An Approach to Hemostasis and Thrombosis for the Internist

Srikanth Nagalla, M.D., M.S., specializes in treating benign hematologic conditions, including bleeding and clotting disorders, rare blood disorders, high and low platelets, high and low blood counts, bone marrow failure syndromes and myeloproliferative neoplasms.

This course will address an array of benign hematologic conditions, hemostasis, interpretation of clotting times, antiplatelet drugs, diagnosis of immediate concern and conditions to monitor long term. 

Target Audience

Internal Medicine Physicians, Family Medicine Physicians, Obstetricians, Hospitalists, Fellows, Physician Assistants, Residents, Advanced Practice Registered Nurses, Nurses, Pharmacists, Pharmacy Technicians and all other interested healthcare providers.

Learning Objectives

  • Explain the basics of primary and secondary hemostasis and identify the tests used to evaluate hemostasis.
  • Describe the approach to evaluate and treat prolonged Prothrombin time (PT)  and Activated partial thromboplastin time (aPTT). 
  • Explain the approach to evaluate and treat thrombocytopenia and basics of Immune Thrombocytopenia (ITP), Thrombotic Thrombocytopenic Purpura (TTP), Heparin Induced Thrombocytopenia (HIT).
  • Explain the basics of hypercoagulability testing and discuss the approach to duration of anticoagulation.
Additional information
Bibliography: 
  • Kumar, V., Abbas, A. K., Fausto, N., & Aster, J. C. (2014). Robbins and Cotran pathologic basis of disease, professional edition e-book. Elsevier health sciences.
  • Chapter 13 Overview of Hemostasis, Aster JC, Bunn H. Pathophysiology of Blood Disorders, 2e; 2016. 
  • McFadyen, J. D., Schaff, M., & Peter, K. (2018). Current and future antiplatelet therapies: emphasis on preserving haemostasis. Nature Reviews Cardiology, 15(3), 181-191.
Course Summary
Available credit: 
  • 1.00 ABIM MOC II
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Pharmacy
Course opens: 
09/01/2022
Course expires: 
08/31/2025

Srikanth Nagalla, M.D., M.S.
Chief of Benign Hematology
Miami Cancer Institute
Baptist Health South Florida

Srikanth Nagalla, M.D., M.S., faculty for this educational activity, indicated that he is a consultant for Alexion and Alnylam. Dr. Nagalla has also indicated that he is a speaker for Alexion, DOVA, Sanofi and Rigel. Dr. Nagalla’s presentation or discussion will not include off-label or unapproved product usage.

John Rubin, M.D., conference director for this educational activity, has indicated that he is a shareholder in AstraZeneca and Bristol Myers Squibb. 

Kenneth Rosenthal, M.D., conference director for this educational activity, has indicated that he is on the speakers' bureau for AbbVie.

All of the relevant financial relationships listed for these individuals have been mitigated.

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose with ineligible companies.*

*Ineligible companies - Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Internal Medicine Maintenance of Certification

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1 Medical Knowledge MOC point in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Available Credit

  • 1.00 ABIM MOC II
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Pharmacy
Please login or register for a Baptist Health CME account to take this course.


Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Required Hardware/Software

PC/Mac Users
PC/Mac Users

This site is supported on the most recent stable releases of the following browsers:

Click Here to Download Google Chrome
Google Chrome
Microsoft Edge
Microsoft Edge
Safari
Safari
Moxilla Firefox
Mozilla Firefox
Internet Explorer

Attention: Internet Explorer Users
This site offers limited support for Internet Explorer 11 (IE11). When using IE11, you will be prompted to download course videos instead of viewing them in the browser. After the course video downloads, the recordings will play.

Mobile Users
Mobile Users

This site is supported on the following mobile devices:

  • Apple iOS mobile devices running iOS 10 or later
  • Android mobile devices running Android 4.4 or later, with the latest release of Google Chrome or Mozilla Firefox
Technical Support
Technical Support

If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.