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Rheumatology Grand Rounds

Medical Approach to High Risk Osteoporosis

05/19/2017 8:00 AM
Dr. Steven Ing
CarePoint East
543 Taylor Avenue
Columbus, OH
Grand Rounds Learning Objectives:

1.         Assess differential diagnosis


2.         Distinguish consultative functions of Rheumatologists when clinically appropriate


3.         Apply treatment of Rheumatic Diseases


4.         Assist those preparing to take the certification or recertification examinations


Continuing medical
education has been shown to improve practice of medicine by practioners based
on numerous outcome studies (BMC Med Educ. 2014. 1051; J Adv Med Educ Prof 2014
2: 120 – 5; Acad Med 2015, 90 : 33-9. )Hands on, interactive approaches where
the attendees are active participants in the teaching process are effective tools
for changing and improving health care. 
Topics covered over the two year cycle encompass the full breadth of
rheumatology curriculum and cover common problems encountered in our clinics.
Diagnosis and treatment options for rheumatic diseases are constantly evolving
due to the ever changing findings in medical literature. Physicians are not
able to interpret the vast amount of medical information, therefore find it
difficult to integrate these new findings into their practices. It is our goal
to focus on cutting edge diseases management problems and key advances in
practice over the past ten years.


A specific area we have
identified as a practice gap involves state of the art approach to treatment of
hand osteoarthritis.  Specifically,
physicians were unaware of a new vivo study suggesting that aging and joint
osteoarthritis affect the articular shape of the carpometacarpal joint, but
that, in contrast to previously held beliefs, inherent sex differences are not
responsible for the higher incidence of carpometacarpal joint osteoarthritis in
women. (Halilaj E, Moore, DC, Laidlaw DH, Got CJ, Weiss AP, Ladd AL, Crisco JJ.
J Bimech. 2014 May 15).


Another practice gap we
have encountered is new complications of diabetes affecting biomechanical
function. There are a number of new advances in our understanding of diabetes
and musculoskeletal function.  According
to the recent article: Lu MC, Yan ST, Yin WY, Koo M, Lai NS. PLoS One. 2014 Jul
2; 9(7):e101528. doi: 10.1371, analysis indicated that the odds of developing
rheumatoid arthritis were more prominent in younger females (20 to 44 years of
age) with type 2 diabetes. Physicians may be unaware of this correlation.


Each lecture topic will
help fill gaps in our current knowledge base and lead to improved patient
outcomes.  The format of teaching is a
weekly didactic lecture series with key objectives outlined by presenters. On
occasion, there may be hands on teaching. 
Case presentations and/or review of recent journal articles will also be
covered through these formats. Objective measures that we utilize for patient
outcomes include patient satisfaction surveys. Each year, we have noted that
our patient satisfactions scores have improved. Although this is an indirect
measure of patient outcomes, we believe that patient satisfaction with our
practice is an indicator of one aspect of improvement. Other objective measures
include success on certification and recertification examinations. Finally, we
evaluate mortality statistics on an annual basis (disease category based) as a
measure of performance and patient outcomes.

Erica Johnson
Accreditation Statement

The Ohio State University Center for Continuing Medical Education (CCME) is accredited by the Accreditation Council for Continuing Medical Education (ACCME®) to provide continuing medical education for physicians.

AMA Credit Designation Statement

The Ohio State University Center for Continuing Medical Education (CCME) designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity.

Regularly Scheduled Series are certified for AMA PRA Category 1 Credit(s)™ contingent upon receipt of all necessary accreditation documentation, including but not limited to speaker conflict of interest disclosure forms. If the necessary documentation is not received prior to a scheduled event, the Center for Continuing Medical Education reserves the right to remove certification from an educational activity. If you have questions or concerns, please contact the RSS Liaison to verify the activity is CME certified.
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