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Pre-Courses

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Bedside Procedures for the Hospitalist

Joshua D. Lenchus

Joshua D. Lenchus, DO, RPh, FACP, SFHM
University of Miami Miller School of Medicine

Alyssa Burkhart

Alyssa Burkhart, MD, FACP
Billings Clinic

Course Overview:

Using a blended curricular approach of live didactic teaching and simulation-based hands-on training, participants will learn, review and demonstrate best practice techniques for the performance of the more common invasive bedside procedures as relevant to the hospitalist. Topics include vascular and intraosseous access, paracentesis, thoracentesis, lumbar puncture, and basic airway management, including the use of supraglottic devices. The use of ultrasound for procedural performance will be showcased, and its application will be practiced during each topic’s session. The course has an optimal faculty-to-learner ratio that will maximize the learning experience; cutting-edge ultrasound units will enhance the experience while skills are practiced; and fluid-filled, anatomically-representative task trainers will facilitate basic skills acquisition.

NOTE: To maximize your learning experience, it is recommended (but not required) that this course be coupled with the “Point-of-Care Ultrasound for the Hospitalist” Pre-Course, as it covers the diagnostic application of sonographic technology.

Objectives:

  • Demonstrate the proper techniques for performing some of the more common invasive bedside procedures;
  • Determine when and how to use ultrasound guidance to facilitate procedural performance; and
  • Formulate an overall approach to performing procedures by integrating knowledge and skills acquired in this basic course to further develop technical proficiency.

View Pre-Course Agenda

Essentials of Perioperative Medicine and Co-Management for the Hospitalist

Rachel E Thompson

Rachel E Thompson, MD, MPH, SFHM
University of Nebraska Medical Center

Paul J. Grant

Paul J. Grant, MD, FACP, SFHM
University of Michigan Medical School

Course Overview:

Perioperative Medicine and Surgical Co-Management continue to expand in scope and importance as surgical patients’ comorbidities continue to increase. Hospitalists play a critical role in managing chronic and acute medical conditions in surgical patients. Developing proficiency and staying current in Perioperative Medicine and Surgical Co-Management can be challenging. Join your colleagues in reviewing the evidence-based standards and practical application of cutting edge literature. Learners of all levels will benefit from this experience.

Objectives:

  • Implement evidence-based and practical perioperative risk assessments and risk reduction strategies for the surgical patient.
  • Clinically manage common and less common medical comorbidities in the perioperative setting.
  • Discuss the evolution and application of co-management in Hospital Medicine.

View Pre-Course Agenda

Hospitalist Practice Management: How to Thrive in a Time of Intense Change

Leslie Flores

Leslie Flores, MHA, SFHM
Nelson Flores Hospital Medicine Consultants

John Nelson

John Nelson, MD, FACP, MHM
Overlake Hospital Medical Center
Nelson Flores Hospital Medicine Consultants

Course Overview:

Join us for this all-new practice management course designed to help ensure that yours is a high performing hospital medicine group positioned to thrive during this time of intense change.

All hospitalist groups face significant change that is occurring at an ever-accelerating pace.  Ongoing recruitment challenges, managing growth in patient volume and scope of services, ever-changing performance goals, demands for increased attention to throughput and transitions of care, the need to demonstrate the value of your service to other stakeholders, and preventing hospitalist burnout are just some of the issues nearly all groups face.  This course will dive into these topics and others to provide you with valuable perspectives and guidance.

The course faculty represents decades of experience in clinical practice, leadership of hospital medicine groups, and consultative work with hundreds of hospital medicine programs throughout the country.  Eric Howell is Professor of Medicine at Johns Hopkins University, a national leader in hospital medicine, and past-president of SHM.  John Nelson, MD, has over 25 years of clinical practice as a hospitalist and is co-founder and past president of SHM.  Jerome Siy, MD, is Hospital Medicine Department Chair at HealthPartners in Minneapolis and a highly regarded speaker on topics related to hospitalist engagement and burnout.  These knowledgeable and entertaining speakers will explore essential topics and offer concrete, practical advice for building a healthier and more attractive hospitalist group.

The course includes significant time for interaction with the faculty and fellow attendees, and each session will conclude with participants developing a brief action plan to implement upon returning home to their practices.

Objectives:

Upon completion of this course, attendees will have the knowledge and skills to:

  • Measure and demonstrate the value your hospitalist group brings to your hospital and other stakeholders.
  • Develop effective operational processes in activities such as recruiting, managing scope of practice evolution, optimizing throughput, and conducting multi-disciplinary rounds.
  • Discuss how to leverage a broad array of skill sets in your group to optimize capacity, including NPs, PAs, RNs, scribes, and others.
  • Utilize survey data and other available resources to understand the hospitalist landscape nationally, including emerging trends in a variety of practice management activities, and successfully apply this information to your own practice.

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Sepsis: New Insights into Detection and Management

Jennifer Hanrahan

Jennifer Hanrahan, DO
MetroHealth Medical Center

Patricia Kritek

Patricia Kritek, MD, EdM
University of Washington

Course Overview:

This intensive one day course will give hospitalists insight into a variety of clinical issues important in managing patients with sepsis and septic shock.  Topics will include choice of appropriate antibiotics, best strategies to assess volume status and novel adjunctive therapies for sepsis.  We will also discuss protocols for early detection of sepsis and reporting requirements for healthcare-associated infections. In addition, there will be an opportunity to test knowledge through interactive case presentations.

The course is designed for practicing hospitalists (physicians, nurse practitioners, and physician assistants) with an emphasis on building upon the hospitalist’s considerable experience with the management of sepsis. Course instructors include critical care and infectious disease specialists with extensive teaching backgrounds. The overarching goal of this course is to provide hospitalists practical knowledge to aid them in the recognition and treatment of sepsis.

Objectives:

  • Describe best practices in early detection and management of sepsis
  • Identify optimal antibiotic therapy and adjunctive treatments for sepsis
  • Recognize the difference between clinical definitions and surveillance definitions used for NHSN reporting
  • Discuss how to best assess volume status
  • Interpret positive blood culture results and recognize when further investigation is necessary

View Pre-Course Agenda

Keep Your Finger on the Pulse – Cardiology Update for the Hospitalist

Bryan J. Wells

Bryan J. Wells, MD, FACC, FSVM, FASE
Emory University Hospital Midtown

Pablo A. Quintero

Pablo A. Quintero, MD
Beth Israel Deaconess Medical Center

Course Overview:

The field of cardiology changes rapidly and it is not easy to keep up with best practices. This course will address the latest information on common cardiovascular conditions so the clinician can easily incorporate new concepts into daily practice.   We will also focus on improving clinical skills by reviewing physical examination techniques and EKG rhythm identification.  By using didactic case based lectures, there will be ample time for discussion and feedback.

Objectives:

  • Recognize the appropriate indications for diagnostic testing in cardiac disease
  • Incorporate up to date cardiovascular knowledge in the care of cardiac patients
  • Improve physical examination and EKG interpretation skills
  • Identify best practices for common cardiovascular conditions and how to achieve them

View Pre-Course Agenda

Maintenance of Certification and Board Prep

Allen B. Repp

Allen B. Repp, MD, MSc, FACP, SFHM
University of Vermont

Anjala Tess

Anjala Tess, MD
Harvard Medical School

Course Overview:

Are you looking for a fun and interactive way to prepare for the ABIM/ABFM Focused Practice in Hospital Medicine Exam?  Do you need to earn Medical Knowledge points for ABIM Maintenance of Certification process?  Are you a practicing hospitalist considering enrollment in the Recognition of Focused Practice in Hospital Medicine (FPHM) pathway?  Would you like to update your knowledge in key areas of hospital medicine, quality and patient safety? If you answered yes to any of these questions, then this Pre-Course is designed for you!

In an interactive format, the Pre-Course faculty will lead participants through two learning modules to help them prepare for the ABIM/ABFM Focused Practice in Hospital Medicine exam.  By completing the modules, participants can also earn points toward the ABIM Maintenance of Certification program.  New this year – Family Medicine Hospitalists can earn AAFP credits for course participation.

Two modules will be presented: the 2017-2018 Update in Hospital Medicine (83T) module and a new module created from the SHM SPARK ONE online self-assessment tool.  SHM SPARK ONE includes subject areas – such as Perioperative Care, Ethics, Patient Safety and Quality – that comprise 40% of the Focused Practice in Hospital Medicine exam and are not covered in traditional exam preparation tools.  Attendees will also have the opportunity to discuss the Recognition of Focused Practice in Hospital Medicine pathway and changes to the MOC process.

Bring along your Wi-Fi enabled laptop or tablet to satisfy your ABIM MOC needs in real time in this engaging, educational program.

Objectives:

  • Identify core topics commonly tested on the ABIM/ABFM Focused Practice in Hospital Medicine exam
  • Analyze clinical scenarios to apply recent evidence-based literature in hospital medicine to clinical practice
  • Demonstrate professionalism and competence in your specialty through the maintenance of certification process

View Pre-Course Agenda

Point-of-Care Ultrasound for the Hospitalist

Nilam J. Soni

Nilam J. Soni, MD, MSc
University of Texas School of Medicine
South Texas Veterans Health Care System

Ricardo Franco-Sadud

Ricardo Franco-Sadud, MD
Medical College of Wisconsin

Course Overview:

Point-of-care ultrasound has become an indispensable bedside tool in the care of acutely ill patients as portable ultrasound machines have become more compact and available in hospitals.  As frontline providers, hospitalists are using point-of-care ultrasound to guide diagnostic work ups and perform invasive bedside procedures on their patients.  This pre-course combines high-yield didactic sessions with hands-on training to teach the fundamentals of how to evaluate patients with point-of-care ultrasound.  The pre-course starts with a review of the basics of ultrasound technology and then dives into the myriad of diagnostic ultrasound applications: focused cardiac ultrasound; evaluation of pleural effusions, pneumothorax, and ascites; evaluation for lower extremity deep venous thrombosis; and evaluation of abdominal organs.  Participants experience low participant-to-faculty ratios in an interactive atmosphere that is highly conducive to learning.  Imaging techniques are practiced on live models with experienced faculty teaching participants.  This pre-course employs cutting-edge equipment and is led by expert faculty gathered from across the country.

Objectives:

At the conclusion of this activity, participants will be able to:

  • Recognize the fundamentals of ultrasound physics and technology, and basic operation of a portable ultrasound machine (“knobology”).
  • Differentiate between the different types of ultrasound transducers and select the most appropriate transducer type for different point-of-care ultrasound applications.
  • Demonstrate proper techniques to perform a focused cardiac and lung ultrasound exam and recognize common thoracic pathologies by interpreting abnormal thoracic ultrasound images.
  • Visualize the normal sonographic appearance of abdominal solid organs and vasculature of the neck and lower extremities, and interpret a series of abnormal ultrasound images to recognize gross pathologies.

View Pre-Course Agenda