BLOCK 4    October 2020        

Click on below LINKS to see the Required Readings (Please Read before Roundings)

 

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Week #1

No lecture

 

9/29/20

 

Inpatient Medicine-

Goals and Objectives*-

 

Dr. Sly

 

9/30/20

 

Chest Pain and Acute Coronary Syndrome*

 

Blue Team-Primary Faculty Rounder

 

10/1/20

 

Stroke*

 

Orange Team-Primary Faculty Rounder

 

10/2/20

Simulation 6:00am -

Dr. Waxman

 

Week #2

No lecture

10/6/20

 

Palliative Care-Part I:

Communication Around Advanced Directive and Code Status*-

 

Orange Team-Primary Faculty Rounder

 

10/7/20

 

Electrolyte Emergencies*

 

 

 

 

Blue Team-Primary Faculty Rounder

 

10/8/20

 

Social Services and Case Management-

 

 

 

Case Management

10/9/20

 

Simulation 6:00am -

Dr. Waxman

 

Week #3

No lecture

10/13/20

 

Congestive Heart Failure*-

 

 

Blue Team-Primary Faculty Rounder

 

10/14/20

 

Blood Glucose Management in the Hospital*-

 

Orange Team- Primary Faculty Rounder

10/15/20

 

Sepsis Syndrome and Septic Shock*-

 

Blue Team-Primary Faculty Rounder

10/16/20

 

Simulation 6:00am -

Dr. Waxman

 

M&M - noon to 1pm

 

Week #4

No lecture

10/20/20

 

Pharmacology-

Management of Hypertensive Urgencies and Emergencies*-

 

PharmD- L.Rio

 

10/21/20

 

Acute Renal Failure*-

 

 

 

Orange Team-Primary Faculty Rounder

 

10/22/20

 

LO1 Hospital Medicine Jeopardy

 

 

Blueand Orange Team RICS

 

10/23/20

 

Simulation 6:00am -

Dr. Waxman

 

 

 

 

LO1  (updated 8/6/20)

 

1)   Acute Renal Failure: (LO-1) (updated 7/26/20)
    a. American Family Physician - “Acute Kidney Injury: Diagnosis and Management” December 1, 2019 (REQUIRED READING)
        https://www.aafp.org/afp/2019/1201/p687.pdf
    b. UpToDate - “Overview of the Management of Acute Kidney Injury” -
        http://www.uptodate.com/contents/overview-of-the-management-of-acute-kidney-injury-acute-renal-failure?source=search_result&search=overview+

        of+the+management+of+acute+kidney+injury&selectedTitle=1%7E150
    c. New England Journal of Medicine - “Continuous Renal-Replacement Therapy for Acute Kidney Injury”, December 27, 2012 -

        http://www.nejm.org/doi/pdf/10.1056/NEJMct1206045
        “Timing of Renal-Replacement Therapy in Patients with Acute Kidney Injury and Sepsis”October 11, 2018 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMoa1803213?articleTools=true
        “Contrast Associated Acute Kidney Injury”- May 30, 2019
        https://www.nejm.org/doi/pdf/10.1056/NEJMra1805256?articleTools=true
( If link does not work, please copy and paste and open in a different browser )
    d. Journal of Hospital Medicine - Choosing Wisely: “Urinary Fractional Excretion Indices in the Evaluation of Acute Kidney Injury” January 2016 -
       
https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.2501

2)   Blood Glucose Management in the Hospital: (LO-1) (updated on 7/26/20)
    a. American Family Physician - “Glucose Management in Hospitalized Patients” November 15, 2017 -
        https://www.aafp.org/afp/2017/1115/p648.pdf (REQUIRED READING)
    b. New England Journal of Medicine - “Hypoglycemia and Risk of Death in Critically Ill Patients” September 20, 2012 -
        http://www.nejm.org/doi/pdf/10.1056/NEJMoa1204942
    c. Up-To-Date - “Management of diabetes mellitus in hospitalized patients” -
        http://www.uptodate.com/contents/management-of-diabetes-mellitus-in-hospitalized-patients?source=search_result&search=hyperglycemia+in+the+hospital&selectedTitle=1~150

3)   Chest Pain and Acute Coronary Syndrome: (LO-1) (updated 7/22/20)
    a. American Family Physician - “Acute Coronary Syndrome: Diagnostic Evaluation” February 1, 2017 (REQUIRED READING) -
        http://www.aafp.org/afp/2017/0201/p170.pdf
        “Acute Coronary Syndrome: Current Treatment” February 15, 2017 (REQUIRED READING) -
        http://www.aafp.org/afp/2017/0215/p232.pdf
    b. New England Journal of Medicine - “Chronic Stable Angina” March 24, 2016 -
        http://www.nejm.org/doi/pdf/10.1056/NEJMcp1502240
( If link does not work, please copy and paste and open in a different browser )
        “Acute Myocardial Infarction” May 25, 2017 -
        http://www.nejm.org/doi/pdf/10.1056/NEJMra1606915
( If link does not work, please copy and paste and open in a different browser )
        “Acute Infection and Myocardial Infarction” January 10, 2019 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMra1808137
( If link does not work, please copy and paste and open in a different browser )
    c. “2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines”-
        https://www.heart.org/idc/groups/heart-public/@wcm/@mwa/documents/downloadable/ucm_458913.pdf
    d. Up-To-Date - “Overview of the acute management of ST elevation myocardial infarction”-

        http://www.uptodate.com/contents/overview-of-the-acute-management-of-st-elevation-myocardial-infarction?           

        source=search_result&search=overview+of+the+management+of+st+elevation+myocardial+infarction&selectedTitle=1%7E150

4)   Congestive Heart Failure: (LO-1) (updated 7/26/20)
    a. American Family Physician - “Heart Failure Due to Reduced Ejection Fraction: Medical Management” January 1, 2017 - (REQUIRED READING)
        http://www.aafp.org/afp/2017/0101/p13.pdf
        “Heart Failure with Preserved Ejection Fraction: Diagnosis and Management” November 1, 2017”
        https://www.aafp.org/afp/2017/1101/p582.pdf
        “Cardiomyopathy: An Overview” November 15, 2017 -

        https://www.aafp.org/afp/2017/1115/p640.pdf
    b. New England Journal of Medicine - “Heart Failure with Preserved Ejection Fraction” November 10, 2016 - (REQUIRED READING)
        http://www.nejm.org/doi/pdf/10.1056/NEJMcp1511175
( If link does not work, please copy and paste and open in a different browser )
    c. Circulation - “2013 ACCF/AHA Guideline for the Management of Heart Failure” -
        http://circ.ahajournals.org/content/circulationaha/128/16/e240.full.pdf
        “2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure” August 8, 2017
        https://www.ahajournals.org/doi/epub/10.1161/CIR.0000000000000509

5)   Electrolyte Emergencies: (LO-1) (updated 7/26/20)
    a. American Family Physician - “Potassium Disorders: Hypokalemia and Hyperkalemia” September 15, 2015 (REQUIRED READING) -
        http://www.aafp.org/afp/2015/0915/p487.pdf
        “Diagnosis and Management of Sodium Disorders: Hyponatremia and Hypernatremia” March 1, 2015 (REQUIRED READING) -
        http://www.aafp.org/afp/2015/0301/p299.pdf
    b. New England Journal of Medicine - “An Integrated View of Potassium Homeostasis” July 2, 2015
        https://www.nejm.org/doi/pdf/10.1056/NEJMra1313341?articleTools=true
( If link does not work, please copy and paste and open in a different browser )
        “Disorders of Plasma Sodium- Causes, Consequences and Correction” January 1, 2015
        https://www.nejm.org/doi/pdf/10.1056/NEJMra1404489?articleTools=true
( If link does not work, please copy and paste and open in a different browser )
        “Maintenance Intravenous Fluids in Acutely Ill Patients” October 1, 2015
        http://www.nejm.org/doi/pdf/10.1056/NEJMra1412877
( If link does not work, please copy and paste and open in a different browser )
        “Balanced Crystalloids versus Saline In Critically Ill Adults” March 1, 2018
        https://www.nejm.org/doi/pdf/10.1056/NEJMoa1711584
        “Physiologic Approach to Assessment of Acid-Base Disturbances” October 9, 2014 -
        http://www.nejm.org/doi/pdf/10.1056/NEJMra1003327
( If link does not work, please copy and paste and open in a different browser )

6)   Inpatient Medicine Goals and Objectives: (LO-1) (updated 7/22/20)
    a. “FM-Inpatient Medicineexpected competencies” - (see Curriculum Objectives in Med Hub)

7)   Palliative Care: (LO1, 2 and 3) (updated 7/26/20)
    a. Part I- Communication Around End of Life Care and Code Status: (LO1) -
        i. American Family Physician- “End-of-Life-Care: Guidelines for Patient Centered Communication”January 15, 2008 -
            http://www.aafp.org/afp/2008/0115/p167.pdf
            “Evaluating Medical Decision-Making Capacity in Practice” July 1, 2018 -
            https://www.aafp.org/afp/2018/0701/p40.pdf
        ii. Up-To-Date – “Advanced care planning and advanced directives”-

            http://www.uptodate.com/contents/advance-care-planning-and-advance-directives?

            source=machineLearning&search=CODE+STATUS&selectedTitle=2%7E150&sectionRank=3&anchor=H23369035#H23369035(REQUIRED READING) -
        iii. Journal of Hospital Medicine -
            “Uninformed Consent: Do Medicine Residents Lack the Proper Framework for Code Status Discussions?” February 2016 -
            
https://mdedge-files-live.s3.us-east-2.amazonaws.com/files/s3fs-public/pdfs/journals/jhm2497.pdf
        iv. Fast Facts -
            #16 Moderating an End of Life Conference
            #42 Broaching the Topic of a Palliative Care Consultation with Patients and Families #55 Decision Making Capacity
            #65 Establishing End of Life Goals: The Living Well Interview
            #183 &184 Conflict Resolution Part I & II
            #204 African Americans and End of Life Care
            #227 The Family Meeting: End of Life Goal Setting and Future Planning
            #235 Prognostic Models in Critically Ill Patients

    b. Part II- Symptom Management (LO2)
    c. Part III- Withdrawal of Care and Hospice/GIP Hospice (LO3)

8)   Pharmacology: Management of Hypertensive Urgencies and Emergencies (LO1) (updated 7/26/20)
    a. American Family Physician - “Severe Asymptomatic Hypertension: Evaluation and Treatment” April 15, 2017 -
        https://www.aafp.org/afp/2017/0415/p492.pdf
    b. Consultant: “Acute Hypertension: Hypertensive Urgency and Hypertensive Emergency” March 2016 - (REQUIRED READING)
        https://www.consultant360.com/articles/acute-hypertension-hypertensive-urgency-and-hypertensive-emergency
    c. New England Journal of Medicine - “Acute Severe Hypertension” November 7, 2019 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMcp1901117?articleTools=true
( If link does not work, please copy and paste and open in a different browser )
    d. Up-To-Date: “Evaluation and Treatment of Hypertensive Emergencies in Adults”
        https://www.uptodate.com/contents/evaluation-and-treatment-of-hypertensive-emergencies-in-adults?search=Evaluation%20and%20treatment%20of%20hypertensive%20emergencies%20in%

        20adults&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
        “Drugs Used for the Treatment of Hypertensive Emergencies in Adults”
        https://www.uptodate.com/contents/drugs-used-for-the-treatment-of-hypertensive-emergencies?search=Drugs%20used%20for%20the%20treatment%20of%20hypertensive%       

        20emergencies&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

9)   Sepsis Syndrome: (LO-1) (updated 7/26/20)
    a. American Family Physician - “Sepsis: Diagnosis and Management” April 1, 2020 (REQUIRED READING)
        https://www.aafp.org/afp/2020/0401/p409.pdf
    b. New England Journal of Medicine - “Time to Treatment and Mortality during Mandated Emergency Care for Sepsis” June 8, 2017
        http://www.nejm.org/doi/pdf/10.1056/NEJMoa1703058
        “Early, Goal-Directed Therapy for Septic Shock---A Patient-Level Meta-Analysis” June 8, 2017 -
        http://www.nejm.org/doi/pdf/10.1056/NEJMoa1701380
    c. JAMA - “The Third International Consensus Definitions for Sepsis and Septic Shock (SEPSIS-3)” February 23, 2016 -
       
https://jamanetwork.com/journals/jama/fullarticle/2492881
    d. Up-To-Date - “Sepsis syndromes in adults: Epidemiology, definitions, clinical presentation, diagnosis, and prognosis”
        https://www.uptodate.com/contents/sepsis-syndromes-in-adults-epidemiology-definitions-clinical-presentation-diagnosis-and-prognosis?

        search=sepsis&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
        “Evaluation and management of suspected sepsis and septic shock in adults”
        https://www.uptodate.com/contents/evaluation-and-management-of-suspected-sepsis-and-septic-shock-in-adults?search=sepsis&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2

10)   Social Services and Case Management: (LO1) (updated 7/26/20)
    a. Payers and their provided services: Medicare, Medicaid, Commercial, Self-Pay
    b. Resources for uninsured or underinsured patients
    c. Post hospitalization levels of care: Rehab, LTAC, SNU, NH, Assisted Living, Home Health
    d. Substance Abuse Resources
    e. Community Resources: Transportation, Meals-on-Wheels, etc


11)   Stroke and TIA (LO2): (updated 7/22/20)
    a. American Family Physician - “Recurrent Ischemic Stroke: Strategies for Prevention” October 1, 2017 -

        http://www.aafp.org/afp/2017/1001/p436.pdf
        “Diagnosis of Acute Stroke” April 15, 2015 (REQUIRED READING)
        http://www.aafp.org/afp/2015/0415/p528.pdf
    b. New England Journal of Medicine - “Thrombectomy for Stroke at 6-16 Hours With Selection by Perfusion Imaging” February 22, 2018 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMoa1713973
        “Thrombectomy 6-24 Hours After Stroke With a Mismatch Between Deficit and Infarct” January 4, 2018 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMoa1706442
        “Transient Ischemic Attack” May 14, 2020 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMcp1908837
( If link does not work, please copy and paste and open in a different browser )
        “Acute Ischemic Stroke” July 16, 2020 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMcp1917030
( If link does not work, please copy and paste and open in a different browser )
    c. UpToDate - “Initial Assessment and Management of Acute Stroke” (REQUIRED READING)
        http://www.uptodate.com/contents/initial-assessment-and-management-of-acute-stroke?source=search_result&search=acute+stroke&selectedTitle=1~150

12)   LO1 Hospital Medicine Jeopardy: (LO1) (updated 7/26/20)
        Blue and Orange Team RICS will create a Jeopardy game inclusive of key topics discussed throughout the month during LO.

        They must utilize questions from all topic areas previously presented. Answers to jeopardy    

        questions must be found in the resources listed on the LO web site, but are not required to be found in the REQUIRED READING

        (ie you can use the additional enrichment materials posted).

        RICS may “coach” their teams on which resources to review before the contest, but cannot share specific questions/answers or their team.