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2017 Clinical Conference Evaluation & Post Test - Enduring Materials Format: Binge Eating - Cognitive Behavioral Therapy

Evaluation

EBM OUTPATIENT GRAND ROUNDS EVALUATION               ENDURING MATERIAL
AUG 15, 2017- EVALUATION - Binge Eating-Cognitive Behavioral Therapy, PRESENTED BY; C. CASTAGNINI PHD
ESTIMATED TIME TO COMPLETE THE ACTIVITY IS 45 MINUTES. ACTIVITY AND CONTENT EXPIRES: 08-15-2020
STATEMENT OF DISCLOSURE: THE PLANNERS AND FACULTY FOR THIS ACTIVITY HAVE NO RELEVANT FINANCIAL RELATIONSHIPS WITH COMMERCIAL INTERESTS. NO OTHERS INDIVIDUALS INVOLVED IN THE PLANNING OR PRESENTATION OF THIS ACTIVITY HAVE ANY RELEVANT FINANCIAL RELATIONSHIPS WITH COMMERCIAL INTERESTS TO DISCLOSE.
ACCREDITATION STATEMENT: JOHN MUIR HEALTH IS ACCREDITED BY THE INSTITUTE FOR MEDICAL QUALITY/CALIFORNIA MEDICAL ASSOCIATION (IMQ/CMA) TO PROVIDE CONTINUING MEDICAL EDUCATION FOR PHYSICIANS.
CREDIT DESIGNATION STATEMENT: JOHN MUIR HEALTH DESIGNATES THIS ENDURING MATERIAL FOR A MAXIMUM OF ONE (.75) AMA PRA CATEGORY 1 CREDITS™.  PHYSICIANS SHOULD CLAIM ONLY THE CREDIT COMMENSURATE WITH THE EXTENT OF THEIR PARTICIPATION IN THE ACTIVITY.  
MINIMUM LEVEL OF ACHIEVEMENT:   MUST SCORE 75% CORRECT ON POSTTEST AND COMPLETE THE STATEMENT OF HOW YOU WILL IMPROVE YOUR PRACTICE AFTER PARTICIPATION IS MANDATORY. 
JMH INTERNET POLICY: HTTPS://WWW.JOHNMUIRHEALTH.COM/WEBSITE-PRIVACY-POLICY1.HTML
1. Physician Info
This question requires a valid date format of MM/DD/YYYY.
calendar
3. As a result of attending this CME activity, which of these do you plan to implement and/or change in your practice? *This question is required.
Space Cell DefinitelyMaybeNo Change
Differentiate between older and newer treatment options.
Formulate and communicate treatment plans for the management of medically and socially complex patients
Apply best practice strategies to overcome co-morbidities in medically and socially complex patients
Utilize EBM Guidelines for a multitude of conditions that are encountered in primary care
Utilize Patient Centered Care skill to help patients become better informed and more involved in their health care decisions
8. Was their evidence of commercial bias in this session? ​
9. A 35 year old female comes into her Ob-Gyn stating that she has been trying to get pregnant for over 2 years without success.  She has been diagnosed with PCOS. She is 5’4” and weighs 212 pounds.  She reports that she cannot control the amount of food that she has been eating at night after her husband goes to bed, and it has been getting to the point of feeling physically sick after her husband goes to bed. She wants to stop this, as she feels an extreme amount of guilt for doing this. She has always struggled with her weight and being able to lose it, but since she has started eating like this at night, she has gained 20 pounds.
In order to diagnose Binge Eating Disorder, she would need to tell you that:
10. A 50 year old male comes into see his PCP stating that he is concerned about his eating behaviors, as he has been unable to stop the amount of food that he has been eating while driving in his car for the past 6 months after work. He is ashamed to tell anyone in his family, as he goes from fast food restaurant to fast food restaurant, and eats everything he buys so fast that he barely tastes it. He goes to a public trash container to throw all of the trash away before he heads home to make sure nobody knows what he has done. Then, even though he has just eaten so much as is nowhere near hungry, he will sit down and eat a full dinner with his family so they won’t suspect what he has just done. He feels so physically sick every night that he cannot stand it. He tells himself every night he won’t do it ever again, but then he does it just the same, every day.  His PCP looks at him, perplexed, thinking this patient must be lying, as this man is 5’10” and weighed in today at 165 pounds.
What are the next best steps his PCP should make after this appointment with his patient?
11. In the Binge Eating Cycle, the cycle driver is rules. 
12. Although not true in the past, as societal pressures on men have shifted over time, binge eating is now equally prevalent among females as it is among males.