CME IM Grand Rounds

Channel - CME IM Grand Rounds

This channel is to aggregate all CME IM presentations.

12/8/2023 8:12:45 PM

Channel Videos

IM Grand Rounds: Finerenone, a novel nonsteroidal mineralocorticoid-receptor antagonist and its recommended use in patients with Type 2 diabetes and CKD

Today's Speaker: Sahil Parag, DO IM Resident, PGY-3 Objectives: 1. Understand the mechanism of action of Finerenone, and how it differs from currently used mineralocorticoid receptor antagonists 2. Identify patients that may benefit from addition of this medication 3. Understand adverse effects and monitoring for these patients 4. Identify the recommendations for specific population that may benefit from use of this medication along with current guidelines 5. Understand patients who this medication would be contraindicated despite have ckd and diabetes

Sahil Parag MD, IM Resident, PGY-3

3/10/2023 5:00:00 PM

IM Grand Rounds: Polypharmacy and Deprescribing

Today's Speaker: Rosemary Chofor, MD IM Resident, PGY-3 Objectives: • Define polypharmacy and deprescribing. • Recognize patients at risk for deleterious effects of polypharmacy. • Integrate screening tools when completing medication reconciliation. • List the strategies that can help minimize polypharmacy.

Rosemary Chofor MD, Internal Medicine Resident, PGY-3

3/28/2023 4:00:00 PM

IM Grand Rounds - INPATIENT HYPERTENSION: TO TREAT OR NOT TO TREAT

Enduring CME will expire on 3/25/2024 Objectives: • Identify the most recent literature on inpatient hypertension. • Analyze the evidence for treating inpatient hypertension. • Distinguish need to intensify outpatient hypertension while inpatient. • Describe interventions residents can implement to reduce the use of IV antihypertensive agents. Disclosures: - There is no commercial support for this activity - The speakers have disclosed that there are no relevant personal or financial relationships Accreditation and Designation: The Northeast Georgia Medical Center & Health System, Inc. is accredited by the Medical Association of Georgia to provide continuing medical education for physicians. The Northeast Georgia Medical Center & Health System, Inc. designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Vidya Baleguli MD

3/25/2022 4:00:00 PM

IM Grand Rounds - Pericarditis Diagnosis and Management: Past, Present and the Future

Enduring CME will expire on 6/03/2024 Objectives: - Discuss key features of pericarditis from the history and physical examination - Recognize etiologies of pericarditis including COVID-19 infection - Describe the Echo and ECG findings for pericarditis - Review evidence-based management of recurrent pericarditis including novel and future therapies Accreditation and Designation: The Northeast Georgia Medical Center & Health System, Inc. is accredited by the Medical Association of Georgia to provide continuing medical education for physicians. The Northeast Georgia Medical Center & Health System, Inc. designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Riaz Mahmood DO, MS

6/3/2022 4:00:00 PM

IM GRAND ROUNDS : POST-COVID TACHYCARDIA

Objectives: Recognize the association between post-COVID syndrome (or long COVID syndrome) and post-COVID tachycardia. Identify the difference between post-COVID tachycardia and inappropriate sinus tachycardia and postural orthostatic tachycardia syndrome. Discuss the demographics, comorbidities and severity of COVID-19 infection associated with post-COVID tachycardia.

Jifeng Wang MD, PGY-3

4/25/2023 4:00:00 PM

IM GRAND ROUNDS FAST-PACED ADVANCES IN HFpEF

Objectives: •Understand Heart Failure with Preserved Ejection Fraction (HFpEF), including definitions, signs, symptoms, and risk factors. •Discuss the proposed pathophysiology of heart failure with both preserved and reduced ejection fractions. •Review the new trial called “MyPACE” to discuss effects of personalized accelerated pacing in patients with HFpEF.

Christine Sykalo DO

4/14/2023 4:00:00 PM

IM Grand Rounds: A Health System Plague, Delirium. The Past, Present, and Future

No Disclosures Learning Objectives: 1. Identify what delirium is 2. Identify the current practices of delirium 3. Be able to explain why the current practices for delirium management are limited 4. Predict the direction of the future of delirium management

Christopher Chew MD, MPH

2/3/2023 5:00:00 PM

IM Grand Rounds: CAP the Duration - Can We Shorten the Course for CAP?

Enduring CME will expire on 3/4/2024 Objectives: • Review previous CAP guidelines • Compare outcomes of community acquired pneumonia (CAP) with 3 days vs. 8 days of antibiotics • Define the appropriate tools and scoring systems utilized • Discuss implications of evidence Disclosures: - There is no commercial support for this activity - The speakers have disclosed that there are no relevant personal or financial relationships Accreditation and Designation: The Northeast Georgia Medical Center & Health System, Inc. is accredited by the Medical Association of Georgia to provide continuing medical education for physicians. The Northeast Georgia Medical Center & Health System, Inc. designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Aman Kapoor DO, IM PGY3 Resident

3/4/2022 5:00:00 PM

IM Grand Rounds: CHATGPT – Implications in Clinical Medicine, Medical Education, and Reflective Practice

Enduring CME will expire on 5/11/2024 Speakers: Nathaniel J Kim, MD IM Resident PGY-3 Ahreum Lim, PhD University of Georgia Postdoc Researcher No disclosures Objectives: •Analyze ChatGPT and explain the concept of Large Language Models. •Assess the applications of broad and narrow Artificial Intelligence in clinical medicine and medical education. •Generate discussion concerning the role and necessity of learning in the context of Artificial Intelligence and automation. Accreditation and Designation: The Northeast Georgia Medical Center & Health System, Inc. is accredited by the Medical Association of Georgia to provide continuing medical education for physicians. The Northeast Georgia Medical Center & Health System, Inc. designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Nathaniel Kim MD, Internal Medicine Resident, PGY-2; NGMC Graduate Medical Education

5/19/2023 4:00:00 PM

IM Grand Rounds: Circulating Tumor DNA (CTDNA): Past, Present and Future

Speaker: Ruben Ruiz Vega, MD IM Resident, PGY-3 No Disclosures Objectives: • Understand the concept of ctDNA by defining what it is and learning its relevance in cancer research and diagnostics. • Grasp the clinical applications of ctDNA by discovering how ctDNA is utilized in cancer diagnosis, prognosis, treatment monitoring and early detection, and the potential impact on patient care. • Identify the challenges and limitations of working with ctDNA, including issues related to sensitivity and specificity. • Explore ctDNA’s role in personalized medicine and its potential for other medical applications.

Various Presenters

11/28/2023 8:13:14 PM

IM Grand Rounds: Delirium in Hospitalized Older Adults

IM Grand Rounds: Delirium in Hospitalized Older Adults Speaker: Akshay Kumar, MD PGY-3 IM Resident No Disclosures Objectives: -Identify what constitutes delirium in an institutionalized older adults. -How to appropriately assess and manage delirium in acute setting as per latest guidelines. -Measures healthcare provider should take to prevent onset of delirium in hospitalized setting.

Various Presenters

9/14/2023 6:07:26 PM

IM Grand Rounds: Delirium Prevention, Detection, and Treatment in the Geriatric Population: A Guide for General Hospitalists

No Disclosures Objectives: Recognize the signs and symptoms of delirium in hospitalized geriatric patients Differentiate between altered mental status and acute delirium Review evidence-based management for acute delirium in geriatric patients hospitalized in the medical ward

Loida Del Rio Lopez MD, PGY-3 IM Resident

1/13/2023 5:00:00 PM

IM Grand Rounds: GLP-1 Receptor Agonists: Indications, Differences, and Future Outlook

Speaker: Aleksandros Mihilli, MD PGY-3 IM Resident No disclosures Objectives: •Understand how GLP-1RA function, and their use in diabetes and weight loss •Compare the available GLP-1RA in terms of efficacy, and when to use which •Look at future advancements in the field and what research is currently ongoing

Various Presenters

11/28/2023 7:28:36 PM

IM Grand Rounds: Lactic Acidosis

Speaker: Olivia Peralta, MD IM Resident, PGY-3 No Disclosures Objectives: -Pathophysiology of anaerobic and aerobic metabolism - Prevalence of Lactic Acidosis and Prognostic Indications -Types of Lactic Acidosis -Role of Thiamine in the setting of persistent Lactic Acidosis -Approach to and management of Lactic Acidosis

Various Presenters

12/8/2023 7:36:35 PM

IM Grand Rounds: Long-term Prevention of Cardiovascular Disease with a Mediterranean Diet

Enduring CME will expire on 12/2/2024. The presentation is originating from Northeast Georgia Medical Center Gainesville. Objectives: - Review of cardiovascular disease. - Demonstrate the role of macronutrients in metabolism. - Discuss American Heart Association dietary guidelines to our patients. - Evaluate supporting literature on use of Mediterranean diet in cardiovascular disease Disclosures: No disclosures Accreditation and Designation: The Northeast Georgia Medical Center & Health System, Inc. is accredited by the Medical Association of Georgia to provide continuing medical education for physicians. The Northeast Georgia Medical Center & Health System, Inc. designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Cesar Sanchez MD, IM Resident, PGY-3

12/2/2022 5:00:00 PM

IM Grand Rounds: Management of Nonalcoholic Fatty Liver Disease in Obese Patients with Type 2 Diabetes Mellitus

Enduring CME will expire on 11/29/2024. The presentation is originating from Northeast Georgia Medical Center Gainesville. Objectives: • Recognize the risk factors associated with developing nonalcoholic fatty liver disease • Discuss the pathophysiology of nonalcoholic fatty liver disease • Review evidence-based management for nonalcoholic fatty liver disease in obese patients with type 2 diabetes Disclosures: No disclosures Accreditation and Designation: The Northeast Georgia Medical Center & Health System, Inc. is accredited by the Medical Association of Georgia to provide continuing medical education for physicians. The Northeast Georgia Medical Center & Health System, Inc. designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Paige Gwynn DO, Resident Physician – PGY3 | Internal Medicine GI Research Interest Group | Co-chair Program Evaluation Committee | PGY3 Representative

11/29/2022 5:00:00 PM

IM Grand Rounds: Obscure GI Bleeding

Speaker: Zainab Abbasi, MD IM Resident PGY-3 No Disclosures Objectives: • Discuss the causes of lower GI bleeding. • Discuss recent advancements in testing and management strategies for lower GI bleeding. • Review instances when an endoscopy does not reveal the source of bleeding.

Various Presenters

11/28/2023 7:51:35 PM

IM Grand Rounds: Opioid Substitution Therapy in the Inpatient Setting

Enduring CME will expire on 5/11/2024 Speaker: Paul Takla, MD No disclosures Objectives: • Decrease stigma surrounding opioid use disorder • Improve ability to identify patients at risk for opioid withdrawal • Understand the pharmacology of Buprenorphine and methadone • Be able to better manage hospitalized patients on Buprenorphine and methadone • Increase use of our hospital’s opioid withdrawal protocol • Learn who can initiate patients on opioid substitution therapy • Connect patients with available resources for opioid use disorder Accreditation and Designation: The Northeast Georgia Medical Center & Health System, Inc. is accredited by the Medical Association of Georgia to provide continuing medical education for physicians. The Northeast Georgia Medical Center & Health System, Inc. designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Paul Takla MD

5/12/2023 4:00:00 AM

IM Grand Rounds: Palliative Care the Earlier, the Better!

Enduring CME will expire on 6/2/2025 Speaker: Mariam Anwar, MD No disclosures Objectives: •Understand early palliative care. •Recognize and identify patients that benefit from early palliative care. •Discuss hospice and non-hospice survival. •Review evidence demonstrating that hospice is associated with longer survival times for certain terminally ill patients Accreditation and Designation: The Northeast Georgia Medical Center & Health System, Inc. is accredited by the Medical Association of Georgia to provide continuing medical education for physicians. The Northeast Georgia Medical Center & Health System, Inc. designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Mariam Anwar MD

6/2/2023 4:00:00 PM

IM Grand Rounds: Resistant Hypertension, A New Approach to Treatment

Speaker: Hadia Ahmad, MD IM Resident PGY-3 No Disclosures Objectives: •Define treatment resistant hypertension. •Understand the role of endothelin and aldosterone in the pathophysiology of hypertension. •Recognize the endothelin pathway as a target for treatment of resistant hypertension. •Review current research investigating endothelin-receptor antagonists and aldosterone synthase in the treatment of hypertension.

Hadia Ahmad MD, IM Resident, PGY-3

2/24/2023 5:00:00 PM

IM Grand Rounds: Role of Aspirin as a single agent for venous thrombophylaxis in patients after extremity fracture

Today's Speaker: Speaker: Oluseyi Abidoye, MD Objectives: - Review and understand the pathophysiology of VTEs in patients with traumatic fractures - Understand role of Antithrombotic agents in preventing VTEs in post-surgical patients - Review current guidelines of VTE prevention in patients with fractures - Understand the Role of Aspirin as a single agent for venous thrombophylaxis in patients after extremity fracture

Oluseyi Abidoye MD

3/24/2023 4:00:00 PM

IM Grand Rounds: The Fountain of Youth, in Pill Form?

Learning Objectives: 1. To critically review and understand the current data and studies regarding metformin as an 'anti-aging' drug through various pathways 2. To help guide future practice and therapy based on current evidence regarding metformin and other longevity medications The speaker has no disclosures.

Nikhilesh Thapa DO, MGHS Internal Medicine PGY-3

1/6/2023 5:00:00 PM

What are you eating for lunch? The Effects of Diet on Health

Title: IM Grand Rounds: What are you eating for lunch? The Effects of Diet on Health Speaker: Nina Le, DO, MPH IM Resident PGY3 No financial disclosures Objectives: - Review cardiovascular disease and types of diets - Evaluate literature in support of Mediterranean diet as well as vegetarian diet - Discuss vegetarian dietary patterns and cardiometabolic risk in patients with cardiovascular disease - Discuss how dietary guidelines should change to reflect the emerging evidence in the field

Various Presenters

9/25/2023 9:57:28 PM

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