Credit Hours: 0.75

Target Audience:

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

- Natalie Bock, MD: Adverse pregnancy outcomes burden and subsequent cardiovascular admissions by early midlife
- Varun Jain, MD: Performance, Validity, and Clinical Impact of Diagnostic Codes for Iron Deficiency Anemia in a Nationwide Cohort from the United States
- Mahmut Kaymakci, MD: Rare Gain-of-Function Variants in IDH1 and IDH2 Confer Increased Risk of Immune-Mediated Rheumatic Diseases
- Emily Long, MD: Impact of a 5 Ms-Based EHR Template on Resident Learning in Geriatrics

Educational Objectives:

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

Develop EHR note templates that effectively teach subspecialty content to resident learners.
Assess the impact of subspecialty note templates on resident performance and knowledge retention.
Design and implement a management script to support and enhance resident learning.
Explain the role of somatic mutations in the pathogenesis of immune-mediated rheumatic diseases.
Identify the association between concomitant myeloid cancers and immune-mediated rheumatic diseases in clinical contexts.
Describe the role of large population-based biobanks in advancing rare disease research.
Analyze the relationship between adverse pregnancy outcomes and cardiovascular disease.
Recognize non-traditional cardiometabolic risk factors for heart disease in women.
Integrate screening for adverse pregnancy outcomes into patient care to improve clinical outcomes.
Evaluate challenges in the diagnosis of iron deficiency anemia.
Apply established criteria to diagnose iron deficiency anemia and order appropriate laboratory tests.
Describe key data science techniques relevant to clinical and research applications.

Suggested Additional Reading :

AS Parsons, TP Wijesekera, JJ Rencic. The Management Script: A Practical Tool for Teaching Management Reasoning, Acad Med, Volume 95, Issue 8, August 2020, Pages 1179–1185, doi.org/10.1097/ACM.00000000003465
Jamshed N, & Gangavati A. (2024). Prioritizing the 5Ms in Geriatric Care: A Holistic Approach to Care of the Older Adult. Am Fam Physician, 109(6), 498–500
Batt H. Can Repetition and Spacing Increase Learning and Recall Through Engagement? Clemson (SC): Clemson Cooperative Extension, Land-Grant Press by Clemson Extension; 2023 Aug. LGP 1174.
Cepeda NJ, Vul E, Rohrer D, et al. Spacing Effects in Learning: A Temporal Ridgeline of Optimal Retention. Psychol Sci. 2008;19(11):1095-1102. doi:10.1111/j.1467-9280.2008.02209.x
Chaiyachati KH, Shea JA, Asch DA, et al. Assessment of Inpatient Time Allocation Among 1st-Yr Internal Medicine Residents Using Time-Motion Observations. JAMA Intern Med. 2019;179(6):760-767. doi:10.1001/jamainternmed.2019.0095
Nelson TO. Repetition and depth of processing. Journal of Verbal Learning and Verbal Behavior. 1977;16(2):151-171. doi:10.1016/S0022-5371(77)80044-3
Rumelhart DE, Ortony A. The Representation of Knowledge in Memory. In: Schooling and the Acquisition of Knowledge. Lawrence Erlbaum Associates; 1977:99-135
Phillips SC, Hawley CE, Triantafylidis LK, & Schwartz AW. (2019). Geriatrics 5Ms for Primary Care Workshop. MedEdPORTAL, 15, 10814. doi.org/10.15766/mep_2374-8265.10814
Tinetti, M, Huang, A, & Molnar, F. (2017). The Geriatrics 5M’s: A New Way of Communicating What We Do. J Am Geriatrics Soc, 65(9), 2115–2115. doi.org/10.1111/jgs.14979
Parikh NI, Gonzalez JM, Anderson CAM, et al; Am Heart Assoc Council on Epidem & Prevention; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiovas & Stroke Nursing; and the Stroke Council. Adverse Pregnancy Outcomes and Cardiovascular Disease Risk: Unique Opportunities for Cardiovascular Disease Prevention in Women: A Scientific Statement From the Am Heart Assoc. Circulation. 2021 May 4;143(18):e902-e916. doi: 10.1161/CIR.0000000000000961. PMID: 33779213
Grandi SM, Filion KB, Yoon S, et al. Cardiovascular Disease-Related Morbidity and Mortality in Women With a History of Pregnancy Complications. Circulation. 2019 Feb 19;139(8):1069-1079. doi: 10.1161/CIRCULATIONAHA.118.036748. Erratum in: Circul. 2019 Aug 27;140(9):e544. doi: 10.1161/CIR.0000000000000718. PMID: 30779636.
Venkatesh KK, Khan SS, Yee LM, et. al.; Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be (nuMoM2b), and nuMoM2b–Heart Health Study (HHS) Investigators. Adverse Pregnancy Outcomes and Predicted 30-Year Risk of Maternal Cardiovascular Disease 2-7 Years After Delivery. Obstet Gynecol. 2024. Jun 1;143(6):775-784. doi: 10.1097/AOG.0000000000005569. PMID: 38574364
Minhas AS, Ying W, Ogunwole SM, et al. The Association of Adverse Pregnancy Outcomes and Cardiovascular Disease: Current Knowledge and Future Directions. CurrTreat Options CardiovascMed. 2020;22(12):61.doi:10.1007/s11936-020-00862-6
Read AJ, Waljee AK, Sussman JB, et al. Testing Practices, Interpretation, and Diagnostic Evaluationof Iron Deficiency Anemia by US Primary Care Physicians. JAMA Netw Open. 2021;4(10):e2127827. doi 10.1001/jamanetworkopen.2021.27827
Ko C, Siddique S, Patel A, et al. AGA Clinical Practice Guidelines on the Gastrointestinal Evaluation of Iron Deficiency Anemia. Gastroenterology, 2020; 159, 1085-1094
DeLoughery T, Jackson C, Ko C, et al. AGA Clinical Practice Update on Management of Iron Deficiency Anemia: Expert Review Clinical Gastroenterology and Hepatology, 2024; 22, 1575-1583

Authors:

Emily Long, MD — Internal Medicine Resident PGY2 - University of Pittsburgh School of Medicine
No relationships with industry relevant to the content of this educational activity have been disclosed.

Mahmut Kaymakci, MD — Internal Medicine Resident PGY2 - University of Pittsburgh School of Medicine
No relationships with industry relevant to the content of this educational activity have been disclosed.

Natalie Bock, MD — Internal Medicine Resident PGY2 - University of Pittsburgh School of Medicine
No relationships with industry relevant to the content of this educational activity have been disclosed.

Varun Jain, MD — Internal Medicine Resident PGY2 - University of Pittsburgh School of Medicine
No relationships with industry relevant to the content of this educational activity have been disclosed.

No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), 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 is accredited by the ACCME to provide continuing medical education for physicians. The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 0.75 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity.

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.

The University of Pittsburgh is an affirmative action, equal opportunity institution.