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COL 23rd Annual Update and Intensive Board Review of Internal Medicine - Pharmacist and Nurse Pharmacology
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Objective 1: Discuss the most current, evidence-based clinical practice guidelines for key core competency-based topics in medicine
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
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Objective 2: Diagnose and manage problems frequently encountered in the office and hospital
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Objective 3: Discuss recommendations for optimal management of common diseases
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Identify fundamental secondary prevention measures for patients with stable ischemic heart disease
Define the role of interventional and medical therapies in the managementof stable ischemic heart disease
Discuss recent changes to the valvular heart disease guidelines in regards to treatment algorithms for aortic stenosis and mitral regurgitation
Discuss recent data on transcatheter options for valvular heart disease and their role in the treatment algorithm
Describe how to diagnose and classify heart failure
Name indications and use of standard heart failure medication
Discuss new drugs and device indications
Discuss Cardiorenal syndrome (CRS) and the scope of the problem of CRS
Discuss pathophysiology of renal insufficiency in acute decompensated heart failure
Discuss evidence-based management of patients with CRS
Discuss the old and new definitions of severe sepsis and septic shock
Appreciate the approach to identify patients at risk
Discuss the treatment goals and the NYS and CMS regulations
Appraise current blood pressure targets and whether new findings from SPRINT should modify those targets
Devise an algorithm for treating blood pressure that incorporates hypertensive physiology
Review boards-style cardiology questions in preparation for the ABIM examination.
Explain pathophysiology and diagnosis of common supraventricular and ventricular arrhythmias.
Review treatment strategies for arrhythmias.
Review anticoagulants and left atrial appendage closure for treatment of atrial fibrillation.
Explain how to recognize and diagnose PAD.
Discuss the best practices for treating and monitoring PAD.
Describe how to mitigate the increased cardio and cerebrovascular risk associate with a diagnosis of PAD.
Discuss adult sequelae of childhood repair of congenital heart disease.
Explain the rationale for intervention in the care of adults with congenital heart disease.
Discuss the pathophysiology of the acute coronary syndromes.
Discuss the management of unstable angina/non-STEMI and STEMI
Discuss secondary prevention of the acute coronary syndromes.
Explain the rationale for new features found in the 2013 Cholesterol Guideline
Identify and refute common misconceptions about the Cholesterol Guideline
Recognize appropriate use of PCSK-9 inhibitors and understand specific concerns about the cost of these agents.
List 4 criteria for the frailty syndrome
Identify 2 predictive tools for life expectancy
Name 7 geriatrics gems to apply to the vulnerable frail older adult
Discuss medical treatment of obesity
Discuss bariatric endoscopic devices and surgical treatment of obesity
Review etiologies of treatments of thyroid dysfunction.
Review management of thyroid nodules.
Recognize the prevalence of Type 2 Diabetes, and the need for PCP involvement in its management
Review current medication options available for patients with Type 2 Diabetes, and their proper use
Establish a schematic for classifying the different types of diarrhea and their common etiologies
Develop an approach to the patient with chronic diarrhea.
Discuss the clinical presentations and appropriate steps to work up the patient with suspected celiac disease.
Discuss current, evidence-based practices in the care of the cirrhotic patient
Explain the important difference between compensated and decompensated cirrhosis
Manage patients with cirrhosis optimally
Discuss the current recommendations for identifying candidates for hepatitis B virus antiviral therapy.
Discuss the clinical information needed in order to make an appropriate recommendation for a hepatitis C antiviral regimen.
Discuss high resolution manomtery and categorization of esophageal motility disorders 2. Understand current evaluation and management of Barrett’s esophagus 3. Be updated in eosinophilic esophagitis
Discuss high resolution manomtery and categorization of esophageal motility disorder
Explain current evaluation and management of Barrett’s esophagus
Define and evaluate overactive bladder/urge incontinence in men and women
Distinguish between types of therapy for overactive bladder
Explain the management of stress incontinence in women
Discuss normal skeletal and calcium physiology
Discuss hypercalcemic and hypocalcemic disorders
Discuss the latest concepts in the development, diagnosis, and management of osteoporosis
Identify indications for combination antiretroviral therapy and fist line regimens.
Recognize biomedical and public health strategies to reduce HIV transmissions.
Discuss the epidemiology, transmission and prevention of travel -associated infectious diseases
Identify at-risk travelers
Discuss vaccine indicators and recommended vaccine schedules for travelers
Explain the importance of the sexual history
Discuss STI screening guidelines
Appreciate treatment options and microbial resistance in common STIs.
Discuss the cardinal manifestations of glomerular disease.
Recognize the clinical picture of the nephrotic syndrome and the nephritic syndrome.
Name the various disease contributing to the nephrotic syndrome and the nephritic syndrome.
Employ equations to estimated glomerular filtration rate.
Describe how to screen for and quantify proteinuria and understand the importance of proteinuria in chronic kidney disease.
Recognize treatment goals and preferred drugs for treating hypertension in chronic kidney disease.
Discuss the pathophysiology of various common fluid and electrolyte disorders
Develop a systematic approach to evaluate the cause and guide treatment of various common fluid and electrolyte disorders
Describe the management of hyponatremia with severe neurologic symptoms
Discuss the management of unilateral renal artery stenosis
Discuss epidemiology of AKI
Discuss AKI and Multiorgan Dysfunction
Identify specific syndromes of AKI in the critical care setting
Explain the pathophysiology of shock
Describe the pathophysiology of vasopressin deficiency and pressor hyperensitivity
Explain the importance and impact of contraception in historical context
List key concepts in contraceptive counseling
Discuss currently available contraceptive methods
Recognize the prevalence of Primary Hyperaldosteronism
Discuss screening and diagnostic criteria
Discuss classification and management & treatment
Describe the pharmacology of cannabinoids
Name 3 indications for the use of cannabinoids in palliative care
Recognize the side effects and potential harms of medical marijuana use
Identify current available direct oral anticoagulants, how they work, and where they should fit in the anticoagulant armamentarium
Discuss when the direct oral anticoagulants should not be used
Discuss epidemiology and risk factors of breast and ovarian cancer
Discuss breast and ovarian cancer screening and prevention strategies
Discuss staging, prognosis, and treatment of breast and ovarian cancer
Name the most common anemias encountered in outpatient medical practice.
Differentiate with basic laboratory testing the two most common causes of anemia, iron deficiency and chronic inflammation.
Describe the pathogenesis of leukemia and related hematologic malignancies
Discuss how cytogenetic and molecular abnormalities can define prognosis.
Discuss the principles of treatment for the major types of leukemia and related disorders.
Discuss the updated criteria for the diagnosis of Multiple Myeloma
Define the role of Antibodies and Checkpoint Inhibitors in the treatment of Multiple Myeloma and AL Amyloidosis
Develop an accurate understanding of the evidence regarding the cardiovascular safety of testosterone therapy.
Discuss the relationship between testosterone, testosterone therapy and metabolic syndrome
Recognize the common signs of neurological emergencies including acute ischemic stroke, hemorrhagic, stroke, and seizure.
Identify appropriate initial steps in the management of acute stroke and seizures.
Discuss the world wide incidence of TB, the difference between parts of the world where HIV is the driving force of the epidemic and the issues around active TB in the US and NY
Describe how to assess and treat for latent TB Infection
Discuss guideline based diagnosis and treatment for asthma..
Explain the rationale behind newly approved biologics for asthma and treatment
Define Interstitial Lung Disease
Outline an approach to the diagnosis of Idiopathic pulmonary fibrosis (IPF) and other ILDs
Recognize the FDA approved treatments for IPF
Define Interstitial Lung Disease
Outline an approach to the diagnosis of Idiopathic pulmonary fibrosis (IPF) and other ILDs
Recognize the FDA approved treatments for IPF
Discuss causes and management of drug allergy
Discuss causes and management of food allergy
Discuss causes and management of anaphylaxis
Describe the pathophysiology of sleep breathing disorders
Discuss the complicated and extensive terminology applied to the sleep related breathing disorders
Screen for, diagnose, and treat the major sleep apneas and sleep related hypoventilation disorders which are common and of critical clinical import in patients across the spectrum of internal medicine disorders, particularly patients with cardiovascular, pulmonary, and metabolic disorders.
Identify the types of Pulmonary questions that might appear on an IM board examination
Discuss basic concepts of Pulmonary Medicine relevant to a general internist.
Review the distinguishing diagnostic features of gout
Distinguish the management of acute and chronic gout
Discuss the management of other crystal arthropathies (e.g. pseudogout)
Discuss epidemiology and early diagnosis of spondyloarthritis
Describe the management of spondyloarthritis.
Diagnose RA in its earliest stages
List mechanisms of various treatments for RA
Screen RA patients for metabolic and cardiovascular disease
Compare pre-clinical vs. clinical autoimmunity.
Discuss B-cell targeted therapies in SLE.
Discuss the most common scleroderma-associated autoantibodies and their clinical associations
Discuss treatment options for Raynaud’s phenomenon and digital ulcerations
Describe the treatment of scleroderma renal crisis
Please answer the following:
Do you believe this activity was appropriate for the scope of your professional activities?
Was the educational content scientifically sound?
If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?
Was the mode of education effective to learning?
If you answered "No" to any of the above questions, please explain.
Did you perceive any product/service/company/commercial bias in any educational session you attended or materials you received?
If you answered "Yes" to the above question, please detail the situation below (e.g. session title, speaker name):
Were you solicited by sales personnel in an educational room (other areas do not matter) while you attended this educational activity?
If you answered "Yes" to the above question, please explain in detail (e.g. who, when, where):
How much did you learn as a result of this education program?
What questions are you have in your practice that you would like to see addressed in an educational activity?

How can this training (the overall meeting) be improved to better impact competence, performance and/or patient/client outcomes?

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