Essentials of Primary Care:
A Core Curriculum for Ambulatory Practice

Changing patterns of medical practice are placing greater responsibility on primary care clinicians. Increasingly difficult management decisions must now be made in the ambulatory setting. Primary care clinicians must be increasingly competent in office skills and procedures more commonly associated with specialist practice. At the same time, many specialty-trained physicians, particularly obstetrician/gynecologists, traditionally trained internists and medical subspecialists are being asked to play an expanding their role in primary care practice. Nurse practitioners and physician assistants are also playing an ever-increasing role. This course is designed to provide a comprehensive core curriculum in adult primary care. The course will serve as an excellent update and review for current primary care physicians and other primary care professionals and as an opportunity for specialists to expand their primary care knowledge and skills.

Particular emphasis will be placed on principles of primary care, office-based preventive medicine, practical management of the most common problems seen in primary care practice, and expanded skills in clinical examination and common office procedures. Special emphasis will be placed on examination, procedural skills and clinical problem solving in dermatology, gynecology and women’s health, orthopaedics and sports medicine, substance abuse, clinical nutrition, and health communication skills. The course will utilize formal lectures, hands-on workshops, case discussions, an audience response system, and questions and answers. A detailed syllabus will be provided for all participants.

This course is presented by the Division of General Internal Medicine, Department of Medicine and is sponsored by the Office of Continuing Medical Education, University of California, San Francisco School of Medicine.

The purpose of this course is to increase competence and improve clinician practice in primary care. We specifically anticipate improvements in skills and strategies to:

• Implement new guidelines in office-based preventive medicine including cancer screening and management of cardiac risk factors;
• Develop strategies to care for common office problems including hypertension, lipid disorders, CHF, COPD, diabetes, HIV, head injuries, overuse injuries, and atrial fibrillation;
• Manage common problems in women’s health including contraception, menopause, amenorrhea, PCOS, STI’s, and office gynecological procedures;
• Diagnose and treat common skin disorders and skin cancer;
• Counsel patients to lose weight, increase physical activity, and address issues of substance abuse;
• Perform an effective problem-focused history and physical examination for evaluation and treatment of dermatologic, gynecologic, and musculoskeletal complaints;
• Perform common office procedures in dermatology, gynecology and sports medicine, • Counsel patients about diet, nutritional supplements, and smoking cessation;
• Communicate with patients and their families, particularly those with low English proficiency and/or health literacy
• Advocate for high quality for all patients, especially the most vulnerable
• Increase quality and decrease costs in medical practice.

The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

UCSF designates this live activity for 20.25 AMA PRA Category 1 Credits^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency.

Family Physicians
This Live activity, Essentials of Primary Care: A Core Curriculum for Ambulatory Practice, with a beginning date of 08/02/2015, has been reviewed and is acceptable for up to 19.25 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Geriatric Medicine
The approved credits shown above include 9.25 geriatric credits toward meeting the requirement under California Assembly Bill 1820, Geriatric Medicine.

SUNDAY, AUGUST 2, 2015

3:00 pm Registration

5:00 Welcome
Robert B. Baron, MD, MS

5:10 G Optimizing the Care of Vulnerable and Underserved Populations
Dean Schillinger, MD

6:00 G Management of Lipid Disorders: Where Do We Stand With the New Practice Guidelines
Robert B. Baron MD, MS

6:50 pm Adjourn

 
MONDAY, AUGUST 3, 2015
Moderator: Robert B. Baron, MD, MS

7:00 am Continental Breakfast

7:30 G Common Dermatologic Problems in the Age of Wider Access: What the Primary Care Physician Needs to Know
Toby A. Maurer, MD

8:20 G Updates in Management of COPD and Asthma
Soraya Azari, MD

9:10 Break

9:30 G Management of Diabetes: a Primary Care Perspective
Robert B. Baron MD MS

10:20 Updated Guidelines for Managing Menopausal Symptoms
Michael S. Policar, MD, MPH

11:10 am Adjourn

 
TUESDAY, AUGUST 4, 2015
Moderator: Michael S. Policar, MD, MPH

7:00 am Continental Breakfast

7:30 New Developments in Management of Sexually Transmitted Infections
Michael S. Policar, MD, MPH

8:20 G Dermatologic Infectious Disease: Viral, Fungal and Bacterial Skin Diseases
Toby A. Maurer, MD

9:10 Overuse Injuries: Solving a Challenging Puzzle
Anthony Luke, MD

10:00 Break

10:20 Concurrent Workshops (select one):

A: Mastering Office Gynecological Procedures
Michael S. Policar, MD, MPH

B: Applying New Understandings About Health Communication Into Everyday Practice
Dean Schillinger, MD

11:50 am Adjourn

 
WEDNESDAY, AUGUST 5, 2015
Moderator: Toby A. Maurer, MD

7:00 am Continental Breakfast

7:30 G Skin Diseases in the Aging Patient
Toby A. Maurer, MD

8:20 G Opioid Prescribing for Chronic Pain: An Evidence Based Approach
Soraya Azari, MD

9:10 Office Orthopaedics: MSK or not MSK? That is the Question.
Anthony Luke MD, MPH

10:00 Break

10:20 Concurrent Workshops (select one):

C: Dermatologic Procedures in Primary Care
Toby A. Maurer, MD

D: Outpatient Management of Nicotine Addiction and Substance Use
Soraya Azari, MD

11:50 am Adjourn

 
THURSDAY, AUGUST 6, 2015
Moderator: Anthony Luke, MD MPH

7:00 am Continental Breakfast

7:30 Understanding Sports-related Head Injuries and Concussions
Anthony Luke, MD MPH

8:20 G Modern Management of Hypertension
Robert B. Baron, MD, MS

9:10 G Atrial Fibrillation:  New Guidelines, New Recommendations
Dean Schillinger, MD

10:00 Break

10:20 Concurrent Workshops (select one):

E: Mastering the Musculoskeletal Exam and Office Procedures in Sports Medicine
Anthony Luke, MD, MPH

F: Current Approaches for Obesity: Diet, Exercise, Medications, and Surgery
Robert B. Baron MD MS

11:50 am Adjourn

 
FRIDAY, AUGUST 7, 2015
Moderator: Dean Schillinger, MD

7:00 am Continental Breakfast

7:30 G Congestive Heart Failure: Effective Diagnosis, Monitoring, and Treatment
Dean Schillinger, MD

8:20 Contraception in Medically Complicated Women
Michael S. Policar, MD, MPH

9:10 Break

9:30 Understanding Amenorrhea and PCOS
Michael S. Policar, MD, MPH

10:20 HIV Medicine for the Generalist
Soraya Azari, MD

11:10 Adjourn 

G = Geriatric Credit

Robert B. Baron, MD, MS
Professor of Medicine and Associate Dean for Graduate and
Continuing Medical Education; Vice Chief, Division of General Internal Medicine

(University of California, San Francisco)

Soraya Azari, MD
Assistant Professor of Medicine; Associate Director,
UCSF Primary Care Residency Program, San Francisco
General Hospital

Anthony Luke, MD
Professor of Orthopaedics and Family and Community Medicine; Director,
UCSF Primary Care Sports Medicine

Toby A. Maurer, MD
Professor of Dermatology and Chief of Dermatology, San Francisco
General Hospital

Michael S. Policar, MD, MPH
Professor of Obstetrics, Gynecology & Reproductive Sciences

Dean Schillinger MD
Professor of Medicine and Chief, Division of General Internal Medicine,
San Francisco General Hospital