Transcript of "39th Refresher Course in Family Medicine: Managing the Challenges of Clinical Practice"
Permit No. 2110Nonprofit Org. Pittsburgh, PA U.S. Postage PAID MANAGING THE CHALLENGES of CLINICAL PRACTICE Using Evidence, Performance Data and Sound Clinical Judgment to Beneﬁt Patients 39th Refresher Course in Family Medicine 39th Refresher Course in Family Medicine MANAGING THE CHALLENGES June 14, 15 & 16, 2012 Sound Clinical Judgment to Beneﬁt Patients of CLINICAL PRACTICE Using Evidence, Performance Data and Marriott Pittsburgh City Center • Pittsburgh, PA June 14, 15 & 16, 2012 Center for Continuing Education in the Health Sciences 200 Lothrop Street • Iroquois Building, Suite 302 Sponsored by: UPMC St. Margaret University of Pittsburgh School of Medicine Course Directors: Department of Family Medicine Paul W. Dishart, MD (Emeritus) Pittsburgh, PA 15213-2536 Center for Continuing Education Donald B. Middleton, MD in the Health Sciences In collaboration with regional teaching hospitals
C O L L A B O R AT I N G F A M I L Y M E D I C I N E P R O G R A M S C O N T I N U I N G E D U C AT I O N C R E D I T ៑ Forbes Regional Hospital ៑ UPMC Horizon The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing ៑ Heritage Valley Health System ៑ UPMC McKeesport Medical Education to provide continuing medical education for physicians. The University of Pittsburgh School of Medicine designates this live activity for a maximum of ៑ Latrobe Area Hospital ៑ UPMC St. Margaret 22.0 AMA PRA Category 1 Credits™. Physician should claim credit commensurate with the extent ៑ The Washington Hospital ៑ UPMC Shadyside of their participation in the activity. Other health care professionals are awarded 2.200 continuing education units (CEU’s) which are equal to 22.0 contact hours. This continuing nursing education activity has been approved for 22.0 contact hours by the UPMC W H O S H O U L D AT T E N D Provider Unit of the PA State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. To receive contact hours, the participant mustThis two and a half day continuing education activity is meant to attract family physicians, primary attend the entire session, complete the evaluation form and sign-in sheets, and return all informationcare physicians, residents, fellows, nurses, physician assistants, nurse practitioners, doctors of pharmacy, before leaving the course.and other health care professionals interested in a family medicine refresher course developed by a Application for CME credit has been filed with the American Academy of Family Physicians.collaboration of expert faculty and practicing physicians. Determination of credit is pending. Application for AOA Category 2 credit has been filed with the American Osteopathic Association. OBJECTIVES Determination of credit is pending.At the end of this course the participant should be able to: This program is sponsored by the UPMC Center for Continuing Education in the HealthI Apply current updated knowledge relevant to problems commonly encountered in a clinical setting. Sciences. The UPMC Center for Continuing Education in the Health Sciences is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a Provider of continuing pharmacy education.I Utilize new diagnostic procedures to enhance diagnostic accuracy. The assigned universal program numbers: 0481-0000-12-140-L04-P, 0481-0000-12-141-L04-P,I Apply standard treatment modalities for management of acute and chronic diseases. 0481-0000-12-142-L04-P, 0481-0000-12-143-L04-P, 0481-0000-12-144-L04-P, 0481-0000-12-145-L04-P,I Demonstrate competence in specific clinical procedures. 0481-0000-12-146-L04-P, 0481-0000-12-147-L04-P, 0481-0000-12-148-L04-P, 0481-0000-12-149-L04-P,I Utilize national guidelines to approach commonly encountered clinical conditions. 0481-0000-12-150-L04-P, 0481-0000-12-151-L04-P, 0481-0000-12-152-L04-P, 0481-0000-12-153-L04-P, 0481-0000-12-154-L04-P, 0481-0000-12-155-L04-P, 0481-0000-12-156-L04-P, 0481-0000-12-157-L04-P,I Diagnose and treat common dermatologic conditions including common rashes, eczema, acne, 0481-0000-12-158-L04-P. rosacea, and skin cancer. This program provides 12.00 contact hours (1.200 CEU) of continuing education credit. Upon successful completion of this program (attending the full session and completing and submitting a M E E T I N G L O C AT I O N / A C C O M M O D AT I O N S / P A R K I N G program evaluation and a CE verification form), participants will receive their statement of continuing education by UPMC Center for Continuing Education in the Health Sciences within two weeks by U.S.The conference will be held in the Conference Center on the second floor of the Marriott Pittsburgh mail. A learning self-assessment tool is provided to enable participants to evaluate their successfulCity Center hotel located at 112 Washington Place, Pittsburgh PA 15219. achievement of the program objectives. The conference has contracted a limited number of hotel rooms at the Marriott Pittsburgh CityCenter (hotel) for conference attendees. You may book a room by calling the hotel at 1-888-456-6600or 412-471-4000 and asking for the 39th Refresher Course in Family Medicine room block in order to SPECIAL NEEDSreceive our reduced rates. The special reduced rate is $115 plus tax per night. These accommodations Participation by all individuals is encouraged. Advance notification of any special needs willare not included in registration fee. If you experience any problems booking your room, please tele- help us provide better service. Notify us of your needs immediately or at least two weeks inphone CCEHS at (412) 647-8232. Room availability cannot be guaranteed beyond the block or the advance of the program by calling (412) 647-8232.contracted end date of 12:00 PM May 22, 2012. Parking is on your own and facilities are available below the Marriott Pittsburgh City Center hotel. 2 3
Moderator: Donald Middleton, MD C O U R S E S C H E D U L E ~ T H U R S D AY , J U N E 14 , 2 0126:15 am Registration and Continental Breakfast 12:40 pm Keynote Lunch Lecture: The Promise of Telemedicine * THURSDAY MORNING GENERAL SESSION Geralyn Lee7:00 am Opening Comments and Welcome Donald Middleton, MD 1:15 pm Break & Visit Exhibits Moderator: Heather Sakely, PharmD, BCPS THURSDAY AFTERNOON GENERAL SESSION Moderator: N. Randall Kolb, MD7:20 am Anticoagulation: Chest 2012 * + Rachelle Simon, PharmD, BCPS 1:30 pm Boning Up on Vitamin D * + Jeannette South-Paul, MD8:00 am The Rigors of Pneumonia * + Raymond Pontzer, MD 2:00 pm Drains and Pains: ENT Pearls + Suman Golla, MD8:30 am Changes in Lipid Management 2012 * + TBD 2:30 pm The Skinny on Bariatric Surgery + LeeAnn Peluso, MD9:00 am Question and Answer Panel 3:00 pm Question and Answer Panel9:15 am Break & Visit Exhibits 3:15 pm Break & Visit Exhibits Moderator: Ted Schaffer, MD 3:35 pm SKILL / DEMONSTRATION SESSION I9:35 am The Pressure of Hypertension * + (please select two; repeats at 4:40 pm) David Blandino, MD; Stephanie Ballard, PharmD, BCPS D. Keep ‘em in Stitches: Suturing10:20 am Red Eye (without the Jet) + LeeAnn Peluso, MD John Maher, MD E. The Big Chill: Office Derm +10:50 am Question and Answer Panel Colleen Ebbert, MD F. The Scope of Colposcopy +11:05 am Break & Visit Exhibits Robin Maier, MD11:20 am GUIDELINE SEMINARS I G. A Firm Footing in Podiatry + (please select two; sessions repeat on Friday at 11:15 am) Jeffrey Nigro, DPM A. Return to Play + H. Take Heart: EKGs Jeanne Doperak, DO Makum Ramesh, MD B. Attention to Detail: ADHD * + 4:40 pm SKILL / DEMONSTRATION SESSION II (repeated from 3:35 pm) Madeline Simasek, MD, MSCP, FAAP; Philip Phelps, MSW 5:40 pm Thursday Adjournment C. Filling the Vaccine Vacuum * + Richard Zimmerman, MD; Donald Middleton, MD 5:45 pm Meet the Professors Reception and Discussion12:30 pm Grab Lunch & Visit Exhibits(*) denotes topics that receive ACPE accreditation (+) denotes topics that meet Patient Safety/Risk Management criteria (*) denotes topics that receive ACPE accreditation (+) denotes topics that meet Patient Safety/Risk Management criteria 4 5
FRIDAY AFTERNOON GENERAL SESSION C O U R S E S C H E D U L E ~ F R I D AY , J U N E 15 , 2 012 Moderator: Donald Middleton, MD6:30 am Registration & Continental Breakfast 12:35 pm Lunch Keynote Lecture: FRIDAY MORNING GENERAL SESSION Community Health * Bruce Dixon, MD Moderator: Jeffrey Minteer, MD7:30 am Peripheral Vascular Disease + 1:15 pm Break & Visit Exhibits James Dewar, MD Moderator: Aaron Listopad, DO8:00 am Contraception * + Karen Moyer, MD PEARL GUIDELINE PANELS:8:30 am Thyroid Nodules 1:30 pm > Asthma Update: Clinical Considerations * + Christopher Bartels, MD Jennie Broders, PharmD, BCPS9:00 am Question and Answer Panel 2:00 pm > Irritable Bowel Syndrome + Dan Trellis, MD9:15 am Break & Visit Exhibits 2:30 pm > Radiology of the Neck Moderator: Lauren Jonkman, PharmD, BCPS David Lackner, MD9:35 am Imported Illnesses * 3:00 pm Question and Answer Panel William Markle, MD 3:15 pm Break & Visit Exhibits10:05 am Diabetes Mellitus * + Vijay Bahl, MD; Jonathan Ference, PharmD, BCPS 3:35 pm WORKSHOPS and DEMONSTRATIONS I (please select two; repeats at 4:40 pm)10:45 am Question and Answer Panel I. Osteopathic Update +11:00 am Break & Visit Exhibits Jacqueline Weaver-Agostoni, DO J. Obstetrics Update +11:15 am GUIDELINE SEMINARS II (repeated from Thursday at 11:20 am) Paul Larson, MD; Karen Moyer, MD A. Return to Play + K. Lessons in Loss and Living * Jeanne Doperak, DO Michele Reiss, PhD B. ADHD * + L. Drug Update * + Madeline Simasek, MD, MSCP, FAAP; Philip Phelps, MSW Stephen Wilson, MD, MPH, FAAFP; Nicholas Owens, PharmD, BCPS C. Immunization Cases * + M. Advanced Electronics: Getting the Most from Your EHR * + Richard Zimmerman, MD; Donald Middleton, MD Grant Shevchik, MD12:25 pm Grab Lunch & Visit Exhibits 4:40 pm WORKSHOPS and DEMONSTRATIONS II (repeated from 3:35 pm) 5:40 pm Friday Adjournment(*) denotes topics that receive ACPE accreditation (+) denotes topics that meet Patient Safety/Risk Management criteria (*) denotes topics that receive ACPE accreditation (+) denotes topics that meet Patient Safety/Risk Management criteria 6 7
C O U R S E S C H E D U L E ~ S AT U R D AY , J U N E 16 , 2 012 G U E S T FA C U LT Y6:30 am Registration & Continental Breakfast Jonathan Ference, PharmD, BCPS Associate Professor Pharmacy Practice General Sessions Wilkes University Moderator: Donald Middleton, MD Kingston, PA7:30 am Vector-Borne Diseases and Bites * Niladri Das, MD Dr. Ference received his Doctorate of Pharmacy from Wilkes University Nesbitt College of Pharmacy and Nursing. He completed a specialty residency in Family Medicine and a faculty development fellowship at8:05 am What’s New with Acne and Rosacea * UPMC St. Margaret, Pittsburgh, PA. Before returning to Northeast Pennsylvania, he spent four years on faculty Lisa Grandinetti, MD, FAAD as an assistant professor at the University of Oklahoma College of Pharmacy and adjunct assistant professor in the University of Oklahoma College of Medicine, Department of Family Medicine Tulsa, OK. Dr. Ference is8:40 am Eczema * a board certified pharmacotherapy specialist and manages a referral-based pharmacotherapy clinic, focusing Melissa Pugliano-Mauro, MD on advanced diabetic education and management and serves as a consultant for the hospital’s Family Medicine Team. He has published several book chapters and original, peer-reviewed manuscripts and9:15 am Question and Answer Panel presented at international Family Medicine conferences. Dr. Ference’s research interest includes pharmacy9:30 am Morning Break & Visit Exhibits preceptor development and pharmacy student curricular development, and Information Mastery. Pharmacology Guideline Seminars and Case Presentations: Rachelle Simon, PharmD, BCPS Pharmacist Clinician / Clinical Pharmacist9:45 am > Rashes Franciscan St. Margaret Health Jacqueline Weaver-Agostoni, DO Hammond and Dyer, IN10:20 am > Skin Cancer * Mary Sheehan, MD Rachelle Simon is a clinical pharmacist at Franciscan St. Margaret Health in Indiana. She earned her Doctor of Pharmacy degree from the University of Pittsburgh in 2008 and completed a PGY-1, PGY-2 in Family10:55 am > Aging Skin Medicine, and faculty development fellowship at UPMC St. Margaret in 2010. At the University of Chicago Laura Ferris, MD Medicine, she assisted with expansion of the Anticoagulation Management Service and piloted pharmacist- driven medication therapy management. Subsequently, she has joined the team at Franciscan St. Margaret11:30 am Question and Answer Panel Health to expand discharge counseling and outpatient clinical pharmacy services. She has presented at numerous national meetings and co-authored research on the integration of pharmacists into the medical11:45 am Board Review QUIZ (including dermatology photo cases) home. Her favorite activities are traveling and spending time with her family.11:50 am Book Awards12:15 pm Conference Adjournment The conference program is subject to changes.(*) denotes topics that receive ACPE accreditation (+) denotes topics that meet Patient Safety/Risk Management criteria 8 9
Local Faculty Sharon Goldstein, MD COURSE DIRECTORS AND FA C U LT Y Clinical Assistant Professor of Surgery Vijay K. Bahl, MD Department of Surgery Clinical Professor of MedicineCourse Directors William H. Markle, MD Department of Medicine Suman Golla, MD Clinical Associate Professor of Family MedicinePaul W. Dishart, MD (Emeritus)* Associate Professor of Otolaryngology University of Pittsburgh School of Medicine Stephanie Ballard, PharmD, BCPSClinical Associate Professor of Clinical UPMC St. Margaret Program Director Clinical Pharmacist Epidemiology and Preventive Medicine Family Medicine Residency UPMC ShadysideUniversity of Pittsburgh School of Medicine Lisa Grandinetti, MD, FAAD UPMC McKeesportDirector of Medical Education Assistant Professor of Dermatology McKeesport, PA Christopher Bartels, MDUPMC St. Margaret Associate Residency Program Director Clinical Associate Professor of SurgeryDonald B. Middleton, MD* Jeffrey Minteer, MD Department of Surgery Lauren Jonkman, PharmD, BCPSProfessor, Department of Family Medicine Program Director, Washington Hospital Family Instructor, Pharmacy and TherapeuticsVice President, UPMC St. Margaret Family Medicine Residency David A. Blandino, MD University of Pittsburgh School of Pharmacy Medicine Residency Education Washington Hospital Clinical Associate Professor of Family MedicineUniversity of Pittsburgh School of Medicine Washington, PA David Lackner, MD Jennie Broders, PharmD, BCPS Chairman of Radiology Katherine Neely, MD Director of Inpatient PharmacotherapyPlanning Committee UPMC St. Margaret Department of Radiology Program Director, Family Medicine UPMC St. Margaret Family Medicine ResidencyKaren Weimer, CRNP West Penn Allegheny Health System Paul Larson, MDLead Nurse Practitioner Monroeville, PA Niladri Das, MD Director of Global Health EducationDepartment of Nursing Director of Practice Improvement Department of Medical EducationUPMC St. Margaret Ted C. Schaffer, MD UPMC St. Margaret UPMC St. Margaret Program Director, Family Medicine ResidencyHeather Sakely, PharmD, BCPS UPMC St. Margaret James Dewar, MD Geralyn LeeDirector, Geriatric Pharmacotherapy Clinical Associate Professor of Medicine Manager Disease State Management ProgramDepartment of Medical Education Michael Semelka, MD Department of Family Medicine Home Health AdministrationUPMC St. Margaret Family Practice Residency Program Director, Family Medicine Residency Latrobe Area Hospital Bruce Dixon, MD*Course Directors are members of the Planning Committee. John C. Maher, MD Latrobe, PA Associate Professor of Medicine Associate Clinical Professor of Ophthalmology Department of MedicineCollaborating Faculty Department of OphthalmologyN. Randall Kolb, MD Guest Faculty Jeanne Doperak, DO Robin Maier, MDProgram Director, Family Medicine Residency Assistant Professor Jonathan Ference, PharmD, BCPS Assistant Professor of Family MedicineUPMC Shadyside Department of Orthopaedic Surgery Associate Professor Pharmacy Practice Department of Family Medicine Wilkes UniversityAaron Listopad, DO Colleen Ebbert, MD Director of Pharmacotherapy Education William H. Markle, MDProgram Director, Family Medicine Residency Faculty Physician Wyoming Valley Family Medicine Clinical Associate Professor Family MedicineUPMC Horizon Renaissance Family Practice – Aspinwall Residency Department of Family MedicineFarrell, PA Kingston, PA Program Director Family Medicine Residency Laura Ferris, MD UPMC McKeesport Assistant Professor of Dermatology Rachelle Simon, PharmD, BCPS Department of Dermatology Pharmacist Clinician / Clinical Pharmacist Franciscan St. Margaret Health Hammond and Dyer, IN 10 11
Karen Moyer, MD Mary Sheehan, MDAssistant Professor of Family Medicine Associate Professor of Dermatology R E G I S T R AT I O N I N F O R M AT I O NDepartment of Family Medicine Department of Dermatology UPMC St. Margaret Pre-registerJeffrey S. Nigro, DPM The Early Registration period will end on May 14, 2012. After May 14, 2012, the late registration periodFaculty Physician Grant Shevchik, MD will begin and registrations will be accepted until June 11, 2012 at an additional fee. We cannot guaranteeNigro Ankle & Foot Care Medical Director of Partners in Health UPMC space in the program or any program inclusions for those registrations received after this date. If space isVandergrift, PA Medical Director UPMC Healthtrak available after this date, on-site registration will be required and incur an additional processing fee.Nicholas Owens, PharmD, BCPS Madeline Simasek, MD, MSCP, FAAP Online Registrations (pre-registration due date June 11, 2012)Clinical Pharmacist Clinical Associate Professor of Pediatrics Registering online is the quickest and easiest way to reserve your space at CCEHS conferences.UPMC Shadyside Director, Pediatric Services • Visit our online registration site at https://ccehs.upmc.com/liveFormalCourses.jsf UPMC Shadyside Family Medicine Residency • Click the Registration button and enter all the requested informationLeeAnn Peluso, MD • After registering, an electronic confirmation will be sent to the email address you providedClinical Assistant Professor of Surgery Jeannette E. South-Paul, MD us when you registeredDepartment of Surgery Andrew W. Mathieson Professor and Chairperson Department of Family Medicine You must bring this confirmation letter with you to the conference.Philip Phelps, MSWDirector-Behavioral Science Curriculum Dan Trellis, MD Paper Registrations by Fax or Mail (see contact information below)UPMC Shadyside Family Medicine Residency Clinical Assistant Professor of Medicine If you are unable to register online please submit a request for paper form. UPMC employees Division of Gastroenterology & Hepatology whose registration fee will be remitted via journal transfer must request the paper registration form.Raymond Pontzer, MDClinical Associate Professor of Medicine Jacqueline Weaver-Agostoni, DO A confirmation letter will be faxed or mailed if registration is completed through the mail or faxDepartment of Medicine Director, Osteopathic Family Medicine Residency by the pre-registration deadline. If you register on-line, you will receive an immediate e-mailUPMC St. Margaret Program Faculty confirmation message. Please note: Registration is not complete until you receive this Director of Predoctoral Education, confirmation. If you do not receive this letter within 5-7 days of registration, pleaseMelissa Pugliano-Mauro, MD Family Medicine Residency contact us at (412) 647-8232.Assistant Professor of Dermatology Masters of Public HealthUPMC St. Margaret You must bring this confirmation letter with you to the conference. Stephen Wilson, MD, MPH, FAAFPMakum Ramesh, MD Director, Faculty Development Fellowship CancellationAssistant Professor of Medicine Department of Medical Education All cancellations must be in writing, via U.S. mail, e-mail or fax. Tuition for cancellations postmarked orDepartment of Medicine UPMC St. Margaret date stamped before June 1, 2012 will be completely refunded. After June 1, 2012 a $35 administrative fee will be assessed. No refunds will be made after June 8, 2012. Cancellation requests can be made to:Michele Reiss, PhD Richard Zimmerman, MD Krystal MooreAssistant Director, Family Medicine Residency Professor of Family Medicine Center for Continuing Education in the Health SciencesDirector, Behavioral Medicine Department of Family Medicine Iroquois Building, Suite 302 200 Lothrop Street Pittsburgh, PA 15213-2536 Phone: (412) 647-8232 or (412) 647-7050 • Fax: (412) 647-8222Faculty members are affiliated with the University of Pittsburgh School of Medicine and/or UPMC and located in E-mail: firstname.lastname@example.orgPittsburgh, PA area unless otherwise identified. The UPMC Center for Continuing Education in the Health Sciences reserves the right to cancel this program if sufficient registrations are not received. In the case of cancellation, the department will fully refund registration fees.In accordance with Accreditation Council for Continuing Medical Education requirements on disclosure, informationabout relationships of presenters with commercial interests (if any) will be included in materials distributed at thetime of the conference. 12 13
R E G I S T R AT I O N I N F O R M AT I O N CONTINUED FOR A D D I T I O N A L I N F O R M AT I O N , C O N TA C T :Registration Fees Krystal Moore Coordination Specialist Early Fees: (Received on or before May 14, 2012) Telephone: (412) 647-8232 or (412) 647-7050 • Fax: (412) 647-8222 Physicians: E-mail: email@example.com 3 days: $335 2 days: $250 1 day: $175 Residents, nurses, PAs, pharmacists and other health care professionals: 3 days: $250 AND VISIT SOME OF PITTSBURGH’S MANY 2 days: $175 F A M I L Y - F R I E N D LY E V E N T S D U R I N G Y O U R V I S I T 1 day: $100 Late Fees: (Received after May 14, 2012) Physicians: • Visit the spectacular dinosaur exhibits at the 3 days: $400 Carnegie Museum of Natural History 2 days: $300 http://www.carnegiemuseums.org/index.php 1 day: $225 Residents, nurses, PAs, pharmacists and other health care professionals: • Visit the exhibits at the Pittsburgh PPG Zoo and Aquarium 3 days: $300 http://www.pittsburghzoo.org/ 2 days: $225 1 day: $125 • Visit the National AviaryThere is no reduced rate for a Saturday-only selection. www.aviary.orgIf space permits after the late registration period, on-site registration will be available and incur anadditional $25 processing fee. • A Warhol painting sold for $71 million dollars! Anyone want to see some others?Registration fee includes: http://www.warhol.org/• Continuing education credit• Registration and course materials • August Wilson Center for African American History• Continental breakfast, refreshments and lunch www.augustwilsoncenter.org/• Meet the Professors Reception and Discussion • Heinz History CenterThe University of Pittsburgh, as an educational institution and as an employer, values equality of opportunity, human dignity, and http://www.pghhistory.org/racial/ethnic and cultural diversity. Accordingly, the University prohibits and will not engage in discrimination or harassment on the basisof race, color, religion, national origin, ancestry, sex, age, marital status, familial status, sexual orientation, disability, or status as a •Carnegie Science Centerdisabled veteran or a veteran of the Vietnam era. Further, the University will continue to take affirmative steps to support and http://www.carnegiesciencecenter.orgadvance these values consistent with the University’s mission. This policy applies to admissions, employment, access to and treatmentin University programs and activities. This is a commitment made by the University and is in accordance with federal, state, and/orlocal laws and regulations. For information on University equal opportunity and affirmative action programs and complaint/grievance • Visit http://www.imaginepittsburgh.com/procedures, please contact: William A. Savage, Assistant to the Chancellor and Director of Affirmative Action (and Title IX and 504 Coordina- for more Pittsburgh highlights.tor), Office of Affirmative Action, 901 William Pitt Union, University of Pittsburgh, Pittsburgh, PA 15260, (412) 648-7860. 14 15
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