B O O K - American College of Rheumatology

Session Overview:
As a clinical educator, it is important to consider the
development of time efficient teaching methods in the
clinical setting that provide insights into the students’ clinical
reasoning strategies and uncertainties while remaining fully
engaged in the priorities of patient care. This need spans both
the outpatient and inpatient settings. It also spans the range
of learners from first through fourth year medical students.
This session will highlight the learner-centered model for
case presentations, which depends mostly on students for its
successful implementation, and follows a six step mnemonic
called SNAPPS.
Upon completion of this session, participants should be able to:
• demonstrate the SNAPPS case presentation technique to
learners
• implement learner-driven educational techniques in a clinical
setting
• realize the importance of expressing diagnostic reasoning
and case-related uncertainties as part of developing clinical
expertise
ACR State-of-the-Art Lecture
1:00 - 2:00 PM
Sidney J. Marcus Auditorium
Scleroderma: The Promise of Anti-fibrotic Therapies -
A Translational Approach C PS
Moderator: John R.P. Tesser, MD; Arizona Arthritis Rheumatology
Association; Paradise Valley, AZ
Speaker: John Varga, MD; Northwestern University Feinberg
School; Chicago, IL
Session Overview:
New advances in our understanding of scleroderma have
elucidated underlying processes of vascular injury and aberrant
wound healing. Immune activation and endothelial injury
leading to overly abundant fibrosis of various tissues and organs
result in the clinical manifestations of the disease. Treatment
of already present fibrosis has proved to be a most difficult and
often ineffective approach other than to control symptoms.
Newer insights into the pathophysiologic mechanisms, both
extracellular and intracellular, that lead to the fibrotic process
offer a new translational approach that identifies key target
molecules. Therapeutic strategies that employ novel agents
which affect these targets may allow for treatment intervention
earlier in the disease process. Utilizing these new strategies in
turn may improve our chances of clinical success.
Upon completion of this session, participants should be able to:
• depict the transcriptional profiling that has identified potential
key pathways involved in the fibrotic process
• delineate the multiple extra-cellular cytokines, membrane
receptors and intracellular enzyme cascades that drive fibrosis
• identify available medications of different drug classes that
have potential therapeutic activity to intervene in the fibrotic
process, and review what evidence may be available as to
their clinical therapeutic outcomes
• characterize potential agents on the horizon and their
mechanisms of action
ACR Workshops
1:15 - 3:15 PM
Admission to each Workshop requires a separate registration
and ticket. To verify which session you registered for, check to
make sure the registration code on your ticket matches the code
listed below in parentheses.
B204
Diagnostic Errors in Rheumatology: Why They
Happen and How We Can Avoid Them (223) PS
Speakers: Joan Marie Von Feldt, MD, MS Ed; University of
Pennsylvania-Philadelphia, Veterans Affairs Medical Center;
Philadelphia, PA
Jennifer S. Myers, MD; University of Pennsylvania Hospital;
Philadelphia, PA
Upon completion of this session, participants should be able to:
• describe the difference between systems errors and cognitive
errors
• illustrate the clinical decision making patterns of physicians
• cite the most common biases that can lead to diagnostic error
• develop skills in cognitive error recognition and self-reflection
to reduce diagnostic errors in your practice
B206
Joint Simulator (224) f
Speakers: Joanne Valeriano-Marcet, MD; University of South
Florida; Tampa, FL
Helen E. Bateman, MD; James A. Haley Veterans Affairs Hospital,
University of Southern Florida; Tampa, FL
Ashley G. Sterrett, MD; James A. Haley Veterans Affairs Hospital;
Tampa, FL
Upon completion of this session, participants should be able to:
• describe the anatomy relative to various joint, bursa, and
tendon injections
• perform and instruct others on the techniques
• design a successful joint injection workshop using simulators
B203
Musculoskeletal Exam Skills I: General
Musculoskeletal Examination Skills for Educators
(225)
Speakers: George V. Lawry, MD; University of California-Irvine;
Mission Viejo, CA
Paul C. Utrie, MD; Orthopedic and Sports Medicine Specialists;
Appleton, WI
Upon completion of this session, participants should be able to:
• participate in a hands-on, skill building workshop where
participants are paired together for one-on-one practice
• practice the “General MS Exam”, a systematic, efficient,
clinically effective examination taking 6-8 minutes
• review strategies for increasing exposure of medical students,
resident and fellow trainees to basic musculoskeletal physical
examination skills
tuesday
2010 Program Book 67