Agenda Saturday, July 16, 2016

Transcription

1 07:30-08:00 Breakfast& CME Registration Agenda Saturday, July 16, :00-08:05 Opening Remarks 08:10-09:00 Correlation between Body Composition, Wellness Programs, and ROI Larry Thompson This session shall cover: 1. Conduct Body composition test 2. Discuss results interpretation sheet 3. Why tracking Body composition leads to results 4. How improving body composition proves ROI of wellness programs 5. How to implement individualized and cooperate wide well-being programs 09:00-09:45 Updates in Infectious Disease Guidelines Christopher Roman, MA, MMS, PA-C Clinicians treat a variety of bacterial infections in the office and hospital. Common bacterial infections include Cellulitis, Sinusitis, Pharyngitis, Pneumonia (includes discussion of bronchitis) and Urinary tract infection. Once a diagnosis is made, empiric treatment is initiated and may be revised based on the culture and antibiotic sensitivities of the offending organism(s). This presentation covers diagnosis and treatment of these common bacterial infections. The participants shall be able to recognize manifestations, learn when to utilize diagnostics, when to prescribe antibiotics, and appropriate antimicrobial selection. Tricks for discussing antibiotics with patients are also discussed. 1. Efficiently and judiciously utilize historical and exam clues along with diagnostics to diagnose common infectious diseases (cellulitis, sinusitis, pharyngitis, pneumonia, urinary tract infection). 2. Appropriately utilize antimicrobial drugs for bacterial infections. 3. Understand common scenarios in which antibiotics are unlikely to benefit the patient (i.e., viral infections).

2 4. Apply different techniques in patient encounters to educate patients on appropriate antibiotic use, and manage patient expectations regarding management of infections. 09:45-10:00 Break 10:00-11:00 Correlation between Diabetes Mellitus Type II and Increased Risk of Alzheimer s disease: a Collaborative Treatment Approach Tony Brown, MD, PhD Diabetes Mellitus type II is among the most common and debilitating non-communicable diseases in the United States. Each year, the incidence of diabetes in the U.S. is 1.4 million. It is estimated that by the year 2050, if current trends persists that one-third of American adult population will be diagnosed with diabetes. Statistics have indicated that Alzheimer s disease affects approximately one-ninth (11%) of older Americans, ages 65 and older. It is further established that there will be a steady annual increase in the incidence and prevalence of AD, as older Americans continue to live longer than 65 years. This paper reviews and supports the literature that links diabetes with Alzheimer s disease. It recognizes that the coexisting complications of diabetes mellitus type II is both pervasive and disheartening. Nonetheless, we have identified both physiological and pharmacological factors that are relevant to the treatment of this epidemic. In addition, we argued that further research is needed to prevent and effectively treat both diseases. An expected outcome is that sustained circumvention of the negative side effects could lead to enhanced quality of life. We conclude that based on gender and racial disparities, the most at risk populations must be identified and targeted by healthcare educators and public health officials. One implication is that responsible intervention will require a collaborative approach, which combines lifestyle changes and conventional medical approaches. This can result in improved clinical outcomes, patient longevity, and overall enhanced quality of life. 1. Understand the correlation between Diabetes Mellitus Type II and Increased Risk of Alzheimer s disease 2. Recommend glucose and insulin lifetyles that decrease Alzheimer Disease Risk 3. Understand how anti-diabetic pharmaceuticals can reduce patients Alzheimer s disease risk. 11:00-12:00 Ketosis, The Man, The Myth, The Legend Ryan E. Bentley, MD, PhD, DC, DAAMLP For Pathophysiology, it is important to understand nutritional ketosis and the metabolic disorder ketoacidosis. The session shall cover most popular forms of ketosis and ketoacidosis. Understanding the classification of nutritional ketosis and ketoacidosis will help clinicians in their

3 primary care practice. In this session, we shall discuss the benefits of nutritional ketosis that helps in Type II diabetes, cardiovascular disease and Alzheimer s disease. Ketones have been found to be remarkably neuro-protective for the brain. At the end of this session, participants will be able to: 1. Understanding Physiology of Ketosis 2. Benefits of Nutritional Ketosis 3. Implementing Nutritional Ketosis in the primary care setting for heart disease, type 2 diabetes, and Alzhimer's Dementia 12:00-01:00 Lunch Suturing Techniques Workshop Kenneth Massey, PA This workshop shall cover: 1. Describe wound healing concepts 2. Identify the various types and sizes of suture material 3. Choose the proper instruments for suturing 4. Identify the different injectable anesthetic agents and correct dosages 5. Identify different closure techniques: simple interrupted, continuous, vertical and horizontal mattress 6. Demonstrate a square knot using instruments 7. Demonstrate simple interrupted suture technique 8. Recommend appropriate wound care and follow-up 01:00-01:45 Missed Traumatic Brain Injury: A Review of Anatomical, Biomechanical, Psychiatric and Diagnostic Correlates Tony Brown, MD, PhD At the most basic and consistently agreed upon level Traumatic Brain Injury (TBI) is defined as a transient or long lasting disruption of brain structure and/or function caused by an external mechanical force. Such mechanical force can originate from a ballistic, blunt, blast or sharp source and is either characterized as either an open-head injury (penetrating type) or closed-head injury (closed type). With regard to the penetrating type of TBI, contact is made with the actual brain tissue itself. Sometimes the brain tissue is left exposed (brain parenchyma). In the case of the closed type of TBI the external force itself does not come into direct contact with the brain tissue itself or cause it to become exposed. A person can experience both types of injury as a result of the same precipitating event. The range of gravity in TBI s is as follows: minor, mild, moderate, and severe. TBI has significant epidemiological implications, as it is a major cause of morbidity and mortality in children, persons under the age of 45 and the elderly. Closed TBI (CTBI) is an often misunderstood and missed diagnosis, especially in cases where concussive, acceleration or deceleration

4 and/or coup or countercoup forces cause mild-moderate TBI. It is important for providers to have a solid working knowledge of anatomical, biomechanical and psychiatric correlates of TBI in order to effectively diagnose and properly treat patients. In gaining such understanding providers can thereby minimize the significant and long-term impact of this growing menace. At the end of presentation, participants will be able to: 1. Recognize the Anatomical and biomechanical correlates of traumatic brain injury. 2. Recognize the Psychiatric correlates of traumatic brain injury. 3. Rule in/out traumatic brain injury from other differential diagnoses. 01:45-02:45 Workshop Virtual Clinic Taking down the Brick and Mortar The benefits of technology and globalization are multi-fold, but along with these progressive strides, we are faced with the challenge of having to compete not just on a regional or national platform, but worldwide as well. Rural communities are the most affected by these advancements, the patient segment without access to specialty physicians goes to a bigger town, and not only takes away business from the rural hospital but also other affiliated markets. A deeper look at financial models for rural hospitals and smaller facilities and re-revamping current strategies is imperative for longterm sustenance. 1. Discuss the impact on the revenue model 2. Understand how to utilize telemedicine in daily practice 3. Legal ramifications to abide by to stay compliant 4. How to incorporate a telemedicine program into an already-existing clinic 5. Learn how to create financial stability and sustainability 02:45-03:00 Break 03:00-04:30 Workshop Virtual Clinic Taking down the Brick and Mortar The benefits of technology and globalization are multi-fold, but along with these progressive strides, we are faced with the challenge of having to compete not just on a regional or national platform, but worldwide as well. Rural communities are the most affected by these advancements, the patient segment without access to specialty physicians goes to a bigger town, and not only takes away

5 business from the rural hospital but also other affiliated markets. A deeper look at financial models for rural hospitals and smaller facilities and re-revamping current strategies is imperative for longterm sustenance. 1. Discuss the impact on the revenue model 2. Understand how to utilize telemedicine in daily practice 3. Legal ramifications to abide by to stay compliant 4. How to incorporate a telemedicine program into an already-existing clinic 5. Learn how to create financial stability and sustainability 04:30-05:20 COPD 2016 Diagnostic and Management Strategies COPD (Chronic Obstructive Pulmonary Disease) is a major cause of mortality and morbidity in the United States. Alarmingly, COPD recently became the third leading cause of death behind heart disease and cancer. Current estimates suggest that COPD costs the nation almost $50 billion annually in both direct and indirect health expenditures. While there are an increasing number of treatment options for managing patients with COPD; determining which treatments are appropriate for patients has become more complex. Recent evidence-based guidelines, from both the Global Initiative for Chronic Obstructive Lung Disease (GOLD) and the COPD Foundation, have been developed to assist clinicians in their diagnosis of COPD and treatment decision making. Although these two guidelines provide broadly similar criteria for COPD diagnosis, their approaches to disease characterization differ, which ultimately may affect treatment strategies. With the right tools and critical decision making we can manage clinical risks and improve patient outcomes. At the end of the presentation, participants should be able to: 1. Discuss Critical Decision Making to allow most appropriate management plan for COPD. 2. Elaborate on Key Indicators for Considering a Diagnosis of COPD. 3. Describe the subtle differences between the GOLD and COPD Foundation guidelines. 05:20-05:35 Break 05:35-06:30 Understanding Sickle Cell anemia and Crisis prevention in the Primary care setting

6 Ryan E. Bentley, MD, PhD, DC, DAAMLP For a systematic review of pathophysiology, it is important to understand blood work; the interpretation and implementation of blood work in sickle cell disease. This session shall cover the impacts of sickle cell disease on the levels of haemoglobin, folic acid, B12, LDH and other elements of CBC blood work. An often over looked aspect in Sickle Cell anemia are the Lifestyle changes that will make your patient feel healthy and simultaneously prevent other sickle crises and complications. 1. Understanding Pathophysiology of Sickle Cell Crisis 2. Blood work interpretation of Sickle Cell Anemia 3. Long Term Management of Sickle Cell patients in the outpatient setting 06:30-07:15 Who are we sending home? The threat of litigation following a misdiagnosis or improper treatment presents a challenge to healthcare providers. Subtle mistakes can lead to poor patient outcomes. According to a 2009 study in the Journal of the American Medical Association; Diagnostic errors were the No. 1 reason for adverse events that resulted in malpractice payouts in outpatient settings. Avoid costly and time-consuming litigation by anticipating such situations and appropriately managing the medical needs of the patient. Topics Include: 1. Patient presenting with a headache misdiagnosis of an acute bleed. 2. Abdominal pain in an office setting missed appendicitis. 3. Patient comes with back pain missed abscess. 07:15 Adjourned