Upcoming Medical Conferences in Sarasota

Hospital Medicine: Management Of The Hospitalized Adult Patient is organized by American Medical Seminars (AMS) and will be held from Jan 27 - 31, 2020 at The Westin Sarasota, Sarasota, Florida, United States of America. This Course has been approved for a maximum of 20 AMA PRA Category 1 Credits ™. All AMS 2019-2020 CME conferences are Live, Half-day, Commercial-Support Free and are approved for AMA PRA Category 1 Credits™. Additional accreditation information available on our website. All of our medical meetings are clinically useful evidence/case-based, guideline-driven, Primary Care content that is immediately applicable to your practice. All of our CME conferences, both live and recorded, can be found at www.AmericanMedicalSeminars.com. AMS CME meetings are held in both Sarasota, FL and San Diego, CA, and are designed for Primary Care Practitioners in the specialties of Family Medicine, Internal Medicine, Emergency Medicine, and even Specialists who would like practical and clinically relevant reviews and updates in Primary Care Medicine. Can’t attend our Live CME conferences? Check out our Self Study Travel CME courses on our website at www.AmericanMedicalSeminars.com. Narrative Description: Following this course, the participant should be able to formulate a practical approach to common disorders found in the hospitalized adult patient; determine the diagnostic tests that can be used to determine the severity of the patient's problem and make an accurate diagnosis; apply the various treatment options available and recognize when to treat and when to call for a specialist. This activity is expected to result in improved competence in making an appropriate diagnosis and providing effective treatment and consultation with the overall goal of improving patient outcomes. The emphasis will be on aligning physician behavior with current guidelines and evidence-based medicine, as indicated within each topic’s specific objectives. As recent advances in diagnostic modalities and treatments make it necessary to improve competence in an inpatient setting, this course was designed as an update for all practitioners at the level of a practicing physician in the hospital setting. Specific Objectives: Day 1 Bronchial Asthma: An Update. Upon the completion of this session using the NAEPP Guidelines, the participant should be able to: GL, COMP • Appraise the pathophysiology of this inflammatory disease. • Develop a stepwise approach to treatment of asthma and management of status asthmaticus. • Differentiate the patient who is not responding and specify indications for subspecialty referral. Pleural Diseases: Effusions and Pneumothorax. Upon completion of this session, the participant should be able to: GL, COMP • Determine the etiology of various pleural effusions by means of cases. • Formulate the investigation and management of pleural effusions. • Detect the presentation of pneumothorax.  • Develop the clinical approach to management of pneumothorax using the ACCP Delphi Guidelines. Systolic and Diastolic Heart Failure. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Appropriately manage decompensated heart failure in hospitalized patients.  • Assess the indications for positive inotropic agents and ultrafiltration in systolic heart failure.  • Distinguish the treatment of systolic versus diastolic heart failure, as per the 2013 ACCF/AHA Guidelines for heart failure management.  • Atrial Fibrillation in the Hospitalized Patient.  Upon completion of this session, the participant should be able to: GL, COMP • Assess and evaluate treatment options for atrial fibrillation with rapid ventricular response, as per the 2010 HFSA Guidelines.  • Employ appropriate anticoagulation strategies for atrial fibrillation.  • Distinguish the advantages of rhythm versus rate control treatment strategies, 2014 ACC/AHA Guidelines for atrial fibrillation management.  • Determine the possible underlying causes of CHF exacerbations. Day 2 Challenging Infections: Methicillin Resistant Staphylococcus Aureus, Clostridium difficile.  Upon completion of this session, the participant should be able to: EBM, GL, COMP • Assess and apply appropriate treatment strategies for different types of methicillin resistant staph aureus infections, as per the IDSA Guidelines.  • Employ rational use and relate the precautions of newer antibiotics when treating resistant bacteria. • Distinguish Guideline based treatment of Clostridium difficile infections, as per the AGA Guidelines. Consultative Medicine: Transfusion Guidelines, Delirium in the Hospitalized Patient.  Upon completion of this session, the participant should be able to: EBM, GL, COMP • Interpret changes in the updated 2012 American College of Chest Physicians Evidence-Based Guidelines for Antithrombotic Therapy. • Assess restrictive red blood cell transfusion strategy as recommended by American Association of Blood Banks (AABB) guidelines. • Evaluate clinical factors that make patients more prone to hospital and postoperative delirium. • Employ evidence-based strategies to treat delirium in hospitalized patients. Pulmonary Cases for Review - Part I. Upon the completion of this session, the participant should be able to: GL, COMP • Develop a differential diagnosis and approach to a patient with a non-resolving infiltrate. • Assess the causes and determine the evaluation of solitary lung nodule. • Evaluate idiopathic pulmonary fibrosis and employ current management using the ATS/ERS Guidelines. Arterial Blood Gas: A Six Step Approach to Rapid Interpretation. Upon completion of this session, the participant should be able to: COMP • Distinguish and determine the type of acid base disturbance – Acidosis and Alkalosis. • Determine the anion gap and its role in defining and treating acid base disorders. • Assess osmolal gap and urine anion gap.  • Develop the management of acid base disorders by a case based discussion. Day 3 Critical Care Cases for Review - Part I.  Upon completion of this session, the participant should be able to: GL, COMP • Detect acute liver failure (ALF) and develop appropriate plans for management of ALF and acetaminophen OD. • Detect pulmonary edema in the ICU and formulate a plan for the management of ARDS. • Integrate the management of a patient with cardiac arrest based on AHA-ACLS Guidelines with consideration for therapeutic • hypothermia and develop a brain death protocol. Pneumonia.  Upon completion of this session, the participant should be able to: EBM, COMP • Differentiate the presentation of various cases of pneumonia and management. • Distinguish the different pathogens that cause pneumonia. • Apply evidence-based recommendations for prevention of pneumococcal pneumonia. • Plan the approach to health care associated pneumonia. Novel Oral Anticoagulants. Upon completion of this session, the participant should be able to: EBM, COMP • Differentiate the advantages and disadvantages of commonly used anticoagulants.  • Employ evidence-based anticoagulation bridging regimens.  • Assess the approved indications for various anticoagulation agents.  • Apply the evidence-based indications for anticoagulation in hospitalized patients.  Update in Perioperative Medicine. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Appraise pre-operative cardiac risk stratification and management strategies, as per the ACC/AHA Risk Clinical Predictors.  • Determine the role of non-invasive stress testing, echocardiography, coronary angiography and the use of biomarkers to assess peri-operative cardiac risk, as per the ACC/AHA (2014) Perioperative CV Evaluation Guidelines.  • Relate the indications for beta blockers, statins and aspirin in the peri-operative period.  • Evaluate the bleeding risks of commonly prescribed medications and OTC supplements taken pre-operatively.  Day 4  Septic Shock. Upon completion of this session, the participant should be able to: GL, COMP • Define shock and differentiate the various types of shock. • Develop and apply the concept of sepsis management bundles. • Formulate and manage the early resuscitation of septic shock, vasopressor use and monitoring. • Specify the current controversies in management of septic shock based on SCCM/Survival Sepsis Campaign Guidelines. Pulmonary Cases for Review – Part II.  Upon completion of this session, the participant should be able to: EBM, GL, COMP Identify and properly evaluate sleep apnea and excessive daytime sleepiness. Specify the various causes of hemoptysis and develop an appropriate plan for management. Apply the evidence-based recommendations of pulmonary embolism including thrombolysis or appropriate referral for vena caval filters.  Approach to the Management of Stroke. Upon completion of this session, the participant should be able utilize the latest evidence based medicine and guidelines to: EBM, GL, COMP • Develop a strategy to assess the common presentations of stroke/TIA. • Utilize current initial treatment strategies appropriately. • Develop a strategy to stratify the risk of stroke. • Develop a secondary prevention plan. Approach to the Management of Chest Pain. Upon completion of this session, the participant should be able to: GL, COMP • Evaluate the complaint in the context of history, physical exam, and EKG findings. • Develop a strategy to use cardiac biomarkers in the evaluation of ACS. • Use recent research studies and guidelines to develop an approach to the patient with chest pain. Day 5 Approach to the Management of Diabetes in the Hospitalized Patient. Upon completion of this session, the participant should be able to utilize the latest evidence based medicine and guidelines to: EBM, GL, COMP • Develop a diabetes treatment strategy that identifies and reaches a target glucose. • Develop a diabetes treatment strategy that integrates the issues of chronic management. • Develop a diabetes treatment strategy that utilizes insulin effectively. Strategies to Address the Issue of Preventable Hospital Readmissions. Upon completion of this session, the participant should be able to: EBM, COMP • Identify the factors which contribute to increase risk of readmission. • Stratify the risk for readmission utilizing evidencebased tools. • Develop a transition of care strategy to reduce the likelihood of a preventable readmission. COPD – Overview of Patient Management. Upon the completion of this session, the participant should be able to: GL, COMP • Appraise the definition and integrate the pathophysiology of COPD. • Assess the clinical management of various issues regarding COPD. • Treat acute exacerbations and outpatient management including long-term oxygen and pharmacologic treatment based on ATS/ACCP Guidelines. • Evaluate the need of referral for surgical and newer treatments for emphysema. Critical Care Cases for Review - Part II. Upon completion of this session, the participant should be able to: GL, COMP • Detect acute renal failure in the ICU and employ appropriate management using the International Consensus Guidelines. • Detect and assess hypertensive emergencies in the ICU and prescribe appropriate management. • Develop the management of a patient with acute gastro-intestinal bleeding. 

Topics in Anesthesia: Emphasis on Regional is organized by Northwest Anesthesia Seminars (NWAS) and will be held from Jan 30 - Feb 02, 2020 at The Ritz-Carlton, Sarasota, Sarasota, Florida, United States of America. Target Audience: This course is designed for physicians, certified registered nurse anesthetists, physician assistants, nurse practitioners, registered nurses and other medical care providers who must maintain state-of-the-art knowledge of the anesthesia specialty or are impacted by it. Accreditation: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health designates this live activity for a maximum of 20 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 20 hours of Category I credit for completing this program. Registered Nurses: NWAS is an approved provider for the following state nursing boards: Arkansas State Board of Nursing (Provider Number 50-7480), California Board of Registered Nursing (Provider Number 4833), District of Columbia Board of Nursing (Provider Number 50-7480), Florida Board of Nursing (Provider Number 50-7480), Georgia Board of Nursing (Provider Number 50-7480), and the South Carolina Board of Nursing (Provider Number 50-7480). This program offers 20 contact hours. Program Purpose: The practitioner of anesthesiology must possess the scientific background for clinical practice; maintain state-of-the-art knowledge of not only the specialty, but also of all additional related disciplines which may impact it; maintain an up-to-the-minute armamentarium of knowledge and skills for the selection and use of complex equipment, pharmacological agents, and procedures necessary for the provision of quality patient care; manage self and colleagues to function toward common goals in the clinical setting, the clinical and educational institutions, and the community in which the practice resides; serve as an expert in matters involving health care delivery; serve as an informed manager of clinical and educational services provided, including the acquisition and distribution of resources necessary in meeting professional goals; and provide assistance with and support of other service providers, departments, institutions, and organizations dependent upon the professional expertise of the practitioner. Presentations are designed to facilitate the healthcare provider in reviewing, updating, and/or expanding knowledge and abilities in one or more of these areas vital to the practicing professional. Objectives: At the conclusion of this activity, the participant will be able to: • Apply the pertinent physical and behavioral sciences - to include but not be limited to advanced anatomy and physiology, pathophysiology, chemistry, physics, psychology, and social sciences - as they impact and are affected by the planning, delivery, and monitoring of anesthesia and related services inherent in the anesthesia professions. • Explain the selection, dosing considerations with methods of administration, safe use, and contraindications and precautions of presented pharmacological agents through the understanding of their physico-chemical properties, pharmacokinetics and pharmacodynamics, updated uses, and more recently developed additional, related, and similar drugs. • Outline comprehensive management plans for the group of patients discussed, whether related in age, physical status, cultural background, invasive procedure, anesthetic or analgesic requirements, clinical setting, adverse reactions, and/or goals of care. • Apply the principles of safety and asepsis in the performance of anesthetic procedures and administrations, equipment use, and other applications encountered during the provision of anesthesia and analgesia whether in the surgical unit, the labor and delivery suite, the pain management clinic, or other more remote location of anesthetizing services. • Incorporate the appropriate recommendations and/or requirements of pertinent external organizations, institutions, and professional groups - recognized as serving as the authority for and/or holding the responsibility to compile and approve such tenets - in the provision of anesthesia and related services, whether medical, legal, philosophical, ethical, or health care management standards. • Apply the new techniques in the clinical setting of the participant.

Endocrinology And Rheumatology: The Most Practical And Useful Topics From Two Specialties is organized by American Medical Seminars (AMS) and will be held from Feb 03 - 07, 2020 at The Westin Sarasota, Sarasota, Florida, United States of America. This Course has been approved for a maximum of 20 AMA PRA Category 1 Credits ™. All AMS 2019-2020 CME conferences are Live, Half-day, Commercial-Support Free and are approved for AMA PRA Category 1 Credits™. Additional accreditation information available on our website. All of our medical meetings are clinically useful evidence/case-based, guideline-driven, Primary Care content that is immediately applicable to your practice. All of our CME conferences, both live and recorded, can be found at www.AmericanMedicalSeminars.com. AMS CME meetings are held in both Sarasota, FL and San Diego, CA, and are designed for Primary Care Practitioners in the specialties of Family Medicine, Internal Medicine, Emergency Medicine, and even Specialists who would like practical and clinically relevant reviews and updates in Primary Care Medicine. Can’t attend our Live CME conferences? Check out our Self Study Travel CME courses on our website at www.AmericanMedicalSeminars.com. Narrative Description: Following this course, the participant should be able to appraise the epidemiology and presenting complaints of the commonly seen disorders within the specialities of Endocrinology and Rheumatology; apply a practical approach to the use of laboratory studies and physical exam for developing a differential or diagnosis; determine the various treatment options available and choose appropriate specialty referral or follow-up. This activity is expected to result in improved competence in making an appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes. When indicated in the specific objectives, emphasis will be on aligning physician behavior with current guidelines and evidence-based medicine with a focus on diagnosis, treatment and when to refer.  Since the specialties of Endocrinology and Rheumatology impact patient populations of all demographics, there is a need for providers to be up-to-date on common Endocrine and Rheumatologic diseases; therefore, this course was designed as an update for all practitioners at the level of a practicing physician. Specific Objectives: DAY 1  Adrenal Insufficiency- Primary and Secondary. Upon completion of this session, using evidence-based medicine and clinical practice guidelines, to include Endocrine Society Guidelines, the participant should be able to: COMP • Apply principles learned to evaluate the diagnostic tests used to confirm the diagnosis or primary or secondary adrenal insufficiency.   • Employ therapeutic options for patients including pregnant patients with primary or secondary adrenal insufficiency. Cushing’s Syndrome and other Functional Disorders of the Adrenal.  Upon completion of this session, using evidence-based medicine and clinical practice guidelines, to include Endocrine Society Practice guidelines, the participant should be able to: COMP • Outline the etiology of Cushing’s syndrome. • Evaluate a patient with an adrenal tumor.   • Evaluate a patient for suspected hyperaldosteronism. • To employ strategies to appropriately diagnosis and manage patients with pheochromocytoma. Approach to the Patient with Rheumatic Diseases. Upon completion of this session, the participant should be able to: GL, EBM, COMP   • Demonstrate the importance of the history and physical exam including patterns of joints involvement and extra-articular findings in evaluating patients with rheumatic diseases. • Distinguish inflammatory (i.e. rheumatoid arthritis) and structural arthritis (i.e. osteoarthritis). • Differentiate patterns of articular involvement associated with different arthritides. • Utilize laboratory and radiological studies in the evaluation of patients with rheumatic diseases. Rheumatoid Arthritis. Upon completion of this session, the participant should be able to:GL, COMP   • Demonstrate the role of genetics, environmental factors, immune cells, and proinflammatory cytokines in the pathogenesis of rheumatoid arthritis. • Illustrate the clinical features, extra-articular manifestations, and complications of rheumatoid arthritis. • Utilize and compare various methods of measuring disease activity in rheumatoid arthritis. • Compare and contrast the mechanisms of action of current and emerging therapies for RA and prescribe treatment for patients with rheumatoid arthritis according to ACR guidelines. DAY 2  Thyroid Case Studies. Upon completion of this session, using evidence-based medicine and clinical practice guidelines, to include the American Thyroid Association Guidelines, the participant should be able to: COMP   • Appreciate the role of a diagnostic thyroid scan or ultrasound. • Evaluate a patient for hyperthyroidism. • Prescribe therapeutic options for patients diagnosed with hypothyroidism. Disorders of Calcium Metabolism. Upon completion of this session, using evidence-based medicine from the JCEM, Annual of IM and others, the participant should be able to: COMP   • Outline the causes of hypercalcemia. • Recommend diagnostic testing for hyperparathyroidism. • Recognize secondary hyperparathyroidism. • Determine appropriate need for surgical intervention using clinical practice guidelines for asymptomatic hyperparathyroidism. Systemic Lupus Erythematosus. Upon completion of this session, the participant should be able to: GL, EBM, COMP   • Describe the varied clinical presentations and manifestations in the course of systemic lupus erythematosus.   • Order and interpret laboratory testing used in the diagnosis of systemic lupus erythematosus in accordance with ACR Guidelines.   • Monitor and employ treatment options for patients with systemic lupus erythematosus according to EULAR recommendations and evidence-based results from clinical studies. Scleroderma and Raynaud's Disease. Upon completion of this session, the participant should be able to: GL, COMP   • Specify the clinical manifestations of scleroderma.   • Apply the ACR/EULAR classification criteria for systemic sclerosis. • Utilize treatment available for symptomatic manifestations as per the current EULAR recommendations.   • Apply the diagnostic work-up and treatment of Raynaud’s Phenomenon. DAY 3 Male Hypogonadism. Upon completion of this session, using evidence-based medicine from the JCEM, NEJM and others, the participant should be able to: COMP   • Outline the classic causes of male hypogonadism. • Appreciate the entity of adult onset hypogonadism. • Describe the risks and benefits of testosterone use and apply toward decision making when reviewing treatment options. Polycystic Ovary Syndrome. Upon completion of this session, using evidence-based medicine and clinical practice guidelines, to include Rotterdam Guidelines, the participant should be able to: COMP   • Recognize the distinguishing features of PCOS. • Prescribe appropriate laboratory tests to evaluate women with hirsutism. • Describe the non-reproductive aspects of PCOS. Cardiovascular Complications of Rheumatic Diseases (BRECHER). Upon completion of this session, the participant should be able to: GL, EBM, COMP   • Recognize the increased risk for cardiovascular diseases in specific rheumatic disorders. • Identify types of patients with rheumatic disorders which have high risk for cardiovascular disease. Osteoporosis (BRECHER). Upon completion of this session, the participant should be able to: GL, EBM, COMP   • Detect patients who are at risk for osteoporosis. • Recognize the need for bone density testing as recommended by the International Society of Clinical Densitomethy and the National Osteoporosis Foundation guidelines. • Differentiate the nonpharmacologic and pharmacologic treatments for osteoporosis as recommended by the National Osteoporosis Foundation guidelines.    DAY 4      Spondyloarthropathies. Upon completion of this session, the participant should be able to: EBM, COMP   • Distinguish the clinical features of the different spondyloarthropathies to improve diagnostic accuracy. • Utilize clinical features, laboratory studies, and radiological studies to make a diagnosis of axial spondyloarthropathy. • Prescribe pharmacologic agents according to ACR and EULAR recommendations and evidence-based results from clinical trials for patients with spondyloarthropathies. Rheumatologic Procedures. Upon completion of this session, the participant should be able to: GL, COMP   • Use techniques for appropriate indications for intra-articular and soft tissue injections in rheumatology. • Employ appropriate pharmacologic and non-pharmacologic therapies including injections for painful joints as per the ACR recommendations and the various sited rheumatologic and META analysis studies. Idiopathic Inflammatory Myopathies (BRECHER). Upon completion of this session, the participant should be able to: GL, EBM, COMP   • Distinguish the different inflammatory myopathies as outlined in the 2017 European League Against Rheumatism/American College of Rheumatology Classification Criteria. • Utilize clinical features and appropriate testing to make the diagnosis of inflammatory myopathies. • Illustrate the pharmacologic agents used according to ACR and EULAR recommendations based upon evidence-based results from clinical trials for patients with idiopathic inflammatory myopathy. Crystal Arthropathies (BRECHER). Upon completion of this session, the participant should be able to: GL, EBM, COMP   • Illustrate the presenting signs and symptoms of crystal induced arthritis using evidence-based medicine. • Order appropriate testing to confirm the diagnosis of crystal induced arthritis. • Apply American College of Rheumatology guidelines in the treatment of crystal arthropathies including gout and pseudogout.    DAY 5  Septic Arthritis. Upon completion of this session, the participant should be able to: GL, EBM, COMP  • Determine the risk factors associated with septic arthritis. • Utilize the British Society of Rheumatology Guidelines for management of the hot swollen joint in adults to differentiate septic arthritis from other causes of acute monoarticular arthritis.   • Utilize epidemiological and clinical clues to determine bacterial etiology in patients with septic arthritis. Lyme Disease and Other Topics in Rheumatology. Upon completion of this session, the participant should be able to: EBM, GL, COMP   • Apply CDC and Infectious Diseases Society of America Guidelines for the diagnosis, treatment, and prevention of Lyme disease. • Evaluate skin rashes as manifestations of systemic diseases. • Using the Guidelines of the Bone Research Society of the United Kingdom to prescribe appropriate therapy for patients with Paget’s disease of the Bone. Vasculitis. (BRECHER). Upon completion of these sessions, the participant should be able to:  • Recognize the various types of vasculitis as defined by the revised International Chapel Hill si • Demonstrate an understanding of the treatments for polymyalgia rheumatica and giant cell arteritis as well as their potential treatment toxicities using evidence – based medicine Approach to Musculoskeletal Pain. (BRECHER). Upon completion of these sessions, the participant should be able to:  • Assess a patient presenting with musculoskeletal complaints. • Employ appropriate pattern recognition to elucidate the underlying cause of musculoskeletal complaints. • Utilize clinical history, physical exam, and appropriate laboratory testing to support a clinical diagnosis related to musculoskeletal complaints using evidence -based medicine.

20th Annual National Sarasota Congress for Cardiovascular Disease Prevention Update 2020: Time to Focus on Early Cardiovascular Disease Prevention and Optimal Diagnosis and Management of Primary and Secondary Cardiovascular Diseases is organized by Cardiovascular Center of Sarasota, International Society for Cardiovascular Disease Prevention (ISCVP) and will be held from Feb 07 - 09, 2020 at Hyatt Regency Sarasota, Sarasota, Florida, United States of America.  Target Audience: This CME activity is designed for the cardiologist, internist, pharmacists primary care physicians, emergency room physicians, nurses, respiratory therapists and other health care providers who manage patients with cardiovascular disease. Accreditation: The Florida Medical Association designates this live activity for a maximum of 13.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity Educational Objectives: The course is designed to present for participants: • Review of Novel Approaches for Early Cardiovascular Disease Prevention and Optimal Diagnosis and Management of Primary and Secondary Cardiovascular Diseases in order to avert or delay a Catastrophic Cardiovascular Event • Update on Hypertension and Cardiorenal Syndrome • Update on Treatment Modalities for Ischemic Heart Disease In Women • Update on Novel Approach for treatment of Dyslipidemia: PCSK9 Inhibitors • Update on SystematicApproach to Risk StratificationAnd Screening • Update on the use of Imaging Modalities for the Diagnosis and Management of CV Disease • Update on Diabetic Heart Disease and Heart Failure  Topics:  • Novel Approach for Cardiovascular Disease Assessment & Prevention • Management of Diabetes & Obesity • New Guidelines in Hypertension and Dyslipidemia/PCSK9 Inhibitors • Current and Future Management of Dyslipidemia and Atherosclerosis • Women’s Heart Disease • Update on the current management of Deep Vein Thrombosis • Stroke Prevention in NVAF • Update on New Guidelines for Treatment of Diabetes, Hypertension, Dyslipidemia and Heart Failure • Sleep Disorders and Heart Disease • Update on Cardiovascular Imaging • Dietary Management • Cardio Oncology and much more

Emergency Medicine: Practicing According to the Evidence is organized by American Medical Seminars (AMS) and will be held from Feb 10 - 14, 2020 at Lido Beach Resort, Sarasota, Florida, United States of America. This Course has been approved for a maximum of 20 AMA PRA Category 1 Credits™. All AMS 2019-2020 CME conferences are Live, Half-day, Commercial-Support Free and are approved for AMA PRA Category 1 Credits™. Additional accreditation information available on our website. All of our medical meetings are clinically useful evidence/case-based, guideline-driven, Primary Care content that is immediately applicable to your practice. All of our CME conferences, both live and recorded, can be found at www.AmericanMedicalSeminars.com. AMS CME meetings are held in both Sarasota, FL and San Diego, CA, and are designed for Primary Care Practitioners in the specialties of Family Medicine, Internal Medicine, Emergency Medicine, and even Specialists who would like practical and clinically relevant reviews and updates in Primary Care Medicine. Can’t attend our Live CME conferences? Check out our Self Study Travel CME courses on our website at www.AmericanMedicalSeminars.com. Narrative Description: Following this course, the participant should be able to appraise the epidemiology, demographics and common clinical presentations for the diseases and disorders discussed; construct an appropriate history, physical exam and laboratory evaluation to develop cost-effective and accurate diagnosis; manage as well as employ appropriate follow-up and/or specialty referral for the diseases and disorders presented. This activity is expected to result in improved competence in making appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes. The emphasis will be on aligning physician behavior with current guidelines and evidence-based medicine, as indicated within each topic’s specific objectives. Emergency Medicine is a specialty that has a high rate of utilization and change in standards of care. It is often the point of entry for medical care; therefore, this course was designed to be of value to all practitioners at the level of a practicing physician in an effort to keep them abreast of current clinical practices in Emergency Medicine. Specific Objectives: Day 1: Thrombolysis for Stroke. Upon completion of this session, the participant should be able to:GL, COMP • Analyze and integrate the principles and pathophysiology of stroke and stroke treatment. • Appraise the applicable medical literature that is available to the clinician along with the latest ASA Guidelines. • Debate the performance of thrombolysis for stroke to this point in time. • Appraise the controversy in the medical literature regarding this therapy. • Determine emerging technologies and therapies that may prove useful for the treatment of stroke in the ED. PE and DVT in the Emergency Department. Upon completion of this session, the participant should be able to:EBM, GL, COMP • Analyze the scope of the problem of thromboembolic disease in the ED. • Employ the latest diagnostic algorithms and adjuncts available to aid the clinician in the diagnosis of thromboembolic disease. • Appraise the evidence-based treatment of thromboembolic disease based on the latest applicable literature and apply applicable ACEP Guidelines. • Assess the limitations of current diagnostic modalities for these diseases. Aortic Emergencies.  Upon completion of this session, the participant should be able to:COMP, EBM • Specify the pathophysiology and clinical presentations, and formulate ED management using evidence-based medicine of the following:    a. Abdominal aortic aneurysm,    b. Traumatic aortic disruption,    c. Essentials of aortic dissection. Trauma in Pregnancy.  Upon completion of this session, the participant should be able to:COMP • Illustrate the anatomic & physiologic changes of pregnancy that are relevant to traumatic injury. • Describe the common injuries associated with trauma in pregnancy, as well as their initial assessment and management. • Discuss practice management variation that may be necessary in the evaluation and management of the pregnant traumatized patient. Day 2: Nephrolithiasis & Pyelonephritis.  Upon completion of this session, the participant should be able to:COMP, GL, EBM Illustrate the pathophysiology and clinical presentation of these two entities. Specify the best-evidence strategy in both imaging for diagnosis of nephrolithiasis and management of this pathology in the Emergency Department.  Discuss the classifications of upper urinary tract infections and pyelonephritis, as current IDSA guidelines for treatment of these classifications. Urogenital Emergencies: Torsion & Priapism.  Upon completion of this session, the participant should be able to: COMP, GL • Describe the anatomy, physiology and epidemiology of priapism and torsion. • Discuss the evaluation and potential causes of both high and low flow priapism. • Discuss ED management considerations and guidelines for the treatment of priapism. • Describe the evaluation and bedside reduction technique for testicular torsion, including recent clinical decision tools and transfer recommendations. Early Goal Directed Therapy in Sepsis: Why All the Fuss? Upon completion of this session, the participant should be able to:GL, COMP • Determine the pathophysiology of sepsis and the sepsis syndrome. • Evaluate the scope of the problem regarding effective management of sepsis in the ED. • Appraise the principles of early goal-directed therapy in the treatment of sepsis. • Employ the applicable “surviving sepsis” guidelines. • Assess the potential gains that can be realized, as well as the pitfalls to avoid, in the management of sepsis utilizing early goal directed therapy. Minor Closed Head Injury: An Evidence-Based Approach.  Upon completion of this session, the participant should be able to:EBM, GL, COMP • Assess and relate the pathophysiology of minor closed head injury. • Appraise the literature as it pertains to minor closed head injury and apply ACEP Guidelines as they relate to minor CHI. • Recommend diagnostic algorithms appropriate for the evaluation and management of minor CHI in light of best-evidence available. Day 3: Pericarditis and Myocarditis: How Can 2 Diseases Sound So Similar and Act So Differently?  Upon completion of this session, the participant should be able to:EBM, COMP • Illustrate the pathophysiology and clinical presentation of these two entities. • Differentiate the potential pitfalls in the diagnosis and management of these diseases. • Analyze the commonalities and differences of these closely related diseases. • Recommend evidence-based work-up and treatment options for pericarditis and myocarditis. Acute Coronary Syndrome in the ED: So Many Drugs and So Little Time. Upon completion of this session, the participant should be able to:EBM, GL, COMP • Analyze the scope of the problem of ACS in the ED. • Integrate the evidence-based treatment of ACS based on the latest applicable literature. • Relate the areas of controversy in the treatment of this disease entity. • Assess emerging therapies that may prove useful for the treatment of ACS in the ED. • Apply and integrate the updated ACC/AHA guidelines for the management of patients with unstable angina and non ST-segment elevation myocardial infarction. GI Bleeds: Upper & Lower.  Upon completion of this session, the participant should be able to:COMP, EBM • Describe the gastrointestinal tract anatomy and pathophysiologic changes that result in presentation with bleeding.  • Determine the emergency department "essentials" for the assessment of the patient with GI bleeding.  • Develop a rational framework for the ED treatment of acute gastrointestinal bleeding, both upper and lower using evidence-based medicine. Trauma Airways.  Upon completion of this session, the participant should be able to:COMP, EBM • Specify and apply critical issues in the evaluation and management of the airway in the critically injured patient using evidence-based medicine. • Identify the potential pitfalls in traditional methods of airway management in the critically injured patient.  • Discuss the potential utility of various pharmacologic agents in obtaining airway access in trauma.  • Demonstrate an understanding of surgical airway management, both open and percutaneous approaches. Day 4: Post-Arrest Care. Upon completion of this session, using evidence-based medicine and clinical practice guidelines, to in the AHA CPR and emergency cardiovascular care, the participant should be able to:COMP, EBM • Develop goals for oxygenation and ventilation in the patient with return of spontaneous circulation following cardiac arrest. • Identify the optimal mean arterial blood pressure in post-arrest patients. • Employ appropriate use of targeted temperature management in post-arrest patients. • Determine which post-arrest patients should be sent for emergent cardiac catheterization. Deadly Allergies and Anaphylaxis. Upon completion of this session, the participant should be able to:COMP, EBM • Determine the clinical criteria for anaphylaxis using The World Allergy Organization guidelines. • Appraise the use of epinephrine in patients with anaphylaxis using evidence-based medicine. • Assess the role of second-line medications commonly used in the treatment of anaphylaxis. • Specify which patients with anaphylaxis require continued observation or admission. Pediatric Orthopedic Pearls and Pitfalls. Pediatric orthopedic injuries are frequently seen in the Emergency Department. This population is at risk for missed or mis-managed orthopedic injuries based on inability to provide a history, presence of growth plates and ossification centers, and the imbalance of stronger ligaments and pliable bone. Upon completion of this session, the participant should be able to:EBM, COMP • Determine the presence of, and apply the evidence-based treatment for Salter-Harris injuries. • Formulate strategies to avoid the missed diagnosis of pediatric supracondylar humeral fractures. • Integrate effective methods to avoid the missed diagnosis of slipped-capital-femoral epiphysis and employ the acute treatment algorithm once it is identified. Adult Orthopedic Pearls and Pitfalls.  Orthopedic injuries are a frequently seen complaint in the Emergency Department. The vast majority are straightforward to diagnose and manage. There are some injuries, however, that are subtler in presentation and more complicated to manage. This session will focus on the latter group of injuries. Upon completion of this session, the participant should be able to:EBM, COMP • Detect the presentation and diagnostic pitfalls associated with posterior shoulder dislocation. • Determine an appropriate work-up of compartment syndrome and distinguish the myriad ways it can present. • Appraise those at risk for knee dislocation and relate the time-imperative for reduction. • Demonstrate understanding of the work-up and evidence-based treatment for native hip dislocation, as well as occult hip fracture. Day 5: Community-Acquired Methicillin-Resistant Staphylococcus aureus (CA-MRSA): An Update. Upon completion of this session, the participant should be able to:EBM, COMP • Assess risk factors for CA-MRSA infection. • Specify the best-evidence management of skin and soft-tissue infections in the era of drug resistance. • Assess both pharmacologic and nonpharmacologic management strategies for this disease entity. • Demonstrate familiarity with the latest treatment recommendations for CA-MRSA as directed by the CDC. Low Back Pain in the ED: What We Know, What We Think We Know, and What We Don’t Know. Upon completion of this session, the participant should be able to:EBM, COMP • Apply an evidence-based approach to the evaluation of non-traumatic back pain. • Differentiate the “red flags” that should heighten the suspicion for serious pathology in the evaluation of back pain. • Assess and differentiate both effective as well as disproved therapies in the treatment of back pain using the Cochrane Database. • Specify potential pitfalls in the treatment and disposition of low back pain. Recent Critical Care Articles You've Got to Know! Upon completion of this session, the participant should be able to:COMP, EBM • Appraise key evidence-based medicine articles from the recent critical care and emergency medicine literature. • Plan the integration of recent evidence into the practice of emergency medicine. Undifferentiated Shock...Making a Difference. Upon completion of this session, the participant should be able to:COMP, EBM • Identify crucial pearls from the history and physical examination that identify patients who may be critically ill. • Discuss important initial management steps for the patient with signs of shock according to evidence-based medicine. • Implement a systematic approach to quickly identifying the cause of shock in critically ill patients.

The 34th mid-winter Sarasota Vitreo-Retinal Update Course is organized by American Society of Retina Specialists (ASRS) and will be held from Feb 13 - 15, 2020 at The Ritz-Carlton, Sarasota, Sarasota, Florida, United States of America. Description: This course is targeted to practicing ophthalmologists interested with the latest developments in the diagnosis & management of vitreo-retinal, neuro-ophthalmologic diseases & ocular-oncology. Additional details will be posted as soon as they are available.

Pediatric Infectious Diseases: A Primary Care And Hospitalist Approach is organized by American Medical Seminars (AMS) and will be held from Feb 24 - 28, 2020 at The Westin Sarasota, Sarasota, Florida, United States of America. This Conference has been approved for a maximum of 20 AMA PRA Category 1 Credits ™. All AMS 2019-2020 CME conferences are Live, Half-day, Commercial-Support Free and are approved for AMA PRA Category 1 Credits™. Additional accreditation information available on our website. All of our medical meetings are clinically useful evidence/case-based, guideline-driven, Primary Care content that is immediately applicable to your practice. All of our CME conferences, both live and recorded, can be found at www.AmericanMedicalSeminars.com. AMS CME meetings are held in both Sarasota, FL and San Diego, CA, and are designed for Primary Care Practitioners in the specialties of Family Medicine, Internal Medicine, Emergency Medicine, and even Specialists who would like practical and clinically relevant reviews and updates in Primary Care Medicine. Can’t attend our Live CME conferences? Check out our Self Study Travel CME courses on our website at www.AmericanMedicalSeminars.com. Narrative Description: Following this course, the participant should be able to appraise the epidemiology and classify commonly presenting infectious diseases; differentiate among the various serious infections requiring immediate therapy; apply appropriate use of laboratory studies and determine when to refer to a specialist.This activity is expected to result in improved competence in making an appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes.  The emphasis will be on aligning physician behavior with current guidelines and evidence-based medicine, as indicated within each topic’s specific objectives, with a focus on diagnosis, treatment and when to refer. Since Infectious Diseases is a specialty field of medicine that affects all areas of Primary Care to include: FM, IM, EM and Pediatrics, this course was designed to cover the spectrum of Infectious Diseases essential to all practitioners at the level of a practicing physician. Specific Objectives: Day 1 Pediatric Immunization Update and Challenges of Vaccine Refusal. • Upon completion of this session, using information published by the CDC and AAP, the participant should be able to:GL, COMP • Describe the relevant epidemiology of specific vaccine-preventable diseases. • Appropriately use vaccines according to ACIP and AAP recommendations. • Incorporate and apply the significant changes and updates to the current ACIP/AAP recommendations • Approach the problem of vaccine refusal and provide clinical strategies to effect parental education and cooperation. Antibiotic Update. Upon completion of this session, the participant should be able to:GL, COMP • Review recent trends in antibiotic resistance. • Improve empiric antibiotic usage for common pediatric conditions as per the AAP recommendations.  • Develop strategies to resist further bacterial resistance, as recommended by the CDC. Pediatric Meningitis Revisited. Upon completion of this session, the participant should be able to:GL, COMP • Appraise common presenting features of bacterial and viral meningitis. • Determine the pathogens and develop a treatment plan concerning bacterial meningitis in children as per the Cochrane Database, systematic reviews, and AAP Guidelines. • Recognize the management priorities and potential complications of bacterial meningitis. • Relate the effects of immunizations practices on bacterial meningitis. Serious Infections of the Head and Neck. Upon completion of this session, the participant should be able to:GL, COMP Differentiate the clinical appearance, diagnosis and treatment of peritonsillar, retropharyngeal and parapharyngeal space infections as per the Otolaryngology Clinic Practice Guidelines. Develop an approach to the child with red, swollen eye or cheek. Day 2 The Age of MRSA.  Upon completion of this session and using the evidence-based guidelines from the CDC, the Pediatric Infectious Diseases Society, and EBM publications, the participant should be able to: EBM, GL, COMP • Describe the emergence and development of drug resistance that led to MRSA. • Discuss the prevalence differences and clinical diagnosis and treatment of community and hospital-associated MRSA. • Recognize the importance of accurate and timely diagnosis when confronted with the possibility of MRSA.  • Stratify management according to clinical scenario and severity.  • Apply practical and proven preventative measures to reduce the risk and incidence of MRSA. Cases from the Files of a Pediatric ID Consultant. Upon completion of this session, the participant should be able to:GL, COMP Learn from instructive pediatric infectious diseases cases and be able to construct approaches to a variety of interesting clinical challenges as presented to the ID consultant. Apply clinical pearls to clinical practice, as well at the Otolaryngology Clinical Practice and other Guidelines. Chief Complaint: Fever and Rash. Upon completion of this session, the participant should be able to: COMP • Recognize distinctive clinical illnesses with fever and rash. • Develop an approach to clinical and laboratory diagnosis. Kawasaki Disease. Upon completion of this session, the participant should be able to:GL, COMP • Recognize clinical/laboratory manifestations of Kawasaki disease. • Evaluate and manage patients according to AAP/AHA guidelines. • Recognize the potential for coronary complications. Day 3 Fever in Infants. Upon completion of this session, using the evidence-based guidelines from EBM publications, the participant should be able to: EBM, GL, COMP • Identify the common bacterial pathogens associated with fever in infants < 8 weeks of age as compared to older infants. • Discuss the rationale for current diagnostic evaluation in these patients. • Apply the appropriate treatment options for this patient population. Pediatric Lower Respiratory Infections. Upon completion of this session, using the evidence-based guidelines from EBM publications, the participant should be able to: EBM, GL, COMP Integrate the association of age, seasonal, clinical presentation, and chest x-ray findings with the etiology of pediatric pneumonia. Develop a diagnostic approach to infants and children suspected to have pneumonia and discuss the treatment options and the implications of emerging bacterial resistance. Apply the American Academy of Pediatrics Guidelines to the child with bronchiolitis. Acute Otitis Media: Of Pathogens and Patients. Upon completion of this session, the participant should be able to: GL, COMP • Recognize trends in resistance in pediatric pathogens. • Assess recommendations in AAP/AAFP guidelines.  • Appropriately prescribe empiric antibiotic therapy. Tick-Borne Infections: Hot Spots and Bullseyes. Upon completion of this session, the participant should be able to: GL, COMP • Analyze the epidemiology of tick-borne infections. • Recognize the clinical/laboratory manifestations. • Appropriately prescribe therapy, incorporating recent IDSA guidelines. Day 4 Virus X: Ubiquitous, Uncanny, Understandable. Upon completion of this session, the participant should be able to: GL, COMP • Recognize the diverse clinical manifestations of EBV infection. • Order appropriate laboratory work-up based on the situation and treatment as per the AAP Guidelines. • Anticipate natural history and complications of infection. Pathogens in the News: What Do They Mean For You. Upon completion of this session and using the guidelines from the CDC, the participant should be able to: GL, COMP • Recognize the current epidemiology of highly contagious viral or other infectious diseases that are of most immediate public health concern. • Identify key clinical manifestations, as documented by the CDC guidelines, of these diseases. • Plan for necessary precautions for newly identified viruses as developed and recommended by the CDC protocols and guidelines.  • Employ CDC recommended actions to contact Hospital, Local, State and Federal Health Officials as appropriate or mandated. Urinary Tract Infections. Upon completion of this session, using the evidence-based guidelines from the AAP, the participant should be able to: EBM, GL, COMP • Determine the clinical situations in which urinary tract infections should be considered. Appraise diagnostic methods for urinary tract infection, characterize their reliability and application, and recognize their limitations. • Employ the most appropriate treatment options. • Assess the controversies concerning follow-up and prevention strategies. Infectious Diseases Walking Through Your Office Door. Upon completion of this session, using the evidence-based guidelines from the AAP and the Red Book, the participant should be able to: EBM, GL, COMP • Prepare for common and emerging infectious diseases. • Recognize important symptoms and signs. • Formulate a plan for management. DAY 5  Cat Scratch Disease: Old and New. Upon completion of this session, the participant should be able to: COMP • Recognize the classic and more recently described clinical presentation of cat scratch disease and the general approach to diagnosis. • Explain the use and limitations of diagnostic laboratory testing options. • Utilize the appropriate treatment for the various clinical conditions associated with Bartonella henselae infection. The Child with “Too Many” Infections. Upon completion of this session, the participant should be able to: COMP • Perform an office-based evaluation of the child with frequent infections. • Recognize the presentation of the most common causes of recurrent infections in childhood, decide when to consider immune deficiency states, then determine the management issues for physician providing pediatric healthcare. Lymphadenopathy in Children: Diagnostic Approach. Upon completion of this session, the participant should be able to: COMP • Differentiate serious from reactive adenopathy. • Approach patient based on location and tempo of adenopathy. • Use appropriate laboratory aids in diagnosis.  Influenza: What’s New and What You Can Do. Upon completion of this session, the participant should be able to: GL, COMP • Identify recent changes in influenza epidemiology. • Enumerate CDC recommendations and Guidelines for immunization. • Appropriately prescribe antiviral prophylaxis and treatment.

Pediatric Emergency Medicine: An Evidence-Based Approach is organized by American Medical Seminars (AMS) and will be held from Mar 09 - 13, 2020 at Lido Beach Resort, Sarasota, Florida, United States of America. This Course has been approved for a maximum of  20 AMA PRA Category 1 Credits ™. All AMS 2019-2020 CME conferences are Live, Half-day, Commercial-Support Free and are approved for AMA PRA Category 1 Credits™. Additional accreditation information available on our website. All of our medical meetings are clinically useful evidence/case-based, guideline-driven, Primary Care content that is immediately applicable to your practice. All of our CME conferences, both live and recorded, can be found at www.AmericanMedicalSeminars.com. AMS CME meetings are held in both Sarasota, FL and San Diego, CA, and are designed for Primary Care Practitioners in the specialties of Family Medicine, Internal Medicine, Emergency Medicine, and even Specialists who would like practical and clinically relevant reviews and updates in Primary Care Medicine. Can’t attend our Live CME conferences? Check out our Self Study Travel CME courses on our website at www.AmericanMedicalSeminars.com. Narrative Description: Following this course, the participant should be able to formulate an appropriate differential diagnosis of the various presenting disorders; apply proper life-stabilizing measures as well as identify the life-threatening emergencies as requiring urgent treatment and/or hospital admission; organize an approach to diagnosis and test ordering and develop a treatment plan based on current evidence as well as providing cost-effective outcomes. This activity is expected to result in improved competence in making appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes. The emphasis will be on aligning physician behavior with current guidelines and evidence-based medicine, as indicated within each topic’s specific objectives, with a focus on diagnosis, treatment and when to refer. There is a need to increase competence in the field of Pediatric Emergency Medicine since it affects not only those in EM but even those practicing in clinical settings such as FP, GP and Pediatricians; therefore, this course was designed as a review and update for all practitioners at the level of a practicing physician. Specific Objectives: Day 1 Let’s Use Our Heads: Head Trauma. Upon completion of this session, the participant should be able to: GL, COMP • Apply a decision rule generated from a multi-center study to manage head injured children. • Manage children who have sustained concussions and apply guidelines from the International Conference on Concussions and other recent publications. • Utilize imaging studies appropriately in the evaluation of head injured children. Visual Diagnosis. Upon completion of this session, the participant should be able to: EBM, COMP • Demonstrate the ability to identify diagnoses in children by simple visual inspection. • Discriminate among common pediatric diagnoses by asking appropriate historical questions. • Employ Evidence Based Medicine and Guideline based management of diseases such as Lyme, Bell’s Palsy, DKA, and other commonly seen disorders. Fever and Rash – When to Worry. Upon completion of this session, the participant should be able to: COMP,GL • Employ a standardized approach to a febrile child with petechiae.  • Identify distinguishing characteristics of rashes in the child with fever. • Enumerate historical clues that are helpful in evaluating rashes. • Apply the AAP policy regarding use of meningococcal vaccinations in children.   Pediatric Status Epilepticus and Febrile Seizures. Upon completion of this session, the participant should be able to: COMP,GL • Explain the management of Status Epilepticus in the pediatric patient. • Define appropriate laboratory and imaging studies in the acute care setting. • Choose appropriate anticonvulsant agents for a child in status epilepticus. • Educate parents regarding the prognosis of a child with simple febrile seizures. • Evaluate the child with a simple febrile seizure according to AAP guidelines. Day 2 Clinical Clues to Detecting Child Physical Abuse. Upon completion of this session, the participant should be able to: COMP,GL • Identify findings that are characteristic of physical abuse. • Distinguish physical findings often confused with physical abuse. • Formulate further evaluation based on the most recent AAP guidelines. Managing Animal Bites. Upon completion of this session, the participant should be able to: COMP,GL • Identify those bites that are at particular risk of infection. • Summarize the arguments for and against the use of prophylactic antibiotics in specific bite wounds. • Match specific infecting organisms with the biting animal. • Provide animal bite prevention strategies for your patient families. • Apply ACIP and AAP guidelines when providing Rabies and Tetanus immunizations to patients who have sustained an animal bite. The Eyes Have It: The Red Hot Eye. Upon completion of this session, using information from review articles, the participant should be able to: COMP  ^ • Demonstrate the six-point eye examination and summarize what clinical conditions may be identified by each step in the examination. • Treat eye pathology resulting from infection or trauma and relate examples of when to refer a child to an ophthalmologist. • Summarize the differences between sinusitis with inflammatory edema, peri-orbital cellulitis and orbital cellulitis. Teaching Pearls You Should Know. Upon completion of this session, using data and results from clinical trials and referenced EBM, the participant should be able to: EBM, COMP   • Use test characteristics such as positive predictive value to interpret diagnostic test results. • Order diagnostic tests appropriately by considering risks and benefits. • Apply key teaching points to enhance management of specific diagnostic conditions. Day 3 Management of Acute Asthma. Upon completion of this session, using evidence-based guidelines, the participant should be able to: EBM, GL, COMP   • Apply evidence from the Cochrane Database to make decisions about utilizing either nebulizers or metered-dose inhalers with spacers to deliver beta2-agonists to appropriate candidates. • Summarize the evidence supporting the use of ipratropium bromide and corticosteroids for moderately ill asthmatic children. • Develop an organized approach to the initial management of children with severe asthma. Improving Medical Decision Making: Patient Safety and Strategies to Avoid Diagnostic Errors.  Upon completion of this session, the participant should be able to: • Acknowledge that relying on pattern recognition and memory and making snap judgments may lead to diagnostic errors. • Explain the cognitive errors that physicians make most frequently. • Develop an approach to medical decision making that will help prevent committing diagnostic errors. Approach to the Febrile Young Child. Upon completion of this session, the participant should be able to:EBM, GL, COMP   • Develop appropriate management strategies for febrile young children (2-24 months). • Determine which febrile young children are at low-risk for serious infections, using evidence-based guidelines. • Assess the role of recent evidence and vaccination programs when evaluating occult infections in febrile young children. Ingested and Aspirated Foreign Bodies. Upon completion of this session, using evidence-based medicine from the CDC and other sites, the participant should be able to:COMP, EBM • Distinguish the differences in clinical presentation between ingested and aspirated foreign bodies in children. • Select appropriate imaging strategies for detection of ingested and aspirated foreign bodies, and subsequent indication for specialty consultation. • Relate the most common complications associated with ingested and aspirated foreign bodies. Day 4 Upper Extremity Fractures in Children. Upon completion of this session, using clinical practice guidelines, to include the Salter Harris Fracture Classifications, the participant should be able to: GL, COMP • Develop an age-appropriate evaluation to upper extremity fractures in children. • Detect common upper extremity fractures using common diagnostic and radiographic techniques. • Evaluate indications for emergent and outpatient orthopedic consultation in children with upper extremity injuries. Urinary Tract Infections in Children. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Develop an age-based approach to children with urinary tract infections (UTI). • Employ evidence-based methods of risk assessment for occult UTI screening in febrile young children. • Select the most appropriate urine collection methods and diagnostic tests for children with suspected UTI, as delineated by current evidence. • Utilize local bacterial resistance and American Academy of Pediatrics guidelines when forming therapeutic decisions for pediatric UTI. The Febrile Young Infant (Birth – 2 months). Upon completion of this session, using data from landmark studies, the participant should be able to: GL, COMP • Evaluate and treat the febrile infant who is less than eight weeks of age. • Summarize those serious bacterial infections for which the febrile infant is at risk. • Appraise recent data suggesting that a subset of low-risk febrile infants may be managed as outpatients, without CSF analysis, as per Guidelines of managing the well appearing infant. Infants Behaving Badly. Upon completion of this session, using information from review articles, the participant should be able to: EBM, GL, COMP • Develop a complete differential diagnosis for critically ill infants. • Summarize the key management strategies in actual cases of infants presenting to a pediatric emergency department as per the referenced EBM and Guidelines. • Administer appropriate diagnostic studies in the evaluation and management of infants with interesting and uncommon diagnoses. Day 5 Pain Management in the Office and ED. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Employ the American Society of Anesthesiologists, American Academy of Pediatrics, and American College of Emergency Physicians fasting guidelines for procedural sedation. • Manage the pain associated with specific Nillnesses or injuries commonly seen in an office setting. • Manage the pain and sedation needs of children with specific illnesses or injuries commonly seen in an ED. No Time to Waste – Surgical Emergencies. Upon completion of this session, using information from review articles, the participant should be able to: EBM, COMP • Based on a child’s presenting signs and symptoms suggestive of a surgical emergency, make rapid management decisions based upon referenced Evidence-Based Medicine and validated clinical prediction rules. • Administer appropriate diagnostic studies in the evaluation of children with surgical emergencies. • Avoid activities that will result in a delayed diagnosis for children with surgical emergencies. Skin and Soft Tissue Infections in the Era of Community-Associated Methicillin-Resistant Staphylococcus aureus (CA-MRSA): An Evidence-based Approach. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Detect common skin and soft tissue infections potentially caused by CA-MRSA in children. • Construct a diagnostic approach to common CAMRSA infections using the most recent pediatric evidence and national guidelines. • Use recent evidence to develop appropriate management strategies for CA-MRSA infections. • Construct an informed approach to antibiotic therapy for skin and soft tissue infections.  Evaluation and Management of Dehydration in Children. Upon completion of this session, the participant should be able to:EBM, COMP • Determine the degree of dehydration in children using common clinical findings. • Relate appropriate indications for laboratory evaluation and intravenous fluid therapy for dehydrated children. • Describe the various methods of rehydration for children. • Utilize current evidence to understand the role of anti-emetics and oral rehydration therapy in treatment of children with dehydration.

Primary Care Challenges for Today’s Practitioner: Practice Strategies for Internal and Family Medicine is organized by American Medical Seminars (AMS) and will be held from Mar 16 - 20, 2020 at The Westin Sarasota, Sarasota, Florida, United States of America. This Conference has been approved for a maximum of 20 AMA PRA Category 1 Credits ™. All AMS 2019-2020 CME conferences are Live, Half-day, Commercial-Support Free and are approved for AMA PRA Category 1 Credits™. Additional accreditation information available on our website. All of our medical meetings are clinically useful evidence/case-based, guideline-driven, Primary Care content that is immediately applicable to your practice. All of our CME conferences, both live and recorded, can be found at www.AmericanMedicalSeminars.com. AMS CME meetings are held in both Sarasota, FL and San Diego, CA, and are designed for Primary Care Practitioners in the specialties of Family Medicine, Internal Medicine, Emergency Medicine, and even Specialists who would like practical and clinically relevant reviews and updates in Primary Care Medicine. Can’t attend our Live CME conferences? Check out our Self Study Travel CME courses on our website at www.AmericanMedicalSeminars.com. Narrative Description: Following this course, the participant should be able to appraise the etiologies and recognize the clinical presentations of the commonly seen disorders presented; indicate diagnostic tests available and the suggested use for making a diagnosis; implement available treatment options and appropriate long-term care when indicated. This activity is expected to result in improved competence in making an appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes. When indicated in the specific objectives, emphasis will be on aligning physician behavior with current guidelines and evidence-based medicine with a focus on diagnosis, treatment and when to refer. This course was designed to inter-relate the disorders presented in an effort to help all practitioners at the level of a practicing physician or practitioner relate their practice strategies with other providers and specialists. By doing this, it will provide them with increased competence to appropriately diagnose and refer or effectively treat their patients’ conditions to optimize their care. Specific Objectives Day 1: Use and Interpretation of Thyroid Tests. Upon completion of this session, using the American Thyroid Association Guidelines and the Cochrane Abstract Database, the participant should be able to: EBM, GL, COMP • Integrate the serum tests for thyroid function. • Interpret thyroid tests results that occur in clinical settings. • Recommend the appropriate follow-up testing of abnormal thyroid tests and the frequency of these evaluations. • Appraise the need to treat subclinical hypothyroidism or subclinical hyperthyroidism. Delirium in the Elderly - Current Concepts. Upon completion of this session, the participant should be able to: EBM, COMP • Specify diagnostic features and common causes of delirium in seniors. • Distinguish the causes of persistent delirium. • Use evidence based medicine to formulate treatment approaches to delirious seniors. • Recognize treatment options for intermittent agitation using evidence based medicine. Evaluation and Treatment of Hypertensive Patients. Upon completion of this session, using the most recent JNC Guidelines, the Cochrane Abstract Database and the evidence-based reports from Clinical Evidence, the participant should be able to: EBM, GL, COMP • Employ the non-pharmacologic treatment options to manage hypertension. • Specify the pharmacologic treatment options for patients with compelling indications based upon JNC Guidelines. • Formulate the therapeutic goal for controlling blood pressure in different patient populations and the combination of medications that can achieve that goal. • Distinguish the side effect risks for each class of antihypertensive medications. Evaluation and Treatment of Dementia in Seniors. Upon completion of this session, the participant should be able to: EBM, COMP • Determine the common causes of cognitive dysfunction and dementia in seniors. • Develop an evidence based evaluation of seniors with cognitive dysfunction. • Evaluate the relative risks and benefits of available treatment options for dementia in seniors. • Distinguish the central role of caregiver education and support in treating seniors with dementia. Day 2 Vitamin B-12 and Vitamin D in Seniors. Upon completion of this session, the participant should be able to: EBM, COMP • Integrate the normal physiology of Vitamins B-12 and D. • Differentiate the pathologic syndromes associated with B-12 and D deficiency. • Develop an evidence based evaluation of B-12 and D deficiency for seniors. • Develop an evidence based approach to treatment options for B-12 and D in seniors. Treating Patients with Type 2 Diabetes Mellitus. Upon completion of this session, using the American Diabetes Association, the European Association for the Study of Diabetes Guidelines and the Cochrane Abstract Database, the participant should be able to: EBM, GL, COMP • Evaluate the therapeutic goals in treating type 2 diabetes and their impact on morbidity and mortality. • Recommend the approach for choosing an oral hypoglycemic agent to treat type 2 diabetes. • Specify the clinical situations that would require the use of insulin to treat type 2 diabetes and the probable dosage form and average amounts required for control of A1c. • Develop the therapeutic options for preventing diabetic complications. Advanced Nutritional Assessment and Therapy. Upon completion of this session, the participant should be able to: EBM, COMP • Integrate readily available clinical data to make accurate nutritional assessments in seniors. • Relate metabolic changes in aging to assess risk for malnutrition. • Apply an evidence based approach to treatment of undernutrition in seniors. Chronic Obstructive Pulmonary Disease (COPD): Evaluation and Treatment. Upon completion of this session, using the ACCP GOLD guidelines, the AACVPR practice guidelines and the evidence-based reports from Clinical Evidence, the participant should be able to: EBM, GL, COMP • Appraise patient specific data to determine if they meet diagnostic criteria for COPD. • Analyze the role of cigarette smoking in the etiology and natural history of COPD. • Formulate a treatment plan for the stages of COPD. • Recommend the follow-up required to assess the therapeutic efficacy of the treatment options. Day 3 Contemporary Issues in End of Life Care. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Develop a practical approach to assessment of the whole patient in a hospice setting. • Formulate effective approaches to common physical symptoms in the terminally ill. • Integrate effective clinical care of patients and their families in the last days of life based on current evidence-based literature, Guidelines and recommendations of the American Geriatrics Society and the National Hospice and Palliative Care Organization. • Relate dementia as a terminal illness. Venous Thromboembolism (VTE): Diagnosis and Treatment. Upon completion of this session, using the ACCP and ATS Guidelines and the Cochrane Abstract Database, the participant should be able to: EBM, GL, COMP • Determine the diagnostic testing for evaluating a patient for possible VTE. • Apply the algorithm for diagnosing a pulmonary embolism in multiple clinical settings. • Differentiate the advantages and disadvantages of outpatient treatment compared to inpatient treatment for venous thromboembolism (VTE). • Order the frequency of monitoring and the adjustments needed for warfarin therapy in the treatment of VTE. Improving Communication Skills in Medical Practice. Upon completion of this session, the participant should be able to: COMP • Appraise the variety of ways that people perceive communication and process information. • Assess your personal communication strengths and limitations. • Determine communication issues unique to older patients. • Develop practices and apply skills to maximize effective communication and listening based on current literature. Contraceptive Options - Helping Women Make an Informed Choice. Upon completion of this session, using the ACOG Practice Guidelines and the Cochrane Abstract Database, the participant should be able to: EBM, GL, COMP • Appraise the pharmacologic differences in oral contraceptives and their role in contraceptive efficacy. • Formulate the treatment options for contraception other than oral contraceptives. • Specify the relative and absolute contraindications to oral contraceptives. • Relate the circumstances that would be eligible for emergency contraception and the appropriate emergency contraception method for each situation. Day 4 Migraine Headaches – Update on Diagnosis and Treatment. Upon completion of this session, using the International Headache Society and U.S. Headache Consortium Guidelines and the National Guideline Clearinghouse and the evidence-based reports from Clinical Evidence, the participant should be able to: EBM, GL, COMP • Construct the approach for evaluating a patient with possible migraine headaches. • Assess the advantages of supportive therapy and lifestyle changes in treating migraine headaches compared to pharmacologic therapy. • Appraise the pharmacologic options for treating the acute pain of a migraine headache. • Recommend a prophylactic therapy regimen for patients with recurrent migraine headaches. Outpatient Anticoagulation Issues, Part 1. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Manage outpatients on warfarin using current CHEST guidelines and The Joint Commission 2016 National Patient Safety Goals. • Determine factors leading to alterations in the international normalized ratio (INR). • Advise patients on the appropriate choice, duration, and intensity of anticoagulation in a variety of clinical scenarios. Outpatient Anticoagulation Issues, Part 1. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Manage outpatients on warfarin using current CHEST guidelines and The Joint Commission 2016 National Patient Safety Goals. • Determine factors leading to alterations in the international normalized ratio (INR). • Advise patients on the appropriate choice, duration, and intensity of anticoagulation in a variety of clinical scenarios. • Develop a familiarity with the new oral anticoagulants. Osteoporosis: Treatment and Prevention. Upon completion of this session, using the USPSTF, NOF Guidelines and the Cochrane Abstract Database, the participant should be able to: EBM, GL, COMP • Debate the importance of the risk factors for an osteoporosis fracture. • Employ the diagnostic testing for patients at risk with osteoporosis. • Select the therapeutic medication to treat osteoporosis based upon the indications and side effects. • Assess the therapeutic role of repeating the DXA scan in patients treated for osteoporosis. Outpatient Anticoagulation Issues, Part 2. Upon completion of this session, the participant should be able to: EBM, COMP • Develop an evidence-based approach on perioperative management of antithrombotic and anticoagulant medications. • Recognize the proper use of IVC filters using evidence-based medicine. • Develop a practical approach when transitioning patients on and off anticoagulants or switching between anticoagulants. • Identify appropriate use of anticoagulant and antithrombic medications in combined therapy. Day 5 Evaluation of the Patient with Syncope. Upon completion of this session, the participant should be able to: GL, COMP • Appraise the various etiologies of syncope. • Use clues in the history and physical as well as simple office testing to risk stratify patients with syncope. • Develop a plan for appropriate use of additional testing in patients with syncope to include indications for EP testing as per the AHA Syncope Algorithm and the ESC Guidelines. • Assess the role of lifestyle measures, medication, and more invasive measures to prevent recurrent syncope. Adult Health Screening and Immunizations – Evidence-Based Approach. Upon completion of this session, using the USPSTF and Cochrane Abstract Database, the participant should be able to: EBM, GL, COMP • Apply the evidence-based recommendations for preventive screening tests for adults. • Determine the immunizations required for adults. • Appraise the side effects of adult immunizations. • Select the contraindications for each adult immunization and their alternative therapy. • Plan when screening tests can be discontinued in adults. Drug Interactions and Side Effects. Upon completion of this session, the participant should be able to: GL, EBM, COMP • Determine the most common mechanisms for drug interactions. • Identify some of the most frequent culprit drugs such as Warfarin and Acetaminophen, AED’s, NSAIDs, and Statins. • Counsel patients regarding some of the most frequent side-effects seen with commonly used medications. • Employ The Joint Commission 2016 Ambulatory Care National Patient Safety Goals

Radiology For The Non-Radiologist is organized by American Medical Seminars (AMS) and will be held from Mar 23 - 27, 2020 at Lido Beach Resort, Sarasota, Florida, United States of America. This Course has been approved for a maximum of 20 AMA PRA Category 1 Credits ™. All AMS 2019-2020 CME conferences are Live, Half-day, Commercial-Support Free and are approved for AMA PRA Category 1 Credits™. Additional accreditation information available on our website. All of our medical meetings are clinically useful evidence/case-based, guideline-driven, Primary Care content that is immediately applicable to your practice. All of our CME conferences, both live and recorded, can be found at www.AmericanMedicalSeminars.com. AMS CME meetings are held in both Sarasota, FL and San Diego, CA, and are designed for Primary Care Practitioners in the specialties of Family Medicine, Internal Medicine, Emergency Medicine, and even Specialists who would like practical and clinically relevant reviews and updates in Primary Care Medicine. Can’t attend our Live CME conferences? Check out our Self Study Travel CME courses on our website at www.AmericanMedicalSeminars.com. Narrative Description Following this course, the participant should be able to choose the appropriate ordering of x-rays, CT scans or MRI studies; employ interpretation skills that will improve patient outcomes resulting from recognition of normal vs. abnormal vs. poor technique; identify x-ray pathology that is commonly seen, commonly missed and how to prevent the latter in the clinical setting. This activity is expected to result in improved competence in making appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes. When indicated in the specific objectives, emphasis will be on ACR Appropriateness Criteria and evidence-based medicine with a focus on diagnosis, treatment and when to refer. There is a need for practitioners to maintain their skills in “first-read” x-ray interpretation, which are most needed in emergency rooms and urgent care environments. Since Radiology is one topic in which practice and repeated exposure improves skills and outcomes, this course was designed and intended for all practitioners at the level of a practicing physician. Specific Objectives Day 1  Basic Chest X-Ray Interpretation. Upon completion of this session, the participant should be able to: COMP • Develop a systematic approach to interpreting a chest radiograph. • Assess a chest radiograph for technical factors that may hide or simulate disease. • Determine whether a chest radiograph demonstrates air space disease and localize it in the lung. Radiology of the Pleura: Effusion, Pneumothorax and More. Upon completion of this session, the participant should be able to: COMP • Detect pleural effusion on a chest radiograph in its various manifestations. • Analyze a CT scan of the chest for findings that differentiate benign from malignant pleural effusion. • Distinguish pneumothorax from other findings that may simulate it on a chest radiograph. Overview of Skeletal Imaging: Pearls and Pitfalls. Upon completion of this session, using evidence-based and clinical practice guidelines, to include Salter-Harris fracture classifications, the participant should be able to: COMP  GL  EBM • Determine which imaging studies are indicated and which studies are not indicated in the setting of acute trauma. • Develop an approach to evaluating skeletal radiographs. • Detect radiographic findings in pediatric radiographs. Upper Extremity Trauma. Upon completion of this session, utilizing the Clinical Appropriateness Guidelines, the participant should be able to: COMP  GL • Determine the utility of different projections of plain films of the upper extremity. • Evaluate radiographic findings of common fractures and dislocations in the shoulder. • Interpret common fractures of the wrist on plain radiographs. Day 2 Lower Extremity Trauma. Upon completion of this session, utilizing the Clinical Appropriateness Guidelines, the participant should be able to: COMP  GL • Develop an approach for assessing pelvic fractures. • Determine appropriate studies to order in evaluating for hip fractures. • Analyze common plain film findings associated with knee fractures. Brain and Spine Trauma. Upon completion of this session, using evidence-based recommendations, to include PECARN, CCR and others, the participant should be able to: COMP  GL  EBM • Identify appropriate indications for ordering an imaging study in the assessment of neurological trauma. • Determine the best study to order when clinically indicated for neurological trauma. • Assess the stability or instability of spine fractures. Pulmonary Nodule: Evaluation and Follow-Up. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Evaluate pulmonary nodules using a variety of radiographic techniques. • Assess pulmonary nodules for features that reliably exclude malignancy.  • Use evidence-based guidelines regarding appropriate intervals for nodule follow up. MRI of Large Joints: Knee, Shoulder and Hip. Upon completion of this session, the participant should be able to: EBM, COMP • Recognize commonly used terminology in radiographic reports related to musculoskeletal MRI. • Differentiate when to order shoulder MRI with and without arthrography. • Discuss when evidence based guidelines support the use of Ultrasound in rotator cuff evaluation. • Integrate MR imaging appropriately into evaluation of patients with symptoms of large joint pathology. Day 3 Back Pain Imaging. Upon completion of this session, the participant should be able to: EBM, COMP • Use evidence based guidelines to help decide which patients require immediate imaging for evaluation of back pain. • Discuss the utility of various forms of imaging for specific lumbar pathologies. • Analyze a radiologist’s report of lumbar imaging with respect to the patient’s specific symptoms. Incidentalomas: Dealing With Unexpected Abnormal Findings on Radiologic Exams. Upon completion of this session, the participant should be able to: EBM, COMP • Apply an evidence-based approach to determine the need for further evaluation of abnormalities found incidentally on imaging tests. • Distinguish cystic renal masses that need imaging follow up from those that do not. • Select appropriate further imaging when needed for small adrenal masses. Ultrasound Basics. Upon completion of this session, the participant should be able to: COMP  GL  EBM • Discuss commonly used terms in ultrasound. • Determine in which clinical settings, based on the SRU Consensus Statement, ultrasound is the most appropriate study to order. • Recognize US findings for common diseases/diagnoses. Stroke and Imaging. Upon completion of this session, based on the Guidelines from NINDS and Advanced Cardiac Life Support, the participant should be able to: COMP  GL • Appraise the different imaging modalities available in the assessment of stroke. • Evaluate the benefits and drawbacks of each imaging modality. • Determine the appropriate imaging study to order in various clinical scenarios. Day 4 Abdominal Radiography. Upon completion of this session, the participant should be able to: COMP • Determine when abdominal radiographs are appropriate in evaluating patients with abdominal pain. • Establish a pattern for evaluating plain radiographs of the abdomen. • Distinguish normal from abnormal bowel gas patterns. Site Specific Approach to Abdominal Pain. Upon completion of this session, the participant should be able to: GL, COMP • Formulate a focused differential diagnosis based on the location of the patient’s abdominal pain. • Order appropriate radiographic studies based on the location of the patient’s presenting symptoms and using the American College of Radiology Appropriateness Criteria. • Analyze imaging studies and recognize the findings of common causes of abdominal pain. Non-Invasive Vascular Imaging: Aorta, Carotids and More. Upon completion of this session, the participant should be able to: EBM, COMP • Design an evidence based algorithm for integrating imaging into evaluation of patients with suspected carotid stenosis. • Select appropriate tests to order for patients with suspected acute aortic syndromes. • Integrate modern non-invasive techniques into evaluation of suspected visceral and peripheral artery disease. Contrast and Radiation Issues in Radiology: What a Clinician Should Know. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Utilize evidence based guidelines to appropriately order intravenous contrast for CT scans for patients with impaired renal function. • Apply evidence based guidelines to decide whether it is safe to order intravenous contrast for MRI examinations. • Describe factors leading to increased radiation exposure to patients from medical imaging. • Select appropriate tests to order so as to minimize patient radiation dose without sacrificing diagnostic accuracy. Day 5  Evaluation of Patients with Suspected Pulmonary Embolism.  Upon completion of this session, the participant should be able to: EBM, COMP • Develop an evidence based algorithm for the use of imaging in evaluation of patients with possible thromboembolic disease. • Discuss advantages and disadvantages of various imaging techniques in PE evaluation. • Integrate d-Dimer testing into evaluation of patients with suspected pulmonary embolism when appropriate.  Imaging the Mediastinum and Heart. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Develop an approach to analyzing the mediastinum on chest radiography. • Develop an appropriate differential diagnosis for a mediastinal mass based on location. • Discuss evidence based guidelines to appropriately order gated cardiac CT in patients with suspected acute coronary syndrome. Evaluation of Hematuria and Flank Pain. Upon completion of this session, the participant should be able to: GL, COMP • Determine which studies are most appropriate in evaluating flank pain, utilizing the American College of Radiology Appropriateness Criteria. • Determine which studies are most appropriate, in evaluating hematuria, using the American College of Radiology Appropriateness Criteria. • Detect abnormalities on ultrasound and computed tomography in patients with flank pain and/or hematuria. Pelvic Imaging. Upon completion of this session, the participant should be able to: GL, COMP • Order appropriate radiologic studies for evaluating patients with dysfunctional uterine bleeding, according to the American College of Radiology Appropriateness Criteria. • Utilize the most appropriate imaging studies for evaluating female patients with pelvic pain, according to the American College of Radiology Appropriateness Criteria. • Determine which studies are most appropriate for evaluating patients with post-menopausal bleeding using the American College of Radiology Appropriateness Criteria.