"To describe the essential components of the medical model of substance use disorders.
To delineate the interviewing skills necessary to screen effectively for substance use and abuse.
To understand the high rate of psychiatric and medical co-morbidity and more effectively screen patients for these disorders.
To demonstrate skills for evaluating patients' stage of change, readiness to accept the diagnosis, and readiness to undertake behavior change.
To clearly and supportively recommend treatment to patients with substance use disorders.
To describe the skills required for addiction prevention counseling.
To define the skills that help set respectful limits on patient requests for prescription medication.
To demonstrate awareness of how physician/clinician attitudes toward patients with substance use disorders impact recognition, diagnosis, and treatment of patients.
To demonstrate knowledge of substance use disorder treatment standards and the ability to recommend appropriate referrals."
"Whether given in person or viewed on screen, a Presentation doesn't have to be boring, it should be engaging. It should get your audience involved and get them excited (or at the very least interested) in what you're showing them."
"Yet the presence of a computer in the examination room and the pressure to document the visit in the EHR are often perceived as adversely affecting the patient-physician interaction. How can the EHR instead have a positive effect on this interaction and promote patient activation during the course of the outpatient visit? When clinicians invite patients to view the computer screen and parts of their electronic chart, it not only avoids uncomfortable periods of idle silence that sometimes accompany EHR-related tasks, but it may enhance the relational aspect of patient-physician communication in a way that fosters patient activation in real time."
"The small, compact device was designed for users to take a sample of blood at any time and read the results in just five seconds on the screen of an Apple iPhone or iPod Touch. "
"Fairs provide medical students exposure to rural health issues through the valuable opportunity of using risk factor screening tools and counseling. This provides valuable information to patients of rural communities. Future research should examine how fairs influence student knowledge and attitudes toward rural health and affect health outcomes."
"Welcome to Patient Pictures - clear, accurate clinical drawings with explanatory notes to help
you explain medical conditions, tests, treatments and procedures to your patients. Each page can
be viewed on screen, printed out or e-mailed to patients or carers as follow-up information. "
Rapid growth and signs of possible invasion, such as pain or hoarseness, are most suggestive, but not conclusive of malignancy
Clinical groups with the highest risk for malignancy in a thyroid nodule are children, males, adults younger than 30 or older than 60 years, and those exposed to radiation therapy, especially during childhood
Serum Tg has been reported as useful in predicting a well-differentiated carcinoma
Radioisotope Scanning
radionuclide scans allow assessment of thyroid function.
Technetium pertechnetate (99mTc) is taken up rapidly by the normal activity of follicular cells. It is trapped by follicular cells, but not organified. 99mTc has a short half-life and low radiation dose. Its rapid absorption allows quick evaluation of increased uptake (so-called hot) or hypofunctioning (so-called cold) areas of the thyroid.
123I and 131I iodine scintigraphy is also used to evaluate the functional status of the gland
Advantages of scanning with 123I include a low dose of radiation (30 mrad) and short half-life.
123I is a good choice for evaluating suspected lingual thyroids or substernal goiters.
131I has a longer half-life (8 days) and emits higher levels of β-radiation. 131I is optimal for imaging thyroid carcinoma.
screening modality of choice for the evaluation of distant metastasis.