Harvard Update in Hospital Medicine 2024

Hospital Medicine Foundations and Diagnostic Interpretation

• Comprehensive updates for inpatient medicine practice
• Case-based review of common hospital medicine problems
• ECG interpretation and can’t-miss diagnoses
• Radiology interpretation and subtle CXR findings
• Laboratory interpretation in hospitalized patients
• Electrolyte, liver, and hematology case review
• Artificial intelligence and emerging tools in hospital medicine

Cardiovascular Medicine and Anticoagulation

• Acute coronary syndromes and antiplatelet therapy updates
• DAPT versus monotherapy in ACS
• Heart failure management, GDMT titration, and discharge planning
• Systolic and diastolic heart failure updates
• Atrial fibrillation guidelines and common anticoagulation pitfalls
• DOAC interactions and anticoagulation decision-making
• Management questions around breakthrough strokes and silent atrial fibrillation

Stroke, TIA and Syncope

• Approach to imaging in acute stroke syndromes
• Updated AHA/ASA guideline considerations
• Antiplatelet therapy in stroke and TIA
• Thrombolysis in acute stroke and treatment window considerations
• Thrombectomy and telestroke updates
• Risk stratification for syncope
• When to worry about cardiac causes of syncope

Infectious Diseases and Antibiotic Therapy

• Comprehensive review of inpatient antibiotic therapy
• Short-course antibiotics for common infections
• Cefepime versus piperacillin-tazobactam in sepsis
• Bacteremia controversies and when to consult infectious disease
• MRSA therapeutics and MRSA pneumonia coverage
• Complicated UTI treatment options
• Inpatient HIV screening and injectable HIV therapy updates

C. difficile, Skin Infections and Dermatology

• C. difficile treatment updates and prevention strategies
• Fidaxomicin and oral fecal microbiota therapy discussions
• Skin and soft tissue infection treatment duration
• Cellulitis antibiotic dilemmas
• Differentiating skin infections from mimics
• Drug reactions and can’t-miss dermatology diagnoses
• Cutaneous findings of systemic disease in hospitalized patients

Pulmonary and Critical Care Medicine

• COPD exacerbation management and 2023 GOLD guideline applications
• Short-course antibiotics in COPD exacerbations
• Supplemental oxygen and high-flow oxygen in critical illness
• New Surviving Sepsis guideline concepts
• Steroids in sepsis and acute respiratory illness
• Critical care considerations for hospitalists
• Practical respiratory management in hospitalized patients

Endocrinology, Diabetes and Obesity

• Inpatient insulin management challenges
• New guidelines for hyperglycemia in the hospital
• Continuous glucose monitoring in hospitalized patients
• Dangers of SGLT2 inhibitors, including euglycemic DKA and UTIs
• GLP-1 agonists for weight loss and hospitalist considerations
• Adrenal insufficiency and steroid tapering
• Thyroid disease pitfalls in medically ill patients

Renal Disease and Electrolyte Disorders

• Acute kidney injury diagnostic approach
• Cystatin C for GFR assessment
• GLP-1 and SGLT2 inhibitors in kidney protection
• Early renal replacement therapy in acute kidney injury
• Dialysis access and ESRD considerations for hospitalists
• Anemia, blood pressure, hyperkalemia, and hyperphosphatemia in ESRD
• Common electrolyte disorders in hospitalized patients

Gastroenterology, Liver Disease and Pancreatobiliary Care

• Upper and lower GI bleed management updates
• Timing of endoscopy and use of risk scores in upper GI bleeding
• When to resume anticoagulation and antiplatelet therapy after GI bleed
• Cirrhosis, covert hepatic encephalopathy, and bleeding/thrombosis management
• Hepatorenal syndrome and terlipressin updates
• Spontaneous bacterial peritonitis management and prophylaxis
• Acute pancreatitis, ERCP indications, and post-ERCP pancreatitis prevention

Hematology, VTE and Transfusion Medicine

• Bleeding and thrombosis management in hospitalized patients
• Hypercoagulable states and thrombocytopenia
• Diagnostic approach to anemia in the hospital
• Transfusion thresholds and practical decision-making
• Updated venous thromboembolism guidelines
• Identifying low-risk pulmonary embolism patients
• DOAC use in cancer, obesity, and chronic kidney disease

Geriatrics, Delirium and Perioperative Medicine

• Preoperative frailty assessment in older adults
• Polypharmacy and deprescribing in older patients
• Delirium prevention and management
• Best practices in pharmacotherapy for agitated delirium
• Perioperative medication management
• Perioperative anticoagulation and bridging decisions
• Reducing pulmonary risk in perioperative patients

Pregnancy, Psychiatry and Capacity Assessment

• Hypertension management in pregnancy
• Radiology studies in pregnant patients
• Medical complications in pregnant and postpartum patients
• UTI treatment guidelines in pregnancy
• Inpatient psychiatric medication management
• Capacity assessment in hospitalized patients
• Best practices and risk mitigation for patient-directed discharges

Substance Use Disorders, Pain and Palliative Care

• Treating acute and chronic pain in patients with substance use disorders
• Management of complicated alcohol withdrawal
• Phenobarbital updates for alcohol withdrawal
• Medication management for alcohol use disorder at discharge
• Microdosing protocols for buprenorphine induction
• Harm reduction and reducing opiate overdose risk at discharge
• Serious illness conversations, family meetings, and palliative care integration

Health Equity, Trauma-Informed Care and Communication

• Anti-racism in hospital medicine from triage to care transitions
• Providing high-quality inpatient care to patients with obesity
• Trauma-informed care in the hospital
• Race-based reference ranges and equity-focused practice updates
• Racial equity in pain management
• Improving patient outcomes with interpreter services
• Evidence-based strategies for goals-of-care conversations

This course is best suited for hospitalists, internists, family medicine physicians, primary care physicians, emergency medicine clinicians, residents, fellows, nurse practitioners, physician assistants, nurses, pharmacists, and inpatient care teams.

Topics include heart failure, atrial fibrillation, acute coronary syndromes, diabetes, obesity, sepsis, COPD, pneumonia, bacteremia, UTI, C. difficile, stroke/TIA, end-stage renal disease, acute kidney injury, HIV, GI bleed, cirrhosis, hematology, geriatrics, delirium, pain, palliative care, alcohol withdrawal, opioid use disorder, preoperative evaluation, dermatology, electrolyte disorders, syncope, VTE, pancreatobiliary disease, artificial intelligence, antibiotics, goals-of-care conversations, and trauma-informed care.

Yes. The course is designed for busy practitioners and focuses on practical management of common inpatient problems, recent evidence, guidelines, expert opinion, and case-based recommendations.

Yes. The course uses a case-based format to help clinicians apply recent evidence and practical recommendations to real inpatient care decisions.

Yes. This product is provided as recorded course access so you can review the material at your own pace.

No. CME credits and certificates are not included with this course package.

You can contact support at support@getmedicalcourses.com.