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020194_MedicalCME_Syllabus – PR2 – January 9, 2012 9:36 AM

Primary Care 2012 CME Update

February 6 – 10, 2012

Hotel EmperadorBuenos Aires, Argentina


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> Overview

This 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.

> Learning Objectives 1. Identify alcohol and substance abuse patients using screening tools

2. Defi ne the pharmacologic approaches to hypertension

3. Describe wellness approaches and healthy habits that we can recommend for our patient

4. Identify the approaches to diagnosing common oncologic diseases and how to help patients develop prevention and screening schedules for themselves

5. Identify diagnostic and therapeutic approaches to common obstetric and gynecologic problems

6. Describe clinical approaches to pediatric emergencies such as motor vehicle accidents, septic shock, septic joint, respiratory emergencies (across many age groups) and sports injuries

> Target Audience

This activity is designed for family practitioners, internists, psychiatrists, emergency physicians, nurse practitioners and physician assistants.

> Accreditation Statement

The 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 35.5 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 Council on Continuing Medical Education 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 35.5 AMA PRA Category 1 Credits™ will be accepted for nursing credits.

Application for CME credit has been fi led with the American Academy of Family Physicians. Determination of credit is pending.

> Disclaimer

The information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specifi c patient’s medical condition. 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.


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February 6 – 10, 2012Hotel Emperador :: Buenos Aires, Argentina

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> Evaluation Form and CME Certifi cate

The evaluation and CME certifi cates are available online. In order to receive AMA PRA Category 1 Credits™, please go to www.ccfcme.org/MyCME to complete the course evaluation and to print your CME certifi cate. Once you enter the site, please enter 020914. The above code is active for 30 days following the symposium.

User Instructions:

If you are a fi rst-time user of “MyCME,” you will need to create a six-digit password comprised of any combination of letters and/or numbers. This will become your permanent login for future Cleveland Clinic “MyCME” programs.

1. Login to www.ccfcme.org/MyCME

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

3. Complete all the fi elds in the form and click on “Create Account”

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 “020914”

7. Complete all the fi elds and hit “submit”

8. Your offi cial CME certifi cate will appear. Please print and keep with your permanent fi les

Please note: Be sure to print your CME certifi cate and keep for your fi les. This is your permanent record; no other certifi cate will be generated.


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> Activity DirectorJonathan Schaffer, MDManaging Director, eClevelandClinicInformation Technology DivisionProgram DirectorAdvanced Operative Technology GroupOrthopaedic Research CenterCenter for Adult Reconstructive SurgeryDepartment of Orthopaedic SurgeryCleveland Clinic

Vincent Carr, MDDirector of Medical ClearancesThe Offi ce of Medical ServicesThe Department of State

Ermie Herring, RN, MSN, PMPChief, Medical InformaticsThe Offi ce of Medical ServicesThe Department of State

John Hickner, MDChairman, Department of Family MedicineVice Chair for Research, Medicine InstituteDirector, Center for Research and

Innovation, Medicine InstituteCleveland Clinic

Laura Jeffers, MEd, RD, LDPrimary Metabolic DieticianOutpatient ManagerCenter for Human NutritionCleveland Clinic

Joseph KennyExecutive DirectorThe Offi ce of Medical ServicesThe Department of State

Donald Kirby, MDDirector, Center for Human NutritionMedical Director, Intestinal Transplant ProgramProgram Director, Nutrition FellowshipProfessor of MedicineCleveland Clinic

Barbara Mahoney, FNPChief of Medical ClearancesThe Offi ce of Medical ServicesThe Department of State

Nancy Manahan, MDRegional Medical Manager for Central and

South AmericaThe Offi ce of Medical ServicesThe Department of State

Michael McHugh, MDVice ChairmanCleveland Clinic Children’s HospitalChairman, Children’s Hospital Quality CouncilPediatric Critical Care Medicine PhysicianCleveland Clinic

Peter Molberg, MDDASHO Operations DirectorThe Offi ce of Medical ServicesThe Department of State

Lorie Morris, PsyDAlcohol and Drug Awareness Program (ADAP)The Offi ce of Medical ServicesThe Department of State

Kim Ottwell, MDRegional Medical Manager for the Near

East and South Central AsiaThe Offi ce of Medical ServicesThe Department of State

David Panakkal, MD, RMO/PMED PsychiatristThe Offi ce of Medical ServicesThe Department of State

Gary Penner, MDMedical DirectorThe Offi ce of Medical ServicesThe Department of State

Elliot Philipson, MD Chair of Obstetrics and Gynecology at

Hillcrest HospitalProfessor of SurgeryLerner College of Medicine, Division of

Maternal Fetal MedicineWomen’s Health InstituteCleveland Clinic

Nick Riesland, MDRegional Medical Manager for AsiaThe Offi ce of Medical ServicesThe Department of State

Chuck Rosenfarb, MDDeputy Medical DirectorThe Offi ce of Medical ServicesThe Department of State

Joseph Saseen, PharmDProfessor, School of PharmacyUniversity of Colorado Anschutz

Medical Campus

Raul Seballos, MDVice ChairmanDepartment of Preventative MedicineCleveland Clinic

Dean Smith, MDMedical InformaticsThe Offi ce of Medical ServicesThe Department of State

Brooks Taylor, MDRegional Medical Manager for AfricaThe Offi ce of Medical ServicesThe Department of State

Steve Young, MD, RMO/PMED PsychiatristThe Offi ce of Medical ServicesThe Department of State

Tom Yun, MDRegional Medical Manager for EuropeThe Offi ce of Medical ServicesThe Department of State

> Faculty

> Planning CommitteeWilliam Carey, MDDirector, Hepatology CenterDepartment of GastroenterologyDigestive Disease InstituteDirector, Center for Continuing EducationCleveland Clinic

Larry Padget, MDChief of Foreign ProgramsThe Offi ce of Medical ServicesThe Department of State

Anne Saloom, FNP, MADirector of the FSHP and CME ProgramsThe Offi ce of Medical ServicesThe Department of State


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> Faculty Disclosure

In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Educa-tion (ACCME), The Cleveland Clinic Foundation Center for Continuing Education requires resolution of all faculty confl icts of interest to ensure 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 a potential confl ict of interest:

Vincent Carr, MD

William Carey, MD

Ermie Herring, RN

John Hickner, MD

Laura Jeffers, RD

Joseph Kenny

Donald Kirby, MD

Barbara Mahoney, FNP

Nancy Manahan, MD

Michael McHugh, MD

Peter Molberg, MD

Lorie Morris, PsyD

Kim Ottwell, MD

Larry Padget, MD

David Panakkal, MD

Gary Penner, MD

Elliot Philipson, MD

Nicolas Riesland, MD

Charles Rosenfarb, MD

Anne Saloom, FNP

Joseph Saseen, PharmD

Jonathan Schaffer, MD

Raul Seballos, MD

Dean Smith, MD

Brooks Taylor, MD

Stephen Young, MD

Tom Yun, MD


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> Program AgendaMonday, February 6, 2011

7:45 am Welcome and Introductions Anne Saloom, FNP, MA Jonathan Schaffer, MD

SESSION 01: Alcohol and Drug Awareness A

8:15 am Screening Patients and Developing Rapport with Individuals Who Have Substance Abuse Problems Lorie Morris, PsyD

10:00 am BREAK

SESSION 02: Alcohol and Drug Awareness B

10:15 am Characteristics that Contribute to Medevac Lorie Morris, PsyD

12:00 pm LUNCH

SESSION 03: Psychiatry A

1:00 pm Psychiatric Emergencies in Clinical Practice Steve Young, MD

2:45 pm BREAK

SESSION 04: Psychiatry B

3:00 pm Mental Health Response to Major Crisis/Disaster David Panakkal, MD

4:45 pm Conclude

Tuesday, February 7, 2012

SESSION 05: Reproductive Health A Elliot Philipson, MD

8:00 am Early Pregnancy

8:15 am Pregnancy and Medications

8:30 am Pregnancy and Vaccination

8:40 am Genetic Counseling, Prenatal Diagnosis

9:05 am Chronic Disease and Pregnancy

9:30 am Questions and Answers

9:45 am BREAK

SESSION 06: Reproductive Health B Elliot Philipson, MD

10:00 am Urinary Tract in Pregnancy

10:15 am Ectopic Pregnancy

10:45 am Abdominal Pain and Abnormal Bleeding

11:10 am Sexually Transmitted Diseases

11:20 am Contraception


11:45 am LUNCH

SESSION 07: Cancer Screening and Prevention A

12:45 pm Principles of Screening Tests John Hickner, MD

1:00 pm Melanoma/Thyroid Raul Seballos, MD

1:25 pm Breast John Hickner, MD

1:55 pm Colon Donald Kirby, MD

2:15 pm Questions and Answers

2:30 pm BREAK

SESSION 08: Cancer Screening and Prevention B

2:45 pm Uterine/Ovarian John Hickner, MD

3:15 pm Lung Raul Seballos, MD

3:35 pm Prostate John Hickner, MD

3:55 pm Hematologic Raul Seballos, MD


4:30 pm Conclude


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> Program AgendaWednesday, February 8, 2012

SESSION 09: Pharmacotherapy A

8:00 am Hypertension Pharmacotherapy Joseph Saseen, PharmD

9:45 am BREAK

SESSION 10: Pharmacotherapy B

10:00 am Dyslipidemia Pharmacotherapy Joseph Saseen, PharmD

11:45 am LUNCH

SESSION 11: Pharmacotherapy C

12:45 pm Arthritis and Diabetes Pharmacotherapy Joseph Saseen, PharmD

2:30 pm BREAK

SESSION 12: Pharmacotherapy D

2:45 pm Contraception, Anticoagulation, Asthma, and Pharmacotherapy Updates Joseph Saseen, PharmD

4:30 pm Conclude

SESSION 13: Nutrition and Wellness A

8:00 am Weight Control, Diets and Metabolic Syndrome Donald Kirby, MD Laura Jeffers, MEd, RD, LD

8:30 am Diabetes Management John Hickner, MD

9:00 am Nutrition and Wellness Donald Kirby, MD Laura Jeffers, MEd, RD, LD


9:45 am BREAK

SESSION 14: Nutrition and Wellness B

10:00 am Exercise Raul Seballos, MD

10:25 am Sleep Habits and Sleep Apnea John Hickner, MD

10:50 am Travel Habits Raul Seballos, MD


11:45 am LUNCH

SESSION 15: Pediatric Emergencies A Michael McHugh, MD

12:45 pm Upper Respiratory (Laryngo/Tracheomalacia, Croup, Epiglottitis)

1:15 pm Lower Respiratory (Asthma, Pneumonia/Empyema)

1:45 pm Shock States (Hypovolemic, Septic, Cardiogenic)


2:30 pm BREAK

SESSION 16: Pediatric Emergencies B

2:45 pm Status Epilepticus Michael McHugh, MD

3:15 pm Septic Hip/Joint Michael McHugh, MD

3:45 pm Childhood Trauma (Multisystem, Sports) Michael McHugh, MD Jonathan Schaffer, MD


4:30 pm Conclude

Thursday, February 9, 2012


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> Program AgendaFriday, February 10, 2012DOS Management Day

SESSION 17

8:00 am Current Status, Challenges, and New Initiatives of the Medical Program Gary Penner, MD, Medical Director Chuck Rosenfarb, MD, Deputy Medical Director

SESSION 18

9:00 am Training with Medical Capabilities Information Database (MCI) and Overview of Other Offi ce of Medical Services (MED) Informatics Projects Ermie Herring, RN, MSN, PMP Dean Smith, MD

9:45 am BREAK

SESSION 19

10:00 am Further Review of MCI, Telemedicine, and the Electronic Health Record (EHR) Medical Informatics: MCI Training Medical Informatics: Telemedicine Medical Informatics: EHR Ermie Herring, RN, MSN, PMP Dean Smith, MD

11:45 am LUNCH

SESSION 20

12:45 pm Medical Informatics Wrap Up Ermie Herring, RN, MSN, PMP Dean Smith, MD

SESSION 21

1:15 pm Designated Agency Safety and Health Offi cial (DASHO) Operations and MED Foreign Programs Peter Molberg, MD, DASHO Larry Padget, MD, Foreign Programs

SESSION 22

1:45 pm Break-Out Sessions with Regional Medical Managers (RMMs): Discussion of Regional Medical and Administrative Issues Tom Yun, MD Brooks Taylor, MD Nick Riesland, MD Nancy Manahan, MD Kim Ottwell, MD

2:45 pm BREAK

SESSION 23

3:00 pm Medical Clearances and MED Executive Director Updates and Panel Discussion with DASHO and Foreign Programs Joseph Kenny, MED/Executive Director Barbara Mahoney, FNP, Medical Clearances Vincent Carr, MD, Medical Clearances

4:30 pm Conclude


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primary care 2012 cme update - cleveland clinic · primary care 2012 cme update view over > this...

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