PRIMARY CARE INTERNAL MEDICINE OCT Register at PCIM.HMSCME.com CAMBRIDGE, MA. Updates, Innovations, Skills Development for PHYSICIANS, NPs, PAs

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1 PRIMARY OCT CARE INTERNAL MEDICINE CAMBRIDGE, MA Updates, Innovations, Skills Development for PHYSICIANS, NPs, PAs Under the direction of This program is among the highest-rated Harvard Medical School CME courses Now offering ABIM MOC Points Comprehensive updates across the full spectrum of primary care Case discussions and problem-solving education to address common and complex challenges Innovations to improve diagnosis, treatment, screening, and risk assessment Customize your learning experience: Choose from 48 workshops to advance your skills and in-office procedure techniques OPTIONAL HALF-DAY ADD-ON PROGRAM Treating Obesity in Primary Care: Strategies and Tools to Optimize Patient Care and Outcomes

2 Updates for Clinical Practice Now offering ABIM MOC Points This course is designed by and for primary care clinicians with the goal to: Update and sharpen your knowledge base for day-to-day practice Provide practical clinical tips you can readily incorporate into patient care Empower you to innovate to improve patient outcomes Build your technical abilities with skills development workshops This course will improve competence and performance as a primary care clinician, increase your knowledge of the most dynamic and clinically relevant components of general internal medicine, and help you implement better clinical decision-making strategies. Material is presented to optimize the transfer of new information to clinicians for use in patient care. The learning environment has been structured to optimize the retention of new knowledge with carefully placed presentations by focused, lively, and effective speakers known to engage learners. The course offers large and small group education free from distraction. Who Attends PHYSICIANS, NPs and PAs can rely on this program for comprehensive updates that ensure you are current with state-of-the-art strategies and practices for primary care medicine. Internists Family Physicians Specialists with primary care responsibilities Nurse Practitioners Physician Assistants Advanced Practice Nurses Harvard Medical School Faculty Meridale V. Baggett, MD Nesli O. Basgoz, MD Matt T. Bianchi, MD, PhD Joanne Borg-Stein, MD Rebecca C. Burch, MD Karen J. Carlson, MD Adam S. Cheifetz, MD Raymond T. Chung, MD Benjamin T. Davis, MD James M. Ellison, MD, MPH Anne D. Emmerich, MD Christopher H. Fanta, MD Jason A. Freedman, MD Robert P. Friday, MD, PhD Lawrence S. Friedman, MD Adam W. Gaffney, MD Patricia A. Gibbons, MD Stacey T. Gray, MD Wendy L. Gross, MD Galen V. Henderson, MD Melanie P. Hoenig, MD Albert Hung, MD, PhD Eric M. Isselbacher, MD Vicki A. Jackson, MD, MPH Robert S. Janett, MD Kevin D. Kapila, MD Ramin Khorasani, MD, MPH Daniela Kroshinsky, MD, MPH Michelle J. Lai, MD Regina C. LaRocque, MD, MPH Donald B. Levy, MD Gregory D. Lewis, MD Sriram Machineni, MD James A. MacLean, MD David M. Nathan, MD Walter J. O Donnell, MD Kerri Palamara, MD J. Carl Pallais, MD, MPH Richard J. Pels, MD Edward M. Phillips, MD Jorge Plutzky, MD Jennifer E. Potter, MD Alicia M. Quesnel, MD Heidi Rayala, MD, PhD Claudia U. Richter, MD Nancy A. Rigotti, MD Eric S. Rosenberg, MD Rachel P. Rosovsky, MD Douglas S. Ross, MD David P. Ryan, MD Martin A. Samuels, MD Harry P. Schneider, DPM, FACFAS Sachin J. Shah, MD David Shein, MD Jane S. Sillman, MD Gerald W. Smetana, MD Christopher C. Smith, MD Kyle D. Staller, MD, MPH David J. R. Steele, MD James K. Takayesu, MD, MS George H. Theodore, MD Nadine M. Tung, MD Edward A. Ullman, MD Emily C. Von Bargen, DO Lisa B. Weissmann, MD Deborah J. Wexler, MD Peter J. Zimetbaum, MD Associate Course Directors Jennifer E. Potter, MD Associate Professor of Medicine and Advisory Dean and Director of the Castle Society, Harvard Medical School; Director, Women s Health Center, Department of Medicine, Division of General Medicine, Beth Israel Deaconess Medical Center Richard J. Pels, MD Assistant Professor of Medicine, Harvard Medical School; Associate Chief of Medicine, Director, Graduate Medical Education and Residency Program Director, Internal Medicine, Cambridge Health Alliance Hannah Biederman, MD, Reproductive Health and Advocacy Fellow, Cambridge Health Alliance Andrew E. Budson, MD, Professor of Neurology, Boston University School of Medicine Charles Day, MD, MBA, Chief, Hand and Upper Extremity Surgery; Vice Chair, Orthopaedic Surgery, St. Elizabeth s Medical Center Featured Guest Speakers Thomas J. Gill, MD, Associate Professor of Orthopedic Surgery, Tufts University School of Medicine; Chairman of Department of Orthopedics at St. Elizabeth s Medical Center; Director, Boston Sports Medicine and Research Institute Honor MacNaughton, MD, Assistant Professor, Department of Family Medicine, Tufts University School of Medicine A. Sasha Oxnard, MD, MPH, Department of Family Medicine, Tufts Family Medicine Residency Program David Shein, MD Assistant Professor of Medicine, Harvard Medical School; Physician, Mount Auburn Hospital; Medical Director of the Mount Auburn Cambridge IPA

3 This course provides a single immersive experience to ensure that you are current with the most important clinical changes and innovations impacting primary care. You will leave this course prepared to integrate these advances into daily practice. Comprehensive clinical updates and guidance for care management in primary care, such as: Hypertension: How SPRINT and JNC 8 change practice Diabetes: New treatment strategies for improving care for the most challenging of your patients Cholesterol management: How to set targets and achieve goals specific to patient needs Anticoagulation: How to choose the correct anticoagulant for each patient Disease prevention and health promotion: Applying current consensus guidelines to your practice Cross-discipline problem solving Hands-on demonstrations and 48 workshops through which you can customize your learning experience for your practice needs Interactive discussions of the most important questions in primary care: How can you build on what you know to improve patient care? Guidelines: How do we assess and more effectively utilize them? Changes to primary care payment from MACRA: What s the impact to your practice? Patient engagement: How do we build greater trust with patients? Practice management: How should you organize your practice for patient care? Modern tools for patient care: How do we use medical apps and how do we protect our patients? The state of primary care: Rebuilding and growing our profession Course Director, Associate Professor of Medicine, Harvard Medical School, and Physician, Massachusetts General Hospital, is renowned as a teacher, an advocate and an innovator of primary care medicine, and leads national efforts to improve the work experience for primary care clinicians. Hands-on demonstrations of best practices for common primary care procedures, such as suturing, joint examination, and injection Choose from 48 workshops to customize your learning experience Practice innovation Pain management Preoperative evaluation Complex diabetes Medical marijuana Suturing techniques ENT Dermatology Ophthalmology Movement disorders GYN Allergies Atrial fibrillation Thyroid disease Prostate conditions Joint examination skills Joint injection skills Incontinence management Travel medicine

4 Agenda Learning Objectives Upon completion of this activity, participants will be able to: Apply improved strategies in the outpatient care of the most common conditions: hypertension, diabetes, and hypercholesterolism Assess the clinical value of specific diagnostic tests used in general internal medicine and specialty practices, including test sensitivity, specificity, and predictive values Identify the disease-prevention and healthpromotion goals of general internal medicine Recognize the side effects and interactions among medications prescribed by general internists and specialty physicians Discuss the expected results of therapies and summarize the current treatment strategies for common conditions in medical and nonmedical specialties, including cardiovascular, pulmonary, neurologic/neurovascular, endocrine, ophthalmic, orthopedic, immunologic, reproductive, dermatologic, gastrointestinal, hepatic, geriatric, psychiatric, metabolic, and sleep medicine Describe clinical strategies for optimal pain management, including opioid and buprenorphine treatment Apply evidence-based palliative care strategies in clinical practice Develop new and innovative skills in clinical problem-solving strategies to achieve better patient outcomes Understand the implications of MACRA for clinical practice and quality of care Undertake practice-based quality improvement projects Design new strategies for patient interaction and shared decision making MOC STATEMENT Successful completion of this CME activity enables the participant to earn up to MOC points and 1.50 patient safety credits in the American Board of Internal Medicine s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC points. Disclaimer: CME activities sponsored by Harvard Medical School are offered solely for educational purposes and do not constitute any form of certification of competency. Practitioners should always consult additional sources of information and exercise their best professional judgment before making clinical decisions of any kind. Monday, October 16 6:30 Registration and Continental Breakfast 7:15 Introduction and Welcome 7:30 State-of-the-Art Primary Care: Staying Current with Advances, Innovations, and Controversies* 8:30 Advanced Treatment Choices for Ischemic Heart Disease Eric M. Isselbacher, MD 9:30 Screening and Vaccination Updates Kerri Palamara, MD 10:45 Smoking Cessation: Where Are We Now? Nancy A. Rigotti, MD 11:45 Radiology Update: How to Effectively Employ Current Imaging Technologies Ramin Khorasani, MD, MPH 12:45 Lunch Break 1:30 Obesity Treatment in Primary Care 2:30 Important Updates for Colon Cancer Screening, Evaluation, and Treatment David P. Ryan, MD 4:00 Case-Based Workshop Sessions A1-A8 A1 Thyroid Disorders (Repeated Session B1) Douglas S. Ross, MD A2 Otolaryngology in Primary Care (Repeated Session B2) Stacey T. Gray, MD and Alicia M. Quesnel, MD A3 Management of Difficult Behavioral Symptoms in Patients with Dementia and Delirium* (Repeated Session B3) James M. Ellison, MD, MPH A4 Preoperative Medical Evaluation (Repeated Session E4) Meridale V. Baggett, MD A5 Dermatology A-Z: A Refresher for Primary Care (Repeated Session D5) Daniela Kroshinsky, MD, MPH A6 Integrative Medicine Supplements and Herbal Therapies, including Medical Marijuana Donald B. Levy, MD A7 Breast /Ovarian Cancer Risk Assessment* Nadine M. Tung, MD A8 Atrial Fibrillation Peter J. Zimetbaum, MD 5:10 Break 5:20 Case-Based Workshop Sessions B1-B8 B1 Thyroid Disorders (Repeated Session A1) Douglas S. Ross, MD B2 Otolaryngology in Primary Care (Repeated Session A2) Stacey T. Gray, MD and Alicia M. Quesnel, MD B3 Management of Difficult Behavioral Symptoms in Patients with Dementia and Delirium* (Repeated Session A3) James M. Ellison, MD, MPH B4 GYN Case Studies Honor MacNaughton, MD and Hannah Biederman, MD B5 Using Risk Calculators for Decision Support* Sachin J. Shah, MD B6 Foot and Ankle Problems (Repeated Session E6) Harry P. Schneider, DPM, FACFAS B7 HIV Update for Primary Care Nesli O. Basgoz, MD B8 Therapeutic Approaches to the Knee (Repeated Session D8) Jason A. Freedman, MD 6:30 Daily Program Ends

5 Agenda Tuesday, October 17 6:30 Continental Breakfast 7:30 Active Management of Chronic Kidney Disease David J. R. Steele, MD 8:30 Contemporary Management of Heart Failure Gregory D. Lewis, MD 9:30 Acute Stroke Therapy: What Primary Care Clinicians Need to Know Galen V. Henderson, MD 10:45 Optimal Asthma Care in 2017 Christopher H. Fanta, MD 11:45 Current Strategies for Lipid Management: Goals and Therapy Choices Jorge Plutzky, MD 12:45 Lunch Break 1:30 Current Approaches to Anemia Lisa B. Weissmann, MD 2:30 Non-Alcoholic Fatty Liver Disease Michelle J. Lai, MD 4:00 Case-Based Workshop Sessions C1-C8 C1 Case Studies in Abdominal Pain Lawrence S. Friedman, MD C2 Mindfulness in Practice: When, How, and Why A. Sasha Oxnard, MD, MPH C3 Wrist and Hand Complaints: Evaluation and Treatment Charles Day, MD, MBA C4 Suturing in Your Office (Repeated Session D4) James K. Takayesu, MD, MS C5 Opioid and Buprenorphine Management* Kevin D. Kapila, MD C6 Case Studies from Anesthesia for Primary Care Wendy L. Gross, MD C7 The Prostate and Its Challenges Heidi Rayala, MD, PhD C8 Primary Care Office Emergencies Edward A. Ullman, MD 5:10 Break 5:20 Case-Based Workshop Sessions D1-D8 D1 Concussions: On the Field and in the Office Patricia A. Gibbons, MD D2 Female Urinary Incontinence Emily C. Von Bargen, DO D3 Challenges in Opioid Prescribing for Chronic Non-Cancer Pain* (Repeated Session E3) Richard J. Pels, MD D4 Suturing in Your Office (Repeated Session C4) James K. Takayesu, MD, MS D5 Dermatology A-Z: A Refresher for Primary Care (Repeated Session A5) Daniela Kroshinsky, MD, MPH D6 Important 2017 Updates for Travel Medicine Regina C. LaRocque, MD, MPH D7 Case Studies in the Treatment of Movement Disorders Albert Hung, MD, PhD D8 Therapeutic Approaches to the Knee (Repeated Session B8) Jason A. Freedman, MD 6:30 Daily Program Ends Wednesday, October 18 6:30 Continental Breakfast 7:30 Managing Menopause amid Controversy Karen J. Carlson, MD 8:30 The Challenges of Impaired Cognition, from Onset to Established Dementia Andrew E. Budson, MD 9:30 COPD and Interstitial Lung Disease Walter J. O Donnell, MD 10:45 Curbside Antibiotic Choices in Outpatient Practice Benjamin T. Davis, MD 11:45 Hepatitis Raymond T. Chung, MD 12:45 Lunch and Learn (Lunch Provided) Live presentation, New England Journal of Medicine Clinical Pathology Conference (CPC): Reaching the Right Diagnosis for the Most Difficult Cases Eric S. Rosenberg, MD 2:30 Updates in Headaches: Assessment and Treatment* Rebecca C. Burch, MD 4:00 Case-Based Workshop Sessions E1-E8 E1 Ophthalmology in Primary Care Claudia U. Richter, MD E2 Therapeutic Approaches to the Shoulder (Repeated Session F2) Christopher C. Smith, MD E3 Challenges in Opioid Prescribing for Chronic Non-Cancer Pain* (Repeated Session D3) Richard J. Pels, MD E4 Preoperative Medical Evaluation (Repeated Session A4) Meridale V. Baggett, MD E5 Fluid and Electrolyte Abnormalities Melanie P. Hoenig, MD E6 Foot and Ankle Problems (Repeated Session B6) George H. Theodore, MD E7 Allergy and Urticaria: How to Respond to Patient Needs James A. MacLean, MD E8 Palliative Care: Your Central Role with the Very Ill* Vicki A. Jackson, MD, MPH 5:10 Dinner Break 7:00 8:30 pm Evening Session Clinical Practice Improvement from the Ground Up Robert S. Janett, MD

6 Agenda Thursday, October 19 6:30 Continental Breakfast 7:30 Medical Management of Osteoporosis and Effective Communication to Reduce Fracture Risk 8:30 Differential Diagnosis of Polyarthritis Robert P. Friday, MD, PhD 9:30 Optimizing Treatment and Care of Your Patients with Diabetes David M. Nathan, MD 10:45 Hypertension: Controversies, Challenges, and Treatment Goals Gerald W. Smetana, MD 11:45 The Diagnosis of Movement Disorders in Primary Care Martin A. Samuels, MD 12:45 Lunch and Learn (Lunch Provided) Primary Care Payment Update in the Time of MACRA 2:30 New Anticoagulant and Antiplatelet Agents Rachel P. Rosovsky, MD 4:00 Case-Based Workshop Sessions F1-F8 F1 Challenging Patients Jennifer E. Potter, MD F2 Therapeutic Approaches to the Shoulder (Repeated Session E2) Thomas J. Gill, MD F3 Case Studies in Office Endocrinology J. Carl Pallais, MD, MPH F4 Lower Back Pain: Evaluation and Treatment Techniques* Joanne Borg-Stein, MD F5 Diabetes Workshop: Developing Strategies for the Most Difficult Patients in Your Practice Deborah J. Wexler, MD F6 Contraception: Common Problems Faced in Office Practice Jane S. Sillman, MD F7 Using Patient-Facing Apps to Address Specific Clinical Situations David Shein, MD F8 Case Studies in Pulmonary Medicine Adam W. Gaffney, MD 5:10 Daily Program Ends Friday, October 20 6:30 Continental Breakfast 7:30 The Four Pillars of Lifestyle Medicine: Knowledge, Skills, Tools and Self-Care Edward M. Phillips, MD 8:30 GERD, Ulcer Disease and Celiac Sprue Kyle D. Staller, MD, MPH 9:30 What You Need to Know about Diseases of the Colon: IBS and IBD Adam S. Cheifetz, MD 10:45 Sleep Disorders: Assessment and Therapeutic Options Matt T. Bianchi, MD, PhD 11:45 Depression/Anxiety Anne D. Emmerich, MD 12:45 Course Concludes Friday Afternoon, October 20 Optional Half-Day Add-On Program Treating Obesity In Primary Care: Strategies and Tools to Optimize Patient Care and Outcomes 1:45 The Relevant Science of Obesity Setting the Stage for Greater Success 2:20 Addressing Obesity in Primary Care Enhancing Clinical Value, Preserving Operational Efficiency Sriram Machineni, MD 2:55 Lifestyle-Directed Anti-Obesity Therapy Optimizing Engagement, Improving Outcomes Sriram Machineni, MD 3:45 Pharmacological Treatment of Obesity Who, What and How? 4:20 Surgical Treatment of Obesity Who, What and When? 5:00 Add-On Program Ends Hands-on or clinical innovation workshop *Meets criteria for Risk Management credit in Massachusetts. Program changes/substitutions may be made without notice. To view the most up-to-date version of the course program, please visit the course website. Seating is limited. To be assured a spot in this program, early registration is strongly advised.

7 This program sold out in Early registration for the 2017 program is strongly advised. PRIMARY CARE INTERNAL MEDICINE OCT CAMBRIDGE, MA Comprehensive updates across all major areas of primary care and guidance to integrate them into practice for improved patient outcomes Cardiovascular disease Diseases of the colon Cerebrovascular disease Hypertension Liver disease Cognitive decline Full agenda inside COPD GERD Asthma Headaches Polyarthritis Pain control Hematologic disorders Osteoporosis Kidney disease Cholesterol management Sleep disorders Depression and anxiety Earn up to AMA PRA Category 1 Credits TM Risk Management credits, including: 6.25 credits of Opioid Education and Pain Management Training 1.25 credits of End-of-Life Care Studies ABIM MOC Points Accreditation The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Harvard Medical School designates this live activity for a maximum of AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AMERICAN ACADEMY OF FAMILY PHYSICIANS Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. RISK MANAGEMENT This activity meets the criteria of the Massachusetts Board of Registration in Medicine for credits of Risk Management Study. This includes 6.25 credits of Opioid Education and Pain Management Training and 1.25 credits of End-of-Life Care Studies. Please check with your individual state licensing board requirements before claiming these credits. CANADIAN ACCREDITATION The Royal College of Physicians and Surgeons of Canada recognizes conferences and workshops held outside of Canada that are developed by a university, academy, hospital, specialty society or college as accredited group learning activities. EUROPEAN ACCREDITATION Through an agreement between the American Medical Association and the European Union of Medical Specialists, physicians may convert AMA PRA Category 1 Credit to an equivalent number of European CME Credits (EC- MECs ). Information on the process of converting AMA PRA Category 1 Credits to ECMECs can be found at:

8 This program sold out in Early registration for the 2017 program is strongly recommended Primary Care Internal Medicine October Cambridge, MA Course # Register after September 20, 2017 Register on or before September 20, 2017 Physicians $1,675 Trainees or Allied Health Professionals $1,575 $1,575 (SAVE $100) $1,475 (SAVE $100) Treating Obesity in Primary Care Friday, October 20, 1:45 pm 5:00 pm $175 $150 (SAVE $25) Tuition includes all breakfasts, morning and afternoon refreshments, lunches on Wednesday and Thursday, and a special program on Wednesday evening. Complimentary internet access will be provided in the meeting room throughout the course. All attendees of Primary Care Internal Medicine will receive a flash drive containing course materials. You can purchase a printed copy of these materials at the time of registration for $50, or on site at the course for $90. Registration, Payment, Confirmation and Refund Policy Registrations for Harvard Medical School CME programs are made via our secure online registration system. To register for this course, please visit the course website at PCIM.hmscme.com. At the end of the registration process, a $5 non-refundable processing fee will be added to your registration, and you will have the choice of paying by check or credit card (Visa, MasterCard, or American Express). If you are paying by check (draft on a United States bank), the online registration system will provide you with instructions and a printable form for remitting your course fees by check. Postal, telephone, fax, and cash-payment registrations are not accepted. All fees shown in USD. Upon receipt of your paid registration, an confirmation from the HMS GCE office will be sent to you. Be sure to include an address that you check frequently. Your address is used for critical information, including registration confirmation, evaluation, and certificate. Refunds, less an administrative fee of $75, will be issued for all cancellations received two weeks prior to the start of the course. Refund requests must be received by . No refund will be issued should cancellation occur less than two weeks prior. No shows are subject to the full course fee and no refunds will be issued once the conference has started. Venue Boston Marriott Cambridge Hotel Two Cambridge Center 50 Broadway Cambridge, MA Telephone: This program is among the highest-rated Harvard Medical School CME courses. Early registration is strongly recommended. Accommodations A limited number of rooms have been reserved at the Boston Marriott Cambridge Hotel until Friday, September 22, To make reservations by phone, call When calling the hotel, be sure to specify that you are enrolled in this activity using Group Code HMS to receive a special group rate. Hotel reservations can also be made online by September 22 by going to the course website at PCIM.HMSCME.com and clicking on the dedicated link on the Venue page. Please do not make non-refundable travel arrangements until you ve received an from the HMS GCE office confirming your registration. Questions? Call Monday-Friday 9am 5pm (ET) or send an to CEPrograms@hms.harvard.edu