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Upon completion of this course, participants should be able to: 1) define effective communication as it relates to the patient-physician relationship; 2) identify three ethical reasons to improve patient-physician communication; 3) list four barriers to effective patient-physician communication; 4) describe the three trust-building behaviors for improving communication skills; and 5) summarize the process for breaking bad news

**Objectives:** * Summarize the most recent significant primary care medicine-related studies * Discuss up-to-date information on all aspects of primary care, including new drugs, techniques, equipment, trials, studies, books, teaching aids, and other information pertinent to primary care * Evaluate the credibility of published data and recommendations * Describe the pros and cons of new testing procedures

At the conclusion of this activity, the learn will be able to: - Apply more uniform/ correct coding standards in a physician office. - Describe the parameters around coding for various aspects of the process of care in radiation oncology. - Explain the importance of correct coding in billing and reimbursement in a physician office.

The physician who is caring for a child may confront challenges that are unknown to practitioners whose patient population is made up of adults. How can the physician best advocate for his/ her minor patient when divorced parents disagree about their child’s healthcare? What is the responsibility of the physician when the babysitter or grandparent who accompanies a child to an office visit offers to consent to the child’s healthcare? What are the obligations of the physician when a parent ...

Communication is a topic that is at once so broad and so deep that it cannot adequately be reduced to a few thoughts. However, it is also so important, particularly in the medical arena, where communication errors can mean the difference between life and death, that it must be discussed, however cursorily. This article highlights five pitfalls of patient-related communication between physicians. These five do not represent an exhaustive list, but rather, some of the communication issues tha...

Up-to-date information about Women’s Health issues.

Upon completion of this program, participants should be able to: Develop strategies to engage patients for better compliance and lower risk exposure

In addition to the nursing professionals and office support staff they employ in their medical offices, many physicians today are also employing other physicians. Confusion may reign and resentment ensue if the roles and responsibilities of both the employing and employed physician are not well defined early in the relationship. This activity, which is written not as an employment guide, but a risk management tool, clarifies for both the employer and the employee the issues that need to be con...

All physicians are teachers, and many see educating others as an opportunity to give back and remain connected to the field of medical education. It is incumbent upon all health professionals to apply effective teaching techniques. Bringing about change is another part of medical education. The physician as an educator can serve as a catalyst for change -within the student, the hospital, and the practice.

The goal of this course is to improve face-to-face physician-patient communication.

Discussing adverse medical events with patient and family is perhaps the most difficult conversation physicians will undertake. Too often, physicians postpone, delegate or avoid these difficult conversations. Prompt, empathic communication initiated by the physician is the best way to safeguard the doctor-patient relationship and reduce the risk of malpractice claims. However, there are many barriers to doing so. This mixed-media Internet/Enduring material will present risk management recomm...

After reading this article, the physician should be able to: * Understand the treatment approach to epistaxis. * Utilize established techniques and new products available for nosebleeds.

Learning Objectives After reading this article, the physician should be able to: * Identify the management steps in treating patients suspected of having AIS. * Understand the complex issues that determine appropriate candidates to receive thrombolysis. * Understand the risks of using rTPA

NEEDS ASSESSMENT As a result of previous course participant evaluations and community physician annual needs assessment surveys, the need for current information about back pain and how to treat it has been identified. This course is designed to change physician competence in the management of patients with diverse spinal disorders and conditions. The New England Journal of Medicine reported that an estimated 70% of people will have back pain sometime in their lives. In the United States, lo...

Physician – Hospital alignment will be critical to the healthcare system of the future. In tomorrow’s evidence based practice model we will move from health system leadership focused on transactions and acute care to an outcomes based, value driven environment. In the past, many assumed the CMIO would focus on physician adoption of CPOE. The role is dramatically expanding to include health information exchange, personal health records, ambulatory EHR, etc.

After reading this article, the physician should be able to: * Assess the likelihood of acute aortic dissection from patient history, physical exam, and chest radiograph. * Choose an appropriate confirmatory imaging study. * Discuss the utility of D-dimer in the diagnosis.

After reading this article, the physician should be able to: * Review the incidence of strep pharyngitis in different populations. * Understand present guidelines regarding the diagnosis of strep pharyngitis. * Develop a plan of care for treating your next patient with a "sore throat."

After reading this article, the physician should be able to: * Understand the indications for reversal of warfarin. * Identify the side effects of protamine in heparin reversal. * Recognize the advantages and disadvantages of fresh frozen plasma (FFP) vs. prothrombin complex concentrates (PCC) in the treatment of warfarin reversal.

After reading this article, the physician should be able to: * Discuss the epidemiology of malaria. * Identify the signs and symptoms of malaria in patients presenting to the emergency department. * Identify several pitfalls in the diagnosis of malaria. * Review the diagnosis and management of uncomplicated and severe malaria. * Consider the use of artesunate therapy for severe malaria.

After reading this article, the physician should be able to: * Identify possible toxic mushroom ingestions by presentation. * Recognize common toxidromes associated with specific mushroom ingestions. * Differentiate between non-life-threatening and potentially life-threatening ingestions.

After reading this article, the physician should be able to: * Understand the normal ultrasound anatomy of the eye, specifically the location of the retina. * Know which probe is needed for ultrasound scans of the eye, and the method to accurately and safely perform the exam. * Visualize an example of a retinal detachment diagnosed by ultrasound.

Studies have shown that patients with DNR orders receive less pain medication, less food, less water, less frequent vital signs monitoring, fewer visits from the nurse and fewer visits from family members. DNR orders may be open to interpretation by the physician, physician's family and patient. Most patients have a limited understanding of the complex medical interventions and the implications of their decisions. Communication barriers between the physician, medical team and patient may ex...

After reading this article, the physician should be able to: * Discuss the diagnostic criteria for acute otitis media (AOM). * Understand the natural course of AOM. * Review recent studies that have evaluated the observation option in the emergency department. * Consider the use of acoustic reflectometry when appropriate.

After reading this article, the physician should be able to: * List the indications for and contraindications to noninvasive positive pressure ventilation (NIPPV) in the emergency department. * List several disease processes for which NIPPV use is recommended. * Describe steps to increase patient comfort while using NIPPV.

After reading this article, the physician should be able to: * Describe the indications for performing bedside ultrasound of the abdominal aorta. * Describe the technique for performing bedside ultrasound of the abdominal aorta. * Name the ultrasound findings suggestive of an abdominal aortic aneurysm.

The presentation is designed to walk you through all stages of a malpractice case in order to equip you with the information you need to deal with this common problem. Using a model malpractice case, this guide helps to prepare the physician for the challenges and pitfalls of being a defendant. It begins when the doctor is notified about the initiation of a malpractice case, explains the elements of a malpractice case, describes the claim, and introduces the people involved in bringing the cla...

After reading this article, the physician should be able to: * Have a safe, measured, and consistent approach to the child with suspected apparent life threatening events (ALTE). * Decide which investigations should be considered for patients presenting with ALTE. * Identify as early as possible during an emergency department visit which ALTE patients should be selected for admission versus discharg

After reading this article, the physician should be able to: * Identify and describe risk factors for epidural abscess. * Identify ED findings that should prompt consideration of spinal epidural abscess as a diagnosis. * Identify radiographic and laboratory abnormalities associated with epidural abscess. * Describe treatment approaches based on current evidence.

Nursing home patients today are older, sicker, and more frail than ever before. Multiple chronic conditions, reduced mobility and cognition put them at risk for polypharmacy, falls, malnutrition, and pressure ulcers. Primary care physicians not based in the nursing home have the disadvantage of practicing remote medicine. If end-of-life wishes have not been discussed, patients are at increased risk for aggressive and futile care in the final weeks and months of life. These situations create ...

At the conclusion of this activity, participants should be able to: * Identify potential biomarkers for tracking the development and progression of PD * Name non-motor features that can be useful as supportive features in early diagnosis of PD * Describe challenges in the early diagnosis of PD