Table 30a

Clinically-related Continuing Medical Education Needs Expressed by Family Physicians, October 2007

TOPICS		N	LEVEL OF NEED (PERCENT)
			High	Moderate	Low
Allergy		512	15.2	47.9	36.9
	Allergy testing	526	14.8	39.2	46.0
	Anaphylaxis/angioedema	465	24.1	48.0	28.0
	Drug allergies	519	17.5	42.0	40.5
	Food allergies	516	19.6	46.9	33.5
Blood disorders		453	27.2	58.1	14.8
	Anemia	524	31.3	47.1	21.6
	Bleeding disorders	523	22.4	58.1	19.5
	Hypercoagulability disorders	490	39.2	48.6	12.2
Cancer		455	35.4	54.1	10.5
	Breast	526	35.9	46.0	18.1
	Care of survivors	528	35.0	44.5	20.5
	Colorectal cancer	523	35.8	46.8	17.4
	Early detection/screening	525	43.6	37.1	19.2
	Identification of oral cancers and precancers	520	32.7	48.8	18.5
	Leukemia & myeloma	527	30.0	52.0	18.0
	Lung and bronchial	525	25.0	52.4	22.7
	Pancreatic	521	19.2	51.8	29.0
	Prostate	523	35.8	43.4	20.8
	Skin, incl. melanoma	523	41.7	44.0	14.3
	Ovarian & uterine	513	29.8	52.2	17.9
Cardiovascular		447	46.1	42.3	11.6
	Atrial fibrillation	525	40.0	45.1	14.9
	Cardiovascular risk reduction	524	38.0	37.6	24.4
	Congestive heart failure	527	41.2	43.3	15.6
	Dyslipidemia	526	39.0	38.8	22.2
	Hypertension	519	38.5	39.1	22.4
Elder care		411	31.1	51.8	17.0
	Assessing risk/avoiding injury	517	26.7	47.6	25.7
	Dementia / pseudo dementia	528	40.9	45.6	13.4
	Geriatric assessment	530	33.8	48.7	17.5
	Hip fracture	524	17.4	48.3	34.4
	Infections acquired in long-term care	525	25.0	44.2	30.9
	Polypharmacy	527	37.4	44.6	18.0
	Successful prescribing	523	32.7	44.4	22.9
	Urinary tract infections	518	16.6	51.0	32.4
Emergent/urgent care		439	32.6	52.2	15.3
	Acute abdomen	524	32.6	44.5	22.9
	Disaster prep. & management	526	27.8	42.8	29.5
	Management of eye injuries	528	37.9	44.9	17.2
	Trauma management	520	30.2	38.7	31.2
Endocrine		412	29.4	60.4	10.2
	Metabolic syndrome	526	37.6	42.4	20.0
	Thyroid/pituitary diseases	529	41.4	46.9	11.7
Gastrointestinal tract		450	22.7	62.9	14.4
	Cirrhosis	519	19.1	54.5	26.4
	Diverticulitis	518	16.8	49.6	33.6
	Gastroesophageal reflux disorder	520	23.8	42.9	33.3
	Irritable bowel syndrome	520	25.4	49.0	25.6
	Noninfectious hepatitis	520	24.4	56.7	18.8
	Peptic ulcer disease	515	15.0	52.0	33.0
	Upper lower GI bleed	512	21.9	49.6	28.5
Genitourinary/renal		414	24.9	61.6	13.5
	Chronic renal insufficiency	523	44.9	41.1	14.0
	Hematuria	519	26.2	54.9	18.9
	Incontinence	517	24.2	53.2	22.6
	Nephrolithiasis	516	18.4	50.0	31.6
	Pyelonephritis	515	15.0	45.0	40.0
Infant, child, and adolescent health		459	30.7	54.7	14.6
	Abuse and neglect	512	18.9	55.3	25.8
	ADD/ADHD	519	41.4	42.6	16.0
	Developmental learning disorders/autism	520	43.3	39.0	17.7
	Emotional development, behavior, discipline	517	38.1	43.5	18.4
	Eye problems	517	22.2	51.1	26.7
	Failure to thrive	517	24.2	46.2	29.6
	Fever	515	26.8	44.5	28.7
	Newborn screening	512	18.0	43.2	38.9
	Seizures	516	20.7	53.1	26.2
	Sexuality / STDs / teen pregnancy prevention	516	23.6	47.3	29.1
	Sudden cardiac death	520	11.9	47.0	41.1
	Sudden Infant Death Syndrome	511	33.1	47.3	19.6
	Well child care	511	24.5	44.8	30.7
Infectious diseases		422	34.6	55.7	9.7
	Antibiotic use/abuse	518	39.4	40.7	19.9
	HIV / AIDS	516	19.6	43.0	37.4
	Meningitis / encephalitis (adult and child)	515	25.2	52.4	22.3
	Methicillin-resistant staph infections	523	47.7	41.1	11.5
	Sexually transmitted diseases	519	27.6	49.1	23.3
	Tuberculosis	516	19.8	49.8	30.4
	Viral hepatitis	517	25.5	49.9	24.6
	Zoonotic infections	519	25.2	48.9	25.8
Men's health		474	25.7	57.6	16.7
	BPH/prostatitis	523	29.8	49.3	20.8
	Erectile dysfunction/impotence	521	21.1	44.0	34.9
	Hypogonadism	525	26.3	46.7	27.0
	Testicular disease	498	23.3	54.2	22.5
Mental health		432	34.7	53.9	11.3
	Addictive behaviors	521	34.5	45.3	20.2
	Adult ADD/ADHD	520	45.2	40.2	14.6
	Anxiety	521	36.5	45.1	18.4
	Bipolar disorder	527	40.4	44.2	15.4
	Counseling	517	25.0	45.5	29.6
	Depression	520	32.3	41.7	26.0
	Eating disorders	518	25.3	48.3	26.4
	Obsessive-compulsive disorder (OCD)	521	22.8	51.8	25.3
	Post-traumatic stress disorder (PTSD)	521	25.0	51.6	23.4
	Psychotropic drugs	520	38.5	47.5	14.0
	Somatic syndromes	517	31.5	47.8	20.7
	Suicide prevention	516	25.0	51.9	23.1
Musculoskeletal/sports		453	37.1	49.9	13.0
	Fractures	523	33.3	46.5	20.3
	Joint injection	527	44.4	34.7	20.9
	Joint injury	522	42.7	42.7	14.6
	Low back pain	523	36.3	41.9	21.8
	Sports exam taechniques	527	44.0	39.5	16.5
	Sports injury prevention	525	34.1	42.9	23.0
	Sports injury treatment	524	41.4	42.2	16.4
	Sprains	515	35.7	42.7	21.6
Neurology		429	31.5	59.4	9.1
	Alzheimer's disease	519	42.2	42.2	15.6
	Degenerative disorders (e.g., MS, ALS)	515	30.9	47.8	21.4
	Dizziness/vertigo	521	47.4	41.1	11.5
	Headache/migraine	522	41.4	43.1	15.5
	Parkinson's disease	521	33.2	52.2	14.6
	Peripheral neuropathy	524	38.4	50.0	11.6
	Seizures	520	22.9	55.0	22.1
	Stroke	518	37.8	46.7	15.4
Newer imaging modalities		485	53.8	38.4	7.8
Nutrition and physical activity		444	30.0	51.8	18.2
	Counseling	514	27.8	43.8	28.4
	Exercise	517	31.7	40.8	27.5
	Obesity	519	38.9	39.1	22.0
	Weight control	519	40.8	38.5	20.6
Oral health		438	17.1	53.9	29.0
	Dental emergencies	520	33.7	40.6	25.8
	Prevention of peridontal disease	509	17.3	44.2	38.5
Pain management		461	38.6	49.2	12.1
	Abuse/addiction to pain medications	521	40.7	41.3	18.0
	Acute pain	520	35.4	43.8	20.8
	Chronic pain	520	46.9	39.2	13.8
	Prescribing oxycodone (OxyContin)	533	36.2	34.9	28.9
	Special prescribing considerations	520	41.9	44.4	13.7
Pharmacotherapy		471	34.0	54.8	11.3
	Complementary/alternative supplements	515	38.6	44.3	17.1
	Drug-to-drug interactions	519	36.8	48.7	14.5
	Drug-to-food interactions	521	32.2	49.7	18.0
	Supplements/vitamins	517	32.1	45.1	22.8
Pulmonary		417	22.8	63.8	13.4
	Acute respiratory distress	520	21.7	47.1	31.2
	Asthma	525	38.3	46.5	15.2
	Chronic obstructive pulmonary disease (COPD)	522	37.7	46.9	15.3
Rheumatologic disorders		447	29.5	60.4	10.1
	Arthritis	518	32.4	52.5	15.1
	Collagen vascular disease	520	29.6	53.5	16.9
	Chronic fatigue syndrome/fibromyalgia	521	35.5	45.5	19.9
	Degenerative joint disease	520	24.8	53.7	21.5
	Lupus	519	23.3	54.7	22.0
Sexual issues		432	22.0	51.9	26.2
	Contraceptive measures	519	27.4	42.0	30.6
	Family planning counseling/infertility	515	18.1	46.0	35.9
	High-risk sexual behaviors	514	19.5	45.7	34.8
Skin disorders and procedures		444	31.3	57.9	10.8
	Acne	522	32.8	48.5	18.8
	Dermatitis/eczema	519	31.4	51.1	17.5
	Fungal disorders	520	26.5	53.8	19.6
	Psoriasis	521	26.3	55.1	18.6
	Rashes	523	45.1	45.1	9.8
	Wound care management	521	44.3	41.7	14.0
Sleep disorders		435	28.0	57.2	14.7
	Childhood sleep disorders	521	34.4	42.0	23.6
	Insomnia	520	40.0	45.2	14.8
	Obstructive sleep apnea	522	30.1	52.3	17.6
Surgery		419	21.5	51.8	26.7
	Post-bariatric surgery care	517	33.1	42.0	25.0
Women's health		438	36.3	51.1	12.6
	Amenorrhea	520	33.8	45.8	20.4
	Dysfunctional uterine bleeding	524	40.6	42.2	17.2
	Emergency contraception	521	25.7	39.7	34.5
	HPV vaccine	518	29.5	40.7	29.7
	Menopause, including hormone replacement therapy	519	41.4	44.7	13.9
	Well woman care	520	29.0	43.3	27.7
*Includes only active member responses of the American Academy of Family Physicians. Survey respondents indicated high, low, or moderate need for continuing medical education in each category.
Source: American Academy of Family Physicians, Continuing Medical Education Topics Surveys, April 2007.