FPD Unlimited CPD for Community Service Medical Practitioners

66 CPD Points Only Scholarship Access

Introduction

FPD's Unlimited CPD/CME Online Medical Education solution is a complete product for Community Service Medical Doctors. Access to the CPD/CME modules are Unlimited. FPD is registered with the South African Department of Higher Education and Training (DHET) as a Private Higher Education Institution (PHEI) in terms of Section 54(1)(c) of the Act and Regulation 16(4)(a).

Course Highlights

  • Unlimited CPD/CME access solution; subject to an active subscription
  • This is a video tuition product
  • Each module is accredited for 3 CEUs
  • 22 modules over 6 clinical courses are currently available (new course modules are made available quarterly)
  • Available online 24 hours a day / 7 days a week from PCs, Tablets and Smart Phones
  • Automated integration with the MPC CPD Manager so that CPD records are ready for submission to the Health Professions Council of South Africa (HPCSA)"

Course Content

The FPD Unlimited CPD/CME Online Medical Education package currently consists of 6 available courses with 18 modules. Each module is presented by a topic expert and is presented in the form of video tuition. Please refer to the current available courses and modules presented below:

EMERGENCY MEDICINE

In spite of a number technological of advances, the case fatality rate for acute myocardial infarction remains high. Misdiagnosis of this conditions is related to a three-fold increase in mortality and some of the highest medical negligence pay-outs in Emergency Medicine. Unfortunately the miss-rate of acute myocardial infarction is as high as 5%, even in developed countries. This number is probably higher in many South-African settings due to defective equipment and staff shortages. Clinicians must protect themselves against missing this sentinel condition by a high index of suspicion and knowledge of symptoms such as anginal equivalents, subtle EKG changes and the window period in cardiac marker assessment. This course will describe some of the important pitfalls in the diagnosis of acute myocardial infarction.

A high percentage of fatal pulmonary embolisms as found at autopsy studies have not been suspected by clinicians in the period before death occurred. On the other hand, clinicians often do expensive tests to rule out pulmonary embolism with a very low yield rate leading to significant wasted expenditure. This course will focus on the risk factors, clinical presentation, scoring systems and diagnostic tests that may arm clinicians to identify and diagnose pulmonary embolism in appropriate situations.

The identification of the snake responsible for the bite is usually difficult, unless a dead snake is brought into hospital with its victim and can be reliably identified. Descriptions of the snake and the circumstances of the bite may suggest a species diagnosis, but this is not often a satisfactory basis for specific treatment.

In most cases of snake bite, appropriate clinical management requires reliable identification of a distinctive clinical syndrome based on epidemiological, clinical and laboratory data. A syndromic approach is, therefore, recommended in the majority of cases.This session will assist the Health Care Professionals to identify and manage the snake bite injuries.

Clinicians are often challenged to manage critically ill poisoned patients. The clinical effects encountered in poisoned patients are dependent on numerous variables, such as the dose, the length of exposure time, and the pre-existing health of the patient.

Poisoning emergencies commonly present to emergency departments. The clinical effects encountered in poisoned patients are dependent on numerous variables, such as the dose, the length of exposure time, and the pre-existing health of the patient. If a poisoning is recognized early and appropriate supportive care is initiated rapidly, the majority of patient outcomes will be good.

The goal of this session is to introduce the basic concepts for evaluation of poisoned patients and review the appropriate management of such patients based on the currently available literature.

MANAGEMENT OF DIABETES

The worldwide prevalence of diabetes is and rising. According to the International Diabetes Federation, diabetes mellitus affects more than 382 million people, or 8.3% of individuals aged 20-79 years, and is predicted to increase to 592 million people in less than 25 years.

These estimates confirm that diabetes continues to disproportionately affect the socially disadvantaged and is increasing especially rapidly in low- and middle-income countries. The main drivers of the epidemic are economic development and urbanisation, which bring changes in lifestyle and increased life expectancy. The health systems in many of these countries are not currently equipped to meet the rising demand of diabetes and other non-communicable diseases. This session will assist with capacitating the Health Care Professionals with knowledge and skills to manage treatment of patients with Type 2 Diabetes.

Diabetes mellitus is a group of metabolic diseases characterised by chronic hyperglycaemia resulting from defects in insulin secretion or insulin action, or both. The abnormalities in carbohydrate, fat, and protein metabolism that are found in diabetes are due to deficient action of insulin on target tissues.

Diagnosis of the diabetes mellitus is very important to make sure that patients are treated appropriately. The diagnostic criteria for diabetes are based on laboratory measurement of plasma glucose concentrations and the presence or absence of symptoms. A marked elevation of the blood glucose level confirms the diagnosis. If ketones are present in blood or urine, treatment is urgent, and patients should be referred the same day to avoid the development of ketoacidosis. The latter is very vital to assist the health care professional to diagnose diabetes mellitus appropriately.

The pathophysiology of type 2 diabetes mellitus is characterized by peripheral insulin resistance, impaired regulation of hepatic glucose production, and declining β-cell function, eventually leading to β -cell failure. This is very common in patients with Type 2 Diabetes Mellitus. It is therefore important to understand the pathophysiology so that patients can be better managed.

Management of diabetes mellitus is very important because it will assist with decrease the morbidity and mortality. There's no cure for type 2 diabetes, but patients may be able to manage the condition by eating well, exercising and maintaining a healthy weight. If diet and exercise aren't enough to manage the patient's blood sugar well, the clinicians may need to add other diabetes medications or insulin therapy. This session will assist clinicians with managing the patients with type 2 diabetes mellitus.

MANAGEMENT OF HYPERTENSION

Hypertension is an important contributing risk factor for end-organ damage and for the development of cardiovascular and other diseases, including stroke, coronary heart disease and heart failure.

Major clinical trials have demonstrated that patients typically needed treatment with multiple antihypertensive agents to get to, and stay at, BP goal. The number of antihypertensive agents required for BP control in many patients typically averages 2 - 4, with co-morbid conditions (such as kidney disease or diabetes mellitus) imposing greater drug requirement.

This section will highlight the different anti-hypertensive treatment options and assist clinicians in managing patients with Hypertension.

GENDER BASED VIOLENCE FOR HEALTHCARE PROFESSIONALS

Victims of rape are examined by clinicians in order to document injuries and collect forensic evidence. In this episode we discuss the prevalence and types of genital injuries following penetrative sexual violence.

This module provides an overview of sexual violence, discusses important defintions as well as the relevant steps in the management of a rape victim.

Drug facilitated sexual assault (DFSA), also known as date rape, is a sexual assault carried out on a person after the person has become incapacitated due to being under the influence of any mind-altering substances, such as having consumed alcohol or been intentionally administered another date rape drug.

Victims often are reluctant to report incidents because of a sense of embarrassment, guilt, or perceived responsibility, or because they lack specific recall of the assault. Moreover, most of the drugs typically used in the commission of sexual assaults are rapidly absorbed and metabolized by the body, thereby rendering them undetectable in routine urine and blood drug screenings.

It is therefore empirical to make sure patients are screened and treated appropriately when the get to facilities.

INTEGRATED MANAGEMENT OF HIV/TB/STI

The aim of this module is to assist doctors/nurses in their choice of antiretroviral therapy (ART) for patients who have concurrent disease and whose ART requires modification to avoid toxicity, drug-drug-interactions or the possibility of the Immune Reconstitution Inflammatory Syndrome (IRIS). The following conditions will be discussed: Tuberculosis, Cryptococcal disease, the older patient, renal, cardiovascular disease and diabetes mellitus. The desired outcome is that the student will recognize patients who require tailoring of their ART to their specific medical circumstances and whose care requires additional attention.

The aim of this module is to review the drugs used in the treatment and prevention of HIV infection. With this in mind the teaching material will provide the student with knowledge of new and old antiretroviral drugs (ARVs) and current regimens recommended in South Africa and elsewhere. The desired outcome is that the student's familiarity with ART will be strengthened and that he/she will be able to initiate, continue, monitor, switch, stop and change ART when necessary. Strict viral control must be achieved throughout the patient's life-time.

Antiretroviral therapy (ART) is recommended for all HIV-infected individuals, regardless of CD4 T lymphocyte cell count, to reduce the morbidity and mortality associated with HIV infection. ART is also recommended for HIV-infected individuals to prevent HIV transmission.

When initiating ART, it is important to educate patients regarding the benefits and considerations regarding ART, and to address strategies to optimize adherence. On a case-by-case basis, ART may be deferred because of clinical and/or psychosocial factors, but therapy should be initiated as soon as possible.

As a clinician you will be expected to manage the clients and start the treatment using the relevant guidelines and this particular session with help to unpack important issues around treatment.

The aim of this presentation is to review and compare local South African and International HIV Guidelines. This includes a discussion of the most recent (2015) SA Department of Health Updated Adult Antiretroviral Guidelines. The student will be invited to compare these with current and leading International Adult Antiretroviral Therapy (ART) guidelines. Major developments are taking place in the field of ART as Prevention. Consequently, the science behind pre-exposure prophylaxis (PrEP) is examined as are the new thoughts with regard to post-exposure prophylaxis (PEP).

The desired outcome is that the student will have a clear understanding of the initiation of ART in adults. Furthermore he/she will have greater awareness of the merits and limitations of local and international guidelines. The student will have been introduced to the randomized controlled clinical trials that have defined pre-exposure prophylaxis and to the current role of ART in post-exposure prophylaxis.

MANAGEMENT OF BREAST CANCER

The burden of cancer on low and middle income countries is increasing. Breast cancer is the most common form of cancer to affect women in South Africa and in 2013 was responsible for 20.8% of female cancers and more than 10% of the entire cancer burden. Cancer has far reaching social economic and governmental implications, as well as profoundly affecting all aspects of the patient's life. This module discusses breast cancer in South Africa, highlighting some of the differences including tumour characteristics, staging and treatment. It sets the scene for further modules highlighting the importance of understanding this disease to improve patient care.

Triple assessment is the hallmark of good breast disease diagnosis and allows patients to be appropriately and adequately diagnosed with minimal delay. The clinical history and examination is an integral and important part of this triple assessment. This module covers and appropriate breast history and examination including discussing risk factors and ensuring communication. A model examination is demonstrated highlighting signs suspicious for cancer.

Screening has been proven to increase the levels of early-stage breast cancer in randomised studies, however guidelines and current practice remain controversial. The rational and importance of screening is discussed in this module with international guidelines compared. Other non-radiological methods of screening are highlighted which may be more applicable to a limited resource setting. The importance of triple assessment in breast diagnosis is reiterated and the modalities used to complete triple assessment, radiologically and pathologically are discussed.

Risk assessment is important for national policy and individual patient risk. This comprehensive module discusses the importance of risk assessment in the detection of cancer, and care of all women. Risk factors for breast disease are examined in detail and models to determine risk are discussed. Finally methods for risk reduction, both medical and surgical are addressed, highlighting the importance of careful counselling and multi-disciplinary input.

Breast pain is responsible for at least half of all breast clinic attendances and breast problems. Almost all breast pain is unrelated to breast cancer but remains a great source of concern for patients. In this module we discuss the causes of breast pain, and how to determine the cause through careful history taking. Adjuncts to manage pain are discussed and causes addressed, with their pathological basis and plans of management.

The nipple areolar region is a complex junction between the breast and skin with specialised structures present. Problems involving these structures are most commonly benign but breast cancer should always be considered. This module discusses the appropriate history, examinations and investigations for a nipple abnormality then summarises management of common problems.


Course Design

This is an online course and material is presented in the form of video tuition. Participants have access to all availible modules for a 12 month period from enrollment in the package.

Who Should Enroll

Community Service Medical Practitioners

Accreditation

Accredited according to HCPSA's Medical and Dental Board Guidelines for Healthcare Professionals for 66 Clinical CEU's on Level 2.

Certification

To qualify for a CPD certificate of completion for each module, participants should successfully complete the online assessment process.

Course Fee

This course is only accessible through scholarships.

Subscription Terms

Community Service Medical Doctors can gain Unlimited access to numerous modules from up to 6 various clinical courses (depending on availability). New modules are launched each quarter, which allows Community Service Medical Doctors to plan their Continuing Medical Education program in advance. Please note that access to Unlimited CPD/CME Online Medical Education for Community Service Medical Doctors is available only during the year that Medical Doctors are enrolled for Community Service with the South African National Department of Health.

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