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Resource Limited Treatment of Congestive Heart Failure

Course Description | Faculty | Accreditation | General Information

Course Description

This program is an online module discussing the optimal diagnosis and management of congestive heart failure in a limited-resource setting, including use of drugs, monitoring for complications, and indications for hospitalization.

The case itself will be a patient newly diagnosed with CHF, and will lead the user through items such as classification of CHF, common CHF etiologies, initial diagnostic evaluation, choice of initial therapy based on type of CHF, indications for hospitalization and others. We aim to improve our peers’ knowledge of and competence in these areas by providing timely, relevant and practical information for use in their own individual practices.

Original Release: 3/12/2015
Most Recent Update: 3/12/2015
Termination Date: 12/17/2017

NUMBER OF CREDIT HOURS: The Harvard Medical School designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 1 hours to complete.

COST: COST: $25.00

OVERALL LEARNING OBJECTIVES:
Upon completion of this activity, participants will be able to:

  1. Recognize the common signs and symptoms of CHF
  2. Describe how to perform an appropriate diagnostic workup of patients with suspected CHF
  3. Summarize the basic principles of CHF management, including indications for hospitalization
  4. Suggest an appropriate first-line medication regimen for patients with confirmed CHF

METHOD OF PARTICIPATION:

Registrants participate in the learning process by answering interactive multiple choice questions that are dispersed throughout the case presentation. You must answer a question correctly in order to continue through the course. If you answer a question incorrectly, you will be prompted to try again.

In order to earn credit, physicians must complete the entire educational activity before the termination date (see above). Non-physicians may register for the course but are not eligible for AMA PRA Category 1 Credits™. Instead, non-physicians will earn a certificate of participation after successfully completing the course before its termination date.

COMBINATION OF MEDIA USED:

This internet enduring material is a case-based, interactive presentation comprised mainly of text, interactive questions, and images. A variety of media, including video clips, audio clips, and Flash animation, may be presented. Links to any necessary plugins are provided when necessary, but no plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.

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Faculty
JAMES HUDSPETH, MD
Course Director
Dr Hudspeth has been active in global health since his medical school training at Washington University School of Medicine, both locally and nationally with organizations such as AMSA and PHR. He performed a Fogarty Fellowship during medical school in South Africa researching HIV/TB coinfections, and subsequently did clinical rotations in South Africa and Rwanda during his internal medicine residency at the Brigham and Women's Hospital.

Since 2011 he has been a hospitalist at Boston Medical Center, with an interest in medical education (both in the US and abroad) and global health, serving as the coordinator for global health for the BMC internal medicine residency. He is also a founding member, a board member, and the chair of curriculum development for the NGO Physicians for Haiti, which works on improving access for medical education for Haitian clinicians.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



ZADOK SACKS, MD
Course Director
Dr. Sacks currently practices hospitalist medicine at Faulkner and Brigham and Women's Hospitals and serves as Co-Chair and Founding Director of Physicians for Haiti. He is a graduate of the Harvard Brigham and Women's/Boston Children's Hospital Medicine-Pediatrics Residency Program, and served as Chief Resident for the program in his final year of residency, during which he was awarded a Harvard Medical School Resident Teaching Award by the graduating class of students.

During his residency, he also co-founded Physicians for Haiti, an organization dedicated to providing Haitian health care professionals with medical educational and leadership training opportunities

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



GENE KWAN, MD
Course Contributor
Bio Coming Soon.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



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Reviewers
KERLING ISRAEL, MD, MPH
Reviewer
Kerling Israel, M.D., MPH, is currently the Director of Medical Education for Zanmi Lasante in which capacity she heads Department of Education and Research University Hospital of Mirebalais in Haiti as well as serves as the director of the Family Medicine Residency Program of the Hospital Saint Nicolas in Saint Marc, Haiti. In her current role, she works closely with the national medical school at implementing new residency programs within the Partners in Health/ Zanmi Lasante network.

Prior to joining Partners in Health/ Zanmi Lasante Dr. Israel was a faculty member of the family medicine residency program of the University Hospital Justinien from 2005 to 2007, a program supported by the Haiti Project of the University of Miami. She helped in the implementation, coordination, training, and supervision of HIV/AIDS programs at several public hospitals and health centers in Haiti, including the University Hospital Justinien in Cap Haitien (2005-2007) and health facilities managed by the non-governmental organization Centres pour le Developpement et la Sante (2007-2009). She also served as a research assistant at the Center for Public Health Systems and Services Research at the University of Kentucky (from August 2010 to August 2011) while pursuing studies as a Fulbright Scholar.

Dr. Israel earned her medical degree at the Faculty of Medicine and Pharmacy of the State University of Haiti in 1999, completing residency training in family medicine at the Hospital Justinien in Cap-Haitien in 2003. From July 2004 to February 2005, Dr. Israel completed additional training in HIV/AIDS in the Division of Pediatric Infectious Diseases at the University of Miami as a Green Family Foundation fellow. She later pursued a Fulbright fellowship, earning a master’s in public health degree from the University of Kentucky in 2011 where she studied public health with a focus on health services management. Dr. Israel is interested in workforce development, public health systems and monitoring and evaluation.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



RODOLPHE MALEBRANCHE, MD
Reviewer
Dr. Rodolphe Malebranche is currently the Head of the Department of Medicine at the Faculty of Medicine and Pharmacy (FMP) of the State University of Haiti (UEH) and Professor of Cardiology in DCEM3 (for the 5th year medical students). He also serves as the Director of the Directorate of the Graduate Medical Education (Residency Programs) and Research at the Hospital of the State University of Haiti (HUEH) and also as the Director of the Chronic Heart Failure Care Unit in the Internal Medicine Service. He conducts as such an operational clinical research on this disease which becomes a real epidemic outbreak in Haiti and currently represents the first cause of hospitalization in the Medicine Service at the hospital.

Dr. Malebranche is a graduate of the Faculty of Medicine of the University Louis Pasteur of Strasbourg and is an internist and cardiologist. He headed the Service of Medicine HUEH and was also the Executive Director of this institution in 1990-1995. He also served as Minister of Public Health and Population of the Republic of Haiti from 1995 to 1997. Dr. Malebranche had various scientific interests during his professional career. In particular, he contributed to the first scientific work on AIDS in Haiti in the years of 1980-1985; he has given several lectures on coronary heart disease and the problem of cardiac emergencies in Haiti. Since 2011, he has focused on heart failure. Dr. R. Malebranche is an active member of the Haitian Medical Association AMH), Haitian College of Internal Medicine (Chami) and Haitian College of Cardiology (CHC).

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



MICHEL THEARD, MD
Reviewer
Dr. Michel Theard was trained in Paris, France, at University of Paris VI (Pitié Sapêtrière) where he did all his medical courses. He then specialized in cardiology and presented his thesis on myocardial protection during extra corporeal circulation in the department of Prof. Charles Dubost / Alain Carpentier, Broussais hospital in Paris. He had a grant for a fellowship at the Brigham and Women’s hospital (1986-1987) for a research program with Dr. Martin Saint John Sutton in the echo lab, department of Dr John Smith.

In 1987, he started his private practice in Haiti, one of the first to bring echocardiography in Haiti. He was Professor (cardiovascular physiology) from 1991 to 2013 at Faculté de Médecine et de Pharmacie de l’Universitee d’Etat d’Haïti (UEH). He is one of the founders of the “Fondation Haïtienne de Diabète et des Maladies Cardiovasculaires” (FHADIMAC) in 1993 and of the “Haitian College of Cardiology” in 1995 and Secretary of the College since then.

In 2006, he was President of the 5th Congress of Cardiology in Haiti. He is currently on the board (secretary-vice president) of Canape Vert Hospital in Port-au-Prince (since 2006), the largest private hospital in Haiti. He is an active member of “Société Française de Cardiologie”, “Association Médicale Haïtienne” and “Caribbean Cardiac Society”. Dr. Michel Theard is very concerned about implementing cardiac surgery in Haiti. Since 2011, he is committed to the setting of multiple missions with French and American teams operating more than 120 children (at no cost for the children) with essentially congenital heart disease. The goal is to train a Haitian team able to perform after a five-year training period.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



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Course Planners
SANJIV CHOPRA, MD
Planner
Dr. Sanjiv Chopra is Professor of Medicine at Harvard Medical School. He is also the the James Tullis Firm Chief in the Department of Medicine and a Senior Consultant in Hepatology at the Beth Israel Deaconess Medical Center, Boston. He served as Faculty Dean for Continuing Education at HMS for 12 years. Dr. Chopra has more than 150 publications and seven books to his credit. Dr. Chopra is Editor-in-Chief of the Hepatology Section of UpToDate, the most widely used electronic textbook in the world subscribed to by more than 850,000 physicians in 149 countries. He is also the recipient of numerous awards and accolades. For a complete bio, click here.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



CHRISTOPHER DRURY, MA
Planner
Mr. Drury is founder of The Quill Consulting, LLC, a privately-owned medical writing and editing company. With graduate degrees in both English and biology, Chris has written and edited professionally for over a decade in areas that span medicine, pharmaceuticals, marketing, outcomes research, health devices, and several others. He has also worked extensively in CME by planning and building CME programs; reviewing, writing, and editing proposals and CME content; moderating programs; and following through on outcomes deliverables. Chris currently operates out of his home in Mount Pleasant, South Carolina.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



ANDI LONG, EdM
Planner
Andi Long directs the Department of Continuing Education’s Distance Learning group, which offers a variety of online continuing medical education programs to health care professionals around the world. Andi develops strategies for new pilot programs and systematically rolls out new distance learning initiatives and has a leadership role in IT planning and other online processes for HMS DCE. She oversees the day-to-day operations of each distance learning activity and ensures ACCME compliance across all enduring programs. She has had the privilege of working with hundreds of Harvard Medical School Faculty members to develop high-quality, engaging online programs that physicians in more than 170 countries have taken part in. Andi earned her Ed.M. in Technology, Innovation, and Education from Harvard Graduate School of Education and graduated from Bridgewater State College with a degree in English. Her professional interests focus on teaching and learning with new technologies and online course development.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



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Accreditation

NUMBER OF CREDITS: 1 

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Harvard Medical School designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 1 hours to complete.

Within 2 weeks of completing the course, you will receive your certificate via email.

Click the image to view a sample of the certificate


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General Information

HARDWARE/SOFTWARE REQUIREMENTS

Computers
Any computer running Windows, Mac OS, or Unix machines are supported.


Internet Connection
Your computer should be configured to access the Internet. A high speed internet connection may be required to view some of the large multimedia files.

Browsers
Firefox or Internet Explorer 5.5 or higher are recommended. JavaScript and cookies must be enabled.

Plugins
Some of the multimedia resources in this course require Apple Quicktime, RealMedia, or a Flash player. You will be prompted to download the appropriate plugin when necessary. No plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.


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