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Free Continuing Medical Education Symposium

Primary Care Update 2014

Topic-Specific Objectives

Friday, May 16, 2014

General Issues: Labs and Medications

  1. Discuss when patients need routine labs.
  2. Describe what to tell patients with pre-operative medications.
  3. Review management of anticoagulants.
  4. Discuss “stress dosing” of corticosteroids.

Pulmonary Issues in Pre-Op Clearance

  1. Identify the patients that need pre-operative pulmonary function testing.
  2. Describe the management of the surgical patient with obstructive sleep apnea.
  3. Discuss anesthesia choices for patients with very low FEV1.

Cardiac Issues in Pre-Operative Evaluation

  1. Review which  patients/operations need cardiac stress testing.
  2. Discuss the evidence in the medical literature on use of peri-operative beta blockers.
  3. Describe when heart murmurs need work-up prior to surgery.

The Anesthesiologist’s Perspective

  1. Discuss the anesthesiologist’s approach to the patient on the day of surgery.
  2. Describe the risks associated with each type of anesthesia.
  3. Review the approach to a patient with prior problems with “anesthesia.”

The Patient with A Groin Lump

  1. Describe the physical exam approach to the patient with a groin bulge.
  2. Differentiate between direct and indirect hernias.
  3. Describe patient information for signs of acute worsening.

The Patient with “Bulge” In Area of Repaired Hernia

  1. Discuss post-operative symptoms of hernia repair.
  2. Describe approach to persistent post operative pain.
  3. Identify those patients that need a repeat procedure and what type of procedure they might have..

Giant Hiatal Hernias

  1. Describe symptoms of hiatal hernias.
  2. Discuss non-surgical symptom management.
  3. Discuss work up and when patients might need surgical correction.

Laparoscopic Surgery for Colon Cancer

  1. Describe which patients are candidate for laparoscopic colon cancer surgery.
  2. Understand how colon cancer is staged.
  3. Review which patients need adjuvant therapies.

Management of Functional Colorectal Disorders

  1. Discuss ways to approach fecal incontinence.
  2. Describe approach to irritable bowel symptoms.
  3. Understand an approach to pruritis ani.

Rectal Cancer Update

  1. Review change in epidemiology of rectal cancer.
  2. Describe the non-surgical approaches to rectal cancer.
  3. Discuss the timing and surgical approaches to rectal cancer.

The Pancreatic Mass

  1. State the incidence of incidental non-malignant pancreatic lesions.
  2. Describe the surgical approach to pancreatic masses.
  3. Discuss methods to decompress obstruction from pancreatic masses.

The Patient with a Liver Lesion

  1. Describe the epidemiology of primary and metastatic carcinoma of the liver.
  2. Understand how to evaluate the liver mass.
  3. Review surgical approaches to removal of liver masses.

The Patient That Refuses Blood

  1. Discuss the religious traditions behind refusal of blood products.
  2. Review ethical issues related management of blood product issues.
  3. Describe ways to optimize care for the surgical patient that wants bloodless surgery.
  4. Discuss how to utilize Abington’s Bloodless Surgery Program.

The Breast Mass

  1. Discuss the various surgical approaches to evaluating breast masses / abnormal mammographic finding.
  2. Describe how lymph node evaluation is done.
  3. Discuss the surgical follow up of the patient with breast cancer.

The Patient with an Abnormal Mammogram

  1. Discuss the sensitivity and specificity of mammographic screening.
  2. Describe the role of additional radiologic studies to evaluate the patient with an abnormal mammogram.
  3. Describe the various approaches to doing a breast biopsy.

Ovarian Mass - Surgery or Not?

  1. Differentiate which ovarian findings on radiologic studies need surgical evaluation.
  2. Discuss surgical approaches to ovarian masses.
  3. Discuss the gynecology-oncology follow up protocol for ovarian cancers.

The Pulmonary Nodule That Needs Excision

  1. Review new lung cancer screening guidelines.
  2. Describe the type of lung nodules that will need surgical excision.
  3. Describe pulmonary evaluation prior to lobectomy.

New Approaches to Aortic Valve Replacement

  1. Describe the natural history of aortic stenosis.
  2. Describe the new methods of aortic valve replacements.
  3. Discuss role of anticoagulants in patients that receive a Transcatheter Aortic Valve Replacement.

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