HARVARD MEDICAL SCHOOL DEPARTMENT OF CONTINUING EDUCATION Brigham and Women’s Hospital Department of Medicine The 34th Annual OFFICE PRACTICE OF PRIMARY CARE MEDICINE Review of Important Clinical Topics Featuring: Lectures and a Wide Variety of Practical, Case-Oriented and Hands-On WorkshopsEarn Up To 38.5 AMA PRA Category 1 Credits™Monday, March 4 - Friday, March 8, 2013 Renaissance Boston Waterfront Hotel Under the Direction of David W. Bates, MD, MSc and Jane S. Sillman, MD Assistant Director Nancy Brim Kurtz, MD
INFORMATIONOVERVIEWThis course is designed to enable physicians and other health professionalsto provide state of the art general internal medicine. The curriculum focuses onpractical approaches to the most common clinical problems in adult general internal medicine.The program schedule and features are updated annually to serve as an ongoing sourceof continuing education. A cost-effective, safe approach to general internal medicine willbe stressed throughout the curriculum.SPECIAL FEATURES• Emphasis on clinician and patient wellness (bring workout clothes)• New Session: how to manage your time effectively• New Sessions: fulfill Massachusetts opioids/pain management and end-of-life care requirements• New Sessions: mini-courses in cognitive behavioral therapy and motivational interviewing• Special Hands-On Workshops: joint injection, dermatology, ophthalmology, minor surgical procedures, cardiac auscultation, ECG and chest x-ray interpretation• Ample time allotted for questions and feedback amongst faculty and participants• Interactive case-based workshops• Meet-the-Professor sessions designed with you in mind• Take home an extensive, updated, practical, patient-centered syllabusThe syllabus is available in CD or hard copy format. The CD is bookmarked for easyaccess to the entire syllabus. The syllabus is a valuable office and teaching reference. Itincludes the complete teaching materials from all lectures and workshops, and extensivepatient education materials.The faculty are amongst Harvard’s finest teachers and clinicians.LEARNING OBJECTIVESUpon completion of this activity, participants will be able to:• Provide state of the art general internal medicine care in an ambulatory setting• Evaluate and manage common musculoskeletal, dermatology, pulmonary, cardiac, endocrine, neurology and psychiatric problems• Apply up to date screening recommendations for breast, cervical, colon and prostate cancer• Determine appropriate opioid use for non-malignant disease• Develop plans for treating your obese patients and communicate effectively with them to achieve optimal results• Utilize appropriate treatment algorithms for the management of hypertension• Provide appropriate end-of-life careTARGET AUDIENCE• Primary care physicians: internists and family practitioners• Medical subspecialists• Non-medical specialists who want to update their knowledge of general internal medicine• Nurse-practitioners and physician assistants Comments From Last Year’s Course Participants“I have taken this course every 3 years for as long as I can remember. The strength of this course is thatit gives the academic basis for the issues that are important in the primary care office. You always do anoutstanding job.”“The lectures were outstanding. Great workshops! The syllabus and CD are wonderful for office practice.Very welcoming and inclusive course. Great opportunity to meet 1 on 1 with speakers.”“Well presented, practical and up to date information that is ready to take back to the office forimplementation!”“I thought it was an outstanding course! I will definitely attend again!”“One of the best courses I have attended in my 34 years of practice. This course was an excellent updatein many fields that affect my practice. It was also one of the friendliest and easiest to navigate.” This course is one of Harvard’s highest rated CME courses.
FACULTY 2013Dale S. Adler, MD Howard Libman, MDErik K. Alexander, MD Leonard S. Lilly, MDPeter D. Asnis, MD Elizabeth E. Loder, MDJohn Z. Ayanian, MD Beth Lown, MDArthur J. Barsky, MD James Maguire, MDDavid W. Bates, MD Tara Mardigan, MS, MPH, RDLauren R. Bayer, PA-C Francisco Marty, MDCarolyn B. Becker, MD R. William Mason, MDJoshua A. Beckman, MD Graham McMahon, MDMonica Bharel, MD Amy L. Miller, MDAsaf Bitton, MD Charles A. Morris, MDSusan R. Block, MD David B. Mount, MDKathryn A. Britton, MD Michael F. Murray, MDAndrew E. Budson, MD David M. Nathan, MDKaren Carlson, MD Nora Y. Osman, MDDaniela A. Carusi, MD Reena L. Pande, MDBartoleme R. Celli, MD Kenneth Pariser, MDGary A. Chinman, MD Raymond Powrie, MDThomas I. Cochrane, MD Amir Qamar, MDJohn J. Costa, MD Abrar Qureshi, MDJatin K. Dave, MD Eileen E. Reynolds, MDAkshay S. Desai, MD Jerome P. Richie, MDAmy DiVasta, MD Malcolm K. Robinson, MDJonathan Edlow, MD Rachel P. Rosovsky, MDTodd B. Ellerin, MD Anna E. Rutherford, MDLaurence M. Epstein, MD Susan Sadoughi, MDDavid Fairchild, MD Fidencio Saldana, MDChristopher H. Fanta, MD Martin A. Samuels, MDLaura C. Fine, MD Kristen G. Schaefer, MDMark W. Friedberg, MD Benjamin Scirica, MDSonia Friedman, MD Julian L. Seifter, MDAllison B. Goldfine, MD Thomas D. Sequist, MDSamuel Z. Goldhaber, MD Niraj Sharma, MDJohn D. Goodson, MD Jan L. Shifren, MDPaul Graham, MD Jane S. Sillman, MDCharles J. Hatem, MD Graeme S. Steele, MDSimon F. Helfgott, MD Allen C. Steere, MDHoward M. Heller, MD Elizabeth G. Stewart, MDGalen V. Henderson, MD Joji Suzuki, MDZacharia Isaac, MD Derrick J. Todd, MDFrancine L. Jacobson, MD Susan L. Troyan, MDKunal Jajoo, MD J. Kevin Tucker, MDPaula A. Johnson, MD Russell G. Vasile, MDJoel T. Katz, MD Ruth Vleugels, MDRamin Khorasani, MD May M. Wakamatsu, MDScott Kinlay, MD Alan Wartenberg, MDJames M. Kirshenbaum, MD David P. White, MDTia Kostas, MD Susana Wishnia, MDDavid B. Krieger, MD Beverly Woo, MDNancy Brim Kurtz, MD Clarissa Yang, MDMichael J. Landzberg, MD Sigal Yawetz, MDDaniel Leffler, MD Maria A. Yialamas, MD
MONDAY MARCH 4, 2013 TUESDAY MARCH 5, 2013 UPDATES IN PRIMARY CARE NEUROLOGY and PSYCHIATRYRegistration and Continental Breakfast Yoga 7:00 a.m.- 7:50 a.m. 6:15 a.m.- 7:00 a.m.Welcome Cybele Leger 7:50 a.m.- 8:00 a.m. Continental Breakfast Dr. Jane S. Sillman and Dr. David W. Bates, MSc 7:30 a.m.- 8:00 a.m. LECTURESLECTURES Update on Treating HeadachesOffice Management of Obesity 8:00 a.m.- 8:50 a.m. 8:00 a.m.- 8:50 a.m. Dr. Elizabeth E. Loder Dr. Jane S. Sillman Diagnosis & Treatment of CognitiveUpdate on Hypertension Impairment 8:50 a.m.- 9:40 a.m. 8:50 a.m.- 9:40 a.m. Dr. John D. Goodson Dr. Andrew E. BudsonDiabetes Update Update on Depression 9:40 a.m.- 10:30 a.m. 9:40 a.m.-10:30 a.m. Dr. David M. Nathan Dr. Russell G. VasileCoffee Break Coffee Break 10:30 a.m.-10:45 a.m. 10:30 a.m.-10:45 a.m. Update on Hospice Care***Update on Anticoagulation* 10:45 a.m.-11:35 a.m. 10:45 a.m.-11:35 a.m. Dr. Kristen G. Schaefer Dr. Samuel Z. Goldhaber Chronic Kidney Disease ChallengesUpdate on Colon and Prostate Cancer Screening* 11:35 a.m.-12:25 p.m. 11:35 a.m.-12:25 p.m. Dr. J. Kevin Tucker Dr. Thomas D. Sequist Lunch BreakLunch Break 12:25 p.m.- 1:40 p.m. 12:25 p.m.- 1:40 p.m. Bring your own lunch:Bring your own lunch: Physicians’ Networking Lunch Networking Lunch for NPs, Nurses and PAs 12:55 p.m.- 1:35 p.m. 12:55 p.m.- 1:35 p.m. MEET-THE-PROFESSOR SESSIONSAntibiotics in Office Practice 1:40 p.m.- 2:30 p.m. 1:40 p.m.- 2:30 p.m. T1: Clinician Wellness Dr. Howard Libman Dr. Charles J. HatemWORKSHOPS T2: Depression and Bipolar Illness: 2:40 p.m.- 4:10 p.m. Challenging CasesA1: Colon Cancer: Care of the High Risk Dr. Russell G. Vasile Patient and the Survivor* T3: Prostate Cancer: Update on Screening & John Z. Ayanian, MD Early Treatment*A2: Diabetes: Non-Insulin Treatment Dr. Jerome P. Richie Dr. Allison B. Goldfine T4: Update on Pneumonia and BronchitisA3: Mini-course in Cognitive Behavioral Therapy Dr. Joel T. Katz Attendees must sign up for both A3 and B3 T5: Coronary Artery Disease in Women* Dr. Gary A. Chinman Dr. Paula A. Johnson T6: StrokeA4: Hands-On Evaluation of Knee Pain Dr. Galen V. Henderson Dr. Kenneth Pariser T7: EMRs: The Meaning of “Meaningful Use”A5: Update in Immunizations Dr. David W. Bates Dr. Howard M. Heller T8: Inflammatory Bowel DiseaseA6: Pulmonary Function Tests Dr. Sonia Friedman Dr. Bartoleme R. Celli WORKSHOPSA7: Paps and Cervical Cancer* 2:40 p.m.- 4:10 p.m. Dr. Daniela A. Carusi C1: Adolescent GynecologyA8: Common Pediatric Problems Dr. Amy DiVasta Dr. Niraj Sharma C2: Valvular Heart Disease: Challenging Cases Dr. Leonard S. LillyCoffee Break 4:10 p.m.- 4:30 p.m. C3: Dermatology Procedures for Beginners Dr. Clarissa YangWORKSHOPS C4: GERD and Peptic Ulcer Disease 4:30 p.m.- 6:00 p.m. Dr. Kunal JajooB1: Travel Medicine C5: Peripheral Neuropathy Dr. James Maguire Dr. Thomas I. CochraneB2: Diabetes: Update on Insulin Treatment C6: Curbside Consults in Infectious Diseases Dr. Allison B. Goldfine Dr. Howard LibmanB3: Mini-course in Cognitive Behavioral Therapy C7: Sleep Disorders Attendees must sign up for both A3 and B3 Dr. David P. White Dr. Gary A. Chinman C8: Current Management of CoronaryB4: Resistant Hypertension Artery Disease Dr. Jane S. Sillman Dr. James M. Kirshenbaum Coffee BreakB5: Hot Topics in Health Policy 4:10 p.m.- 4:30 p.m. Dr. Mark W. Friedberg WORKSHOPSB6: Female Sexual Dysfunction 4:30 p.m.- 6:00 p.m. Dr. Jan L. Shifren D1: Challenging Endocrine CasesB7: Eye to Eye Contact: Dr. Maria A. Yialamas Ophthalmoscopy Workshop D2: Pain Management: Neuropathic Pain** Please bring your ophthalmoscope Dr. Nancy Brim Kurtz Dr. Francisco Marty D3: Advanced Dermatology ProceduresB8: Common Urology Problems Dr. Clarissa Yang Dr. Graeme S. Steele
COURSE SCHEDULE 2013D4: Nutrition Counseling F7: Common Problems in Hematology Tara Mardigan, MS, MPH, RD Dr. Rachel P. RosovskyD5: Challenging Ear, Nose and Throat Cases F8: Chronic Opioids for Non-Malignant Pain** Dr. R. William Mason Dr. Nancy Brim KurtzD6: Reading Chest X-Rays Dr. Francine L. Jacobson THURSDAY MARCH 7, 2013D7: Common Shoulder Problems CARDIOLOGY Dr. Peter D. AsnisD8: Somatization Yoga Dr. Arthur J. Barsky 6:15 a.m.- 7:00 a.m.RECEPTION: ATLANTIC 1 Cybele Leger 6:00 p.m.- 8:00 p.m. Continental Breakfast 7:30 a.m.- 8:00 a.m.WEDNESDAY MARCH 6, 2013 LECTURES Update on Thyroid Disease PRIMARY CARE UPDATES 8:00 a.m.- 8:50 a.m.Wonderful Walk and Fun Run Dr. Erik K. Alexander 6:15 a.m.- 7:00 a.m. Congestive Heart FailureYoga 8:50 a.m.- 9:40 a.m. 6:15 a.m.- 7:00 a.m. Dr. Akshay S. Desai Cybele Leger Update on HyperlipidemiaContinental Breakfast 9:40 a.m.-10:30 a.m. 7:30 a.m.- 8:00 a.m. Dr. Scott KinlayLECTURES Coffee BreakUpdate on Contraception 10:30 a.m.-10:45 a.m. 8:00 a.m.- 8:50 a.m. Dr. Jane S. Sillman Arrhythmias: Diagnosis and ManagementMenopause Management 10:45 a.m.-11:35 a.m. 8:50 a.m.- 9:40 a.m. Dr. Laurence M. Epstein Dr. Karen Carlson Radiology: Choosing the Best TestOsteoporosis 11:35 a.m.-12:25 p.m. 9:40 a.m.-10:30 a.m. Dr. Ramin Khorasani Dr. Carolyn B. Becker Lunch BreakCoffee Break 12:25 p.m.- 1:40 p.m. 10:30 a.m.-10:45 a.m. MEET-THE-PROFESSOR SESSIONSChallenging Cases in Rheumatology 1:40 p.m.- 2:30 p.m. 10:45 a.m.-11:35 a.m. TH1: Update on Hepatitis C Dr. Simon Helfgott Dr. Amir QamarCeliac Disease 11:35 a.m.-12:25 p.m. TH2: Update on Vulvovaginal Disorders Dr. Daniel Leffler Dr. Elizabeth G. StewartLunch Break TH3: Pre-Op Cardiac Consultation 12:25 p.m.- 1:40 p.m. Dr. Joshua A. BeckmanTop 10 Primary Care Articles TH4: Time Management for the Clinician- 1:40 p.m.- 2:30 p.m. Educator Dr. David Fairchild Dr. Eileen E. ReynoldsWORKSHOPS TH5: Pulmonary Hypertension 2:40 p.m.- 4:10 p.m. Dr. Michael J. LandzbergE1: ECG Practicum TH6: “Can’t Miss” Cardiology Diagnoses Dr. Fidencio Saldana Dr. Dale S. AdlerE2: Difficult Patients* TH7: Nephrology: Challenging Cases Dr. David B. Krieger and Dr. Beverly Woo Dr. Julian L. SeifterE3: Medical Problems in Pregnancy Dr. Raymond Powrie TH8: Update on Lyme Disease Dr. Allen C. SteereE4: Challenging Cases in End of Life Care*** Dr. Susan R. Block WORKSHOPSE5: Mini-course in Motivational Interviewing 2:40 p.m.- 4:10 p.m. Attendees must sign up for both E5 and F5 G1: Minor Surgical Procedures for Beginners Dr. Beth Lown Dr. Paul Graham and Dr. Susana WishniaE6: Urinary Incontinence G2: Dermatology Update Dr. May M. Wakamatsu Dr. Ruth VleugelsE7: Sexually Transmitted Diseases and UTIs G3: Common Allergy Problems Dr. Todd B. Ellerin Dr. John J. CostaE8: Genetic Testing: When To Do It G4: Joint Aspirations and Injection Techniques Dr. Michael F. Murray Dr. Derrick J. ToddCoffee Break G5: Evaluation of Hip Pain 4:10 p.m.- 4:30 p.m. Dr. Susan SadoughiWORKSHOPS G6: Wound Care 4:30 p.m.- 6:00 p.m. Lauren R. Bayer, PA-CF1: ECG Practicum G7: HIV for the Primary Care Physician Dr. Fidencio Saldana Dr. Sigal YawetzF2: Alcohol Abuse: Assessment and Brief Interventions G8: Cardiac Exercise Tests Dr. Alan Wartenberg Dr. Amy L. Miller and Dr. Kathryn A. BrittonF3: Office Ophthalmology Coffee Break Dr. Laura C. Fine 4:10 p.m.- 4:30 p.m.F4: Care of the LGBT Patient WORKSHOPS Dr. Graham McMahon 4:30 p.m.- 6:00 p.m.F5: Mini-course in Motivational Interviewing H1: Minor Surgical Procedures: Advanced Attendees must sign up for both E5 and F5 Dr. Paul Graham and Dr. Susana Wishnia Dr. Beth Lown H2: Peripheral, Aortic and Carotid DiseaseF6: Cardiac Auscultation Dr. Reena L. Pande Dr. Benjamin Scirica H3: Bariatric Surgery Dr. Malcolm K. Robinson
H4: Joint Aspirations and Injection Techniques The Neurologic Exam Dr. Derrick J. Todd 11:35 a.m.-12:25 p.m.H5: Challenging Geriatric Cases Dr. Martin A. Samuels Dr. Tia Kostas Lunch BreakH6: Dizziness and Vertigo: Practial Pointers 12:25 p.m.- 1:40 p.m. Dr. Jonathan Edlow Choosing Wisely: Smart Decisions About Tests and TreatmentsH7: “Can’t Miss” Diagnoses 1:40 p.m.- 2:30 p.m. Dr. Charles A. Morris Dr. Jane S. SillmanH8: Challenging Liver Cases WORKSHOPS Dr. Anna E. Rutherford 2:40 p.m.- 4:10 p.m.FRIDAY MARCH 8, 2013 I1: Men’s Health UPDATES IN PRIMARY CARE Dr. Nora Y. Osman I2: The Patient Centered Medical HomeContinental Breakfast Dr. Asaf Bitton 7:30 a.m.- 8:00 a.m. I3: Suboxone/Buprenorphine TreatmentLECTURES Dr. Joji SuzukiBreast Cancer Screening* I4: Challenging Outpatient Cases of 8:00 a.m.- 8:50 a.m. Electrolyte Abnormalities Dr. Susan L. Troyan Dr. David B. MountUpdate on Asthma and COPD I5: Care of the Homeless 8:50 a.m.- 9:40 a.m. Dr. Monica Bharel Dr. Christopher H. Fanta I6: Functional Assessment of theMorning Report: Greatest Hits Geriatric Patient 9:40 a.m.-10:30 a.m. Dr. Jatin K. Dave Dr. Maria A. Yialamas I7: Low Back PainCoffee Break Dr. Zacharia Isaac 10:30 a.m.-10:45 a.m. *Meets criteria for Risk Management credit in MassachusettsDermatology Update **Meets criteria for Pain Management credit in Massachusetts 10:45 a.m.-11:35 a.m. ***Meets criteria for End of Life Management credit in Massachusetts Dr. Abrar Qureshi Program changes/substitutions may be made without notice.ACCREDITATIONThe Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuingmedical education for physicians.The Harvard Medical School designates this live activity for a maximum of 38.5 AMA PRA Category 1 Credits™. Physiciansshould claim only the credit commensurate with the extent of their participation in the activity.This activity meets the criteria of the Massachusetts Board of Registration in Medicine for 9.25 hours of Risk Management education,3 hours of Opioid Education and Pain Management training, and 2.25 hours of End-of-Life Care education. Please check with yourindividual state licensing board requirements before claiming Risk Management, Opioid Education and Pain Management, and End-of-Life training credits. Physicians should only claim credit commensurate with the extent of their participation in the activity.Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.The Royal College of Physicians and Surgeons of Canada recognizes conferences and workshops held outside of Canadathat are developed by a university, academy, hospital, specialty society or college as accredited group learning activities.ACGME COMPETENCIESThis course is designed to meet one or more of the following Accreditation Council of Graduate Medical Education competencies:• patient care • medical knowledge • practice-based learning and improvement• interpersonal and communication skills • professionalism • system-based practice.REGISTRATION INFORMATIONTuition Fee-$1,525 (USD) through January 4, 2013 and $1,575 (USD) starting January 5, 2013. ReducedFee for Residents/Fellows in Training and Allied Health Professionals-$1,225 (USD) through January 4, 2013and $1,275 (USD) starting January 5, 2013. Registration by credit card (VISA or MasterCard) can be made at:www.cme.hms.harvard.edu/courses/officepractice. Registration by check (draft on a United States bank), please make payableto Harvard Medical School and mail with registration form to: Harvard Medical School–Department of ContinuingEducation, P.O. Box 417476, Boston, MA 02241-7476. Telephone or fax registration is not acepted. Registration withcash payment is not permitted. Upon receipt of your paid registration an email confirmation from the HMS-DCE office will be sentto you. Be sure to include an email address that you check frequently. Your email address is used for critical information including:registration confirmation, evaluation and certificate.INQUIRIESBy phone 617-384-8600, Monday-Friday, 10 AM to 4 PM (EST) or by email at: email@example.comONLINE INFORMATIONTo register or view activity information online, visit: www.cme.hms.harvard.edu/courses/officepractice. Toensure proper registration, please add the first three letters of the source code found at the bottom of the registration form.DISCLOSURE POLICYHarvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards, and Policies. It is HMS’s policy that those whohave influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financialrelationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity. Thesedisclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity.Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses ofproducts during their presentations.REFUND POLICYA handling fee of $60 is deducted for cancellation. Refund requests must be received by postal mail, email or fax one week priorto this activity. No refunds will be made thereafter.COURSE LOCATIONAll sessions for this activity will be held at the Renaissance Boston Waterfront Hotel, 606 Congress Street, Boston, MA 02210(Telephone 617-338-4111).ACCOMMODATIONS AND TRAVELA limited number of rooms have been reserved at the Renaissance Boston Waterfront Hotel, (Telephone 617-338-4111) untilFebruary 8, 2013. Please specify that you are enrolled in this activity to receive a reduced room rate of $245 per nightSingle/Double. Please do not purchase non-refundable airline ticket(s) until you have received an email from our office confirmingyour paid registration. For airline reservations contact the HMS Travel Desk toll free 1-877-4-HARVMD (1-877-442-7863) Monday-Friday 9 AM - 8 PM (EST). From outside the U.S., Canada and Virgin Islands, please call 617-559-3764.