update in internal medicine · 2015. 11. 30. · during the seven days of this course, we will...
TRANSCRIPT
UPDATE IN
Internal MedicineDEC. 6 - 12, 2015THE WESTIN COPLEY PLACE BOSTON, MASS.
Under the direction of: Sanjiv Chopra, MD, MACPMartin J. Abrahamson, MD, FACPMark L. Zeidel, MD
Over 95% of last year’s participants rated this course as "above average" or "superior" to other postgraduate courses they have attended.
Here is what some of them had to say:
“ This is the single best educational activity for the practicing internist. It is my 4th time here!”
“What an inspiring, motivating, and stimulating course. It rejuvenated my interest in practicing medicine.”
“The whole course was exceptional; can’t wait to do it again!”
"Superb and renowned faculty with encyclopedic knowledge and a flair for teaching"
“The faculty were outstanding and engaging”
“Vastly informative – cutting edge information”
“One of the best courses I have ever attended”
“The speakers are consistently amazing! The course is well prepared and well organized and the experts are just that, experts in the area of discussion. I will continue to come every 2 years as long as I am able to do it.”
“Authoritative speakers who are anxious to teach”
“Stellar course; best I have attended in years!”
“Kudos! What an exquisite blend of evidence-based medicine and practical, useful recommendations from very experienced clinicians.”
“Very appropriate for practicing internists”
“High quality presentations”
“Good emphasis on recent advances”
“Outstanding presentations from speakers very knowledgeable in their respective fields”
“Many “tour de force” speakers”
“Uniformly superior presentations both in content and articulation”
“Practicality for office-based practice”
“Practical information that applies to clinical practice as well as taste of things on the horizon”
“Excellent knowledgeable faculty”
“Audience participation in reviews is fun and more involving”
“Up-to-date lectures”
“World class faculty/internationally known specialists in their field”
Course Directors Welcome Note We are delighted that you are participating in our annual Update in Internal Medicine course and would like to
take this opportunity to extend a most warm welcome to all of you.
The course faculty is comprised of the best clinician-teachers at Boston’s Beth Israel Deaconess Medical
Center, a major teaching affiliate of Harvard Medical School. We are also grateful to our esteemed guest faculty
for taking time out of their very busy schedules to participate.
During the seven days of this course, we will address important topics covering the various sub-specialties in
Internal Medicine, including Endocrinology, Pulmonary Diseases, Gastroenterology and Hepatology, Infectious
Diseases, Nephrology, Rheumatology, Cardiology, Oncology, Neurology, and Hematology. You will also have
the opportunity to hear a number of important special lectures of relevance to the current practice of medicine.
We have incorporated many interactive Challenging Cases with Your Participation sessions, which will enable
you to anonymously test your knowledge in the different areas of medicine. These sessions are a terrific way to
teach and to learn, and a very useful tool by which a large number of topics can be addressed to complement
the large stable of the more didactic lectures. Past participants have often commented that these sessions are
truly unique and amongst the highlights of the course.
Over the past several years, participants have requested that we include most, if not all of the slides that are
shown by our faculty. You will note that, each speaker’s syllabus includes the slides and a comprehensive
bibliography. A number of presenters have also included checklists for the Primary Care Practitioner that
follows each lecture. All of this information is available to you on a USB device and the course website.
We trust you will enjoy this course, leave informed, perhaps, even inspired, to cherish all that is glorious and
best about the medical profession. It is our fervent hope that the new knowledge you acquire will allow you to
practice State-of-the-Art medicine so that your patients will live healthier and happier lives.
Best wishes for continued success.
Sanjiv Chopra, MD, MACP Martin J. Abrahamson, MD, FACP
Mark L. Zeidel, MD
Course Information
1. Registration: At registration, you received your name badge, a USB device containing the syllabusmaterials and a conference tote. You also received a handout or a two-volume syllabus if you pre-purchased the books (additional fee of $75 during the registration process). If you are interested inpurchasing books now, please visit the registration desk (limited quantities are available).
2. Name Badges: Please remember to wear your name badge at all times during the course.
3. CME Credit: The Harvard Medical School designates this live educational activity for a maximum of 56.25 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. CME certificates will be emailed to you within three weeks of completing the online course evaluation and CME verification form, which can be accessed at: https://www.research.net/s/15-732264
4. Risk Management Credit: This activity meets the criteria of the Massachusetts Board ofRegistration in Medicine for 5 hours of Risk Management Study. This includes 1.0 credits of OpioidEducation and Pain Management training. Please check with your individual state licensing boardrequirements before claiming risk management credits. Physicians should claim only the creditcommensurate with the extent of their participation in the activity.
5. AAFP CME Credit: This Live activity, Update in Internal Medicine, with a beginning date of December 7, 2014, has been reviewed and is acceptable for up to 55.75 Prescribed credits by the American Academy of Family Physicians. Physicians should claim only the credit commensurate
with the extent of their participation in the activity.
6. Printed Syllabus: Our presenters have provided you with a variety of educational materials, whichmay include, PowerPoint slides and/or outline, references and checklists. Please refer to theelectronic syllabus for larger/full-color images. Note: due to copyright restrictions, some slides,images or presentations may not be included.
7. Electronic Syllabus: The electronic syllabus includes the presentation materials in a PDF formatin addition to images of chest X-rays, ECGs, peripheral smears, cutaneous lesions, liver and renalbiopsies, and selected ocular, endocrine, rheumatological, and gastrointestinal abnormalities. Allmaterials can be accessed online at: www.UpdateInternalMedicine.com/syllabus
Password: medicine2015
Note: due to copyright restrictions, some slides, images or presentations may not available on the website or USB device. Updated presentations, if permissible, may be posted to this website at the end of each day. The presentations will remain online for 120 days.
8. Internet Access: Complimentary Wi-Fi is available in the meeting space. To access, select“Westin Meeting” from the network list. If you are not redirected to a login page, open yourbrowser and log-in using the following credentials:
Group Name: HMS Internal Medicine Password: HMS15
Course Information
9. Disclosures: Please refer to the handout for acknowledgements and faculty disclosures.
10. Security: We recommend that you write your name on all of your conference materials and besure to keep them with you at all times. Unfortunately, we are not be able to replace any of theitems if they are lost or stolen. We also encourage you not to leave any personal belongings in themeeting room. The Westin Copley Place is not responsible for any lost or stolen items.
11. Review Sessions: Each day we will conduct review sessions for the various specialties. Thesequestion and answer-based sessions use an interactive wireless audience response system (ARS).This system will allow you to anonymously test your knowledge in the different areas of medicine.The answer keys can be found on your USB device and on the syllabus website, under theindividual review session slides, at: www.UpdateInternalMedicine.com/syllabus.Note: the electronic devices used to transmit your answers must remain in the meeting room.Please leave the devices on the table at the conclusion of each day.
12. Question Policy: We will take questions during the Q&A sessions. We request that you makeyour questions brief and legible and write them on the “Question Cards”, which are available at theregistration desk. Completed cards may be placed in the “Question Basket” in the front of themeeting room or at the registration desk. In addition, speakers will be available for questions in thefoyer, at the conclusion of their presentations.
13. Evaluations: HMS-DCE utilizes an electronic evaluation system. To access the online system, goto: https://www.research.net/s/15-732264. You will have 60 days to complete the onlineevaluation/CME verification form. CME certificates will be emailed within three weeks ofcompleting the course and online form. The evaluations are an essential and critical component ofour program planning. We not only read and review every evaluation form returned, but alsoprovide specific comments made about topics and speakers to the appropriate people.
14. Breaks: We will make an announcement 5 minutes before the end of each break and ask that youbegin returning to the meeting room, in order to maintain our schedule.
15. Room Temperature: The room temperature will be set at approximately 69°F. If you feel thetemperature is uncomfortable, please notify the meeting planners at the registration desk. Werecommend that you bring a coat or sweater with you.
16. Cell Phones and Electronic Devices: As a courtesy to one another, we ask that all cell phonesand electronic devices be placed in the silent mode or powered off. Thank you!
17. Recording: The course is not being recorded. NO recording devices are permitted in the meetingroom.
18. Breakfast and Refreshment Breaks: Complimentary continental breakfast and refreshmentbreaks will be served daily in the Foyer. All participants are welcome. Please consult the scheduleof events for breakfast and break times.
19. Lunch: Lunch is on your own. Bar 10 is located on the lobby level as well as Ingredients for quickserve items. Starbucks is located just outside of the hotel lobby. A list of other suggestions can befound at the registration desk.
20. Rejuvenation Exercises: Each afternoon a professional will lead the group through a 10-minuterejuvenation exercise program. We will all benefit and concentrate better!
21. Restrooms: Restrooms are located in the foyer, to the left of the escalator. Additional restroomscan be found one level down.
22. Book Vendors: Representatives from Lippincott Williams & Wilkins and Elsevier will be availablethroughout the week for book purchases.
23. Book Drawing: There will be several book drawings during the conference. Please enter thedrawing by filling out an entry ticket and placing it in the appropriate container at the registrationdesk. You must be present to win!
24. Extra Syllabi: Extra conference materials may be available for purchase. Please inquire at theregistration desk for pricing and availability.
25. Concierge Service: The hotel concierge is happy to provide any services you require during theweek, including making restaurant recommendations and reservations, directions, maps and lostand found.
26. Hotel Checkout: Express checkout is available; checkout time is noon. You may leave yourluggage with the Bell Captain in the Lobby.
Course Information
Faculty
Harvard Medical School Course Directors
Martin J. Abrahamson, MD, FACP Associate Professor of Medicine Harvard Medical School Co-Director, Division of Continuing Education Beth Israel Deaconess Medical Center
Email: [email protected]
Martin J. Abrahamson, MD, is Associate Professor of Medicine at Harvard Medical School, Director of the Division of Continuing Medical Education in the Department of Medicine and an active faculty member of the Endocrine Division, Department of Medicine at Beth Israel Deaconess Medical Center in Boston, Massachusetts. He received his medical degree from University of Cape Town in Cape Town, South Africa, and completed his internship, residency and clinical fellowship in internal medicine and endocrinology at Groote Schuur Hospital in Cape Town, where he was a research fellow before joining the faculty of medicine at the University of Cape Town and Groote Schuur Hospital. Dr. Abrahamson was joint head of the Endocrine Unit in Cape Town before taking up a faculty appointment at Harvard Medical School and Beth Israel Hospital in 1992.
He joined the faculty at Joslin Diabetes Center in 1998 where he held positions as Chief of Adult Diabetes, Chief Medical Officer and Senior Vice President for Medical Affairs until 2015. While at Joslin Diabetes Center, Dr. Abrahamson led the reorganization of the Adult Diabetes Section into multidisciplinary teams comprised of physicians, nurse practitioners, nurse educators, nutritionists, and exercise physiologists and spearheaded “pathways of care” for patients referred to Joslin (JoslinCare). He has co-authored guidelines for the pharmacological and perioperative management of patients with diabetes and management of hyperglycemic emergencies, and authored more than 80 papers, review articles and chapters related to diabetes.
Dr. Abrahamson’s research interests include the management of patients with diabetes, and use of technology to improve diabetes care and outcomes. Dr. Abrahamson is board certified in internal medicine and in endocrinology, diabetes and metabolism, and is a Fellow of the College of Physicians of South Africa. He has been cited regularly in Boston Magazine as one of Boston’s top doctors, and has delivered numerous invited lectures nationally and internationally on the management of diabetes. In 2010 he was the recipient of the Samuel Eichold II Memorial Award for contributions to Diabetes from the American College of Physicians.
Harvard Medical School Course Directors
Sanjiv Chopra, MD, MACP Professor of Medicine Harvard Medical School James Tullis Firm Chief, Department of Medicine Senior Consultant in Hepatology Beth Israel Deaconess Medical Center
E-mail: [email protected] Dr. Sanjiv Chopra is Professor of Medicine at Harvard Medical School. He is also the the James Tullis Firm Chief in the Department of Medicine and a Senior Consultant in Hepatology at the Beth Israel Deaconess Medical Center, Boston. He served as Faculty Dean for Continuing Education at HMS for 12 years. Dr. Chopra has more than 150 publications and seven books to his credit.
Dr. Chopra is Editor-in-Chief of the Hepatology Section of UpToDate, the most widely used electronic textbook in the world subscribed to by more than 850,000 physicians in 149 countries.
Awards bestowed:
• The George W. Thorn Award - 1985 • Received the highest accolade from the graduating class of Harvard Medical School,
the Excellence in Teaching Award - 1991 • The Robert S. Stone Award - 1995 • American Gastroenterological Association's Distinguished Educator Award - 2003 • Elected as a Master of the American College of Physicians, a singular honor bestowed
to only a select few individuals for being "citizen physicians, educational innovators, scientific thinkers and humanists who inspire those around him or her and sets the standards for quality in medicine." 2009
• Recipient of Ellis Island Medal of Honor for "Exemplifying outstanding qualities in both one's personal and professional lives while continuing to preserve the richness of one's particular heritage." 2012
Dr. Chopra's book, "Dr. Chopra Says: Medical Facts and Myths Everyone Should Know," co-authored with Dr. Alan Lotvin, was published in January of 2011. It has received wide acclaim and has been translated into multiple languages.
The paperback version of the above book, "Live Better, Live Longer. The New Studies That Reveal What's Really Good and Bad for Your Health," was published in March of 2012.
His book, "Leadership by Example: The Ten Key Principles of all Great Leaders" was published by St. Martins Press in May of 2012. It has received singular praise by many leaders in the United States and abroad.
Harvard Medical School Course Directors
Sanjiv Chopra, MD, MACP (continued)
His brother Deepak and he have written a double memoir: "Brotherhood: Dharma, Destiny and the American Dream," published May 21, 2013. It is a National Best Seller. The book received terrific praise:
"An inspiring and brilliantly written memoir of two brothers taking two drastically different paths to medicine, each giving us hope that dreams can still be fulfilled in America." Larry King.
"Deepak and Sanjiv Chopra have written a tender and graceful memoir. Brotherhood is a meditation on nature and nurture, extraordinary parents, and the power of Indian tradition and values." Richard F. Celeste, former U.S. Ambassador to India.
"Open, honest and brilliantly written, Brotherhood reaffirms why our arms, hearts, and policies must remain open to welcome those who are eager to live in the land of promise. Every page contains a thoughtful gem that will enlighten the reader about the universal truths that bind us together. Read this book and take comfort in the knowledge that dreams still matter in America." William S. Cohen, former Secretary of Defense and Chairman and CEO, The Cohen Group.
Harvard Medical School Course Directors
Mark L. Zeidel, MD Herrman Ludwig Blumgart Professor of Medicine Harvard Medical School Chair, Department of Medicine Beth Israel Deaconess Medical Center E-mail: [email protected] Dr. Zeidel, Herrman Ludwig Blumgart Professor of Medicine at Harvard Medical School and Chair of the Department of Medicine at Beth Israel Deaconess Medical Center in Boston, is a widely respected scientist, clinician and teacher known for his NIH-funded research in epithelial biology and water transport. He came to Beth Israel Deaconess Medical Center in July 2005 from the University of Pittsburgh School of Medicine where his tenure spanned 12 years, first serving as Chief of the Renal and Electrolyte Division of the Department of Medicine, and then, starting in 1999, as the Jack D. Myers Professor and Chair of the Department of Medicine. A summa cum laude graduate of Yale College, he received his medical degree from Columbia University College of Physicians and Surgeons, where he was elected to the national honor medical society, alpha omega alpha. He then served as an intern and resident in Medicine at Brigham and Women’s Hospital in Boston, followed by a renal fellowship at the same institution. He has served on many regional and national committees and is recognized by his peers for his numerous accomplishments, including elected membership to the American Society of Clinical Investigation and the Association of American Physicians.
Guest Faculty
Michael Alexander, MD Professor of Neurology Harvard Medical School Beth Israel Deaconess Medical Center Spaulding Hospital Cambridge
Email: [email protected]
Amjad T. Almahameed, MD, MPH Interventional Cardiologist, Vascular and Endovascular Medicine Specialist Cape Cod Hospital, Hyannis, MA
Email: [email protected] Louis R. Caplan, MD Professor of Neurology Harvard Medical School Stroke Service Beth Israel Deaconess Medical Center
Email: [email protected] Deepak Chopra, MD Co-Founder and Chairman The Chopra Center for Wellbeing Founder The Chopra Foundation
Email: [email protected] Frank Domino, MD Professor University of Massachusetts Medical School Attending Physician UMass Memorial Medical Center
Email: [email protected] Patricia E. Greenstein, MD Assistant Professor of Neurology Harvard Medical School Staff Physician Director, Neurogenetics Clinic Beth Israel Deaconess Medical Center
Email: [email protected]
Guest Faculty
Marissa Heller, MD Instructor in Dermatology Harvard Medical School Associate Director of Dermatologic Surgery Director of Laser and Cosmetic Surgery, Department of Dermatology Beth Israel Deaconess Medical Center
Email: [email protected] Daniel B. Jones, MD, MS, FACS Professor of Surgery Harvard Medical School Vice Chair of Surgery, Office of Technology and Innovation Chief, Minimally Invasive Surgical Services Director, Bariatric Program Beth Israel Deaconess Medical Center
Email: [email protected] Martin Kriegel, MD, PhD Assistant Professor of Immunobiology and Medicine (Rheumatology) Yale University School of Medicine Attending Physician Yale-New Haven Hospital Yale-New Haven Health System
Email: [email protected] Mark C. Kuperwaser, MD Assistant Professor of Ophthalmology Harvard Medical School Associate Surgeon in Ophthalmology Beth Israel Deaconess Medical Center
Email: [email protected] Douglas A. Melton, PhD Xander University Professor of Stem Cell and Regenerative Biology Harvard Medical School Co-Chair, Department of Stem Cell & Regenerative Biology Melvyn AJ. Menezes, PhD, MBA Associate Professor Boston University Questrom School of Business
Email: [email protected]
Guest Faculty
Ralph Metson, MD Professor of Otology and Laryngology Harvard Medical School Surgeon Massachusetts Eye and Ear Infirmary Alvaro Pascual-Leone, MD, PhD Professor of Neurology Associate Dean for Clinical and Translational Science Harvard Medical School Director, Berenson-Allen Center for Noninvasive Brain Stimulation Beth Israel Deaconess Medical Center
Email: [email protected] Edward M. Phillips, MD Assistant Professor, Physical Medicine and Rehabilitation Harvard Medical School Director, Institute of Lifestyle Medicine Joslin Diabetes Center Daniel Press, MD Associate Professor of Neurology Harvard Medical School Attending Staff Physician Beth Israel Deaconess Medical Center Steven C. Schachter, MD Professor of Neurology Harvard Medical School Senior Neurologist Beth Israel Deaconess Medical Center Director of Neurotechnology and Chief Academic Officer Consortia for Improving Medicine with Innovation and Technology (CIMIT) John R. Sharp, MD Lecturer on Psychiatry Harvard Medical School Beth Israel Deaconess Medical Center
Email: [email protected] Rudolph E. Tanzi, PhD Joseph P. and Rose Kennedy Professor of Neurology Harvard Medical School Director, Genetics and Aging Research Unit Massachusetts General Hospital
Harvard Medical School - Beth Israel Deaconess Medical Center Department of Medicine Faculty
Nezam H. Afdhal, MD Professor of Medicine Harvard Medical School Chief, Hepatology Beth Israel Deaconess Medical Center Fadi Badlissi, MD, MSc Assistant Professor of Medicine Harvard Medical School Director, Musculoskeletal Medicine Unit Orthopedic Department and Division of Rheumatology Beth Israel Deaconess Medical Center
Email: [email protected] Kenneth A. Bauer, MD Professor of Medicine Harvard Medical School Director, Thrombosis Clinical Research Beth Israel Deaconess Medical Center
Email: [email protected] Richard S. Beaser, MD Associate Clinical Professor of Medicine Harvard Medical School Senior Staff Physician Beth Israel Deaconess Medical Center Senior Staff Physician Joslin Diabetes Center Alan Bonder, MD Instructor in Medicine Harvard Medical School Beth Israel Deaconess Medical Center
Email: [email protected]
Harvard Medical School - Beth Israel Deaconess Medical Center Department of Medicine Faculty
Robert S. Brown, MD Associate Professor of Medicine Harvard Medical School Associate Chief for Academic Affairs, Nephrology Division Beth Israel Deaconess Medical Center President The Organization for Renal Care in Haiti (TORCH)
Email: [email protected] Alfred E. Buxton, MD, FACC, FACP Professor of Medicine Harvard Medical School Director, Clinical Electrophysiology Laboratory Beth Israel Deaconess Medical Center James D. Chang, MD Assistant Professor of Medicine Harvard Medical School Director, Program in Cardio-Oncology The Cardiovascular Institute Beth Israel Deaconess Medical Center
Email: [email protected] Adam S. Cheifetz, MD Associate Professor of Medicine Harvard Medical School Director, Center for Inflammatory Bowel Disease Beth Israel Deaconess Medical Center
Email: [email protected] Peter F. Clardy, MD Assistant Professor of Medicine Harvard Medical School Director, Medical Intensive Care Beth Israel Deaconess Medical Center Marc L. Cohen, MD Instructor in Medicine Harvard Medical School Attending Physician Beth Israel Deaconess Medical Center
Harvard Medical School - Beth Israel Deaconess Medical Center Department of Medicine Faculty
Steven E. Come, MD Associate Professor of Medicine Harvard Medical School Director, Breast Medical Oncology Program Director, Hematology-Oncology Ambulatory Unit Beth Israel Deaconess Medical Center Donald E. Cutlip, MD Professor of Medicine Harvard Medical School Director, Cardiac Catheterization Laboratory Section Chief, Interventional Cardiology Beth Israel Deaconess Medical Center
Email: [email protected] Raphael Dolin, MD Maxwell Finland Professor of Medicine (Microbiology and Molecular Genetics) Harvard Medical School Senior Attending Physician Beth Israel Deaconess Medical Center Reed E. Drews, MD, FACP Associate Professor of Medicine Harvard Medical School Associate Physician Program Director, Hematology-Oncology Fellowship Program Beth Israel Deaconess Medical Center
Email: [email protected] Jody Dushay, MD, MMSc Assistant Professor of Medicine Harvard Medical School Attending Physician, Division of Endocrinology Beth Israel Deaconess Medical Center
Email: [email protected]
Harvard Medical School - Beth Israel Deaconess Medical Center Department of Medicine Faculty
Loryn S. Feinberg, MD, FACC Instructor in Medicine Harvard Medical School Associate Physician Director, Women's Cardiovascular Health Program The Cardiovascular Institute Beth Israel Deaconess Medical Center Lisa M. Fitzgerald, MD Assistant Professor of Medicine Harvard Medical School B. Lachlan Forrow, MD Associate Professor of Medicine Harvard Medical School Director, Ethics and Palliative Care Programs Beth Israel Deaconess Medical Center President Emeritus The Albert Schweitzer Fellowship Marc B. Garnick, MD Gorman Brothers Clinical Professor of Medicine Harvard Medical School Physician, Hematology-Oncology Division Director, Cancer Community Services Beth Israel Deaconess Medical Center Eli V. Gelfand, MD, FACC Assistant Professor of Medicine Harvard Medical School Director, Ambulatory Cardiology Beth Israel Deaconess Medical Center Founder Russian Cardiovascular Clinic Melanie P. Hoenig, MD Assistant Professor of Medicine Harvard Medical School Staff Physician Beth Israel Deaconess Medical Center
Email: [email protected]
Harvard Medical School - Beth Israel Deaconess Medical Center Department of Medicine Faculty
Robert Hallowell, MD Insturctor in Medicine Harvard Meducal School Beth Israel Deaconess Medical Center
Email: [email protected]
Anthony N. Hollenberg, MD Professor of Medicine Harvard Medical School Chief, Division of Endocrinology, Diabetes and Metabolism Beth Israel Deaconess Medical Center Joseph P. Kannam, MD Assistant Professor of Medicine Harvard Medical School Chief of Cardiology, Needham Campus Beth Israel Deaconess Medical Center Adolf W. Karchmer, MD Professor of Medicine Harvard Medical School Staff Physician, Division of Infectious Diseases Beth Israel Deaconess Medical Center
Email: [email protected]
Ciarán P. Kelly, MD Professor of Medicine Harvard Medical School Medical Director, Celiac Center Director, Gastroenterology Fellowship Training Beth Israel Deaconess Medical Center Anthony Lembo, MD Associate Professor of Medicine Harvard Medical School Director, Gl Motility Beth Israel Deaconess Medical Center
Email: [email protected]
Harvard Medical School - Beth Israel Deaconess Medical Center Department of Medicine Faculty
Barbara LeVarge, MD Instructor in Medicine Harvard Medical School Attending Physician, Division of Pulmonary, Critical Care and Sleep Medicine Beth Israel Deaconess Medical Center
Email: [email protected] Warren J. Manning, MD Professor of Medicine and Radiology Harvard Medical School Section Chief, Non-Invasive Cardiac Imaging Beth Israel Deaconess Medical Center
Email: [email protected] Melissa LP. Mattison, MD Assistant Professor of Medicine Harvard Medical School Chief, Hospital Medicine Unit Beth Israel Deaconess Medical Center
Email: [email protected] Abraham Morgentaler, MD, FACS Associate Clinical Professor of Medicine Harvard Medical School Associate Clinical Professor of Surgery (Urology) Beth Israel Deaconess Medical Center Director Men's Health Boston
Email: [email protected] Peter Oettgen, MD Associate Professor of Medicine Harvard Medical School Director, Preventive Cardiology Beth Israel Deaconess Medical Center
Harvard Medical School - Beth Israel Deaconess Medical Center Department of Medicine Faculty
Duane S. Pinto, MD, MPH Associate Professor of Medicine Harvard Medical School Director, Intensive Care Unit Associate Director, Interventional Section Beth Israel Deaconess Medical Center Melanie S. Pogach, MD Instructor in Medicine Harvard Medical School Associate Fellowship Director, Sleep Medicine Attending Physician, Pulmonary, Critical Care and Sleep Medicine Beth Israel Deaconess Medical Center Simon C. Robson, MD, PhD, FRCP Charlotte F. & Irving W. Rabb Professor of Medicine Harvard Medical School Chief of Gastroenterology Beth Israel Deaconess Medical Center
Email: [email protected]
Harold N. Rosen, MD Assistant Professor of Medicine Harvard Medical School Director, Osteoporosis Prevention and Treatment Center Beth Israel Deaconess Medical Center Lowell E. Schnipper, MD Theodore W. & Evelyn G. Berenson Professor of Medicine Harvard Medical School Chief, Hematology-Oncology Division Beth Israel Deaconess Medical Center Associate Director (Membership) Deputy Associate Director Clinical Sciences Dana-Farber Harvard Cancer Center Richard M. Schwartzstein, MD Ellen and Melvin Gordon Professor of Medicine Faculty Associate Dean for Medical Education Harvard Medical School Executive Director, Carl J. Shapiro Institute for Education and Research Vice President for Education Associate Chief, Division of Pulmonary, Critical Care and Sleep Medicine Beth Israel Deaconess Medical Center
Harvard Medical School - Beth Israel Deaconess Medical Center Department of Medicine Faculty
Robert H. Shmerling, MD Associate Professor of Medicine Harvard Medical School Associate Physician, Robinson Firm Chief Clinical Chief, Division of Rheumatology Program Director, Rheumatology Fellowship Beth Israel Deaconess Medical Center Senior Medical Editor Harvard Health Publications
Email: [email protected] Robert C. Stanton, MD Associate Professor of Medicine Harvard Medical School Staff Physician Beth Israel Deaconess Medical Center Chief, Kidney & Hypertension Section Joslin Diabetes Center Wendy Stead, MD Assistant Professor of Medicine Harvard Medical School Staff Physician Program Director, Infectious Diseases Fellowship Beth Israel Deaconess Medical Center George Stojan, MD Instructor in Medicine Harvard Medical School Beth Israel Deaconess Medical Center Nadine M. Tung, MD Associate Professor of Medicine Harvard Medical School Director, Cancer Risk Assessment and Prevention Program Beth Israel Deaconess Medical Center Peter J. Zimetbaum, MD Associate Professor of Medicine Harvard Medical School Associate Chief of Cardiology Director of Clinical Services Beth Israel Deaconess Medical Center
Schedule
Sunday, Dec. 6, 2015
6:45am – 8:00am Registration and Continental Breakfast
8:00am – 8:15am Introduction and Welcome
Oncology
8:15am - 9:10am Assessment and Management of Breast Nadine M. Tung, MD and Ovarian Cancer Risk: An Update*
9:10am – 9:35am How We Think About and Manage Steven E. Come, MD Breast Cancer in 2015*
9:35am - 10:15am Update on Lung and Colorectal Cancer Steven E. Come, MD
10:15am - 10:35am Refreshment Break
10:35am - 11:15am Cancer: Progress One Patient at a Time* Lowell E. Schnipper, MD
11:15am - 11:30am Oncology Q & A Lowell E. Schnipper, MD
11:30am - 12:15pm Oncology: Challenging Cases With Lowell E. Schnipper, MD Your Participation
12:15pm - 1:15pm Lunch Break (on your own)
1:15pm - 1:55pm Prostate Cancer: An Update Marc B. Garnick, MD
Miscellaneous
1:55pm – 2:35pm Quality and Safety: Raising the Bar* Mark L. Zeidel, MD
2:35pm – 3:15pm Acute Renal Failure Mark L. Zeidel, MD
3:15pm – 3:25pm Rejuvenation Exercises
3:25pm – 3:45pm Refreshment Break
Rheumatology
3:45pm – 4:20pm Gout: The King of Diseases Fadi Badlissi, MD, MSc
4:2pm – 4:55pm Rheumatoid Arthritis Lisa M. Fitzgerald, MD
4:55pm - 5:30pm Diagnostic Tests in Rheumatic Disease: Robert H. Shmerling, MD What’s Old, What’s New, and What’s Useful
5:30pm - 5:45pm Rheumatology Q & A Robert H. Shmerling, MD
5:45pm - 6:30pm Rheumatology: Challenging Cases With Robert H. Shmerling, MD Your Participation
Monday, Dec. 7, 2015 6:30am – 7:00am Continental Breakfast Gastroenterology and Hepatology 7:00am – 7:40am GI Bleeding Simon C. Robson, MD, PhD 7:40am – 8:25am Laboratory Tests and Diagnostic Sanjiv Chopra, MD, MACP Procedures in Liver Disease: Adventures in Liverland 8:25am – 9:10am Celiac Sprue: Protean Manifestations Ciarán P. Kelly, MD 9:10am – 9:30am Refreshment Break 9:30am – 10:15am Inflammatory Bowel Disease: What Every Adam S. Cheifetz, MD Clinician Needs to Know
10:15am – 10:30am Gastroenterology and Hepatology Q & A Ciarán P. Kelly, MD Sanjiv Chopra, MD, MACP 10:30am – 11:15am Gastroenterology and Hepatology: Sanjiv Chopra, MD, MACP Challenging Cases With Your Participation Miscellaneous 11:15am – 11:55am Testosterone Replacement: Abraham Morgentaler, MD Why, When, and How? 11:55am - 12:50pm Lunch Break (on your own) Keynote Lecture 12:50pm - 2:30pm The Future of Wellbeing Deepak Chopra, MD
Rudolph E. Tanzi, PhD 2:30pm - 2:40pm Rejuvenation Exercises 2:40pm - 3:00pm Refreshment Break Endocrinology 3:00pm - 3:45pm Treatment of Type 2 Diabetes 2015: Martin J. Abrahamson, MD, FACP Advances, Challenges, and Opportunities 3:45pm - 4:30pm Advancing to Insulin Replacement Richard S. Beaser, MD
Therapy: When, Why, and How? 4:30pm - 5:10pm Osteoporosis Management in the Era of Harold N. Rosen, MD Limited Resources 5:10pm - 5:55pm Problems in Thyroid Disease Anthony N. Hollenberg, MD 5:55pm - 6:10pm Endocrinology Q & A Martin J. Abrahamson, MD, FACP 6:10pm - 6:55pm Endocrinology: Challenging Cases Martin J. Abrahamson, MD, FACP With Your Participation
Tuesday, Dec. 8, 2015 6:30am – 7:00am Continental Breakfast Cardiology – Part I: Cardiovascular Disease Symposium 7:00am – 7:40am Heart Disease in Women Loryn S. Feinberg, MD, FACC 7:40am – 8:20am The Current Cholesterol Guidelines and Peter Oettgen, MD Treating Residual Risk 8:20am – 9:00am Valvular Heart Disease Eli V. Gelfand, MD, FACC 9:00am – 9:45am Acute Coronary Syndromes Duane S. Pinto, MD, MPH 9:45am – 10:00am Panel Discussion Peter Oettgen, MD
Eli V. Gelfand, MD, FACC
10:00am – 10:20am Refreshment Break Infectious Diseases 10:20am – 11:00am Vaccine Update Raphael Dolin, MD 11:00am – 11:15am Infectious Diseases Q & A Adolf W. Karchmer, MD 11:15am – 12:00pm Infectious Diseases: Challenging Cases Adolf W. Karchmer, MD With Your Participation 12:00pm – 1:00pm Lunch Break (on your own) Special Symposium: Hepatology 1:00pm – 1:45pm Nonalcoholic Fatty Liver Disease: Sanjiv Chopra, MD, MACP A Burgeoning Epidemic 1:45pm – 2:20pm Complications of Cirrhosis Alan Bonder, MD 2:20pm – 3:05pm Chronic Hepatitis C: A Multifaceted Nezam H. Afdhal, MD Disease 3:05pm – 3:15pm Rejuvenation Exercises 3:15pm – 3:35pm Refreshment Break 3:35pm – 4:15pm Hepatitis B: Recent Advances Nezam H. Afdhal, MD Miscellaneous 4:15pm – 5:00pm Fever in the Returning Traveler Wendy Stead, MD
Tuesday, Dec. 8, 2015 (continued) Special Symposium: Medical and Surgical Management of Obesity: What the PCP Needs to Know 5:00pm – 5:25pm Medical Management of Obesity: Jody Dushay, MD, MMSc What the PCP Needs to Know* 5:25pm – 5:50pm Exercise Prescription: Promoting Physical Edward M. Phillips, MD
Activity in You and Your Patients* 5:50pm – 6:15pm Surgical Treatment of Obesity Daniel B. Jones, MD, MS, FACS 6:15pm – 6:35pm Panel Discussion Jody Dushay, MD, MMSc Daniel B. Jones, MD, MS, FACS Edward M. Phillips, MD
Wednesday, Dec. 9, 2015 6:30am – 7:00am Continental Breakfast Ask the Expert Session 7:00am – 8:10am Ask the Expert: ENT/Ophthalmology Ralph Metson, MD Mark C. Kuperwaser, MD Miscellaneous 8:10am – 8:50am Motivational Interviewing: A Proven Frank Domino, MD
Approach for Weight Loss Keynote Lecture 8:50am – 9:30am Stem Cells and Regenerative Medicine Douglas A. Melton, PhD 9:30am – 9:50am Refreshment Break Leadership Symposium – Part I 9:50am - 10:40am Leadership by Example: Sanjiv Chopra, MD, MACP
The 10 Key Principles of All Great Leaders
10:40am - 11:20am Ethics, Skills and Professional B. Lachlan Forrow, MD
Satisfaction*
11:20am – 12:05pm Neurobiology of Leadership Alvaro Pascual-Leone, MD, PhD Neurology 12:05pm – 12:50pm Concussion Michael Alexander, MD
Thursday, Dec. 10, 2015 6:30am – 7:00am Continental Breakfast Leadership – Part II 7:00am – 7:40am The Art and Science of Strategic Melvyn A.J. Menezes, PhD, MBA
Thinking Keynote Lecture 7:40am – 8:20am Stem Cells and Regenerative Medicine Douglas A. Melton, PhD
Cardiology – Part II 8:20am – 9:00am Atrial Fibrillation Peter J. Zimetbaum, MD 9:00am – 9:20am Refreshment Break 9:20am – 10:00am Peripheral Arterial Disease: Amjad T. Almahameed, MD, MPH Journey of 1,000 Steps 10:00am – 10:40am Sudden Cardiac Death Alfred E. Buxton, MD, FACC, FACP 10:40am – 11:20am Congestive Heart Failure James D. Chang, MD 11:20am – 12:00pm Noninvasive Cardiac Imaging: Warren J. Manning, MD
So Many Tools to Choose From! 12:00pm – 12:25pm Interventional Cardiology Donald E. Cutlip, MD 12:25pm – 1:25pm Lunch Break (on your own) 1:25pm – 1:40pm Cardiology Q & A Joseph P. Kannam, MD
1:40pm – 2:25pm Cardiology: Challenging Cases With Joseph P. Kannam, MD Your Participation Gastroenterology 2:25pm – 3:05pm Irritable Bowel Syndrome Anthony Lembo, MD 3:05pm – 3:15pm Rejuvenation Exercises 3:15pm – 3:35pm Refreshment Break Nephrology 3:35pm – 4:20pm Approach to the Patient With Proteinuria Melanie P. Hoenig, MD and Hematuria 4:20pm – 5:00pm Prevention and Treatment of Chronic Robert C. Stanton, MD Kidney Disease: Early Diagnosis and Aggressive Treatment
Friday, Dec. 11, 2015 6:30am – 7:00am Continental Breakfast Hematology 7:00am – 7:50am Don’t Miss Causes of Anemia* Reed E. Drews, MD, FACP 7:50am – 8:45am Diagnosis and Management of Kenneth A. Bauer, MD Hypercoagulability and New
Anti-coagulants: Interpreting the Data 8:45am – 9:00am Hematology Q & A Reed E. Drews, MD, FACP 9:00am – 9:45am Hematology: Challenging Cases With Reed E. Drews, MD, FACP Your Participation 9:45am – 10:05am Refreshment Break Neurology 10:05am – 11:00am Stroke: What You Really Need to Know Louis R. Caplan, MD 11:00am – 12:00pm Ask the Experts: Neurology Patricia E. Greenstein, MD Daniel Press, MD Steven C. Schachter, MD 12:00pm – 1:00pm Lunch Break (on your own) Keynote Lecture 1:00pm – 1:45pm Microbes, Medicine, and Man Martin Kriegel, MD, PhD Pulmonary Diseases 1:45pm – 2:20pm Update on Venous Thromboembolism Peter F. Clardy, MD 2:20pm – 3:05pm Interstitial Diseases Robert Hallowell, MD 3:05pm – 3:15pm Rejuvenation Exercises 3:15pm – 3:35pm Refreshment Break 3:35pm – 4:20pm Beyond the “Hype”: Pulmonary Barbara LeVarge, MD
Hypertension in 2015
4:20pm – 5:00pm Understanding COPD: Going Beyond Richard M. Schwartzstein, MD the Wheeze
5:00pm – 5:15pm Pulmonary Diseases Q & A Richard M. Schwartzstein, MD 5:15pm – 6:00pm Pulmonary Diseases: Challenging Cases Richard M. Schwartzstein, MD With Your Participation
Saturday, Dec. 12, 2015 7:30am – 8:00am Continental Breakfast Risk Management 8:00am - 9:00am Opiates for Chronic Pain: An Approach to Marc L. Cohen, MD
Decision Making, Risk Management, and Monitoring*
Miscellaneous 9:00am – 9:40am Cutaneous Malignancies: A Primer Marissa Heller, MD 9:40am – 10:00am Refreshment Break 10:00am – 10:45am Sleep Apnea: Review and Update Melanie S. Pogach, MD 10:45am - 11:30am Challenging Cases in Geriatrics Melissa L.P. Mattison, MD 11:30am – 12:15pm Telepsychiatry : Ready for Primetime? John R. Sharp, MD John Torous, MD *Qualifies for Risk Management Credits
Appendix
Helpful Websites for Patient Information
Endocrinology American Diabetes Association - www.diabetes.org American Diabetes Association Clinical Practice recommendations for 2013
- http://professional.diabetes.org/resourcesforprofessionals.aspx?cid=84160 Joslin Diabetes Center Clinical Guidelines - http://www.joslin.org/info/joslin-clinical-guidelines.html Joslin Professional Education Continuum - http://www.jpec.joslin.org/JPECWeb/Home.aspx National Osteoporosis Foundation - www.nof.org International Society for Clinical Densitometry - www.iscd.org WHO Fracture Risk Assessment Tool - www.shef.ac.uk/FRAX Joslin Diabetes Center Clinical Guidelines - http://www.joslin.org/joslin_clinical_guidelines.html American Diabetes Association Clinical Practice recommendations
- http://care.diabetesjournals.org/content/34/Supplement_1 American Thyroid Association - www.thyroid.org American Association of Clinical Endocrinologists publications and clinical algorithms
- https://www.aace.com/pub/ Kidney Disease Improving Global Outcomes - http://kdigo.org/home/ ISCD guidelines for use of bone densitometry
- http://www.iscd.org/Visitors/pdfs/ISCD2007OfficialPositions-Combined-AdultandPediatric.pdf ISCD guidelines for use of FRAX - http://www.iscd.org/Visitors/pdfs/Official%20Positions%20ISCD-
IOF%20FRAX.pdf NOF guidelines for treatment are - http://www.nof.org/files/nof/public/content/file/344/upload/159.pdf
For further information on insulin use in people with diabetes as well as on-line CME opportunities, log onto the Joslin Professional Education Continuum website at: http://www.jpec.joslin.org/JPECWeb/Home.aspx Gastroenterology and Hepatology Gluten Free Watch Dog - www.glutenfreewatchdog.com Celiac Now – www.celiacnow.org Celiac Central – www.celiaccentral.org Centers for Disease Control and Prevention - www.cdc.gov/HAI National Institute of Diabetes and Digestive and Kidney Diseases - www.niddk.nih.gov American Gastroenterological Association - www.gastro.org American Gastroenterological Association/Celiac - http://www.gastro.org/practice/resource-library/hot-
topics/celiac-disease Irritable Bowel Syndrome Group – www.ibsgroup.org Rome Foundation – www.romecriteria.org American Liver Foundation - www.liverfoundation.org The American Academy of Family Physicians, Family Doctor - www.familydoctor.org The American Association for the Study of Liver Diseases - www.aasld.org Clostridium Difficile Infection Support Group - http://www.cdiffsupport.com International Foundation for Functional Gastrointestinal Disorders - www.iffgd.org The American Neurogastroenterology and Motility Society - www.motilitysociety.org Crohn’s & Colitis Foundation of America – http://www.ccfa.org/ European Federation of Crohn's & Ulcerative Colitis Associations - http://www.efcca.org National Digestive Diseases Information Clearinghouse (NDDIC) for patient information on Crohn’s
disease - http://digestive.niddk.nih.gov/ddiseases/pubs/crohns/index.htm National Library of Medicine’s patient information page on Crohn’s disease
- http://www.nlm.nih.gov/medlineplus/crohnsdisease.html Beth Israel Deaconess Medical Center
- http://www.bidmc.org/CentersandDepartments/Departments/DigestiveDiseaseCenter/InflammatoryBowelDiseaseProgram.aspx
Clinical trials conducted in the US and around the world - http://clinicaltrials.gov/ The Mayo Clinic – www.mayoclinic/health/e-difficile/DS00736
Helpful Websites for Patient Information
Gastroenterology and Hepatology (continued) The American Gastroenterological Association Center for Gut Microbiome Research and Education
- http://www.gastro.org/research/aga-center-for-gut-microbiome-research-and-education The Human Microbiome, Diet, and Health: Workshop Summary
- http://www.nap.edu/catalog.php?record_id=13522 News related to microbiome research - www.gutmicrobiotaforhealth.com
Oncology National Comprehensive Cancer Network - www.nccn.org American Cancer Society - www.cancer.org The American Society of Clinical Oncology resources
- http://www.asco.org/ASCOv2/Practice+%26+Guidelines/Guidelines/Clinical+Practice+Guidelines National Comprehensive Cancer Network clinical practice guidelines -
http://www.nccn.org/professionals/physician_gls/f_guidelines.asp
Rheumatology Harvard Medical School & Aetna’s Consumer Website - www.intelihealth.com American College of Rheumatology - www.rheumatology.org The Arthritis Foundation - www.arthritis.org National Library of Medicine: http://medlineplus.gov/ UptoDate for Patients - www.uptodateforpatients.com
Gout
MedlinePlus, the U.S. National Library of Medicine and National Institutes of Health - http://www.nlm.nih.gov/medlineplus/gout.html
Patient.co.uk - http://www.patient.co.uk/health/gout-leaflet National Institute of Arthritis and Musculoskeletal and skin diseases
- http://www.niams.nih.gov/Health_Info/Gout/ Infectious Diseases Center for Disease Control and Prevention – www.cdc.gov Aegis: http://www.aegis.com AIDSinfo Department of Health and Human Services: http://www.aidsinfo.nih.gov The Body: http://www.thebody.com Centers for Disease Control and Prevention: http://www.cdc.gov/hiv/pubs/facts.htm HIV InSite: http://hivinsite.ucsf.edu The Johns Hopkins AIDS Service: http://www.hopkins-aids.edu National HIV/AIDS Clinicians’ Consultation Center: http://www.ucsf.edu/hivcntr National Library of Medicine: http://sis.nlm.nih.gov/hiv.html CDC National Immunization Program - http://www.cdc.gov/vaccines/ Immunization Action Coalition - http://www.immunize.org National Network for Immunization Information - http://www.immunizationinfo.org CDC Vaccine Price List- http://www.cdc.gov/vaccines/programs/vfc/awardees/vaccine-management/price-
list/index.html
Helpful Websites for Patient Information
Cardiology American Heart Association - www.americanheart.org American College of Cardiology - www.acc.org American Society of Echocardiography – www.asecho.org CardioSmart - www.cardiosmart.org CardioSource Plus for Institutions – www.cardiosource.org Comprehensive Heart Failure Guidelines - www.heartfailureguideline.org/ Heart Failure Society of America – www.hfsa.org MRI Safety - www.mrisafety.com Society for Cardiovascular Magnetic Resonance - www.scmr.org Society of Cardiovascular Computed Tomography - www.scct.org Web MD (High Blood Pressure) - www.webmd.com/hypertension-high-blood-pressure/tc/high-blood-
pressure-hypertension-overview Mayo Clinic (High Blood Pressure Symptoms) - www.mayoclinic.com/health/high-blood-
pressure/DS00100/DSECTION=symptoms Medline Plus: http://www.nlm.nih.gov/medlineplus/highbloodpressure.html Your guide to lowering high blood pressure: http://www.nhlbi.nih.gov/hbp/index.html UpToDate (patient info that is freely available without a password):
http://www.uptodate.com/contents/patient-information-high-blood-pressure-in-adults?source=see_link The Heart – www.theheart.org The Society for Cardiovascular Angiography and Interventions – www.scai.org National Lipid Association – www.lipid.org Centers for Disease Control and Prevention – www.cdc.gov/cholesterol Women’s Health (Heart Disease) - http://www.womenshealth.gov/publications/our-publications/fact-
sheet/heart-disease.cfm American Heart Association (Go Red for Women) – www.goredforwomen.org Brugada Syndrome - http://www.brugadadrugs.org/ This is a website maintained by a group of physician
experts in Brugada Syndrome that keeps a current list of drugs associated with Brugada Syndrome – to avoid.
Heart Rhythm Society - http://www.hrsonline.org/Patient-Resources This is the website of the Heart Rhythm Society, the specialty society for Cardiac Electrophysiology.
Sudden Arrhythmia Death - http://www.sads.org/living-with-sads/drugs-to-avoid This is the website for an organization called Sudden Arrhythmia Death Syndromes. It is a reliable site for tracking drugs known to be associated with long QT syndrome Society of Thoracic Surgery Risk Calculator - http://riskcalc.sts.org/ Handy estimate of your patient’s general risk of proposed cardiac surgery. I find it useful to show this to the patient and the family while discussing the risks and benefits of the proposed surgical intervention. Medscape Cardiology - http://www.medscape.com/cardiology Latest cardiology news, narrative clinical study summaries and trial summary slides CardioSmart - https://www.cardiosmart.org/ Patient education from the American College of Cardiology. Useful summaries on a number of cardiovascular conditions, including valvular heart disease. Use ‘on the fly’ or print in advance for your office. Acute Coronary Syndrome http://www.clinicaltrialresults.org http://content.onlinejacc.org/article.aspx?articleid=1217906 http://www.theheart.org/condition/acute-coronary-syndromes.do
Helpful Websites for Patient Information
Peripheral Arterial Disease http://circ.ahajournals.org/content/124/18/2020 http://www.theheart.org/condition/brain-kidney-peripheral.do http://www.vascularweb.org/Pages/default.aspx
Hypertension Harvard Health Letter: http://www.health.harvard.edu/newsletters/Harvard_Health_Letter MEDLINE Plus: http://www.nlm.nih.gov/medlineplus/ Mayo Clinic:http://www.mayoclinic.com/health/high-blood-pressure/DS00100
Hematology www.stoptheclot.org - National Blood Clot Alliance The National Blood Clot Alliance (NBCA) is a patient-led, voluntary health advocacy organization dedicated to advancing the prevention, early diagnosis and successful treatment of life-threatening blood clots such as deep vein thrombosis, pulmonary embolism and clot-provoked stroke. www.clotconnect.org Clot Connect is an information and outreach project of the University of North Carolina at Chapel Hill in the Hemophilia and Thrombosis Center. Clot Connect's mission is to increase knowledge of blood clots, clotting disorders and anticoagulation by providing education and support resources for patients and health care professionals.
www.natfonline.org The North American Thrombosis Forum (NATF) is a multi-disciplinary organization founded with the objective of improving patient care through the advancement of thrombosis education.
Nephrology Atlas of Diseases of the Kidney - www.kidneyatlas.org UNC Kidney Health Library - www.unckidneycenter.org/kidneyhealthlibrary.html Urinalysis Tutorial - http://medlib.med.utah.edu/WebPath/TUTORIAL/URINE/URINE.html National Kidney Foundation - www.kidney.org American Association of Kidney Patient’s - www.aakp.org The Nephron Information Center (with pocket GFR calculator) - www.nephron.com American Society of Nephrology - www.asn-online.org National Kidney and Urologic Diseases Information Clearinghouse (NNIDDK)
http://kidney.niddk.nih.gov/kudiseases/a-z.asp United States Renal Data Survey (everything you wanted to know about dialysis and transplant statistics
in the USA) www.usrds.org American Urologic Association - http://www.auanet.org
Pulmonary Diseases Global Initiative for Asthma - www.ginasthma.com Pulmonary Hypertension Association - www.phassociation.org Know Your PH - www.knowyourph.org Global Initiative for Chronic Obstructive Lung Disease – www.goldcopd.com The Asthma Control Test – www.asthmacontrol.com National Institutes of Health - http://www.nhlbi.nih.gov/health/health-topics/topics/copd/ World Thrombosis Day - http://www.worldthrombosisday.org/ The American Lung Association - http://www.lung.org/lung-disease/copd/ The COPD Foundation - http://www.copdfoundation.org/Learn-More/Educational-Materials/Brochures.aspx American Academy of Sleep Medicine/Sleep Education: http://www.sleepeducaton.com National Sleep Foundation - http://www.sleepfoundation.org
Helpful Websites for Patient Information
Pulmonary Diseases (continued) National Heart, Lung and Blood Institute - http://www.nhlbi.nih.gov/health/public/sleep/index.htm Talk About Sleep (An industry sponsored comprehensive patient education website, features include chat
and message boards) - http://www.talkaboutsleep.com www.CPAPMan.com - website with information about sleep apnea, machines and supplies. Good
visuals of machines and masks, chins traps, etc. The Patient Centered Outcomes Research Institute supports this patient-driven network, MyApnea.Org, to
help connect patients with sleep apnea or who may be at risk for sleep apnea with one another - www.MyApnea.org
Center for Disease Control and Prevention (VTE) - http://www.cdc.gov/ncbddd/dvt/index.html 2012 ACCP Guidelines -
http://journal.publications.chestnet.org/issue.aspx?journalid=99&issueid=23443&direction=P Cleveland Clinic: -
http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/cardiology/venous-thromboembolism/
Mayo Clinic Podcast - http://podcasts.mayoclinic.org/2012/09/17/treating-dvt/
Asthma http://www.nhlbi.nih.gov/health/public/lung/index.htm#asthma http://www.cdc.gov/asthma/faqs.htm http://www.ginasthma.org/Patients
Idiopathic pulmonary fibrosis: Cleveland Clinic -
http://my.clevelandclinic.org/disorders/pulmonary_fibrosis/hic_idiopathic_pulmonary_fibrosis.aspx National Heart Lung and Blood Institute - http://www.nhlbi.nih.gov/health/health-topics/topics/ipf/ Pulmonary Fibrosis Foundation - http://www.pulmonaryfibrosis.org/ipf
Sarcoidosis: American Lung Association - http://www.lung.org/lung-disease/sarcoidosis/ Mayo Clinic - http://www.mayoclinic.com/health/sarcoidosis/DS00251 PubMed Health - http://www.nhlbi.nih.gov/health/health-topics/topics/ipf/
National Library of Medicine Idiopathic pulmonary fibrosis - http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001134/ Sarcoidosis - http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001140/
National Heart, Lung and Blood Institute Idiopathic pulmonary fibrosis - http://www.nhlbi.nih.gov/health/health-topics/topics/ipf/ Sarcoidosis - http://www.nhlbi.nih.gov/health/health-topics/topics/sarc/
Mayo Clinic Idiopathic pulmonary fibrosis - http://www.mayoclinic.com/health/pulmonary-fibrosis/DS00927 Sarcoidosis - http://www.mayoclinic.com/health/sarcoidosis/DS00251
National Jewish Health Interstitial lung disease - http://www.nationaljewish.org/healthinfo/conditions/ild/ Sarcoidosis - http://www.nationaljewish.org/healthinfo/conditions/sarcoidosis/
Helpful Websites for Patient Information
Neurology Alzheimer’s Association - www.alz.org National Institute of Neurological Disorders and Stroke - www.ninds.nih.gov National Parkinson Foundation - www.parkinson.org Michael J. Fox Foundation - www.michaeljfox.org American Parkinson Disease Association - www.apdaparkinson.org Epilepsy - www.epilepsy.com Epilepsy Foundation - www.epilepsyfoundation.org Cure Epilepsy - www.cureepilepsy.org BIDMC Concussion and Traumatic Brain Injury Clinic - http://www.bidmc.org/Centers-and-
Departments/Departments/Neurology/Concussion-and-Traumatic-Brain-Injury-Clinic.aspx Guidelines for Concussion - http://onf.org/documents/guidelines-for-concussion-mtbi-persistent-symptoms-
second-edition
Headache National Headache Foundation - http://www.headaches.org/ American Headache Society - http://www.americanheadachesociety.org/ UpToDate patient information for migraine - http://www.uptodate.com/contents/migraine-headaches-in-
adults-beyond-the-basics Geriatrics Centers for Disease control and Prevention (Injury Prevention) -
http://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html Beth Israel Deaconess Medical Center (Falls Prevention) -
http://www.bidmc.org/YourHealth/HealthNotes/SeniorHealth/TakePrecautionstoPreventFaintingandFalls.aspx
National Institute of Aging - Age Page: Exercise and Physical Activity -http://www.nia.nih.gov/HealthInformation/Publications/exercise.htm
AGS/BGS Guidelines for Falls Prevention - http://onlinelibrary.wiley.com/doi/10.1111/j.15325415.2010.03234.x/full
Ideal Discharge Plan - http://champ.bsd.uchicago.edu Care Transitions Resource Room - http://www.caretransitions.org
Pain Medicine Opioid Conversion Tool - www.Globalrph.com/narcoticonv.htm American Pain Society - www.Ampainsoc.org International Association for the Study of Pain - www.Iasp-pain.org
Obesity http://www.nhlbisupport.com/bmi/ http://www.cdc.gov/obesity/ http://www.myfooddiary.com/ http://www.nhlbi.nih.gov/guidelines/obesity/prctgd_c.pdf www.instituteoflifestylemedicine.org www.harvardlifestylemedicine.org www.exerciseismedicine.org
Dermatology www.aad.org www.mohscollege.org/acms www.visualdx.com
Helpful Websites for Patient Information
Other Clinical trials conducted in the United States and around the world - http://clinicaltrials.gov Health On the Net (HON) – a United Nations resource for searching health-related websites that comply
with a code of practice in distributing health information to patients - www.hon.ch/individuals.html U.S. National Library of Medicine - www.nlm.nih.gov/medlineplus/healthtopics.html Life as a Healthcare CIO Blog – www.geekdoctor.blogspot.com The Health Care Blog – www.healthcareblog.com Centers for Medicare & Medicaid Services - http://www.cms.gov/Regulations-and-
Guidance/Legislation/EHRIncentivePrograms/Stage_2.html AARP - http://www.aarp.org/health/conditions-treatments/info-02-2013/medical-procedures-to-avoid.html ABIM Foundation - http://www.choosingwisely.org/ American College of Physicians - http://hvc.acponline.org/hvc_your_health.pdf The Human Microbiome Project - http://commonfund.nih.gov/hmp/ Emergency room:
http://www.bidmc.org/Centers-and-Departments/Departments/Emergency-Medicine.aspx, http://www.miltonhospital.org/services/emergency-services/ http://www.bidneedham.org/departments/emergency-department
Unit Conversion
ComponentConventional
UnitConversion
Factor SI UnitAcetaminophen µg/mL 6.62 µmol/LAcetoacetic acid mg/dL 0.098 mmol/LAcetone mg/dL 0.172 mmol/LAcid phosphatase units/L 1 U/LAlanine mg/dL 112.2 µmol/LAlanine aminotransferase (ALT) units/L 1 U/LAlbumin g/dL 10 g/LAlcohol dehydrogenase units/L 1 U/LAldolase units/L 1 U/LAldosterone ng/dL 0.0277 nmol/LAlkaline phosphatase units/L 1 U/LAluminum ng/mL 0.0371 µmol/LAminobutyric acid mg/dL 97 µmol/LAmitriptyline ng/mL 3.61 nmol/LAmmonia (as NH3) µg/dL 0.587 µmol/LAmylase units/L 1 U/LAndrostenedione ng/dL 0.0349 nmol/LAngiotensin I pg/mL 0.772 pmol/LAngiotensin II pg/mL 0.957 pmol/LAnion gap mEq/L 1 mmol/LAntidiuretic hormone pg/mL 0.923 pmol/LAntithrombin III mg/dL 10 mg/Lalpha1-Antitrypsin mg/dL 0.184 µmol/LApolipoprotein A mg/dL 0.01 g/LApolipoprotein B mg/dL 0.01 g/LArginine mg/dL 57.4 µmol/LAsparagine mg/dL 75.7 µmol/LAspartate aminotransferase (AST) units/L 1 U/LBicarbonate mEq/L 1 mmol/LBilirubin mg/dL 17.1 µmol/LPaco2 Blood gas (arterial) mm Hg 1 mm HgpH Blood gas (arterial) pH units 1 pH unitsPao2 Blood gas (arterial) mm Hg 1 mm HgBromide mg/dL 0.125 mmol/LC-peptide ng/mL 0.333 nmol/LC1 esterase inhibitor mg/dL 10 mg/LC3 complement mg/dL 0.01 g/LC4 complement mg/dL 0.01 g/LCalcitonin pg/mL 1 ng/LCalcium mg/dL 0.25 mmol/LCalcium mEq/L 0.5 mmol/LCarbon dioxide mEq/L 1 mmoI/L
Carboxyhemoglobin% of Hb
Saturation 0.01Proportion of HbSaturation
Carotene µg/dL 0.0186 µmol/LCeruloplasmin mg/dL 10 mg/LChloride mEq/L 1 mmol/L
Unit Conversion
ComponentConventional
UnitConversion
Factor SI UnitCholesterol mg/dL 0.0259 mmol/LCitrate mg/dL 52.05 µmol/LCopper µg/dL 0.157 µmoI/LCoproporphyrins (urine) µg/24 hr 1.527 nmol/dCorticotropin (ACTH) pg/mL 0.22 pmol/LCortisol µg/dL 27.59 nmol/LCotinine ng/mL 5.68 nmol/LCreatine mg/dL 76.26 µmol/LCreatine kinase (CK) units/L 1 U/LCreatinine mg/dL 88.4 µmol/LCreatinine clearance mL/min 0.0167 mL/sCyanide mg/L 23.24 µmol/LDehydroepiandrosterone (DHEA) ng/mL 3.47 nmol/LDesipramine ng/mL 3.75 nmol/LDiazepam µg/mL 3.512 µmol/LDigoxin ng/mL 1.281 nmol/LEpinephrine pg/mL 5.46 pmol/LErythrocyte sedimentation rate mm/h 1 mm/hEstradiol pg/mL 3.671 pmol/LEstriol ng/mL 3.467 nmol/LEstrone ng/dL 37 pmoI/LEthanol (ethyl alcohol) mg/dL 0.217 mmol/LEthylene glycol mg/L 16.11 µmol/LFerritin ng/mL 2.247 pmol/Lalpha -Fetoprotein ng/mL 1 µg/LFibrinogen mg/dL 0.0294 µmol/LFluoride µg/mL 52.6 µmol/LFolate ng/mL 2.266 nmol/LFollicle-stimulating hormone mIU/mL 1 IU/LFructose mg/dL 55.5 µmol/LGalactose mg/dL 55.506 µmol/LGlucagon pg/mL 1 ng/LGlucose mg/dL 0.0555 mmol/LGlutamine mg/dL 68.42 µmol/LGamma -Glutamyltransferase (GGT) units/L 1 U/L
Glycated Hb (glycosylated, Hb A1, A1C) % of total Hb 0.01Proportion of
total HbGlycerol (free) mg/dL 108.59 µmol/LGlycine mg/dL 133.3 µmol/LHaptoglobin mg/dL 0.1 µmol/L
Hematocrit % 0.01proportion of
1.0Hemoglobin (Whole Blood) g/dL 10 g/LHemoglobin (Mass Concentration) g/dL 0.6206 mmol/L
High-density lipoprotein cholesterol (HDL-C) mg/dL 0.0259 mmol/LHistidine mg/dL 64.45 µmol/L
Unit Conversion
ComponentConventional
UnitConversion
Factor SI UnitHomocysteine (total) mg/L 7.397 µmol/LHuman chorionic gonadotropin (HCG) mlU/mL 1 IU/LHydroxybutyric acid mg/dL 96.05 µmol/LHydroxyproline mg/dL 76.3 µmol/LImmunoglobulin A (IgA) mg/dL 0.01 g/LImmunoglobulin D (IgD) mg/dL 10 mg/LImmunoglobulin E (IgE) mg/dL 10 mg/LImmunoglobulin G (IgG) mg/dL 0.01 g/LImmunoglobulin M (IgM) mg/dL 0.01 g/LInsulin µIU/mL 6.945 pmol/LIron, total µg/dL 0.179 µmol/LIron binding capacity, total µg/dL 0.179 µmol/Llsoleucine mg/dL 76.24 µmol/Llsopropanol mg/L 0.0166 mmol/LLactate (lactic acid) mg/dL 0.111 mmol/LLactate dehydrogenase units/L 1 U/L
Lactate dehydrogenase isoenzymes (LD1-LD5) % 0.01Proportion of
1.0Lead µg/dL 0.0483 µmol/LLeucine mg/dL 76.237 µmol/LLipase units/L 1 U/LLipids (total) mg/dL 0.01 g/LLipoprotein (a) mg/dL 0.0357 µmol/LLithium mEq/L 1 mmol/LLow-density lipoprotein cholesterol (LDL-C) mg/dL 0.0259 mmol/LLuteinizing hormone (LH, leutropin) IU/L 1 lU/LLysine mg/dL 68.5 µmol/LMagnesium mg/dL 0.411 mmol/LMagnesium mEq/L 0.5 mmol/LManganese ng/mL 18.2 nmol/LMethanol mg/L 0.0312 mmol/L
Methemoglobin% of total
hemoglobin 0.01
Proportion of total
hemoglobinMethionine mg/dL 67.02 µmol/LMyoglobin µg/L 0.0571 nmol/LNicotine mg/L 6.164 µmol/LNitrogen, nonprotein mg/dL 0.714 mmol/LNorepinephrine pg/mL 0.00591 nmol/LOrnithine mg/dL 75.67 µmol/LOsmolality mOsm/kg 1 mmoI/kgOsteocalcin µg/L 0.171 nmol/LOxalate mg/L 11.1 µmol/LParathyroid hormone pg/mL 1 ng/LPhenobarbital mg/L 4.31 µmol/LPhenylalanine mg/dL 60.54 µmol/LPhenytoin µg/mL 3.96 µmoI/L
Unit Conversion
ComponentConventional
UnitConversion
Factor SI UnitPhosphorus mg/dL 0.323 mmol/LPlasminogen mg/dL 0.113 µmol/L
Plasminogen % 0.01Proportion of
1.0Plasminogen activator inhibitor mIU/mL 1 IU/LPlatelets (thrombocytes) x 103/µL 1 x 109/LPotassium mEq/L 1 mmoI/LPregnanediol (urine) mg/24h 3.12 µmoI/dPregnanetriol (urine) mg/24 h 2.97 µmol/dProgesterone ng/mL 3.18 nmol/LProlactin µg/L 43.478 pmolProline mg/dL 86.86 µmol/LProstate-specific antigen ng/mL 1 µg/LProtein, total g/dL 10 g/LProthrombin g/L 13.889 µmol/LProthrombin time (protime, PT) s 1 sProtoporphyrin, erythrocyte µg/dL 0.01777 µmol/LPyruvate mg/dL 113.6 µmoI/LQuinidine µg/mL 3.08 µmol/LRed blood cell count x 106/µL 1 x 1012/LRenin pg/mL 0.0237 pmol/L
Reticulocyte count % of RBCs 0.01Proportion of
1.0Salicylate mg/L 0.00724 mmol/LSerine mg/dL 95.2 µmol/LSerotonin (5-hydroxytryptamine) ng/mL 0.00568 µmol/LSodium mEq/L 1 mmol/L
Somatomedin-C (insulinlike growth factor) ng/mL 0.131
nmol/L (coagulation
factor II)Somatostatin pg/mL 0.611 pmol/LTaurine mg/dL 79.91 µmol/LTestosterone ng/dL 0.0347 nmol/LTheophylline µg/mL 5.55 µmol/LThiocyanate mg/L 17.2 µmol/LThreonine mg/dL 83.95 µmol/LThyroglobulin ng/mL 1 µg/L
Thyrotropin (thyroid-stimulating hormone, TSH) mIU/L 1 mIU/LThyroxine, free (T4) ng/dL 12.87 pmol/LThyroxine, total (T4) µg/dL 12.87 nmol/LTransferrin mg/dL 0.01 g/LTriglycerides mg/dL 0.0113 mmol/LFree (T3) Triiodothyronine pg/dL 0.0154 pmol/L
Resin uptake Triiodothyronine % 0.01Proportion of
1.0Total (T3) Triiodothyronine ng/dL 0.0154 nmol/L
Unit Conversion
ComponentConventional
UnitConversion
Factor SI UnitTroponin I (cardiac) ng/mL 1 µg/LTroponin T (cardiac) ng/mL 1 µg/LTryptophan mg/dL 48.97 µmol/LTyrosine mg/dL 55.19 µmol/LUrea nitrogen mg/dL 0.357 mmol/LUric acid mg/dL 59.48 µmol/LValine mg/dL 85.5 µmol/LVasoactive intestinal polypeptide pg/mL 1 ng/LVitamin A (retinol) µg/dL 0.0349 µmoI/LVitamin B6 (pyridoxine) ng/mL 4.046 nmol/LVitamin B12 (cyanocobalamin) pg/mL 0.738 pmol/LVitamin C (ascorbic acid) mg/dL 56.78 µmol/L1,25-Dihydroxyvitamin D pg/mL 2.6 pmol/L25-Hydroxyvitamin D ng/mL 2.496 nmol/LVitamin E mg/dL 23.22 µmoI/LVitamin K ng/mL 2.22 nmol/LWarfarin µg/mL 3.247 µmol/LWhite blood cell count x 103/µL 1 x 109/LWhite blood cell differential count (number fraction) % 0.01
Proportion of 1.0
Zinc µg/dL 0.153 µmoI/L
SAVE THE DATE
Join us next year…
Update in Internal Medicine December 4 - 10, 2016 The Westin Copley Place Boston, Massachusetts
Additional information will be available soon at:
www.UpdateInternalMedicine.com