CME Bulletin BoardAccreditation:The American College of Physicians is accredit-ed by the Accreditation Council for ContinuingMedical Education to provide continuing medi -cal education for physicians.

The American College of Physicians desig-nates these live activities for the number of AMAPRA Category 1 Credit(s)™ indicated below. Physi -cians should only claim credit commensurate withthe extent of their participation in the activity.

Purpose:The purpose of these courses is to assistinternists in preparing for certification andMaintenance of Certification.

Courses sponsored by ACPFebruary 14-16, 2014Orlando Maintenance of Certification ExamPreparation Course. Orlando, FL. Location:Caribe Royale Orlando. Director: Gauri G.Agarwal, MD, FACP. Course Code PG1401. CMEcredits: 22 maximum Groups A and D, $685;Group B, $525; Group C, $845.

March 13-15, 2014Washington DC Maintenance ofCertification Exam Preparation Course.National Harbor, MD. Location: GaylordNational Resort and Convention Center.Director: Carmella Cole, MD, FACP. CourseCode PG1402. CME credits: 23.5 maximumGroups A and D, $685; Group B, $525; GroupC, $845.

April 8, 2014ABIM SEP-Based Learning Sessions forMaintenance of Certification. Orlando, FL.Location: Orange County Convention Center.Faculty: Gauri Agarwal, MD, FACP & Daniel M.Lichtstein, MD, MACP. 2012 Update in HospitalMedicine. Course Code PRE1412. CME credits:3.5 maximum Groups A and D, $115; Group B,$65; Group C, $195.

April 8, 2014ABIM SEP-Based Learning Sessions forMaintenance of Certification. Orlando, FL.Location: Orange County Convention Center.

Faculty: Gauri Agarwal, MD, FACP & Daniel M.Lichtstein, MD, MACP. 2012 Update in InternalMedicine. Course Code PRE1411. CME credits:3.5 maximum Groups A and D, $115; Group B,$65; Group C, $195.

April 8-9, 2014Internal Medicine 2014 Maintenance of Certi -fication Exam Preparation Course. Orlando,FL. Location: Orange County ConventionCenter. Directors: Fred Lopez, MD, FACP, MarcJ. Kahn, MD, MBA, FACP. Course Code PRE1410.CME credits: 14 maximum Groups A and D,$458; Group B, $258; Group C, $778.

April 9, 2014ABIM SEP-Based Learning Sessions forMaintenance of Certification. Orlando, FL.Location: Orange County Convention Center.Faculty: Carmella Cole, MD, FACP & DeborahTopol, MD, FACP. 2013 Update in InternalMedicine. Course Code PRE1413. CME credits:3.5 maximum Groups A and D, $115; Group B,$65; Group C, $195.

April 9, 2014ABIM SEP-Based Learning Sessions forMaintenance of Certification. Orlando, FL.Location: Orange County Convention Center.Faculty: Carmella A. Cole, MD, FACP & Deborah

Topol, MD, FACP. 2013 Update in HospitalMedicine. Course Code PRE1414. CME credits:3.5 maximum Groups A and D, $115; Group B,$65; Group C, $195.

May 18-23, 2014Greater Chicago Internal Medicine BoardReview Course. Schaumburg, IL. Location:Renaissance Schaumburg Hotel & ConventionCenter. Director: Lynell Klassen, MD, MACP.Course Code PG1404. CME credits: 48 maxi-mum Groups A and D, $1,065; Group B, $865;Group C, $1,465.

May 28-June 1, 2014New Jersey Internal Medicine Board ReviewCourse. Florham Park, NJ. Location: WyndhamHamilton Park Hotel. Director: Sara Wallach,MD, FACP. Course Code PG1403. CME credits:32 maximum Groups A and D, $965; Group B,$765; Group C, $1,245.

June 12-15, 2014San Antonio Internal Medicine Board ReviewCourse. San Antonio, TX. Location: HiltonPalacio Del Rio. Director: Emily Wang, MD,Member, Co-Director: Joshua Hanson, MD,MPH, Member. Course Code PG1405. CMEcredits: 32 maximum Groups A and D, $865;Group B, $645; Group C, $1,065. A

Classified AdvertisingFebruary 2014 ACPINTERNIST 11

*Codes for registration fees are: A-ACP Member,Master, Fellow, or affiliate member; B-ACPAssociate; C-nonmember; and D- resident orresearch fellow (verification letter required).

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Answer: Buerger’s diseaseBuerger’s disease (thrombangiitis oblit-

erans) is a vascular disorder characterized byacral tissue loss on the hands. Acute inflam-mation and clotting of the arteries andveins of the hands and feet can cause criticallimb ischemia and/or claudication, restpain, and non-healing sores or ulcers in thehands and/or feet.

Buerger’s disease, which occurs almostexclusively in heavy smokers, is treatableonly by stopping smoking and other tobac-co use. Failure to do so can result in ampu-tation. (Information from the University ofCalifornia, Davis Vascular Center, accessed atwww.ucdmc.ucdavis.edu/vascular/diseases/buergers_disease.html.)

Bonus answer: Gottron’s papulesGottron papules are erythematous to

slightly violaceous papules over the bonyprominences of the hands and fingers asso-ciated with dermatomyositis. Gottron signis macular erythema over the extensorsurfaces, particularly the interphalangealjoints or elbows and knees. Dermato -myositis is an idiopathic inflammatorymyopathy with a peak incidence in patientsbetween 40 and 60 years of age. Anincreased association with malignancy hasbeen noted with dermatomyositis. Initialtherapy is with glucocorticoids. (Infor -mation adapted from MKSAP 16.) A

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