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Pediatrics for the Practitioner and Primary Care 2012
Pediatrics for the Practitioner and Primary Care 2012
Pediatrics for the Practitioner and Primary Care 2012
Pediatrics for the Practitioner and Primary Care 2012
Pediatrics for the Practitioner and Primary Care 2012
Pediatrics for the Practitioner and Primary Care 2012
Pediatrics for the Practitioner and Primary Care 2012
Pediatrics for the Practitioner and Primary Care 2012
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Pediatrics for the Practitioner and Primary Care 2012

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  • 1. HAWAII PEDIATRICS FOR THE PRACTITIONER October 15 - 18, 2012 Hapuna Beach Prince Hotel Mauna Kea Resort Thi s is Big Island, Hawaii of the t o yo hE br nly c uw och opy ill PRIMARY CARE 2012 rec ure eiv e. October 15 - 18, 2012 Hapuna Beach Prince Hotel Mauna Kea Resort Big Island, Hawaii Sponsored by Presented in Conjunction with Kansas City, Missouri
  • 2. PEDIATRICS FOR THE PRACTITIONER October 15 – 18, 2012 HAPUNA BEACH PRINCE HOTEL • BIG ISLAND, HAWAII AGENDAMonday, October 15, 2012 6:00 a.m. Buffet Breakfast for guests of the Hapuna Beach Prince and Mauna Kea Beach Hotels who booked through the Travel Store 7:00 a.m. Registration — coffee and tea available for all participants 7:50 a.m. Welcome and Introduction 8:00 a.m. Vaccines: fears, facts and the future — S. Michael Marcy MD 9:00 a.m. Update on Adenotonsillectomy in children — Daniel Chelius MD 10:00 a.m. Refreshment Break 10:15 a.m. True Cases from the Pediatric ED: What would you do? — Jane Knapp MD 11:15 a.m. Traveling with Children: maintaining their health and safety — S. Michael Marcy MD 12:15 p.m. Adjourn 5:30 p.m. Welcome Reception — Ocean Terrace LawnTuesday, October 16, 2012 6:30 a.m. Buffet Breakfast for guests of the Hapuna Beach Prince and Mauna Kea Beach Hotels who booked through the Travel Store 7:30 a.m. Registration — coffee and tea available for all participants 8:00 a.m. Pediatric Headaches: a rational approach to a common problem — Jean-Baptiste LePichon MD, PhD 9:00 a.m. Acute Purulent Otitis Media 2012: new concepts in diagnosis and management — S. Michael Marcy MD 10:00 a.m. Refreshment Break 10:15 a.m. Seizures and Epilepsy: what to do while I wait for the neurology referral? Jean-Baptiste LePichon MD, PhD 11:15 a.m. Pertussis not just for kids: Diagnosis, Treatment, and new concepts in prevention — S. Michael Marcy MD 12:15 p.m. AdjournWednesday, October 17, 2012 6:30 a.m. Buffet Breakfast for guests of the Hapuna Beach Prince and Mauna Kea Beach Hotels who booked through the Travel Store 7:30 a.m. Registration — coffee and tea available for all participants 8:00 a.m. Otology for the pediatric practitioner — Daniel Chelius MD 9:00 a.m. Adolescent and Pediatric Gynecology: Common Problems — Sara Gardner MD 10:00 a.m. Refreshment Break 10:15 a.m. The noisy airway: update for the practitioner — Daniel Chelius MD 11:15 a.m. Pediatric Rashes: recognition and management — Vidya Sharma MBBS 12:15 p.m. AdjournT hursday, October 18, 2012 6:30 a.m. Buffet Breakfast for guests of the Hapuna Beach Prince and Mauna Kea Beach Hotels who booked through the Travel Store 7:30 a.m. Registration — coffee and tea available for all participants 8:00 a.m. Hypertension and Diabetes Mellitus in Pediatrics: First Steps for the Primary Care Doctor — Sara Gardner MD 9:00 a.m. Tics and Tourette Syndrome: to treat or not to treat — Jean-Baptiste LePichon MD, PhD 10:00 a.m. Refreshment Break 10:15 a.m. Innovations in Otolaryngology: evaluation and management — Daniel Chelius MD 11:15 a.m. Concussions: an old approach, a new problem — Jean-Baptiste LePichon MD, PhD 12:15 p.m. Adjourn **Participants of this meeting have the option of attending lectures of interest at the Primary Care 2012 during course hours.
  • 3. PEDIATRICS FOR THE PRACTITIONER October 15 – 18, 2012 Hapuna Beach Prince Hotel big Island, Hawaii OBJECTIVES T his pediatric symposium will address common pediatric problems and is designed for pediatricians, family physicians, nurse practitioners, and physician assistants. Upon completion of this course, active participants will be able to: 1. List what has been achieved with childhood immunizations in this country, the many new vaccines in the pipeline, and reasons that caregivers give for not accepting immunizations 2. Discuss the updated guidelines for adenotonsillectomy in children 3. Review the emergency care of psychiatric and behavioral emergencies in children and adolescents 4. Increase efficacy in advising parents how to assure both their own safety and that of their children, including the prevention and treatment of common illnesses acquired during travel 5. Describe the classification of common headaches, and acknowledge when further imaging studies should be ordered for a child with recurrent headaches 6. Properly diagnose, treat, and develop a plan for follow-up of the child with acute purulent otitis media and attendant sequelae 7. Explore acute management of a child during a seizure 8. Diagnose pertussis in older persons, and verbalize prevention and treatment of pertussis 9. Evaluate and manage hearing loss in children 10. Manage common vulvar conditions in the prepubertal child 11. Determine upper and lower airway causes of noisy breathing in children and know which need emergent treatment 12. Manage common pediatric rashes including atopic dermatitis and acne 13. Discuss recommendations to adolescents on medical management of hypertension and diabetes that affects their long-term health risks 14. Explain the classification of tics and other benign movement disorders of childhood, and the treatment of Tourette syndrome 15. Explore new and developing treatments for children’s ENT problems 16. Discuss the AAP guidelines for the management of concussion in children, and describe when referral to a neurologist and further imaging is recommended for concussions FACULTYDaniel Chelius, MD Jane F. Knapp, M.D. Stephen MichaelAttending Physician, Professor of Pediatrics, Marcy MDEar Nose Throat Clinic University of Missouri – Kansas City, Clinical Professor of Pediatrics,Children’s Mercy Hospitals School of Medicine University of California atand Clinics Chair of Medical Education Los AngelesKansas City, MO Department of Pediatrics School of MedicineEmail: dchelius@cmh.edu Children’s Mercy Hospital Department of PediatricsSara Gardner, MD and Clinics Kaiser Foundation HospitalAssistant Professor of Pediatrics, Kansas City, MO Panorama City, CAUniversity of Missouri – Kansas City, Email: jknapp@cmh.edu Email: smmarcy@LABiomed.orgSchool of Medicine Jean-Baptiste LePichon Vidya Sharma, MBBS, MPH.Program Director, MD, PhD Professor of PediatricsInternal Medicine – Pediatrics Assistant Professor of Pediatrics University of Missouri – Kansas City,Children’s Mercy Hospital University of Missouri – Kansas City, School of Medicineand Clinics School of Medicine Pediatric DermatologyKansas City, MO Residency Director – Child Neurology Children’s Mercy HospitalEmail: segardner@cmh.edu Children’s Mercy Hospital and Clinics and Clinics Kansas City, MO Kansas City, MO Email: vsharma@cmh.edu Email: jlepichon@cmh.edu
  • 4. ACCREDITATION Children’s Mercy Hospitals and Clinics is accredited by the Missouri State Medical Association to providecontinuing medical education for physicians. Children’s Mercy Hospitals and Clinics designates this educational activity for a maximum of 16 AMA PRACategory 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participationin the activity. Pediatrics for the Practitioner 16 hours Primary Care 2012 16 hours AMERICANS WITH DISABILITIES ACT If you have needs addressed by the Americans with Disabilities Act, requests for assistance or accommodation should be received at least ten working days prior to the beginning of this educational offering.REGISTRATION INFORMATION Advance registration and payment are required. The fees for Pediatrics for the Practitioner or Primary Care2012 are $495. Registrations must be received prior to October 1, 2012, to be eligible for the above mentionedfee. Registrations received after October 1, 2012, will be $50 more than the original price ($545).Registration and payment can be completed online with MasterCard, VISA, American Express, or Discovercards. Please visit our Web site at http://www.childrensmercy.org/professionaleducation/For further information, please contact Teresa Shepherd, Program CoordinatorPhone: 816.234.3744 Fax: 816.983.6430 or email: tshepherd@cmh.eduCANCELLATION POLICY A full refund of the registration fee, less a $100 administrative fee, will be granted if the cancellation is madeby email or in writing and postmarked on or before October 1, 2012. No refunds will be issued for cancellationletters postmarked after this date. Send all letters to: Office of Continuing Medical Education, Department ofMedical Education, Children’s Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108, or via e-mail totshepherd@cmh.eduACCOMMODATION AND TRAVEL INFORMATION To receive the negotiated group room rates, which include self-parking and daily buffet breakfast for 2, atthe Hapuna Beach Prince Hotel and the Mauna Kea Beach Hotel, reservations MUST be made through TravelStore, Inc. at 800-274-2517 nationwide or 310-750-9422 if calling from Southern California. The DEADLINE forHOTEL RESERVATIONS is September 15, 2012. Reservations may be confirmed with a one night deposit eitherby credit card or by check. Deposits become nonrefundable after the deadline date listed above.TRAVEL INFORMATION CMH Employees must follow CMH Travel Policies Special airfares have been arranged through Travel Store, Inc. on all major airlines from any city nationwideto Kona, Hawaii. These discounted airfares will be in economy as well as first or business class. By staying at thehost hotel, you will help Children’s Mercy Hospital and St. Luke’s Hospital meet its contractual obligations andkeep registration fees reasonable. Please take this into consideration when making your accommodationdecisions. For additional hotel and travel information call: Travel Store, Inc. 800-274-2517 ext. 19422 Nationwide 310-373-0954 ext. 19422 Southern California FAX 310-378-8840 24 Malaga Cove Plaza Palos Verdes Estates, CA 90274 (Arrangements can be made to visit other islands as well.)
  • 5. HAPUNA BEACH PRINCE HOTEL Attendees of the Pediatrics and Primary Care meetings on the Big Island of Hawaii can take advantageof a block of rooms that have been reserved from October 13 – 20, 2012, at the following unbelievablegroup rates: RESERVE EARLY TO GET THE CATEGORY OF YOUR CHOICE.Hapuna Beach Prince Hotel Room Rates (per night) Mauna Kea Beach Hotel Room Rates (per night)Terrace View $195 Mountain View $275Partial Ocean View $210 Golf Vista $325Ocean View $225 Beach Front $395Premium Ocean View $240 Ocean View $415Ocean Front $270 Deluxe Ocean View $5501 Bedroom Ocean Suite $430 These rates are based on single or double occupancy and include buffet breakfast for 2 daily. Selfparking rates are included as well. Taxes are not included. Rates are available 3 days pre and post theblock dates.HOTEL DESCRIPTION The magnificent Hapuna Beach Prince Hotel is nestled on the famed Kohala Coast of Hawaii’s BigIsland, just 30 minutes north of the Keahole Airport. Most of the 350 spacious guest rooms offerspectacular ocean views, private lanais, and all modern amenities. Guests enjoy the fresh waterswimming pool and whirlpool spa, health club, and a myriad of water sports. Golfers enjoy challengingcourses designed by Robert Trent Jones, Sr. and Arnold Palmer. The sister property to the Hapuna Beach Prince Hotel, the Mauna Kea Beach Hotel, needs nointroduction. Built in 1965 by Laurence Rockefeller, this world class resort overlooks the crescent whitesandy beach and azure waters of Kauna’oa Bay, one of the finest beaches in the Hawaiian Islands. Inaddition to the amenities mentioned above, this is home of the priceless Rockefeller collection of Asianand Oceanic art. Recently reopened, the hotel has been magnificently refurbished. PLEASE CALL Travel Store Inc at 800-274-2517, ext. 19422 or 310-750-9422 by September 15, 2012to make your hotel reservations at the Hapuna Beach Prince Hotel or the Mauna Kea Beach Hotel. PAYMENT INFORMATION — Registration and payment can be completed online at www.childrensmercy.org/professionaleducation/ Credit Card Payment can be made by: Visa MC Discover Americam Express
  • 6. Primary Care 2012 October 15 – 18, 2012 Hapuna Beach Prince Hotel big Island, Hawaii OBJECTIVES This symposium will address common primary care problems and is designed for primary care and family physicians. Upon completion of this course, active participants will be able to: 1. Describe current options for the evaluation of chest discomfort and identify factors that increase the likelihood that chest discomfort is cardiac in origin 2. Explore asthma management including differential diagnosis of wheezing 3. Differentiate pit vipers from non-poisonous snakes, and discuss bites from arachnids and other creepy crawlies 4. Discuss various medications used to treat inflammatory bowel disease, indications for their use, and potential side effects 5. Detect common ligamentous injuries sustained in non-professional sports, and identify common types of bony injuries sustained in slips and falls 6. Distinguish “normal” from “abnormal” sexual desire, discuss effective medical therapies for decreased sexual desire, and counsel patients when medical therapy is not effective or indicated 7. Examine hormone therapy related to breast cancer, health risks and benefits, and sleep disturbance related to menopause 8. Analyze the evidence behind the top 5 updates in primary care for 2012, and apply the evidence into common practice scenarios 9. Compare and contrast street / recreational substances, as well as selected toxic ingestions and antidotes 10. Explore recommended and published society and consensus guidelines on the management of upper and lower GI bleeding, initial screening for colorectal cancer, and recommended surveillance intervals for patients with a history of colon cancer or colon polyps. 11. Differentiate the cause of chronic viral hepatitis in patients with elevated liver function tests, and examine various treatment options for hepatitis B and C 12. Describe medical diagnoses and medications associated with obesity, and discuss referral criteria and insurance coverage for bariatric surgery 13. Discuss celiac disease: various clinical presentations, pathophysiology, diagnostic tests, and available multidisciplinary treatments 14. Utilize the CDC’s medical eligibility criteria when choosing contraceptive options for women with medical problems 15. Discuss antiplatelet agents currently approved for use in the United States, and develop a plan for management of antiplatelet therapy in patients with cardiovascular disease 16. Direct the initial evaluation of congestive heart failure in stable outpatients and utilize currently approved medical therapies for congestive heart failure patients FACULTYCindy C. Chang MD Kirtly Parker Jones MD Sara Gardner MD, FAAP,Clinical Assistant Professor Professor FACPDepartment of Emergency Medicine Department of Obstetrics and Assistant Professor of MedicineUniversity of Missouri – Kansas City Gynecology and PediatricsSchool of Medicine Vice Chair for Educational Affairs Program Director, Internal MedicineEmail: cindy.clarkston@hotmail.com University of Utah – Pediatrics ResidencyDiana Dark MD, FACP, FCCP Email: kirtly.jones@hsc.utah.edu University of Missouri – Kansas CityProfessor and Associate Dean Wendell K. Clarkston School of MedicineUniversity of Missouri – Kansas City MD, FACP Kansas City, MOSchool of Medicine Professor of Medicine Email: segardner@cmh.eduDirector, Medical Education Program Director – GI Fellowship David Safley MD, FACCSaint Luke’s Hospital of Kansas City University of Missouri – Kansas City Associate Professor of MedicineKansas City, MO School of Medicine University of Missouri – Kansas CityEmail: ddark@saint-lukes.org Email: clarkstonw@umkc.edu School of Medicine Clinical Scholar, Mid America Heart Institute Saint Luke’s Hospital of Kansas City Email: dsafley@saint-lukes.org
  • 7. Primary Care 2012 October 15 – 18, 2012 HAPUNA BEACH PRINCE HOTEL • BIG ISLAND, HAWAII AGENDAMonday, October 15, 2012 6:00 a.m. Buffet Breakfast for guests of the Hapuna Beach Prince and Mauna Kea Beach Hotels who booked through the Travel Store 7:00 a.m. Registration — coffee and tea available for all participants 7:50 a.m. Welcome and Introduction 8:00 a.m. Current Strategies for the Evaluation of Chest Pain — David Safley MD 9:00 a.m. Breathing and Wheezing: Asthma Evaluation and Management — Diana Dark MD 10:00 a.m. Refreshment Break 10:15 a.m. Bites, Stings, and Fish that bite back — Cindy Chang MD 11:15 a.m. Update on the Diagnosis and Treatment of Inflammatory Bowel Disease — Wendall Clarkston MD 12:15 p.m. Adjourn 5:30 p.m. Welcome Reception — Ocean Terrace LawnTuesday, October 16, 2012 6:30 a.m. Buffet Breakfast for guests of the Hapuna Beach Prince and Mauna Kea Beach Hotels who booked through the Travel Store 7:30 a.m. Registration — coffee and tea available for all participants 8:00 a.m. Weekend Warriors: Think before you pivot, jump, or FOOSH! — Cindy Chang MD 9:00 a.m. Better Loving Through Chemistry?: Sexual Function and Dysfunction in Women — Kirtly Parker Jones MD 10:00 a.m. Refreshment Break 10:15 a.m. Update on Menopausal Hormone Therapy — Kirtly Parker Jones MD 11:15 a.m. Update in Internal Medicine — Sara Gardner MD 12:15 p.m. AdjournWednesday, October 17, 2012 6:30 a.m. Buffet Breakfast for guests of the Hapuna Beach Prince and Mauna Kea Beach Hotels who booked through the Travel Store 7:30 a.m. Registration — coffee and tea available for all participants 8:00 a.m. Ingestions, Inhalations, and Intubations — Cindy Chang MD 9:00 a.m. Guidelines for the Management of GI Bleeding and Prevention of Colon Cancer — Wendall Clarkston MD 10:00 a.m. Refreshment Break 10:15 a.m. Update on the Diagnosis and Management of Chronic Viral Hepatitis — Wendall Clarkston MD 11:15 a.m. Weight Management in the Primary Care setting: a case-based review — Sara Gardner MD 12:15 p.m. AdjournThursday, October 18, 2012 6:30 a.m. Buffet Breakfast for guests of the Hapuna Beach Prince and Mauna Kea Beach Hotels who booked through the Travel Store 7:30 a.m. Registration — coffee and tea available for all participants 8:00 a.m. Celiac Disease from the Primary Care perspective — Wendall Clarkston MD 9:00 a.m. Contraception for Women with Medical Problems — Kirtly Parker Jones MD 10:00 a.m. Refreshment Break 10:15 a.m. Antiplatelet Therapy for Cardiovascular Disease — State of the Art — David Safley MD 11:15 a.m. Congestive Heart Failure — Outpatient Evaluation and Management — David Safley MD 12:15 p.m. Adjourn **Participants of this meeting have the option of attending lectures of interest at the Pediatrics for the Practitioner meeting during course hours.
  • 8. Non-Profit Org. U.S. POSTAGE PAID Kansas City, MO Kansas City, Missouri Permit 100362 401 G ILLH AM RO A DKAN SA S CIT Y, M ISS O URI 6 4 1 0 8 ! ow r Ne is i te c egosel spad. e ur R H t te i lim nly broch e o ceive. is th This u will re yo

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