Continuing Medical Education

Continuing Medical Education (CME) consists of educational activities that serve to maintain, develop or increase the knowledge, skills and professional performance and relationships that a physician uses to provide services for patients, the public or the profession.

The content of CME is the body of knowledge and skills generally recognized and accepted by the profession as within the basic medical sciences, the discipline of clinical medicine, and the provision of health care to the public [AMA House of Delegates policy #300.988]. CHRISTUS St. Vincent Regional Medical Center is accredited by the New Mexico Medical Society to provide Category 1 PRA credit hours for appropriate programming.  The department has regularly scheduled accredited activities and special CME accredited activities throughout the year.

Upcoming Events:

Complications of Cirrhosis: Strategies to Improve Long-Term Patient Outcomes

Robert A. Manch, MD 

Robert A. Manch, MD
Thursday, February 22, 2018 at 7:00 AM
Vernick Conference Room

CHRISTUS St. Vincent Regional Medical Center
1.0 AMA PRA Category 1 CreditTM


Robert A. Manch, MD, MHA, FACP, FACG is the Chief of Hepatology in the Center for Liver and Hepatobiliary Disease at St. Joseph’s Hospital and Medical Center and Clinical Professor of Medicine with the University of Arizona.

Dr. Manch is board certified in Internal Medicine, Gastroenterology, and Liver Transplantation. Dr. Manch’s expertise includes liver disease and transplantation. He is a member of American Association for the Study of Liver Diseases, The Transplantation Society, American Gastroenterological Association and a Fellow of the American College of Gastroenterology. He has lectured extensively throughout the region and serves as an advisor to many organizations and companies involved in the care and treatment of liver disease.

Dr. Manch received his medical degree from State University of New York at Buffalo. He completed his residency in Internal Medicine at Maricopa Medical Center. He completed his fellowship in Gastroenterology from University of New Mexico. He also holds a Masters Degree in Health Administration from the University of Colorado.


The prevalence of cirrhosis, both worldwide and in the US, is unknown. Compensated cirrhosis often goes undetected for prolonged periods of time and experts estimate that up to 1% of the population (~3 million) may have histological cirrhosis. Compensated Cirrhosis May Be Difficult to Recognize as it can be asymptomatic. Subtle clues may be overlooked in terms of thrombocytopenia, muscle wasting, AST>ALT without alcohol consumption and liver enzymes may not be abnormal. Etiology may be remote including prior alcohol use and uncontrolled diabetes mellitus and obesity. This presentation is tailored for hospitalists and other hospital staff who manage patients with decompensated cirrhosis and its complications with also an emphasis on Hepatic Encephalopathy (HE).

The focus of the program will be on the application of a CLDF endorsed evidence-based treatment algorithm/pathway for patients with decompensated cirrhosis, with a focus on the latest treatment development of hospital HE care, and the transition of care upon discharge in order to improve outcomes in patient care and satisfaction.


  • Recognize the signs of complications due to cirrhosis and the importance of early intervention.
  • Describe evolving patient management strategies for hepatic encephalopathy in the hospital/outpatient setting.
  • Apply the latest patient management strategies in order to decrease hospital.


These activities have been planned and implemented in accordance with the accreditation requirements and policies of the New Mexico Medical Society (NMMS). CSVRMC is accredited by the NMMS to provide continuing medical education for physicians.

CHRISTUS St. Vincent Regional Medical Center designates these live activities for a maximum of 1.0 AMA PRA Category 1 Credit™ each. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

These programs are not receiving any financial support from any commercial interests.