Upcoming Medical Conferences in Sarasota

American Dermatological Association (ADA) Annual Meeting 2019 is organized by American Dermatological Association (ADA) and will be held from Aug 14 - 18, 2019 at The Ritz-Carlton, Sarasota, Sarasota, Florida, United States of America. This Conference has been approved for a maximum of 14.00 AMA PRA Category1 Credits™. Additional details will be posted as soon as they are available.

Pediatrics: Common Back To School Challenges is organized by American Medical Seminars (AMS) and will be held from Aug 29 - 30, 2019 at The Westin Sarasota, Sarasota, Florida, United States of America. This Conference has been approved for a maximum of 10 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. Additional details will be posted as soon as they are available.

Primary Care Challenges: The Top Health Conditions Affecting Our Patient Population is organized by American Medical Women's Association (AMWA) and will be held from Sep 02 - 03, 2019 at The Westin Sarasota, Sarasota, Florida, United States of America. This CME Conference has been approved for a maximum of 10 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. Description: Following this course, the participant should be able to appraise the etiologies and recognize the clinical presentations of the most commonly seen disorders: 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. Additional details will be posted as soon as they are available.

Dermatology In The Primary Care Office - From Principles To Practice Strategies is organized by American Medical Seminars (AMS) and will be held from Nov 11 - 15, 2019 at Lido Beach Resort, Sarasota, Florida, United States of America. Certifications 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 the website. Descritption: Following this course, the participant should be able to appraise the various etiologies and pathogens for the more common lesions; determine the characteristics of commonly seen skin disorders and develop an appropriate differential that leads to the most probable diagnosis; apply a treatment plan and follow-up procedure that will enable the practicing physician to effectively treat many disorders.  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. Since this specialty has few guidelines or evidence-based recommendations, with the exception of acne and the use of biologics, the emphasis will be based on generally accepted standards and consensus, unless otherwise indicated in the specific learning objectives, with a focus on recommendations for diagnosis, treatment and when to refer. Since Dermatologic problems often reveal systemic disorders, and the skin is the largest and most accessible “organ”, this course was designed as a review and update for practicing physicians and is applicable to most specialties. Objectives: Day 1 Introduction – Essentials of Dermatology Diagnosis Upon completion of this session, the participant should be able to: COMP^ • Approach dermatologic disorders with a consistent and logical method. • Interpret the role of "color" in the diagnosis of cutaneous lesions. • Select the appropriate therapy for common disorders. Common Problems in Office Dermatology Upon completion of this session, the participant should be able to: COMP, GL • Develop a differential diagnosis of common disorders based on lesion morphology and distribution. • Differentiate the many manifestations of cutaneous fungal disease. • Analyze fungal foot and nail changes and select the appropriate therapy as per the “Choosing Wisely: Am ACAD of Dermatology 2013” guidelines. Select Principles of Dermatology Diagnosis and Treatment Upon completion of this session, the participant should be able to: COMP^ • Utilize morphology of skin disease to generate differential diagnoses. • Differentiate topical steroids by strength and vehicle. • Develop treatment algorithms that are safe and effective using topical steroids. • Formulate a strategy to perform a shave biopsy versus a punch biopsy through a case-based approach. • Identify treatment regimen for topical steroids that will prevent adverse effects. Fever and Rash: A Common Sense Approach Upon completion of this session, the participant should be able to:^ • Identify life-threatening skin conditions present with a fever. • Generate a differential diagnosis for a fever and rash. • Identify a classification scheme for skin diseases associated with fever. Day 2 The Sun and the Skin: Photoaging, Non-Melanoma Skin Cancer, Photodermatosis and Sunscreens Upon completion of this session, the participant should be able to: GL, COMP • Assess clinical signs that distinguish non-melanoma skin cancers and precancerous lesions. • Determine appropriate sun protective measures for patients. • Design treatment algorithms for common skin cancers, to include the AAD recommendations for African Americans. • Recommend proper sunscreen application behavior to decrease rate of development of actinic keratosis. Common Tumors in the Office Setting Upon completion of this session, the participant should be able to: GL, COMP • Formulate treatment algorithms for common epidermal tumors as analyzed in Cochrane Systematic Reviews. • Develop treatment algorithms for common vascular tumors. • Distinguish skin findings and develop treatment algorithms for common subcutaneous tumors to diagnose common epidermal tumors. Contact Dermatitis                                                                  Upon completion of this session, the participant should be able to: COMP, GL • Plan the testing for identification of allergens in contact dermatitis. • Distinguish and treat poison ivy, poison oak, and poison sumac. • Detect common contactants seen in the office setting. • Develop a treatment plan for various types of contact dermatitis while considering the British Association of Dermatology Tx Guidelines. Leg Ulcers and the Principles of Wound Care Upon completion of this session, using the Wound and Regeneration Guidelines for the Management and Treatment of Venous and Arterial Ulcers (2006), the participant should be able to: EBM, GL, COMP • Differentiate and treat leg ulcers, based upon etiology, and the Guidelines of the American Academy of Dermatology for treating venous, arterial, diabetic associated and pressure ulcers. • Apply the basic principles of wound care. • Appraise the rationale for various wound dressings. Day 3 Acne: Pathophysiology and Treatment Upon completion of this session, the participant should be able to: GL, COMP • Characterize types of acne lesions and appropriate therapy based on pathophysiology. • Differentiate acneiform eruptions from acne vulgaris. • Apply appropriate antibiotic recommendations with consideration of patterns of resistance. • Employ the use of Isotretinoin as per the AAD recommendations. Approach to Rosacea and the Red Face Upon completion of this session, the participant should be able to: EBM, COMP • Identify the various types of Rosacea. • Distinguish Rosacea from other causes of the “Red Face”. • Develop an Evidence-Based treatment plan for Rosacea as per The Cochrane Skin Group Reviews. Malignant Melanomas, Part I: Melanoma, Birthmarks Upon completion of this session, the participant should be able to: EBM, GL, COMP • Utilize the ABCDE approach to the description of pigmented lesions and features of melanoma. • Analyze the biology of melanoma. • Appraise and employ the AAD Guidelines of Care for the Management of Primary Cutaneous Melanoma. • Refer for a surgical approach, as per the NCCN (National Comprehensive Clinical Network) Guidelines for melanoma. Malignant Melanomas, Part II: Nevi, Dysplastic Nevi Upon completion of this session, the participant should be able to: COMP, GL • Appraise "dysplastic nevi" and describe the relationship between dysplastic nevi and melanomas. • Develop an approach to examination, testing and follow up of families with dysplastic nevi and melanomas as per the 2013 NCCN guidelines. • Recommend to patients the methods of photoprotection and the relationship of the sun to melanomas as per the 2014 NCCN guidelines for patients. Day 4 Dermatology Emergencies Upon completion of this session, the participant should be able to: GL, COMP • Detect the diagnostic signs of life-threatening skin emergencies secondary to medications.  • Detect the diagnostic signs of life-threatening skin emergencies secondary to infections. • Differentiate the key pathological difference of staphylococcal scalded skin syndrome from toxic epidermal necrolysis. • Apply vaccine recommendations as per the CDC/IDSA and AAP. Clinical Pearls in Dermatology Upon completion of this session, the participant should be able to: GL, COMP • Apply diagnostic and treatment pearls for varied cutaneous disorders encountered in the office. • Apply a simple diagnostic maneuver to diagnose basal cell skin cancer. • Utilize a dermatologist to effectively manage your patients who have pigmented lesion biopsies. • Employ the appropriate use of antibiotics using the AAD “Choosing Wisely Campaign” recommendations list. Psoriasis Upon completion of this session, using AAD Guidelines for Psoriasis Therapy, the participant should be able to: EBM, GL, COMP • Evaluate the spectrum of classical and subtle cutaneous changes of psoriasis. • Formulate the basic pathophysiology of psoriasis. • Approach topical psoriasis therapy with a basic algorithm. • Develop a treatment plan based upon the AAD Guidelines for Management of Psoriasis and Psoriatic Arthritis and Use of Biologics, Phototherapy and Chemotherapy. Herpes Simplex and Zoster; Lichen Planus Upon completion of this session, the participant should be able to: COMP, EBM • Differentiate herpes simplex and herpes zoster based on morphology and distribution of lesions and laboratory testing. • Analyze the varied manifestations, reactivation complications of herpes zoster as referenced in the 2011 Journal of Infectious Diseases. • Determine an appropriate treatment plan for herpes simplex and herpes zoster as per 2011 FDA and Mayo proceedings recommendations. • Evaluate the cutaneous spectrum of lichen planus. Day 5 Hair and Nail Disorders for the Primary Care Provider Upon completion of this session, the participant should be able to: GL, COMP • Develop an objective, simplified approach to hair loss. • Distinguish the common causes of hair loss. • Plan treatment strategies, as per the AAD recommendations, for the common causes of hair loss. • Determine the common causes of nail dystrophy in a primary care practice by applying the AAD recommended diagnostic algorithm. • Formulate a treatment strategy for nail fold inflammation. Evidence-Based Case Studies in Dermatology Upon completion of this session, the participant should be able to: EBM, COMP • Formulate evidence-based treatment for photo-damaged skin. • Formulate evidence-based treatment for common skin diseases, such as: molluscum contagiosum and pityriasis rosea. • Assess the one side effect of isotretinoin therapy that predicts higher risk for future hyperlipidemia. Pathophysiology and Treatment of Diabetic Ischemic and Neuropathic Foot Ulcers Upon completion of this session, using the Wound and Regeneration Guidelines for the Treatment of Diabetic Foot Ulcers (2006), the participant should be able to: GL, COMP • Distinguish between ischemic and neuropathic etiologies of diabetic foot ulcers. • Treat neuropathic ulcers successfully with debridement and weight-off loading. • Recommend selected footwear in the patient with neuropathy. “Cases That Have Taught Me a Lesson.” Upon completion of this session, the participant should be able to: COMP^ • Detect skin changes that point to specific and varied cutaneous disorders encountered in the office. • Appraise and recommend therapy for perioral dermatitis.

Family Medicine: An Evidence-Based Approach to Patient Care is organized by American Medical Seminars (AMS) and will be held from Nov 18 - 22, 2019 at Lido Beach Resort, Sarasota, Florida, United States of America. Description: ALL AMS CME 2019-2020 medical conferences are Live, half-day, Commercial Support Free medical events and are approved for 20 AMA PRA Category 1 Credits™. Additional accreditation can be found 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 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 Florida medical conferences? Check out our Self Study Travel CME courses on our website at www.AmericanMedicalSeminars.com. Additional details will be posted as soon as they are available.

Internal Medicine: A Clinical Update is organized by American Medical Seminars (AMS) and will be held from Dec 02 - 06, 2019 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 develop an approach to the patient with metabolic disorders to arrive at a cost-effective diagnosis; apply a treatment plan that considers lifestyles, medications and specialty referral or monitoring needs; identify patients likely to develop complications and determine the long-term needs as well as resource management. 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. Since Internal Medicine takes a lead role in medicine in general, this course was designed for all practitioners at the level of a practicing physician to provide an update in their practice strategies and abilities to diagnose, treat and improve patient care. Specific Objectives Day 1 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 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. Prevention of Type 2 Diabetes. Upon completion of this session, the participant should be able to: GL, COMP • Recognize patients with pre-diabetes. • Employ current Guidelines and recommendations of the ADA regarding diabetes prevention. • Treat CVD risk factors in patients with pre-diabetes. Treatment of Hyperglycemia in Type 2 Diabetes. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Understand the glucose targets in T2DM. • Employ the current ADA Guidelines for pharmacological therapy.  • Develop individualized therapeutic regimens to optimize glycemic control. Day 2 Common Endocrine Disorders. Upon completion of this session, the participant should be able to:EBM, GL, COMP • Recognize, evaluate and treat common endocrine abnormalities and employ Endo Society Guidelines to include: • Hypoglycemia, • Hypercalcemia, • Low testosterone, • Adrenal masses. Diabetes/Endocrine Cases. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Appraise key issues and develop a treatment plan, employing the ADA and ATA Guidelines, for challenging diabetes and endocrine cases.  Sensible Prescribing Practices for the Elderly. Upon completion of this session, the participant should be able to: EBM, COMP • Appraise and appreciate the limits of studies on drug safety and efficacy as they apply to the elderly. • Assess the subtle but significant drug side effects in the elderly. • Distinguish undesirable prescribing practices and employ better approaches based on current evidence-based referenced literature. 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. Day 3 A Practical Approach to Falls and Urinary Incontinence in the Elderly. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Integrate the concept of multifactorial causes underlying falls and employ the American Geriatrics Society Guidelines for the Prevention of Falls and urinary incontinence in seniors. • Develop a full assessment approach to evaluate different causes, using detailed physical examination and functional performance evaluations. • Differentiate the effects of normal aging from pathologic processes and adverse drug effects as contributing to the causes of falls and incontinence. • Apply NIH guidelines to formulate a preventative and therapeutic plan of care. 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.  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. Practical Approach to the Diagnosis and Management of Heart Failure. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Appraise the symptoms of congestive heart failure and detect the common causes of systolic heart failure. • Employ the current standard-of-care therapies. • Determine which patients will benefit from device therapy and specify when to refer patients for more advanced cardiac care. • Be familiar with, and be able to apply, the 2013 ACCF/AHA Guidelines for the Management of Heart Failure Day 4 Treatment of Primary Headache Syndromes. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Appreciate the role of abortive therapy for migraine, tension-type, and cluster headaches. • Recognize the range of options for pharmacologic acute and preventive therapy, as recommended by the AHS 2015 Evidence-Based recommendations for migraine, as well as options for tension-type, and cluster headaches. • Develop non-pharmacologic treatment strategies for migraine as per the most recent Cochrane Systematic Review. Hypertension: Recent Trials and Rational Therapy.  Upon completion of this session, the participant should be able to: GL, COMP • Appreciate that all antihypertensive medications do not equally reduce cardiovascular risk. • Apply the current JNC guidelines to clinical care of hypertensive patients. • Recognize compelling indications for selection of initial antihypertensive therapy. • Identify which drugs most effectively reduce the risk of cardiovascular disease. 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 evidence-based tools. • Develop a transition of care strategy to reduce the likelihood of a preventable readmission. Cardiac Issues in Peri-Operative Risk Assessment.  Upon completion of this session, using multiple research trials, as well as the recommendations of the ACC/AHA, the participant should be able to:GL, COMP • Develop a consistent approach to the cardiovascular risk stratification for patients having non-cardiac surgery. • Determine the factors involved in maximizing cardiovascular outcomes for patients having non-cardiac surgery. • Assess the co-morbidities associated with valvular heart disease, tobacco use, and hyperlipidemia in the setting of non-cardiac surgery. Day 5 Practical Approach to the Patient with Potential DVT. Upon completion of this session, using multiple research trials as well as applying recommendations from the ACCP, AAFP/ACP, and the AHA/ACC, the participant should be able to: GL, COMP • Obtain an appropriate medical history to better identify those patients at risk.  • More confidently evaluate and assess the patient suspected of having DVT.  • Better manage patients with the confirmed diagnosis of DVT. Practical Approach to the Patient with Hyperlipidemia.  Upon completion of this session, using multiple research trials as well as the recommendations of the NCEP, the participant should be able to: GL, COMP • Apply the current NCEP guidelines.  • Develop a practical approach for considering the new medications available. • Consider the new targets developed for cholesterol end point. Rational Management of Depression in Primary Care. Upon completion of this session, the participant should be able to: GL, COMP • Employ an appropriate initial approach to use of the updated USPSTF Guidelines for screening of the patient with depression. • Determine the proper role of second generation antidepressants as per the ACP Guideline. • Assess the effectiveness of augmentation and switching strategies. • Specify the most common side effects, as per the 2016 ACP Guidelines, of commonly used antidepressants.  New Drugs for the Primary Care Physician: What You Need to Know. COMP Upon completion of this session, the participant should be able to: GL, COMP • Survey important advances in pharmacotherapy that pertain to primary care practice. • Discuss the efficacy and list the side effects for each drug. • Differentiate key new drugs with previously available medications for similar indications.

Pediatric Emergency Medicine: Emergent And Urgent Challenges is organized by American Medical Seminars (AMS) and will be held from Dec 09 - 13, 2019 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 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 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. There is a need to improve the competence and practice strategies 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 an update for all practitioners at the level of a practicing physician. Specific Objectives: Day 1: Life-Threatening Pediatric Infections. Upon completion of this session, using national Evidence Based Medicine sources including Cochrane • Collaboration and published guidelines from sources including the American Academy of Pediatrics, the participant should be able to:EBM, GL, COMP • Conclude that as newer immunizations eradicate many serious infections, we are still faced with certain pathogens that can cause severe morbidity and mortality. • Recognize, diagnose and manage the following diseases:   a. Toxic Shock Syndrome;   b. Meningococcemia;   c. Rocky Mountain Spotted Fever;   d. Kawasaki Syndrome. • Develop an approach to the patient who presents with fever and a rash. Upper Airway Emergencies in the Pediatric Patient. Upon completion of this session, using national Evidence Based Medicine sources including Cochrane • Collaboration and published guidelines from sources including the American Academy of Pediatrics, the participant should be able to:EBM, GL, COMP • Recommend medication therapy for selected upper airway emergencies. • Interpret the most recent evidence-based literature in the approach to the child with croup. • Distinguish and discriminate among the varied presentations of pediatric stridor.  Approach to Febrile Infants and Toddler. Upon completion of this session, using published guidelines and evidence-based medicine, the participant should be able to:EBM, GL, COMP • Assess the risks of various management strategies of febrile infants less than 2 months of age. • Appraise recent data concerning the clinical approach to febrile young infants. • Appraise data concerning the diagnostic evaluation of febrile children 3-24 months of age. • Recognize the changing epidemiology of invasive bacterial infections secondary to widespread vaccination practices. Acute Management of Childhood Asthma. Upon completion of this session, using published practice guidelines and Cochrane EBM sources, the participant should be able to:EBM, GL, COMP • Determine the appropriate use of albuterol by metered-dose inhaler, intermittent nebulizer, and continuous nebulizer for children with moderate and severe asthma exacerbations. • Appropriately apply the evidence regarding levalbuterol as compared with albuterol in the treatment of childhood asthma. • Employ recent data and recommendations for the use of steroids, magnesium sulfate, terbutaline, and ipratropium bromide in the treatment of acute asthma exacerbations. • Recognize indications for inpatient hospitalization in children with acute asthma exacerbations. Day 2: Head Injuries in the Pediatric Patient. Upon completion of this session, using evidence-based medicine and guidelines from the 4th International Symposium on Concussion in Sport, the participants should be able to:EBM, GL, COMP • Describe the pathophysiology and, using evidence-based medicine, develop clinical strategies for the emergency treatment of severe head injury in childhood. • Apply an evidence-based medicine approach to decisions regarding obtaining a CT scan in children after minor head trauma. • Recognize the signs and symptoms of concussions in pediatric patients. • Demonstrate use of currently recommended management approaches in children with concussion. Blunt Abdominal Trauma in Children. Upon completion of this session, using evidence-based medicine and published guidelines, the participant should be able to:EBM, GL, COMP • Recognize injury mechanisms and clinical findings that are characteristic of solid organ injury and hollow viscus injury in children. • Integrate the role of various laboratory and radiologic tests in the diagnosis of solid organ injury and hollow viscus injury in children. • Develop and employ appropriate management strategies for children with significant intra-abdominal injuries. • Appraise recent data regarding the utility of focused abdominal sonography in trauma (FAST) in pediatric trauma. Non-Traumatic Surgical Abdominal Emergencies. Upon completion of this session, using national Evidence Based Medicine sources including Cochrane • Collaboration and published guidelines from sources including the American Academy of Pediatrics, the participant should be able to:EBM, GL, COMP • Recognize pediatric abdominal processes that require surgical intervention. • Formulate and prepare initial emergency room management of specific abdominal surgical emergencies.  Pediatric Seizures I. Status Epilepticus, II. Febrile Seizures. Upon completion of this session, using national Evidence Based Medicine sources including Cochrane • Collaboration and published guidelines from sources including the American Academy of Pediatrics, the participant should be able to:EBM, GL, COMP • Demonstrate appropriate medications to treat pediatric status epilepticus. • Utilize the literature concerning epidemiology of febrile seizures in educating patients’ families. Day 3: Diagnosis and Misdiagnosis of Appendicitis in Childhood. Upon completion of this session, using evidence-based medicine, the participant should be able to:EBM, COMP • Review the pathophysiology of appendicitis. • Associate the pathophysiology of appendicitis with the signs and symptoms. • Analyze various diagnostic approaches to appendicitis in childhood. • Criticize the care provided in several cases of appendicitis missed at the time of initial ED evaluation. Medical Errors in Pediatrics. Upon completion of this session, the participant should be able to:EBM, COMP • Demonstrate root cause analysis and perform it on cases of medical errors that involve children. • Assess specific, evidence-based risks for medication errors and strategies to reduce their occurrence.  • Review issues in sleep physiology that relate to medical error risks, and make evidence-based recommendations for sleep management. The Child with a Limp. Upon completion of this session, using national Evidence Based Medicine sources including Cochrane Collaboration and published guidelines from sources including the American Academy of Pediatrics, the participant should be able to:EBM, GL, COMP • Discuss the importance of age to specific hip pathology. • Differentiate etiologies of limp in the pediatric patient. • Review management of specific orthopedic conditions. Visual Diagnosis: You Make the Call. Upon completion of this session, using national Evidence Based Medicine sources including Cochrane Collaboration and published guidelines from sources including the American Academy of Pediatrics, the participant should be able to:EBM, GL, COMP • “Make the correct call” on slides representing interesting physical examination findings of pediatric patients. • Evaluate the visual presentation of over 25 different conditions to determine the DDx, lab, imaging and/or their respective treatments or referral as indicated. Some conditions to be covered include:   a. Testicular Torsion   b. Herpes Zoster   c. Periorbital Cellulitis   d. Mastoiditis   e. Erythema Multiforme (Minor)   f. Pre-Auricular Adenitis   g. Lap-Belt Complex   h. Hematuria Day 4: The Septic Appearing Infant. Upon completion of this session, using national Evidence Based Medicine sources including Cochrane Collaboration and published guidelines from sources including the American Academy of Pediatrics, the participant should be able to:EBM, GL, COMP • Conclude that an infectious etiology is not the only cause of a “toxic” appearing child. • Differentiate neurologic, hematologic, toxin, and cardiac causes of the ill child. Orthopedic Conditions Above the Hip. Upon completion of this session, using national Evidence Based Medicine sources including Cochrane Collaboration and published guidelines from sources including the American Academy of Pediatrics, the participant should be able to:EBM, GL, COMP • Interpret radiographs that demonstrate SalterHarris fractures in the pediatric patient. • Initially manage fractures of the upper extremity and recognize when to refer to an Orthopedic Surgeon. • Develop management plans for fractures; assess the need for urgent orthopedic consultation.  Pediatric Poisonings. Upon completion of this session, using AAP guidelines and evidence-based medicine, the participant should be able to:EBM, GL, COMP • Review data on pediatric poisonings including recent trends. • Employ appropriate gastrointestinal decontamination in a variety of pediatric ingestions. • Discuss management of several specific poisonings.  Pediatric Emergency Radiology. Upon completion of this session, the participant should be able to:COMP • Assess the radiographic findings after case description. • Diagnose various pediatric conditions after case description and radiographic assessment. Day 5: Fluid and Electrolyte Emergencies. Upon completion of this session, using AAP guidelines and evidence-based medicine, theparticipant should be able to:EBM, GL, COMP • Assess the degree of dehydration in children based on factors evaluated in recent published research. • Utilize oral rehydration and subcutaneous rehydration in appropriately selected pediatric patients. • Discuss the presentations and treatment of children with abnormalities in serum sodium and potassium concentrations. Dilemma of the Foreign Body - Aspirated or Ingested. Upon completion of this session, using evidencebased medicine, the participant should be able to:EBM, COMP • Distinguish the epidemiology and clinical presentation of aspirated versus ingested foreign bodies. • Analyze the rationale for radiographic evaluation of children with a history of foreign body ingestion. • Review the diagnostic approach and radiographic interpretation of children with aspirated foreign bodies. Judicious Use of Antibiotics in Outpatient Setting. Upon completion of this session, using national Evidence Based Medicine sources including Cochrane Collaboration and published guidelines from sources including the American Academy of Pediatrics, the participant should be able to:EBM, GL, COMP • Identify antibiotic prescribing patterns, outcomes, and expenditures for common pediatric conditions. • Differentiate between common pediatric infections and those that require antibiotic treatment. • Develop a clinical approach to the diagnosis and therapy of sinusitis.  Articles That Change the Way We Practice Pediatric Emergency Medicine. Upon completion of this session, using national Evidence Based Medicine sources including Cochrane Collaboration and published guidelines from sources including the American Academy of Pediatrics, the participant should be able to:EBM, GL, COMP • Analyze the latest Emergency Medicine literature to bring improved care to the bedside.

Infectious Diseases: Adults And Pediatrics Issues is organized by American Medical Seminars (AMS) and will be held from Jan 20 - 24, 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 recognize the epidemiology and classify commonly presenting infectious diseases; determine the clinical manifestations, pathogenesis and methods of diagnosing the presenting diseases; and apply the current recommendations of pharmacologic management, referral or follow-up and prevention. 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. 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 practicing physicians. Specific Objectives: DAY 1 Immunizations for Adults. Upon completion of this session, the participant should be able to: GL, COMP • Differentiate between myths and facts concerning vaccine administration. • Based on ACIP up-to-date guidelines, evaluate indications, contra-indications, efficacy and side effects of adult immunizations. • Recommend immunizations indicated for different risk groups such as health care providers, college students and inhabitants of long term care facilities. Chronic Fatigue Syndrome. Upon completion of this session, the participant should be able to: EBM, COMP • Demonstrate how to diagnose CFS and how to distinguish it from chronic fatigue. • Relate the history of CFS. • Determine the management and how not to mismanage, a patient with CFS as per the current Institute of Medicine Diagnostic Criteria. 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. Acute Flaccid Myelitis.  Upon completion of this session, the participant should be able to: EBM, GL, COMP • Recognize the clinical manifestations of AFM and apply the clinical, laboratory, and case classification criteria as defined by the Centers for Disease Control (CDC).  • Compare other known neurological entities in the differential diagnosis of a patient with suspected AFM. • Recommend appropriate diagnostic testing for AFM and reporting method to health authorities.  • Apply the interim considerations for clinical management of AFM according to the latest expert opinion defined by CDC.  DAY 2  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. Bites! Dogs, cats, critters, humans, and alligators. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Stratify management of bite wounds according to risk and potential infectious etiologies based upon animal type, bite location, bite severity, and hospitalization risk factors.  • Apply recommendations for wound management in bite injuries and targeted antimicrobial therapy when infection occurs.  • Utilize appropriate antimicrobial and other important prophylaxis for bite wound and apply these according to evidence-based recommendations.  • Counsel patients and families on bite wound prevention.  Fever of Unknown Origin. Upon completion of this session, the participant should be able to: EBM, COMP • Discuss the pathogenesis of fever and its physiologic importance. • Describe the major causes of FUO’s. • Integrate normal temperature regulation and the relevance of this to disease states. • Formulate an approach to FUO for a given patient based upon the multicenter and expert panel reviews published and referenced. Meningitis: Commonly Asked Questions. Upon completion of this session, the participants should be able to: GL, COMP • Interpret normal CSF parameters. • Interpret abnormal CSF findings and apply them to the proper management of patients.  • Relate an understanding of some of the more controversial clinical areas associated with the management of meningitis such as: • The IDSA guidelines on the use of steroids; • Who requires a CT scan prior to a lumbar puncture; • The effect of prior antibiotic treatment on the interpretations of CSF. • Discriminate the causes of aseptic meningitis with specific emphasis on the non-viral, treatable etiologies. DAY 3  What Every Primary Care Provider Should Know About HIV. Upon completion of this session, the participant should be able to: GL, EBM, COMP • Relate the present epidemiology of HIV. • Develop an up-to-date understanding of the prognosis for a newly infected person. • Assess the major viral and host factors that determine the present approach to the management of a person infected with HIV as per the NIH, CDC & IDSA Guidelines. • Determine risk to health care workers and develop a plan to manage an exposed health care worker as per the current CDC and USPSTF Guidelines. Sexually Transmitted Diseases. Upon completion of this session, the participant should be able to: GL, COMP • Relate the present epidemiology of STDs in this country. • Develop a differential diagnosis and a diagnostic and treatment approach for the following STD syndromes based on CDC guidelines: • Urethritis; • Vaginitis; • Genital ulcer(s). • Specify the diagnosis and management of syphilis, gonorrhea, chlamydia, herpes simplex, and HPV. • Relate the proper use of a condom so that they may properly educate patients. Pediatric 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. 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. DAY 4  Epidemics in the News. Upon the completion of this session, the participant should be able to relate the following about each of these four presently active viral epidemics: GL, EBM, COMP • Ebola Zaire;  • MERS-CoV; • Chikungunya; • Pertussis; • Measles; • Zika; • Appraise how the transmission mechanisms and risk of infection has impacted the incidence of these viruses in the U.S. • Recognize and determine, through appropriate WHO and CDC resources, the geographic distribution of each viral illness. • Determine the various presentations and differentiate the clinical syndromes from other common infectious processes in patients presenting to a primary care practice. • Determine the features and predictors to formulate an approach to each illness that will help guide your diagnostic testing decisions for making an appropriate diagnosis as per the current CDC and WHO Guidelines. • Assess the risk to health care workers and other patients while determining public health implications in an effort to deploy appropriate resources and methods of Infection control as per the CDC and WHO recommendations and Guidelines. Common Issues Surrounding Tick Borne Illnesses in the U.S. Upon completion of this session, the participant should be able to: GL, EBM, COMP • Determine the major tick vectors in the United States and their associated diseases. • Relate the proper technique for tick removal. • Differentiate the clinical presentations, diagnosis and treatment of the major tick borne diseases in the United States: Lyme disease, babesiosis, ehrlichiosis, and Rocky Mountain spotted fever as per the CDC and IDSA Guidelines.  Skin and Soft Tissue infections.  Management of skin and soft tissue infections continues to be common in primary care. They can range from uncomplicated which is managed in the outpatient setting to problematic requiring inpatient care, An evidence-based approach to diagnosis and treatment from JAMA dermatology, Clinical Infectious Diseases, CDC guidance published in the MMWR, and NEJM will be reviewed. Upon completion of this session, the participant should be able to: COMP, EBM, GL • Differentiate between skin and soft tissue infections that require antibiotic coverage for anaerobes and those that do not. • Accurately diagnose venous stasis dermatitis as a non-infectious entity. • Correctly formulate treatment plans for animal and human bites. • Identify 2 or more non-infectious diagnoses that resemble “bilateral cellulitis” TB: Latent and Active; and Non-TB Mycobacteria. Primary care providers play a significant part in achieving the target of TB elimination because of their access to high-risk populations in their practices. Using guidelines from the CDC, ATS and IDSA, an evidence-based approach on diagnosis and treatment will be reviewed. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Accurately explain to patients, family members, and other health care personnel the difference between active TB and latent TB • Skillfully incorporate the use of interferon gamma release assays (IGRA’s) into testing for latent or active TB. • Give an example of a special population for which a tuberculin skin test (TST) might still be used instead of an IGRA. • Understand the changing epidemiology of nonTB mycobacteria in the U.S DAY 5 Gastroenteritis. Upon completion of this session, the participant should be able to:  GL, COMP • Relate the major pathogenic mechanisms that result in diarrhea. • Differentiate the major pathogens responsible for acute gastroenteritis. • Utilize an efficient approach in the evaluation of a patient with acute gastroenteritis as the normal host and in persons with HIV or recent travel. • Diagnose and treat various common causes of gastroenteritis as per the current ACG guidelines. The Alphabet Soup of Viral Hepatitis. Upon completion of this session, the participant should be able to: EBM, GL, COMP • Compare and contrast viral hepatitides A through E. Similarities and differences will be stressed,particularly the risks of developing chronic infection and the complications of chronic infection. • Distinguish the significant features of hepatitis A through E and interpret the various hepatitis serologies. • Select appropriate patients for treatment. a. Established and new treatment options will be covered as per the CDC and USPSTF Guidelines. • Select appropriate strategies and options for patients to prevent the acquisition of hepatitis. Infectious Complications of the Opioid Addiction Crisis. With the rise of the Opioid Crisis, comes an increase in infectious complications from IV drug users who will require long-term antibiotics. An evidence-based approach to diagnosis and treatment from The Journal of Infectious Disease will be reviewed. Upon completion of this session, the participant should be able to: EBM, COMP • Be able to describe which categories of infections can be prevented by providing IV drug users access to clean needles and syringes which cannot. • Demonstrate how to recognize common bacterial complications of IV drug use such as injection site abscesses, septic thrombophlebitis, and endocarditis. • Use accurate history taking of injection practices of IV opiate users to recognize/stratify the risk of infection with oral pathogens and anaerobes. Infection Prevention and Antibiotic Stewardship. Antimicrobial resistance continues to be a very prominent concern in all aspect of medicine. Antibiotic stewardship is extremely important to reduce the continued development of resistance and improve patient outcomes. Upon completion on this session, using an evidencebased approach, based on guidelines from IDSA, the participant should be able to: GL, EBM, COMP • Incorporate “Diagnostic Stewardship” into action plans toward Antibiotic Stewardship. • Use a Hospital or Health-System Antibiogram to avoid unwise use of antibiotics. • Distinguish between antibiotics carrying the highest risk of triggering C. difficile infection vs. lower-risk antibiotics. • Describe how antibiotic stewardship in the hospital can be extended to nursing homes, outpatient clinics, and the wider community.

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. 

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.