The COVID-19 pandemic has dramatically changed primary care practice. Difficult management decisions must now be made in transformed ambulatory environments and with virtual medicine. Despite the change in our practice environments, primary care clinicians must continue to focus on preventive medicine, reduction of cardiovascular risk factors, day-to-day clinical problems, chronic disease management, communication skills, and optimal use of diagnostic tests and new medications.

Health disparities and the care of vulnerable patients are a central part of our daily practice as we try to maximize quality, safety, equity, and value. Close collaboration with other specialists, inpatient colleagues, and diverse teams of health professionals is essential for the care of our complex patients. In addition to a full discussion of common problems in primary care and preventive medicine, this course will also focus on clinical skills and problem-solving in dermatology, women’s health, infectious diseases, covid-19, oncology, acute care, clinical nutrition, communication skills, and evidence-based medicine.

The course will utilize formal lectures, case discussions, practical workshops, an audience response system, questions and answers, a detailed syllabus, and on-demand access to course recordings. Remote learning opportunities will also be available.

Target Audience This course, chaired by Dr. Robert B. Baron and taught by UCSF’s best teachers, is designed for practicing internists, family practitioners, advance practice providers, and all other health professionals interested in providing high quality primary care.

Objectives: The purpose of this course is to increase competence and improve clinician practice in primary care. We specifically anticipate improvements in skills and strategies to: – Implement new guidelines in office-based preventive medicine including cancer screening and management of cardiac risk factors; – Develop up-to-date strategies for common office problems including hypertension, lipid disorders, diabetes, coronary heart disease, heart failure, chronic kidney disease, obesity, musculoskeletal complaints, STI’s, and covid-19 – Manage common problems in women’s health including prevention of cervical and endometrial cancer,

menopause, incontinence, and vaginal and vulvar disorders; – Diagnose and treat common skin disorders, skin infections, and skin cancer; – Counsel patients to improve eating habits, lose weight, and increase physical activity; – Perform an effective problem-based history and physical examination for common complaints in dermatology and women’s health; – Perform common office procedures in dermatology and office gynecology; – Manage common acute orthopaedic complaints and develop effective imaging strategies; – Understand the best initial management strategies for common cancers; – Develop best practices in patient communication, shared decision-making, and teamwork – Critically evaluate the medical literature and apply it to clinical practice; – Address health disparities in health and healthcare; – Increase the quality of care and decrease medical costs.

Course Outline:

SUNDAY, JULY 31, 2022 3:00 pm Registration and Check-In Moderator: Robert B. Baron, MD, MS 5:00 Welcome and Course Overview Robert B. Baron, MD, MS 5:10 G Controversies in Cancer Screening 2022: Colon, Breast, Lung, and Prostate Sam Brondfield, MD MA 6:00 G Prevention and Screening for Cervical and Endometrial Cancer Rebecca Jackson MD 6:50 pm Adjourn

MONDAY, AUGUST 1, 2022 5:00 am Continental Breakfast Moderator: Robert B. Baron, MD, MS 7:30 RxG Management of Lipid Disorders: A Risk-Based, Patient-Centered Approach Robert B. Baron MD MS 8:20 RxG Management of Coronary Artery Disease: A Primary Care Perspective Michael G. Shlipak, MD, MPH 9:10 Break 9:30 G What’s New in Management of Menopause and Peri-menopausal Symptoms? Rebecca Jackson, MD 10:20 RxG Common Dermatologic Problems: What the Primary Care Physician Needs to Know Toby A. Maurer, MD 11:10 am Adjourn

TUESDAY, AUGUST 2, 2022 7:00 am Continental Breakfast Moderator: Robert Baron, MD MS 7:30 RxG Covid-19: Where Do We Stand? What Have We Learned? Where are We Going? Peter Chin-Hong, MD 8:20 RxG Management of Outpatient Covid: Best Practices in Patient Assessment and Treatment. Paul Nadler, MD 9:10 RxG Everything You Ever Wanted to Ask About Covid-19 Peter Ching Hong, MD and Paul Nadler, MD 10:00 Break 10:20. Concurrent Workshops (select one) A: RxG Nutrition and Weight Management in Office Practice Robert B. Baron, MD, MS B: G Personality Type in the Clinical Setting: Better Care and Better Teamwork* Anda K. Kuo, MD 11:50 am Adjourn

WEDNESDAY, AUGUST 3, 2022 7:00 am Continental Breakfast Moderator: Sam Brondfield, MD 7:30 RxG Management of Diabetes Mellitus: Implementing the 2022 Guidelines Robert B. Baron, MD, MS 8:20 RxG Initial Management of Common Cancers Sam Brondfield, MD, MA 9:10 RxG Dermatologic Infectious Disease: Viral, Fungal and Bacterial Skin Diseases Toby A. Maurer, MD 10:00. Break 10:20. Concurrent Workshops (select one) A: G Maximizing Skills in Office Gynecology* Rebecca Jackson, MD B: RxG Clinical Dilemma in Infectious Diseases: A Case-based Update on Common Infections Peter Chin-Hong, MD 11:50 am Adjourn

THURSDAY, AUGUST 4, 2022 7:00 am Continental Breakfast Moderator: Paul Nadler, MD 7:30 RxG Common and Commonly Missed Orthopedic Problems Paul Nadler, MD 8:20 RxG Prevention and Treatment of Skin Cancer Toby A. Maurer, MD 9:10 RxG Chronic Kidney Disease: Integrating New Tests, New Guidelines, and New Medications Michael G. Shlipak, MD, MPH 10:00 Break 10:20. Concurrent Workshops (select one) A RxG Best Practices in Urgent Care: Managing Common Acute Disorders in Office Practice Paul Nadler, MD B: RxG Dermatologic Procedures in Primary Care* Toby A. Maurer, MD 1:50 am Adjourn

FRIDAY, AUGUST 5, 2022 7:00 am Continental Breakfast Moderator: Michael G. Shlipak, MD, MPH 7:30 RxG Heart Failure: New Strategies for Diagnosis and Treatment Michael G. Shlipak, MD, MPH 8:20 RxG Managing Hypertension in 2022: Practicing in a World of Conflicting Guidelines Robert B. Baron, MD, MS 9:10 Break 9:30 RxG Current Guidelines for Sexually Treated Infections and Vaginitis Paul Nadler, MD 10:20 RxG Gynecologic Issues in Older Women Rebecca Jackson 11:10 am Adjourn G = Geriatric Credit Rx = Meets Requirements for Pharmacotherapeutics CEUs for NPs/Nurses * = In-person only

July 31, 2022 -:August 5, 2022

UCSF CME Essentials of Primary Care