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  • 1. The University of Virginia Department of Medicine presentsThe 38th AnnualEdward W. Hook, Jr., M.D.Recent Advances in Clinical Medicine October 26 - 28, 2011 Omni Charlottesville Hotel Charlottesville, VirginiaSponsored by theOffice of Continuing Medical Education • University of Virginia School of Medicine
  • 2. Dear Colleague:O n behalf of the Department of Medicine at the University of Virginia, we would like to invite you to attend the 38th annual Recent Advances in Clinical Medicine Conference. The Planning Committee has assembled a broad array of stimulating lectures addressing current issuesrelevant to the care of patients in both the outpatient and inpatient settings. Reflecting the increasingcomplexity of medical practice, the conference will continue to feature interdisciplinary sessions, thisyear focusing on sleep disorders and on medical issues that arise in joint replacement and in care of thepregnant patient. The lectures are designed to provide practical “take-home” points that you can put intopractice upon your return to the office and hospital. Ample time is allotted at the end of each sessionto have your questions addressed by the speakers, and many attendees confer informally with lecturersduring the breaks. We have continued our popular “Meet the Professor” sessions over breakfast and lunch to provide youwith opportunities to broaden your medical knowledge and skills through challenging case discussions,workshops and interactive presentations. Again we are offering a dinner symposium in the University ofVirginia’s historic Rotunda, designed by Thomas Jefferson, where you can participate in a provocativediscussion of how physicians deal with adversity. The course will be particularly useful to generalists –physicians, nurse practitioners and physician assistants -- practicing in a variety of settings, but specialistsalso attend this conference to stay abreast of important advances in medical care. All meeting materialswill be available for download at the RACM website for registered participants one week prior to theconference. A printed syllabus is available for a small additional charge. Late October is one of the most spectacular times of the year to visit Charlottesville. The foliagein the nearby Blue Ridge Mountains will be at its peak, Thomas Jefferson’s University of Virginia andMonticello are within minutes of the conference hotel and there are many activities available for families.The meeting takes place on the historic Downtown Mall, which boasts charming shops, fine restaurants,art galleries, the historic Paramount Theatre (performing arts), and a movie theatre. You may also wishto stay for the weekend to attend athletic and cultural events at the University.We look forward to seeing you in October!Andrew M.D. Wolf, M.D. Mitchell H. Rosner, M.D.Associate Professor of Medicine Associate Professor of MedicineCourse Director Interim Chair, Department of Medicine
  • 3. Course Director Planning Committee MembersAndrew M.D. Wolf, M.D. Andrew M. D. Wolf, MD General Medicine B. Gail Macik, MD Hematology/Oncology Michael Mangrum, MD Cardiology Bryan Sauer, MD Gastroenterology Kambiz Kalantarinia, MD Nephrology Cynthia D. Brown, MD Pulmonary Sue A. Brown, MD Endocrinology John G. Leiner, MD General Medicine Tamara W. Eberly, PhD, RN Continuing EducationFacultyEmaad Abdel-Rahman, MD Nephrology Donald L. Kimpel, MD Rheumatology & Michael F. Rein, MD Infectious DiseasesAlan P. Alfano, MD Physical Medicine & Immunology Christopher Rembold, MD Cardiology Rehabilitation Susan E. Kirk, MD Endocrinology Preston Reynolds, MD General MedicineLaurie Archbald-Pannone, MD Geriatrics Susan L. Lashley, MD OB/GYN C. Edward Rose, MD PulmonaryRobert W. Battle, MD Cardiology David Ling, MD General Medicine Scott Sanoff, MD NephrologyDaniel Becker, MD General Medicine Zhenqi Liu, MD Endocrinology Bryan Sauer, MD GasteroenterologyLarry Borish, MD Allergy & Immunology B. Gail Macik, MD Hematology/Oncology Michael Scheld, MD Infectious DiseasesCynthia D. Brown, MD Pulmonary John M. MacKnight, MD General Medicine Costi D. Sifri, MD Infectious DiseasesJames A. Browne, MD Orthopaedic Surgery James Mann, MD Gasteroenterology Paul Suratt, MD PulmonaryScott P. Commins, MD Allergy & Immunology Anthony McCall, MD Endocrinology Brian Uthlaut, MD General MedicineAlan Dalkin, MD Endocrinology Christopher C. Moore, MD Infectious Diseases Mary Lee Vance, MD EndocrinologyPatrick M. Dillon, MD Hematology/Oncology Patrick Northup, MD Gasteroenterology George M. Verghese, MD PulmonaryKyle Enfield, MD Pulmonary Srikant Nannapaneni, MD, MPH General Medicine Max M. Weder, MD PulmonaryUta Erdbrugger Nephrology Margaret L. Plews-Ogan, MD General Medicine Mark E. Williams, MD GeriatricsMatthew J. Goodman, MD General Medicine Robert D. Powers, MD General Medicine Andrew M. D. Wolf, MD General MedicineWilliam W. Grosh, MD Hematology/Oncology Mark Quigg, MD NeurologyEric Gunderson, MD General Medicine & Michael Ragosta, MD Cardiology Psychiatry & Neurobiological Sciences Educational Objectives By the end of the Recent Advances conference, attendees should be able to: n Better manage congestive heart failure in patients with chronic kidney n Manage common problems that arise in providing palliative care to disease hospitalized patients. n Select appropriate vitamin d therapy to prevent and manage renal bone n Address challenging issues that arise in the pre- and perioperative setting. disease n Discuss the role of antioxidants in coronary artery disease prevention n More comfortably co-manage renal transplant patients n Perform an appropriately targeted cardiovascular evaluation of the athlete n Describe how to better integrate the new oral anticoagulants into n Adopt an evidence-based approach to managing stable angina prevention and management of thromboembolic disease n Better manage diabetes, hypertension, and asthma in pregnancy n Better identify and address adverse effects of commonly used n Discuss options for home evaluation of suspected sleep apnea chemotherapeutic agents n Improve detection of sleep apnea in patients undergoing surgery n Assist in the management of bone metastases n Recognize causes and potential management options for patients with n Discuss appropriate indications for joint replacement hypersomnia n Recognize and initiate evaluation of prosthetic joint infection n Initiate evaluation and management of male hypogonadism n Institute appropriate venous thromboembolism prophylaxis in patients n Become more comfortable prescribing long-acting GLP-1 agonists for undergoing joint replacement surgery diabetic patients n Understand key aspects of rehabilitation following joint replacement n More expertly manage dyslipidemia in diabetic patients surgery n Institute an evidence-based strategy for dealing with medication allergies n Evaluate and manage challenging cases of constipation n Discuss the connection between deer tick bites and the development of n Discuss new management options for Hepatitis C red meat allergy n Co-manage patients with Barrett’s esophagus n Better handle challenging situations involving anticoagulation n Recognize, diagnose, and treat Lyme disease in its different stages n Incorporate advanced physical exam techniques into clinical practice n Recognize emerging patterns of colonization with resistant organisms n Reflect on how certain clinical scenarios challenge our humanism and n Integrate recent updates into the diagnosis and management of selected professionalism sexually transmitted diseases. n Better appraise patients’ risks of heritable disorders n Employ strategies to manage the difficult-to-control asthmatic n Discuss the current status of health care reform n Evaluate patients for and initiate treatment of sarcoidosis n Practice mindfulness as a professionally renewing exercise n Recognize important clinical problems that arise in the post-lung n Handle challenging rheumatology cases transplant patient. n Handle challenging sports medicine patient scenarios n Institute appropriate preventive and management measures in C. diffiicile n Appreciate how dealing with adversity can help physicians develop enterocolitis wisdom.
  • 4. AgendaWednesday, OctOber 26, 2011 aM sessiOns 3:30 New Movements in Constipation7:00 Registration and Continental Breakfast James Mann, MD8:00 Welcoming Remarks: 3:55 Management Updates in Hepatitis C Steven T. DeKosky, MD Dean, UVA School of Medicine Patrick Northup, MD Mitchell H. Rosner, MD, Interim Chair, Department of Medicine 4:20 Barrett’s Esophagus: Who to Screen and When to Treat Andrew M. D. Wolf, MD, Course Director Bryan Sauer, MD8:15-9:55 NEPHROLOGY 4:45 Panel Discussion8:15 Introduction 5:05 Adjourn Mark Okusa, MD 6:00-9:00 Rotunda SYMPOSIUM DINNER8:20 Management of Heart Failure in Patients with Separate Sign-up Required Kidney Disease Choosing Wisdom: The Path Through Adversity Emaad Abdel-Rahman, MD Margaret Plews-Ogan, MD8:45 Vitamin D for Treatment of Renal Bone Disease: thursday, OctOber 27, 2011 aM sessiOn Which Form 7:15-8:15 Meet the Professor Breakfast Session and Which Patient? Pre-registration Required Uta Erdbrugger, MD B1 - Humanism, Professionalism, and Wheaties:9:10 Chronic Care of Kidney Transplant Patients Scott Sanoff, MD Breakfast of Champions Daniel Becker, MD9:35 Panel Discussion 8:00 Registration and Continental Breakfast9:55 Morning Break 8:30-10:30 INFECTIOUS DISEASES10:15-11:20 HEMATOLOGY-ONCOLOGY10:15 Introduction 8:30 Introduction Geoffrey Weiss, MD Michael Rein, MD10:20 Are the New Oral Anticoagulants Ready for Prime Time? 8:35 Updates in Lyme Disease B. Gail Macik, MD Michael Scheld, MD10:45 New Oncology Medications: Common Toxicities & 9:00 Emerging Issues in Colonization with Drug-Resistant Their Solutions Organisms William Grosh, MD Costi Sifri, MD11:10 Bone Metastases: How to Treat and Avoid Complications 9:25 Update in Sexually Transmitted Infections: Patrick Dillon, MD Did the December 2010 CDC Guidelines Get it Right?11:35 Panel Discussion Michael Rein, MD11:55-1:00 LUNCH - On Your Own - OR 9:50 Panel Discussion12:05-12:55 Meet the Professor Lunch Session 10:10 Morning Break Pre-registration Required 10:30 - 12:10 PULMONARY L1 - Challenging Anticoagulation Cases 10:30 Introduction B. Gail Macik, MD C. Edward Rose, MD L2 - Genetics in Clinical Practice 10:35 The Difficult-to-Control Asthmatic Preston Reynolds, MD C. Edward Rose, MDWednesday, OctOber 26, 2011 PM sessiOns 11:00 Sarcoidosis Update1:00 - 3:05 INTERDISCIPLINARY: George Verghese, MD MEDICAL ISSUES IN JOINT REPLACEMENT 11:25 Lung Transplant for the Primary Care Physician1:00 Introduction Max Weder, MD Andrew Wolf, MD 11:50 Panel Discussion1:05 Joint Replacement 2011: 12:10-1:10 LUNCH - On Your Own - OR What’s New, What’s True, and for Whom? 12:15-1:05 Meet the Professor James Browne, MD Pre-registration Required1:30 Prosthetics and Pus: a Perplexing Problem L3 - Advanced Pearls on the Physical Examination Christopher Moore, MD Mark Williams, MD1:55 VTE Prophylaxis in Joint Replacement Surgery L4 - Health Care Reform: Where Are We Now? Srikant Nannapaneeni, MD Robert Powers, MD2:20 Rehabilitation Issues in Joint Replacement Surgery thursday, OctOber 27, 2011 PM sessiOn Alan Alfano, MD 1:10-2:50 GENERAL MEDICINE, GERIATRICS &2:45 Panel Discussion PALLATIVE CARE3:05 - 3:25 Afternoon Break 1:10 Introduction3:25 - 5:05 GASTEROENTEROLOGY Margaret Plews-Ogan, MD3:25 Introduction 1:15 C. Diff in the Hospital & Long-term Care Setting Carl Berg, MD Laurie Archbald, MD
  • 5. 1:40 Practical Issues in Palliative Care of the 10:30-12:10 UPDATES IN SLEEP MEDICINE Hospitalized Patient 10:30 Introduction David Ling, MD Cynthia Brown, MD2:05 Challenging Medical Issues in Perioperative Care 10:35 Home Evaluation of Apnea Brian Uthlaut, MD Cynthia Brown, MD2:30 Panel Discussion 11:00 Sleep Apnea in the Perioperative Period2:50 Afternoon Break Paul Suratt, MD3:10-4:50 CARDIOLOGY 11:25 When Sleep Attacks: Neurological Causes of Hypersomnia3:10 Introduction Mark Quigg, MD Brian Annex, MD 11:50 Panel Discussion3:15 Antioxidants & Coronary Artery Disease 12:10 - 1:10 LUNCH - On Your Own - OR Christopher Rembold, MD 12:15 - 1:05 Meet the Professor3:40 Cardiovascular Care of the Athlete Pre-registration Required Robert Battle, MD L5 - Challenging Cases in Sports Medicine4:05 Approach & Management of Stable Angina John MacKnight, MD Michael Ragosta, MD L6 - Challenging Rheumatology Cases4:30 Panel Discussion Donald Kimpel, MD4:50 Adjourn Friday, OctOber 28, 2011 PM sessiOn 1:10-2:50 ENDOCRINOLOGYFriday, OctOber 28, 2011 aM sessiOn 1:10 Introduction7:15-8:15 Meet the Professor Breakfast Session Alan Dalkin, MD Pre-registration Required B2 - Mindfulness for Physicians 1:15 A Clinical Approach to Male Hypogonadism Matthew Goodman, MD Mary Lee Vance, MD B3 - Challenging Cases in Pain & Addiction 1:40 Update on the GLP-1 Agonists in Diabetes Management Erik Gunderson, MD Zhenqi Liu, MD8:00 Registration and Continental Breakfast 2:05 Lipid Management in Diabetes8:30-10:10 INTERDISCIPLINARY: Anthony McCall, MD, PhD MEDICAL ISSUES IN PREGNANCY 2:30 Panel Discussion8:30 Introduction 2:50 ALLERGY Andrew Wolf, MD 2:50 Introduction8:35 Diabetes Mellitus in Pregnancy Larry Borish, MD Susan Kirk, MD 2:55 Drug Allergies: What To Do When There9:00 Hypertension in Pregnancy Are No Alternatives Susan Lashley, MD Larry Borish, MD9:25 Asthma in Pregnancy 3:20 Tick Bites & Red Meat Allergy: The Tip of an Iceberg? Kyle Enfield, MD Scott Commins, MD9:50 Panel Discussion 3:45 Panel Discussion10:10 Morning Break 4:00 Wrap-up & AdjournDisclosure of faculty financial affiliations Disclosure of discussion of non-FDA approved uses for pharmaceutical The University of Virginia School of Medicine, as an ACCME accredited products and/or medical devicesprovider, endorses and strives to comply with the Accreditation Council for The University of Virginia School of Medicine, as an ACCME provider,Continuing Medical Education (ACCME) Standards of Commercial Support, requires that all faculty presenters identify and disclose any off-label uses forCommonwealth of Virginia statutes, University of Virginia policies and procedures, pharmaceutical and medical device products. The University of Virginia School ofand associated federal and private regulations and guidelines on the need for Medicine recommends that each physician fully review all the available data on newdisclosure and monitoring of proprietary and financial interests that may affect products or procedures prior to clinical use.the scientific integrity and balance of content delivered in continuing medicaleducation activities under our auspices. Disclosure for attendance records and certificate distribution The University of Virginia School of Medicine requires that all CME The University of Virginia Office of Continuing Medical Education requiresactivities accredited through this institution be developed independently and be that all participants at live CME activities sign attendance sheets daily to confirmscientifically rigorous, balanced and objective in the presentation/discussion of its participation in the CME activity for that day. Participants are responsible forcontent, theories and practices. accurately tracking their actual participation at live events. All faculty presenters participating in an accredited CME activity are expectedto disclose relevant financial relationships with commercial entities occurring within Special Needsthe past 12 months (such as grants or research support, employee, consultant, stock The Americans with Disabilities Act of 1990 requires that all individuals, regardlessholder, member of speakers bureau, etc.). The University of Virginia School of of their disabilities, have equal access. The Office of Continuing Medical EducationMedicine will employ appropriate mechanisms to resolve potential conflicts of at the University of Virginia School of Medicine is pleased to assist participants withinterest to maintain the standards of fair and balanced education to the reader. special needs. Written requests must be received 30 days prior to the conferenceQuestions about specific strategies can be directed to the Office of Continuing date. These should be mailed to UVA Office of Continuing Medical Education,Medical Education, University of Virginia School of Medicine, Charlottesville, Box 800711, Charlottesville, VA 22908 or to uvacme@virginia.edu. Some of theVirginia. conference venues used by the University of Virginia Office of Continuing Medical The faculty and staff of the University of Virginia Office of Continuing Education are registered historic properties and may not be fully ADA accessible.Medical Education have no financial affiliations to disclose. Please feel free to contact the facility if you have specific questions.
  • 6. LOcatiOnThis conference will be held at the Omni Charlottesville Hotel, 235 West MainStreet, Charlottesville, Virginia. **NOTE: If the Omni lot is full, do not park acrossthe street in the private lot without first checking in with the Omni parking lotattendant. The owner of that lot will tow cars without an Omni pass.**accOMMOdatiOnsA block of rooms has been reserved for course participants at the conference site.Please identify yourself as a participant in the Recent Advances In Clinical Medicineconference. Omni Charlottesville Hotel 235 West Main Street Charlottesville, Virginia 22902 (434-971-5500 or 1-800-THE-OMNI) Single occupancy: $159 plus tax Double occupancy: $174 plus taxcOurse descriPtiOnNow in its 38th year, this course is designed for primary care and emergency roomphysicians and subspecialists who want to update their knowledge of internal medicineand related disciplines. The course will provide current information on specific topicsthat will also benefit housestaff, nurse practitioners, physician assistants, and otherhealthcare professionals.accreditatiOnThe University of Virginia School of Medicine designates this live activity fora maximum of 19.0 AMA PRA Category 1 Credit(s)™ for the main program andan additional 1.0 credit for each breakout session and the Dinner Symposium.Physicians should claim only the credit commensurate with the extent of their Dinner Symposiumparticipation in the activity. Application has been made to the American Academy ofFamily Physicians for a maximum of 25 Prescribed Credits.cOnFerence FeesThe fee for the course in $510 and includes a downloadable online syllabus,continental breakfasts and breaks. If you would like a printed syllabus in additionto the online syllabus, the cost is $25 and it MUST be ordered in advance of the CHOOSING WISDOM:conference. Each Meet the Professor session is an additional $25 and includes adeluxe hot breakfast or box lunch. A daily fee of $225, which includes access to the THE PATH THROUGHonline syllabus, is available for those attendees unable to attend the entire conference. ADVERSITYregistratiOnRegistration is available on-line at www.cmevillage.com or can be completed by faxor mail using the registration form found in this brochure. Pre-registration for this OCTOBER 26, 2011conference will close three business days prior to the conference date. Please callto confirm that onsite registration will be available. Registration is limited to 250participants. Please register early to ensure a place. 6:30PM – 9:00PMcOnFirMatiOn and canceLLatiOn POLicyUpon receipt of registration and payment, you will receive an email confirmation.Registration fees will be refunded (less a $50 administration fee) for written In the Historic Rotunda Dome Roomcancellations (emails and faxed requests are acceptable) received a minimum of 14days prior to the activity date (October 12, 2011). No refunds will be granted forcancellations made within 13 days of the activity. You are encouraged to send asubstitute if you are unable to attend. Featured Speaker: Margaret Plews-Ogan, MDThe University of Virginia School of Medicine reserves the right to cancel CMEactivities if necessary. In this case, reimbursement of registration fees will not be Associate Professor of Medicineassessed the $50 administrative fee. All other expenses associated with this CME Plus: A sneak preview ofactivity are the sole responsibility of the participant. Dr. Plews-Ogan’s PBS documentary!inFOrMatiOn/registratiOnFor more information about this course or its logistics, please contact Tammy Eberly Advance Registration Required –in the Office of Continuing Medical Education at 434-924-1657, or teberly@virginia.edu. Physicians may also call toll free by using the Medical Information and No on-site Registration AvailableReferral Service line at 1-800-552-3723 or at www.cmevillage.com. The University of Virginia School of Medicine designates this liveaiM PrecePtOrs activity for a maximum of 1.0 AMA PRA Category 1 CreditTM.You may be eligible for partial reimbursement of the RACM registration fee if you Physicians should claim only the credit commensurate with theare scheduled to precept a 3rd year AIM Student in the 2011-2012 academic year.The AIM Preceptors Dinner is Thursday, October 27, 2011 from 6:30-9:00PM at extent of their participation in the activity.the Omni. Please contact the AIM Office 434-982-2516 for details.
  • 7. RegistrationRecent Advances in Clinical Medicine REGISTRATION FORM The 38th Annual Edward W. Hook, Jr., MD Recent Advances in Clinical Medicine October 26-28, 2011 Omni Hotel Charlottesville Please PRINT legibly to ensure accuracy. *** Please visit our website, www.cmevillage.com, to see if online registration is available for this conference.*** Pre-registration for this conference will close two business days (three days for online registrations) prior to the conference date. Please call to confirm that onsite registration will be available. q Mr. q Mrs. q Ms. q Dr. First Name: ______________________M.I.: ____ Last Name: ______________________________ Credentials: (MD, PhD, RN, etc.): _____________________Specialty: ________________________________________________ Affiliation/Business./Organization:______________________________________________________________________________ Primary Address: This is: q home q work Street: _____________________________________________________________________________________________________ City: ____________________________________________State/Province: ______________________ Zip: ___________________ Country: _____________________________________Phone: ______________________ Fax: __________________________ Email: _______________________________________ Please print clearly for successful email delivery of your confirmation letter. Are you an employee of the University of Virginia? q Yes q No Are you a resident physician? q Yes q No Are you a fellow? q Yes q No Do you require special assistance because of a disability, or have any dietary restrictions? If so, please describe: _________ ____________________________________________________________________________________________________________ Birth date (required for tracking CME credits/CEU): _________/________/_________ REGISTRATION FEES q Main Conference (Includes Continental Breakfast, Breaks and Online Syllabus Only) $510 or q Daily Registration Fee $225/day (Please select day(s) q Wed q Thu q Fri ) q Plus Printed Syllabus in addition to Online Syllabus $25 q Meet the Professor Session $25 X ________ Sessions = $__________ (Select Sessions Below) q Dinner Symposium $65 /person X ________ Persons = $__________ Only advanced registration for the Dinner Symposium – No onsite registration) Total Fees = $__________ MEET THE PROFESSOR SESSIONS Check desired sessions and insert total fee above. $25/Session includes Deluxe Breakfast or Box Lunch Wednesday Lunch Sessions q L1 – Challenging Anticoagulation Cases (Limit 40 participants) Form q L2 – Genetics in Clinical Practice (Limit 40 participants) Thursday Breakfast Session q B1 – Humanism, Professionalism and Wheaties: Breakfast of Champions (Limit 60 participants) Thursday Lunch Sessions q L3 – Advanced Pearls on the Physical Examination (Limit 60 participants) q L4 – Health Care Reform – Where Are We Now? (Limit 60 participants) Friday Breakfast Sessions q B2 – Mindfulness for Physicians (Limit 40 participants) q B3 – Challenging Cases in Pain & Addiction (Limit 60 participants) Friday Lunch Sessions q L5 – Challenging Cases in Sports Medicine (Limit 60 participants) q L6 – Challenging Rheumatology Cases (Limit 40 participants) Payment is required with registration. An exception is made for institutional checks; however, these must be received at least 4 days prior to the scheduled CME activity. If payment is not received by the deadline, you will NOT be registered for the conference. You will receive written confirmation (by email) upon receipt of your payment. PAYMENT OPTIONS q Check or money order made payable to “UVA-CME.” Please indicate the name of the conference on your check. q Charge payment to: q Visa q MasterCard q Discover q American Express Your credit card number:_____________—_____________—_____________—___________ Expiration date_____/_______ Signature:_______________________________________________________________________________________ SEND REGISTRATIONS TO: Bebe Moore, Registrar *** RACM 2011*** Office of Continuing Medical Education, P.O. Box 800711 University of Virginia School of Medicine, McKim Hall Charlottesville, VA 22908 Tel: (434) 924-5310, Fax: (434) 243-6393, MIRS Tel: 1-800-552-3723
  • 8. University of Virgina Hospital School of Medicine The Office of Continuing Medical Education P.O. Box 800711, Charlottesville, Virginia 22908-0711 The 38th Annual Edward W. Hook, Jr., M.D. Recent Advances in Clinical MedicineThe 38th AnnualEdward W. Hook, Jr., M.D. Recent Advances in Clinical Medicine "This was a great conference!! Much practical information that I can use in my everyday practice. Wow! Im glad I came back." -- Prior Course Participant