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Management of the Hospitalized Patient

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The course you selected is now closed to online registration. Please call 415.476.5808 to ask about how to register at the course.

Department: Medicine
Course Number: MDM08P01
Start: Thursday, October 04, 2007
End: Saturday, October 06, 2007
Location: San Francisco, California
Fairmont Hotel

$650: MD
$600: MD (SHM Members)
$450: AHP
$400: AHP (SHM Members)

Preceded by the concurrent Society of Hospital Medicine pre-courses:

Wednesday, October 3, 2007

UCSF Association of Clinical Faculty Vouchers are accepted for this course. For more information please call the Office of Continuing Medical Education at 415-476-4251. 
Credit: 20 AMA PRA Category 1 Credit(s)™


The course, chaired by Bob Wachter, covers the clinical issues most relevant to hospitalists, internists, family physicians, and others who care for inpatients. Taught by UCSF's top teachers and a stellar group of guest faculty, the course highlights recent advances and current controversies, emphasizing a costeffective approach to common disorders. To promote active learning, the course uses a computerized interactive audience response system, and features multiple workshop sessions in 6 different tracks to allow for small group discussions. The course includes broad content in critical care, perioperative care, end of life care, patient safety and quality, and hospital neurology, cardiology, and infectious diseases.

This course is presented by the Department of Medicine, Division of Hospital Medicine and is sponsored by the University of California, San Francisco, School of Medicine. It also serves as the West Coast regional meeting of the Society of Hospital Medicine.

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An attendee completing this course should be able to:

  • Describe the major diagnoses to be considered in common inpatient clinical presentations;
  • Review a modern and evidence-based work-up for common inpatient clinical presentations;
  • Discuss modern therapeutic approaches to common inpatient disorders;
  • List some of the latest literature impacting the field of Hospital Medicine and how best to use it to answer clinical questions.

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The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

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Course Outline:


Management of Acute Medical Problems
7:00 am Registration and Continental Breakfast
8:00 Welcome Robert Wachter
8:05 Evidence-Based Management of Sepsis - Michael Gropper
8:50 Recent Advances in Thromboembolism and Anticoagulation - Tracy Minichiello
9:40 Acute Coronary Syndromes - Ed McNulty
10:25 Break
10:45 Pneumonia Update, 2007 - Scott Flanders
11:30 Management of Stroke Update, 2007 - S. Andrew Josephson
12:20 Lunch on Your Own
1:45 pm Small Group Workshops – Session I (six options):
Neuro: The Neurological Exam S. Andrew Josephson
Systems:  PDAs, Mobile Computing, & Web Resources for Hospitalists - Russ Cucina
Skills/Tools:  EKG Refresher - Gordon Fung
Geriatrics/Palliative Care: Geriatrics Issues in Hospital Medicine - Bree Johnston, Rachelle Bernacki
Clinical Medicine: Thromboembolism Q&A: Cases and Controversies - Tracy Minichiello
Safety/Quality: Teamwork and Simulator Training in Hospital Medicine - Niraj Sehgal, Diane Sliwka
3:15 Break
Hospital Medicine/SHM
3:40 Hospital Medicine in 2017: If You Don't Know Where You're Going, You Might Not Get There - Robert Wachter
4:40 Society of Hospital Medicine (SHM) Update & Discussion - Laurence Wellikson
5:30 Conference Reception

Challenging Cases and Issues in Hospital Medicine
7:00 am Continental Breakfast
8:00 Clinical Problem-Solving Exercise - Gurpreet Dhaliwal
9:05 Caught Between a Rock and a Hard Place: Using Evidence to Make Tough Decisions - Scott Flanders, Kaveh Shojania
10:05 Break
10:30 Talking 'Bout a Revolution: Transparency and P4P (Roundtable Discussion) - Peter Lindenauer, Kaveh Shojania,  Andrew Auerbach
11:50 Pick up Lunch
12:00 pm Small Group Workshops – Session II (six options):
Neuro: The Neurological Exam - John Engstrom
Systems: Creating a Successful Academic Hospitalist Program- Robert Wachter, Scott Flanders
Skills/Tools: Improving Sign-Outs in Hospital Medicine -Arpana Vidyarthi
Geriatrics/Palliative Care:  Starting a Palliative Care Program - Eva Chittenden, Kathleen Kerr
Clinical Medicine: Critical Care Workshop: Sedation and Ventilator Management Pearls - Lundy Campbell, Brian Daniel
Safety/Quality: Practical Steps for Improving Patient Safety at Your Hospital - Kaveh Shojania
1:30 Break
1:40 Small Group Workshops – Session III (six options):
Neuro: The Neurological Exam - John Engstrom
Systems: Hospital Information Systems: CPOE, EMRs and More - Peter Lindenauer, Russ Cucina
Skills/Tools: Pearls for Hospital Procedures (incl. use of Portable Ultrasound) - Robert Rodriguez, Eric Isaacs
Geriatrics/Palliative Care: Sustaining and Improving a Palliative Care Program - Eva Chittenden, Kathleen Kerr
Clinical Medicine: Pain Management Workshop - Robert Brody
Safety/Quality: Purging the Red Dots From Your Hospital Quality Report - Arpana Vidyarthi, Brad Sharpe
3:10 Break
Assorted Problems in Hospital Medicine
3:30 Acute Heart Failure: No Longer the Ugly Duckling - John Teerlink
4:20 Diagnosis and Management of Pulmonary Embolism - Leslie Zimmerman
5:10 Adjourn

7:00 am Continental Breakfast
8:00 Neurological Emergencies - S. Andrew Josephson
8:55 Management of Common Acute Arrhythmias - Zian H. Tseng
9:45 Break
10:05 Management of Upper GI Bleeding - Jonathan Terdiman
10:55 Clinical Controversies in Medical Consultation - Quinny Cheng
11:45 Pick up Lunch
12:00 pm Hospitalist-Surgical Co-management: Can We Make it Work? (Roundtable Discussion) - Quinny Cheng, Scott Flanders,  John Maa, Heather Harris
1:15 Adjourn

Beginning in 2006, we stopped distributing a printed syllabus for this course -- printing one consumes nearly 400,000 pieces of paper! Registrants will have access to all talks on a conference website pre- and post-conference, and will receive a CD and note paper onsite. Those interested in following along can bring their laptops (there will be electrical outlets in the main hall); we will also have printers for those who wish to print selected talks. We trust you understand.


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Robert M.Wachter, MD
Professor of Medicine; Associate
Chair, Department of Medicine;
Chief of the Medical Service,
UCSF Medical Center,
San Francisco

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Scott Flanders, MD
Associate Professor of Medicine
Director of the Hospitalist
Program, University of Michigan

Kaveh Shojania, MD
Assistant Professor of Medicine
Canada Research Chair in
Patient Safety and Quality
University of Ottawa

Peter Lindenauer, MD, MSc
Assistant Professor of Medicine,
Tufts University
Medical Director, Clinical
Information Systems and
Associate Medical Director,
Healthcare Quality, Baystate
Medical Center

Lawrence Wellikson, MD
Chief Executive Officer
Society of Hospital Medicine

(University of California,
San Francisco, School of Medicine unless otherwise noted)

Andrew D. Auerbach, MD, MPH
Associate Professor of Medicine,
Director of Quality, Department of Medicine

Rachelle Bernacki, MD, MS
Assistant Professor of Medicine

Robert Brody, MD
Clinical Professor, Medicine and
Family & Community Medicine;
Chief, Pain Consultation Clinic,
San Francisco General Hospital

Lundy Campbell, MD
Assistant Professor
Department of Anesthesia

H. Quinny Cheng, MD
Associate Professor of Medicine;
Director, Medical Consultation
Service, UCSF Medical Center

Eva Chittenden, MD
Assistant Professor of Medicine;
Acting Director, Palliative
Care Service, UCSF Medical Center

Russell Cucina, MD, MS
Assistant Professor of Medicine
Associate Medical Director,
Clinical Information Technology,
UCSF Medical Center

Brian Daniel, RRT
Clinical Coordinator, Respiratory
Care Service; Clinical Research
Coordinator, Cardiovascular
Research Institute

Gurpreet Dhaliwal, MD
Assistant Professor of Medicine,
Clerkship Director, SF VA
Medical Center

John W. Engstrom, MD
Professor of Neurology,
Vice-Chair, Department of
Neurology; Director, Neurology
Residency Program

Gordon L. Fung, MD, MPH
Associate Professor of
Medicine; Medical Director,
Electrocardiography Lab

Michael A. Gropper, MD, PhD
Professor of Anesthesia and
Physiology; Director,
Critical Care Medicine

Heather Harris, MD
Assistant Professor of Medicine

Eric D. Isaacs, MD
Associate Professor of Medicine;
CQI Director, Emergency
Services, San Francisco General Hospital

C. Bree Johnston, MD, MPH
Associate Professor of Medicine,
Division of Geriatrics

S. Andrew Josephson, MD
Assistant Professor of Neurology

Kathleen Kerr
Project Analyst,
Palliative Care Program

John Maa, MD
Assistant Professor,
Department of Surgery

Edward McNulty, MD
Assistant Professor of Medicine,
Cardiology Division

Tracy Minichiello, MD
Assistant Professor of Medicine,
Co-Director, Thromboembolism
Program, UCSF Medical Center

Robert Rodriguez, MD
Associate Professor of Medicine,
Division of Emergency Services,
San Francisco General Hospital

Niraj Sehgal, MD, MPH
Assistant Professor of Medicine
Director, Mt. Zion Medical Service

Bradley A. Sharpe, MD
Assistant Professor of
Medicine; Assistant Chief
of the Medical Service,
UCSF Medical Center

Diane Sliwka, MD
Assistant Professor of Medicine

John R. Teerlink, MD
Associate Professor of Medicine;
Director, Heart Failure Clinic,
SF VA Medical Center

Jonathan P. Terdiman, MD
Associate Professor
of Medicine and Surgery; Director, UCSF
Colitis and Crohn's Disease Center

Zian H. Tseng, MD
Assistant Professor of Medicine,
Cardiology Division

Arpana R. Vidyarthi, MD
Assistant Professor of Medicine;
Director of Quality and Patient
Safety, Office of Graduate Medical Education

Leslie Zimmerman, MD
Professor of Medicine;
Director of Bronchoscopy Service;
Direction, Intensive Care Unit
VA Medical Center

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Travel & Lodging:

The Fairmont Hotel (atop Nob Hill)  HOTEL FULL
950 Mason Street
San Francisco, CA
group booking code: GRUCS1

Additional accommodations, just steps away at the Intercontinental Mark Hopkins                                                                                   800/Nob Hill (800/662-4455)                                                 $279/night            
group booking code:  XF4
Book by September 21, 2007

The course and precourses are being held in San Francisco at the Fairmont Hotel, 950 Mason Street. The Fairmont Hotel is located at the only spot in San Francisco where each of the City's cable car lines meet. With a panoramic view of the City and the Bay from high atop Nob Hill, The Fairmont San Francisco holds an unmatched blend of elegance and superb service for an unforgettable stay. A block of guestrooms has been reserved at the Fairmont Hotel with at the following group rate of $232 single or double occupancy.

Reservations must be received by September 2, 2007 to guarantee availability of accommodations. After this date, rooms will be provided on a spaceavailable basis only. If you phone in your reservation, you must identify yourself as a member of this course to receive the special rate.

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Cancellation Policy:

Cancellation requests received in writing before the first day of the course will be refunded, less a $75 administrative fee.  No refunds will be made on requests received after that date.

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