Title: 2023 Family Medicine: Common Challenges in Internal Medicine & Geriatrics – Day 2 (Physician)

Faculty: Michael A. Malone, M.D.; Gary H. Oberlender, M.D., F.A.C.P; David A. Horowitz, M.D.

Release Date: 7/1/2023 Expiration Date: 7/1/2026

Day 2

Advanced Nutritional Assessment and Therapy (Oberlender)

Upon completion of this session, the participant should be able to: ^{EBM, COMP}

1. Integrate readily available clinical data to make accurate nutritional assessments in seniors.
2. Relate metabolic changes in aging to assess risk for malnutrition.
3. Apply an evidence based approach to treatment of undernutrition in seniors.

Vitamin B-12 and Vitamin D in Seniors (Oberlender)            

Upon completion of this session, the participant should be able to: ^{EBM, COMP}

1. Integrate the normal physiology of Vitamins B-12 and D.
2. Differentiate the pathologic syndromes associated with B-12 and D deficiency.
3. Develop an evidence based evaluation of B-12 and D deficiency for seniors.
4. Develop an evidence based approach to treatment options for B-12 and D in seniors.

Headaches Disorders (Malone)

Upon completion of this session, using the International Headache Society and U.S. Headache Consortium Guidelines and the National Guideline Clearinghouse and the evidence-based reports from Clinical Evidence, the participant should be able to: ^{EBM, GL, COMP}

1. Construct the approach for evaluating a patient with possible migraine headaches.
2. Assess the advantages of supportive therapy and lifestyle changes in treating migraine headaches compared to pharmacologic therapy.
3. Appraise the pharmacologic options for treating the acute pain of a migraine headache.
4. Recommend a prophylactic therapy regimen for patients with recurrent migraine headaches.

 Irritable Bowel Syndrome (Malone)

Upon completion of this session, the participant should be able to: ^{EBM, COMP}

1. Appraise possible etiologies for Irritable Bowel Syndrome.
2. Select and utilize diagnostic criteria to identify IBS, based on the current medical evidence and expert recommendations.
3. Use the current medical literature to assess and screen for other conditions that can present with similar IBS symptoms.
4. Detect “red flag” signs and symptoms that should make one question the diagnosis of IBS.
5. Formulate an EBM diagnostic evaluation for patients with signs and symptoms of IBS.
6. Use the current medical literature to develop an EBM treatment plan for Irritable Bowel Syndrome.

Dyspepsia (Malone)

Upon completion of this session, the participant should be able to: ^{EBM, COMP}

1. Appraise symptoms and common etiologies for dyspepsia.
2. Use EBM to detect “alarm symptoms” that are suspicious for GI malignancy.
3. Apply current medical evidence and expert guidelines to construct a diagnostic evaluation for Dyspepsia.
4. Determine appropriate treatment for Dyspepsia based on current medical evidence and the likely etiology.