VMIMR Primary Care Clinic Didactics

Reviewing the screening guidelines for osteoporosis and the nonpharmacological and pharmacological management of low bone mass/osteopenia and osteoporosis in the primary care setting,

Reviewing general recommendations for medication management of common chronic and acute conditions seen in primary care in patients who are or may become pregnant as well as patients who are breastfeeding along with recommended resources to refer to for further questions.

Reviewing how to screen for advanced liver disease and cirrhosis, preventative care for patients with cirrhosis and general management for decompensated cirrhosis presentations as well as managing medications for other conditions in the setting of cirrhosis in primary care. Also reviewing management of alcohol use disorder in cirrhosis.

Reviewing when and how to evaluate leukopenia and thrombocytopenia in primary care

Reviewing the spectrum of diagnoses from age related to mild cognitive impairment to dementia regarding evaluation and management in the primary care setting

Reviewing the updated AUA guidelines for work up of microscopic and gross hematuria in the primary care setting

Reviewing guidelines for bariatric surgery and short-term and long-term post operative management

Reviewing the various forms of abnormal uterine bleeding, how to utilize the PALM-COEIN mnemonic in developing your differential based on presentation and age and treatment of chronic and acute causes of AUB.

Reviewing current guidelines for indication of bariatric surgery, types of surgery and both short and long term postoperative follow up in primary care

Review of guidelines for evaluation of breast masses and other localized breast concerns and initial management of benign conditions such as breast pain and hyperprolactinemia from medications

Reviewing most recent guidelines on categorizing, evaluating and treating atrial fibrillation including rate versus rhythm control and anticoagulation.

Reviewing key points in taking a sexual history, current recommendations for STI screening and prevention and review of treatment of common STIs such as gonorrhea, chlamydia, syphilis and herpes.

Reviewing diagnosis and outpatient treatment tools to approach the discussion of and management of alcohol use disorder with patients

An overview of hospice including an in-depth review of the services included with hospice, determining when it is appropriate to refer your patient to hospice and answers to some frequently asked questions by patients and providers navigating the service

How to evaluate and manage TIAs and strokes in the outpatient setting including criteria for a TIA to be managed in clinic versus in the hospital, management of underlying causes of TIAs and strokes and guidelines for post-TIA and stroke management

Reviewing the updates to primary prevention in cholesterol management with the new PREVENT calculator and how to apply it

Reviewing current recommendations for selecting which cardiac stress test would be appropriate for various clinical evaluations for possible CAD/angina

Reviewing the current guidelines for diagnosis, treatment and more long-term follow up of pelvic inflammatory disease. Note - initially mentioned ceftriaxone dose for empiric treatment for PID was prior recommendation, corrected later in the episode

Reviewing current guidelines for diagnosing and treating gout acutely and chronically and the 3 primary presentations of pseudogout

An overview of diagnosing multiple sclerosis in the primary care setting and complications of multiple sclerosis that are often seen in primary care

General review of types of anxiety, diagnosis and first and second line treatment options

Review of the definition and the various options for abortive and preventative treatment of migraines and status migrainosus in the clinic

Review of the differential and evaluation of subacute and chronic cough and approach to management of the most common causes of chronic cough

Review of evaluation of URIs and treatment of common bacterial URIs and viral URI

Reviewing diagnosis and treatment of fibromyalgia per current evidence