31 st Annual Primary Care Update

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1 31 st Annual Primary Care Update featuring Terry C. Shackelford, MD, Memorial Lecture Keynote speaker: Nico Pronk, PhD Well-Being as a Clinical Goal November 16 17, 2017 Location DoubleTree by Hilton Hotel Minneapolis Park Place 1500 Park Place Boulevard Minneapolis, Minnesota (View map and directions) Audience This program is designed for primary care physicians, physician assistants and nurse practitioners. Nurses and other members of the care team may also find it beneficial. Conference overview Daily practice can challenge even the most experienced clinician to stay current on best practices. Given the enormous variety of disorders seen in primary care, clinicians must possess a large range of skills and diverse knowledge base to maintain proficiency. Our Primary Care Update conference addresses the latest strategies and data used to help clinicians improve consults and increase diagnostic, treatment, and management competencies. For the past 31 years, this program has focused on practical, evidence-based content and workshops to improve clinical practice for primary care physicians. This year s highlights include coverage of anemia, heart failure, irritable bowel syndrome, the microbiome and wound care. The annual Terry C. Shackelford, MD, Memorial Lecture by Nico Pronk, PhD, highlights the role that well-being plays in economic and human flourishing. Time for questions, direct interaction with faculty and use of an interactive audience response system (ARS) will be available. This program does not receive any commercial support.

2 Educational objectives Following this learning activity, participants will be able to: Apply therapeutic strategies for managing various clinical conditions, including: ADD/ADHD, celiac diabetes, irritable bowel syndrome, hepatitis C, stroke and tuberculosis Integrate into clinical practice recommended approaches to optimizing personal well-being Recognize barriers to cost-effective medication options for patients Cost/Registration Registration includes continental breakfast, lunch and refreshments. Conference presentations will be available for download from the website. Participants have the option of purchasing a printed syllabus for $40. Please see registration form to order. Temperature in the meeting room varies. For your comfort, we suggest you bring a sweater or jacket. If you have any special needs or dietary requirements, please notify us when registering so we can make arrangements to accommodate you. See printable registration form Register online Accreditation HealthPartners Institute is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The Office of Continuing Medical Education, HealthPartners Institute, designates this live activity for a maximum of AMA PRA Category 1 Credit(s). Physicians should claim only the 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. This program has been approved by the Minnesota Board of Pharmacy and is acceptable for hours of continuing education credit. The program number assigned to this course is: This program is designed to meet the Minnesota Board of Nursing s requirements. It is the responsibility of each nurse to determine if the program meets the criteria for licensure or recertification for his/her discipline. Contact us with questions or to register Phone: Toll-free: Fax: mailto:cme@parknicollet.com

3 Terry C. Shackelford, MD, Memorial Lecture Keynote speaker: Nico Pronk, PhD, MA, FACSM, FAWHP Well-being as a Clinical Goal Dr. Nico Pronk is President of the HealthPartners Institute and Chief Science Officer at HealthPartners, Inc. and holds a faculty appointment as Adjunct Professor of Social and Behavioral Sciences at the Harvard T.H. Chan School of Public Health in Boston, Massachusetts. Nico Pronk, PhD HealthPartners Institute is one of the largest medical research and education centers in the Midwest, the Institute has about 450 studies underway each year, trains more than 500 medical residents and fellows and more than 500 students, and provides continuing medical education for 25,000 clinicians as well as patient education and clinical quality improvement. HealthPartners, founded in 1957 as a cooperative, is an integrated, non-profit, member-governed health system providing health care services and health plan financing and administration. It s the largest consumer governed nonprofit health care organization in the United States. Dr. Pronk s work is focused on connecting evidence of effectiveness with the practical application of programs and practices, policies and systems that measurably improve population health and well-being. His work applies to the workplace, the care delivery setting, and the community and involves development of new models to improve health and well-being at the research, practice and policy levels. His research interests include workplace health and safety, obesity, physical activity, and systems approaches to population health and well-being. Currently, Dr. Pronk serves as co-chair of the U.S. Secretary of Health and Human Services Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 (aka Healthy People 2030) and is a member of the Community Preventive Services Task Force. He was the founding and past president of the International Association for Worksite Health Promotion and has served on boards and committees at the National Academies of Science, Engineering, and Medicine, the American Heart Association, the Health Enhancement Research Organization, among others. He is widely published in both the scientific and practice literatures with more than 400 articles, books, and book chapters and is an international speaker on population health and health promotion. Dr. Pronk received his doctorate degree in exercise physiology at Texas A&M University and completed his post-doctoral studies in behavioral medicine at the University of Pittsburgh Medical Center at the Western Psychiatric Institute and Clinic in Pittsburgh, Pennsylvania. About the Shackelford lecture HealthPartners Institute sponsors this annual lecture in memory of Terry C. Shackelford, MD, an internal medicine specialist at Park Nicollet Clinic, formerly St. Louis Park Medical Center. Dr. Shackelford died of acute leukemia in his early 40s. The lectureship was established to recognize his contributions by inviting distinguished speakers to address issues important to advancing primary care medicine.

4 Agenda Thursday, November 16, :30 a.m. Registration and continental breakfast 9:20 Welcome and announcements 9:30 What Can You Do to Fix Our Nut Allergies? Nut Allergies: What s new Pamela Harris, MD Recommendations on early exposure Strategies for avoidance in patients Epi-pen cost considerations 10:00 Which Probiotics Work for What? The Microbiome Now Cyrus Jahansouz, MD Symbiosis between bacteria and health Implications for disease Evidence on probiotics 10:30 Am I at Risk? Pre-exposure Prophylaxis (PrEP) Pearls Michael Stiffman, MD Who is a candidate? Efficacy and safety Adherence including counseling, cost considerations and monitoring 11:00 I Can t Stop Coughing. Active Tuberculosis Janet Larson, MD What to do in front-line care What and what not to order Concerns for resistant TB 11:30 Contemporary Lipid Management; Beyond statins and LDL cholesterol Sean Stewart, PharmD, BCPS, BCACP, CLS Residual statin risk When to measure other biomarkers? Applications of PCSK9 inhibitors Noon Lunch 1 p.m. Terry C. Shackelford, MD, Memorial Lecture Nico Pronk, PhD Well-being as a Clinical Goal

5 2:00 Why am I Getting Screened Now? It Wasn t Important Before. Approaching Hepatitis C Daniel Virnig, MD Universal screening What agents are worth the cost? Whom to refer 2:30 I Can t Ever Seem to Finish My To-Do List. ADD/ADHD in Adults David Wilkins, DO Evaluation Long-term and short-term treatment Comorbidities When to refer 3:00 Refreshment break 3:30 What Will I Do All Day? Transitioning from Active Practice Joshua Zimmerman, MD Preparing for lifestyle changes Identifying priorities Resources 4:00 I Saw a New Cure on TV. Irritable Bowel Syndrome Michael Shaw, MD Current recommendations Changes in treatment When to refer 4:30 Adjourn

6 Friday, November 17, :30 a.m. Registration and continental breakfast 7:50 Welcome and announcements 8:00 I Think I Need Screening Tests. STI Update Leslie Baken, MD, FIDSA Chlamydia screening Syphillis in men who have sex with men Gonorrhea statistics 8:30 It s a Daily Battle with Mom. Behavioral Issues in Elderly Patients with Dementia Susan Czapiewski, MD, MS Choosing a medication Pitfalls What to do about living situations and lifestyle changes 9:00 What s This Rash? Common Rashes in Different Skin Backgrounds Rachel Hub, MD Diagnostic pearls 1st-line and 2nd-line treatments 9:30 Refreshment break 10:00 Do You Have Something New to Try? Heart Failure in 2017 Charles Pinkerman, DO, MHA, FACC Classification New medications 10:30 Should I Worry About My Heart Too? Cardiovascular Risk Management in Patients with Diabetes Gregg Simonson, PhD Priorities for care Tips for statin use Lifestyle changes that make a difference 11:00 Is There a Cheaper Option? Cost-Effective Medications Alison Knutson, PharmD, BCACP What primary care needs to know Resources for clinicians

7 11:30 Lunch 12:30 p.m. Time for My Breathing Test. Office Spirometry Nicolette Myers, MD Its role in the clinical setting Interpretation Newest medications 1:00 Breakout Session 1 (Sessions repeat at 2:15 p.m.) Indicate your choice on the registration form. A. Counseling in the Office Setting Allyson Hayward, MSW, LICSW B. Knee, Joint and Shoulder Evaluations Michelle Gorman McNerney, MD C. Strategies for Wound Care Pamela Cole, PT, CWS, CAQ D. UTIs and Unusual Organisms Stefan Collinet-Adler, MD E. Approaches to Immunizations for Reluctant Patients and Families Robert Karasov, MD 1:45 Refreshment break 2:15 Breakout Session 2 (Repeat of Session 1 and new options D and E) Indicate your selection on the registration form. F. Visiting Friends and Relatives (VFR) Travel Lisa Lynch-Jones, FNP-APRN G. Pediatric Acne Kristen Hook, MD 3:00 Case-Based Discussion of Stroke Matthew Ostrander, MD Whom to monitor Echocardiogram bubble studies 3:30 I ve Just Been So Tired and Short of Breath. Best Practices for Anemia Cathleen Chen, MD Diagnosis and management in the office setting Proper work-up 4:15 Adjourn

8 HealthPartners and Park Nicollet faculty Cathleen Chen, MD Hematology, Medical Oncology Pamela Cole, PT, CWS Rehabilitation and Therapy St. Louis Park Wound Care Clinic Stefan Collinet-Adler, MD Infectious Disease Michelle Gorman McNerney, MD, CAQ Orthopedics, Sports Medicine TRIA Orthopaedic Center Pamela Harris, MD Asthma and Allergic Diseases Allyson Hayward, MSW, LICSW Family Medicine Rachel Hub, MD Dermatology Robert Karasov, MD Pediatrics Alison Knutson, PharmD, BCACP Pharmacy Janet Larson, MD Infectious Disease Lisa Lynch-Jones, FNP-APRN Infectious Disease Park Nicollet Travel Clinic Nicolette Myers, MD Pulmonary, Critical Care and Sleep Disorder Medicine Matthew Ostrander, MD Neurology Charles Pinkerman, DO, MHA, FACC Cardiology Park Nicollet Heart and Vascular Center Michael Shaw, MD Gastroenterology Park Nicollet Digestive Center Gregg Simonson, PhD International Diabetes Center HealthPartners Institute Sean Stewart, PharmD, BCPS, BCACP, CLS Pharmacy Michael Stiffman, MD, MSPH, AAHIVS Family Medicine HealthPartners Clinic Daniel Virnig, MD Gastroenterology Park Nicollet Digestive Center David Wilkins, DO Behavioral Health Joshua Zimmerman, MD Behavioral Health

9 Guest faculty Leslie Baken, MD, FIDSA Infectious Disease North Memorial Susan Czapiewski, MD, MS Geriatric Psychiatry Minneapolis VA Health Care System Kristen Hook, MD Pediatric Dermatology University of Minnesota Cyrus Jahansouz, MD General Surgery Resident University of Minnesota Residency Program Cancellation and refund policy Substitutions are accepted at any time. If you cancel your registration at any time up to the start of the conference, there will be an administrative charge of $50. No refunds are given after the conference has started. All continuing medical education activities are subject to cancellation. In the event that this conference would have to be cancelled, the Office of Continuing Medical Education, HealthPartners Institute, is not responsible for any airfare, hotel or other costs incurred by participants. Course location and accommodations The conference will be held at the DoubleTree by Hilton, Minneapolis Park Place, 1500 Park Place Blvd., Minneapolis Sleeping room rates start at $ (plus tax) per night. Contact the hotel directly by calling and identify yourself as a participant of the 31st Annual Primary Care Update conference to receive the group rate. Reservations should be made by October 26, After this date, rooms are subject to availability and regular rates may apply. Complimentary parking is available. For more detailed directions, call the Office of Continuing Medical Education at A map will be sent with your confirmation letter. Please note that because our conference facilities are not equipped for infants and children, we ask that you make arrangements for childcare.

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