Renal Physiology 

• Overview of Common Kidney Diseases 
• Importance of Early CKD Detection in Primary Care 

Screening and Diagnostic Tools 

• Key Indicators for Kidney Health 
• Interpretation of Lab Results 
• Role of Imaging in Diagnosing Kidney Conditions 

Lifestyle Interventions for Kidney Health 

• Dietary Approaches to Promote Kidney Health 
• Exercise and its Impact on Kidney Function 
• Lifestyle Modifications for Preventing/slowing the presentation of Chronic Kidney Disease 

Medication Management 

• Managing Medication Regimens in Patients with Chronic Kidney Disease 
• Addressing Adverse Effects and Interactions 

Chronic Kidney Disease (CKD) Management 

• Stages of CKD and Diagnostic Criteria 
• Comprehensive Management Strategies 
• Monitoring and Follow-Up in Primary Care 

Coordinated Care for Patients with Kidney Disease 

• Collaborating with Nephrology Specialists 
• Communicating with the Interdisciplinary Team 
• Facilitating Patient Education and Self-Management 

Case Studies and Practical Applications 

• Real-life Case Scenarios in Primary Care 
• Problem-solving and Decision-Making Exercises 
• Best Practices for Integrating Knowledge into Daily Practice 

Emerging Trends and Innovations 

• Updates on Research and Treatment Modalities 
• Incorporating Technology in Kidney Care 
• Staying Informed in a Rapidly Evolving Field 

Role of Primary Care in ENT 

• Common ENT Presentations in Primary Care 
• Early Detection and Timely Intervention 

ENT Issues 

• Practical Approach to Epistaxis in Primary Care 
• Dysphonia: Evaluating and Addressing Hoarseness 
• Hearing Loss: A Primary Care Perspective 
  • Hearing Assessment in Primary Care 
  • Counseling and Support for Patients with Hearing Impairment 
• Understanding Tinnitus 
• Neck Mass: Assessment and Differential Diagnosis 
  • Red Flags and Alarm Symptoms 
  • Collaboration with Specialists and Imaging Considerations 
• Sinonasal Disorders: From Congestion to Sinusitis 
• Dizziness: Peripheral vertigo 

Additional ENT Topics in Primary Care 

• Pediatric/Geriatric ENT Issues 
• Uncommon Presentations and Case Studies 

Collaborative Care and Referral Guidelines 

• When to Refer: Guidelines and Best Practices 
• Communication with ENT Specialists 

Understanding Diabetes Management Guidelines  

• Diabetes classifications and treatment history  
• Pathophysiology of diabetes 
• Latest ADA/ AACE guidelines for diabetes management 

Lifestyle Interventions 

• Role of movement and meal planning in diabetes management 
• Role of mass reduction and monitoring 
• Behavior modification techniques to improve patient adherence 
• Addressing lifestyle challenges and patient engagement 
• Practical tips for incorporating lifestyle interventions into care plans 

Medication Management  

• Overview of the various classes of diabetes medications 
• Mechanisms of action and indications for each class 
• Selecting the most appropriate treatment options for specific patient profiles 
• Case-based learning on medication selection 

Monitoring and Technology 

• Latest advancements in glucose monitoring and continuous glucose monitoring (CGM) 
• Introduction to digital tools and apps for diabetes management 
• Strategies for empowering patients to manage their condition using technology 
• Case scenarios demonstrating the use of monitoring and technology 

Patient-Centered Care  

• Importance of tailoring care to individual patient needs 
• Strategies for creating personalized management plans 
• Case studies illustrating patient-centered approaches 

Understanding Thyroid Function
The anatomy and physiology of the thyroid gland 

• Functions of the thyroid in maintaining homeostasis 
• Common thyroid disorders and their prevalence 

Hypothyroidism
Defining and Types of hypothyroidism, incidence/prevalence 

• Causes of hypothyroidism 
• Clinical manifestations of hypothyroidism 
• Relevant lab tests for diagnosing hypothyroidism 
• Diagnostic criteria and interpretation of lab results 
• Treatment options for hypothyroidism 

Hyperthyroidism 

• Defining and Types of hyperthyroidism, incidence/prevalence  
• Causes of hyperthyroidism 
• Clinical manifestations of hyperthyroidism 
• Relevant lab tests for diagnosing hyperthyroidism 
• Diagnostic criteria and interpretation of lab results 
• Treatment options for hyperthyroidism 

Thyroid Cancer 

• Defining and Types of hyperthyroidism, incidence/prevalence  
• Common causes and risk factors for thyroid cancer 
• Clinical manifestations of thyroid cancer 
• Diagnostic approaches for thyroid cancer (ultrasound, fine-needle aspiration) 
• Interpretation of biopsy results 
• Treatment options for thyroid cancer (surgery, radioactive iodine therapy, targeted therapy) 

Patient-Centered Care for Thyroid Disorders 

• Communicating with patients about thyroid conditions 
• Addressing patient concerns and managing expectations 
• Tips for promoting medication adherence and managing side effects 
• Case studies: Patient-centered approaches to hypothyroidism, hyperthyroidism, and thyroid cancer 

Success Stories and Real-World Experiences 

• Inspirational stories from experienced practitioners who have made a significant impact on their patients' thyroid health 
• Practical insights and lessons learned in managing hypothyroidism, hyperthyroidism, and thyroid cancer in primary care 

Staying Informed and Engaged 

• Resources for staying updated on thyroid research and guidelines 
• The importance of professional networks and associations 
• Encouraging continued learning and knowledge sharing 

IBS Prevalence and Impact in Primary Care 

• Importance of early detection and proactive management
• Identifying key symptoms and diagnostic criteria
• Patient history-taking and symptom assessment

Diagnostic Studies and Labs 

• Relevant diagnostic studies
• Interpreting lab results for IBS diagnosis

Initial Treatments 

• Lifestyle modifications and dietary interventions
• Behavioral approaches for symptom relief
• Tailoring treatment plans for patients with co-morbidities

Pharmacological Approaches 

• Overview of pharmacological options
• Understanding medication mechanisms and potential benefits
• Recognizing and managing adverse reactions
• Strategies for minimizing side effects

Referral/Collaboration Criteria 

• When to refer to gastroenterology
• Collaborative approaches for seamless patient care
• Coordinating care plans for better outcomes
• Patient engagement and monitoring strategies

Introduction to Primary Care Orthopedics 

• Overview of the role of primary care providers in orthopedic care 
• Common orthopedic conditions encountered in primary care 
• The importance of early diagnosis and appropriate management 

Diagnostic Skills in Orthopedics 

• Selection and utilization of imaging modalities 
• Interpretation of diagnostic studies (X-rays, MRIs, CT scans) 
• Identifying key indicators for accurate orthopedic diagnoses 

Referral Decision-Making 

• Criteria for determining when to refer patients to orthopedic specialists 
• Communication and coordination with orthopedic colleagues 

Non-Operative Management of Orthopedic Conditions 

• Pharmacological interventions 
• Physical therapy and rehabilitation strategies 
• Patient education and self-care for orthopedic conditions 

Case Studies and Practical Application 

• Analyzing real-world cases from primary care practice 

Clinical Evaluation of Dementia 

• Differentiate between normal aging, mild cognitive impairment, delirium, and early dementia 
• The clinical evaluation 
• Common cognitive assessment tools 

Types of Dementia 

• Profiles of common dementias 
• Diagnosis and treatment of common dementias  

Nonpharmacologic Care Considerations 

• Cognitive interventions 
• Environmental modifications 
• Interpersonal Approaches  

Pharmacologic Care Considerations 

• Dementia stabilization therapy (ACHEI, NMDA receptor antagonist, Amyloid Beta directed antibody)- Limitations of the research and potential risks 
• Neuropsychiatric symptom management (antipsychotics, benzodiazepines, antianxiety agents, antidepressants…)- Limitations of the research and potential risks 

Understanding Young Men's Health 

• Importance of addressing young men's health 
• Common challenges and risk factors 
• Primary care for young men 
• Tailoring care to the individual needs of young male patients 

Mental Health and Well-being 

• Recognizing signs of depression and anxiety 
• Assessment and diagnosis  
• Evidence-based treatments for mental health conditions 
• Suicide prevention and risk assessment 

Substance Abuse and Addiction 

• Understanding the impact of alcohol, tobacco, and drug use 
• Substance use disorders and co-occurring conditions 
• Treatment approaches and rehabilitation options 
• Strategies for prevention and harm reduction 

Fostering Safety with “Good” Choices 

• Strategies for injury prevention in sports-related activities 
• Driving 
• Crime & Gun Violence — After-school programs 
• Internet/Phones 

Nutrition, Exercise, and Healthy Living  

• Promoting a healthy diet for young men 
• Addressing nutritional needs and deficiencies 
• Encouraging regular exercise and its benefits 
• Role of sleep in overall well-being/Sleep hygiene 
• Immunizations 

Genital Health and Self-Exams 

• Importance of self-examinations 
• Testicular and Prostate Cancer 
• Common complications/problems 

Sexual Health, Orientation, and Gender Identity 

• Adapting to the “new” generations - Inclusive Care 
• Promoting safe sex practices 
• Birth Control 
• Understanding and preventing sexually transmitted infections (STIs) 

Impact of alcohol use disorder (AUD)

• Who
• Risks of Heavy Drinking

Definitions related to alcohol consumption
Primary Care

• Benefits of screening for AUD
• How to perform

Detox – outpatient and inpatient protocols

• When to refer

Medications for maintaining sobriety

• Monitoring

Other supports for AUD

The Imperative for LGBTQIA+ Inclusive Care in Primary Settings

• Understanding the Diversity of LGBTQIA+ Healthcare Needs 
• Holistic Overview: Health Disparities Across Identities 
• Navigating the Spectrum: Unique Needs  

Beyond Labels: Recognizing Intersectionality in Health

• Healthcare Challenges and Disparities 
• Addressing Mental Health Disparities 
• Tackling Access Barriers to Quality Care 
• The Impact of Stigma on Health Outcomes 

Crafting Inclusive Practices for Comprehensive Care

• Language and Communication: Tailoring Approaches to Affirm Identity 
• Safe Spaces: Fostering Physical and Emotional Well-being 
• Cultivating Trust: Understanding the Importance of Cultural Competency 

Specific Healthcare Approaches

• Sexual and Reproductive Health Needs 
• Hormone Therapy and Gender-Affirming Care 
• Mental Health Support: Strategies for Inclusive Counseling 

Case Studies and Best Practices

• Showcasing Successful Models of LGBTQIA+ Inclusive Primary Care 
• Real-World Scenarios: Practical Solutions and Patient-Centered Approaches 
• Recap of Key Takeaways 
• Practical Steps for Inclusive Care 

Back to Basics Start with Pain Assessment 

• Definitions, Types, and Impact 
• Comprehensive Pain Assessment: Subjective and Objective Measures 
• See Your Patient - Importance of Patient-Reported Outcomes 

Evidence-Based Pain Management Strategies 

• Non-Pharmacological Interventions
  • Physical Therapy and Exercise 
  • Mind-Body Approaches 

Pharmacological Interventions Beyond Opioids 

• NSAIDs, Acetaminophen, and Adjuvant Medications 
• Integrative Medicine Approaches: Acupuncture, Massage, and Chiropractic Care 
• Emerging Trends in Pain Management Research 

Responsible Opioid Prescribing Practices 

•  Understanding Opioids: Types, Mechanisms, and Dosage Forms 
• Patient Selection Criteria for Opioid Therapy 
• Dosage Titration and Monitoring for Effectiveness 
• Mitigating Opioid Risks
  • PDMP Utilization 
  • Patient Education 

Multidisciplinary Pain Care Collaboration 

• Interprofessional Collaboration in Pain Management 
• Patient-Centered Care: Addressing Physical, Emotional, and Social Aspects of Pain 
• Team-Based Approaches: Working with Psychiatric Mental Health Specialists, Physical Therapists, and Specialists 

Legal and Ethical Considerations in Pain Management 

• Current Legislation and Guidelines in Opioid Prescribing 
• Ethical Dilemmas in Pain Care: Balancing Pain Relief and Risk Mitigation 

Reimagining Pain Management Post-Oxycodone Era 

• Understanding the Oxycodone Era 
• Informed consent and shared decision-making  

Assessing and Addressing Opioid Misuse and Addiction 

•  Identifying Signs of Opioid Misuse and Addiction 
• Intervention Strategies for Opioid-Related Concerns 
• When to refer...pain specialists, addiction specialists, and treatment programs 
• Developing Patient-Centered Plans for Opioid Tapering 

Quality Metrics and Benchmarks in Pain Care 

• Monitoring and Evaluating Pain Management Outcomes 
• Staying Current with Evolving Best Practices 

Vaccine statistics 

• Worldwide  
• US  

Current CDC and ACIP recommendations for pediatric and adolescent recommendations  

• New vaccines 
• Updated recommendations for existing vaccines 
• Catch up schedules 
• Vaccinating for medical conditions 

Travel recommendations 

• Resources for travel vaccine information  
• Measles vaccine before travel 
• Hepatitis A vaccine before travel 
• Polio booster before travel to high-risk areas 

Vaccine adverse event reporting (VAERS)  

Overcoming vaccine hesitancy 

Vaccines on the horizon 

Treating common pediatric respiratory infections 

• Otitis media  
• URI vs sinus infections  
• Pneumonia  
• Group A strep 

Treating common skin infections 

• Impetigo 
• Cellulitis/boils  
• Paronychia  
• Animal bites  

Treating urinary tract infections  

• Infants and children under age 2 years 
• Young children  
• Adolescents  

Treating eye infections 

Treating gonorrhea and chlamydia 

Antiseizure Medications   

• Classification   
• Pharmacology  
• Side effects   
• Interactions   
• Toxicities  

Recommended Medications by Seizure Type  

• Focal onset   
• Generalized  

Special Considerations  

• Therapeutic monitoring  
• Alcohol consumption  
• Non-adherence   
• Geriatric patients 
• Women (contraception and pregnancy) 
• Driving 

Acne 

Dermatitis 

• Atopic 
• Allergic 
• Contact 

Benign Lesions 

• Cysts/Lipoma 
• Nevi 
• Seborrheic/Solar Keratosis 

Pre-Malignant Lesions 

• Actinic Keratosis 

Malignant Lesions 

• Basal Cell Carcinoma (BCC) 
• Squamous Cell Carcinoma (SCC) 
• Melanoma 

Reflux & Heartburn 

• Pathophysiology/effects 
• Typical vs Atypical 
• Patient referrals 

Comprehensive Evaluation 

• EGD/pH/HRM 
• US/HIDA 
• Gastric Emptying 
• Esophagram 
• Planimetry 
• CT 

Treatment options 

• Lifestyle/diet 
• Medication 
• Endoscopic 
• Surgical 

Medical Weight Management 

• Assessment/consult 
• Diagnostics/Labs 
• Processed Food Addiction 
• Treatment route 

Quality of life/success 

• Education 
• Options 
• Referral(s) 

Patient/provider relationship for lifelong disease 

• Openness/trust 
• Continued knowledge and education 
• Accountability 
• Follow through 

Asthma Management and Medication Devices  

• Classification 
• Stepwise approach 
• Short-acting beta agonists (SABA) 
• Inhaled Corticosteroids (ICS) 
• Biologics 

Latest-Evidence/Guidelines 

• Single Maintenance and Reliever Therapy (SMART) 
• Global Initiative for Asthma (GINA) 
• National Asthma Education and Prevention Program Coordinating Committee (NAEPPCC) Expert Panel 4 (EPR-4) 

Introduction 

• The emergence of the "concierge" model in healthcare 
• Overview of concierge healthcare and its growth 
• Benefits and challenges of transitioning to a concierge practice 

The Concierge Healthcare Model 

• Explanation of the concierge model 
• Direct contract between doctor and patient 
• Fixed fee for healthcare services 
• Growth and potential of the concierge business model 

Pros/Cons of Concierge Medicine 

• Pro: More personalized care and increased patient-provider interaction 
• Pro: Improved work-life balance for healthcare providers 
• Pro: Control over work, avoidance of burnout, and pursuit of personal and professional interests 
• Con: Untreated patients 
• Con: Loss of long-time patients 

Legal and Compliance Challenges 

• Patient Agreements 
• Insurance Licensure 
• Medicare 
• Patient Abandonment 
• Conclusion