Unmasking Depression in Primary Care
Practice: Strategies to Improve Health Care Quality
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Original Publish Date:
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January 28, 2008
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Review Date(s):
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January 2009, January 2010
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Term of Approval End Date:
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January 31, 2011
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Estimated Time to Complete:
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1.5 hours per module (3
modules)
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Risk Management:
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Yes
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Course Format:
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Slide - Audio Lecture
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Course Fee:
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Mbrs-$15, Non Mbrs-$30 (per
module)
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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.
Course Information
General Information
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If you need to stop in the middle
of a course, you may return to the course at anytime to finish.
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When you have
finished viewing the presentation slides with audio, close the
window and click on CME Exam in the Course Sections box.
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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:
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Early and Proper Diagnosis,
Larry Culpepper, MD, MPH
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Recognizing Treatment Gaps,
Andrew A. Nierenberg, MD
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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
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Discuss the major risk factors
for depression
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Cite barriers to diagnosing
depression in a primary care setting
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Screen/assess patients who may be
at risk for depression
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Identify tools to conduct a
thorough, individualized depression assessment and an effective
interview
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Describe three common medical
conditions that may mask the diagnosis of depression
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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
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A Pentium-based PC or compatible
computer.
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At least 64MB of RAM.
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Windows 95/98/NT/ME/2000/XP/Vista
system software.
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A Sound Blaster or compatible
sound card and speakers.
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DirectX version 3.0 or later
recommended.
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Screen resolution of 1024 x 786
or larger recommended.
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Browser Plug-in: Adobe
Flash Player version 9 or higher.
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PDF Reader: Adobe Reader 5.0 or higher, Foxit Reader 2.0 or likewise.
Mac OS System Requirements
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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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| depression,primary care, quality,psychiatry |
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