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Full-Text Articles in Primary Care
Integrated Behavioral Health (Ibh) Program Updates And Evidence For Ibh In Sud, Rachelle Rene, Phd, Bcb, Hsmi
Integrated Behavioral Health (Ibh) Program Updates And Evidence For Ibh In Sud, Rachelle Rene, Phd, Bcb, Hsmi
Department of Family & Community Medicine Presentations and Grand Rounds
Learning Objectives
At the end of this presentation, the participant will be able to:
- Describe core components of the Primary Care Behavioral Health Model
- Identify IBH Program implementation highlights and challenges
- Discuss at least one intervention to address SUD in primary care
Management Of Recurrent Bacterial Vaginosis, Barbara Cymring, Md
Management Of Recurrent Bacterial Vaginosis, Barbara Cymring, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Review the importance of appropriate management of recurrent BV (rBV)
- Review the appropriate diagnosis of rBV
- Review the causes and risk factors for BV and rBV
- Review the current literature on treatment for rBV
- Discuss some preventative measures for decreasing risk of BV infection
Teratogenic Medication Usage In Primary Care Of Women Of Reproductive Age, Krys Foster, Md, Mph, Faafp
Teratogenic Medication Usage In Primary Care Of Women Of Reproductive Age, Krys Foster, Md, Mph, Faafp
Department of Family & Community Medicine Presentations and Grand Rounds
Introduction
- Teratogenic medications are commonly prescribed to individuals with pregnancy potential
- Despite knowledge of potential teratogenic effects, data suggest that effective communication regarding the risks and benefits of medication use in the context of the patient’s fertility goals remains inadequate
- We will discuss recommendations for changes in education and healthcare delivery to facilitate thoughtful prescribing in this population
Learning Objectives
- To review a common scenario faced by primary care physicians caring for individuals at risk of pregnancy
- To recognize factors that might place certain patients at increased risk of teratogenic exposure in early pregnancy
- To gain competence in assessing fertility …
Osteoporosis, Susan Mockus Parks, Md
Osteoporosis, Susan Mockus Parks, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
Review importance of bone health
Define and identify osteopenia and osteoporosis
Learn treatment options for osteopenia
- How to counsel patients
- How to use FRAX calculator to assist with treatment decisions
Learn treatment options for osteoporosis
- Become familiar with treatment guidelines and options
Management And Diagnosis Of Hypothyroidism, Catherine Guariglia, Md
Management And Diagnosis Of Hypothyroidism, Catherine Guariglia, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Goals
- Recognize the different etiologies of hypothyroidism
- Identify signs and symptoms of hypothyroidism
- Feel comfortable diagnosing and treating primary hypothyroidism
- Define subclinical hypothyroidism and when/if it is necessary to treat
- Recognize how pregnancy influences hypothyroidism management
- Be able to counsel patients on treatment for hypothyroidism
Adhd In Adolescents And Adults, Hannah Facey, Md
Adhd In Adolescents And Adults, Hannah Facey, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Understand the concept of neurodiversity
- Define ADHD
- Review the diagnostic criteria and challenges with diagnosis for ADHD in adults
- Explore our role as family medicine physicians in diagnosis and treatment
- Discover the prevalence of comorbid conditions associated with ADHD
- Obtain a general understanding of the categories of medical treatments available for adults with ADHD
- Gain a deeper appreciation for the role that biases play in the under- and misdiagnosis of women and BIPOC
Heart Failure Transitions Of Care Program, Samantha Macko, Pharmd
Heart Failure Transitions Of Care Program, Samantha Macko, Pharmd
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Heart failure overview; statistics, risk factors, signs and symptoms
- List heart failure therapeutic treatment options
- Explain importance of continuation of care for heart failure patients after initial hospital discharge
- Discuss importance of multidisciplinary approach to treatment of heart failure (HF) patients
- Discuss components of heart failure transitions of care (HFTOC) program at Thomas Jefferson University Hospital
Pharmaceutical Management Of Weight Loss, Jake Schutzman, Md
Pharmaceutical Management Of Weight Loss, Jake Schutzman, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Briefly review some context & consequences of the US obesity epidemic
- Review available prescription anti-obesity medications
- Discuss details specific to each of these medications
- Review other medications affecting weight
After this lecture, I hope you will:
- Have a greater understanding of available anti-obesity medications
- Be more comfortable in patient discussions & management of obesity
Amplified Pain Syndrome In Children, Catherine Soprano, Md, Katherine S. Salamon, Phd
Amplified Pain Syndrome In Children, Catherine Soprano, Md, Katherine S. Salamon, Phd
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Describe chronic pain conditions
- Define chronic pain from biopsychosocial perspective
- Learn ways to describe treatment philosophy of pediatric chronic pain to families
Chronic Kidney Disease For The Pcp, Lilli Flink, Md
Chronic Kidney Disease For The Pcp, Lilli Flink, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Learning Objectives
- Define CKD
- Review screening guidelines for CKD
- Review staging of CKD
- Outline diagnostic approach
- Review primary care management
- Understand indications for referral to specialty care
Mindset, Medicine And You, Gregory A. Jaffe, Md, Msed
Mindset, Medicine And You, Gregory A. Jaffe, Md, Msed
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Describe the differences between a fixed and growth mindset
- State phrases that encourage growth mindset
- Apply growth mindset techniques to medical education
Sports Medicine Update For The Pcp, Jeremy D. Close, Md
Sports Medicine Update For The Pcp, Jeremy D. Close, Md
Department of Family & Community Medicine Presentations and Grand Rounds
No abstract provided.
Acupuncture For Pain, Julita Mitchell, Md
Acupuncture For Pain, Julita Mitchell, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
➢ To introduce basic acupuncture theory and proposed mechanisms.
➢ To describe a typical acupuncture encounter.
➢ To outline the indications for acupuncture.
➢ To explore clinical evidence behind acupuncture for pain
○ Knee osteoarthritis, low back pain, headache
➢ Review AAFP Clinical Recommendations for acupuncture.
➢ To discuss logistical aspects of acupuncture referral.
Sarcopenia: A Functional Chronic Disease, Mike Haines, Md
Sarcopenia: A Functional Chronic Disease, Mike Haines, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Define sarcopenia as a clinical diagnosis as described by the European Working Group on Sarcopenia in Older Persons (EWGSOP2)
- Recognize, identify, and describe sarcopenia as a distinct disease process
- Review impact on health outcomes and healthcare costs
- Explain tools used to aid in diagnosis in clinical practice
- Explore the nuances of therapeutic interventions
- Discuss role of the primary care physician
Outline
● What is sarcopenia?
- Definition provided by EWGSOP2
- Brief overview of pathophysiology
● Why is it important?
- Epidemiology
- Impact on health outcomes
- Healthcare costs
● Diagnosis
- Review EWGSOP2 framework for clinical practice
- Questionnaires
- Office based testing
- Imaging
● …
The Limping Child, Bob Wiley, Md
The Limping Child, Bob Wiley, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Learning Objectives
- Review the definition of limp
- Describe the approach to initial evaluation of a limping child, including key items in the history and physical exam
- Appreciate the broad differential that one must keep when evaluating a limping child
- Understand the different types of limp and how they can be used to formulate a differential
- Recognize red flag signs and symptoms which require more urgent evaluation
- Use cases to demonstrate some of the common presentations that are seen by the GP
Hospice Care For The Primary Physician, Katie Mechler, Md
Hospice Care For The Primary Physician, Katie Mechler, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Palliative vs Hospice Care
- History of Hospice Care
- Description of the Hospice Benefit
- Review of Hospice Eligibility
- Discussing Hospice with your Patients
A Study In Sodium: Or... "If I Look Confused, It's Because I'M Thinking...", Gregory A. Jaffe, Md, Msed
A Study In Sodium: Or... "If I Look Confused, It's Because I'M Thinking...", Gregory A. Jaffe, Md, Msed
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Describe the three questions we ask when approaching a patient with hyponatremia.
- Identify how your history and physical can aid in the diagnosis of hyponatremia.
- Recall how we treat different types of hyponatremia
Smoking Cessation, Julita Mitchell, Md
Smoking Cessation, Julita Mitchell, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Learning Objectives
● Appreciate the significance of addressing smoking cessation
● Learn a brief interventional model for cessation counseling
● How to structure a quit plan
● Understand the role/risks/benefits of
- Pharmacologic therapy
- Behavioral therapy
- Electronic cigarettes
● Learn practical tips and hear sample language
● Watch a sample intervention
Perinatal Maternal Mood Disorders, Sarah Elizabeth Hirsh Cokenakes, Md
Perinatal Maternal Mood Disorders, Sarah Elizabeth Hirsh Cokenakes, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Learning Objectives
- To identify the spectrum of peripartum mood disorders, their features, diagnostic criteria, and treatments.
- To review FDA pregnancy safety categories and lactation categories for commonly prescribed mood medications.
- To identify the role of family physicians in identifying and treating peripartum mood disorders.
Preventive Care: Controversies, Challenges And Upcoming Changes In Guidelines, Randa Sifri, Md
Preventive Care: Controversies, Challenges And Upcoming Changes In Guidelines, Randa Sifri, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Organizations who make guidelines
- Current guidelines for average-risk adults, with a focus on guidelines with differing recommendations and challenges to implementation/operational issues
- Preview of upcoming changes in guidelines
- Cases to illustrate some of the common questions that come up in delivering office-based preventive care
- Some disclaimers
Cardiac Stress Testing, Michael Bozzi, Md
Cardiac Stress Testing, Michael Bozzi, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Outline and Learning Objectives
-- Questions to be answered:
• What is a stress test?
• Who should I send for a stress test?
• Which kind of stress test should I order?
• How do I interpret these results?
-- 4 Cases
Female Sexual Dysfunction In Older Adults, Madeline Taskier, Md
Female Sexual Dysfunction In Older Adults, Madeline Taskier, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Learning Objectives
- Review female sexual response and anatomy/physiology of the older female adult
- Define different types of sexual dysfunction and risk factors
- Review approaches to screening for sexual dysfunction in the primary care setting
- Discuss practical approaches to treatment or referral in the primary care setting
Approach To Ruq Pain, Jose Medina, Md, Msw
Approach To Ruq Pain, Jose Medina, Md, Msw
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives:
- Highlight the prevalence of RUQ pain
- Review the anatomy relevant to RUQ pain
- Discuss the broad differential associated
- Walk through important history, physical exam, and lab work components of the work up for RUQ pain
- Review the appropriateness/clinical utility of different imaging modalities
- Highlight common US findings associated with RUQ pain
- Case review and management of common RUQ diagnoses
Integrative Medicine In Health And Well-Being, Andrew Newberg, Madeline Becker
Integrative Medicine In Health And Well-Being, Andrew Newberg, Madeline Becker
Department of Family & Community Medicine Presentations and Grand Rounds
For integrative approaches to become part of standard care, research is required to understand clinical effects. Clinical data needs to be supplemented by mechanistic studies. Integrative medicine and general medicine have multiple areas of intersection. Studies can evaluate mental and physical disorders such as depression or anxiety or chronic pain and fatigue. Studies can evaluate psychological symptoms associated with other medical and neurological disorders. It is important to establish efficacy and also mechanism. Future collaborations are very welcome!
Breast Cancer Treatment: Basics For The Primary Care Provider, Sarah Hirsh, Md
Breast Cancer Treatment: Basics For The Primary Care Provider, Sarah Hirsh, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Learning Objectives
- To review the prevalence of breast cancer and the mortality rate of breast cancer in the United States.
- To understand breast cancer staging and its role in prognostication.
- To understand the therapies offered for the treatment of non-metastatic, invasive breast cancer and their side effects.
- To review the role of the PCP in caring for patients undergoing treatment for breast cancer and those in remission.
Today's Cigarette And E-Cigarette Landscape, Richard C. Wender, Md
Today's Cigarette And E-Cigarette Landscape, Richard C. Wender, Md
Department of Family & Community Medicine Presentations and Grand Rounds
E-cigarettes are one of the most difficult and complex public health issues most of us have confronted.
Most anti-tobacco experts and advocates line up on a spectrum from embracing e-cigarettes as a promising way to reduce the harm of tobacco products all the way to being the greatest threat to progress in our 60 year war on big tobacco.
Journal Club, Zeynep Uzumcu, Md
Journal Club, Zeynep Uzumcu, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Outline
- Review coronavirus life-cycle
- Review mechanism of action of remdesivir
- Review previous research on remdesivir
- Close reading of article - Methods - Results - Discussion
- Future research
- Implications for our practice
Cirrhosis For The Pcp, Krys Foster, Md, Mph
Cirrhosis For The Pcp, Krys Foster, Md, Mph
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives:
- Understand the morbidity and mortality associated with Cirrhosis in the United States
- Recognize etiologies and clinical presentation of cirrhosis
- Identify decompensated cirrhosis and approaches to treatment and monitoring
Agenda
- Definition and Epidemiology
- Etiologies
- Clinical Presentation
- Diagnosis and Evaluation/Classification
- Management of Compensated Cirrhosis
- Decompensated Cirrhosis & Complications
- ○ Portal Hypertension ○ Varices ○ Ascites ○ SBP ○ Hepatorenal Syndrome ○ Hepatic Encephalopathy
- Secondary Prevention and Long Term Management
- Conclusions
Vaccines, Children, And The Public Health Trust, Christopher Chambers, Md
Vaccines, Children, And The Public Health Trust, Christopher Chambers, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Review the impact of immunizations on the public health over the past 50 years.
- Childhood Vaccines Now
- Describe the challenges associated with trying to eliminate “immunizable” diseases. Examples: Invasive Pneumoccal Disease, Neisseria meningitis
- The Future
Accelerating Primary Care Transformation At Jefferson (Jeffapct): Reflections From A Five- Year Hrsa Grant, Christine A. Arenson, Md, Amy Cunningham, Phd, Mph, Samantha Kelly, Ma, Randa Sifri, Md
Accelerating Primary Care Transformation At Jefferson (Jeffapct): Reflections From A Five- Year Hrsa Grant, Christine A. Arenson, Md, Amy Cunningham, Phd, Mph, Samantha Kelly, Ma, Randa Sifri, Md
Department of Family & Community Medicine Presentations and Grand Rounds
JeffAPCT Overview
Five year HRSA-funded grant (7/1/15-6/30/20)
Leadership team from Family Medicine, Internal Medicine, Physician Assistant Program
- Objective 1: To improve/ expand primary care and population health curriculum across the continuum of primary care providers and trainees (students, residents, and practitioners)
- Objective 2: To create an enhanced, sustainable model of primary care physician faculty development for PCMH Transformation
- Objective 3: To create a new, sustainable model of faculty development for community-based primary care preceptors (MD/DO, PA, NP, others)