Sunday, March 24, 2019
Pre-Courses at Hospital Medicine 2019 aim to enrich your educational experience and earn additional CME credit and MOC points. Choose from one for six Pre-Courses offered this year at SHM’s Annual Conference.
Title:Point-of-Care Ultrasound for the Hospitalist
Morning Course Time:7:30 a.m. – 12:30 p.m.
Afternoon Course Time:1:00 – 6:00 p.m.
Nilam Soni, MD, MS
Ricardo Franco Sadud, MD
- Ria Dancel, MD
- Trevor Jensen, MD, MS
Course Description:Point-of-care ultrasound has become an indispensable bedside tool in the care of acutely ill patients. Portable ultrasound devices have become more compact and are being carried by hospitalists in their coat pockets. 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 most important point-of-care ultrasound applications for hospitalists. 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, pneumonia, and pneumothorax; evaluation of ascites, kidneys, and bladder; and evaluation for lower extremity deep venous thrombosis. Participants experience a low participant-to-faculty ratio in an interactive atmosphere that is highly conducive to learning. Imaging techniques are practiced on live models with experienced, nationally-recognized faculty teaching participants. This pre-course employs cutting-edge equipment and is led by expert faculty gathered from leading institutions across the country.
- Appreciate the fundamental principles of ultrasound technology and basic operation of a portable ultrasound machine.
- Recognize the different types of ultrasound transducers and their utility in various point-of-care ultrasound applications.
- Demonstrate the proper techniques to perform focused cardiac, lung, abdominal, and lower extremity vascular ultrasound examinations.
- Appreciate the normal sonographic appearance of the heart, lungs, abdominal organs, and lower extremity vasculature and practice interpreting abnormal ultrasound images with gross pathologies.
Title:Bedside Procedures for the Hospitalist
Morning Course Time:7:30 a.m. – Noon
Afternoon Course Time:1:00 – 5:30 p.m.
Josh Lenchus, DO, FACP, SFHM
Alyssa Burkhart, MD, FACP
- Aaron Calderon, MD
- Jason Williams, MD, MS
- Kierstin Kennedy, MD
- Armando Ariza Giammaria, MD
Course Description: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.
- 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
- Formulate an overall approach to performing procedures by integrating knowledge and skills acquired in this basic course to further develop technical proficiency
Title:Oh, the Places We’ll Go! Practice Management Tools for Navigating the Changing Role of Your Hospital Medicine Group
Course Time:8:00 a.m. – 5:00 p.m.
Leslie Flores, MHA, SFHM
John Nelson, MD, MHM, FACP
- Mark Williams, MD
- Rachel Cyrus, MD
Course Description:From clinical scope evolution, to becoming leaders in hospital quality and process improvement, to “owning” pre- and/or post-hospital care, hospital medicine groups are being challenged daily by new expectations that impact their roles and what it means to be a hospitalist. Some demands will be appropriate for your group to pursue, while others won’t. HMG leaders need to be positioned to rapidly evaluate and respond to change propositions in a way that meets patient and institutional needs, while still ensuring well-designed, sustainable, satisfying work for clinicians. How you respond to these pressures while still attending to core operational issues such as recruiting, scheduling, compensation, etc., will determine the long-term success or failure of your group. Join us for this all-new practice management course designed to help leaders successfully guide their HMGs through the change pressures they are facing. This course will explore some of the ways in which HMG roles are evolving nationally, and it will equip you with tools to retain influence over how your own group evolves and to successfully lead the changes you know are coming. The course faculty represents decades of experience in clinical practice, leadership of HMGs, and consultative work with hundreds of HMGs throughout the country. [Insert brief information about faculty members here.] These knowledgeable and entertaining speakers will explore essential topics and offer concrete, practical advice for navigating your group’s changing role. The agenda includes ample 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 to their practices.
- Develop and implement effective professional relationships and division of labor between hospitalists and doctors in other specialties.
- Make adjustments to hospitalist group configuration to position for success in today’s environment, including recruiting, work schedule and work flow, compensation, skill mix, and others.
- Utilize effective models of team-based care, such as multi-disciplinary rounds, and processes to optimize patient flow.
- Understand new and evolving roles and points of influence hospitalists have in post-hospital care such as hospitalists having a presence in skilled nursing facilities and work related to transitions of care.
Title:ABIM Maintenance of Certification (MOC) Modules and Board Prep
Course Time:8:00 a.m. – 4:00 p.m.
Kathleen Finn, MD, FACP, FHM
Christopher Whinney, MD, FACP, FHM
- Darlene Tad-y, MD,SFHM
- David Goldstein, MD
Course Description:Are you looking for a fun and interactive way to prepare for the ABIM Focused Practice in Hospital Medicine Exam? Do you need to earn Medical Knowledge points for ABIM Maintenance of Certification process? Or do you need to earn CME credits for AAFM and ABFM? 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 several learning modules to help them prepare for the ABIM/ABFM Focused Practice in Hospital Medicine exam or Knowledge Check-in. By completing the modules, participants can also earn points toward the ABIM Maintenance of Certification program and CME credits for AAFM. During the sessions we will review the 2018-2019 ABIM Update in Hospital Medicine module and several modules created from the SHM SPARK ONE online self-assessment tool. SHM SPARK ONE includes content 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 including the Knowledge Check-in. Bring along your Wi-Fi enabled laptop or tablet to satisfy your ABIM MOC needs in real time in this engaging, educational program.
- 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 and test taking.
- Demonstrate professionalism and competence in your specialty through maintenance of certification process.
Title:Advanced Case-Based Interactive Critical Care with Simulation
Course Time:7:20 a.m. – 6:00 p.m.
Kevin Felner, MD
Brian Kaufman, MD
- Anthony Andriotis, MD
- Daniel Lugassy, MD
- Paul Mayo, MD, FCCP
- James Horowitz, MD
- Romergryko Geocadin, MD, FNCS, FAAN, FANA
Course Description:Experts in the field of critical care medicine will integrate evidence-based management strategies with hands-on simulation to provide a highly interactive course that includes both dynamic lectures and human simulator education to augment state-of-the art evaluation and management of critically ill patients. This innovative pre-course will offer the latest evidence based in topics such as shock and pressor management; basic and advanced mechanical ventilator strategies; approach to airway management; use of ultrasound in the critically ill patient; neurological critical care; medical toxicology. The didactic sessions will serve as a foundation of evidence that participants can then actively apply during the simulation sessions, especially in the management of difficult hemodynamic and airway cases.
- Utilize mechanical ventilator physiology to strategically manage complex critical care situations including troubleshooting ventilator problems and caring for acute respiratory distress syndrome (ARDS)
- Integrate physiology and literature evidence in the management of common and less common forms of shock as well as the poisoned patient
- Identify and manage basic and difficult airways including difficult to oxygenate and/or ventilate patients, utilizing bag-valve-mask optimally, and efficiently securing an airway
- Assess, triage, and manage patients with neurocritical emergencies as well as critically ill patients with cardiovascular insults, and understand the utility of point of care ultrasound in the care of the critically ill patient.
Title:Essentials of Palliative Care and Pain Management for Hospitalists
Course Time:8:00 a.m. – 4:30 p.m.
Rab Razzak, MD
Theresa Vettese, MD, FACP
- Jeff Greenwald, MD, SFHM
- Julia Ragland, MD, FHM
Course Description:Palliative care has become critically important in the management of those with serious illness. Hospitalists inherently care for patients with serious illness and are well positioned to make a major impact on their care. Developing and mastering communication skills and complex symptom management using evidence based tools is essential. Join us in these sessions where we will review best practice strategies for communication and provide a foundation to apply pain and symptom management across a continuum of disease states, from relative health to serious illness and end-of-life. Learners of all levels will benefit from this experience.
- Describe, observe and practice core communication skills for navigating prognosis and goals of care discussions with seriously ill hospitalized patients and their families.
- Identify and apply best practices in pain management in hospitalized patients with serious illness, including rational use of opioid analgesics, appropriate use of adjuvant medications for treating pain and the management of complex pain patients.
- Assess and provide effective interventions for non-pain symptoms in hospitalized patients with serious illness, including depression/anxiety, nausea/vomiting, dyspnea, pruritis, and fatigue.