2026 Internal Medicine Comprehensive Update
2026 Internal Medicine Comprehensive Update
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Contains 4 Component(s)
Anemia
Learning Objectives:
- Identify common benign hematology conditions such as anemia.
- Understand the proper work up for benign hematology conditions.
- Understand the basic treatment options for benign hematology conditions.
$i++ ?>Elena C. Coppola, DO (she/her/hers)
Medical Director
Karmanos Cancer Institute McLaren Northern Michigan
I attended Michigan State College of Osteopathic Medicine. I completed my Internal Residency at MSU/Sparrow Hospital in Lansing Michigan. I practiced as an Assistant Professor in internal medicine at MSU Internal Medicine. I then completed my fellowship in Hematology/Oncology at McLaren Lansing and Sparrow Hospital. After fellowship, I joined Karmanos Cancer Institute McLaren Northern Michigan where I currently serve as the Medical Director.
The faculty member, for this activity, has no relevant relationships with ineligible companies to disclose.
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Contains 4 Component(s)
Hemostasis & Thrombosis
Learning Objectives:
- Be able to identify and differentiate common bleeding issues in hematology.
- Be able to properly work up a person with an abnormal coagulation profile.
- Understand the proper work up and treatment recommendatons for thrombotic events.
$i++ ?>Elena C. Coppola, DO (she/her/hers)
Medical Director
Karmanos Cancer Institute McLaren Northern Michigan
I attended Michigan State College of Osteopathic Medicine. I completed my Internal Residency at MSU/Sparrow Hospital in Lansing Michigan. I practiced as an Assistant Professor in internal medicine at MSU Internal Medicine. I then completed my fellowship in Hematology/Oncology at McLaren Lansing and Sparrow Hospital. After fellowship, I joined Karmanos Cancer Institute McLaren Northern Michigan where I currently serve as the Medical Director.
The faculty member, for this activity, has no relevant relationships with ineligible companies to disclose.
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Contains 4 Component(s)
Lymphoma & Leukemia
Learning Objectives:
- Be able to identiy common lymphomas and leukemias.
- Understand the initial work up for lymphoma/leukemia.
- Understand the basic treatment options for patients with leukemia/lymphoma.
$i++ ?>Elena C. Coppola, DO (she/her/hers)
Medical Director
Karmanos Cancer Institute McLaren Northern Michigan
I attended Michigan State College of Osteopathic Medicine. I completed my Internal Residency at MSU/Sparrow Hospital in Lansing Michigan. I practiced as an Assistant Professor in internal medicine at MSU Internal Medicine. I then completed my fellowship in Hematology/Oncology at McLaren Lansing and Sparrow Hospital. After fellowship, I joined Karmanos Cancer Institute McLaren Northern Michigan where I currently serve as the Medical Director.
The faculty member, for this activity, has no relevant relationships with ineligible companies to disclose.
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Contains 4 Component(s)
Other Bone Marrow Disorders
Learning Objectives:
- Be able to identiy vaiours bone marrow disorders.
- Understand the initial work up for common bone marrow disorders.
- Understand the basics of treatment for various bone marrow disorders.
$i++ ?>Elena C. Coppola, DO (she/her/hers)
Medical Director
Karmanos Cancer Institute McLaren Northern Michigan
I attended Michigan State College of Osteopathic Medicine. I completed my Internal Residency at MSU/Sparrow Hospital in Lansing Michigan. I practiced as an Assistant Professor in internal medicine at MSU Internal Medicine. I then completed my fellowship in Hematology/Oncology at McLaren Lansing and Sparrow Hospital. After fellowship, I joined Karmanos Cancer Institute McLaren Northern Michigan where I currently serve as the Medical Director.
The faculty member, for this activity, has no relevant relationships with ineligible companies to disclose.
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Contains 4 Component(s)
Oncology I: Foundational Concepts
Learning Objectives:
- Review the essentials of tumor biology.
- Discuss the cell cycle and its role in the use of cytotoxic chemotherapy.
- Discuss the general principles of targeted therapies and their role in cancer treatment.
$i++ ?>Kevin P. Hubbard, DO, MACOI
Director, Supportive and Palliative Medicine
BJC Health, Western Division
Kevin P. Hubbard, DO, MACOI is a board certified hospice/palliative care physician. After graduating from William Jewell College with degrees in biology and chemistry, Dr. Hubbard earned his D.O. from the University of Health Sciences-College of Osteopathic Medicine (now the Kansas City University College of Osteopathic Medicine) in 1986 and served his internship at Oklahoma Osteopathic Hospital in Tulsa. After internal medicine residencies at the University of Health Sciences in Kansas City and Normandy Osteopathic Hospitals in St. Louis, Dr. Hubbard completed his fellowship in medical oncology/hematology at the University of Texas M.D. Anderson Cancer Center in Houston. He is certified by the American Osteopathic Board of Internal Medicine in internal medicine, medical oncology, hematology, and hospice/palliative medicine. He was recognized by the Missouri Association of Osteopathic Physicians and Surgeons (MAOPS) as Physician of the Year in 2014, and received the Wilbur T. Hill, DO Distinguished Service Award in 2017. Dr. Hubbard has served as president of the American College of Osteopathic Internists (ACOI). He is the co-director for the annual internal medicine board review course sponsored by the ACOI, and is a member of the Gillum Society of Master Fellows of the ACOI. He received the Internist of the Year award from the ACOI in 2013. In recognition of his historical effort, the ACOI appointed him Historian for the College; he recently published the book A History of Osteopathic Internal Medicine: Celebrating The ACOI’s First 75 Years detailing the history of osteopathic internal medicine. In his spare time he enjoys a wide variety of interests including martial arts, photography, model railroading, and music and video production; he has two current band projects covering a wide variety of musical genres. Dr. Hubbard married his college sweetheart, Roxanne. They have a grown son and daughter-in-law, and two grandchildren.
The faculty member, for this activity, has no relevant relationships with ineligible companies to disclose.
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Contains 4 Component(s)
Oncology II: Clinical Applications and Oncologic Emergencies
Learning Objectives:
- Recognize common physical findings in patients with malignancies.
- Become familiar with the clinical presentation in patients with oncologic emergencies.
- Describe management approaches to common oncologic conditions.
$i++ ?>Kevin P. Hubbard, DO, MACOI
Director, Supportive and Palliative Medicine
BJC Health, Western Division
Kevin P. Hubbard, DO, MACOI is a board certified hospice/palliative care physician. After graduating from William Jewell College with degrees in biology and chemistry, Dr. Hubbard earned his D.O. from the University of Health Sciences-College of Osteopathic Medicine (now the Kansas City University College of Osteopathic Medicine) in 1986 and served his internship at Oklahoma Osteopathic Hospital in Tulsa. After internal medicine residencies at the University of Health Sciences in Kansas City and Normandy Osteopathic Hospitals in St. Louis, Dr. Hubbard completed his fellowship in medical oncology/hematology at the University of Texas M.D. Anderson Cancer Center in Houston. He is certified by the American Osteopathic Board of Internal Medicine in internal medicine, medical oncology, hematology, and hospice/palliative medicine. He was recognized by the Missouri Association of Osteopathic Physicians and Surgeons (MAOPS) as Physician of the Year in 2014, and received the Wilbur T. Hill, DO Distinguished Service Award in 2017. Dr. Hubbard has served as president of the American College of Osteopathic Internists (ACOI). He is the co-director for the annual internal medicine board review course sponsored by the ACOI, and is a member of the Gillum Society of Master Fellows of the ACOI. He received the Internist of the Year award from the ACOI in 2013. In recognition of his historical effort, the ACOI appointed him Historian for the College; he recently published the book A History of Osteopathic Internal Medicine: Celebrating The ACOI’s First 75 Years detailing the history of osteopathic internal medicine. In his spare time he enjoys a wide variety of interests including martial arts, photography, model railroading, and music and video production; he has two current band projects covering a wide variety of musical genres. Dr. Hubbard married his college sweetheart, Roxanne. They have a grown son and daughter-in-law, and two grandchildren.
The faculty member, for this activity, has no relevant relationships with ineligible companies to disclose.
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Contains 4 Component(s)
Cancer in Men
Learning Objectives:
- Describe management strategies detection and treatment of urothelial cancer.
- Describe management strategies detection and treatment of prostate cancer.
- Describe management strategies detection and treatment of testicular cancer.
$i++ ?>Kevin P. Hubbard, DO, MACOI
Director, Supportive and Palliative Medicine
BJC Health, Western Division
Kevin P. Hubbard, DO, MACOI is a board certified hospice/palliative care physician. After graduating from William Jewell College with degrees in biology and chemistry, Dr. Hubbard earned his D.O. from the University of Health Sciences-College of Osteopathic Medicine (now the Kansas City University College of Osteopathic Medicine) in 1986 and served his internship at Oklahoma Osteopathic Hospital in Tulsa. After internal medicine residencies at the University of Health Sciences in Kansas City and Normandy Osteopathic Hospitals in St. Louis, Dr. Hubbard completed his fellowship in medical oncology/hematology at the University of Texas M.D. Anderson Cancer Center in Houston. He is certified by the American Osteopathic Board of Internal Medicine in internal medicine, medical oncology, hematology, and hospice/palliative medicine. He was recognized by the Missouri Association of Osteopathic Physicians and Surgeons (MAOPS) as Physician of the Year in 2014, and received the Wilbur T. Hill, DO Distinguished Service Award in 2017. Dr. Hubbard has served as president of the American College of Osteopathic Internists (ACOI). He is the co-director for the annual internal medicine board review course sponsored by the ACOI, and is a member of the Gillum Society of Master Fellows of the ACOI. He received the Internist of the Year award from the ACOI in 2013. In recognition of his historical effort, the ACOI appointed him Historian for the College; he recently published the book A History of Osteopathic Internal Medicine: Celebrating The ACOI’s First 75 Years detailing the history of osteopathic internal medicine. In his spare time he enjoys a wide variety of interests including martial arts, photography, model railroading, and music and video production; he has two current band projects covering a wide variety of musical genres. Dr. Hubbard married his college sweetheart, Roxanne. They have a grown son and daughter-in-law, and two grandchildren.
The faculty member, for this activity, has no relevant relationships with ineligible companies to disclose.
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Contains 4 Component(s)
Cancer in Women
Learning Objectives:
- Describe management strategies detection and treatment of breast cancer.
- Describe management strategies detection and treatment of uterine cancer.
- Describe management strategies detection and treatment of ovarian cancer.
$i++ ?>Kevin P. Hubbard, DO, MACOI
Director, Supportive and Palliative Medicine
BJC Health, Western Division
Kevin P. Hubbard, DO, MACOI is a board certified hospice/palliative care physician. After graduating from William Jewell College with degrees in biology and chemistry, Dr. Hubbard earned his D.O. from the University of Health Sciences-College of Osteopathic Medicine (now the Kansas City University College of Osteopathic Medicine) in 1986 and served his internship at Oklahoma Osteopathic Hospital in Tulsa. After internal medicine residencies at the University of Health Sciences in Kansas City and Normandy Osteopathic Hospitals in St. Louis, Dr. Hubbard completed his fellowship in medical oncology/hematology at the University of Texas M.D. Anderson Cancer Center in Houston. He is certified by the American Osteopathic Board of Internal Medicine in internal medicine, medical oncology, hematology, and hospice/palliative medicine. He was recognized by the Missouri Association of Osteopathic Physicians and Surgeons (MAOPS) as Physician of the Year in 2014, and received the Wilbur T. Hill, DO Distinguished Service Award in 2017. Dr. Hubbard has served as president of the American College of Osteopathic Internists (ACOI). He is the co-director for the annual internal medicine board review course sponsored by the ACOI, and is a member of the Gillum Society of Master Fellows of the ACOI. He received the Internist of the Year award from the ACOI in 2013. In recognition of his historical effort, the ACOI appointed him Historian for the College; he recently published the book A History of Osteopathic Internal Medicine: Celebrating The ACOI’s First 75 Years detailing the history of osteopathic internal medicine. In his spare time he enjoys a wide variety of interests including martial arts, photography, model railroading, and music and video production; he has two current band projects covering a wide variety of musical genres. Dr. Hubbard married his college sweetheart, Roxanne. They have a grown son and daughter-in-law, and two grandchildren.
The faculty member, for this activity, has no relevant relationships with ineligible companies to disclose.
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Contains 4 Component(s)
Palliative Oncology: Clinical Applications and Symptom Management
Learning Objectives:
- Understand the importance of performance status in predicting survival and tolerance to treatment.
- Develop and implement management strategies for common side effects of cancer treatment.
- Develop and implement management strategies for common symptoms affecting patients with cancer.
$i++ ?>Kevin P. Hubbard, DO, MACOI
Director, Supportive and Palliative Medicine
BJC Health, Western Division
Kevin P. Hubbard, DO, MACOI is a board certified hospice/palliative care physician. After graduating from William Jewell College with degrees in biology and chemistry, Dr. Hubbard earned his D.O. from the University of Health Sciences-College of Osteopathic Medicine (now the Kansas City University College of Osteopathic Medicine) in 1986 and served his internship at Oklahoma Osteopathic Hospital in Tulsa. After internal medicine residencies at the University of Health Sciences in Kansas City and Normandy Osteopathic Hospitals in St. Louis, Dr. Hubbard completed his fellowship in medical oncology/hematology at the University of Texas M.D. Anderson Cancer Center in Houston. He is certified by the American Osteopathic Board of Internal Medicine in internal medicine, medical oncology, hematology, and hospice/palliative medicine. He was recognized by the Missouri Association of Osteopathic Physicians and Surgeons (MAOPS) as Physician of the Year in 2014, and received the Wilbur T. Hill, DO Distinguished Service Award in 2017. Dr. Hubbard has served as president of the American College of Osteopathic Internists (ACOI). He is the co-director for the annual internal medicine board review course sponsored by the ACOI, and is a member of the Gillum Society of Master Fellows of the ACOI. He received the Internist of the Year award from the ACOI in 2013. In recognition of his historical effort, the ACOI appointed him Historian for the College; he recently published the book A History of Osteopathic Internal Medicine: Celebrating The ACOI’s First 75 Years detailing the history of osteopathic internal medicine. In his spare time he enjoys a wide variety of interests including martial arts, photography, model railroading, and music and video production; he has two current band projects covering a wide variety of musical genres. Dr. Hubbard married his college sweetheart, Roxanne. They have a grown son and daughter-in-law, and two grandchildren.
The faculty member, for this activity, has no relevant relationships with ineligible companies to disclose.
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Contains 4 Component(s)
FIB 4 Testing with MASH
Learning Objectives:
- Understand MASH and its clinical significance
- Describe the FIB-4 Index and how it is calculated
- Interpret FIB-4 cutoffs for fibrosis risk stratificatio
$i++ ?>Charlene A. LePane, DO, MBA, MSPH, FACOI, FACG, FASGE (she/her/hers)
Chief Medical Information Officer/Gastroenterologist
AdventHealth
Dr. Charlene LePane has devoted over thirty years to patient care, starting as a hospital volunteer at 16, then progressing through roles as a nurse and physician. She earned a BS from Auburn University, a MSPH from UAB and an MBA with a focus on Healthcare Administration from Barry University. . Her medical education was completed at Kansas City University, followed by an Internal Medicine residency at Mt. Sinai Medical Center/Jackson Memorial Hospital in Miami, FL, and a gastroenterology fellowship at St. John Hospital/Henry Ford Medical System in Detroit, MI. Dr. LePane is dual-board-certified in gastroenterology and internal medicine. She currently practices as an AHMG gastroenterologist and serves as the Chief Medical Information Officer for the Central Florida Division, where she finds great satisfaction in using technology to enhance provider experiences and patient care. Dr. LePane served as a District 3 Florida Osteopathic Medical Association President and continues her involvement as an alternate delegate for the FOMA. She also serves on the Board of Trustees for the American College of Osteopathic Internists and holds fellowships with the ACOI, American College of Gastroenterology, and the American Society of Gastrointestinal Endoscopy.
Dr. Charlene LePane is deeply committed to patient safety initiatives and serves as a dedicated mentor and physician leader. She actively participates in various volunteer committees and engages in scholarly activities, generously sharing her extensive experience with both students and colleagues. As a member of the American College of Healthcare Executives (ACHE) for three years, she is devoted to mentorship and fostering professional development in others. Dr. LePane also serves as voluntary faculty for the following medical schools: KCU, UCF, NSUCOM, LECOM Bradenton, and now OCOM. Outside of her professional life, she cherishes time spent with family and friends, enjoys traveling, has a passion for music, and is an avid runner.
The faculty member, for this activity, has no relevant relationships with ineligible companies to disclose.