Print Page | Contact Us | Sign In | Register
Free CME for Members

Reviewing the Major Risks of NSAIDs, the Most Commonly Used Class of Drugs in the U.S. Part 1: Introduction and Cardiovascular Complications

John Kiel, DO, MPH, CAQ-SM, Alexandra Mannix, MD, and Gregory Rubin, DO, CAQ-SM

Non-steroidal anti-inflammatory drugs (NSAIDs) represent the most commonly used medication class in the United States with over 70 million prescriptions and 30 billion over-the-counter purchases. They have a significant side effect profile which impacts major organ systems including cardiovascular, gastrointestinal, and renal. It is critical that physicians be aware of these side effects, know which patients are at greatest risk and which patients should avoid these medications, as well as understand best practices for prescribing NSAIDS.


Medical Examination of the Recreational SCUBA Diver

Thomas Bozzuto, DO, FACEP, FFACHM, FUHM

The sport of recreational SCUBA diving introduces very specific challenges to human physiology, different than from any other of man’s endeavors. Fellow divers may be placed in jeopardy trying to rescue a disabled diver and expensive use of medical facilities and personnel are required to care for injured divers. The physician who examines a sport diver and makes recommendations also bears responsibility because generally there will be no review of the doctor’s decision.


DOAC Use in the Geriatric Population with Atrial Fibrillation: Current Guidelines, Advances, and Gaps in Clinical Knowledge

Seetha Venkateswaran, MD (PGY-2), Joseph Parra, MD, MBA, FAAFP, and Manish K. Bansal, MD, FACC

Atrial Fibrillation (AF) is a type of supraventricular arrhythmia, wherein the disease process increases the risk of thromboembolism. Anti-coagulation is important in treatment of AF in order to decrease the risk of thrombotic events, which is critical in the elderly population. Review of recent guidelines demonstrate that direct oral anticoagulants (DOACs) are now considered as the first line treatment modality for patients with non-valvular AF in stroke prevention.


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

Linda Edwards, MD, 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.


Simulation in Physician Training

Leslie Simon, DO, FACEP and Amanda Crichlow, MD, MSMS, FAAEM

Medical simulation is used in medical education to facilitate the transition from medical student to practicing physician by allowing learners to apply medical knowledge in a safe, controlled setting. Simulation scenarios can be designed to assess each of the six ACGME core competencies and allow residents to learn through active participation, feedback, and self-reflection while assisting faculty in standardizing the evaluation process.


Human Trafficking: Identifying and Assisting Potential Victims

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

Human trafficking is believed to be one of the fastest growing illicit industries in the world. Yet, most data regarding human trafficking is only an estimation because of the underground nature of the crime. Physicians have a responsibility to be on the lookout for potential victims and respond appropriately with treatment and resources. To do so, they need to be able to identify potential victims and have knowledge of legal and social services.


Infective Endocarditis, from Imaging to Management

Anca Chiriac, MD, PhD, Daniel DeSimone, MD, Rizwan Sohail, MD, James Newman, MD and Sorin Pislaru, MD, PhD

The diagnosis of infective endocarditis can be challenging and needs a high index of suspicion, and a correct sequence of diagnostic testing. Physicians should understand the latest recommendations for infective endocarditis management, with a focus on detailed imaging modalities and treatment. It is also important to learn the latest AHA recommendations for endocarditis prophylaxis.


Demystifying Sports-Related Concussions

Timothy Dekker, MD and Jennifer Maynard, MD, CAQSM

Concussion is a common condition that is often misdiagnosed and therefore mistreated. Healthcare providers may be unaware of the current guidelines for concussion diagnosis and treatment. Meanwhile, recommendations of acute management and options for therapies for subacute treatment are constantly evolving.


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.


Read the article and then use the corresponding link to take the CME test. Members must be logged in to take the test for free.

  • To access your certificate at, click here.
  • View and print your certificate by clicking on the certificate icon  next to the name of each of your CME credits.

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.