MANAGEMENT OF THE HOSPITALIZED PATIENT

Transcription

1 12th ANNUAL MANAGEMENT OF THE HOSPITALIZED PATIENT The Fairmont Hotel October 23-25, 2008 The course, chaired by Bob Wachter, covers the clinical issues most relevant to hospitalists, internists, family physicians, and others who care for inpatients. Taught by UCSF's top teachers and a stellar group of guest faculty, the course highlights recent advances and current controversies, emphasizing a cost-effective approach to common disorders. To promote active learning, the course uses a computerized interactive audience response system, and features multiple workshop sessions in five different tracks to allow for small group discussions. The course includes broad content in critical care, perioperative care, end of life care, patient safety and quality, and hospital neurology, cardiology, and infectious diseases. This course is presented by the Department of Medicine, Division of Hospital Medicine, and is sponsored by the Office of Continuing Medical Education, University of California, San Francisco, School of Medicine. It also serves as the West Coast regional meeting of the Society of Hospital Medicine. For the first time, this year's conference is preceded by a three day Hospitalist Mini-College on site at the UCSF Medical Center. Enrollment to the precourse is limited we encourage early registration! EDUCATIONAL OBJECTIVES An attendee completing the Management of the Hospitalized Patient course should be able to: Describe the major diagnoses to be considered in common inpatient clinical presentations; Review a modern and evidence-based work-up for common inpatient clinical presentations; Discuss modern therapeutic approaches to common inpatient disorders; List some of the latest literature impacting the field of Hospital Medicine and how best to use it to answer clinical questions. An attendee completing the Hospitalist Mini-College precourse should be able to: To improve diagnostic and management skills in critical care through hands-on teaching and observation; To improve diagnostic and management skills in hospital neurology through hands-on teaching and observation; To improve diagnostic and management skills in medical consultation and co-management through hands-on teaching and observation. ACCREDITATION The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. UCSF designates this educational activity for a maximum of AMA PRA Category 1 Credit(s) TM. Physician should only claim credit commensurate with the extent of their participation in the activity. This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency. For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credit TM issued by organizations accredited by the ACCME. The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA Category 1 Credit TM. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

2 COURSE CHAIR Robert M. Wachter, MD Professor of Medicine and Chief of the Division of Hospital Medicine; Associate Chair, Department of Medicine, University of California, San Francisco VISITING FACULTY Scott Flanders, MD Associate Professor of Medicine Director of the Hospitalist Program, University of Michigan Kaveh Shojania, MD Assistant Professor of Medicine Canada Research Chair in Patient Safety and Quality Improvement University of Toronto Lawrence Wellikson, MD Chief Executive Officer Society of Hospital Medicine COURSE FACULTY (University of California, San Francisco, School of Medicine unless otherwise noted) Lewis S. Blevins, Jr., MD Professor of Medicine and Neurosurgery; Medical Director, California Center for Pituitary Disorders Andrew J. Boyle, MD, MBBS, PhD Assistant Professor of Medicine Robert V. Brody, MD Professor of Medicine and Family & Community Medicine; Chief, Pain Consultation Clinic, San Francisco General Hospital Lundy Campbell, MD Assistant Professor, Department of Anesthesia Henry F. "Chip" Chambers, MD Professor of Medicine Chief, Division of Infectious Diseases, SFGH; Director, UCSF Infectious Diseases Fellowship Training Program COURSE FACULY (CONT D.) H. Quinny Cheng, MD Associate Professor of Medicine; Director, Medical Consultation Service, UCSF Medical Center Jeffrey Critchfield, MD Associate Professor of Medicine; Chief, Division of Hospital Medicine; San Francisco General Hospital Russell Cucina, MD, MS Assistant Professor of Medicine and Medical Informatics, Associate Medical Director of Information Technology Brian Daniel, RRT Clinical Coordinator, Respiratory Care Service; Clinical Research Coordinator, Cardiovascular Research Institute Gurpreet Dhaliwal, MD Assistant Professor of Medicine John W. Engstrom, MD Professor of Neurology, Vice-Chair, Department of Neurology; Director, Neurology Residency Program Lindy Fox, MD Assistant Professor of Dermatology; Director, Dermatology Consultation Service Gordon L. Fung, MD, MPH Associate Professor of Medicine; Medical Director, Electrocardiography Lab Michael A. Gropper, MD, PhD Professor of Anesthesia and Physiology; Director, Critical Care Medicine B. Joseph Guglielmo, PharmD Chair, Department of Clinical Pharmacy; Professor of Pharmacy; Thomas A. Oliver Chair in Clinical Pharmacy COURSE FACULTY (CONT D.) S. Andrew Josephson, MD Assistant Professor of Neurology; Director, Neurohospitalist Program Tracy Minichiello, MD Associate Professor of Medicine, Director, Thrombosis Program, San Francisco VA Medical Center Steven Pantilat, MD Professor of Clinical Medicine; Director, Palliative Care Program, UCSF Medical Center Robert J. Rushakoff, MD Clinical Professor of Medicine, Division of Endocrinology and Metabolism Niraj L. Sehgal, MD, MPH Assistant Professor of Medicine; Director, UCSF at Mount Zion Medical Service; Director of Faculty Development, Division of Hospital Medicine Bradley A. Sharpe, MD Assistant Professor of Medicine; Associate Chief, Division of Hospital Medicine Jonathan P. Terdiman, MD Associate Professor of Medicine; Associate Director for Clinical Affairs; UCSF Colitis and Crohn's Disease Center Arpana R. Vidyarthi, MD Assistant Professor of Medicine; Director of Quality and Safety Programs, Division of Hospital Medicine and UCSF Office of Graduate Medical Education Lisa Winston, MD Assistant Professor of Medicine Chief of Infection Control, San Francisco General Hospital faculty REGISTER ONLINE! REGISTRATION Register online at Registration Information: (415) Course Information: (415) Date: Hospitalist Mini-College Precourse (October 20-22, 2008) Registration: 8am Conference Location: UCSF Medical Center, Lange Room, Parnassus Campus Library, 530 Parnassus Avenue, On site contact: Please call (415) should you have any questions while on the UCSF Campus. Management of the Hospitalized Patient (October 23-25, 3008) Registration: 7am Conference Location: Fairmont Hotel, 950 Mason Street (At California), (415) or (800) NOTE: The precourse and the MHP course have separate registration and fees. There is a discounted rate for those participating in both courses. In addition, SHM members receive a discount (to become a member, go to and click on "Join Now") CONFERENCE LOCATION The UCSF Mini-Hospitalist College is being held in San Francisco at the UCSF Medical Center located at 530 Parnassus Avenue, the site of the main University Hospital. The 15-story hospital has 600 beds composed of two adjoining buildings, Moffitt and Long Hospitals, and includes our 180 bed UCSF Children s Hospital. Overall, the hospitals and clinics cover nearly 6 city blocks. The Management of the Hospitalized Patient Course is being held in San Francisco at the Fairmont Hotel, 950 Mason Street. The Fairmont Hotel is located at the only spot in San Francisco where each of the City's cable car lines meet. With a panoramic view of the City and the Bay from high atop Nob Hill, The Fairmont San Francisco offers an unmatched blend of elegance and superb service for an unforgettable stay. A block of guestrooms has been reserved at the Fairmont Hotel with the following group rate of $232 single or double occupancy. Transportation between the Fairmont Hotel and the UCSF Medical Center will be provided for the attendees of the Hospitalist Mini- College for the duration of the course.

3 0569 University of California, San Francisco Office of Continuing Medical Education UCSF Box Upcoming Courses (all courses in San Francisco) Internal Medicine Board Certification and Recertification Review Sunday-Thursday, July 13-17, 2008 Primary Care Medicine: Principles and Practice Thursday-Saturday, October 29-31, 2008 A Case Based Approach to the Management of Inflammatory Bowel Disease Saturday-Sunday, November 1-2, 2008 Topics in Emergency Medicine Monday-Thursday, November 3-6, 2008 Controversies in Women's Health Thursday-Friday, December 4-5, th Annual Advances in Heart Disease Friday-Sunday, December 12-14, 2008 High Risk in Emergency Medicine Thursday-Saturday, May 21-23, 2009 For more information or to register online visit our website at You may also reach us by calling the Office of CME at (415) or ing info@ocme.ucsf.edu. CONFERENCE LOCATION (CONT D) Reservations must be received by September 23, 2008 to guarantee availability of accommodations. After this date, rooms will be provided on a spaceavailable basis only. If you phone in your reservation, you must identify yourself as a member of this course to receive the special rate. Make reservations: The Fairmont San Francisco 950 Mason Street (at California) (415) or (800) Reservations may also be made online at our Group Promotion code is GRMHP1. AIR TRANSPORTATION Special arrangements have been made with Montgomery Travel. Simply call (800) , fax your travel request to (415) , or go to and specify this meeting. A travel specialist will assist you with air reservations ($35 service fee) and local area travel plans. In addition to offering lower rates than the published airfares, ticketed passengers may take advantage of the 24-hour emergency service. AIR TRANSPORTATION (continued) UCSF has negotiated special fares with American and United Airlines for our course attendees. You may use the following tour codes to book on your own: American (800) code: United (800) code: 510CF GROUND TRANSPORTATION & PARKING Look for the blue SuperShuttle signs. Their phone number is: (415) Reservations are not necessary. Hertz is providing car rentals at special rates for this course: (800) (refer to CV #03BW0067). Advance reservations are recommended. Parking at the Fairmont Hotel for overnight guests is $50 per day, subject to change without notice. Taxi from San Francisco Airport is approximately $45. As noted previously, a free shuttle service will transport attendees of the Hospitalist Mini-College precourse between the Fairmont Hotel and the UCSF Medical Center on October 20-22, 2008.

4 Presented by the Division of Hospital Medicine Department of Medicine University of California, San Francisco School of Medicine University of California San Francisco 12th ANNUAL MANAGEMENT OF THE HOSPITALIZED PATIENT THE FAIRMONT HOTEL SAN FRANCISCO, CA Praise from past attendees Overall, this is the best course I have attended since I finished post-grad training 18 years ago. Your faculty is inspiring, engaging, informative, and entertaining. THURSDAY - SATURDAY October 23-25, 2008 The course that started it all returns for its 12th year! This course also serves as the West Coast Regional Meeting of the Society of Hospital Medicine COURSE CHAIR Robert M. Wachter, MD Professor of Medicine and Chief of the Division of Hospital Medicine Associate Chair, Department of Medicine, University of California, San Francisco NEW for 2008 The UCSF Hospitalist Mini-College A Small Group, Hands-On Experience October 20-22, 2008 UCSF Medical Center

5 12th ANNUAL MANAGEMENT OF THE H THURSDAY, OCTOBER 23, 2008 Management of Acute Medical Problems 7:00 am Registration and Continental Breakfast 8:00 Welcome Robert M. Wachter 8:10 Improving the Care of Critically Ill Patients Michael Gropper 8:55 Recent Advances in Thromboembolism and Tracy Minichiello Anticoagulation 9:40 Update in Diagnosis and Treatment of Stroke S. Andrew Josephson 10:25 Break 10:45 Update on Community and Hospital-Acquired Scott Flanders Pneumonia, :30 Assessment and Management of Altered S. Andrew Josephson Mental Status 12:20 pm Lunch on Your Own 1:45 Small Group Workshops: Session I (six options) Neuro The Neurological Exam S. Andrew Josephson Systems PDAs, Mobile Computing, & Web Resources Russell Cucina for Hospitalists Skills/Tools Critical Care Workshop: Sedation and Lundy Campbell/ Ventilator Management Pearls Brian Daniel Clinical Medicine I Communicating with Patients and Families Steven Pantilat about End of Life issues Clinical Medicine II Thromboembolism Q&A: Cases and Tracy Minichiello Controversies Safety/Quality Preventing Hospital-Acquired Infections Lisa Winston 3:15 Break Hospital Medicine 3:40 What's Working (and Not) in Patient Safety Robert M. Wachter 4:40 Society of Hospital Medicine (SHM) Update Lawrence Wellikson & Discussion 5:15 Adjourn and Conference Reception FRIDAY, OCTOBER 24, 2008 October 23-25, 2008 Challenging Cases and Issues in Hospital Medicine 7:00 am Continental Breakfast 8:00 Clinical Problem-Solving Exercise Gurpreet Dhaliwal 9:05 Caught Between a Rock and a Hard Place: Scott Flanders/ Using Evidence to Make Tough Decisions Kaveh Shojania 10:05 Break 10:30 Smorgasbord of Clinical Pearls in Hospital Medicine Dermatology (10:30-11:00) Lindy Fox Adrenal and Pituitary Disease (11:00-11:30) Lewis Blevins Rheumatology (11:30-12:00) Jeffrey W. Critchfield 12:00 pm Boxed Lunch 12:15 Small Group Workshops: Session II (six options) Neuro The Neurological Exam (repeat) John W. Engstrom Systems Organizing and Sustaining an Academic Robert M. Wachter/ Hospitalist Program Scott Flanders Skills/Tools EKG Refresher Gordon L. Fung Clinical Medicine I Update on Antibiotics in Hospital Medicine B. Joseph Guglielmo Clinical Medicine II Pain Management Workshop Robert Brody Safety/Quality Evidence-Based Practices for Improving Kaveh Shojania Safety and Quality 1:45 Break 2:00 Small Group Workshops: Session III (six options) Neuro The Neurological Exam (repeat) John W. Engstrom Systems Hospital Information Systems: CPOE, EMRs, Russell Cucina Bar Coding, and more Skills/Tools EKG Refresher (repeat) Gordon L. Fung

6 OSPITALIZED PATIENT FRIDAY, OCTOBER 24, 2008 (CONT D) Clinical Medicine I Managing Acute Flares of Inflammatory Jonathan P. Terdiman Bowel Disease Clinical Medicine II Improving Diabetes Care in the Robert J. Rushakoff Hospitalized Patient Safety/Quality Communication Strategies to Prevent Arpana R. Vidyarthi, MD Patient Harm Niraj L. Sehgal, MD, MPH 3:30 Break Assorted Problems in Hospital Medicine 3:50 Lower Gastrointestinal Bleeding Jonathan P. Terdiman 4:35 MRSA Infections in Hospital Medicine: Henry F. Chip Chambers What Should We Do? 5:20 Adjourn SATURDAY, OCTOBER 25, 2008 Assorted Problems in Hospital Medicine (cont d) 7:00 am Continental Breakfast 8:00 am Ordering the Right Neuroradiology Study S. Andrew Josephson (and Figuring Out What it Means) 8:35 Clinical Controversies in Medical Consultation H. Quinny Cheng 9:25 Workup and Management of Vertigo S. Andrew Josephson 10:15 Break 10:35 Interventional Cardiology: Update for the Andrew J. Boyle Hospitalist 11:20 The Year in Review in Hospital Medicine Bradley A. Sharpe 12:10 pm Adjourn program INTRODUCING A NEW PRECOURSE FOR 2008 The UCSF Hospitalist Mini-College: A Small Group, Hands-On Experience This innovative three day pre-course provides an indepth and engaging experience for hospitalists who desire an opportunity for clinical skill development. Participants will join faculty at UCSF Medical Center in clinical teaching rounds and seminars in three focused domains: Critical Care Medicine, Hospital-Based Neurology, and Surgical Co-Management. Participants will also receive hands-on procedural training (e.g., use of ultrasound guidance) and sessions focused on interpreting radiographic studies, building diagnostic acumen, and using electronic resources to quickly answer clinical questions. Enrollment to the pre-course is limited we encourage early registration! ACCREDITATION The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. UCSF designates this educational activity for a maximum of AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency. For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credit TM issued by organizations accredited by the ACCME. The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA Category 1 Credit TM. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

7 UCSF Medical Center The UCSF Hospitalist Mini-College MONDAY, OCTOBER 20, :30 am Welcome (Continental Breakfast) 9:00 Clinical Domain: Hospital-based Neurology Rounds on the Wards / Clinical Bedside Teaching 10:45 Break 11:00 Small Group Didactic Session in Hospital-based Neurology 12:00 pm Lunch and Networking 1:15 Case Presentation with UCSF Master Clinician 2:15 Building Diagnostic Acumen: A Session on Clinical Reasoning 3:30 Break 4:00 Clinical Skills Lab: Online Search Strategies to Answer Clinical Queries 5:00 pm Adjourn TUESDAY, OCTOBER 21, :30 am Welcome (Continental Breakfast) 9:00 Clinical Domain: Critical Care Medicine Rounds in the ICU / Clinical Bedside Teaching 10:45 Break 11:00 Small Group Didactic Session in Critical Care Medicine (inc. Ventilator Management Pearls) 12:00 pm Case Conference (Lunch Provided) 1:15 Clinical Skills Lab: Use of Ultrasound and Enhancing Confidence in Performing Bedside Procedures [Central Lines, Thoracentesis, and Paracentesis] 3:30 Break 4:00 Clinical Skills Lab: Interpreting Radiographic Studies 5:00 pm Adjourn WEDNESDAY, OCTOBER 22, :30 am Welcome (Continental Breakfast) 9:00 Clinical Domain: Surgical Co-Management & Medical Consultation Rounds on the Surgical Services / Clinical Bedside Teaching 10:45 Break 11:00 Small Group Didactic Session in Surgical Co-Management & Medical Consultation 12:00 pm UCSF Department of Medicine M&M Conference (Lunch Provided) 1:15 Root Cause Analysis Presentation: Thinking About Systems 2:15 Meet the Professor: Bob Wachter Course Summary and Debrief 4:00-6:00 pm Hospitalist Mini-College Happy Hour precourse program NOTE: Morning sessions for the Hospitalist Mini-College involve actual patient rounds with expert clinicians at UCSF Medical Center. The cost of participant credentialing is included in the registration fee. To facilitate the small group feel, registrants will be broken up into groups of no more than 5-7 participants with one faculty member for these rounds. HOSPITALIST MINI-COLLEGE FACULTY HOSPITAL MEDICINE Robert M. Wachter, MD Professor of Medicine; Associate Chair, Department of Medicine; Chief, Division of Hospital Medicine; Chief of the Medical Service, UCSF Medical Center Arpana R. Vidyarthi, MD Assistant Professor of Medicine; Director of Quality and Safety Programs, Division of Hospital Medicine and UCSF Office of Graduate Medical Education HOSPITAL MEDICINE (CONT D) Niraj L. Sehgal, MD, MPH Assistant Professor of Medicine; Director, UCSF at Mount Zion Medical Service; Director of Faculty Development, Division of Hospital Medicine HOSPITAL-BASED NEUROLOGY S. Andrew Josephson, MD Assistant Professor of Neurology; Director, Neurology Hospitalist Program CRITICAL CARE MEDICINE Michael Gropper, MD, PhD Professor of Anesthesia and Perioperative Care; Director, Critical Care Medicine, UCSF Medical Center SURGICAL CO-MANAGEMENT AND MEDICAL CONSULTATION H. Quinny Cheng, MD Associate Professor of Medicine; Director, Medical Consultation and Neurosurgical Co- Management Services, UCSF Medical Center

8 COURSE REGISTRATION FORM UCSF Hospitalist Mini-College MDM09P01A October 20-22, 2008 UCSF Medical Center, Parnassus Campus San Francisco, California Mail to : UCSF Office of CME P.O. Box Dr. Mr. Mrs. Ms. Last Name First M.I. Degree Specialty Address City State Zip Daytime Phone Fax Address Label Code (see address label: example, A, B, C, D, etc.) Would you like to be on our priority list? Yes No 12th Annual Management of the Hospitalized Patient MDM09P01 October 23-25, 2008 Fairmont Hotel San Francisco, California Fax: (415) Registration Information: (415) Course Information: (415) Online: Date of birth to be used as OCME registrant number: / / X X Month Please indicate if you have any special needs: REGISTRATION FEES Precourse UCSF Hospitalist Mini-College October 20-22, 2008 MDM09P01A Space is Limited Advanced Registration is Required! $2,500/Physicians $2,000/Allied Health Professionals Management of the Hospitalized Patient October 23-25, 2008 MDM09P01 $700/Physicians $500/Allied Health Professionals SHM members take $50 off Discounted Enrollment for Both Courses Registration by Mail/Fax or Phone Only: UCSF Hospitalist Mini-College October 20-22, 2008 AND MDM09P01A Management of the Hospitalized Patient October 23-25, 2008 MDM09P01 $3,000/Physicians/Non-SHM Members $2,900/Physicians/SHM Members $2,300/AHP s/non-shm Members $2,200/AHP s/shm Members To become a SHM member, go to: Got paper?... Not Beginning in 2006, we stopped distributing a printed syllabus for this course doing so consumes nearly 400,000 pieces of paper! Registrants will have access to all talks on a conference website pre- and post-conference, and will receive an outline onsite. Those interested in following along can bring their laptops (there will be electrical outlets in the main hall); we will also have printers for those who wish to print selected talks. We trust you understand. Make checks payable to UC Regents Please charge my credit card: Visa MasterCard AmEx for $ Credit Card Number Expiration Date Name on Card (Please Print) Authorized Signature Refund Policy: Cancellations for either received in writing before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date. Early registration is encouraged Day