We all have mental, emotional, and spiritual struggles and these can manifest as both mental and physical disease. Learn how to better address mental and emotional trauma in your patients to more fully encompass the Osteopathic approach to patient care.
Artificial nutrition and hydration at the end of life especially among the population facing advance stage progression in neurodegenerative diseases as a dementia has always been a medically, socially, and psychologically challenging community topic. It poses engagement of ethical and medical challenge to preconceived beliefs, cultural traditions , religious observances that surround every day medical decision faced by the patients and their families as well as comfort ability level in recommendations offered by the clinician provider. How do we shape and evaluate the approach in discussing such delicate and emotional topic with patients’ families facing life limiting illness and navigate and guide them along the conflicting feelings involved in this major medical decisions? How do we best support the caregiving capacity and provide the feeling of safety guidance for families when addressing these important advance directives for their loved ones at the end of life? As it’s often believed, it takes a village, an interdisciplinary panel of clinicians, to take care of a person through their various stages in life. Palliative care offers unique perspective and enhanced communication tools to the medical providers when approaching to difficult conversations surrounding artificial nutrition and hydration at the end of life.
Atrial fibrillation is a common yet often often incompletely treated condition. Reviewing goals for treatment as well as plan of care based off of criteria as well as clinical history is paramount to successful management. Furthermore exploration of the secondary causes of atrial fibrillation is keye to improving outcomes and symptom control. Obstructive sleep apnea is a leading pulmonic cause of atrial fibrillation and can be easily missed.
Examine the application of continuous glucose monitoring (CMG) in the primary care setting, including in resource limited or uninsured populations. Current guidelines from the Endocrine Society and American Diabetes Association suggest the use of real-time continuous glucose monitoring (RT-CGM) for adult patients with Type I diabetes with an A1c above or at target.1-2 Likewise, guidelines recommend the use of short-term, intermittent RT-CGM use in patients with type 2 diabetes who have an A1c more than or equal to 7.0%. Use of CGM can reduce A1c levels by 0.5-1.2% and prevent hypoglycemic episodes. Racial, ethnic, and socioeconomic disparities in diabetes care, including the implementation of technologies such as CGMs, result in disproportionate levels of morbidity and mortality among marginalized populations, and demonstrate a gap in access to care. Likewise, there are disparities in access to specialist care including endocrinologists, demonstrating an area where primary care providers can implement technology such as CGM to improve access.
Women encompass 50% of current medical school graduates and yet there is a 25% gender wage gap in medicine where women make on average at least 25% less than men. There are very few women in medicine leadership roles and 40% of women go part time or leave medicine completely within 6 years of graduating medical school. In our practice, we have shown that value based care not only is the future of a sustainable US healthcare system for patients, it also addresses all of these disparities in gender in medicine and is a way for all physicians to escape the hamster wheel and burn out of our current system. This presentation is a reflection on current state, successes, and guidance for the practice of medicine in the future to address these concerns.
This presentation is different than most food as medicine ones as it looks at the DATA behind actually recommending for or against use of certain foods.
An in-depth discussion about high-altitude illnesses, specifically those that relate to hypobaric hypoxia. We will explore prevention and treatment strategies as well as the newest research and guidelines for the management of said disorders.
Human trafficking is a growing market that infiltrates all geographic and socioeconomic areas. Learning to identify potential victims will make an impact in our local and national communities. Goal: To increase awareness of potential human trafficking victims, learn identifying markets and resources.
The primary care physician plays a key role in identification of Metabolic-Associated Fatty Liver Disease (MAFLD). Awareness and early recognition of MAFLD within our patient population allows us to engage in important conversations with patients about risk stratification, monitoring, and efforts towards reversibility. This educational session will also highlight literature based recommendations regarding indications for primary care referral to gastroenterology for further MAFLD management.
Review details of studies that show that OMM helps in pre and post operative patients, then go over different OMM techniques to help treat the areas treated in the studies and the areas to decrease the most common causes for post-operative infections.
Professionalism is discussed frequently in medical schools, graduate training programs, as well as in office and hospital settings. Who decides what is professional and what is not "professional"? Can "professionalism" be used as a weapon to exclude people who are different? This session will describe the origins of the concept of professionalism and its historical use as a "weapon" to marginalize women and underrepresented minorities. The session will conclude with techniques to create a more inclusive professionalism concept that is more culturally and gender diverse. Session objectives stated at the beginning of the presentation
1. Included topics for discussion:
a. The origins of the concept of professionalism and the meaning of professionalism
b. How professionalism is used to exclude or conform individuals to restrictive standards
c. Life examples of the weaponization of professionalism in the medical field.
2. In summary, solutions to improve cultural inclusiveness in our definition and use of professionalism measures for all medical professionals, students, residents, attendings, and colleagues will be presented.
When do you consult ethics? Identifying an ethical dilemmas and how to approach them and manage them. Identify what is the role of an ethics committee. Learn how to assess clinical dilemmas and determine if they are ethical dilemmas
Identify what to do once you’ve determined there is an ethical dilemma
What is the role of an ethics committee in resolving this dilemma