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Controversies and Advances in the Treatment of Cardiovascular Disease: The Twenty-Second in the Series

This accredited education program will offer realistic expert viewpoints and debate on many controversial issues in cardiovascular disease with a combinations of keynote lectures, lively debates, and panel discussions. Session topics will include coronary artery disease, structural heart, atherosclerosis, electrophysiology, imaging, hypertension, AI in cardiovascular disease, and recent practice changing trials.
Promedica International CME

SRU 31st Annual Meeting (Streaming Online & USB Flash Drive)

The Society of Radiologists in Ultrasound (SRU) has promoted the science, practice and teaching of sonography for over three decades. Its 31st Annual Meeting, features nearly eighty expert faculty members providing a detailed update and review of all facets of ultrasound. As such, this activity is an essential resource for all that are interested in this constantly evolving modality. Its content will help radiologists maintain their leadership in clinical ultrasound imaging, by providing ins...
Meetings By Mail®

12th Annual Essentials in Primary Care Winter Conference

Continuing Education Company has been organizing its Primary Care Conference Series for over 30 years. The 12th Annual Essentials in Primary Care Winter Conference is designed to update primary care clinicians in rapidly changing therapeutic areas. The emphasis is on practical and useful information for clinical practice. Join us this February when we hold the 12th Annual Essentials in Primary Care Winter Conference in Naples, a charming resort city in southwest Florida. Program Objectiv...
Continuing Education Company

Psychiatric-Mental Health Nursing Exam Review (Live Webinar) - Charlotte, NC

This seminar is designed to provide the healthcare provider with a comprehensive review of Psychiatric"Mental Health Nursing Principles. The principle objectives of the course include enhancing professional nursing practice in Psychiatric"Mental Health Nursing as well as providing an outline for nurses preparing for the Psychiatric"Mental Health Nursing Exam. The course follows the outline and core curriculum recommended by the American Nurses Credentialing Center (ANCC). Case ...
MED-ED

2025 Oncologic Emergency Medicine Conference - Past, Present and Future

This conference aims to continue to fill the knowledge gap in Oncologic Emergency Medicine by providing information in an interactive forum that in turn enhances medical decision-making by healthcare providers working in an acute care setting.
University of Texas M.D. Anderson Cancer Center

Updates in General Internal Medicine for Specialists 2025 - LIVE STREAMING or IN PERSON

Advances, Updates, Guidelines, and Best Practices in General Internal Medicine--Expressly for Specialists Updates in General Internal Medicine for Specialists will be held January 27-31, 2025. You can attend online as the course is live streamed, or in person in Boston, MA. All sessions will be recorded and made available to all participants to view online, at your convenience. Overview In this unique program, Harvard Medical School's leading clinical faculty, representing more tha...
Harvard Medical School

CPAN®/CAPA® Exam Review (Live Webinar) - Atlanta, GA

Course Description This course is designed for nurses working in the perianesthesia setting who plan to take the CPAN/CAPA Exam. The course will focus on core concepts defined by ASPAN™ for caring for all populations. Program Learning Outcomes This program prepares the learner to: 1. Describe the CPAN/CAPA Exam, test plan and the practice requirements to sit for the exam. 2. Construct a study plan for the exam based on understanding the blueprint and domains of practice covered. 3....
MED-ED

Introduction to Emergency Medicine Ultrasound - Live Course

The Introduction to Emergency Medicine Ultrasound Live Training Course provides participants a strong foundation to perform the core emergency medicine ultrasound applications as outlined in the most recent ACEP ultrasound practice guidelines. This course is taught by leading emergency medicine ultrasound experts and incorporates comprehensive lectures, interactive case presentations, and extensive hands-on scanning sessions. All hands-on scanning sessions feature a 3:1 participant to exper...
Gulfcoast Ultrasound Institute

Introduction to Critical Care Ultrasound - Live Course

The Introduction to Critical Care Ultrasound Live Training Course provides participants a strong foundation to perform the core critical care ultrasound applications as outlined in the most recent ACEP ultrasound practice guidelines. This course is taught by leading critical care and emergency medicine ultrasound experts and incorporates comprehensive lectures, interactive case presentations, and extensive hands-on scanning sessions. All hands-on scanning sessions feature a 3:1 participant ...
Gulfcoast Ultrasound Institute

OSHA Bloodborne Pathogens Standard Annual Review | Dental CE accredited in all 50 states | Online Course & Instant Certificate

OSHA Bloodborne Pathogens Standard Annual Review is required is a required course for dental personnel in many states for licnese renewal and OSHA compliance in their state. Is an ePDF course with links to the exam, and an instant certificate of completion. This course fulfills the mandate by OSHA and many state dental boards that dental personnel conduct an annual review of the law, changes to the law, guidelines for compliance, immunizations schedules, links to OSHA for free BBP compliance t...
MyDentalCE

Nitrous Oxide Review with OSHA Focus: Clinical Guidelines & Workplace Safety

4 CEs Nitrous Oxide sedation is a safe and effective way to manage patient anxiety and pain. This course is a comprehensive review of the history of nitrous oxide, chemical & physical properties, the clinical administration of N20, patient selection criteria--and more. And the course includes the most current OSHA guidelines for workplace safety and methods to minimize exposure for dental clinicians. Suitable for all members of the dental team for license renewal. Calif RP#5100. AGD PAC...
MyDentalCE

Advanced Emergency Medicine Ultrasound - Live Course

The Advanced Emergency Medicine Ultrasound Live Training Course is designed to build on the knowledge base of experienced emergency medicine and critical care ultrasound professionals using the most up-to-date ACEP advanced ultrasound topics. This course is taught by leading emergency medicine & critical care ultrasound experts and incorporates comprehensive lectures, interactive case presentations, and extensive hands-on skills training. All hands-on sessions feature a 3:1 participant ...
Gulfcoast Ultrasound Institute

Advanced Critical Care Ultrasound - Live Course

The Advanced Critical Care Ultrasound Live Training Course is designed to build on the knowledge base of experienced emergency medicine and critical care ultrasound professionals using the most up-to-date ACEP advanced ultrasound topics. This course is taught by leading emergency medicine & critical care ultrasound experts and incorporates comprehensive lectures, interactive case presentations, and extensive hands-on scanning sessions. The hands-on scanning sessions feature a 3:1 partic...
Gulfcoast Ultrasound Institute

Brain Trust 2.0: Creating and Managing a Dementia Friendly Primary Care Clinic

Learning Objectives: Develop key elements of plan of care that meets primary care principles of care access, continuity, coordination, and comprehensiveness. Deliver trustworthy relationship building that is culturally and contextually tailored. Name at lest one community resource available to support the person living with ADRD, their caregivers, and the primary care physician CME Credit Claim: https://form.jotform.com/sortega801/TBT20OnlineCreditClaim Please complete the posttest, e...
Illinois Academy of Family Physicians

Introduction to OB/Gyn Ultrasound - Blended Course

The Introduction to OB/GYN Ultrasound Blended Course will give you a strong foundation to begin performing and/or interpreting comprehensive gynecological and 1st, 2nd, and 3rd trimester OB ultrasound applications. Begin with the self-paced online course: Taught by leading OB/GYN ultrasound experts, the comprehensive online course covers transabdominal and endovaginal gynecological and 1st, 2nd, and 3rd trimester OB ultrasound applications, including fetal anomalies. The online course incor...
Gulfcoast Ultrasound Institute

Point-of-Care OB/Gyn Ultrasound - Blended Course

The Point-of-Care OB/GYN Ultrasound Blended Course, specifically designed for physicians and mid-level/advanced practice providers, will provide a strong foundation to utilize ultrasound to visualize maternal and fetal anatomy to enhance accurate and timely clinical decisions at the bedside. Begin with the self-paced online course: Taught by leading OB/GYN ultrasound experts, the comprehensive online course covers point-of-care gynecological sonoanatomy & scan technique, sonographic app...
Gulfcoast Ultrasound Institute

Medical-Surgical Nursing Exam Review - Warner Robins

This three-day course is designed to provide critical care and progressive care nurses with a review of AACN’s core cur-riculum. The course combines central knowledge-based lectures so that nurses working in the PCU and ICU arenas will have a review of AACN’s certification blueprint. The first day will provide the critical care provider with an essential re-view of nursing care and interventions designed for the ICU setting. The second day will combine both the critical care and the progre...
MED-ED

WEBINAR BUNDLE: Mental Health for the Pharmacy Workforce Bundle

The Mental Health for the Pharmacy Workforce Bundle, originally presented at the ACA | ACVP | PPHI Annual Conference & Expo, offers an invaluable opportunity for pharmacists and pharmacy technicians to earn up to 2 hours of continuing education credits focused on Mental Health. This bundle is designed to address critical issues facing healthcare professionals today, including addiction, depression, burnout, and the overarching need for resilience and self-care in the medical field. Through...
American College of Apothecaries

WEBINAR: Long Walk Out of the Woods: A Physician's Story of Addiction, Depression, Hope, and Recovery

Adam Hill, MD shares his story of addiction recovery to normalize seeking help while working in the medical profession and how to distinguish mental health. This 1-hour CE session also discusses the barriers and obstacles that could be in the way. How can we all advocate for change? Learning Objectives for Pharmacists & Pharmacy Technicians: 1. Identify contributing factors to address in the medical workforce. 2. Describe obstacles/barriers preventing mental health treatment. ...
American College of Apothecaries

WEBINAR BUNDLE: ACA New Member Bundle

The ACA New Member Bundle presents an excellent opportunity for both new and seasoned pharmacists and pharmacy technicians to advance their professional skills and earn continuing education credits. Accredited for 3.0 contact hours (0.3 CEUs), the bundle includes three insightful modules, each providing 1 CE credit. Webinar 1: Opportunities in Wellness: Integrating Advanced Point of Sale Functional Testing in Community Pharmacy - Hillary Howell, PharmD, CCN, FACA; 1 CE Webinar 2: Long Wa...
American College of Apothecaries

WEBINAR: Neurology and Opportunities for Compounding

Earn 1.5 continuing education credits while exploring innovative compounding techniques and their applications in neurological care. This session will cover various neurological conditions and the compounding solutions that can be tailored to meet individual patient needs, offering an in-depth understanding of personalized medicine in neurology. Register below and contribute to better healthcare delivery by mastering new compounding strategies in neurology!
American College of Apothecaries

WEBINAR BUNDLE: Nutritional Pharmacy Bundle

The Nutritional Pharmacy bundle covers a wide range of topics related to nutrition and dietary supplements, from basic principles to advanced clinical applications. This ensures a thorough understanding of how nutrition impacts health outcomes and complements pharmacy practice. All courses within the bundle are based on current scientific evidence and guidelines. This ensures that the information acquired is accurate, relevant, and up-to-date with the latest research findings in nutritional...
American College of Apothecaries

WEBINAR: You Need to Treat What? Meeting the Unique Pharmacy Needs of Zoo Animals

Earn 1-hour of continuing education credit when you purchase the informative webinar, "You Need to Treat What? Meeting the Unique Pharmacy Needs of Zoo Animals," presented by veterinarian Ryan Colburn, DVM. This specialized webinar offers a deep dive into the atypical and often challenging medical treatments required by zoo animals, ranging from small exotic species to large mammals. Participants will learn about the complexities of dosing regimens, the selection of appropriate ...
American College of Apothecaries

WEBINAR: The Role of Dysbiosis in Women's Health

Earn 1 hour (0.1 CEUs) of accredited continuing education with our on-demand webinar, "The Role of Dysbiosis in Women's Health." This informative session addresses critical health issues affecting women, with an estimated 28 million experiencing energy and metabolism problems related to hypothyroidism. Additionally, 1.3 million women enter menopause each year, and approximately two-thirds of the population faces symptoms of adrenal exhaustion. By attending this webinar, yo...
American College of Apothecaries

WEBINAR: 2022 Legal Update

Compounding pharmacists and practitioners must remain aware of ongoing legal and regulatory developments to tailor their practices accordingly and avoid disciplinary actions and/or disruptions to business. This presentation will review recent agency guidance, interpretations, and stakeholder responses for both human and veterinary compounding practices. This session was initially presented at the 2022 ACA | ACVP | PPHI Annual Conference & Expo held on February 23-26, 2022.
American College of Apothecaries

Advances in Neurostimulation for Managing Chronic Post-Amputation Pain

Everything about chronic post-amputation pain (CPAP) is complex: from its disparate pathophysiological mechanisms to complex treatment approaches. Join leading pain management expert, Leonardo Kapural, MD, PhD, and vascular surgeon, Billy Kim, MD, FACS, as they discuss the management of CPAP complexities and insufficiencies of the current therapeutic landscape, as well as emerging evidence on novel devices in this series of videos.
ACHL

Highlights of the 2023 EULAR Guideline Updates in SLE- What you need to know!

This educational program will review the latest updates to the European Alliance of Associations for Rheumatology (EULAR) guidelines for the treatment of SLE and lupus nephritis (LN). Dr. Eric Morand highlights the most important changes to the guidelines and gives key insights into actionable changes that impact individualized patient care.
Integritas Communications

Physical Assessment - A Certificate Training Workshop for Pharmacy Practitioners

As pharmacists expand their scope of practice under new legislation (SB493), physical assessment is a key skill necessary for advanced practice. This 21 hour course will prepare the pharmacist to obtain a history and perform a basic physical examination that will enable them to assess and monitor drug therapy. The course will employ written materials, videos, lectures, demonstrations and hands on practice and feedback Objectives for Pharmacists At the conclusion of the course the p...
Western University of Health Sciences, College of Pharmacy

13th Annual Primary Care Winter Conference

Nestled at the historic Pu‘u Keka‘a, Black Rock, the Sheraton Maui Resort & Spa embodies the essence of Ka'anapali's legend. Set amidst 23 acres of lush tropical gardens, with 83 percent of its 508 rooms and suites offering breathtaking ocean views, this resort epitomizes luxury in a laid-back setting. As healthcare professionals convene for the 13th Annual Primary Care Winter Conference, they'll find themselves immersed in cutting-edge medical education amidst Maui'...
Continuing Education Company

Clinical Questions in Cardiology: Using Glucagon-like Peptite-1 Receptor Agonists

The glucagon-like peptide-1 receptor agonist (GLP-1RA) class of medications has become an important option for treating patients with type 2 diabetes mellitus (T2D). Cardiovascular outcome trials also show that selected GLP-1RAs exert beneficial cardiovascular benefits in patients with and without T2D. In this activity, case studies commonly encountered in cardiology practice are utilized to prompt reflection on opportunities for reducing cardiovascular risk. Drawing on seminal research and th...
Annenberg Center for Health Sciences at Eisenhower

Updates in Advanced Breast Cancer: Local Management and Other New Perspectives

This educational event is here to help oncologists and healthcare providers stay on the cutting edge of advanced breast cancer care. We aim to make it easier for you to bring the latest therapies and techniques into your everyday practice. The conference dives deep into the changing world of breast cancer treatment, focusing on the latest updates for triple-negative, inflammatory, locally advanced, and metastatic breast cancers. Our team of experts, including specialists from MD Anderson and b...
University of Texas M.D. Anderson Cancer Center

Seeking Control for Moderate-to-Severe Asthma: The Underestimated Impact of Comorbidities Along the Lifespan

Target Audience The primary target audience for this activity are pulmonologists, allergists/immunologists, and specialty advanced practice providers (NPs and PAs). The secondary audience for this activity are primary care physicians, and general practice NPs and PAs. Program Overview Severe uncontrolled asthma leads to multiple negative health and socioeconomic effects. Asthma is also associated with comorbid conditions, some driven by shared type 2 inflammatory pathophysiology, includin...
Partners for Advancing Clinical Education (PACE) and PlatformQ Health Education, LLC, in collaboration with Asthma and Allergy Foundation of America (AAFA).

Nurses Light the Path: Empowering Patients to Improve Breast Cancer Screening and Clinical Trial Representation

Target Audience The primary target audience for this activity is Oncology Nursing Professionals (APRN, NP, RN). Program Overview For women with breast cancer and those at risk, disparities in screening and clinical-trial enrollment exist, particularly among racial and ethnic minority populations. Awareness of these disparities can ensure timely screening practices and help address patient fears and concerns regarding clinical trials that inhibit diverse representation in research. Younger...
Partners for Advancing Clinical Education (PACE) and PlatformQ Health Education, LLC, in collaboration with Black Nurses Rock.

Clearing a Path in Chronic Rhinosinusitis With Nasal Polyps: Closing Gaps in Diagnosis and Treatment

As many as half of patients with CRSwNP suffer from uncontrolled symptoms on a daily basis, all of which have a negative impact on both physical and mental health. Effective biological and surgical therapies for CRSwNP are becoming increasingly available and best practices for their use as well as placement within management algorithms are constantly evolving. Clearing a Path in Chronic Rhinosinusitis With Nasal Polyps: Closing Gaps in Diagnosis and Treatment is a multimedia, CME Circuit Train...
Integritas Communications

The latest insights into rare blood disorders: Diagnosis and treatment strategies

Because immune-mediated rare blood disorders are uncommon, healthcare providers often lack the knowledge and experience necessary to identify, diagnose, and treat them in accordance with best practices. As a result, there are significant gaps in care, including delays in diagnosis and suboptimal treatment. To ensure that more patients with these rare disorders are offered quality, evidence-based care, it is essential that healthcare providers possess up-to-date information about best practices...
CMEology

Addressing Key Questions About BCMA-Targeted Therapy for Relapsed/Refractory Multiple Myeloma

ACTIVITY DESCRIPTION Though treatment advances have improved outcomes for most patients, MM remains an incurable disease characterized by continuous relapse. However, the treatment landscape for relapsed/refractory MM (RRMM) has expanded in recent years, and patients who relapse and/or become refractory to initial therapies are benefiting from the increasing availability of a diverse range of novel agents, including B-cell maturation antigen (BCMA)"targeted immunotherapies. These agents ...
Multiple Myeloma Research Foundation, RedMedEd, and Purdue University College of Pharmacy

Recent Advances in the Treatment and Management of Endometrial Cancer

This live activity is designed for oncologists, obstetrics & gynecologists, primary care physicians, nurses and pharmacists engaged in the care of patients with endometrial cancer. This activity will represent a thorough team approach to patient care. Further, this activity will address the following needs: Clinicians require a review of risk factors and symptoms of endometrial cancer, as well as appropriate management of patients. Clinicians need further education regarding new and...
American Academy of CME

Navigating Novel Terrain in Vitiligo Management: A Practical, Patient-Centric Review

Target Audience This educational activity is targeted to Advanced Practice Providers (APPs) " Physician Assistants and Nurse Practitioners " who practice in community settings. Program Overview This online activity will provide Advanced Practice Providers (APPs) " Physician Assistants and Nurse Practitioners " with a comprehensive overview of vitiligo, emphasizing pathogenic mechanisms, patient burden, and emerging treatment approaches. Learning Objectives Upon com...
Cornerstone Medical Education and American Academy of CME, Inc.

Psychiatric-Mental Health Nursing Exam Review (Live Webinar) - Redlands, CA

This seminar is designed to provide the healthcare provider with a comprehensive review of Psychiatric"Mental Health Nursing Principles. The principle objectives of the course include enhancing professional nursing practice in Psychiatric"Mental Health Nursing as well as providing an outline for nurses preparing for the Psychiatric"Mental Health Nursing Exam. The course follows the outline and core curriculum recommended by the American Nurses Credentialing Center (ANCC). Case ...
MED-ED

Unmasking Multiple Myeloma and Its Precursor Conditions in Primary Care

For multiple myeloma (MM) patients to receive the most appropriate care, a quick and accurate diagnosis is paramount. This is especially the case for Black patients, as diagnosis has historically been slower in Black patients"even though MM is twice as common in Black Americans than in White Americans. Additionally, MM precursor conditions such as monoclonal gammopathy of undetermined significance are seen more frequently in Black Americans than in White Americans. Primary care providers ...
Penn State College of Medicine

Across the Compendium: Practical Pathways to Integrate Bispecific Antibodies Into Care for Patients With Relapsed/Refractory Multiple Myeloma

As the armamentarium of therapies for relapsed/refractory multiple myeloma (R/R MM) expands, several factors, including previous therapy, treatment-related toxicity, and comorbidities must be considered as part of clinical decision making. To assist the multidisciplinary treatment team in these efforts, and ensure patients are receiving cutting-edge cancer care, this immersive digital practice guide highlights best practices, clinical pearls, and strategies to overcome pitfalls in the administ...
ACHL

Recognizing the Substantial Burden of Alopecia in Pediatric Patients and Building Multidisciplinary Capacity and Competence to Address Unmet Needs

Hair loss can have a profound psychological impact, especially on adolescents who may face social stigma or have self-esteem issues. Accurate diagnosis and appropriate management in this patient population can improve not only physical symptoms but also mental well-being. If you’re a clinician who treats alopecia areata (AA) in pediatric patients, take your skills to the next level by accessing ACHL’s AdaptED® platform, which offers a tailored learning experience for busy clinicians, ...
ACHL

CCRN/PCCN Exam Review (Live Webinar) - North Kansas City, MO

Course Description This three-day course is designed to provide critical care and progressive care nurses a review of AACN’s core curriculum. The course combines central knowledge-based lectures so that nurses working in the PCU and ICU arenas will have a review of AACN’s certification blueprint. The first day will provide the critical care provider with an essential review of nursing care and interventions designed for the ICU setting. The second day of this lecture series will combine b...
MED-ED

Is It Atrial Fibrillation? Navigating Uncertainties on When and Whom to Screen in the Primary Care Setting

Atrial fibrillation (AF) is often asymptomatic making it difficult to detect and diagnose. Unfortunately, for many patients, a diagnosis of AF only follows a hospitalization for an acute event. Both targeted screening and opportunistic screening in the primary care setting can increase the rate of detection of new cases of AF, but are you current with the latest evidence? If you're a puzzle enthusiast, dive into this unique educational experience with CrossMED™! This engaging activity c...
ACHL

Raising the Bar in ATTR Amyloidosis A Training Set on Diagnosis and Treatment

There is considerable heterogeneity in the clinical manifestations of ATTR amyloidosis, which are often dependent on both genetic and environmental factors. Once a fatal diagnosis with no effective therapies available, research in ATTR amyloidosis is rapidly evolving and new pharmacotherapies that demonstrate improved quality of life and life expectancy for patients have been developed. Despite this progress, treatment options remain limited, underscoring the need to continue to expand the tre...
Integritas Communications

Top 10 Questions on Biomarkers in Early Alzheimer’s Disease: Improving Diagnosis and Use of Targeted Therapies

The past several years have seen numerous advances in Alzheimer’s disease (AD) diagnosis and management. Most recently, approval of antiamyloid monoclonal antibodies has revolutionized AD management and has required that patients have amyloid burden verified prior to initiating treatment. Biomarkers, whether obtained from cerebrospinal fluid (CSF) or positron emission tomography (PET) scans, are critical to the early diagnosis of AD and its subsequent management. Plasma biomarkers are an eme...
Integritas Communications

Fundamental Compounding with Pharmacy Law

March 27th - 29th, 2025 FUNDAMENTAL COMPOUNDING is an accredited 3-day course that combines a 20-hour (2.0 CEUs) practice-based course with a 1-hour (0.1 CEUs) knowledge-based course in Fundamental Compounding Law. This course is designed for pharmacists, pharmacy technicians, and students who are new to compounding or who have had training in the past but want a refresher. Physicians and other healthcare professionals are also welcome to attend. CONTENT This course provides didactic...
American College of Apothecaries

Introduction to Adult Echocardiography - Live Course

Introduction to Adult Echocardiography Live Training & CME Course is a five (5) day comprehensive echocardiography course in St. Petersburg, FL that is taught by leading echocardiography experts and is designed to provide a strong foundation to perform and/or interpret adult cardiac ultrasound examinations. All topics of discussion are based on ASE, ACEP ultrasound practice guidelines. The structure of the course is a combination of live lectures, scanning demonstrations, interactive ...
Gulfcoast Ultrasound Institute

Medical-Surgical Nursing Exam Review (Live Webinar) - Lebanon, PA

Course Description This two-day course is designed to provide nurses with the tools, confidence and knowledge to successfully complete the Medical-Surgical Nursing Exam. The exam content outlines and blueprints from the ANCC and MSNCB® were used to develop this program. Topics covered from the exam content outlines will include: review of body systems, cardiac, pulmonary, neurologic, gastrointestinal, renal, genitourinary, reproductive, endocrine, hematologic, musculoskeletal, immune and mor...
MED-ED

Heart or Lung Conundrums: Unleash Your Diagnostic Skills

Did you know that shortness of breath, difficulty exercising, fatigue, and cold hands and feet could indicate a serious health concern? When your patients present with these symptoms, could it be indicating a more serious heart or lung disease? Put your skills to the test! In just 15 minutes, navigate through real-world cases to see if you can correctly diagnose each patient. Diagnostic conclusions are revealed after reviewing all cases. Hear faculty insights on the implications of learner dec...
ACHL

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