CME Information Statement

Accreditation: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of EB Medicine and Master Clinicians, LLC. EB Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation: EB Medicine designates this live activity for a maximum of 16 AMA PRA Category 1 CreditsTM for the main conference, 5 AMA PRA Category 1 CreditsTM for the Laceration workshop, 5 AMA PRA Category 1 CreditsTM for the X-Ray workshop, 5 AMA PRA Category 1 CreditsTM for the EKG workshop, and 5 AMA PRA Category 1 CreditsTM for the Orthopedic workshop. Physicians should claim only the credit commensurate with the extent of their participating in the activity.

Needs Assessment: The need for this educational activity was determined by a collaborative review of the current literature on these topics, as well as surveys and feedback from > 200 clinicians in the urgent care setting that have indicated that additional knowledge is needed in these areas to fill the identified practice gaps.

Target Audience: This activity is designed for physicians, physician assistants, and nurse practitioners in settings such as emergency medicine, family practice, internal medicine, urgent care medicine, and hospitals.

Goal: The purpose of this activity is to provide learners with education to manage common conditions seen in the urgent care setting improve skills in laceration/wound care, ECG interpretation, x-ray interpretation, and diagnosing and managing orthopedic injuries.

Objectives:

  • After completing main conference, the learner will be able to: (1) discuss a consistent approach in recognition, diagnosis and treatment of common rashes seen in the outpatient setting; (2) identify and manage 5+ conditions with subtle life-threatening findings that can result in significant morbidity or mortality if undiagnosed or untreated, including aortic dissection, pulmonary embolus, appendicitis, and life-threatening conditions in the back and soft tissue; (3) build rapport with patients beginning with the first encounter and educate and empower patients in the medical decision-making process; (4) identify injury patterns and signs of pediatric nonaccidental trauma; (5) identify 5+ orthopedic injuries on x-ray that require immediate or urgent follow-up, and describe best practices for management of those injuries; (6) discuss current evidence-based recommendations for antibiotic use and treatment of common upper respiratory tract and HEENT inflammation/infection conditions, and learn skills and tips on properly educating the patient on these conditions and management to achieve higher patient satisfaction; (7) identify and manage atypical pediatric presentations, including hemolytic uremic syndrome, Seymour fracture, and acute lymphoblastic leukemia; (8) describe current treatments of chlamydia and gonorrhea, and identify and treat rashes involving herpes and syphilis; (9) assess abdominal pain in female patients and utilize current guidelines to identify and manage common gynecological conditions; (10) utilize current guidelines to identify and manage common gynecological conditions and complications; (11) apply recommendations for travel prophylaxis for conditions such as malaria, altitude sickness, and traveler-associated diarrhea; (12) discuss the extent, major contributing factors, and consequences of burnout, and utilize available resources to prevent and address burnout; (13) apply management protocols for concussion, including management of associated symptoms, and return to play and return to learn; (14) manage eye complaints, including congenital disorders, bacterial, viral, and allergic conjunctivitis, and herpes ophthalmicus; (15) differentiate seasonal allergies from upper respiratory infections, and treat allergy and anaphylactic reactions to environmental triggers and medications; and (16) manage common ENT conditions, such as epistaxis, otitis media and externa, sinusitis, and inner ear disorders.
  • After completing the orthopedic skills workshop, the learner will be able to: (1) diagnose, examine, and treat common upper and lower extremity injuries; (2) properly perform physical examinations on common wrist, hand, ankle, and knee injuries seen in the office or ED setting; and (3) properly perform orthopedic techniques and perform 7 common orthopedic splints, identifying when to use slings, crutches, immobilizers, and wraps.
  • After completing the EKG workshop, the learner will be able to: (1) discuss EKG basics, including physiology, axis, voltage, and anatomy; (2) review EKGs and identify common and life-threatening arrhythmias and heart blocks, such as atrial fibrillation/flutter, supraventricular tachycardia, bundle branch blocks, and 2nd- and 3rd-degree heart blocks; (3) determine the various types of EKG presentations in a myocardial infarction, depending on the location of the heart affected vessels; (4) analyze EKG findings to identify various disease processes, such as hypothermia, electrolyte abnormalities including hyper- and hypokalemia, and various toxicities including digoxin and tricyclic antidepressants; and (5) promptly identify subtle life-threatening EKG findings, such as pulmonary embolism, ST-segment-elevated myocardial infarction, Brugada syndrome, and deWinter T waves.
  • After completing the X-Ray workshop, the learner will be able to: (1) identify common and life-threatening diagnoses on chest x-ray, including pneumonia, pneumothorax, congestive heart failure, aortic abnormalities, and pulmonary embolism; (2) identify common and life-threatening diagnoses on abdominal x-ray, including volvulus, small-bowel obstruction, free air under the diaphragm, and foreign body ingestion; (3) identify soft-tissue conditions on neck x-ray, such as retropharyngeal abscess, epiglottitis, and foreign-body ingestion; (4) Determine which findings can be treated and which findings require immediate referral to the emergency department of specialty care; and (5) analyze x-ray findings to determine if a second read or re-shoot is required.
  • After completing the laceration workshop, the learner will be able to: (1) Perform 5+ suturing techniques, including simple interrupted stitches, continuous stitches, buried stitches, vertical mattress, and horizontal mattress, utilizing various suturing materials; (2) Utilize approaches to simple and complex lacerations (with irregular borders or flaps) and appropriate anesthesia techniques, depending on the wound presentation; (3) Identify indications for alternative closure techniques, such as stapling, medical adhesive glue, and other wound closure products, and identify wounds that can be managed in the ED and wounds that require specialist care; and (4) Describe proper pre-wound assessment, irrigation techniques, hemostasis tricks and tools, debridement techniques, appropriate antibiotic usage, and post wound-closure management.

Faculty Disclosure: It is the policy of EB Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME-sponsored educational activities. All faculty participating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that may arise from the relationship. In compliance with all ACCME Essentials, Standards, and Guidelines, all faculty for this CME activity are asked to complete a full disclosure statement. Dr. Choi, Dr. Farina, Dr. Friedman, Mr. Giarrusso, Dr. Godin, Dr. Harnett, Dr. Huang, Dr. Leber, Dr. Miller, Ms. O’Mara, Dr. Pathy, Dr. Reiter, Dr. Shih, Dr. Yeung, Dr. Zipkin, and their related parties report no significant financial interests or other relationship with the manufacture(s) of any commercial products discussed in this educational presentation.

Commercial Support: This activity has received no commercial support.

Earning Credit: Clinicians must attend the entire conference program and complete the skills assessment, post-test, and conference evaluation to earn credit.