Faculty, residents, fellows, and community physicians in General Internal Medicine and subspecialties.

Topics Include:
Pulmonary aspergillosis complicating non-influenza respiratory viral infections among solid organ transplant recipients
Presented by: Anna Apostolopoulou, MD
Extracellular Volume and Global Longitudinal Strain Both Associate with Outcomes but Correlate Minimally
Presented by: Ali Azeem, MD
Improving Clinical Reasoning in Discharge Summary Documentation via Structured Peer Feedback
Presented by: Timothy Bober, MD
Outcomes in Multivessel Coronary Artery Disease stratified by Surgical Risk
Presented by: Saloni Kapoor, MD
Diabetes Mellitus in Mild to Moderate Cardiomyopathy
Presented by: Ankit Medhekar, MD

Upon completion of this activity, participants should be able to:

• Employ improved therapeutic skills for the use of Nocturnal Oxygen in Chronic Obstructive Pulmonary Patients.
• Identify the prognostic value of global longitudinal strain and extracellular volume in cardiac MRI
• Describe global longitudinal strain and extracellular volume as potentially meaningful surrogate outcomes in future
• Recall current guidelines for ICD implantation
• Recognize significance of diabetes mellitus in patients with mid range ejection fraction
• Establish improved care for patients with diabetes and heart failure
• Discuss a clinical reasoning-based method for teaching and evaluating discharge summary documentation.​
• Analyze intern comfort and self-perception of quality of discharge summary documentation before and after the curriculum.
• Discuss the evidence behind formalized discharge summary curricula

Suggested additional reading:

1. Axon, Robert N., et al. "A hospital discharge summary quality improvement program featuring individual and team-based feedback and academic detailing." The American journal of the medical sciences 347.6 (2014): 472-477.
2. Myers, Jennifer S., et al. "Are discharge summaries teachable?." Academic Medicine 81.10 (2006): S5-S8.
3. Wilson, Stephen, et al. "General practitioner–hospital communications: a review of discharge summaries." Journal of quality in clinical practice 21.4 (2001): 104-108
4. “Readmissions and Adverse Events After Discharge.” The Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services.. Last updated: September 2019. Accessed 11/24/2019.​
5. Al-Damluji, M. S., Dzara, K., Hodshon, B., Punnanithinont, N., Krumholz, H. M., Chaudhry, S. I., & Horwitz, L. I. (2015). Association of Discharge Summary Quality with Readmission Risk for Patients Hospitalized with Heart Failure Exacerbation. Circ Cardiovasc Qual Outcomes, 8(646), 109–111.
6. S.M. Al-Khatib, W.G. Stevenson, M.J. Ackerman, et al. 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias. J Am Coll Cardiol, 72 (2018), pp. 1677-1749
7. A.J. Moss, W. Zareba, W.J. Hall, et al., Multicenter Automatic Defibrillator Implantation Trial II Investigators Prophylactic implantation of a defibrillator in patients with myocardial infarction and reduced ejection fraction N Engl J Med, 346 (2002), pp. 877-883
   A. Sorrentino, G. Borghetti, Y. Zhou, et al. Hyperglycemia induces defective Ca2+ homeostasis in cardiomyocytes. Am J Physiol Heart Circ Physiol, 312 (2017), pp. H150-H161
8. Employing Extracellular Volume Cardiovascular Magnetic Resonance Measures of Myocardial Fibrosis to Foster Novel Therapeutics Erik B. Schelbert, Hani N. Sabbah, Javed Butler, and Mihai Gheorghiade Originally published 16 May 2017. https://doi.org/10.1161/CIRCIMAGING.116.005619
9. Circulation: Cardiovascular Imaging. 2017;10 Extracellular Volume Fraction for Characterization of Patients With Heart Failure and Preserved Ejection Fraction Original Investigation

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME) and the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit[s]™. Physicians should only claim credit commensurate with the extent of their participation in the activity. This educational activity is approved for 1.0 contact hours.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.