Home  Unmasking Depression in Primary Care Practice
Unmasking Depression in Primary Care
Practice: Strategies to Improve Health Care Quality
Original Publish
Date: January 28, 2008
Review Date: NA
Term of Approval End Date: January 31, 2009
Estimated Time to Complete: 1.5 hours per module (3
modules)
Risk Management: Yes
Course Format: Slides with Synchronized Audio and
Transcription
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.
Instructions for Completing this Course
and Exam
The following course was developed
from a live program. Each module will open in a separate player window
displaying the presentation slides, synchronized audio and transcripts.
In order to view this course, you will need to download free Flash 8
software or higher if you do not already have it
installed on your computer.
When you are done viewing the
presentation module, close the window and click Proceed to Exam
in the left navigation bar. You will be directed through the
eCommerce screens. After payment is received, the exam will
display.
After completing the required
reading through the Course Information below, click on
Start Course to begin the activity.
Course
Information
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, 2009.
The Massachusetts Medical Society
designates Unmasking Depression in Primary Care Practice: Strategies
to Improve Health Care Quality for a maximum of 4.5 AMA PRA
Category 1 Credits™.* Physicians should only claim 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 free Adobe Reader
download)
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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
Helpful
Hints
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This course and all associated
materials are available free of charge. To complete the exam(s) and
receive AMA PRA Category 1 Credits™, a nominal fee is
applied at the end of the course.
-
If you need to stop in the middle
of a course, you may return to the course at anytime to complete.
-
This course requires Flash 8 or
higher. To receive your free copy, go to Get Flash
Player.
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This course is optimized for
Internet Explorer 5.1 and above, and Netscape 4 and above.
-
To read our Copyright
Policy click on the left navigation bar.
-
-
Contact us at continuingeducation@mms.org or (800)
322-2303. Massachusetts Medical Society, 860 Winter Street, Waltham, MA
02451.
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