ACP 2024 Internal Medicine Course Recordings

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Expert clinician-educators provide the opportunity to discuss a focused update on the diagnosis and management of common clinical issues encountered in the management of patients in the intensive care unit. Particular attention will be placed on new developments in the recognition of disease process, acute management of critical illness, and prevention of complications in the critically ill adult patient.

This extensive collection of compelling virtual lectures will cover:

• common disorders and diseases encountered in the intensive care unit.
• diagnostic techniques used in the management of the critically ill adult.
• recommendations for the management of common critical illnesses encountered in the intensive care unit and strategies for the prevention of complications of critical illness.

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, sepsis and septic shock, surgical emergencies (i.e., ischemic bowel and necrotizing fasciitis), and severe pneumonia. In addition, the management of patients with acute encephalopathy and methods for preventing common complications in the critically ill patient will be discussed.

Course Director

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

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Expert clinician-educators will discuss the diagnosis of prediabetes and diabetes, including atypical forms of diabetes in adults. Faculty will review the role of lifestyle interventions as well as appropriate indications and practical use of weight loss medications. The growing role of diabetes technology will be addressed and the risks and benefits of new insulin and noninsulin pharmacologic therapies will also be presented. The role of diabetes medications, cholesterol-lowering agents, and blood pressure control to reduce cardiometabolic risk will be thoroughly discussed.

This collection of virtual lectures will cover:

• current guidelines for the management of patients with diabetes and prediabetes.
• guidance on the evaluation, classification, and treatment of diabetes, including less common atypical forms of diabetes.
• new insulin products and diabetes technology (including new pens, pumps, and sensors) available for patients with type 1 and 2 diabetes.
• the rapidly expanding role of noninsulin therapeutics in the management of type 2 diabetes.
• the role of nutrition and medication use for weight management in patients with obesity and diabetes.
• the prevention and treatment of cardiovascular disease in patients with diabetes.

Course Director:

Irl B. Hirsch, MD, MACP
Professor of Medicine, University of Washington School of Medicine, University of Washington, Seattle, WA

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Expert clinician-educations will focus on practical, evidence-based strategies that the internal medicine physician can use across care settings to better identify and treat serious and chronic conditions common to older populations, such as cognitive impairment; function assessment, frailty, and falls; depression and anxiety; and hazards of hospitalization. Expert faculty will discuss primary palliative care approaches, including strategies for clinical decision making and deprescribing in the setting of complex medical conditions; providing a systematic approach to pain and symptom management; applying principles of prognostication to those with serious illness and advanced age; and serious illness communication skills.

This collection of virtual lectures will cover:

• how disease manifests differently in older adults and disease management in older adults using the Geriatrics 5Ms (mind, mobility, medications, multicomplexity, and what matters most) approach.
• practical strategies to identify and address geriatric syndromes that are common among older adults.
• hazards of hospitalization for older adults and review methods to minimize these risks.
• options for transitions of care for older adults and those with serious and chronic illness.
• palliative care management of common symptoms and complex medical conditions.

Course Director:

Helen Fernandez, MD, MPH
Professor, Vice Chair, Education, Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY

Sonia Malhotra, MD
Associate Section Chief and Director of Palliative Medicine, General Internal Medicine/Geriatrics/ Palliative Medicine, Tulane School of Medicine/University Medical Center New Orleans, New Orleans, LA

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Expert clinician-educators will initially discuss preoperative anesthesia essentials, selection of validated cardiac risk assessment tools, venous thromboembolism prophylaxis in the most frequently performed surgeries, and antiplatelet agent management in patients with cardiac disease undergoing noncardiac surgery. Interspersed between these presentations will be clinical vignettes that complement the presentations and expand the topics discussed. The second phase of the course will be directed at the postoperative issues that face the medical consultants. These will include postoperative anesthesia issues; delirium and frailty assessment and treatments; postoperative cardiac complications including myocardial infarction, heart failure, and atrial fibrillation; and the appropriate use of perioperative anticoagulants. Each of these areas will be followed by clinical vignettes related to additional issues facing medical consultants in the postoperative period.

This collection of virtual lectures will also cover:

• the assessment and management of patients with medical comorbidities undergoing inpatient surgical procedures.
• guidelines and best practices for common anesthesia-related issues, preoperative cardiac risk assessment, and medications.
• preoperative validated risk assessment tools, strategies to mitigate risk, and management of patients with a variety of pre- and postsurgery cardiac problems.
• 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.
• key management strategies for assessing frailty or delirium.

Course Directors:

Geno J. Merli, MD, MACP, FHM, FSVM
Professor, Medicine & Surgery, Interim Chief Medical Officer, Co-Director, Jefferson Vascular Center, Department of Surgery, Thomas Jefferson University Hospitals, Philadelphia, PA

Howard Weitz, MD, MACP, FRCP (Lond.), FACC
Professor of Medicine, Division of Cardiology, Department of Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA

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Expert clinician-educators will focus on pearls to help the practicing internal medicine physician 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 adverse 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 older patients; and drug interactions.

This high-yield collection of virtual lectures will cover:

• appropriate drug therapies for diseases commonly seen in the office.
• safe drug prescribing for older patients.
• the use and appropriate utility of new diabetes therapies.
• a better understanding of drug reactions and interactions.

Course Director:

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

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Expert clinician-educators will provide a focused update of the diagnostic, preventive, and therapeutic approaches to the patient at risk for, or with known, cardiovascular disease. Faculty will focus on the cardiovascular disease issues that internal medicine physicians most frequently encounter and will provide “key points” to update the audience and foster patient care.

This extensive collection of compelling virtual lectures will cover:

• diagnostic and therapeutic approaches to the patient with known cardiovascular disease.
• 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.
• approaches for decreasing the risk for complications and decreasing hospital readmissions for patients with a variety of cardiovascular issues.
• optimal surgical and pharmacologic treatments for the care of patients with coronary artery disease, heart failure, valvular heart disease, atrial fibrillation, and repaired congenital heart disease.
• The transition of care after hospital discharge for patients with a variety of cardiac issues.
• the role of technologic advances in cardiac care that the internal medicine specialist may use in patient care: electrocardiography, echocardiography, cardiac CT imaging, cardiac MRI, cardiac PET scan, and wearable cardiac rhythm monitoring devices.
• approach to the adult who underwent repair of congenital heart disease as a child.

Course Directors:

Howard Weitz, MD, MACP, FRCP (Lond.), FACC
Professor of Medicine, Division of Cardiology, Department of Medicine, 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, Philadelphia, PA

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Expert clinician-educators will present an advanced and practical perspective of hospital medicine and provide an update on key medical issues. Faculty will address the challenges of common and uncommon clinical conundrums, and address how to improve the value of care we provide to our patients. The needs of the patient, as well as the impact on the hospital and the hospitalist, will be considered in the curriculum.

This high-yield collection of virtual lectures will cover:

• inpatient management of complex patients in case-based presentations.
• options for improving patient safety and quality.
• updates on the latest hospital medicine literature.

Course Director:

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

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Expert clinician-educators will provide participants with the knowledge and tools needed to correctly evaluate, diagnose, and treat most orthopedic complaints seen in the internal medicine office. Faculty will use 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 examination. 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).

This extensive collection of compelling virtual lectures will cover:

• the epidemiology of the most common orthopedic and sports medicine conditions seen in the internal medicine office.
• basic joint and tendon anatomy in major joint and musculoskeletal regions.
• targeted, practical, and evidence-based diagnostic maneuvers for common musculoskeletal complaints.
• diagnosing musculoskeletal problems through history and physical examination.
• indications for judicious use of imaging.
• treatment plans, including medication, exercises, and use of splints or braces.
• clinically appropriate resources for patient education and for home exercise plans.
• recognizing which patients require further testing or orthopedics consultation and which can be safely treated under the guidance of the internal medicine physician.

Course Director:

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

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Expert clinician-educators will provide a practical, evidence-based update for internal medicine physicians on approaches to interviewing patients with the goal of recognizing, diagnosing, treating, and/or referring patients with commonly encountered mental health disorders. Faculty with training in both internal medicine and psychiatry will emphasize the importance of a patient-centered approach, motivational interviewing, and quick cognitive behavioral techniques that can be quickly used in medical settings. A practical overview of psychopharmacology strategies in the general medical setting will also be discussed. Faculty will focus on psychiatric diagnoses that are prevalent in general medical practice, including major depressive disorder, anxiety disorders, trauma-related disorders, substance use disorders, chronic pain, and bipolar mood disorders, with a goal of improving recognition, confidence in management, and effectiveness of referral. 

This high-yield collection of virtual lectures will cover:

• updates on practical patient-centered interview strategies to detect treatable mental illness
• current best practices regarding management of depression, anxiety, and substance use disorders in primary care and specialty medical settings
• practical approaches to prescribing and monitoring common psychotropic medications, with a goal of facilitating management as well as communication with psychiatric care providers
  • Antidepressants in medical practice 
  • Antipsychotics in medical practice 
  • Drug–drug interactions relevant to psychotropic medications 
• an overview and examples of the use of motivational interviewing in a busy medical practice

Course Directors:

Robert M. McCarron, DO, Member
Professor, Department of Psychiatry and Human Behavior, Director of Education, Susan Samueli Integrative Health Institute, Associate Dean, Continuing Medical Education, Director, UCI Train New Trainers Primary Care Psychiatry Fellowship, Divisions of Psychiatry and Human Behavior, Medical Education, and Susan Samueli Integrative Health Institute, University of California, Irvine School of Medicine, Irvine, CA

Jane P. Gagliardi, MD, MHS, FACP
Professor of Psychiatry and Behavioral Sciences, Professor of Medicine, Duke University School of Medicine, Durham, NC