NEW PROGRAMS:   DIABETES   HYPERTENSION   DIAGNOSIS

 

The Diabetes Epidemic:

Diagnosis & Treatment Solutions Based on Early Detection

Medical Voice Network, producer of education and training for the medical profession for more than 30 years and Dr. Gerald Bernstein, MD, FACS, past President of the American Diabetes Association, have teamed to create a vitally important medical education course for physicians, nurse practitioners, formulary managers and health insurance providers.

The Diabetes Epidemic: Diagnosis & Treatment Solutions Based on Early Detection, is a threepart program, delivered online or via hand-held device, aimed at training medical professionals to better identify the early symptoms of Type 2 Diabetes by gaining a deeper understanding about how the disease presents within a set of common but often missed symptoms. With earlier detection, patient outcomes can be dramatically improved and the cost of treatment can be reduced significantly. Research suggests patient compliance can be improved with early diagnosis and long-term organ and systemic damage can be reduced or even avoided.

 

This Course is Designed for:

*Primary care physicians

*Nurse practitioners and other care providers

*Specialists in Endocrinology, Cardiology, Ophthalmology

*Formulary managers and committees

*Medical advisory staff of health insurance providers

About the Course

The course is provided in three 90-minute segments, each delivered to the desktop or handheld device of students. Each segment includes narrative, video, graphical, interview, case study and Q&A material. Students will also be provided with a workbook.

Overview & Key Objectives

The course is designed to produce four important learning outcomes for participants:

*Understanding why the key to successful management of diabetes involves the utilization of diabetes trained health care professionals, specifically why working with Certified Diabetes Educators of all disciplines, and when necessary a diabetes oriented endocrinologist can produce dramatically better patient outcomes.

*Understanding of the basic system surrounding glucose metabolism. This is important because of the large number of different categories of pharmaceuticals available for treatment. Physicians and formulary managers need to understand the distinctions, the importance of each and how medications work together with lifestyle changes to promote better patient outcomes.

*Understanding of each type of drug used to treat diabetes, their various forms and what medications work best together, including a deeper understanding of how to start treatment and how to round it out to achieve positive outcomes.

Participants will also gain a deeper understanding of how modern technology affects how diabetes can be treated, ranging from finger-stick glucose measurement to pancreas transplants, to artificial pancreas.

Part 1: The Glucose System and How Diabetes Presents Symptomatically

In Part 1 of the course, Dr. Bernstein explains how the glucose system works and what other organs, glands and systems are impacted when the glucose system is out of balance or permanently damaged. When doctors and other medical professionals better understand thewide-range of body systems that are impacted by the glucose system, they’ll be far better able to spot early signs of imbalance or pathology.

Highlights Include:

*The role and function of glucose for brain, muscle and tissue function

*The glucose system, including the pancreas, adrenal gland, Islets of Langerhans and kidneys

*Glucose utilization, cellular response and the GI and nervous systems

*Diabetes onset from systemic malfunction and how this can present in a patient

Part 2: Medical Treatment from Insulin to Glucose Inhibitors

In Part 2 of the course, Dr. Bernstein provides medical professionals with a deep understanding of the difference between Type 1 and Type 2 diabetes, with a focus on how each develops and why Type 2 diabetes can impact the body differently than Type 1 and present a widely disparate set of symptoms that might not be correctly identified as markers of diabetes. Dr. Bernstein also educates course participants about how each major body system isinfluenced, impacted and eventually impaired as Type 2 diabetes progresses.

Highlights Include:

*The basic systemic distinctions between Type 1 and Type 2 Diabetes

*Systemic pathology in the renal, cardiovascular and optical systems caused by diabetes

*How to connect seemingly unrelated symptoms into a diagnosis of diabetes

*How insulin was discovered and developed, including modern approaches to its use

Part 3: Creating & Managing an Effective Diabetes Treatment Protocol

Part 3 of the course is focused on the need for a clear and comprehensive treatment plan to combat Type 2 diabetes, depending on the stage to which it has progressed. Dr. Bernstein believes strongly that when medical professionals are allied and aligned around the treatment of patients with Type 2 diabetes, substantially better outcomes are possible. This includes a reduction in the number of cases of organ failure, heart attack, stroke, blindness and amputation – due to earlier diagnosis and better partnership between doctors, nurses, pharmaceutical companies, formularies and insurers.

The essence of patient-centric care with diabetes includes a deeper understanding of how to get a higher percentage of patients to take their medications, alter their lifestyles and experience meaningful, objective results in their health.

Highlights Include:

*The need for a comprehensive, multi-specialty approach to successful treatment of diabetes

*How different medical specialists can combine talents to create positive patient outcomes

*How to create higher patient compliance with medication and lifestyle protocols

*How to manage treatment effectively at different stages of diabetic pathology

About Dr. Bernstein

Gerald Bernstein M.D., FACP graduated from Dartmouth College and Tufts University School of Medicine. He is board Certified in Internal Medicine (1966) and Endocrinology (1973). He joined the Board of Directors of the American Diabetes Association in 1994 and served as its Presidentfrom 1998 to1999. While president, Dr. Bernstein instituted the first study group for Type 2 diabetes in adolescence. In 1995 he established a diabetes education program for a group of Manhattan physicians. In 1999 he established and became director of an educator based diabetes education and management program at Beth Israel Hospital in New York.

Dr. Bernstein is among the foremost physicians in the world in understanding the origins of Diabetes, how it presents in the body and how proper diagnosis, medication and patient lifestyle adjustments can balance or even reverse its’ many negative effects.

About Medical Voice Network

Medical Voice Network programs are designed to engage and educate the targeted audience; physicians, pharmacists, RNs, Nurse Practitioners, Diabetes Educators and other healthcare decision makers. Our clients recognize that credible clinical education is necessary for product leadership. Physicians and other healthcare providers prefer learning from their peer leaders. Our programs are developed under the guidance of authors and editors from recognized institutions of excellence, providing the impeccable credentials and high standing in their respective professional communities.

Our programs are designed and produced to target any particular group within any specialty, and are developed within all FDA guidelines and carry the endorsement of leading universities, hospitals and appropriate professional associations.

Sponsorship Opportunity

Your company, as a pioneer in the understanding and treatment of diabetes, is invited to support this important educational program that will dramatically increase the “average” healthcare providers’ understanding of what is happening within the bodies of their patients and how to effectively treat it.

To view an informational video about this course, please visit: Diabetes Education Today.

© 2017 Medical Voice Network All Rights Reserved

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Hypertension: A Modern Approach to Diagnosis and Treatment of the Preventable Killer

Based on the New Guidelines of the 2017 ACC/AHA Study

Medical Voice Network, producer of education and training for the medical profession for more than 30 years and Dr. Seth Martin, Assistant Professor of Medicine at the Johns Hopkins School of Medicine, have teamed to create a vitally important medical education course for physicians, nurse practitioners, medical specialists, formulary managers and health insurance providers. Hypertension: A Modern Approach to Diagnosis and Treatment of the Silent Killer, is a threepart program, delivered online or via hand-held device, aimed at training medical professionals to better understand the major new guidelines and recommendations for the diagnosis and treatment of hypertension developed by the American College of Cardiology and the American Heart Association in their updated 2017 Hypertension Guidelines. Under the new guidelines, patient outcomes can be dramatically improved even though many new patients will becategorized as hypertensive. Research suggests patient outcomes can be improved with early diagnosis and long-term heart, brain and kidney damage can be reduced or even avoided.

This Course is Designed for:

*Primary care physicians

*Nurse practitioners and other care providers

*Specialists in Neurology, Endocrinology & Cardiology

*Formulary managers and committees

*Medical advisory staff of health insurance providers

*Staff training needs of pharmaceutical companies

About the Course

The course is provided in three 90-minute segments, each delivered to the desktop or handheld device of students. Each segment includes narrative, video, graphical, interview, case study and Q&A material. Students will also be provided with a workbook.

Overview & Key Objectives

The course is designed to produce five important learning outcomes for participants:

*Understanding the new ACC/AHA guidelines and why a new blood pressure threshold for clinical diagnosis and changes in pharmacological intervention practices are all strongly recommended.

*Understanding the importance of accurate blood pressure measurement. This is important especially to primary care physicians and nurse practitioners, due to the effects of so-called “white coat hypertension” that can produce false positives and “masked hypertension” that can produce false negatives

*Understanding the cascading effects on patient health of elevated blood pressure over time. This is important because of the strong connection between elevated blood pressure over time and the onset of cardiovascular, neurological and renal disease.

*Understanding the distinctions and benefits of different approaches to pharmacological interventions at different stages of hypertension. Physicians and formulary managers need to understand the distinctions, the importance of each and how medications work together with lifestyle changes to promote better patient outcomes.

*Understanding the distinctions in hypertension – white coat/masked – and the meanings of the different levels or stages of hypertension and how to treat each with both lifestyle change recommendations and pharmacological interventions, including monotherapy and multipledrug therapy.

Participants will also gain a deeper understanding of how long-term hypertension impacts general health and specific body systems – renal, cardiovascular, neurological, as well as how to properly treat the underlying hypertensive condition of patients in conjunction with treatment of its’ impacts in the form of heart, kidney, brain and other diseases.

Part 1: Understanding the New ACC/AHA Guidelines & Recommendations

In Part 1 of the course, Dr. Martin reviews the key findings of the 2017 ACC/AHA Guidelines on the diagnosis and treatment of hypertension. While a primary change in the 2017 study versus the earlier JNC-7 study (2003) relates to the reduction in the threshold blood pressure level (SBP/DBP) that should be classified as clinical hypertension, several additional findings and recommendations are crucial for practitioners to understand. Under the new guidelines millions of Americans will be re-classified as hypertensive. Millions more will be classified as having elevated blood pressure. Physicians need to understand how these re-classifications impact the disease-management strategies and protocols for millions of patients, including therapeutic interventions, self-monitoring of blood pressure and lifestyle changes that should be recommended.

Highlights Include:

*The new threshold for clinical diagnosis of hypertension and what it means for patients

*New guidelines for accurate ambulatory/home blood pressure measurement

*New ASCVD risk based guidelines for pharmacological interventions and the factors upon which they are based

*Updated information relating to risk factors, at-risk populations and patient outcomes

Part 2: Hypertension Risk Factors, Complications & Recommended Lifestyle Changes

In Part 2 of the course, Dr. Martin provides a comprehensive review of primary risk factors for hypertension, complications of the disease and recommendations for lifestyle changes for patients at various stages of the disease. While most doctors are generally aware of the risk factors and complications of hypertension, few are aware of the latest statistical information provided by the 2017 ACC/AHA Guidelines and why this information is increasingly important to effective treatment and better patient outcomes. In addition, most practitioners may not be well-schooled in how to manage complexcases of hypertension that are underlying (and often missed) other pathology, including cardiovascular, renal, osteo, ophthalmological and neurological disease and events. Given that millions more people will be classified as hypertensive under the new guidelines, it is vital that practitioners understand the connection between long-term hypertension and other pathology.

Highlights Include:

*The basic distinctions between elevated blood pressure and stage I & II hypertension

*Pathology in the renal, bone and optical systems caused by hypertension

*Pathology in the cardiovascular and neurological systems caused by hypertension

*How to connect seemingly unrelated symptoms or events into a diagnosis of hypertension

*How lifestyle changes can reduce hypertension and thus reduce related pathology and the incidence of related disease and event

Part 3: New Guidelines for the Pharmacological Treatment of Hypertension

Part 3 of the course is focused on the need for a clear and comprehensive treatment plan to combat hypertension, especially with regard to how the new ACC/AHA guidelines and recommendations impact treatment strategy. The new ACC/AHA guidelines provide a comprehensive recommendation with regard to both pharmacological intervention and patient lifestyle change. Pharmacological intervention is now recommended in a different manner depending on the stage of pathology, the type of hypertension identified, the presence of other diseases or events and demographic factors including age. With regard to pharmacological intervention, new distinctions regarding the use of monotherapy versus multiple drugs are vital for physicians to understand. Finally, the essence of patient-centric care with regard to hypertension includes a deeper understanding of how to get a higher percentage of patients to take their medications, alter their lifestyles and experience meaningful, objective results in their health.

Highlights Include:

*Treating different types and stages of hypertension, without or without drugs

*Effective use of monotherapy versus multi-drug therapy in pharmacological intervention

*How to create higher patient compliance with medication and lifestyle protocols

*How to manage treatment effectively when other pathologies are present

About Dr. Martin

Seth Martin, MD, M.H.S., is Co-Director of the Advanced Lipid Disorders Center and an Assistant Professor of Medicine at the Johns Hopkins School of Medicine, Division of Cardiology, focusing primarily on prevention and cardiac CT. Dr. Martin received his Bachelor of Science degree from Washington and Lee University, graduating summa cum laude and Phi Beta Kappa. He received his medical degree from the University of Pennsylvania and completed his internal medicine training at Duke University. Dr. Martin then completed a cardiology fellowship at the Johns Hopkins University School ofMedicine. He was designated the Henry R. Kravis & Marie-Josée Cardiovascular Fellow and also served as a Pollin Cardiovascular Prevention Fellow. Dr. Martin was awarded the Howard S. Silverman Research Award for originality and creativity in medical research. Additionally, he was recognized as an Up and Coming Future Star of Cardiology by the American College of Cardiology. Dr. Martin also holds a Master of Health Science degree from the Johns Hopkins Bloomberg School of Public Health.

About Medical Voice Network

Medical Voice Network programs are designed to engage and educate the targeted audience; physicians, pharmacists, RNs, Nurse Practitioners, Diabetes Educators and other healthcare decision makers. Our clients recognize that credible clinical education is necessary for product leadership. Physicians and other healthcare providers prefer learning from their peer leaders. Our programs are developed under the guidance of authors and editors from recognizedinstitutions of excellence, providing the impeccable credentials and high standing in theirrespective professional communities.

Our programs are designed and produced to target any particular group within any specialty, and are developed within all FDA guidelines and carry the endorsement of leading universities, hospitals and appropriate professional associations.

Sponsorship Opportunity

Your company, as a pioneer in the understanding and treatment of hypertension, is invited to support this important educational program that will dramatically increase the “average” healthcare providers’ understanding of what is happening within the bodies of their patients and how to effectively treat it under the new ACC/AHA guidelines. 

© 2017 Medical Voice Network All Rights Reserved

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The Art of the Differential Diagnosis:

A Call Back-to-Basics Patient-Centric Diagnosis in the Digital Age

 

Medical Voice Network, producer of education and training for the medical profession for more than 30 years and Dennis Bloomfield, MD, have teamed to create a vitally important medical education course for medical teaching faculty, primary physicians, students and residents.

The Art of the Differential Diagnosis: A Call for Back-to-Basics Patient-Centric Diagnosis in the Digital Age, is a multi-part program, delivered online or via hand-held device, aimed at training medical professionals to more effectively diagnose patients through the use of structured physical examination, an approach that requires far more than mere reliance on laboratory tests and costly diagnostic equipment.

The Physical Examination, never well supervised nor integrated into the differential diagnostic teaching in U.S. medical School curricula, has been largely superseded by laboratory testing and imaging in the digital age. Residents in internal medicine and nurse practitioners graduate mostly without the confidence or ability to arrive at diagnoses using the personal skills of observation or the smooth sequence of an effective examination.  

Excuses include the time constraints of modern practice and the patient expectations about testing. The requirements of the electronic medical record’s workload have minimized the looking at and touching the patient. Even the practice of wearing rubber gloves indicates to the patient that “laying on of hands” is best avoided. In its defense, physical examination empowers the practitioner to arrive at diagnoses on the spot, reduces testing from casting a wide, wide net to condensing the choice of tests to confirmation status. It saves time and money and length of stay in hospital. But most of all, smoothly conducted examinations improve patient satisfaction, elevate the patient's confidence in the physician and establish a stronger bond in the doctor-patient relationship.

By using Dr. Bloomfield's techniques, patient outcomes can be dramatically improved through more accurate initial diagnoses and cost of treatment can thereby be reduced significantly. While many illnesses can be diagnosed from the symptoms, Dr. Bloomfield’s technique can quickly support or deny the entertained diagnosis, directing and speeding the appropriate confirmation testing, reducing unnecessary laboratory work and saving money and time. Patient outcomes can be improved when physicians are better trained in clinical diagnostic skills and critical analysis of the findings.  Patient satisfaction and confidence in the doctor is increased by the hands-on, smoothly sequenced physical examination technique.

 

 

This Course is Designed for:

*Primary care physicians

*Nurse practitioners and other care providers

*Medical specialists across all disciplines

*Staff training needs of hospitals and clinics

About the Course

The course is grounded in actual patient diagnosis completed by Dr. Bloomfield and residents, with Dr. Bloomfield teaching residents the art and science of Differential Diagnosis. The course can be delivered to the desktop or hand-held device of students. Each segment includes narrative, video, graphical, interview, case study adn Q&A material. Students will also be provided with a workbook. The course is based on the Richmond University Medical Center program intended to sharpen physical examination skillsand demonstrate to residents that with these skills they can arrive at even complex diagnoses using ancillary testing only as confirmation.

Overview & Key Objectives

The course is designed to produce several important learning outcomes for participants, including:

*Understanding when spot diagnosis is useful in diagnosing late-stage pathology

*How to begin to dianose a patient through use of groups of differential diagnoses from the very onset of doctor-patient interaction.

*How to assess groups of potential pathologies in the context of a patient's symptoms in order to begin to narrow the list of potential pathologies a patient may have.

*How to conduct a thourough, but efficient, patient examination, armed with the information gained from the inital patient interview and history.

*How to use the LISTS technique in combination with the Decision Tree Technique and tables to target the specific patholgy a patient may have from among a group of possible conditions.

Participants will also gain a deeper understanding of why lab tests, electrocardiograms and x-rays are most effective as a technique for confirming a diagnosis, rather than estabolishing a diagnosis. In addition, students will learn how to make a first-diagnosis of a condition that they've never made before, something that can arise when a patient is suffering from a rare disorder. 

The course is presented in three segments:

Part 1:  Understanding the Art & Science of Differential Diagnosis

In Part 1 of the course, Dr. Bloomfield introduces students to Differential Diagnosis, distinguishes it from spot diagnosis and from the common practice of using medical technology and lab tests as the basis for initial diagnosis.

Rather than rely on technology at the outset, Dr. Bloomfield challenges students to first use their own clinical and critical faculties.

Students are also encouraged to develop and utilize their observational skills in ways that go far beyond merely assessing symptoms. All of this takes time and effort to develop as a skill-set, but can make a tremendous difference in physicians’ level of competence in diagnosing illness. That, in turn, provides better patient outcomes and reduced costs related to misdiagnosis and/or unnecessary tests and procedures.

 Highlights Include:

*Why the use of technology alone is insufficient in diagnosing pathology

*How to conduct a thorough patient interview

*How to use observational skills to gain insights about patients' lives

*How to use grouping techniques to create a broad context of possible pathologies

*How to narrow the inital group of potential pathologies to hone in on likely problem 

Part 2:  Applying Differential Diagnosis Techniques

                                         

In Part 2 of the course, Dr. Bloomfield provides a comprehensive approach to the use of Differential Diagnosis with multiple examples of how to diagnose a number of conditions and pathologies. Each is presented on an actual patient as Dr. Bloomfield guides interns and residents through the Differential Diagnosis process.

Most doctors are generally aware of the importance that accurate initial diagnosis plays in the effective treatment of patients. But few are taught specific methods for using their own innate and developed observational, clinical and analytical skills to arrive at a correct diagnosis. Because many patient symptoms can relate to several distinct pathologies, correct diagnosis requires a repeatable process doctors can use to begin to narrow the possibilities and arrive at the actual problem that must be addressed. Differential Diagnosis is a process that relies first on the critical, observational and clinical skills of doctors, then utilizes the many medical technology tools available to confirm, rather than establish, a correct diagnosis.

Highlights Include:

*Conducting the initial patient interview within the Differential Diagnosis context

*Developing the observational skills needed to glean life situation data from patients

*Developing the skills needed to create groups of potential pathologies

*Utilizing Lists, Decision Trees and Tables as part of Differential Diagnosis

*Examples of actual Differential Diagnoses being conducted to diagnose specifica pathologies

*Examples of the use of Differential Diagnosis to diagnose rare conditions pathologies, including how to make a first diagnosis of a condition that a doctor has not previously seen.

 

Part 3:  Using Differential Diagnosis in Conjunction with Technology

                                         

Part 3 of the course is focused on how to properly incorporate medical technology into Differential Diagnosis. Dr. Bloomfield here instructs students on the use of medical technology as a means to confirm a diagnosis, rather than to establish the diagnosis.  

We live in an age in which abundant and highly useful medical technology is available to most physicians. Doctors trained in the technology age have come to rely on such technology tools, many times as a primary method for diagnosis. However, use of abundant tests, x-rays, lab work and technology-enabled procedures, often invasive, can dramatically increase the cost of medical care. At the same time, physicians who rely only on test results for diagnosis can simply not be certain that the tests and procedures are “looking in the right place,” in a particular case. A far better approach is for doctors to deepen their observational, clinical and critical thinking skills to their applied knowledge of the body and its’ systems, then use those skills initially to form a diagnostic opinion. Technology can then be used to confirm it.

Doctors that learn and implement Differential Diagnosis will not only experience the confidence of having sharper diagnostic skills, but also the joy of better patient relationships and outcomes. Finally, sharp diagnostic skills can save lives, lower treatment costs from unnecessary tests and procedures and increase patient satisfaction.

Highlights Include:

*Using electrocardiograms and x-rays to confirm a diagnosis

*Using blood work and other lab tests to confirm a diagnosis

*What to do when tests and procedures fail to confirm a diagnosis

*How to use tests and procedures to distinguish multiple pathologies 

About Dr. Bloomfield

Dennis Bloomfield, MD is Emeritus Professor of CLinical Medicine, New York Medical College and formerly Chairman of Medicine, Richmond University Medical Center 1975-2002. He is also Director of Clinical Research, Richmond University Medical Center.

Doctor Bloomfield is a Fellow of the American College of Physicians (FACP) and the Royal Australasian College of Physicians (FRACP) Dr. Bloomfield is the author of more than 100 medical journal articles, two books and many presentations at regional, national and international conferences.  

About Medical Voice Network

Medical Voice Network programs are designed to engage and educate the targeted audience; physicians, pharmacists, RNs, Murse Practioners, Diabetes Educators and other healthcare decision makers. Our clients recognize that credible clinical education is neccessary for product leadership. Physicians and other healthcare providers prefer learning from their peer leaders. Our programs are developed under the guidance of authors and editors from recognized institutions of excellence, providing the impeccable credentials and high standing in their respective professional communities.

Our programs are designed and produced to target any particular group within any specialty, and are developed within all FDA guidelines and carry the endorsement of leading universities, hospitals and appropriate professional associations.

Sponsorship Opportunity

Your company, as a pioneer in the understanding and treatment of hypertension, is invited to support this important educational program that will dramatically increase the "average" healthcare providers' understanding of what is happening within the bodies of their patients and how to effectively treat it under teh new AAC/AHA guidelines. 

 
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