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© Virginia Mason Internal Medicine Residency 2024
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Virginia Mason Internal Medicine Residency Primary Care Clinic Didactics
75 Episodes
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Reviewing timing of and general framework and phrasing for having early goals of care discussions with patients in the primary care setting
Reviewing diagnosis, treatment and prevention guidelines for management of shingles and HSV infections in primary care
Reviewing current options for contraception, both regular use and emergency use, for discussion with patients in primary care including how to review the options, anticipatory guidance and how to help patients pick what options work best for them along with review of handling specific cases where options are affected by medical conditions like hypercoagulability and weight loss medications and surgery.
For healthcare professionals education only: Review of medication and surgical abortion for the primary care provider. Brief review of current federal and Washington state law as of September, 2025
Reviewing how to assess for secondary headaches and diagnosis and treatment for tension type headaches, cluster headaches and medication overuse headaches in the outpatient setting
Reviewing how to screen for fall risk in clinic including history screening tools and physical exam and how to address modifiable risk factors for falls with patients
A review of how to approach the use of CAM in primary care practices, the evidence behind common CAM therapies used to treat common primary care conditions and side effects and medication interactions to be aware of.
Reviewing current guidelines for evaluation and management of sleep apnea and restless leg syndrome in the primary care clinic.
Reviewing how to identify if an episode was syncope or not, the subtypes of syncope with recommended history, exam and evaluation to help determine which has occurred as well as treatment and prevention of vasovagal syncope and orthostatic hypotension.
Reviewing the differential for and initial evaluation for elevated LFTs in a hepatocellular and cholestatic pattern based on severity of elevation as well as indications for Hepatology referral.
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.
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.
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