Hosted by: Matthew Birnholz, MD

Program Description:

This curriculum is designed to improve the management of early-stage breast cancer. The focus is to 1) improve physician decision-making when incorporating treatment algorithms into their clinical practice; 2) evaluate the "value propositions" for genomic/biomarker assays when making treatment decisions; and 3) identify improved treatment options for women with triple negative disease to offer them better outcomes for this difficult to treat subset of early-stage breast cancer.

Hosted by: Mark Chyna, MD

Program Description:

Pri-Med introduces "Pri-Med Access with ACP on ReachMD"; a new interview series with leading faculty live from the event. Now you can access exclusive highlights from the program on-demand anytime, anywhere both online and via your mobile device with Pri-Med Access with ACP on ReachMD. Tune in each week to listen to the latest episode. Topics include neurologic work ups, anemia, thyroid disease, dermatology diagnoses, vitamin D metabolism and deficiencies, top literature highlights, and more.

Hosted by: Mark Chyna, MD

Program Description:

Pri-Med introduces "Pri-Med Access with ACP on ReachMD"; a new interview series with leading faculty live from the event. Now you can access exclusive highlights from the program on-demand anytime, anywhere both online and via your mobile device with Pri-Med Access with ACP on ReachMD. Tune in each week to listen to the latest episode. Topics include neurologic work ups, anemia, thyroid disease, dermatology diagnoses, vitamin D metabolism and deficiencies, top literature highlights, and more.

Hosted by: Lee Freedman, MD

Program Description:

Infection with Streptococcus pneumoniae bacteria is reported by the CDC as a leading cause of illness in young children. Before routine use of pneumococcal conjugate vaccine, pneumococcal infection caused meningitis, blood infections, ear infections and approximately 200 deaths in the US annually in children under five. The pneumococcal conjugate vaccine (PCV13) protects against 13 of the 90 types of pneumococcal bacteria and is given to infants and toddlers to protect them when they are at greatest risk. The Advisory Committee on Immunization Practices (ACIP) has recommended that pneumococcal conjugate vaccine (PCV13) be used more for all children aged 2-59 months, for children aged 60-71 months with underlying medical conditions that increase their risk for pneumococcal disease or complications and for children at high risk from 6 through 18 years of age. This course identifies the current disease burden associated with pneumococcal disease, the importance of pneumococcal colonization in disease, and details the importance for healthcare providers to adopt the updated guideline recommendations in their clinical practice.

Hosted by: Stuart Cohen, MD, FACP, FIDSA

Program Description:

Rates of Clostridium difficile Infection (CDI) incidence, hospitalizations, and deaths have been increasing in recent years, suggesting that current management of this condition may be suboptimal.¹ A number of factors may be attributed to inadequate management of this condition, including controversies regarding optimal diagnostic testing for CDI, risk factors for initial disease and recurrence, and suboptimal adherence to guidelines for infection control strategies.^2-5 Given the recent updated guidelines for CDI, combined with several new agents in development for this disease, it is important that healthcare professionals be aware of the most current research and recommendations for the management of CDI.

References:
1 Zilberberg MD, et al. Emerg Infect Dis. 2008;14:929-931.
2 Hansen G, et al. Clinical Laboratory News. 2010;36:10-13.
3 Association for Professionals in Infection Control (APIC) Pace of Progress poll. May 2010.
4 Gravel D, et al. Am J Infect Control. 2009;37:9-14.
5 Byker GL, et al. Infect Control Hosp Epidemiol. 2009;30:397-399.

Hosted by: Matt Sorrentino, MD

Program Description:

Pri-Med introduces "Pri-Med Access with ACP on ReachMD"; a new expert interview series with leading faculty live from the event. Now you can access exclusive highlights from the program on-demand anytime, anywhere both online and via your mobile device with Pri-Med Access with ACP on ReachMD. Tune in each week to listen to the latest episode. Topics include neurologic work ups, anemia, thyroid disease, dermatology diagnoses, vitamin D metabolism and deficiencies, top literature highlights, and more.

Hosted by: Matt Sorrentino, MD

Program Description:

Pri-Med introduces "Pri-Med Access with ACP on ReachMD"; a new expert interview series with leading faculty live from the event. Now you can access exclusive highlights from the program on-demand anytime, anywhere both online and via your mobile device with Pri-Med Access with ACP on ReachMD. Tune in each week to listen to the latest episode. Topics include neurologic work ups, anemia, thyroid disease, dermatology diagnoses, vitamin D metabolism and deficiencies, top literature highlights, and more.

Hosted by: Matt Sorrentino, MD

Program Description:

Chronic constipation is not a trivial condition; it can dramatically impact quality of life and lead to serious medical problems. The estimated prevalence of chronic constipation in the U.S. is between 2 and 27%, but this increases to 40% among people over 65 years of age. Older adults are at particular risk due to additional chronic disease burdens, immobility, and/or functional limitations.

Chronic constipation can be diagnosed when a patient is experiencing fewer than 3 bowel movements per week and at least two of the following are present in at least 25% of defecations for a period of 3 months or more: hard or lumpy stools, straining with defecation, a sensation of incomplete evacuation, a sensation of anorectal obstruction, or the use of manual maneuvers to assist defecation.

Recognizing chronic constipation can be a challenge, due in large part to a significant disconnect between patient and clinician perceptions of constipation. Effective management of chronic constipation requires a combination of provider and patient education, lifestyle and/or pharmacologic modifications, and the judicious use of pharmacologic and nonpharmacologic therapies.

This podcast will review approaches to care, describe management pitfalls, and outline considerations for tailoring treatment for individual patients. With an improved understanding of the condition and its management, primary, geriatric, and long-term care providers can help lessen the burden of chronic constipation and significantly improve the lives of the older adults in their care.