ACP 2023 Internal Medicine Course Recordings

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Expert clinician-educators provide the opportunity to understand the principles of diagnosis and management of common clinical issues encountered in the management of patients in the intensive care unit. Particular attention is placed on the recognition of disease process, acute management of critical illness, and prevention of complications in the critically ill adult patient.

This extensive collection of compelling virtual lectures will cover:

• common disorders and diseases encountered in the intensive care unit.
• diagnostic techniques used in the management of the critically ill adult.
• recommendations for the management of common critical illnesses encountered in the intensive care unit and strategies for preventing complications of critical illness.

Topics discussed include management of acute coronary syndromes and myocardial infarction, acute stroke, acute respiratory failure (including acute respiratory distress syndrome), circulatory shock, pulmonary embolism, drug overdose, sepsis and septic shock, surgical emergencies (i.e., ischemic bowel and necrotizing fasciitis), , and severe pneumonia. Also discussed will be the management of patients with encephalopathy, blood product utilization, and methods for preventing common complications in the critically ill patient.

Course Director:
Robert A. Balk, MD, MCCM, MACP, FCCP
Professor of Medicine, Rush Medical College; Division of Pulmonary, Critical Care, and Sleep Medicine, Rush University Medical Center, Chicago, IL

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Expert clinician-educators review the diagnosis of prediabetes and diabetes, including less common forms, such as maturity-onset diabetes of the young and latent autoimmune diabetes in adults, as well as the role of lifestyle interventions, appropriate indications and practical utilization of weight-loss medications. The risks and benefits of new insulin and noninsulin pharmacologic therapies are also presented. The role of diabetes medications, cholesterol-lowering agents, and blood pressure control to reduce cardiometabolic risk is also discussed.

This collection of virtual lectures will cover:

• current guidelines for the management of patients with diabetes and prediabetes.
• guidance on the evaluation, classification, and treatment of diabetes, including less common conditions, such as monogenic diabetes syndromes as well as medication-induced diabetes.
• new insulin products and diabetes technology (including new pens, pumps, and sensors) available for patients with type 1 and 2 diabetes.
• the rapidly expanding role of noninsulin therapeutics in the management of type 2 diabetes.
• the role of nutrition and weight management in overweight patients with diabetes.
• prevention and treatment of cardiovascular disease in patients with diabetes.

Course Director:
Ira B. Hirsch, MD, MACP
Professor of Medicine, Division of Metabolism, Endocrinology, and Nutrition, University of Washington School of Medicine, Seattle, WA

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Expert clinician-educators review the assessment and management of patients with medical comorbidities undergoing surgical procedures. Also discussed: postoperative nausea and vomiting, preoperative blood pressure control, postoperative headache, and fasting before surgery. Venous thromboembolism (VTE) prophylaxis in the postoperative period for patients with renal impairment, hereditary or acquired coagulation disorders, or history of recurrent VTE and the best VTE prophylaxis in surgery will be reviewed. Preoperative validated risk assessment tools, mitigation strategies for identified comorbidities, and management of postoperative complications is emphasized. Additional topics will include perioperative medication management; cardiac, pulmonary, and COVID-19 testing and frailty risk indices with modification strategies; postoperative cardiac complications; managing cannabis, suboxone, and methadone; using direct oral anticoagulants; treating postoperative delirium; and new diabetes medications.

This collection of virtual lectures will cover:

• understanding the assessment and management of patients with medical comorbidities undergoing inpatient and outpatient surgical procedures
• guidelines and best practices for preoperative laboratory testing, perioperative medication use, and common anesthesia-related issues.
• preoperative validated risk assessment tools, strategies to mitigate risk, and management of patients with a variety of pre- and postsurgery cardiac and pulmonary problems.
• management of cardiac-indicated antiplatelet agents and the appropriate use of direct oral anticoagulants in the perioperative period, which will include rescue and reversal agents for emergent surgery.
• key management strategies for frail, elderly patients; patients with chronic kidney disease; and patients with substance use disorders.
• understanding COVID-19 testing prior to surgery.

Course Director:
Geno J. Merli, MD, MACP, FHM, FSVM
Professor, Medicine & Surgery, Associate Chief Medical Officer and Senior Vice Present, Co-Director, Jefferson Vascular Center, Director, Vascular Medicine, Division of Vascular Medicine-Department of Surgery, Thomas Jefferson University Hospitals, Philadelphia, PA

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Expert clinician-educators focus on pearls to help the practicing internist maximize the utility of drug therapies. Newer medications and new uses for older medications is covered, as well as current recommendations for “best therapy” for different diseases. Additionally, common side effects of medications will be emphasized and faculty will provide practical information on medications used for common medical problems, diabetes, infectious diseases, the safe use of medications in elderly patients, and drug interactions.

This high-yield collection of virtual lectures will cover:

• drug reactions and interactions.
• appropriate drug therapies for diseases commonly seen in the office.
• safe drug prescribing for elderly patients.
• the use and appropriate utility of new diabetes therapies.

Course Director:
Douglas S. Paauw, MD, FACP
Professor of Medicine, Department of Medicine, Division of General Internal Medicine, University of Washington, Seattle, WA

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Expert clinician-educators present a focused update of the diagnostic, preventive, and therapeutic approaches to the patient at risk for, or with known, cardiovascular disease. Topics will focus on the cardiovascular disease issues which internists most frequently encounter and will provide “Key Points” to update the audience and foster patient care. Subjects covered include identification and management of acute and chronic coronary artery disease, management of the patient with cancer and heart 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, indications for and interpretation of advanced cardiac imaging modalities, atrial fibrillation update, approach to the treatment of the patient with deep vein thrombosis and pulmonary embolus, and electrocardiogram case review.

This collection of virtual lectures will cover:

• updates on the diagnostic and therapeutic approaches to the patient with known cardiovascular disease.
• guidelines and recent studies regarding hypertension, valvular heart disease, optimal blood pressure control, and care of the patient with cardiovascular disease who undergoes noncardiac surgery.
• approaches for decreasing the risk for complications and decreasing hospital readmissions for patients with a variety of cardiovascular issues.
• optimal surgical and pharmacologic treatments for the care of patients with coronary artery disease, heart failure, valvular heart disease, and atrial fibrillation.
• transition of care following hospital discharge for patients with a variety of cardiac issues.
• the role of technological advances in cardiac care that the internal medicine specialist may use in patient care: point-of-care ultrasound, telemedicine, and wearable cardiac rhythm monitoring devices.
• approaches to prevention and treatment of the cardiac complications of cancer therapy.

Course Directors:
Howard H. Weitz, MD, MACP, FRCP (Lond.), FACC
Bernard L. Segal Professor of Clinical Cardiology, Senior Associate Dean, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA

David L. Fischman, MD, FACP
Professor of Medicine, Division of Cardiology, Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA

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Expert clinician-educators will take you through the challenges of common and uncommon clinical presentations, review up-to-date medical care using a case-based format, and present an advanced and practical perspective of hospital medicine.

This high-yield collection of virtual discussions will cover:

• assessment of common inpatient clinical conditions.
• current evidence-based approach to common hospital problems.
• best practices for the treatment of common acute medical issues.
• updates in the latest hospital medicine literature.

Course Directors:
Jamie Newman, MD, MHA, MACP
Associate Professor, Department of Medicine, Mayo Clinic, Rochester, MN

Roger Yu, MD, FACP, FHM
Clinical Professor of Medicine, Division of Hospital Medicine, Department of Medicine, Scripps Green Hospital, La Jolla, CA

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Expert clinician-educators provide the knowledge and tools needed to correctly evaluate, diagnose, and treat most orthopedic complaints seen in the internal medicine office. Utilizing a case-based approach, topics include basic joint and tendon anatomy and landmarks in efforts to perform a concise, targeted office exam, combined with knowledge of the epidemiology of musculoskeletal complaints in primary care to develop an accurate diagnostic approach. Treatment is discussed, with special emphasis on a practical, evidence-based, and cost-effective approach to physical therapy and medical devices.

This collection of visually rich presentations will cover:

• the epidemiology of the most common orthopedic and sports medicine conditions seen in the internal medicine office.
• basic joint and tendon anatomy in major joint and musculoskeletal regions.
• performing targeted, practical, and evidence-based diagnostic maneuvers for common musculoskeletal complaints.
• diagnosing musculoskeletal problems through history and physical examination.
• indications for judicious use of imaging.
• treatment plans, including medication, exercises, and use of splints or braces.
• clinically appropriate resources for patient education and for home exercise plans.
• patients who require further testing or orthopedics consultation and those that can be safely treated under the guidance of the internist.

Course Director:
Edward (Ted) Parks, MD
Associate Professor, Department of Medicine, University of Colorado School of Medicine, Denver, CO

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Expert clinician educators with training in both internal medicine and psychiatry will provide a practical, evidence-based update for internists on approaches to interviewing patients with the goal of recognizing, diagnosing, treating, and/or referring patients with mental health disorders. The importance of a patient-centered approach, motivational interviewing, and basic cognitive behavioral techniques that can be quickly used in medical settings will be emphasized. An overview on psychopharmacology strategies in the general medical setting will also be discussed. Faculty will focus on psychiatric diagnoses that are prevalent in medical practice, including major depressive disorder, anxiety disorders, trauma-related disorders, and bipolar mood disorders, with a goal of improving recognition, confidence in management, and effectiveness of referral.

This collection of virtual lectures will cover:

• updates on patient-centered interview strategies to detect treatable mental illness.
• familiarity about current best practices regarding management of depression in primary care and specialty medical settings.
• a practical approach to prescribing and monitoring common psychotropic medications, with a goal of facilitating management as well as communication with psychiatric care providers.
• an overview of the use of motivational interviewing in a busy medical practice.

Course Directors:
Robert M. McCarron, MD, Member
Director of Education, Susan Samueli Integrative Health Institute, Associate Dean, Continuing Medical Education, Director, UCI Train New Trainers Primary Care Psychiatry Fellowship University of California, Irvine, CA

Jane P. Gagliardi, MD, FACP
Professor of Psychiatry and Behavioral Sciences, Professor of Medicine, Division of Adult Psychiatry & Psychology, Department of General Internal Medicine, Duke University School of Medicine, Durham, NC