Title: 2023 Family Medicine: Common Challenges in Internal Medicine & Geriatrics – Day 4 (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 4

Practical Approach to the Patient with

Hypertension (Horowitz)

Upon completion of this session, using multiple research trials as well as the current JNC recommendations, the participant should be able to: ^{GL, COMP}

1. Apply the current JNC recommendations for treatment of hypertension.
2. Develop a rational approach to choosing medication in treating hypertension.
3. Decide when and how to evaluate for secondary causes of hypertension.

Approach to the Management of Chest Pain (Horowitz)

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

1. Evaluate the complaint in the context of history, physical exam, and EKG findings.
2. Develop a strategy to use cardiac biomarkers in the evaluation of ACS.
3. Use recent research studies and guidelines to develop an approach to the patient with chest pain

Contemporary Issues in End of Life Care (Oberlender)

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

1. Develop a practical approach to assessment of the whole patient in a hospice setting.
2. Formulate effective approaches to common physical symptoms in the terminally ill.
3. Integrate effective clinical care of patients and their families in the last days of life based on current evidence-based literature, Guidelines and recommendations of the American Geriatrics Society and the National Hospice and Palliative Care Organization.
4. Relate dementia as a terminal illness.

A Practical Approach to Falls and Urinary Incontinence in the Elderly (Oberlender)

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

1. Integrate the concept of multifactorial causes underlying falls and employ the American Geriatrics Society Guidelines for the Prevention of Falls and urinary incontinence in seniors.
2. Develop a full assessment approach to evaluate different causes, using detailed physical examination and functional performance evaluations.
3. Differentiate the effects of normal aging from pathologic processes and adverse drug effects as risk factors for falls and incontinence.
4. Apply NIH guidelines to formulate a preventative and therapeutic plan of care.

Improving Communication Skills in Medical Practice (Oberlender)

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

1. Appraise the variety of ways that people perceive communication and process information.
2. Assess your personal communication strengths and limitations.
3. Determine communication issues unique to older patients.
4. Develop practices and apply skills to maximize effective communication and listening based on current literature.