographic studies, and in the diagnosis of common and not so common musculoskeletal injuries/conditions that confront non-orthopaedic providers.
Management of Acute and Chronic Pain With and Without Opioids in the Primary Care /Urgent Care Setting (Rx=1.0)
Pain is the most commonly reported symptom in a primary care setting. This lecture will take you through the nuts and bolts of acute and chronic pain. Included in this discussion will be a focus on the importance of a comprehensive approach, including pain management specialists, primary care providers, nurses, complementary therapies, and modalities. In addition, a discussion on the importance of narcotic contracts and the regulation of controlled substances.
Pharmacology Update: Latest in the Management of GI, Infectious Diseases and Respiratory Conditions (Rx=1.5)
Keeping up to date on the latest treatment options for GI, respiratory, and infectious diseases is paramount for NPs, PAs, and MDs. This session will provide the attendee with the latest guidelines to treat a variety of conditions related to these body systems.
Neurology Snapshot – Pediatric Mashup: Fussy Infant and Pediatric Headache
In music, a mashup is a creative blend of two different styles to create a transformative experience. Fussy infants are a frequent chief complaint for new and experienced parents and providers that cause anxiety. In a case study approach, the participant will work through case studies of fussy infants concluding with a mnemonic to assist the provider the next time they encounter a fussy infant in the clinic or emergency department. Pediatric headaches is another cause of anxiety, and the lecture will conclude with a quick case study of pediatric headache case.
Cardiology Snapshot- Game Show: Pediatric Chest Pain
In the spirit of a TV game show, we will answer questions about clinical chest pain scenarios in children. Pediatric chest pain is a frequent reason for an unscheduled visit to a primary care office or an emergency department in children and adolescents. Although alarming and unexpected to parents, chest pain in children is usually not caused by a serious disease – unlike in the adult population. Pediatric chest pain can broadly be classified into cardiac chest pain and non-cardiac chest pain. Questions will cover the causes of non-cardiac chest pain, far the most common cause of chest pain, and the differential diagnosis and management for cardiac chest pain, which includes inflammatory, increase in myocardial demand or decreased oxygen supply, and coronary abnormalities. The lecture will finish with a final round for double points.
Gastroenterology Snapshot- Pediatric HIIT Workout: Pediatric Abdominal Pain and Limping Child
Abdominal pain is common in children and adolescents, and evaluation requires an understanding of the pathogenesis of abdominal pain. Acute abdominal pain is common in children and adolescents and can range from a harmless bellyache to an emergency requiring immediate action. Assessing acute abdominal pain requires clinical acumen because making the incorrect diagnosis can have devastating consequences. Learn how to differentiate between which complaints require immediate attention and how to categorize abdominal pain as common or uncommon and serious or less serious. In a Tabata style – to avoid brain plateau – this lecture will finish with a quick case study of a limping child.
Prevention and Screening: Women’s Health Guidelines Update
Let’s start with a review of the clinically important updates to cervical cancer screenings, HPV testing and guidelines, CDC STI updates, breast cancer screening for the average risk woman, contraception, and clinical pearls for well-woman visits. We will also take a more in-depth look at prevention and screening for interpersonal and domestic violence, sexual health and incontinence concerns, and HIV.
AUB: What’s “Normal” Anyways? (Rx=0.25)
With more than half of all women experiencing abnormal uterine bleeding (AUB) at some point in their life, we will discuss the importance of understanding the normal menstrual cycle and etiologies contributing to irregularities in bleeding. This lecture will look at common causes of AUB through the use of the PALM-COEIN classification system. There will be clinical case presentations, including diagnostic work-up and treatment strategies for review and discussion.
GYN Evaluation Workshop Demo (Rx=0.25)
This interactive workshop will look at concerns south of the cervix, including pelvic exam best practices, tips and tricks for treating challenging vaginitis, the role of the pelvic floor muscles, applying the biopsychosocial model to female sexual health concerns, and evaluation and management of pelvic pain. Be ready to stand up, use props, laugh, and learn!
Women’s Sexual Health Trivia
Ready to test your skills on women’s sexual health trivia? The audience will be asked to participate by assembling into teams to answer questions on topics ranging from anorgasmia, vulvodynia, hypoactive sexual desire disorder, dyspareunia, BDSM/Kink, and many more! Each question will encompass a clinical case presentation and follow with a discussion on diagnosis, lab/imaging testing, and treatment plan of care. Bring your brain for some friendly competition with prizes awarded to the winning team! You don’t want to miss this!
To MENOPAUSE and Beyond! (Rx=0.75)
More and more women in the United States are entering the menopause phase of their life with a laundry list of questions and concerns related to this change. We will look at the normal physical, hormonal and emotional changes that occur through menopause, as well as discuss appropriate health evaluations, risk assessments, screening methods, and evidence-based treatment options for women in the perimenopause, menopause, and postmenopausal stages including hormone/non-hormone therapy options. And lastly, we will examine appropriate counseling strategies and best clinical practices that lead to positive lifestyle changes for women at menopause and beyond.