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An Update on the Epidemiology, Transmission, and Prevention of HIV/AIDS

Ross Jones, MD, MPH, FAAFP

HIV remains an important public health topic in the state of Florida and there is need for continued vigilance on this issue in the areas of epidemiology, transmission risk, and prevention. Physicians should know proper precautions to protect themselves and others against transmission. Accordingly, the state of Florida requires ongoing training for HIV/AIDs among physician providers.


Understanding Cardiac Screening: The Nuclear Stress Test & Coronary Artery Calcium Score

E.J. Balbona, MD & J.T. Balbona

Coronary artery disease (CAD) is a chronic condition that too often presents as a crisis of chest pain, heart attack, or even sudden death. CAD begins in early adulthood and progresses silently over decades of life. Once identified it can be interrupted, hence the value of screening for silent, asymptomatic and subclinical disease. 


Recognition and Treatment of Perinatal Mood and Anxiety Disorders in Women by Primary Care

Phyliss Nicole Taylor, MD

As the cost of attending medical school rises, many prospective doctors consider military service. Military service provides an attractive financial solution to avoiding debt accumulation. When an individual agrees to military service for medical school training, they are also highly likely to receive their graduate medical education (GME) through the military system.


Graduate Medical Education in the Military: Training to Serve Your Country

Kristian Sanchack, MD, MHA, FAAFP, LCDR Stephen McMullan, MD, and LCDR Cesar Mojica Vazquez, MD

As the cost of attending medical school rises, many prospective doctors consider military service. Military service provides an attractive financial solution to avoiding debt accumulation. When an individual agrees to military service for medical school training, they are also highly likely to receive their graduate medical education (GME) through the military system.


New Advances in Breast Cancer Radiotherapy

Julie Bradley, MD, Michael Rutenberg MD, PhD, Raymond Mailhot, MD, MPH, and Nancy Mendenall, MD

While radiotherapy plays a critical role in the treatment of breast cancer, the nuances in the planning and delivery of radiotherapy may not be well understood. Technological advances have occurred rapidly in radiotherapy, and modern techniques have undergone various degrees of adoption in the United States.


A Committee-Based Systematic Response to Changes in Controlled Substance Law: The Example of House Bill 21 and UF Health Jacksonville

Alberto Ardon, MD, MPH, Brittany Johnson, PharmD, Brian Yorkgitis, DO, Joseph Cammilleri, PharmD, BCACP, Christopher B. Scuderi, DO, FAAFP, Jeffrey G. House, DO, FACP, and L. Kendall Webb, MD, FACEP

Florida House Bill 21 “Controlled Substances” was signed into law in March 2018 and took effect July 1, 2018; it aimed to limit controlled substance prescribing for acute pain and require a review of patients’ prescription history.


Preventing Medical Errors & Improving Patient Safety

Linda Edwards, MD, Francys Calle Martin, Esq., LHRM

A recently released study published by Johns Hopkins University claims that 251,000 lives are lost every year as a result of medical errors. Medical error prevention is, therefore, an urgent issue that requires us to identify these errors, understand why they happen, and recognize signs of emerging risk before they reach the patient.


Radiological Imaging of Dementia

Patrick Natter, MD

Dementia is a condition characterized by progressive cognitive decline, and encompasses several subtypes of dementia, each with varying etiologies. While clinical findings are considered the primary factor in differentiating subtypes of dementia, radiological imaging of dementia continues to progress with ongoing research and imaging advances.


Out with the Old and In with the New: The Next Accreditation System

Leslie Caulder, BAS, C-TAGME, Jennifer Hamilton, BA, C-TAGME, Danielle Palmer, BAA, Denise West, MA, and Linda R. Edwards, MD

Understanding and adhering to the Accreditation Council for Graduate Medical Education (ACGME) program requirements is essential for programs seeking initial accreditation or for those wishing to maintain accreditation. ACGME’s implementation of the Next Accreditation System (NAS) dramatically changed the way the organization accredits programs.


Interprofessional Collaboration in Health Science Education (To err may be human, but together we can do something about it!)

Thomas Morrissey, MD, PhD, Frank J. Genuardi, MD, MPH, Jane Gannon, DNP, CNM, CNL, Carol Motycka, PharmD, and Eric F. Egelund, PharmD, PhD

Communication errors can occur between two or more healthcare providers, or between healthcare providers and the patient. ts. Many strategies have been developed and proven to help ameliorate these issues, and they share a common theme of team approaches and structure.


Medicare: Past, Present, and Future Directions

Ross Jones, MD, MPH, FAAFP

Given the significant changes in payments due to health policy legislation, understanding government-funded health programs is crucial in the current environment. As the population grows older, Medicare will continue to grow in importance due to cost and the number of beneficiaries covered by the program.


Management of Menopausal Symptoms in Breast Cancer

Deanna C. McCullough, MD, FACOG and Andrew Kaunitz, MD, FACOG, NCMP

As the number of breast cancer survivors increases in the United States, many of these women will suffer from climacteric symptoms and a reduced quality of life as a result of adjuvant therapy, chemotherapy, or natural menopause. As such, physicians caring for breast cancer survivors should address survivorship issues related to hypoestrogenism.


Progress in the Management of Metastatic Breast Cancer in 2018: Is a Cure in the Horizon?

Gerardo Colón-Otero, MD

Progress in the management of breast cancer over the last 40 years has resulted in a decrease in breast cancer mortality and morbidity. Major advances include the significant prolongation of life in patients with HER2 positive subset breast cancers and the addition of new agents for the treatment of the most common type of breast cancer.


Polypharmacy; A Case-Based Primer

Michael J. Schuh, PharmD, MBA, FAPhA, Haya S. Kaseer, PharmD, Robert P. Shannon, MD, FAAHPM, Jessica Peterson, PharmD

Polypharmacy in the geriatric population is challenging for all caretakers involved. Those patients often have a variety of comorbid medical conditions requiring numerous medications.


Falls in the Community-Dwelling Elderly

Reetu Grewal, MD

Falls are a substantial source of morbidity and mortality in the community-dwelling elderly, leading to physical and psychological injury, increased healthcare costs, and risk of long-term care admission.


Domestic Violence/Intimate Partner Violence: Screening, Detection and Intervention

Linda Edwards, MD, Jeffrey Winder, DO, Brittany Lyons, DO, and Francys Calle Martin, Esq., LHRM

It is important for healthcare providers to be aware of the prevalence of domestic violence and become familiar with appropriate screening and referral tools in order to identify victims and provide resources.


Promoting Wellness in Residency Training

Mary S. Hedges, MD, Monia E. Werlang, MD, Chrysanthe M. Yates, BA, Michele D. Lewis, MD

Physician burnout levels have become alarmingly high in recent years. The tendency towards depressive symptoms and suicidal ideation appears to start early in medical training, and accelerate through medical school and residency.


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The DCMS thanks the St. Vincent's Medical Center Committee on CME for accrediting this activity in compliance with the ACCME. Helena Karnani, MD, Committee Chair, and Cindy Williamson, CME Coordinator, deserve special recognition for their work on behalf of DCMS.