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CME Today Blog

Audio Companions Are A Go To CME Tool For Physicians

Internal-Medicine-CME

It may seem as if there is never a good time to earn continuing medical education credit. Practicing medicine is a busy, stressful endeavor. Full days of patient appointments are often followed by late afternoons and evenings of paperwork and EMR entries. What little free time is left you hope to spend with family, friends, or perhaps a good book. It’s natural to procrastinate -- until you’re faced with a looming CME deadline. On top of it all, your CME options may be limited due to the coronavirus pandemic, which has forced the cancellation of live medical conferences.

Is there an easy way to overcome these hurdles? To earn CME no matter how busy you are? To avoid procrastinating? To replace a canceled conference with something reliable and trustworthy? Fortunately, there is. For years, many of your peers have received CME credits from one of Oakstone Medical Publishing’s acclaimed audio companion CME courses. Oakstone has partnered with top medical institutions to bring written content to life. There are audio companions for internists (based on the American College of Physicians’ Medical Knowledge Self-Assessment Program), surgeons (based on the American College of Surgeons’ Surgical Education Self-Assessment Program), and those who treat older individuals (based on the American Geriatrics Society’s Geriatrics Review Syllabus). You can take these audio companion CME courses anywhere and learn anytime – at your own pace. And you get online CME credit along the way from renown medical societies.

Don't take our word for it. Here's what your peers are saying.

MKSAP Audio: A CME Course That Makes the Most of ‘Windshield Time’

“I was looking for a way to productively use my ‘windshield time’ commuting to and from the clinic,” explains Prentiss Taylor, MD, FACP, attending physician at Advocate Christ Hospital in the Chicago area, a long-time subscriber to the MKSAP Audio Companion. Dr. Taylor says he appreciates the clinical vignettes presented by host Donald, Deye, MD. He finds the discussions so compelling that “sometimes I spend time at red lights writing down key points that I pick up.”

Greg Burke, MD, of Danville, PA agrees. “I really like the interchange Don Deye has with the expert faculty.” The MKSAP audio online CME resource also helps clinicians who do not practice internal medicine day to day. “I’m a radiation oncologist,” says Steven Gregoritch, MD, PhD, FACP, FACRO, who practices in Seneca, PA and is double boarded in oncology and internal medicine. “I don’t work in internal medicine regularly, so I don’t get that regular reinforcement. I used MKSAP Audio Companion as my primary means of preparing for recertification, and I did it!”

He’s not the only one. Says Bertha S Ayi, MD, of Clinton, MD: “I’m an infectious disease specialist, and it's important for me to stay up-to-date with all fields of general internal medicine. I would highly recommend MKSAP Audio Companion for any internal medicine physician who wants to keep up to date and get a lot of information in a short period of time.”

MKSAP 18 Internal Medicine CME

SESAP Audio: Board Prep for Residents and a Must-Have Tool for Community Practice

“As a resident, it is often difficult to study and keep up with the most recent literature,” says Melissa Meghpara, DO, who is based in New York. “SESAP audio allows me to listen to lectures on my commute with ease while presenting the most up to date information. It is also an excellent companion to the SESAP questions to help with my board studying.”

Meanwhile, Michael Burchett, DO, of Silvis, IL, calls SESAP Audio Companion “a great resource for learning while driving that is a must for me in community practice.  The CME is great as well.” And Caren Wilkie, MD, of Daytona Beach, FL, points to SESAP audio’s “concise practical material to focus and prepare for board exams.I highly recommend it.”

SESAP 17 Surgery CME
Patients Are Turning to CBDs for Self Treatment

Internal-Medicine-CME

What are the hot topics and clinical trends in internal medicine that clinicians are talking about? An expert internist took some time recently to discuss his thoughts on these issues.

Donald L. Deye, MD, FACP, is a general internist who has practiced for over 30 years at Cambridge Medical Center in Cambridge, MN. He is also Chief Medical Officer for Oakstone, and host of the acclaimed MKSAP Audio Companion.

Patients Are Turning to CBD

Dr. Deye: Up next, CBD. When I type CBD into my Epic chart system, it gets automatically changed into common bile duct. These days, it more often means cannabidiol. In places like Minnesota where I practice, you can get CBD from tobacco shops and some drug stores. In Wisconsin, I’ve seen it in the Grantsburg grocery store at the checkout lane and even in a gas station.

Here is a potpourri of anecdotal cases from my practice:

• It appears that for many patients with migraines, CBD can be very effective at headache prevention. One severe migraineur had the migraines stop completely.

• Patients with pain tell me that it doesn’t make the pain go away, but it makes them pay less attention to the pain. It doesn’t obsess them as much.

• For many of my patients it reduces nausea and can improve spasticity in people with cerebral palsy. I have a couple of patients that have significantly reduced their opiate use with CBD.

• For some, it appears to improve insomnia. One patient told me that she had gone for 20 years with never having a good night’s sleep. She took 15 milligrams of CBD and had her first good night’s sleep in 20 years.

 

Explore Internal Medicine CME
Updates to PSA and Pap Smear Testing Will Help Ease Patients

Internal-Medicine-CME

What are the hot topics and clinical trends in internal medicine that clinicians are talking about? Two expert internists took some time recently to discuss their thoughts on these issues.

Donald L. Deye, MD, FACP, is a general internist who has practiced for over 30 years at Cambridge Medical Center in Cambridge, MN. He is also Chief Medical Officer for Oakstone, and host of the acclaimed MKSAP Audio Companion. Timothy Leigh Rodgers, MD, is an internal medicine specialist practicing in Santa Barbara, CA.

Timing and Use of Pap Smear

Dr. Deye: There’s new data on Pap smears which may radically change our practice, as well. This study not only looked at timing of Pap smears, it also suggested the primary use of Pap smears for cervical cancer screening may no longer be necessary. We currently do Pap smears every three years in the screening setting and every five years if high risk HPV testing is done at the same time. Because of limited resources, some third-world clinicians have been doing just the HPV testing alone, without a Pap smear.

Dr. Rodgers: This is a really interesting situation where limited access to Pap smears may have shown the way to a more optimal way to do screening. When outcomes were analyzed, they found that doing the actual Pap smear did not have any value. Doing just the HPV testing alone was as effective as doing both this and the Pap smear at the same time. No difference. So it appears that we can do HPV testing alone and go for five years before the next test if normal.

Dr. Deye: Watch for guideline changes in the future.

Dr. Rodgers: When you tell women in their 50s about this, they often get a little anxious because they’ve been programmed to get a Pap smear every year. We have to reassure them by going over the evidence using layperson language. That’s where the art of medicine and interpersonal skills come into play.

PSA Testing

Dr. Deye: Timothy, there has been an evolving story on PSA testing and prostate cancer diagnosis. What’s the latest?

Dr. Rodgers: Well Don, routine PSA testing is still controversial, but new approaches to diagnosis appear to show promise. We are seeing more specific imaging approaches to prostate biopsy in patients with elevated PSA, especially if they have a low percentage of free PSA, less than 20 percent. Instead of just doing an ultrasound and biopsy, a fusion targeted biopsy is being done, using a combination of MRI and ultrasound. It appears that this can improve finding the best location for biopsy. This may reduce false negative biopsies and better target the locations with higher grade or higher scored prostate cancer cells.

Dr. Deye: We are also finding that watchful waiting works when you have low-grade Gleason score. Twenty years ago we operated on most patients with prostate cancer including indolent cases. We saw a lot of incontinence and impotence that probably could have been avoided. This more accurate and cautious approach to treatment looks like a great improvement.

 

Explore Internal Medicine CME
Physician Spotlight: Oakstone Course Director, Dr. Martin A. Samuels, Honored With Johns Hopkins Clinical Excellence Award

Dr. Martin SamuelsUnselfish regard for or devotion to the welfare of others. That is how the dictionary defines altruism. At its purest core, that is what compromises the heart of great physicians. Oakstone is proud to partner with many physicians who fit this description, and today we honor Dr. Martin A. Samuels for his service and recognize his recent honors from Johns Hopkins, Williams College and The University of Cincinnati.

Dr. Martin A. Samuels, MD, FAAN, MACP, FRCP, DSci (hon.), founding chair emeritus of the Department of Neurology at the Brigham and Women’s Hospital and the Miriam Sydney Joseph Distinguished Professor of Neurology at Harvard Medical School recently was awarded the inaugural National Clinical Excellence Award from Johns Hopkins University. Dr. Samuels was the only recipient in the country including all specialties. Dr. Samuels was  also recently awarded a Bicentennial Medal by his alma mater, Williams College, where he delivered the Convocation Address (can be viewed on YouTube). He was also awarded the Distinguished Alumni Award, representing his medical alma mater, the University of Cincinnati College of Medicine. 

It’s clear these achievements are rooted in a deep and impressive track record that includes establishing subspecialty areas in neurological medicine — such as neuro-cardiology, neuro-hematology, and neuro-gastroenterology — but at the same time, as one gets to know Dr. Samuels you could almost expect it. Why do I say that? Simple, making one’s way through hard work and caring is what he’s all about.

“I wanted to be an academic physician but wanted to do it from the vantage point of a clinician. The system was not amenable to this goal. I just worked at my vision of an academic clinical neurologist and over many years the system caught up to my vision. Hard work and high standards were the secret,” says Dr. Samuels.

The other aspect of that vision is what Dr. Samuels considers the lynchpin. “Altruism is the key feature of a professional in any field, but is most important in physicians. There is too much inward focused thinking and not enough effort on outwardly focused activities.”

It’s those outward focused activities that many times can lead to a breakthrough with a patient, be it emotional or physical. And, there is no understating the importance of that in modern medicine. I have been a personal witness to this in my own health struggles as well as my mother’s.

“Doctors need to defend these values based on altruism in the face of impersonal changes such as the worshiping of the electronic record,” states Dr. Samuels.

When it’s time to step away for the day, Dr. Samuels enjoys the simpler things in life. “I play the piano, read mainly non-fiction, running and spending time with my wonderful wife, Susan Pioli and our two Norfolk terriers, Ralphie and Sydney.”

Again, this isn’t surprising. It’s incredibly consistent with his professional life — serving others and working hard.

Oakstone is proud to call Dr. Samuels a Physician Partner. He serves as Course Director for the Comprehensive Review of Neurology and Neurology for Non-Neurologists, plus as a faculty speaker for our Comprehensive Review of Family Medicine. Whether you’re a patient, a colleague, or business associate Dr. Samuels is someone you want on your team.

 

About Dr. Martin A. Samuels:

Samuels is the founding chair of the Department of Neurology at the Brigham and Women’s Hospital, a position in which he served for 30 years until his transition to a senior neurologist position in 2017. He is one of the co-founders and a member in the interdisciplinary Program in Interdisciplinary Neuroscience at the Brigham and Women’s Hospital. He holds the Miriam Sydney Joseph Distinguished Chair of Neurology at Harvard Medical School, a chair that he named after his parents, the late Miriam Joseph and Sydney Samuels. Over the course of his career he has been honored with virtually every teaching and clinical award by numerous medical schools, national societies and his own Harvard Medical School. He is board certified in both Internal Medicine and Neurology, is a Master of the American College of Physicians, Fellow of the American Academy of Neurology, The American Neurological Association and the Royal College of Physicians, London. He has discussed a record thirteen Cabot Cases, clinical pathological conferences, published in the New England Journal of Medicine, and has been elected a convocation speaker a record three times at the Harvard Medical School. He created the Manual of Neurologic Therapeutics and has created the field of neurological medicine in the interface between internal medicine and neurology.  

VIDEO: Understanding the Effects of Vaping--E-cigarette/Vaping Associated Lung Injury

Lung injury associated with vaping began to appear in the summer of 2019 and has caused deaths in at least 21 states.

EVALI (Ecigarette/Vaping Associated Lung Injury) patients often appear with systemic symptoms, which present as an atypical pneumonia.

These symptoms may frequently take clinicians down a different path, and this is something to be keenly aware of.

Watch and learn as Dr. Caroline Chiles walks you through an EVALI patient’s medical timeline.

This presenatation is part of the National Diagnostic Imaging Symposium™. World Class CME's National Diagnostic Imaging Symposium™ is a comprehensive program featuring 115 presentations across 10 subspecialties, including Abdominal, Chest, Cardiovascular, Emergency, Genitourinary, Neurology, Musculoskeletal and Nuclear Medicine.

Learn More