News
ACMEC Grand Rounds Library
ACMEC gets many requests from physicians to review audio and video recording of Grand Rounds. Since September ACMEC has been placing all Grand Rounds into a library accessible online. Go to acmec.org and click on the link to ACMEC Online Grand Rounds. This link will connect you with a compilation of our Grand Rounds. Simply select the program you wish to watch and double click. If you wish to receive credit for watching the program you will be asked to take a post-test and pay $5.00. If you are not interested in credit you may watch it for free. ACMEC has gone to considerable effort to make this a viable service and would welcome feedback on how we may make it more relevant and user friendly. Please test out this service at acmec.org. As of June 30th we will not longer have an in-house library of DVD's/CD's for checkout.
Podcast CME
While physicians may be seen at the gym listening to their I-pod's while on the treadmill they probably aren't listening to CME. A recent survey by Penton Media found less than 1% of on-line credits are earned by MP3 or podcast downloads. The most likely age group to use this format, were physicians 45-55. While 9% of physician credits in this age group came from live on-line activities less than 1% were from podcasts. Next month we will present the more comprehensive results of the annual physician preferences in CME survey.
Upcoming Conferences 2010
March 12-13 Advanced Life Support in Obstetrics, Family Medicine Residency of Idaho, Boise, Mary Ball, 367-6041
Wednesday, 8:00 a.m. - Anderson Center
Wednesday, 12:15 p.m. - Winter Room
Friday, 8:00 a.m. - McCleary Auditorium
St Luke's RMC
Tumor Board - Tuesday, 12:00 noon
Anderson Center - Ada -2; CHEERS (Children's Hospital Education Enrichment Review) - 1stThursday, 8 am; MATCH 2nd Thursday, 8 am
MEMBERSHIP:
Upcoming Events:
He asked one man, "Why are you eating grass?" "We don't have any money for food", the poor man replied. "We have to eat grass". "Well then you can come with me to my house and I'll feed you", the lawyer said. "But sir I have a wife and two children with me. They are over there, under that tree". "Bring them along", the lawyer replied.
Turning to the other poor man he stated, "You come with us also". The second man, in a pitiful voice then said, "But sir, I also have a wife and six children with me." "Bring them all as well", the lawyer answered.
They all entered the car which was no easy task even for a car as large as the limousine was. Once underway, one of the poor fellows turned to the lawyer and said, "Sir, you are too kind. Thank you for taking all of us with you." The lawyer replied, "Glad to do it. You'll really love my place. The grass is almost a foot high".
April 2010
May 2010
(Wednesday, 8:00am/St. Luke's RMC; Wednesday, 12:15pm/Mercy Medical Center; Friday, 8:00am/Saint Alphonsus RMC)
Thiazide diuretics have been around for nearly a half century and still remain important medications in the treatment of hypertension both as mono therapy and combined with other anti-hypertensives. They work on the upstream portion of the distal convoluted tubulel where they interfere with sodium re-absorption. The two most widely used hydrochlorthiazide and chlorthalidone have important differences. Hydrochlorthiazide has relatively greater bioavailability about 70% is absorbed and food intake enhances its absorption. A 50% reduction is noted in patients noted with heart failure. It has a half-life of approximately 8-12 hours. Chlorthalidone is uniquely long-acting with an elimination half-life of 50-60 hours. This has the advantage in patients who occasionally miss doses and the agent appears to have reasonable efficacy when given less frequently than once a day. The long term anti-hypertensive effect of thiazides is probably due to a reduction in systemic vascular resistance though the exact mechanism is unclear. On average patients who are started on these drugs see a reduction in the systolic and diastolic pressures of 10-15mm and 5-10mm respectively. Smaller doses are efficacious and often 12.5 mm of hydrochlorthiazide is sufficient. Adverse side effects include a reduction in the excretion of calcium and uric acid. They also increase potassium and magnesium excretion potentially leading to hypo-kalemia and hypo-magnesemia. Maintaining postassium homeostasis is essential since evidence suggests that hypo-kalemia is the cause of the thiazide induced dysglycemia hence levels of potassium should be measured before and during therapy. Few clinically relevant drug interactions occur with these drugs but non-steroidal anti-inflammatory drugs do diminish their therapeutic effect by causing sodium retention. The thiazides may also increase serum lipid levels primarily total cholesterol and low density lipoprotein levels. These drugs remain a mainstay for the treatment of hypertension especially in the elderly and are quite low in cost.
John J. Mohr, M.D.
Anderson Center, St. Luke’s RMC, Wednesday 8:00 a.m.
Winter Room, Mercy Medical Center, Wednesday 12:15 p.m.
AW Horsley, VA Medical Center, Thursday 8:00 a.m.
McCleary Auditorium, Saint Alphonsus RMC, Friday 8:00 a.m.
OTHER REGULARLY SCHEDULED CONFERENCES
Breast Tumor Board - Thursday, 7 a.m.
MSTI Pediatric Tumor Board - 2nd & 4th Wednesday, 12 noon
Meridian Tumor Board - 1st & 3rd Thursday, 12 noon
Mercy Medical Center; Tumor Board - Tuesday, 12 noon
West Valley Medical Center; Tumor Board - Monday, 12:30 pm
Saint Alphonsus RMC; Tumor Board - Thursday, 12 noon, Breast Care Panel, Tuesday, 7:00 am
Michael Hedemark, M.D.
Thursday June 10, 2010 ACMS High School Sports Physicals,
Caven-Williams Indoor Football Complex, Boise State University
One afternoon a lawyer was riding in his limousine when he saw two men along the roadside eating grass. Disturbed, he ordered his driver to stop and he got out to investigate.
7 Ergogenic Aids, Robert Amrine, MD
7 Prostate CA Update, Joe Williams, MD, (Mercy)
9 Lifetime Radiation Exposure, Jeffrey Seabourn, MD
14 ATLS Update, Billy Morgan, MD
16 Hyperlipidemia Update: The Good, The Bad, The Triglycerides, Ryan Gilles, MD
21 Management of Lymphoma, Craig Nichols, MD
21 Embryo Donation: Screening, Challenges and Bioethical Dilemmas, Reginald Finger, MD (Mercy)
23 Evaluating New Surgical Procedures and Technologies, Phillip Masser, MD
28 Nutrient Rich Foods, Leslie Bonci, RD, MPH
30 Sleep Apnea for the Primary Care Providers, William Thompson, MD
5 Topic TBA, Rebecca Kinney, MD
12 Burkholder Lectureship in Oncology, David Steensma, MD
14 The Adolescent Patient (Sex, Drugs, Rock n Roll) How do you provide quality care to a generation unknown, Tammy Pascoe, MD
19 St. Luke's Children's Grand Rounds, Topic/Speaker TBA
26 Topic TBA, Elizabeth Kuper, MD
28 Critical Care Case Conference, Denise Wurth, MD
3 Psychiatric Issues in Pregnancy, Scott Eliason, MD
10 St. Luke's Children's Grand Rounds, Needle in a Haystack: Finding the Child with Immune Deficiency, Tom Rand, MD
17 Legislative Udpate, Susie Pouliot, Ron Hodge, JD
24 Management of Insulin, Irl Hirsch, MD
31 Hepatitis C, Kris Kowdley, MD
3 Psychiatric Issues in Pregnancy, Scott Eliason, MD
10 St. Luke's Children's Grand Rounds, Needle in a Haystack: Finding the Child with Immune Deficiency, Tom Rand, MD
17 Legislative Udpate, Susie Pouliot, Ron Hodge, JD
24 Management of Insulin, Irl Hirsch, MD
31 Hepatitis C, Kris Kowdley, MD
4 TBA
11 TBA
18 TBA
25 TBA
5 Facial Pain, Phillip Berryhill, MD
12 Diabetes Mellitus: Review of articles that are changing my practice, Jeremy Mitchell, DO
19 Prostate Cancer Update, Joe Williams, MD
26 Critical Care Case Conference, Denise Wurth, MD
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