In this session, you'll: 

-Understand how Rheumatoid arthritis and osteoarthritis are diagnosed
-Appreciate the need for early initiation of treatment of Rheumatoid Arthritis
-Be aware of some extra-articular manifestations of Rheumatoid Arthritis
-Recognize the types of treatment strategies that are used
-Name some common DMARD and Biologic drugs

Robert L. DiGiovanni, DO, MACOI, Rheumatology PD, Associate professor of Medicine, CA Largo Hospital, Morsani College of Medicine

In this session, you'll learn how to:

• Understand the cause of gout
• Understand the causes of hyperuricemia
• Learn how to identify CPPD

Howard L. Feinberg, DO, MACOI, Associate Dean, Clinical Education Proposed Maryland College of Osteopathic Medicine at Morgan State

In this session, you'll: 

•Understand how to diagnose Spondyloarthritis
•Understand clinical features and presentation of the Spondyloarthropathies
•Understand the radiographic findings associated with SpA
•Understand the different treatment options

Robert L. DiGiovanni, DO, MACOI, Rheumatology PD, Associate professor of Medicine, CA Largo Hospital, Morsani College of Medicine

In this session, you'll learn how to:

• Understand the current diagnostic criteria for SLE
• Understand the diagnostic criteria for PSS
• Understand the approach to Idiopathic Inflammatory Myopathies

Howard L. Feinberg, DO, MACOI, Associate Dean, Clinical Education Proposed Maryland College of Osteopathic Medicine at Morgan State

-Recall clinical features and presentations of commonly tested vasculitis
-Describe different vasculitic conditions based on presentation
-Outline management and treatment of vasculitis 

Robert L. DiGiovanni, DO, MACOI, Rheumatology PD, Associate professor of Medicine, CA Largo Hospital, Morsani College of Medicine

In this session, you'll learn how to:

• Understand the diagnosis of Rheumatic fever
• Learn the common causes and routes of transmission of joint infections
• Develop a basic understanding of Lyme disease

Howard L. Feinberg, DO, MACOI, Associate Dean, Clinical Education Proposed Maryland College of Osteopathic Medicine at Morgan State

In this session, you'll:

• Learn the group types of synovial fluid
• Learn the types of disease seen in the different types of synovial fluid
• Learn the appearance of different inclusions found in synovial fluid

Howard L. Feinberg, DO, MACOI, Associate Dean, Clinical Education Proposed Maryland College of Osteopathic Medicine at Morgan State

To help make our Osteopathic Internists more thoughtful, more compassionate, more knowledgable, and overall uniquely more capable clinicians than their allopathic counterparts

To help our Osteopathic Internists pass their Internal Medicine Board Exams

To provide “pearls” in the optimal utilization and interpretation of microbiologic data with which the internist must work

Gerald W. Blackburn, DO, MACOI, Clinical Professor of Medicine, Michigan State University, College of Osteopathic Medicine

In this session, you’ll:
-    Viral hemorrhagic fevers (VHF) encompass a wide variety of diseases with many capable of causing outbreaks and are associated with high morbidity and mortality, and there are currently no specific therapies available.
-    That viruses implicated in viral hemorrhagic fevers and the diseases they cause are grouped by the family of viruses: Arenaviridae (Lassa virus), Bunyaviridae (Crimean Congo virus, Rift Valley Fever virus, Sin Nobre virus, Filoviridae (Ebola virus, Marburg virus), and Flaviviridae (Dengue virus, Yellow Fever virus).
-    That fevers of unknown origin (FUO) are defined as fever higher than 38.3ºC on several occasions lasting for at least three (some use two) weeks without an established etiology despite intensive evaluation and diagnostic testing.

MarkAlain Déry, DO, MPH, FACOI (he/him/his), Chief Innovation Officer, Access Health Louisiana

In this session, you'll learn:

• Overview of Common Labs and Procedures as well as Surgical Risk Assessment
• USPTF/Choosing Wisely Guidelines
• Clinical Case Studies for the Board Preparation

Scott Spradlin, DO, FACP, FACO, Vice President of Clinical Value and Innovation, Aetna

In this session, you’ll learn how to:
-    Recognize that bacterial meningitis is a medical emergency and the immediate steps to establish the cause and start effective therapy.
-    Recognize that the assessment of patients with probable aseptic meningitis is complicated by the large number of potential etiologic agents and the relatively limited diagnostic tools for identifying specific pathogens. 
-    Recognize that spinal epidural abbesses are enclosed within the bony confines of the skull or spinal column that can expand to compress the brain or spinal cord and cause severe symptoms, permanent complications, or even death. 

MarkAlain Déry, DO, MPH, FACOI (he/him/his), Chief Innovation Officer, Access Health Louisiana

To help make our Osteopathic Internists more thoughtful, more compassionate, more knowledgeable, and overall, uniquely more capable clinicians than their allopathic counterparts

To help our Osteopathic Internists pass their Internal Medicine Board Exams

To provide “pearls” useful to the internist in the care of patients with various infectious disease concerns related to the cardiovascular system. Similarly, to provide “pearls” useful to the internist in the care of patients with various infectious disease concerns related to the gastrointestinal tract

Gerald W. Blackburn, DO, MACOI, Clinical Professor of Medicine, Michigan State University, College of Osteopathic Medicine

In this session, you’ll learn how to:
-    Recognize that acute bronchitis is a common clinical condition.
-    Recognize that treatment is focused on patient education and supportive care.
-    Recognize that community acquired pneumonia is a leading cause of hospitalization, mortality, and incurs significant health care costs.

MarkAlain Déry, DO, MPH, FACOI (he/him/his), Chief Innovation Officer, Access Health Louisiana

To help make our Osteopathic Internists more thoughtful, more compassionate, more knowledgable, and overall uniquely more capable clinicians than their allopathic counterparts

To help our Osteopathic Internists pass their Internal Medicine Board Exams

To provide “pearls” to the internist who often serves as the primary care provider of patients infected with HIV

Gerald W. Blackburn, DO, MACOI, Clinical Professor of Medicine, Michigan State University, College of Osteopathic Medicine

In this session, you'll learn how to:

• Provide a framework for the evaluation of primary immune deficiencies that may affect adults.
• Review the elements of the innate immune response and what disease states may occur secondary to defects in the innate immune response.
• Understand how adaptive immunity differs from innate immunity understand how to clinically evaluate the adaptive immune response.

Bryan L. Martin, DO, MACOI (he/him/his), Emeritus Professor of Medicine, The Ohio State University

In this session, you'll learn how to:

• Both recognize and differentiate anaphylaxis from vasovagal reactions.
• Understand and be prepared to utilize the new guidelines for the treatment for anaphylaxis.
• Know the mechanisms and treatments of both anaphylactic and anaphylactoid reactions.

Bryan L. Martin, DO, MACOI (he/him/his), Emeritus Professor of Medicine, The Ohio State University

In this session, you'll learn how to:

• Review the recognition and treatment of allergic skin disorders, to include urticaria and angioedema.
• Review the recognition and treatment of allergic skin disorders, to include Hereditary angioedema.
• Review the recognition and treatment of allergic skin disorders, to include atopic dermatitis and allergic contact dermatitis.

Bryan L. Martin, DO, MACOI (he/him/his), Emeritus Professor of Medicine, The Ohio State University

In this session, you'll:

• Learn the Asthma Guidelines EPR 3 vs EPR 4
• Be able to classify asthma severity 
• Be able to determine asthma control
• Be able to successfully treat asthma 
• Be able to improve patient outcomes

Jonathan M. Horbal, DO, FACOI, Physician, Midland and Bay Allergy Clinics

CME Credit Available: 

This activity offers 0.5 1A AOA  

Note: ACOI reports credits to the AOA at the end of each quarter.  

Learning Objectives: 

Those participating in this activity will receive information that should allow them to: 

• Understand rhinitis and how to classify it.
• Review the difference between allergic and non-allergic rhinitis.
• Review current guidelines for treating sinusitis.
• Review chronic sinusitis and how to approach.

Conflict of Interest Disclosures

ACOI requires each planner and presenter to identify all conflicts of interest and mitigates risk of bias using a series of strategies for relevant conflicts. Unless otherwise noted below, the ACOI, ACOI staff and planners for this activity have no relevant financial relationships with ineligible companies to disclose. 

Dr. Jonathan Horbal, faculty for this activity, has no relevant relationships with ineligible companies to disclose.  

Release & Review Date

This activity is valid until May 13, 2027. 

Jonathan M. Horbal, DO, FACOI, Physician, Midland and Bay Allergy Clinics

In this session, you'll learn how to:

• Review common food reactions, understand paradigm shift in food allergy thoughts, understand the proper testing modalities for food testing, and review common food allergy mimickers.

Jonathan M. Horbal, DO, FACOI, Physician, Midland and Bay Allergy Clinics

In this session, you'll learn how to:

• Review hypersensitivity reactions, review common cases for each hypersensitivity class, understand basic pathophysiology of drug reactions, and review skin presentations of drug reactions.

Jonathan M. Horbal, DO, FACOI, Physician, Midland and Bay Allergy Clinics