The Mayo 3rd Annual Update in Hospital Medicine
The Third Annual Update in Hospital Medicine presented by Mayo School of Continuing Medical Education was Nov. 8-11 in Tucson, Ariz. The course directors, Ellen Willis, MD, and Adriane Budavari, MD, designed a course to cover not only general hospital medicine, but also to apply research to clinical practice, ethics, provider burnout, and medical history. The course format provided the attendees with five hours of early morning learning for four days, leaving afternoons and evenings free to enjoy Tucson.
After years of continuing medical education (CME) experience, including a stint as associate director of CME at Mayo Arizona from 1995 to 2001, Dr. Willis held the first Mayo Hospital Medicine course in Rochester, Minn., in 2004, with an attendance of 52. In 2005, the venue moved to Tucson, where attendance reached 146, climbing to 161 in 2006. The course continues to improve; we know because of attendees’ reviews.
The 2006 course began with a review of medical history followed by a discussion of disaster management and the role of the hospitalist. The course continued with review of therapeutic hypothermia in the ICU. The next topics were advance directives, ischemic stroke treatments, management of intracerebral hemorrhage, and the proposed change in definition of transient ischemic attack. The first day concluded with common ethical considerations during acute care.
Day two started with evidence-based medicine and a research-based literature review of critical care management strategies. The course continued with presentations on dementia, seizure disorders in the elderly, blistering skin disorders, and wound management principles. Palliative care was reviewed in an interactive format. The day concluded with an array of “toxic syndromes” seen in acutely ill patients, and an evidence-based review supporting more aggressive diabetes mellitus management.
The third day the course started with an exploration of alternative medicines. Then it covered avian influenza, evidence-based recommendations for radiological work-ups in commonly seen inpatient problems, delirium, and psychiatry. After that, there was an update on retrievable IVC filters and one on hospital safety. The day concluded with a panel discussion reviewing delirium case studies with attendees’ participation.
The fourth day covered diagnostic approaches to primary aldosteronism, pheochromocytoma, and also abnormal liver tests. Pulmonary literature was reviewed including the relationship between acetaminophen and respiratory disease. Discussions of common cardiac conditions and upper GI bleeding concluded the conference.
For those of you who need to store some Vitamin D before the winter, or who would like a great review of hospital medicine, the next Update in Hospital Medicine will be back in sunny Tucson Nov. 14-17, 2007.
The 7th Annual Southern Hospital Medicine Update
Ochsner Health System and the Emory University of School of Medicine (Atlanta) hosted the 7th Annual Southern Hospital Medicine Update Nov. 2-4 in New Orleans. Both institutions combined their two successful hospital medicine conferences into one regional symposium after Hurricane Katrina last year.
Steve Deitelzweig, MD, FACP, and David Lee, MD, MBA, FACP, from Ochsner partnered with Mark Williams, MD, FACP, and Dan Dressler, MD, MsC, from Emory. More than 200 healthcare professionals participated in 20 hours of continuing medical education (CME) and the rebirth of New Orleans following the devastation of Katrina last year. The update took place in the heart of the revived French Quarter at the Royal Sonesta Hotel.
The 2006 update started with a New Orleans breakfast of beignets and café au lait. Russell Holman, MD, SHM president-elect, gave a snapshot of the status of hospital medicine, followed by an inspirational talk on leadership by Ochsner CEO Patrick Quinlan.
Cardiology topics were followed by an acute coronary syndrome update, discussion of optimizing management of renal artery stenosis, and updates on congestive heart failure management. Pulmonary and critical care and perioperative management were the topics of the afternoon. Robert Centor of University of Alabama, Birmingham (UAB) worked through various cases of sodium and acid-base problems. Mike Heisler discussed the indications and various modes of mechanical ventilation. Amir Jaffer, MD, of the Cleveland Clinic concluded the day with preoperative assessment and postoperative complications. After a long day of CME guests enjoyed a wine and cheese reception in the hotel’s central courtyard, complete with live jazz music. Then it was “laissez le bon temps rouler” on Bourbon Street.
Day two commenced with vascular medicine and use of clinical case-based teaching pertaining to stroke and critical care. Steve Deitelzweig, MD, reviewed the current advances in venous thromboembolism and urged us to improve prophylaxis in the hospital. Dan Dressler, MD, presented a systematic approach to workup of syncope. The afternoon broke into two concurrent sessions.
The first session included endoscopic approaches to the management of pancreas and biliary diseases, acute gastrointestinal bleeding, and complex endocrine and rheumatology cases. The concurrent session was highlighted by the presentation by Mark Williams, MD, editor of the Journal of Hospital Medicine, on how to optimize the discharge process and Dr. Renee Meadows’ review of strategies to improve safety in the hospital. Then it was on to the French Quarter for the night.
The last half-day began with emerging infectious diseases and hospital-acquired pneumonias. The Review of Medical Literature was followed by a discussion by Jeff Wiese, MD, (Tulane, New Orleans) concerning a hypothetical case that involved the review of the most current literature in 2006. The conference concluded with the wrap-up and review of pearls by David Lee, MD, and left participants with wonderful memories of the atmosphere, foods, and music of New Orleans.
The response from the conference participants has been so positive that the conference directors decided to host the 2007 8th Annual Southern Hospital Medicine Update in New Orleans again and then move to Atlanta in 2008. The conference will expand to include pre-session procedure training, administrative courses and abstract competition next year. TH