ACP Internal Medicine Meeting 2018 Pre-Courses

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Pre-Courses Recorded: April 19 – April 21, 2018

Seven Pre-courses provide in-depth coverage of selected topics.

• Advances in Therapy (7 hours)
  This Pre-Course will focus on pearls to help the practicing internist to 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 side effects of medications will be emphasized. Faculty will provide practical information on therapy for psychiatric disease, diabetes, and infectious diseases; safe use of medications in the elderly; and drug interactions.
• Cardiology for the Internist 2018: The Key Points(7 hours)
  This Pre-Course will provide a focused update on the diagnostic, preventive, and therapeutic approaches to the patient at risk for, or with known, cardiovascular disease. Expert clinician-educators will focus on the cardiovascular disease issues that internists most frequently encounter and will provide “key points” to update the audience and foster patient care. Subjects covered will include identification and management of acute and chronic coronary artery disease, optimal treatment of acute and chronic heart failure, update in the treatment of hypertension, risk assessment and risk reduction for the patient with cardiac disease who undergoes noncardiac surgery, approach to the patient with valvular heart disease, atrial fibrillation update, approach to the treatment of peripheral arterial disease, and discussion of selected cases.
• Critical Care Medicine 2018 (14 hours)
  This Pre-Course will provide the opportunity to understand the principles of diagnosis and management of common clinical problems and conditions encountered in the intensive care unit. Particular attention will be placed on the recognition of disease process, acute management of critical illness, and prevention of complications of critical illness in the critically ill adult patient.
• Diabetes for the Internist 2018 (7 hours)
  The management of patients with diabetes can be complicated. Many new medications, technologies, and surgical options for the appropriate patient are available. This Pre-Course will discuss the diagnosis and management of diabetes in different clinical settings, including issues related to nutrition, exercise, and risk factor modification. The appropriate indications and practical utilization of weight loss medications in overweight/obese patients will be discussed. New therapies for the management of type 2 diabetes and new insulin preparations for type 1 diabetes and insulin-requiring type 2 diabetes will be presented. Participants will learn to identify the patient with fatty liver disease as well as strategies for evaluation and management of this increasingly common complication of the metabolic syndrome.
• Hospital Medicine: From Admission to Discharge 2018(7 hours)
  The hospital is a complex environment. Navigating it on behalf of our patients requires a broad and constantly growing body of clinical knowledge combined with an understanding of the systems that support them. This Pre-Course will review the challenges of transitions of care and handoffs, clinical conundrums of common and uncommon scenarios, and administrative hurdles. The faculty of experienced hospitalists and specialists from across the United States will discuss ideal medical management. First and foremost is the consideration of the needs of the patient. Individual lectures will involve review of up-to-date medical care using a case-based format and an audience-response system. This Pre-Course will present an advanced perspective of hospital medicine.
• MACRA, MIPS, and APMs: Strategies for Success within the Quality Payment Program(7 hours)
  Beginning in 2019 the Medicare payment system will change. Physicians and practices need to prepare now in order to be successful within the Quality Payment Program. With the elimination of the Sustainable Growth Rate (SGR), the new value-based payment program for Medicare was designed with the goal of replacing volume-based fee-for-service payment over time. Private payers also have moved in the direction of incentivizing higher quality rather than only the volume of services. Without a clear understanding of how care will be measured and paid for, physicians risk losing revenue and reputation. This course will help practices of all sizes understand this paradigm shift and how to succeed in the new environment.
• Neurology for the Internist (7 hours)
  Neurologic symptoms comprise an important part of the practice of internal medicine, but over the years exposure to formal neurologic training as part of internal medicine training has waned. This Pre-Course is designed to help internists approach the common neurologic problems seen in their patients and to update them in this rapidly changing field of medicine. A broad view of the spectrum of neurologic disorders seen in the practice of internal medicine will be discussed, including the neurologic history and examination, stroke, dizziness, topics in neuro-ophthalmology, seizures, and movement disorders.
• Perioperative Medicine 2018 (7 hours)
  This Pre-Course will review the assessment and management of patients with medical comorbidities undergoing surgical procedures. Expert faculty will discuss hypotension, delirium, and pain management in the postanesthesia care unit. Venous thromboembolism (VTE) prophylaxis in the postoperative period for patients with hereditary or acquired coagulation disorders, history recurrent VTE, and aspirin dosing for VTE prophylaxis will be reviewed. Preoperative validated risk assessment tools, modification strategies for identified comorbidities, and management of postoperative complications will be emphasized. Topics will include perioperative medication management, cardiac, pulmonary, and frailty risk indices with modification strategies, postoperative cardiac complications, diabetes management, using the target-specific anticoagulants, treating postoperative delirium, and challenging perioperative cases.