Online Continuing Education

Unmasking Depression in Primary Care Practice: Strategies to Improve Health Care Quality

Original Publish Date:

January 28, 2008

Review Date(s):

January 2009, January 2010

Term of Approval End Date:

January 31, 2011

Estimated Time to Complete:

1.5 hours per module (3 modules)

Risk Management:

Yes

Course Format:

Slide - Audio Lecture

Course Fee:

Mbrs-$15, Non Mbrs-$30 (per module)

To participate in this CME activity: (1) review the information on this page which includes the learning objectives and faculty disclosures; (2) view/listen to the presentation(s); (3) complete the exam; (4) view/print certificate.

 

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Course Information


 

 

 

 

General Information

  • If you need to stop in the middle of a course, you may return to the course at anytime to finish.
  • When you have finished viewing the presentation slides with audio, close the window and click on CME Exam in the Course Sections box. 
  • To begin this CME activity, read through the information on this page and then click on the Start Course button (page top or bottom)  or Start Course (Course Sections box).

Course Overview

Unmasking Depression in Primary Care Practice: Strategies to Improve Health Care Quality is sponsored by the Massachusetts Medical Society in collaboration with the Massachusetts Health Quality Partners and the Massachusetts Psychiatric Society. This course was developed from a live program held on September 28, 2007 at the MMS Headquarters in Waltham, MA. Utilizing slides and audio you will experience the following presentations:

  • Early and Proper Diagnosis, Larry Culpepper, MD, MPH
  • Recognizing Treatment Gaps, Andrew A. Nierenberg, MD
  • The Three Component Model: A Systematic Approach to Improving Patient Adherence and Follow-up, Thomas Oxman, MD

This 3-module course is designed to identify barriers that impede early diagnosis, appropriate treatment, and effective/efficient management of depression in primary care settings. Clinical experts present an overview of the topic with an emphasis on age-related assessment considerations, clinical decision-making, and intervention strategies.

For more information about the Massachusetts Health Quality Partners (MHQP) and quality reports on depression measures, go to: http://www.mhqp.org.
For more information on the Massachusetts Psychiatric Society, go to: http://www.psychiatry-mps.org.

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Intended Audience

Primary care, internal medicine and family physicians, psychiatrists, physician assistants, nurse practitioners, psychologists, social workers, and other health care professionals

Course Objectives

  • Discuss the major risk factors for depression
  • Cite barriers to diagnosing depression in a primary care setting
  • Screen/assess patients who may be at risk for depression
  • Identify tools to conduct a thorough, individualized depression assessment and an effective interview
  • Describe three common medical conditions that may mask the diagnosis of depression
  • Develop strategies to improve the overall delivery of care as well as physician performance measurements

Course Credit

Deadline for completing the course is January 31, 2011.

The Massachusetts Medical Society designates this enduring material for a maximum of 4.5 AMA PRA Category 1 Credits™.* Physicians should claim only credit commensurate with the extent of their participation in the activity.

This program meets the criteria of the Massachusetts Board of Registration in Medicine for risk management study.

Participants will receive a confidential report of their examination score. You must receive a score of 70% or better to receive AMA PRA Category 1 Credit™.  A confirmation of credit will be issued at the end of the course to those who successfully complete the examination.

The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

*Each presentation module is designated for 1.5 AMA PRA Category 1 Credits™.

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Course Fees

Unmasking Depression in Primary Care Practice: Strategies to Improve Health Care Quality course modules and all associated course materials are available free of charge. An opportunity to complete an exam and receive AMA PRA Category 1 Credit for a nominal fee is available at the end of the course. The course fees are as follows:

Massachusetts Medical Society (MMS) Member: $15 per module

Non-MMS member: $30 per module

Course Faculty

Larry Culpepper, MD, MPH is a professor of family medicine and the founding chair of the Department of Family Medicine at Boston University School of Medicine. Dr. Culpepper is also the chief of family practice at Boston Medical Center. He has conducted federally funded studies on depression and anxiety. Dr. Culpepper has also served as the president of the North American Primary Care Research Group and as the chair of the Research Committee of the Society of Teachers of Family Medicine. He is a primary care fellow of the federal Health Resources and Services Administration, and he is also a member of the Anxiety Disorders Association of America Scientific Advisory Boards.

Andrew A. Nierenberg, MD is the medical director of Bipolar Programs and associate director of the Depression Clinical Research Program at Massachusetts General Hospital. An associate professor of psychiatry at Harvard Medical School, he graduated from Albert Einstein College of Medicine of Yeshiva University and became a Robert Wood Johnson Clinical Scholar at Yale University. He later joined the faculty at Harvard Medical School, first to direct one of the Affective Disorders Inpatient Units and then to direct the Affect Disorders Outpatient Unit at McLean Hospital. He has published over 150 original articles, chapters, reviews, and abstracts on this subject.

Thomas E. Oxman, MD is a professor of psychiatry and a professor of community and family medicine at Dartmouth Medical School. His main interests are in preparing primary care providers and psychiatrists to manage the psychiatric and psychosocial problems of geriatric patients. His research interests include the identification and implementation of evidence-based, systematic biopsychosocial interventions that are effective at maintaining and improving the emotional and physical function of the medically ill. Dr. Oxman received his medical degree from the University of Colorado School of Medicine and has served as associate co-chair of the MacArthur Initiative on Depression and Primary Care at Dartmouth College and Duke University.

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Course Materials

While viewing the course you will have the option to print the slides and transcripts by going under "documents" in the tabs within the recording window or you may download a copy of the pdf files below.

Presentation Module 1: Early and Proper Diagnosis, Larry Culpepper, MD, MPH

Presentation Module 2: Recognizing Treatment Gaps, Andrew A. Nierenberg, MD

Presentation Module 3: The Three Component Model: A Systematic Approach to Improving Patient Adherence and Follow-up, Thomas Oxman, MD

Requires PDF Reader: Adobe Reader 5.0 or higher

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Disclosure/Commercial Support

Larry Culpepper, MD, MPH
Consultant:  Forest Labs, Pfizer, Wyeth, Lilly, Neurocrine, and Takeda
Grant/Research Support: Agency for Healthcare Research and Quality
Speaker Bureau:  Forest Labs, Pfizer, Wyeth

Thomas E. Oxman, M.D.
Other Financial or Material Interest:  Managing Partner, 3CM LLC

Andrew A. Nierenberg, MD
Consultant:  Abbott Labs, BrainCells Inc., Genaissance, Bristol Myers Squibb, Eli Lilly, GlaxoSmithKline, Innapharma, Novartis, Janssen Pharmaceutica,, Pfizer, Sepracor, Shire, and Somerset
Speakers Bureau:   Bristol Myers Squibb, Eli Lilly, Cyberonics, Forest Pharmaceuticals, GlaxoSmithKline, and Wyeth-Ayerst
Grant/Research Support:  Bristol Myers Squibb, Eli Lilly, Cederroth, Lichtwer Pharma, Cyberonics, Forest Pharmaceuticals, GlaxoSmithKline, Janssen Pharmaceutica, Pfizer, and Wyeth- Ayerst

Off-label Disclosure:

This course does not include any discussion of an off-label use of a commercial product or an investigational use not yet approved for any purpose by the FDA.

Commercial Support

No commercial support was received for this online program.

Content Disclaimer

The views expressed are not necessarily those of the Massachusetts Medical Society.

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Course Developers

Nancy L. Bennett, Ph.D., Education Consultant

Kathleen Bellisle, Manager of Distance Learning, MMS

Bibliography

Screening Tools
http://www.ahrq.gov/clinic/cps3dix.htm#mental

Patient Health Questionnaire (PHQ-9)
www.depression-primarycare.org/clinicians/toolkits/materials/forms/phq9

Quick Inventory of Depressive Symptomatology (QIDS)
http://www.journals.elsevierhealth.com/periodicals/
bps/article/PIIS0006322302018668/abstract
 

http://www.ids-qids.org/idsqids.pdf

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Hardware & Software Requirements

Supported Browsers
Internet Explorer v.7 or greater (for Windows)
Mozilla Firefox v.2 or greater (for Windows, Mac, Linux)

Minimum System Requirements

Windows Systems Requirements

  • A Pentium-based PC or compatible computer.
  • At least 64MB of RAM.
  • Windows 95/98/NT/ME/2000/XP/Vista system software.
  • A Sound Blaster or compatible sound card and speakers.
  • DirectX version 3.0 or later recommended.
  • Screen resolution of 1024 x 786 or larger recommended.
  • Browser Plug-in: Adobe Flash Player version 9 or higher.
  • PDF Reader: Adobe Reader 5.0 or higher, Foxit Reader 2.0 or likewise.

Mac OS System Requirements

  • A PowerPC processor-based Macintosh computer.
  • At least 64MB of RAM.
  • Mac OS 7.5 or later.
  • Screen resolution of 1024 x 786 or larger recommended.
  • Browser Plug-in: Adobe Flash Player version 9 or higher.
  • PDF Reader: Adobe Reader 5.0 or higher, Foxit Reader 2.0 or likewise.

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Policies

Contact Us

Contact us at continuingeducation@mms.org or (800) 322-2303, ext. 7306. Massachusetts Medical Society, 860 Winter Street, Waltham, MA 02451.

For technical questions about viewing the presentations:
http://www.conferencearchives.com/cms/eprescribing2008/faq.html

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