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Laboratory Consultation Services

Contemporary Management of von Willebrand Disease in Women: Identifying Bleeding Disorders and Preventing Hemorrhage

According to the National Hemophilia Foundation, underdiagnosis of bleeding disorders in women is a significant problem. Menorrhagia associated with bleeding disorders such as von Willebrand disease (VWD) is an overlooked, undertreated, and potentially serious condition that often has a profound impact on the affected individual’s quality of life. For women with VWD, menorrhagia is almost inevitable, with prevalence ranging from 32% to as high as 100%. Lack of awareness of the high prevalenc...
CMEology

Updates in Testing and Technology in Pathology

Pathology consultation is geared toward providing useful information to assist in the provision of optimal care. This webinar will cover laboratory aspects of the evaluation of lower genital tract disease. Topics to be covered include: types of HPV testing available, handling of biopsy and excision specimens to obtain the best report possible, molecular testing and immunohistochemistry, and areas of diagnostic difficulty.
ASCCP

2018 American Conference for the Treatment of HIV

The 12th annual ACTHIV is a state-of-the-science conference specifically targeted toward US frontline providers of care to persons at risk of, or with HIV infection. Highlights Include: Excellent speakers and interactive sessions Wide variety of relevant topics covered within a short time frame Great networking opportunities Exhibit Hall and Poster Session activities Providers In Training Track
ACTHIV

Zika: The New STI

Beginning in 2016, an epidemic of Zika virus began in Central and South America and rapidly spread to the United States. This module will outline what is currently known about how the Zika virus is spread sexually. The course will cover epidemiology of the Zika virus, known transmission pathways, as well as important counseling messages to enable patients to protect themselves and their children from Zika complications. Target audience: Health Care Professionals who care for persons...
Boston College

Opioid Prescription Principles

Improving the way opioids are prescribed through clinical practice guidelines can ensure patients have access to safer, more effective chronic pain treatment while reducing the number of people who misuse, abuse, or overdose from these drugs. Target audience: Course is designed for physicians, nurses, physician assistants and others—who prescribe opioid medications and who care for patients receiving opioid medications. This course is also relevant for primary care providers who maint...
Boston College

Workplace Violence Against Health Care Workers in the United States

Health care professionals work in a unique industry and routinely encounter highly personal and often intense situations that put them at risk of experiencing workplace violence. OSHA determined that serious workplace violence incidents were four times more common in health care from 2002 to 2013. It is crucial for all variations of physician practices, from small to large, to consider the impact of workplace violence and implement policies that reduce the risk of incidents occurring within th...
Massachusetts Medical Society

Introduction to Emergency Medicine Ultrasound

Objectives Increase the participant’s knowledge to better perform and/or interpret Emergency ultrasound examinations. State the basic fundamentals of ultrasound physics and demonstrate appropriate optimization for system controls. Perform ultrasound evaluation of the trauma patient (E-FAST exam) and pneumothorax. Demonstrate scan protocols for focused evaluation of the abdomen, aorta, female pelvis, and adult heart. State an algorithm for uses of bedside ultrasound during cardiac arrest...
Gulfcoast Ultrasound Institute, Inc.

Introduction to Musculoskeletal Ultrasound

Objectives Increase the participant's knowledge to better perform and/or interpret MSK ultrasound examinations. List the indications, benefits, and limitations of MSK ultrasound for sports medicine injuries, physical medicine & rehabilitation, and rheumatology applications. Demonstrate proper transducer manipulation and system optimization to produce diagnostic images. Demonstrate scanning protocols for performing shoulder, elbow, wrist/hand, knee, ankle/foot, & hip ultrasound examinations...
Gulfcoast Ultrasound Institute, Inc.

Ultrasound Guided Vascular Access

Objectives Demonstrate the participant’s knowledge to better perform ultrasound-guided vascular access procedures. Demonstrate proper transducer manipulation and system optimization to produce diagnostic images. List the advantages and disadvantages of the “In-Plane” and “Out-of-Plane” and the “Direct” vs. “Indirect” ultrasound-guided vascular access techniques. Differentiate venous vs. arterial anatomy by ultrasound. Identify ultrasound imaging characteristics of vessel...
Gulfcoast Ultrasound Institute, Inc.

Advanced Peripheral Nerve Ultrasound: Diagnostic and Interventional Applications

Objectives Increase the participants’ knowledge to perform and/or interpret peripheral nerve ultrasound examinations. State the basic fundamentals of ultrasound physics and demonstrate appropriate optimization of system controls. Recognize anatomy and ultrasound characteristics of the nerves and surrounding tissue to assist with management of focal neuropathies Assess and diagnose focal neuropathies using high frequency ultrasound techniques Identify common and challenging nerves using ...
Gulfcoast Ultrasound Institute, Inc.

The Immunosuppression Balancing Act: Preserving Long-Term Allograft Function for Optimal Patient Outcomes

The current goal of transplant medicine and immunology is to develop strategies to extend the life and functionality of every allograft. Outcomes of renal and liver transplantation have improved; yet, allograft loss remains a substantial problem associated with increased morbidity, mortality, and costs. Education to transplant clinicians about evaluating all aspects of post-transplant care, including regular monitoring, can lead to a reduction in allograft dysfunction or loss. In addition, ...
CME Outfitters, LLC

Deep Remission, Top-Down Treatment Strategies and Real-World Data in Patients with UC: An Interactive and Innovative Case Series

Ulcerative colitis (UC) is an inflammatory bowel disease with a progressive course characterized by exacerbations and remissions. Traditionally, the goals of therapy for UC have entailed resolution of clinical symptoms such as rectal bleeding, bloody diarrhea, abdominal cramps, pain, and fatigue. However, treatment goals for UC have evolved to a treat-to-target strategy with targets such as mucosal/endoscopic healing, histologic healing, or deep remission (i.e., clinical, biochemical, and endo...
CME Outfitters, LLC

Treating the Full Spectrum of Narcolepsy: Improving Nighttime Symptoms to Enhance Daytime Quality of Life: A Moderated Discussion with the Experts and Q&A

Patients with narcolepsy often face a long journey on their path to diagnosis and effective treatment. Combating the negative impact of narcolepsy on the lives of those affected requires that both the general public and the medical community increase their awareness of the symptoms of narcolepsy, in particular, the most common presenting symptoms: cataplexy and excessive daytime sleepiness. Improved recognition of both symptoms and objective measures of narcolepsy can shorten the burdensom...
CME Outfitters, LLC

From Symptom Recognition to Narcolepsy Diagnosis: Shortening the Diagnostic Journey: A Moderated Discussion with the Experts and Q&A

Patients with narcolepsy often face a long journey on their path to diagnosis and effective treatment. Combating the negative impact of narcolepsy on the lives of those affected requires that both the general public and the medical community increase their awareness of the symptoms of narcolepsy, in particular, the most common presenting symptoms: cataplexy and excessive daytime sleepiness. Improved recognition of both symptoms and objective measures of narcolepsy can shorten the burdensom...
CME Outfitters, LLC

Recognizing the Symptoms of Narcolepsy: Screening Your Sleepy Patient for Cataplexy: A Moderated Discussion with the Experts and Q&A

Patients with narcolepsy often face a long journey on their path to diagnosis and effective treatment. Combating the negative impact of narcolepsy on the lives of those affected requires that both the general public and the medical community increase their awareness of the symptoms of narcolepsy, in particular, the most common presenting symptoms: cataplexy and excessive daytime sleepiness. Improved recognition of both symptoms and objective measures of narcolepsy can shorten the burdensom...
CME Outfitters, LLC

Deep Remission, Mucosal Healing, and Top-Down Treatment Strategies in Ulcerative Colitis: An Infographic Journey

Ulcerative colitis (UC) is an inflammatory bowel disease with a progressive course characterized by exacerbations and remissions. Traditionally, the goals of therapy for UC have entailed resolution of clinical symptoms such as rectal bleeding, bloody diarrhea, abdominal cramps, pain, and fatigue. However, treatment goals for UC have evolved to a treat-to-target strategy with targets such as mucosal/endoscopic healing, histologic healing, or deep remission (i.e., clinical, biochemical, and endo...
CME Outfitters, LLC

Bringing Health Care Providers Together to Diagnose and Treat Idiopathic Pulmonary Fibrosis: A Patient Simulation

Although the most common of the restrictive lung diseases, idiopathic pulmonary fibrosis (IPF) is a rare but deadly disease, affecting an estimated 6.8 to 42.7 per 100,000 people, with higher rates in those older than 65 years, and resulting in approximately 40,000 deaths annually in the United States. Education to community pulmonologists, radiologists, and primary care physicians, as well as the multidisciplinary team is important to increase knowledge related to recognition and diagnosis...
CME Outfitters, LLC

Problem Based Learning in HBV: A Patient Simulation for Improving Treatment Decisions and Long-Term Care

Hepatitis B virus (HBV) infection is a largely undetected and untreated disease in the United States despite the availability of screening guidelines and prophylactic vaccines. Chronic HBV infection causes severe complications, including cirrhosis and hepatocellular carcinoma in 20% - 30% of patients. As a result, HBV infection is the most common reason for liver transplantation. While recommendations exist, primary care providers are not adequately screening at-risk patients for HBV infect...
CME Outfitters, LLC

Treating to Target in Patients with Gout and Chronic Kidney Disease: A Patient Simulation

Gout is the most common form of inflammatory arthritis in the United States. Hyperuricemia/gout in patients with CKD constitutes a significant burden for patients and society. Patients who are not managed adequately experience painful gout attacks, loss of function and productivity, and may develop long-term complications. The economic burden is also increased from patient utilization of prescription medication use, emergency room visits, and hospitalizations from gout or its serious complicat...
CME Outfitters, LLC

Selecting Appropriate Treatment for Patients With IPF: Applying Guidelines and Clinical Evidence

Although the most common of the restrictive lung diseases, idiopathic pulmonary fibrosis (IPF) is a rare but deadly disease, affecting an estimated 6.8 to 42.7 per 100,000 people, with higher rates in those older than 65 years, and resulting in approximately 40,000 deaths annually in the United States. Education to community pulmonologists, radiologists, and primary care physicians, as well as the multidisciplinary team is important to increase knowledge related to recognition and diagnosis...
CME Outfitters, LLC

Working Together to Diagnose IPF: A Multidisciplinary Approach

Although the most common of the restrictive lung diseases, idiopathic pulmonary fibrosis (IPF) is a rare but deadly disease, affecting an estimated 6.8 to 42.7 per 100,000 people, with higher rates in those older than 65 years, and resulting in approximately 40,000 deaths annually in the United States. Education to community pulmonologists, radiologists, and primary care physicians, as well as the multidisciplinary team is important to increase knowledge related to recognition and diagnosis...
CME Outfitters, LLC

Working Together to Diagnose IPF: Identifying the Signs and Symptoms

Although the most common of the restrictive lung diseases, idiopathic pulmonary fibrosis (IPF) is a rare but deadly disease, affecting an estimated 6.8 to 42.7 per 100,000 people, with higher rates in those older than 65 years, and resulting in approximately 40,000 deaths annually in the United States. Education to community pulmonologists, radiologists, and primary care physicians, as well as the multidisciplinary team is important to increase knowledge related to recognition and diagnosis...
CME Outfitters, LLC

Taking Action Against Chronic Hepatitis B Virus Infection: Determining Which Patients to Treat or Monitor

Hepatitis B virus (HBV) infection is a largely undetected and untreated disease in the United States. Only 33% of the estimated one million Americans living with HBV are aware that they are infected, placing them at risk for spreading the infection to others, and developing liver failure, cirrhosis, or hepatocellular carcinoma (HCC). As a result, HBV infection is the most common reason for liver transplantation. Primary care providers are not adequately screening at-risk patients for HBV in...
CME Outfitters, LLC

Taking Action Against Chronic Hepatitis B Virus Infection: Counseling Patients on Serological Results

Hepatitis B virus (HBV) infection is a largely undetected and untreated disease in the United States. Only 33% of the estimated one million Americans living with HBV are aware that they are infected, placing them at risk for spreading the infection to others, and developing liver failure, cirrhosis, or hepatocellular carcinoma (HCC). As a result, HBV infection is the most common reason for liver transplantation. Primary care providers are not adequately screening at-risk patients for HBV in...
CME Outfitters, LLC

Collaborative Care Strategies for Reducing Hospital Readmissions in Patients with Heart Failure with Reduced Ejection Fraction

Heart failure (HF) is a chronic condition that requires long-term commitment on the part of the patient in adhering to an often-complex therapeutic and monitoring regimen, including lifestyle modifications and pharmacotherapy, and on the part of the clinician in maintaining knowledge of the most current therapies and devices to maximize efficacy, minimize side effects, improve monitoring, and reduce hospital readmissions. New treatments and technology have shown promise in improving outcom...
CME Outfitters, LLC

Updates in the Treatment of C. difficile Infection: Faculty Insights

This CME activity addresses recent developments in the treatment and prevention of Clostridium difficile infection (CDI) and its recurrence. In these video-based interviews, two faculty discuss the clinical implications of recently released data on the management of CDI. This is the first in a series of five educational activities on CDI to be released in 2017. Clostridium difficile infection (CDI) is associated with significant morbidity and mortality. Further, recurrence of CDI is common...
ACHL

Creating a Just and Accountable Culture in Health Care

This course will describe the necessary components of a just and accountable culture and the distinction between human error, at risk behavior, and reckless behavior. Participants will learn the importance of aligning the goals of a just culture with organizational codes of conduct, provider based peer review systems, and human resource policies and practices. We will also discuss the importance of evaluating current policies and procedures to determine if they reflect what the current pra...
American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)

What is Sepsis?

There are currently multiple definitions of sepsis in use, and each continues to drive certain aspects of research, quality, and improvement. This course covers the evolving definitions of sepsis, and the controversies therein, to aid providers in understanding the diagnosis, coding, and regulatory aspects of sepsis. At the conclusion of the activity, attendees will be able to: Define the symptoms of sepsis. Discover the evolution from Sepsis 1 through the release of Sepsis 3. Describe ...
American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)

Quality Measures Deliver Quality Care

Discover Duke University’s quality initiatives. Duke’s priorities began by incorporating the STEEEP criteria, Baldridge initiatives all while maintaining Duke University Values. Duke’s vision included quality/safety, patient experience, work culture and their financial position for growth. Transforming their patient-centered facilities with a strong teamwork structure, complex care plans and coordination of care and intensive case review process lead to their success in reducing admissio...
American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)

DSM-5 and ICD-10: Uses, Challenges, and Documentation

Explore DSM-5 Coding issues, uses and misuses in the world of ICD-10. Dr. Peck will define the clinical dilemmas in the use of DSM-5 or ICD-10 and the important changes Psychologists need to know in certain clinical diagnoses. Examine clinical documentation improvement efforts in transitioning to ICD-10. MHMD Memorial Hermann’s journey to improve documentation and coding. At the conclusion of the activity, attendees will be able to: Explain the correlation of DSM-5 and ICD coding as...
American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)

Baldrige Criteria and Sustained Organizational Transformation

Implement world class results with the Baldridge framework overview, transformational change and recognize why the Baldridge criteria is preferred. Dr. Hertz will present a structured approach to performance improvement, common language for facilitating communication and share best practices including a framework for a systems view of performance management. Create outstanding customer experiences by building and integrating business culture, systems and technologies. Dr. Timmerman will di...
American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)

The ACO Journey, Legal Environment, & Peer Review Risks

The formation of the Accountable Care Organization (ACO) fosters the concepts of providing quality, safe, financially secure care; as such fulfilling the ethical responsibility the AMA requires for practitioners. Discuss the MSSP proposed rule on assignments, data sharing, financial benchmarks for ACO’s. Reduce your risks during an ACO Peer Review by preparing an internal audit. Improve your performance by following the dimensions of quality, accountable care goals and the four domains of...
American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)

Leveraging Physician Engagement

Discover what motivates physicians and health care professionals to work together to create an improved patient experience. Physician engagement seeks to reduce suffering for patients and improve upon safety and quality measures. This session discusses the importance of culture and communication in driving physician engagement, and how to measure success. Now is the time to gain an in-depth understanding of what is required to be a successful practitioner under the ACA. Protect your pr...
American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)

The Expanding Role of the Physician Advisor and Utilization Management

As the landscape and focus on health care changes, key players will emerge as important factors in securing safer, more effective practices in the realm of quality and patient safety. In support of our alliance with the American College of Physician Advisors and in conjunction with the Physician Advisor sub-specialty of the HCQM Certification, this activity explores the importance and roles of the Physician Advisor in our remodeled culture. Now is the time to gain an in-depth understanding...
American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)

Evolving Practices in Patient Health & Safety

Learn about two initiatives that seek to improve patient health and safety by targeting practitioners. Huddle for Care is an online environment that brings health care professionals together to collaborate on transitional care. Psychological assessment is then discussed as it pertains to predicting outcomes and how this can contribute to safety for both the practitioners and the patients. Now is the time to gain an in-depth understanding of what is required to be a successful practitioner ...
American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)

“In the Crosshairs”: US Healthcare in the Era of ACA

Health care today expands beyond treating the patient. Practitioners, health plans, patients, and administrators are all seeking ways to measure care, find the value, and improve upon outcomes. This activity features dynamic content from the leaders of this transformative era, giving you the information you need to provide the best care possible to our population. Now is the time to gain an in-depth understanding of what is required to be a successful practitioner under the ACA. Protect yo...
American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)

ICD-10 & Accountable Care- Financial and Legal Implications

Address the new financial and legal implications introduced by the Affordable Care Act (ACA) and ICD-10. Expand your understanding of the legal responsibilities faced by ACOs working with CMS data, discover tools for ACO success, evaluate the financial implications of the ACA, review ICD-10, and recognize the importance of documentation Now is the time to gain an in-depth understanding of what is required to be a successful practitioner under the ACA. Protect your practice and improve the ...
American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)

Biomarkers 1 - An Introduction (CE)

This module is a brief introduction to Cardiac Biomarkers. Objectives. At the conclusion of this course, the participant should be able to: List 5 of the risk factors for cardiac disease. Sketch an inflamed artery. Briefly describe the theory of plaque formation. List 4 intervention actions with which the laboratory can assist. You are currently enrolled in this course. In order to recieve your certificate for this course, you need to take the course evaluation. Upon completion of t...
CACMLE

Biomarkers 4 - Lipids, Homocysteine, & Fibrinogen and Coronary Heart Disease (CE)

This module focuses on lipids, homocysteine, and fibrinogen; and how they relate to coronary heart disease. Objectives. At the conclusion of this course, the participant should be able to: Discuss the total cholesterol, HDL and LDL and the role they play in Coronary Heart Disease (CHD). Describe the risk factors associated with CHD (not just the lab values). Show how several of the types lipids are useful in monitoring a CHD patient, not just cholesterol. Explain how Fibrinogen plays ...
CACMLE

Biomarkers 5 - High-Sensitive C-Reactive Protein (hs-CRP) and Coronary Disease (CE)

This module focuses on high-sensitive c-reactive protein and how it relates to coronary disease. Objectives. At the conclusion of this course, the participant should be able to: Discuss why high sensitive CRP (hs-CRP) is a good risk marker for coronary artery disease (CAD). Explain why it is necessary to have a hs-CRP test, rather than the 'usual' CRP test. List/Name 3 other cardiac risk markers (markers that appear before an MI). You are currently enrolled in this course. In order t...
CACMLE

Biomarkers 6 - The Natriuretic Peptides - Their Role in the Evaluation of the Patient with Shortness of Breath (CE)

This module focuses on the natriuretic peptides, which includes the B-type Natriuretic Peptide (BNP) and the N-terminal-pro-BNP (NT-pro-BNP), and how they relate to the patient complaining of shortness of breath. Objectives. At the conclusion of this course, the participant should be able to answer the following questions: What are "BNP" and NT-pro-BNP? What affects their levels? What is the 'cut-off'? How does renal function affect the results of these assays? When should this test ...
CACMLE

Biomarkers 2 - Biomarkers in Detecting Cardiac Cell Damage (CE)

This module focuses on the biomarkers that help to detect cardiac cell damage. Objectives. At the conclusion of this course, the participant should be able to: Sketch the curve of the rise and fall of the cardiac markers discussed. Give three advantages of cTn (Cardiac Troponin) over the other markers discussed. Briefly discuss the applications of cTn – you should include three. You are currently enrolled in this course. You have taken the post test already and passed.
CACMLE

Biomarkers 3 - Diabetes and the Laboratory - Biomarkers That Diagnose and Monitor Diabetes (CE)

This module focuses on the biomarkers that help to diagnose and monitor diabetes. Objectives. At the conclusion of this course, the participant should be able to: Discuss the role of insulin and glucagon in maintaining “normal” blood sugar levels. List and describe the reasons for measuring the following: Fasting blood sugar (FBS) Hgb A1c Continuous monitor blood sugar Glucose excursions (fluctuations) Glycated albumin and fructose amine Define the value of tight glucose contr...
CACMLE

Biomarkers 7 - Biomarkers for Kidney Disease and Cardiac Disease (Cystatin-C - A Replacement for the Cr-eGFR) (CE)

Program Summary: This module focuses on cystatin-C as a biomarker for kidney and cardiac disease Measuring the amount of cystatin-C in the blood has shown to be a more precise test of kidney and cardiac function than using the complicated creatinine-estimated glomerular filtration rate (Cr-eGFR) formula. Objectives. At the conclusion of this course, the participant should be able to. Compare and contrast Creatinine and Cystatin-C as measures of estimated glomerular filtration. Sketch t...
CACMLE

Principles and Clinical Applications of Flow Cytometry, 4th Edition (CE)

This course includes two major parts. The first part concerns technical principles, including the structure and mechanism of instrumentation and quality control. The second part discusses clinical applications of flow cytometry, including immunophenotyping of hematologic neoplasms, lymphocyte subset analysis for immunodeficiency states, DNA analysis for hematologic neoplasms and solid tumors, and reticulocyte counting. After completing the course, participants should be able to understand how ...
CACMLE

Detecting Metallo-Beta-Lactamases and Colistin Resistance in Gram-Negative Bacilli (CE)

In a structured, yet self-­paced format, the goal of this course is to provide a review of metallo-­beta-­lactamase and colistin resistance mechanisms, and the phenotypic methods used to identify these mechanisms in the Gram Negative bacilli. This course was adapted from a teleconference given by the author for the CACMLE 2011 Grand Rounds in Clinical Laboratory Microbiology and Infectious Disease Series. At the conclusion of this course participants will be able to: Recognize pitfall...
CACMLE

Clinical Research and Compliance - Introduction

Program Summary: This course offers an introduction to wound care research and overview of the principles of conducting and participating in research based activities. Lectures will provide basic training in Good Clinical Practices (GCP) and research methods, basic statistics, trial design, guidelines and compliance for conducting research in chronic wounds. The research related opportunities as well as the challenges in wound healing trials will be presented by experts with extensive experie...
WebCME

Clinical Research and Compliance - Good Clinical Practices

This course offers an introduction to wound care research and overview of the principles of conducting and participating in research based activities. Lectures will provide basic training in Good Clinical Practices (GCP) and research methods, basic statistics, trial design, guidelines and compliance for conducting research in chronic wounds. The research related opportunities as well as the challenges in wound healing trials will be presented by experts with extensive experience in the field. ...
WebCME

Clinical Research and Compliance - The Role of the Team

This course offers an introduction to wound care research and overview of the principles of conducting and participating in research based activities. Lectures will provide basic training in Good Clinical Practices (GCP) and research methods, basic statistics, trial design, guidelines and compliance for conducting research in chronic wounds. The research related opportunities as well as the challenges in wound healing trials will be presented by experts with extensive experience in the field. ...
WebCME

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