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Critical Care CME

Internal Medicine 2014 offered a rich program of courses in the area of Critical Care.

Neurologic Critical Care for the Non-neurointensivist

This course answers the following questions:

  • What are value-based diagnostic strategies for severe neurologic disorders (alterations in mentation, ischemia, hemorrhage, and seizures)?
  • What are the evidence-based treatment options for severe neurologic disorders (ischemia, hemorrhage, GBS, etc.)?
  • What are prognostic signs (both favorable and unfavorable) to facilitate discussions with family members about management options including end-of-life discussions? 

Professor: Cherylee W. J. Chang, MD, FACP, FCCM



This course answers the following questions:

  • Which patients should be tested for tuberculosis? Who needs to be isolated? When is a PPD useful? When do I need "controls"? Who needs a "2-step" PPD? When can quantiferon testing be used? When are three negative sputums required to discontinue isolation?
  • What is the prevalence of multidrug-resistant tuberculosis? What are the patient populations where this is a concern?
  • What are some extra-pulmonary manifestations of tuberculosis that are important for the hospitalist to recognize?
  • What are the latest regimens for treatment of latent disease, active disease, and post exposure prophylaxis?

Sleep Disorders

This course answers the following questions:

  • What are the various sleep disorders and their systemic complication, especially with regard to perioperative management?
  • What are the benefits and pitfalls of home versus in-laboratory testing?
  • Which clinical clues and diagnostic strategies are used to screen for and identify sleep disorders?
  • What are value-based treatment options for sleep disorders (pharmacologic, devices, and surgical)?

Professor: Maria Isabel L. Crisostomo, MD, DABSM, FCCP


Thermal Dysregulation: More than Fever

This course answers the following questions:

  • What distinguishes pathologic and physiologic temperature elevations?
  • What are common non-infectious causes of temperature elevation?
  • Which management strategies for non-infectious temperature alterations are value-based?

Professor: George H. Karam, MD, FACP


Management of Obstructive Lung Diseases: Asthma and COPD

This course answers the following questions:

  • Are newer diagnostic strategies better and/or complementary to standard testing for establishing asthma?
  • Should objective testing be used for follow-up evaluations?
  • Is there a role for bronchial thermoplasty in the management of the "difficult asthmatic"?

Professor: C. 'Sola Olopade, MD, MPH, FACP, FCCP


Vent Management

This course answers the following questions:

  • What are the characteristics of common ventilator modes?
  • How are volume control and pressure control set up?
  • What are the weaning parameters we should consider?
  • What should be considered before extubation is attempted?

Professor: John J. Marini, MD


Clinical Pearls: Pulmonary and Perioperative Medicine CME
Moderator: Scott C. Litin, MD, MACP; Panelists: Margaret M. Beliveau-Ficalora, MD, FACP; Craig E. Daniels, MD


Clinical Triad: Breast, Prostate, and Lung Cancer Screening

This course answers the following questions:

Segment A: Breast Cancer Learning Objectives:

1. What is the optimal method and timing for initiation of breast cancer screening, and when should it be stopped?

2. What are the roles of mammography, MRI, and ultrasound in screening?

3. How should an identified breast mass be evaluated?


Segment B: Prostate Cancer Learning Objectives:

1. Who should be screened for prostate cancer?

2. What PSA level is of concern in a given individual?

3. What testing is appropriate for further evaluating an elevated PSA level?


Segment C: Lung Cancer Learning Objectives:

1. Who should get low-dose CT scans?

2. How should lung findings be further evaluated and followed?

3. What is the appropriate follow-up management for incidentally discovered findings in other organs?

Moderator: Peter W. Marks, MD, PhD, FACP; Panelists: Marc B. Garnick, MD, FACP; David E. Midthun, MD, FACP; Kevin Oeffinger, MD


Update in Pulmonary and Critical Care Medicine CME
Moderator: Jesse R. Hall, MD; Co-Moderator: Jay S. Balachandran, MD


Chronic Venous Insufficiency: Management Tips for the Internist

This course answers the following questions:

  • What is the pathophysiology of chronic venous insufficiency?
  • What are the diagnostic strategies to characterize venous insufficiency?
  • What are the management options available to treat venous disease?

Professor: Alejandro Perez, MD, FSVM, RPVI


Clinical Triad: Obese and Critically Ill: Special Management Considerations

This course answers the following questions:

Segment A: Respiratory Distress and Dyspnea in the Obese—Diagnostic Considerations and Management Learning Objectives:

1. What are the pulmonary physiologic differences between obese and nonobese individuals?

2. What are common causes for dyspnea and respiratory distress in the obese that differ from those in nonobese patients?

3. How are strategies of ventilator management different in the obese patient?


Segment B: Pharmacologic Considerations of the Obese ICU Patient Learning Objectives:

1. How does total weight or body mass index (BMI) affect drug dosing in the obese patient?

2. Which parameters (total weight, BMI, or ideal body weight) should one use for dosage adjustments?

3. Which drugs commonly used are critical to have weight adjustments, and how does one ensure that they are used safely?


Segment C: Nutritional Support in the ICU Patient—Is Starvation Good? Learning Objectives:

1. What are appropriate nutritional goals in the ICU patient: hypocaloric, eucaloric, or hypercaloric?

2. Are there special nutritional considerations for underweight as well as obese patients?

3. Which mode of nutritional support—enteral or parenteral?

4. What are the long-term metabolic effects of critical illness?

Moderator: David P. Gurka, MD, PhD, FACP, FCCP; Panelists: Ewa I. Alexander, MD; V. Theodore Barnett, MD, MA; Gourang Patel, PharmD, MSc, BCPS


Health Care-Associated Pneumonia

This course answers the following questions:

  • What are the diagnostic criteria that distinguish health care-associated pneumonia (HCAP) from community-acquired pneumonia (CAP)?
  • How do we assess the risk for resistant organisms?
  • When do we consider more imaging?
  • What are the newer pathogens we need to be concerned about?
  • What is the best empiric treatment for HCAP?

Professor: Bradley A. Sharpe, MD, FACP, SFHM

Visit www.playbackacp.com to purchase Webcasts and recordings of select sessions from Internal Medicine 2014.