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2018Handouts 2 0 1 8 CHICAGO ESSENTIAL EVIDENCE UPDATE CONFERENCE M A R C H 2 - 3 U N I V E R S I T Y O F I L L I N O I S A T C H I C A G O M O L E C U L A R B I O L O G Y R E S E A R C H B U I L D I N G 9 0 1 S M A R S H F I E L D , C H I C A G O , I L Electronic copy of syllabus materials online at www.iafp.com/chicago2018handouts This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the Illinois Academy of Family Physicians (IAFP) and University of Illinois at Chicago, Department of Family Medicine. The Illinois Academy of Family Physicians / Family Practice Education Network is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. AMA PRA Category 1 - The Illinois Academy of Family Physicians/Family Practice Education Network designates this live activity, Chicago Essential Evidence Topics for a maximum of 12.00 AMA PRA Category 1 credits™. Chicago Essential Evidence March 2018 Illinois Academy of Family Physicians Learning Objectives Discuss recent research critical to family physicians for updating their diagnostic and treatment approaches to common medical conditions cared for in primary care. Objectives for each presentation are listed at the beginning of each talk. Each talk is based on a literature review of recent research studies. Evidence sources include PubMed, InfoPoems and Cochrane systematic reviews. Accreditation This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the Illinois Academy of Family Physicians (IAFP) and University of Illinois at Chicago, Department of Family Medicine. The Illinois Academy of Family Physicians accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Credit Designation AMA PRA Category 1 - The Illinois Academy of Family Physicians designates this live activity, Chicago Essential Evidence Topics for a maximum of 12.00 AMA PRA Category 1 credits™. Prescribed - Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending Faculty Disclosure Statement The Illinois Academy of Family Physicians adheres to the conflict of interest policy of the ACCME and the AMA. It is the policy of Illinois AFP to ensure balance, independence, objectivity, and scientific rigor in all its educational activities. All individuals in a position to control the content in our programs are expected to disclose any relationships they may have with commercial companies whose products or Services may be mentioned so that participants may evaluate the objectivity of the presentations. In addition, any discussion of off-label, experimental, or investigational use of drugs or devices will be disclosed by the faculty. Only those participants who have no conflict of interest or who agree to an identified resolution process prior to their participation were involved in the CME activity. Dr. Hickner, Dr. Ebell, Dr. Ferenchick, Dr. Rowland, Dr. Hall, & Dr. Guthmann disclosed no relevant financial relationship or interest with a proprietary entity producing health care goods or services. 1 Faculty Mark H. Ebell MD, MS. is a Professor in the College of Public Health at The University of Georgia. Dr. Ebell is Deputy Editor of American Family Physician and Editor-in-Chief of Essential Evidence. He is a graduate of the University of Michigan School of Medicine, a former RWJ Generalist Physician Faculty Scholar, and is former editor of the Journal of Family Practice. Dr. Ebell is author of 7 books and over 300 peer reviewed articles. From 2012 to 2016 he was a member of the USPSTF. Gary Ferenchick, MD, MS. is Professor of Medicine at Michigan State University College of Human Medicine, where he practices general internal medicine and is deeply involved in MSU-CHM major curriculum renovation. He earned his master’s degree in human nutrition and medical degree from Michigan State University and completed his residency training in internal medicine at Michigan State University College of Human Medicine, where he has been a faculty member for over 25 year. Dr. Ferenchick is a Past-President of the Clerkship Directors in Internal Medicine. His research interest is the interface between medical education and information technology. Rick Guthmann, MD, MPH, a faculty member of the UIC/ Advocate Illinois Masonic Family Medicine Residency, began writing and editing evidence based reviews for the Family Practice Inquiries Network in 2003. He has contributed to Clinical Inquiries, Help Desk Answer, and PURLs. He is now the editor-in-chief for the Clinical Inquiries series which appears in the Journal of Family Practice and the American Family Physician. As the Medical Director for the Advocate Illinois Masonic PHO, he works on quality and utilization improvement. Dr. Guthmann graduated from Northwestern University Medical School, MacNeal Family Medicine residency, and the UIC School of Public Health. Emily Hall, MD, is an assistant clinical professor of family medicine and the co-director of Family Centered Maternity Care at the University of Illinois at Chicago. She attended medical school at Columbia University's College of Physicians & Surgeons and completed her family medicine residency training at the University of Illinois at Chicago. At UIC, Dr. Hall was a chief resident as well as a recipient of the STFM Resident Teacher award. She also completed a faculty development fellowship at UIC. She is a full-spectrum family physician with clinical emphases on maternity care, maternal-child health, reproductive health, and procedures in the primary care setting. She is currently in the Masters in Health Professional Education (MHPE) program at UIC. Her medical- education research focuses on the teaching of procedural skills as well as narrative medicine. Prior to medical school, Dr. Hall was a senior mutual fund analyst at Morningstar, Inc., where she was a leading commentator in the fields of investor education, socially responsible investing, and health- care funds. John Hickner, MD, MS. is Professor and Head of Family Medicine at the University of Illinois at Chicago and Editor-in-Chief of the Journal of Family Practice. After receiving his medical degree from Indiana University School of Medicine, Dr. Hickner completed his residency in family medicine at the Medical University of South Carolina and received a master’s degree in Biostatistics and Research Design from the University of Michigan School of Public Health. His main research focus is patient safety, especially testing safety and medication safety in primary care practice. Kate Rowland, MD, MS is core faculty at the Rush-Copley Family Medicine Residency and an assistant professor at Rush University. Since 2013, she has been editor-in-chief of the Priority Updates from the Research Literature (PURLs) series, produced by FPIN and published in the Journal of Family Practice. She is also an associate medical editor for the American Academy of Family Physician’s FP Essentials series. She is a graduate of Rush Medical College and completed 2 post-graduate training at the Advocate Illinois Masonic Family Medicine residency and the University of Chicago primary care research fellowship. William (Bill) Wadland, MD, MS. is Professor, former Chair of Family Medicine, and Senior Associate Dean Emeritus in the College of Human Medicine at Michigan State University. He received his MD from the University of Michigan School of Medicine and completed family medicine training at the Medical University of South Carolina. He was co-founder of the original Primary Care Medical Abstracts Courses on which the current Essentials Update Courses are modelled. His research focus is health promotion and disease prevention, especially tobacco control. He is the Deputy Editor of the American Journal of Preventive Medicine (AJPM). “Essential Evidence” and all content in this handout is copyright by John Wiley and Sons, Inc, 2014. This syllabus may not be reproduced without permission from the publisher. http://www.essentialevidence.com Please visit www.iafp.com/chicago2018handouts for links to the credit claim form and evaluation. 3 Chicago Essential Evidence 2018 Schedule Friday, March 2 7:30-8:00 Registration and Continental Breakfast Page 8:00-8:15 Course introduction Hickner 8:15-8:30 Information Mastery Ebell 5 8:30-9:00 Hypertension Ferenchick 6 9:00-9:30 Asthma/COPD Update Hickner 18 9:30-10:00 Break 10:00-10:30 Acute Respiratory Infections Ebell 28 10:30-11:00 Musculoskeletal Hickner 36 11:00-11:30 Help Desk Answers Guthmann 43 11:30-12:00 PURLS 1 Rowland 50 12:00-12:45 Lunch 12:45-1:15 Hyperlipidemia Ferenchick 71 1:15-1:45 Clinical Inquiries Guthmann 83 1:45-2:15 PURLS 2 Rowland 90 2:15-2:45 Liver and GI Update Ebell 113 2:45-3:15 Break 3:15-3:45 Exercise and Rehab Ferenchick 121 3:45-4:15 Women’s Health Hall 128 4:15-5:00 Editor's Choice 1 Ebell, Ferenchick, 208 Hickner Saturday March 3 7:30- 8:00 Registration and Continental Breakfast 8:00-8:30 Anticoagulation and atrial fibrillation Ferenchick 141 8:30-9:00 Useful Tools for Point of Care Diagnosis Ebell 151 9:00-9:30 Vitamins: To Take or Not to Take? Hickner 157 9:30-10:00 Dementia/End of life care Ferenchick 168 10:00-10:30 Break 10:30-11:00 Pediatric Potpourri Wadland 180 11:00-11:30 Screening Ebell 189 11:30-12:00 Men’s Health Hickner 198 12:00-12:30 Editor's Choice 2 Ebell, Ferenchick, 208 Hickner 12:30-12:45 Closing and Complete Evaluations Hickner 4 Information Mastery and Searching for Evidence: Key Points Mark Ebell Objectives 1.
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