Professional Practice Gap:

The guidelines and clinical management of autonymous cortisol production and aldosterone production by the adrenal glands have evolved significantly over the past several years. For example, the bichemical diagnosis, investigation and subsequent treatmtent recommendations for a complex sepectrum of pateints continues to evolve.  Ever-changing guidelines plus multiple different specialty providers involved in the treatment of adrenal patients (particularly where surgeons, endocrinologists and primary care providers may be primarily responsible for any given patient) increases inconsistencies and confusion in optimal care which negatively impacts patient outcomes.

Educational Need: 

Evaluate current and evolving guidelines in the work up and clinical management of patients with autonymous coritsol secretion and primary hyperaldosteronism. A. Specifics of biochemical diagnosis. B. Utility of Adrenal Vein Sampling C. Selection of patients for surgery vs medical management/monitoring.

Learning objectives: 

1) Interpret current and evolving treatments guidelines and best practices for biochemical diagnosis;

2) Discuss current and emerging investigative imaging and interventional studies; and

3) Identify recommendations for surgical vs. medical management.

Desired Result: 

Expanded application of treatment guidelines and expert recommendations by the healthcare team to ensure data driven, standard of care is being administered to promote best patient outcomes.