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2020 Catalog: General Courses
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DE0267: Medically Compromised Patients
Dental professionals within the Indian Health Service are frequently called upon to treat patients with complex medical problems.
This course is designed to provide the individual practitioner with didactic information on a wide range of medical topics. A systematic review of major topics will be presented. Special effort will be made to insure the information provided has clinical relevance that can be applied to the IHS practice.
DAY 1
8:00 am – 8:15 am Introductions/Course Outline Moran
8:15 am – 9:45 am Physical Diagnosis Moran
9:45 am – 10:45 am Diabetes Mellitus Suhr
10:45 am – 11:00 am Break
11:00 am – 12:00 pm Renal Issues Sikes
12:00 pm – 1:30 pm Lunch
1:30 pm – 3:00 pm Coagulation Issues Moran
3:00 pm to 3:15 pm Break
3:15 pm to 4:15 pm Infections and Antibiotics Suhr
DAY 2
8:00 am – 9:00 am Hepatic Issues Sikes
9:00 am – 10:30 am Respiratory Issues Moran
10:30 am – 10:45 am Break
10:45 am – 11:45 am Medication Related Osteonecrosis Sikes
11:45 am – 1:15 pm Lunch
1:15 pm – 2:45 pm Cardiac Issues Suhr
2:45 pm – 3:00 pm Break
3:00 pm – 4:00 pm Discussion Period/Case Presentations Moran
At the completion of this lecture the participant will be able to:
Physical Diagnosis:
1] Take an in depth and thorough medical and dental history and apply that information in the structure of a history and physical.
2] Describe the systematic fashion in which a physical exam is completed and apply that knowledge in the clinic setting.
3] Format the structure of an assessment and use all information gathered to adequately describe how a medical plan is formulated.
Diabetes Mellitus:
1] Discuss the basic causes of diabetes mellitus and how those impact the management of a patient.
2] Have in depth knowledge of the laboratory tests used in the treatment of diabetes mellitus and describe the available treatment options.
3] Apply the knowledge of diabetes mellitus obtained in this lecture to actual clinical cases.
Renal Issues
1] Describe the basic anatomy and physiology of the human kidney and adjunct structures.
2] Evaluate a patient’s laboratory values and use that information to determine the renal status of that patient.
3] Apply the knowledge from this presentation when determining treatment rationale for a patient with impaired renal function.
Coagulation Issues
1] Describe the basic mechanisms by which blood clots, including platelet function and the intrinsic and extrinsic pathways.
2] List a number of congenital and acquired coagulopathies and the basic medications that may impact a patient’s potential to bleed.
3] Formulate a systematic treatment plan as it relates to dental care in the patient with a coagulation defect.
Infections and Antibiotics
1] List the common causes of head and neck infections including bacterial, fungal and viral related causes.
2] Describe the anatomy that is pertinent when formulating a surgical plan to treat a head and neck infection.
3] List the available appropriate antibiotic regimens available for treating odontogenic and non-odontogenic infections.
Hepatic Issues
1] Describe the basic anatomy and physiology of the liver and associated structures.
2] Evaluate a patient’s laboratory values and use that information to determine the hepatic status of a patient.
3] Apply the knowledge from this presentation when determining the treatment rationale for a patient with impaired liver function.
Medication Related Osteonecrosis
1] Describe the basic pathophysiology involved with the medications that cause osteonecrosis of the jaws.
2] Explain in detail the various stages of osteonecrosis of the jaws and the interrelationship of oral hygiene in the progression of this process.
3] Develop systematic treatment plans for those patients who have the potential of develop osteonecrosis or those with active disease.
Respiratory Issues
1] Describe the basic anatomy and physiology of the lungs and associated structures.
2] Describe the value and application of pulmonary functions testing in the clinic setting.
3] Outline the most common respiratory illnesses that occur, their causes, treatments and possible effects on dental treatment.
Cardiac Issues
1] Describe the basic anatomy and physiology of the heart and associated structures.
2] Complete a basic evaluation of and EKG and other diagnostic tests that determine a patient’s cardiac condition.
3] Apply the knowledge from this presentation when determining the treatment rationale for a patient with a cardiovascular condition.
Case Presentations
1] Summarize the information given in this course and use that in the formulation of a comprehensive Review of Systems.
2] Use the information given throughout this course to develop rational treatment decisions when dealing with medically compromised patients.
3] Have a more complete understanding of those cases that require specialized care and in using that understanding in an educated fashion when requesting a consultation from a medical colleague.
Amy Suhr — Personal Description / Biography not available. For follow-up questions, please contact the speaker at amy.suhr@tchealth.org.
Kenneth Moran — Personal Description / Biography not available. For follow-up questions, please contact the speaker at kenneth.moran@tchealth.org.
Justin Sikes — Personal Description / Biography not available. For follow-up questions, please contact the speaker at Justin.Sikes@ihs.gov.
It is the policy of the Indian Health Service, Division of Oral Health, that faculty/planners disclose any financial or other relationships with commercial companies whose products may be discussed in the educational activity. The Indian Health Service, Division of Oral Health, also requires that faculty disclose any unlabeled or investigative use of pharmaceutical products and medical devices. Images that have been falsified or manipulated to misrepresent treatment outcomes are prohibited.
None of the faculty/planners for this activity has a conflict of interest, and there is no use of unlabeled or investigative pharmaceutical products or medical devices. No images have been falsified or manipulated to misrepresent treatment outcomes.The educational objectives, content, and selection of educational methods and instructors are conducted independent of any commercial entity.
The IHS Division of Oral Health is an accredited sponsor of continuing education under the American Dental Association Continuing Education Recognition Program (CERP). ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the IHS at IHS CDE Coordinator or to the Commission for Continuing Education Provider Recognition at CCEPR.ada.org
Please Make Checks Payable to: Indian Health Service.
Tuition must be paid in full 8 weeks prior to the start date of any course. Request for refunds must be received in writing at least two weeks before the course begins. For each refund request, there will be an administrative charge of $100. No refunds will be made to registrants who fail to attend a course. If IHS CDE program cancels a course, then 100% of the tuition will be refunded.