This four-specialty MER review brings together common problems in dermatology, endocrinology, gynecology and orthopedics. The program moves from abnormal uterine bleeding, cervical screening and menopause to diabetes treatment, osteoporosis and thyroid disease. Skin sessions address dermatitis, papulosquamous disorders and the distinction between benign and malignant lesions, while the orthopedic teaching covers the shoulder, hand, knee, foot and ankle. Designed for office-based primary care clinicians, the course emphasizes assessment, treatment choices and referral decisions across these areas. The original meeting took place August 6–9, 2026, at Atlantis Paradise Island Resort in Nassau, Bahamas.
Package scope: The agenda describes the original educational program and is not a verified inventory of supplied recordings. This file purchase does not include live attendance, provider-platform access or credit-claiming eligibility.
Learning Objectives
After reviewing the program, learners should be better able to:
Gynecology
- Assess and manage abnormal uterine bleeding.
- Describe management strategies for abnormal Pap smears and HPV.
- Discuss the menopausal transition and the risks and benefits of available treatment options.
- Apply patient-centered counseling approaches to complex contraceptive decisions.
Endocrinology
- Develop patient-specific treatment plans for type 2 diabetes.
- Diagnose and tailor treatment strategies for type 1 and type 2 diabetes.
- Identify the risks and benefits of bisphosphonate therapy in osteoporosis.
- Recognize the clinical implications of abnormal thyroid function.
Dermatology
- Differentiate atopic, irritant contact, allergic contact, and nummular dermatitis.
- Apply diagnostic principles to common papulosquamous disorders.
- Differentiate benign from malignant skin tumors.
- Recognize precancerous and cancerous skin lesions.
- Apply appropriate office-based approaches to common dermatologic presentations.
Orthopedics
- Diagnose and treat common shoulder injuries.
- Evaluate wrist, hand, and finger disorders.
- Describe the anatomy and function of the knee joint.
- Recognize chronic injuries and pain syndromes affecting the foot and ankle.
Topics
Thursday, August 6, 2026
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Abnormal Uterine Bleeding (Gynecology): Overview of normal/abnormal menstrual physiology/profile; Menstrual disturbances; Ovulatory and anovulatory uterine bleeding; Other menstrual abnormalities; Diagnosis and appropriate treatment options.
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Abnormal Pap Smears and High Risk HPV (Gynecology): Current recommendations for cervical cancer screening; Incorporating the ASCCP consensus guidelines for management of cytologic cervical abnormalities (including ASCUS, LGSIL, HGSIL and atypical glandular cells) into your practice; Algorithm for the appropriate use of HPV testing; History of HPV and effectiveness of its use; Recommendations for missed doses; Storage and administration of HPV vaccines.
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Menopause Transition and Hormone Replacement Therapy (Gynecology): Symptoms of menopause, including hot flashes, night sweats, and atrophy; Menopause syndromes, including osteoporosis, breast cancer, cardiac disease, and colon cancer; Estrogen analogs; Counseling patients in options and alternatives to hormone therapy; Designer estrogens; SERMs; HRTs; Discussion of risks and benefits, especially in breast cancer and CHD.
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Type 2 Diabetes Mellitus (Endocrinology): Diagnosis, treatment, screening and diabetic emergencies.
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Insulin Therapy for Diabetes (Endocrinology): Insulin treatment for type 2 diabetes and management of type 1 diabetes.
Friday, August 7, 2026
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Osteoporosis (Endocrinology): Bone-density interpretation, fracture-risk assessment and treatment options.
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Disorders of Thyroid Function (Endocrinology): Recognizing and treating hypothyroidism and hyperthyroidism.
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Contraception: A Primary Care Review of Best Practice (Gynecology): Coverage of the effectiveness, side effects and non-contraceptive benefits of available contraceptive options in the U.S.; Discussion of contraceptive counseling that is patient-centric including communicating without coercion; Management strategies for medically complex contraceptive decisions (patients with a history of VTE, breast cancer, hypertension).
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Dermatitis (Dermatology): Overview of the causes and forms of skin irritants; Contact, atopic, irritant, nummular, seborrheic and exfoliative; Treatment of blistering, oozing, crusting and flaking; Diagnostic principles and management strategies.
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Papulosquamous Diseases (Dermatology): Diagnostic principles of skin lesions consisting of red or purple papules; Psoriasis, lichen planus, pityriasis rosea, lupus erythematosus; Discussion of how to tell one scaly rash from another.
Saturday, August 8, 2026
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Benign Skin Tumors (Dermatology): Proper diagnosis and treatment of common benign tumors; Biopsies and histopathologic examination; Nevi, seborrheic keratosis keloids, hemangiomas and miscellaneous tumors; When to refer.
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Premalignant and Malignant Skin Tumors (Dermatology): Recognition of precursors of malignancies; Excisional and punch biopsies; Actinic keratosis, Bowen’s disease, squamous cell carcinoma, basal cell carcinoma, melanoma and other selected tumors; Risk reduction education.
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The Shoulder: Anatomy, Common Injuries, and Exam Techniques (Orthopedics): Rotator cuff syndrome; impingement, frozen shoulder; subacromial bursitis; bicipital tendonitis; A-C joint disease.
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Wrist, Hand, and Fingers (Orthopedics): Carpal tunnel, CMC arthritis thumb, ganglion cyst, trigger finger, de Quervains disease.
Sunday, August 9, 2026
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The Knee: Anatomy, Common Injuries, and Exam Techniques (Orthopedics): ACL, meniscus, MRI; common sports injuries; osteoarthritis and hyaluronan; bursitis: prepatellar, pesanserine; baker’s cyst; joint injection/X-ray interpretation; pediatrics.
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Ankle and Foot (Orthopedics): This presentation will address a series of common acute and chronic injuries and pain syndromes to the foot and ankle as they would present in the primary care setting. The focus will be on developing a working differential diagnosis based on the historical mechanism of injury and exam findings.



