Karl Visit 1: An Elderly Hispanic Patient Presenting with Trouble Breathing


Karl Visit 1: An Elderly Hispanic Patient Presenting with Trouble Breathing

Topic: Allergy/ Immunology
Relevant Terms: Adult Immunization, Healthcare Disparity
Primary Audience: Primary Care Physicians
Launch Date: 13-Mar-14
Credits: 0.75 AMA PRA Category 1 Credit
Expiration Date: The accreditation for this activity has expired.
Curriculum Name: Immunization

Learning Objectives

After completing this activity, the participant will demonstrate the ability to:

  1. Describe well-documented health disparities common to patients seen in clinical practice
  2. Assess the culture, health literacy, and language proficiency of patients with diverse cultural backgrounds
  3. Improve clinical outcomes by utilizing tools, resources, and services designed to enhance health communication
  4. Demonstrate improved communication with minority patients through improved cultural knowledge and sensitivity


    Richard K Zimmerman MD MPH
    Department of Family Medicine and Clinical Epidemiology
    School of Medicine
    University of Pittsburgh
    Pittsburgh, PA
    Leonard E. Egede, MD, MS
    Allen H. Johnson Endowed Chair
    Professor of Medicine
    Director, Center for Health Disparities Research
    Medical University of South Carolina
    Charleston, SC
    Director, Charleston VA HSR&D COIN
    Health Equity and Rural Outreach Innovation Center (HEROIC)
    Ralph H. Johnson VA Medical Center
    Charleston, SC
    Peer Reviewer:
    Robert Morrow, MD
    Associate Clinical Professor, Family and Social Medicine
    Albert Einstein College of Medicine
    Bronx, NY
    Supported Browsers:
    Internet Explorer 8.0+ for Windows 2000, 2003, Vista, XP, Windows 7, Windows 8    
    Google Chrome 28.0+ for Windows, Mac OS, or Linux
    Mozilla Firefox 23.0+ for Windows, Mac OS, or Linux
    Safari 5.0+ for Mac OSX 10.5 and above
    Supported Phones & Tablets:
    Android 4.0.3 and above
    iPhone/iPad with iOS 6.1 or above    


    MEDIUM: CME Enduring Material Online Patient Case


    This activity is sponsored by Albert Einstein College of Medicine of Yeshiva University in Co-sponsorship with SciMed and Joint sponsorship with RealCME.


    This activity is intended to meet the educational needs of primary care physicians and other health care providers who manage patients with diverse cultural backgrounds.

    To improve the competence and performance of
    • Primary care physicians and other health care providers involved in the management of patients with diverse cultural backgrounds
    In order to improve clinical outcomes by
    • Enhancing provider cultural competency as well as competency in managing patients with low health literacy, numeracy, and English proficiency
    Wide disparities exist in the delivery of safe, high-quality healthcare to minority populations in the United States. Documented health disparities include deficits in the screening, diagnosis, and guidelines-based treatment of diabetes, mental health problems, cancer, and other conditions in Hispanic and African American patients compared to non-Hispanic white patients. The causes underlying these disparities are varied and complex, but include factors attributable to providers, patients, and the healthcare system. Variables contributing to health disparities include reduced access to care, inappropriate delays in the delivery of treatment and preventative care, and differences in health-seeking behaviors among some racial and ethnic minorities. Common provider-related barriers to quality care include language and lack of cultural sensitivity and understanding. This program employs a case-based approach to illustrate some of the common clinical challenges faced by providers and strategies to improve cultural sensitivity and the delivery of guidelines-based care to all patients.

    The "Conflict of Interest Disclosure Policy" of Albert Einstein College of Medicine of Yeshiva University requires that faculty participating in any CME activity disclose to the audience any relationship(s) with a pharmaceutical or equipment company. Any presenter whose disclosed relationships prove to create a conflict of interest, with regard to their contribution to the activity, will not be permitted to present.
    The Albert Einstein College of Medicine also requires that faculty participating in any CME activity disclose to the audience when discussing any unlabeled or investigational use of any commercial product, or device, not yet approved for use in the United States.
    The planning staffs of the Center for Continuing Medical Education of Albert Einstein College of Medicine, SciMed and RealCME have no commercial relationships to disclose.

    The following faculty have reported real or apparent conflicts of interest that have been resolved:

    Richard Zimmerman, MD, MPH has disclosed the following relationships: 
    • Grants/Research: Merck, Sanofi
    The following faculty have indicated no conflict of interest disclosures to report:
    Dr. Leonard E. Egede (faculty)
    Dr. Robert Morrow (peer reviewer)
    All faculty have indicated that this enduring material does not include the off-label/investigational use of a commercial product or device.
    This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Albert Einstein College of Medicine of Yeshiva University and RealCME. Albert Einstein College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

    Albert Einstein College of Medicine of Yeshiva University designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
    There are no fees for participating in and receiving credit for this activity. The participant must read the learning objectives and enduring material and must answer the multiple-choice online post-test. Please complete the evaluation form, which provides each participant with the opportunity to comment on the quality of the instructional process, the perception of enhanced professional effectiveness, the perception of commercial bias, and his/her views on future educational needs. A score of at least 70% is required to successfully complete this activity. The participant may take the test until successfully passed. Credit is available through March 12, 2015.
    The opinions and recommendations expressed by faculty in this activity are their own and do not necessarily represent the views of Albert Einstein College of Medicine, Montefiore Medical Center, SciMed and RealCME. Please review complete prescribing information for specific drugs or combination of drugs, including indications, contraindications, warnings, and adverse effects, before administering pharmacologic therapy to patients.
    Copyright © 2014 Albert Einstein College of Medicine  of Yeshiva University. All rights reserved. No part of this material may be used or reproduced in any manner whatsoever without written permission except in the case of brief quotations.
    Please read Albert Einstein College of Medicine's Privacy Policy at http://www.mecme.org/site/privacy.php
    If you have questions about this CME activity, please contact Albert Einstein College of Medicine at 1-718-920-6674 or cme@montefiore.org.

    This activity is made possible by educational grants from