Block 04    09-30 11-02     Click on below LINKS to see the Required Readings (Please Read before Roundings)

LO1  (updated 09/30/25)

1) Acute Renal Failure: (LO-1) (updated 7/27/22)  (If links don't work, please copy and paste and open in a different browser)

    a. American Family Physician - “Acute Kidney Injury: Diagnosis and Management” December 1, 2019 (REQUIRED READING)
        https://www.aafp.org/content/dam/brand/aafp/pubs/afp/issues/2019/1201/p687.pdf

    b. UpToDate - “Overview of the Management of Acute Kidney Injury” -
        http://www.uptodate.com/contents/overview-of-the-management-of-acute-kidney-injury-acute-renal-failure?

        source=search_result&search=overview+of+the+management+of+acute+kidney+injury&selectedTitle=1%7E150

    c. New England Journal of Medicine - “Timing of Renal-Replacement Therapy in Patients with Acute Kidney Injury and Sepsis”October 11, 2018 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMoa1803213?articleTools=true 

        “Timing of Renal-Replacement Therapy in Acute Kidney Injury” July 16, 2020
        https://www.nejm.org/doi/pdf/10.1056/NEJMoa2000741?articleTools=true 
 

2) Blood Glucose Management in the Hospital: (LO-1) (updated on 7/30/21) 

    a. American Family Physician - “Glucose Management in Hospitalized Patients” November 15, 2017 -
        https://www.aafp.org/content/dam/brand/aafp/pubs/afp/issues/2017/1115/p648.pdf (REQUIRED READING)

    b. New England Journal of Medicine - “Hypoglycemia and Risk of Death in Critically Ill Patients” September 20, 2012 -
        http://www.nejm.org/doi/pdf/10.1056/NEJMoa1204942

    c. Up-To-Date - “Management of diabetes mellitus in hospitalized patients” -
        http://www.uptodate.com/contents/management-of-diabetes-mellitus-in-hospitalized-patients?source=search_result&search=hyperglycemia+in+the+hospital&selectedTitle=1%7E150

 

3) Chest Pain and Acute Coronary Syndrome: (LO-1) (updated 7/27/22) (If links don't work, please copy and paste and open in a different browser)

    a. American Family Physician - “Acute Coronary Syndrome: Diagnostic Evaluation” February 1, 2017 (REQUIRED READING) -
        https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2017/0201/p170.pdf

        “Acute Coronary Syndrome: Current Treatment” February 15, 2017 (REQUIRED READING)

        https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2017/0215/p232.pdf

       
        “Acute Chest Pain in Adults: Outpatient Evaluation” December 15, 2020
       https://www.aafp.org/pubs/afp/issues/2020/1215/p721.html

        “Management of Non-ST Elevation Acute Coronary Syndrome: A Guideline from the AHA and ACC” July 15, 2015

       https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2015/0715/p151.pdf

    b. New England Journal of Medicine - “Chronic Stable Angina” March 24, 2016 -
        http://www.nejm.org/doi/pdf/10.1056/NEJMcp1502240
       

        “Acute Myocardial Infarction” May 25, 2017 -
        http://www.nejm.org/doi/pdf/10.1056/NEJMra1606915

    c. “2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction.
        A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines” -
        https://www.ahajournals.org/doi/epdf/10.1161/CIR.0b013e3182742c84

    d. Up-To-Date - “Overview of the acute management of ST elevation myocardial infarction” -
        http://www.uptodate.com/contents/overview-of-the-acute-management-of-st-elevation-myocardial-infarction?

        source=search_result&search=overview+of+the+management+of+st+elevation+myocardial+infarction&selectedTitle=1%7E150

        “Overview of Acute Management of non-ST elevation acute coronary syndromes”

 https://www.uptodate.com/contents/overview-of-the-acute-management-of-non-st-elevation-acute-coronary-syndromes?search=Overview%20of%20Acute%20Management%20of%20non-ST%20elevation%20acute%20coronary%20syndromes&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

4) Congestive Heart Failure: (LO-1) (updated 7/27/22) (If links don't work, please copy and paste and open in a different browser)

    a. American Family Physician - “Heart Failure Due to Reduced Ejection Fraction: Medical Management” January 1, 2017 - (REQUIRED READING)
        https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2017/0101/p13.pdf

        “Heart Failure with Preserved Ejection Fraction: Diagnosis and Management” November 1, 2017”
        https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2017/1101/p582.pdf

        “Cardiomyopathy: An Overview” November 15, 2017 -

        https://www.aafp.org/content/dam/brand/aafp/pubs/afp/issues/2017/1115/p640.pdf

        “Medication Management for Chronic Heart Failure with Preserved Ejection Fraction” July 1, 2019
        https://www.aafp.org/afp/2019/0701/p17.html

        “Diagnosis of Heart Failure with Reduced Ejection Fraction” February 15, 2020
        https://www.aafp.org/content/dam/brand/aafp/pubs/afp/issues/2020/0215/p230.pdf

    b. New England Journal of Medicine - “Heart Failure with Preserved Ejection Fraction” November 10, 2016 - (REQUIRED READING)
        http://www.nejm.org/doi/pdf/10.1056/NEJMcp1511175

    c. Circulation - “2013 ACCF/AHA Guideline for the Management of Heart Failure” -
        http://circ.ahajournals.org/content/circulationaha/128/16/e240.full.pdf

        “2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure” August 8, 2017
        https://www.ahajournals.org/doi/epub/10.1161/CIR.0000000000000509
 

5) Electrolyte Emergencies: (LO-1) (updated 9/6/21)

    a. American Family Physician - “Potassium Disorders: Hypokalemia and Hyperkalemia” September 15, 2015 (REQUIRED READING) -
        https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2015/0915/p487.pdf

 
        “Diagnosis and Management of Sodium Disorders: Hyponatremia and Hypernatremia” March 1, 2015 (REQUIRED READING) -
        https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2015/0301/p299.pdf

    b. New England Journal of Medicine - “Maintenance Intravenous Fluids in Acutely Ill Patients” October 1, 2015
        http://www.nejm.org/doi/pdf/10.1056/NEJMra1412877

        “Balanced Crystalloids versus Saline In Critically Ill Adults” March 1, 2018
        https://www.nejm.org/doi/pdf/10.1056/NEJMoa1711584  (If links don't work, please copy and paste and open in a different browser )

        “Physiologic Approach to Assessment of Acid-Base Disturbances” October 9, 2014 -
        http://www.nejm.org/doi/pdf/10.1056/NEJMra1003327


6) Inpatient Medicine Goals and Objectives: (LO-1) (updated 7/27/22)

    a. “FM-Inpatient Medicineexpected competencies” - (see Curriculum Objectives in Med Hub)

7) Palliative Care: (LO1, 2 and 3) (updated 7/27/22)  (If links don't work, please copy and paste and open in a different browser)

    a. Part I- Communication Around End of Life Care and Code Status:(LO1) -

        i. American Family Physician- “End-of-Life-Care: Guidelines for Patient Centered Communication”January 15, 2008 -
           https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2008/0115/p167.pdf

            “Evaluating Medical Decision-Making Capacity in Practice” July 1, 2018 -
            https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2018/0701/p40.pdf

        ii. Up-To-Date – “Advanced care planning and advanced directives” -
            http://www.uptodate.com/contents/advance-care-planning-and-advance-directives?source=machineLearning&search=CODE+STATUS&selectedTitle=2%

            7E150&sectionRank=3&anchor=H23369035#H23369035 (REQUIRED READING) -

        iii. Journal of Hospital Medicine - “Uninformed Consent: Do Medicine Residents Lack the Proper Framework for Code Status Discussions?” February 2016 -
        iv. https://cdn.mdedge.com/files/s3fs-public/pdfs/journals/jhm2497.pdf

        v. Fast Facts - #16 Moderating an End of Life Conference
                                #42 Broaching the Topic of a Palliative Care Consultation with Patients and Families #55 Decision Making Capacity
                                #65 Establishing End of Life Goals: The Living Well Interview
                                #183 &184 Conflict Resolution Part I & II
                                #204 African Americans and End of Life Care
                                #227 The Family Meeting: End of Life Goal Setting and Future Planning
                                #235 Prognostic Models in Critically Ill Patients

    b. Part II- Symptom Management (LO2)

    c. Part III- Withdrawal of Care and Hospice/GIP Hospice (LO3)
 

8) Pharmacology: Management of Hypertensive Urgencies and Emergencies (LO1) (updated 7/26/20)  (If links don't work, please copy and paste and open in a different browser)

    a. American Family Physician - “Severe Asymptomatic Hypertension: Evaluation and Treatment” April 15, 2017 -
        https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2017/0415/p492.pdf

 
    b. Consultant: “Acute Hypertension: Hypertensive Urgency and Hypertensive Emergency” March 2016 - (REQUIRED READING)
        https://www.consultant360.com/articles/acute-hypertension-hypertensive-urgency-and-hypertensive-emergency

    c. New England Journal of Medicine - “Acute Severe Hypertension” November 7, 2019 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMcp1901117?articleTools=true

    d. Up-To-Date: “Evaluation and Treatment of Hypertensive Emergencies in Adults”
        https://www.uptodate.com/contents/evaluation-and-treatment-of-hypertensive-emergencies-in-adults?search=Evaluation%20and%20treatment%20of%20hypertensive%20emergencies%20in%     

        20adults&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

        “Drugs Used for the Treatment of Hypertensive Emergencies in Adults”
        https://www.uptodate.com/contents/drugs-used-for-the-treatment-of-hypertensive-emergencies?search=Drugs%20used%20for%20the%20treatment%20of%20hypertensive%

        20emergencies&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
 

9) Sepsis Syndrome: (LO-1) (updated 7/30/21)  (If links don't work, please copy and paste and open in a different browser)

    a. American Family Physician - “Sepsis: Diagnosis and Management” April 1, 2020 (REQUIRED READING)
        https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2020/0401/p409.pdf

 
    b. JAMA - “The Third International Consensus Definitions for Sepsis and Septic Shock (SEPSIS-3)” February 23, 2016 -
        https://jamanetwork.com/journals/jama/fullarticle/2492881

    c. Up-To-Date - “Sepsis syndromes in adults: Epidemiology, definitions, clinical presentation, diagnosis, and prognosis”
        https://www.uptodate.com/contents/sepsis-syndromes-in-adults-epidemiology-definitions-clinical-presentation-diagnosis-and-prognosis?

        search=sepsis&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

        “Evaluation and management of suspected sepsis and septic shock in adults”
        https://www.uptodate.com/contents/evaluation-and-management-of-suspected-sepsis-and-septic-shock-in-adults?

        search=sepsis&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2
 

10) Social Services and Case Management:(LO1) (updated 9/6/21)

    a. Payers and their provided services: Medicare, Medicaid, Commercial, Self-Pay

    b. Resources for uninsured or underinsured patients

    c. Post hospitalization levels of care: Rehab, LTAC, SNU, NH, Assisted Living, Home Health

    d. Substance Abuse Resources

    e. Community Resources: Transportation, Meals-on-Wheels, etc

11) Stroke and TIA (LO1): (updated 9/6/21)

    a. American Family Physician - “Recurrent Ischemic Stroke: Strategies for Prevention” October 1, 2017 -
        https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2017/1001/p436.pdf

        “Diagnosis of Acute Stroke” June 2022 (REQUIRED READING)  
        https://www.aafp.org/pubs/afp/issues/2022/0600/p616.html

    b. New England Journal of Medicine - “Thrombectomy for Stroke at 6-16 Hours With Selection by Perfusion Imaging” February 22, 2018 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMoa1713973

        “Thrombectomy 6-24 Hours After Stroke With a Mismatch Between Deficit and Infarct” January 4, 2018 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMoa1706442

        “Transient Ischemic Attack” May 14, 2020 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMcp1908837

        “Acute Ischemic Stroke” July 16, 2020 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMcp1917030

    c. UpToDate - “Initial Assessment and Management of Acute Stroke” (REQUIRED READING)
        http://www.uptodate.com/contents/initial-assessment-and-management-of-acute-stroke?source=search_result&search=acute+stroke&selectedTitle=1~150
 

12) LO1 Hospital Medicine Jeopardy: (LO1) (updated 7/26/20)

      Blue and Orange Team RICS will create a Jeopardy game inclusive of key topics discussed throughout the month during LO. They must utilize questions from all topic areas  

      previously presented.

      Answers to jeopardy questions must be  found in the resources listed on the LO web site, but are not required to be found in the REQUIRED READING

      (ie you can use the additional enrichment materials posted). RICS may “coach” their teams on which resources to review before the contest, but cannot share specific

      questions/answers or their team.