The NACE Clinical Highlights Show

Dr. Malebranche talks about HIV screening, the stigma associated with testing for HIV, the high cost of testing, and provides some alternatives for your patients. He also provides guidelines for using PrEp in certain patients and discusses the importance of patient and partner preferences. For an in-depth course on HIV, visit NACE's website at https://www.naceonline.com/courses/hiv-aids-update-2019.For additional CME programs about a variety of topics, visit the NACE website at https://www.naceonline.com/David J. Malebranche, MD, MPHAssociate Professor of MedicineDepartment of MedicineMorehouse School of MedicineAtlanta, GeorgiaThis activity is not certified for CME/CE credit.Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

Dr Amman answers common questions you've posed in ADHD. Screening for ADHD and use of rating scales, screening for drug use, diet modification, managing comorbidities, monitoring treatment, drug-free holidays, the use of PRN and adjunct short-acting stimulants, and using stimulants in the older patients are discussed.For CME programs on ADHD, visit NACE's website at https://www.naceonline.com/catalog?query=adhdBirgit H. Amann, MDChild and Adolescent PsychiatristTroy, MIPlease visit http://naceonline.com to engage in more live and on demand CME/CE content.

Dr Hanania answers your common questions about asthma. Screening for asthma using the the Asthma Control Test (ACT) and the importance of lung function testing, use of theophylline in current practice, how to taper inhaled corticosteroids, and treating patients with allergic diseases in asthma and the utility of desensitization and use of biologics are discussed.Nicola A Hanania, MD, MS, FCCPProfessor of MedicineDivision of Pulmonary and Critical CareBaylor College of MedicineHouston, TX, Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

Leana S. Wen, MD, MSc, and Neil Skolnik, MD discuss the current state of the COVID-19 pandemic with specific emphasis on managing asymptomatic patients who have been exposed to the COVID-19 virus and changes to recommendations on quarantining following travel. This was recorded on August 29, 2020 at the NACE Emerging Challenges and Clinical Updates in Primary Care broadcast.FacultyNeil Skolnik, MDProfessor of Family and Community Medicine Sidney Kimmel Medical CollegeThomas Jefferson UniversityPhiladelphia, PALeana S. Wen, MD, MScVisiting Professor, Health Policy and ManagementDistinguished Fellow, Fitzhugh Mullan Institute for Health Workforce EquityGeorge Washington University School of Public HealthWashington, DCThis podcast is not accredited for CME credit. Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

Dr Stolar discusses the importance of the patient and provider partnership in detecting hypoglycemic episodes, implications for cardiovascular health of hypoglycemic episodes, how to probe for causes of hypoglycemia in specific patients, and when continuous glucose monitoring is useful. Different insulin options are also discussed.For CME programs on diabetes, visit NACE's website at https://www.naceonline.com/catalog?query=diabetesMark W. Stolar, MDAssociate Professor of Clinical MedicineFeinberg School of MedicineNorthwestern UniversityChicago, ILPlease visit http://naceonline.com to engage in more live and on demand CME/CE content.

The August 8, 2020 NACE COVID-19 Update was recorded live during the Emerging Challenges and Clinical Updates for Primary Care virtual symposium. This segment features moderator  Neil Skolnik. MD,  and Public Health Experts Leana Wen, MD, and Seema Yasmin, MD. In this update, Dr. Skolnik presents an update of the pandemic, and Dr Wen and Dr Yasmin present evidence-based information about the epidimiology and considerations surrounding the need for appropriate reopening of schools for the summer fall period in the United States. Faculty Neil Skolnik, MD Professor of Family and Community Medicine Sidney Kimmel Medical College Thomas Jefferson UniversityPhiladelphia, PA Leana S. Wen, MD, MSc Visiting Professor, Health Policy and Management Distinguished Fellow, Fitzhugh Mullan Institute for Health Workforce Equity George Washington University School of Public Health Washington, DCSeema Yasmin, MDDirector, Stanford Health Communication InitiativeClinical Assistant Professor, Stanford UniversitySchool of MedicineStanford, CAThis activity is not certified for CME/CE credit.Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

Migraine is commonly seen in the primary care setting, however, diagnosis and effective management of migraine can be difficult. Dr. Unger provides rapid screening questions and easy diagnostic strategies that can be incorporated in the primary care setting. He also discusses abortive and preventive management of migraine and when prophylactic interventions should be considered. Recent years have seen the emergence of a number of Calcitonin Gene-Related Peptide (CGRP) inhibitors and these are discussed in more detail.For more education from NACE, please visit NACE's website at: https://www.naceonline.com/Jeff Unger, MD, ABFM, FACEDirector, Unger Primary Care Medical GroupRancho Cucamonga, CAThis activity is not certified for CME/CE credit.Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

Dr. Wymer answers questions about symptomatology, differential diagnosis, etiology, workup, management, and the long term trajectory of pseudobulbar affect. For additional CME programs about various topics, visit the NACE website at https://www.naceonline.com/Dr. James Wymer, MD, PHD, CPI, FAANProfessor of NeurologyDirector of Neuromuscular DivisionThe University of FloridaGainesville, FLThis activity is not certified for CME/CE credit.Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

In this episode, Dr. Franck Rahaghi,  Chairman of the Department of Pulmonary Medicine and Director of Alpha-1 Foundation Clinical Resource Center at the Cleveland Clinic Florida provides insights into how clinicians  can do a better job screening for these patients and managing their care. For more information about AATD and to participate in CME activities on this topic and many others, please visit http://naceonline.comFacultyFranck Rahaghi, MD, MHS, FCCPChairman, Department of Pulmonary MedicineHead, Pulmonary Education and Rehabilitation Department of Pulmonary and Critical CareDirector of Alpah1-Foundation Clinical Resource Center, Cleveland Clinic FloridaWeston, FLThis educational activity is supported by an educational grant from Grifols and an educational grant from Takeda Pharmaceuticals U.S.A., Inc.This activity is not certified for CME/CE credit.Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

Insomnia is a highly prevalent condition that presents in primary care, but nearly three quarters of all patients do not tell their providers about their symptoms. Unfortunately, insomnia can have serious consequences for patients’ daily activities, quality of life, and mental and physical health. Recent developments in the understanding of insomnia have led to the availability of new treatment options, but clinicians may not be aware of these developments. In this episode, Dr. Paul P. Doghramji will discuss the importance of recognizing the condition, examine evidence-based treatment of insomnia, and review the role of orexin in the balance of sleep and wakefulness.Faculty Paul P. Doghramji, MD, FAAFPFamily PhysicianCollegeville Family PracticeMedical Director of Health ServicesCollegeville, PAHostGregg Sherman, MDChief Medical Officer/Course DirectorNational Association for Continuing EducationPlantation, FLThis educational activity is supported by an independent medical educational grant from Eisai.This activity is not certified for CME/CE credit.Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

Special guest Dr. Seema Yasmin (@DoctorYasmin) focuses on racial disparities in healthcare, their origins, and the severe impact on  COVID-19 patients of color. This NACE COVID-19 Update was recorded live during the Emerging Challenges in Primary Care May 30, 2020 virtual symposium. Seema Yasmin, MB BChirDirector, Stanford Health Communication InitiativeClinical Assistant Professor, Stanford UniversitySchool of MedicineStanford, CAFacultyNeil Skolnik, MD Professor of Family and Community Medicine Sidney Kimmel Medical College Thomas Jefferson UniversityPhiladelphia, PA Seema Yasmin, MB BChirDirector, Stanford Health Communication InitiativeClinical Assistant Professor, Stanford UniversitySchool of MedicineStanford, CAThis activity is not certified for CME/CE creditReferencesAPM Research Lab Staff. THE COLOR OF CORONAVIRUS:COVID-19 Deaths by race and ethnicity in the U.S., May 27, 2020 APM Research Lab.Braun L. Breathing race into the machine: the surprising career of the spirometer from plantation to genetics. Minneapolis: University of Minnesota Press, 2014.Chowkwanyun, Merlin,Reed, Adolph L. Racial Health Disparities and Covid-19 — Caution and Context. New England Journal of Medicine, May 6, 2020. Edwards, Erika. African Americans 'disproportionately affected' by coronavirus, CDC report finds. NBC News, April 8 2020. Geronimus AT, Hicken M, Keene D, Bound J. "Weathering" and age patterns of allostatic load scores among blacks and whites in the United States. Am J Public Health. 2006;96(5):826‐833. doi:10.2105/AJPH.2004.060749Molina N. Fit to be citizens? Public health and race in Los Angeles, 1879-1939. Berkeley: University of California Press, 2006.Roberts SK. Infectious fear: politics, disease, and the health effects of segregation. Chapel Hill: University of North Carolina Press, 2009.Strings, S. It's Not Obesity, It's SlaveryThe New York Times, May 25, 2020Wen, Leana S.  Four concepts to assess your personal risk as the U.S, . Wen, Leana S, 100,000 deaths later, there are no more excuses, The Washington Post, May 21, 2020. Yasmin, Seema, How Medicine Perpetuates the Fallacy of Race, Medscape, March 11, 2020. Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

Dr. Daniel Soffer and host Dr.  Gregg Sherman discuss the  impact of statin intolerance, emerging non-statin therapies, and strategies to reduce cardiovascular risk in statin intolerant patients.Click here to watch the  one hour webcast on this topic and Earn CME/CE credit!GuestDaniel Soffer, MD, FNLAUniversity of Pennsylvania Health SystemInternal Medicine/Clinical LipidologyPhiladelphia, PAHostGregg Sherman, MDChief Medical Officer/Course DirectorNational Association for Continuing EducationPlantation, FLThis activity is not certified for CME/CE credit.This educational activity is supported in part by an educational grant from Esperion Therapeutics, Inc.Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

The June 6, 2020 NACE COVID-19 Update was recorded live during the Emerging Challenges in Primary Care, June 6, 2020 virtual symposium. This segment features moderator  Neil Skolnik. MD,  Public Health Expert Leana Wen, MD, and Family Physician with boots on the ground, Susan K. Fidler, MD.Dr. Wen presents an update on the current state of COVID-19 pandemic and focuses on the protest and concerns about surge, and on racial disparities in healthcare and policy solutions.Dr Fidler will address practical considerations when reopening offices. FacultyNeil Skolnik, MDModeratorProfessor of Family and Community Medicine Sidney Kimmel Medical College Thomas Jefferson UniversityPhiladelphia, PA Leana S. Wen, MD, MSc Visiting Professor, Health Policy and Management Distinguished Fellow, Fitzhugh Mullan Institute for Health Workforce Equity George Washington University School of Public Health Washington, DCSusan K. Fidler, MDAssistant Director, Family Medicine Residency ProgramAbington Jefferson HealthClinical Assistant Professor of Family and Community MedicineSidney Kimmel Medical College Thomas Jefferson UniversityJenkintown, PAThis activity is not certified for CME/CE credit.Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

Recent years have seen increasing prevalence of cardiovascular disease in women and especially women of color. Unfortunate disparities exist in recognition, optimization of risk factors, and management approaches for women. Dr Bond discusses the atypical presentations seen among women and the need for improved screening, specific diagnostic testing, management of risk factors, and improved management strategies. For more education in cardiovascular disease, visit NACE's website at https://www.naceonline.com/catalog?query=cardiovascularRachel M Bond, MD, FACCMedical Director, Women’s Heart HealthDignity Health, East ValleySun State CardiologyAssistant ProfessorCreighton University School of MedicineChandler, AZPlease visit http://naceonline.com to engage in more live and on demand CME/CE content.

We are excited to discuss  ADHD  with world renowned expert, clinician, and researcher, Greg Mattingly, MD. Part 1 focuses on the morbidity, mortality, societal and family impact of ADHD and strategies to successfully assess, diagnose and treat ADHD patients. Click here to access on-demand CME/CE at naceonline.comAbout our Guest, Greg Mattingly, MDGregory W. Mattingly, MD is an Associate Clinical Professor and Psychopharmacology Course Master in the Department of Psychiatry at the Washington University School of Medicine in St Louis, Missouri. Dr. Mattingly has dedicated the past 27 years of his career to caring for children, adolescents and adults with ADHD and associated conditions.  Most importantly, as the father of a child with developmental disabilities, Dr. Mattingly understands the ongoing need for improved coordination of research, education and clinical care for our patients and their families.Dr Mattingly's current appointments include:  Associate Clinical Professor, Washington University School of Medicine President, Midwest Research GroupScientific Program Committee, ADHD World Congress Chairman APSARD Membership Committee.EducationDr. Mattingly graduated Summa Cum Laude in chemical engineering before pursuing his medical degree at Washington University, where he received a Fullbright Scholarship. He then completed his psychiatry residency at Washington University. Board CertificationsDiplomate of the American Board of Psychiatry and Neurology. Board certified in psychiatry with a subspecialty in adolescent psychiatry. A Few Career Highlights Principal investigator for over 300 clinical trials Presenter at numerous national and international medical conferencesCertified examiner for both the NFL and MLBMember of the board of directors for Headway House; a “club house” program for individuals with developmental disabilities and chronic mental health conditions in St Louis, MO.Publications Dr. Mattingly’s work has been widely published in medical journals, including:The Journal of Neuropsychiatry and Clinical NeurosciencesThe Journal of Clinical PsychiatryThe Journal of Child and Adolescent PsychiatryCurrent PsychiatryCNS Spectrums and Postgraduate Medicine.Click here for pubmed search results.AwardsDr Mattingly has received numerous awards and distinctions including:The Academy of Child and Adolescent Psychiatry National Leadership Awardthe Upjohn Neuropsychiatry Research AwardSouthern Psychiatric Association Research AwardThis educational activity is supported by an educational grant from Shire.This activity is not certified for CME/CE credit.Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

This week special guest Dr. Seema Yasmin (@DoctorYasmin) joins Dr. Leana Wen (@DrLeanaWen) and Moderator Dr. Neil Skolnik (@NeilSkolnik) for the Update.  Dr Wen provides a  public health update and presents four concepts for evaluating your risk of infection as practices reopen their doors. Dr Yasmin Dr. Yasmin's focuses on racial disparities in health care and the impact on  COVID-19 patients and practice. This NACE COVID-19 Update was recorded live during the Emerging Challenges in Primary Care May 30, 2020 virtual symposium. Be sure to read Dr Wen's and Dr Yasmin recent articles listed in the References at the end of this summary. FacultyNeil Skolnik, MD Professor of Family and Community Medicine Sidney Kimmel Medical College Thomas Jefferson UniversityPhiladelphia, PA Leana S. Wen, MD, MSc Visiting Professor, Health Policy and Management Distinguished Fellow, Fitzhugh Mullan Institute for Health Workforce Equity George Washington University School of Public Health Washington, DCSeema Yasmin, MDDirector, Stanford Health Communication InitiativeClinical Assistant Professor, Stanford UniversitySchool of MedicineStanford, CAThis activity is not certified for CME/CE credit.ReferencesAPM Research Lab Staff. THE COLOR OF CORONAVIRUS:COVID-19 Deaths by race and ethnicity in the U.S., May 27, 2020 APM Research Lab.Braun L. Breathing race into the machine: the surprising career of the spirometer from plantation to genetics. Minneapolis: University of Minnesota Press, 2014.Chowkwanyun, Merlin,Reed, Adolph L. Racial Health Disparities and Covid-19 — Caution and Context. New England Journal of Medicine, May 6, 2020. Edwards, Erika. African Americans 'disproportionately affected' by coronavirus, CDC report finds. NBC News, April 8 2020. Geronimus AT, Hicken M, Keene D, Bound J. "Weathering" and age patterns of allostatic load scores among blacks and whites in the United States. Am J Public Health. 2006;96(5):826‐833. doi:10.2105/AJPH.2004.060749Molina N. Fit to be citizens? Public health and race in Los Angeles, 1879-1939. Berkeley: University of California Press, 2006.Roberts SK. Infectious fear: politics, disease, and the health effects of segregation. Chapel Hill: University of North Carolina Press, 2009.Strings, S. It's Not Obesity, It's SlaveryThe New York Times, May 25, 2020Wen, Leana S.  Four concepts to assess your personal risk as the U.S, . Wen, Leana S, 100,000 deaths later, there are no more excuses, The Washington Post, May 21, 2020. Yasmin, Seema, Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

In this episode, host Dr. Gregg Sherman and NACE expert faculty member, Lucia M. Novak, MSN, ANP-BC. BC-ADM, discuss Optimizing Outcomes in Diabetes With GLP-1 Therapy. Dr. Sherman and Ms. Novak discuss the glycemic and cardiorenal effects of GLP-1 RAs, the differences between injectable and oral GLP-1 RA formulations, and strategies for integrating GLP-1 RA therapy into earlier therapeutic decision-making, based on the newest treatment. About Lucia M. Novak, MSN, ANP-BC. BC-ADMPresident and Owner, Diabetes Consulting Services, Rockville, MDDiabetes Expert, Diabetes & Endocrine Associates, Silver Spring, MDMs. Novak is a board-certified nurse practitioner in both Adult Health and Advanced Diabetes Management and has over 17 years of clinical, research and educational experience in diabetes mellitus. Ms. Novak has provided her expertise pertaining to diabetes as a Contributing Author for the Lippincott Manual of Nursing Practice for the last 4 editions and is also a Contributing Author for the 1st edition of Genomic Essentials for Graduate Level Nurses. Ms. Novak serves as an Associate Editor for Clinical Diabetes. Ms. Novak has been repeatedly recognized for her outstanding contributions as a clinician, researcher and educator. In 2015, she was designated Master Clinician for her proven leadership and clinical prowess, an accolade that placed her among the top 2% of the health care providers of the Walter Reed National Military Medical Center and is also a recipient of The DAISY Foundation Award for Extraordinary Nurses. Her nearly 28 years of nursing experience include active duty service as a Commissioned Officer of the United States Army Nurse Corps. This podcast episode  is supported by an  independent medical education grant from Novo Nordisk.  This activity is not certified for CME/CE credit.Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

This podcast was recorded live during the Emerging Challenges in Primary Care , May 9, 2020, virtual CME/CE symposium. Part one  features moderator  Neil Skolnik, MD, and faculty member Leana Wen, MD.  Dr Wen presents an update on the current state of COVID-19 pandemic public health challenges, impact, and strategies,  as many U.S. States open earlier then federal guidelines recommend.Faculty Leana S. Wen, MD, MSc Visiting Professor, Health Policy and Management Distinguished Fellow, Fitzhugh Mullan Institute for Health Workforce Equity George Washington University School of Public Health Washington, DC ModeratorNeil Skolnik, MD Professor of Family and Community Medicine Sidney Kimmel Medical College Thomas Jefferson University Associate Director Family Medicine Residency Program Abington Jefferson Health Philadelphia, PA This activity is not certified for CME/CE credit.Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

This podcast was recorded live during the Emerging Challenges in Primary Care , May 9, 2020, virtual symposium. Part two  features moderator  Neil Skolnik, MD, and faculty member Christine Moutier, MD. Dr Moutier presents on the mental health and wellbeing challenges being experienced by clinicians during this pandemic, and provides expert guidance and strategies to assist clinicians with their own and their colleagues mental health care. The slides that were presented during this presentation are available at https://bit.ly/covid19slides-moutierFacultyChristine Moutier, MD Chief Medical Officer American Foundation for Suicide Prevention New York, NY ModeratorNeil Skolnik, MD Professor of Family and Community Medicine Sidney Kimmel Medical College Thomas Jefferson University Associate Director Family Medicine Residency Program Abington Jefferson Health Philadelphia, PA This activity is not certified for CME/CE credit.Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

COVID-19 Update Moderator Dr. Neil Skolnik and Faculty Member, Dr Amy Clouse, discuss COVID-19 current treatments, clinical trials, and supportive care. The experts send time on the challenges clinicians face treating and caring for patients in the absence of scientific data and evidence. This activity is not certified for CME/CE credit.Please visit http://naceonline.com to engage in more live and on demand CME/CE content.