Essentials of Primary Care: A Core Curriculum for Ambulatory Practice

Overview:

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, clinical nutrition, and critical skills for reading the medical literature. 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.

Objectives:

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, CAD, CHF, kidney disease, diabetes, head injuries, shoulder knee and ankle injuries, and sexually transmitted infections;
• Manage common problems in women’s health including contraception, menopause, amenorrhea, PCOS, and office gynecological procedures;
• Diagnose and treat common skin disorders, skin infections, and skin cancer;
• Counsel patients to improve eating habits, lose weight, and increase physical activity;
• 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;
• Critically evaluate the medical literature and apply the medical literature to clinical practice
• Increase quality and decrease costs in medical practice.

Accreditation:

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 19.50 AMA PRA Category 1 Credits^TM.

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 08/07/2016, has been reviewed and is acceptable for up to 19.75 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 15.25 credits toward meeting the requirement under California Assembly Bill 1820, Geriatric Medicine.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 19.50 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Course Outline:

SUNDAY, AUGUST 7, 2016
3:00 pm Registration and Check-In
Moderator: Robert B. Baron, MD, MS

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

5:10 G Cancer Screening 2016: New Recommendations,
New Controversies
Judith M.E. Walsh, MD, MPH

6:00 G Modern Management of Hypertension: Should We SPRINT to Change Our Guidelines?
Robert B. Baron, MD, MS

6:50 pm Adjourn

MONDAY, AUGUST 8, 2016
7:00 am Continental Breakfast
Moderator: Robert B. Baron, MD, MS

7:30 G Management of Lipid Disorders: Maximizing Benefits and Minimizing Harms
Robert B. Baron, MD, MS

8:20 G Management of CAD: a Primary Care Perspective
Michael G. Shlipak, MD, MPH

9:10 Break

9:30 Contraception in Medically Complicated Women
Michael S. Policar, MD, MPH

10:20 G Common Dermatologic Problems: What the Primary Care Physician Needs to Know
Toby A. Maurer, MD

11:10 am Adjourn

TUESDAY, AUGUST 9, 2016

7:00 am Continental Breakfast
Moderator: Michael S. Policar, MD, MPH

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 Concussion in the Athlete: Current Status and Future Directions
Cindy J. Chang, MD

10:00 Break

10:20 Concurrent Workshops (select one):

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

G B: Nutrition Counseling for Office Practice: Understanding the New Guidelines and the Cacophony of Expert Opinion
Robert B. Baron, MD, MS

11:50 am Adjourn

WEDNESDAY, AUGUST 10, 2016

7:00 am Continental Breakfast
Moderator: Toby A. Maurer, MD

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

8:20 Updated Guidelines for Managing Menopausal Symptoms
Judith M.E. Walsh, MD, MPH

9:10 G Five Common Knee and Ankle Conditions You Will See in Office Practice
Cindy J. Chang, MD

10:00 Break

10:20 Concurrent Workshops (select one):

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

G D: Advances in Women’s Health: A Critical Review of the Year’s Most Important Papers
Judith M.E. Walsh, MD, MPH

11:50 am Adjourn

THURSDAY, AUGUST 11, 2016

7:00 am Continental Breakfast
Moderator: Judith M.E. Walsh, MD, MPH

7:30 G New Developments in Osteoporosis: Screening, Prevention and Treatment
Judith M.E. Walsh, MD, MPH

8:20 G Five Common Upper Extremity Conditions You Will See in Office Practice
Cindy J. Chang, MD

9:10 G Chronic Kidney Disease: What the Generalist Needs to Know
Michael G. Shlipak, MD, MPH

10:00 Break

10:20 Concurrent Workshops (select one):

G E: Developing a Routine: Learning a Systematic Evaluation of the Knee, Shoulder, and Ankle
Cindy J. Chang, MD

G F: Advances in Primary Care: A Critical Review of the Year’s Most Important Papers
Michael G. Shlipak, MD, MPH

11:50 am Adjourn

FRIDAY, AUGUST 12, 2016

7:00 am Continental Breakfast
Moderator: Michael G. Shlipak, MD, MPH

7:30 G Congestive Heart Failure: Effective Diagnosis, Treatment and Monitoring
Michael G. Shlipak, MD, MPH

8:20 G Management of Diabetes Mellitus: Should We Change Our Algorithm?
Robert B. Baron, MD, MS

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

10:20 am Adjourn

G Geriatric Credit

Chairs:

Robert B. Baron, MD, MS
Professor of Medicine;
Associate Dean for Graduate and Continuing Medical Education

Faculty:

(University of California, San Francisco)

Cindy J. Chang, MD
Associate Professor of Orthopaedics and Family
and Community Medicine; UCSF Primary Care
Sports Medicine

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

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

Michael G. Shlipak, MD, MPH
Professor of Medicine, Epidemiology and Biostatistics
Chief, Division of General Internal Medicine,
San Francisco VA Medical Center

Judith M.E.Walsh, MD, MPH
Professor of Medicine; Women’s Health Clinical
Research Center

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