CONTINUING MEDICAL EDUCATION

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1 CONTINUING MEDICAL EDUCATION 49 th Annual PRIMARY CARE REVIEW February 12-16, 2018 Sentinel Hotel Portland, Oregon Sponsored by: Division of Continuing Professional Development School of Medicine, Oregon Health & Science University

2 49 th Annual Primary Care Review February 12-16, Sentinel Hotel - Portland, Oregon COURSE DESCRIPTION The 49th Annual Primary Care Review provides up-to-date clinical information and critical review of topics essential to primary care practice. Twenty-three plenary presentations and over 40 hours of breakout sessions provide the opportunity to design a personalized learning experience. Plenary presentations will address: Update on Hepatitis B and Hepatitis C Hypertension 2017 Current Controversies and Contemporary Management How to Keep Up with the Medical Literature Cognitive Changes Over Time Colorectal Cancer Before Age 50 Adherence to Heart Failure Regimens Difficult Skin and Soft Tissue Infections Acute Knee Injuries plus many others. Breakout sessions of various sizes promote interaction and discussion with faculty and allow ample time for questions. For 2018, you can expect sessions on: Geriatrics: What I Wish Primary Care Providers Knew About Taking Away the Keys Dementia Nutrition Elder Abuse Geriatric Skin Issues Transgender Health Orthopaedics Obesity Concussion and many others. As always, there will be a selection of women s health, pediatrics, endocrinology, and fibromyalgia sessions throughout the week. CREDIT The School of Medicine, Oregon Health & Science University (OHSU), is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. American Medical Association: Oregon Health & Science University School of Medicine 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 AAFP Credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

3 TARGET AUDIENCE & LEARNING OBJECTIVES The 2018 Primary Care Review is designed for family physicians, internists, hospitalists, other physicians working in a primary care setting, and other primary care health care providers. At the conclusion of the course, participants will be able to: Determine when it is appropriate to begin or continue dialysis on an elderly patient Incorporate strategies to keep patients motivated to adhere to prescribed heart failure regimens Include patient-directed goals into the care of those with multi-morbidity conditions Discuss with patients how marijuana and vaping can affect the health of the heart Identify cognitive changes and determine what s normal and what s not GENERAL INFORMATION Location/Accommodations: The course is at the Sentinel Hotel, 614 SW 11th Ave., Portland, Oregon. For hotel reservations, call the Sentinel directly at or visit for the booking link; be sure to mention your attendance at the OHSU 49th Annual Primary Care Review. Please make your reservation early as the room block will be released on January 11, 2018 and is subject to sell-out prior to that date. Tuition/Registration: Tuition is $795 for registrations received before February 1, 2018 and $845 after this date. Tuition includes continental breakfast all week and lunch Monday through Thursday. Two and three day registrations are available. A confirmation letter will be ed to you upon receipt of your registration payment. If you have not received confirmation within seven days of registering, please call Admission to the meeting room is limited to registered attendees. Cancellations: A $45.00 service charge will be assessed on all refund requests received on or before February 1, We are unable to issue refunds after that date. Breakout Sessions: Enrollment in some breakout sessions may be limited and will be filled on a firstcome, first-served basis. Additional Information: For more information, please contact the Division of Continuing Professional Development at or cme@ohsu.edu. If you have a disability and require assistance to participate in the conference, please contact the Division of CPD at or cme@ohsu.edu as early as possible, but no later than twenty (20) days before the meeting. *NEW FOR 2018* PRIMARY CARE REVIEW APP New for 2018, the Primary Care Review app! We will be using a mobile app to provide personalized schedules; give easy access to the online syllabus; allow our attendees to evaluate talks, provide us with real-time feedback and engage with the speakers and other learners. Your registration confirmation will include more information about downloading and accessing the app. OHSU is an equal opportunity, affirmative action institution.

4 PROGRAM MONDAY, FEBRUARY 12, :00 Registration/Continental Breakfast 7:50 Introduction to the Course 8:00 Shall We Dialyze Grandma? The Technological vs. the Moral Imperative - Sharon Anderson, MD 8:40 Questions and Answers 9:00 What s New in Aging: Geriatrics Literature Update - Katherine Drago, MD 9:40 Questions and Answers 10:00 BREAK 10:20 Update on Hepatitis B and Hepatitis C - Joseph Ahn, MD, MS 11:00 Hepatocellular Carcinoma: What the Primary Care Provider Needs to Know - Janice Jou, MD 11:40 Panel/Questions and Answers 12:10 LUNCH 1:00 BREAKOUT SESSION I A. The Intersection of Fear, Trauma and the Path to Healing (2 hours) - Alisha Moreland-Capuia, MD B. Dyslipidemia - Beyond Statins (2 hours) - Cezary Wojcik, MD, PhD C. Mindfulness-Based Symptom Management - James Carson, PhD D. Thyroid Nodules - Mary Samuels, MD 2:05 BREAKOUT SESSION II A. The Intersection of Fear, Trauma and the Path to Healing (cont.) B. Dyslipidemia - Beyond Statins (cont.) C. Geriatrics: What I Wish Primary Care Providers Knew about Taking Away the Keys - Emily Morgan, MD D. Venous Disease in Women More Than Just Varicose Veins - Robert McLafferty, MD 3:05 BREAK 3:25 BREAKOUT SESSION III A. Geriatrics: What I Wish Primary Care Providers Knew about Dementia with Behaviors (2 hours) - Maureen Nash, MD B. When Do PT and Conservative Treatment Come First?: The Upper Extremities - Robert Orfaly, MD C. Orthopaedic Evaluation: Tips for Ordering the Right Tests - Omar Nazir, MD D. A Hard Habit to Break: Opioid Use Disorders and Treatment - Jessica Gregg, MD, PhD 4:30 BREAKOUT SESSION IV A. Geriatrics: What I Wish Primary Care Providers Knew about Dementia with Behaviors (cont.) B. Travel Medicine for the Primary Care Provider [and getting paid for it!] - Timothy Herrick, MD C. SGLT2 Inhibitors in the Treatment of Type 2 Diabetes - Cezary Wojcik, MD, PhD D. Menopause and Hormone Therapy: An Update - Paula Amato, MD 5:30 ADJOURN

5 PROGRAM TUESDAY, FEBRUARY 13, :30 Continental Breakfast 7:55 Announcements 8:00 How to Keep Up with the Medical Literature + Update in Hospital Medicine Joel Papak, MD 8:40 The New Normal or the New Abnormal: Making Sense of Cognitive Changes Over Time - Allison Lindauer, PhD, NP 9:20 Panel/Questions and Answers 10:00 BREAK 10:20 Hypertension 2017: Current Controversies and Contemporary Management - Christine Mullowney, MD; Jose Rueda, MD; David Lee, PharmD; Craig Williams, PharmD 12:10 LUNCH 1:00 PLENARY: Is it Time to Take Care of the Doctor? Why Recapturing the Joy of Medicine is Crucial for Both Patients and Physicians - Mark O Hollaren, MD 2:05 BREAKOUT SESSION I A. Creative Blood Pressure Management: Whys and Tricks - Cynthia Caraballo, MD B. Geriatrics: What I Wish Primary Care Providers Knew about Elder Abuse - Joan Laguzza, CSWA C. Oral Lesions - Lynne Morrison, MD D. Update on the Management of Shoulder Instability - Andrea Herzka, MD 3:05 BREAK 3:25 BREAKOUT SESSION II A. Accept the Offer: What Improv Can Teach You About Advanced Care Planning (2 hours) - Kate Westmoreland, MD B. Social Determinants in Vulnerable Populations - Brian Gibbs, PhD, MPA C. Genetic Testing for Hereditary Cancer Syndromes - Jone Sampson, MD D. Pediatric Hypertension: Update on the New AAP Recommendations - David Rozansky, MD, PhD 4:30 BREAKOUT SESSION III A. Accept the Offer: What Improv Can Teach You About Advanced Care Planning (cont.) B. The Geriatrics Syndrome No One Talks About: Venous Leg Ulcers - E. Foy White-Chu, MD C. Pharmacological Treatment of Obesity - Cezary Wojcik, MD, PhD D. TBD - Bruce Wolfe, MD 5:30 ADJOURN

6 PROGRAM WEDNESDAY, FEBRUARY 14, :30 Continental Breakfast 7:55 Announcements 8:00 The CBC Came Back Abnormal - Now What? - Thomas DeLoughery, MD 8:40 Colorectal Cancer Before Age 50: An Emerging Problem - David Lieberman, MD 9:20 Panel/Questions and Answers 10:00 BREAK 10:20 Do s and Don ts of Direct Oral Anticoagulants - Thomas DeLoughery, MD 11:00 What is the Probability an Approved Drug Does Not Work in the Real World? - Vinay Prasad, MD, MPH 11:40 Panel/Questions and Answers 12:10 LUNCH 1:00 BREAKOUT SESSION I A. Creepy, Crawly Critters - Thomas DeLoughery, MD B Concussion Management: Clinical Evaluation and Active Rehabilitation (2 hours) - James Chesnutt, MD & Jenny Wilhelm, DPT C. Management of Melanoma in an Era of Change - John Vetto, MD D. What s Up with Flu in Oregon - Ann Thomas, MD 2:05 BREAKOUT SESSION II A. Direct Oral Anticoagulants - Drug Interactions That Really Matter - Megan Herink, PharmD B Concussion Management: Clinical Evaluation and Active Rehabilitation (cont.) C. Geriatrics: What I Wish Primary Care Providers Knew About Geriatric Skin Issues - Kim Sanders, PA D Did You Know That You re Too Fat? (The Harmful Effects of Shaming and Obesity Stigma) - Esther Lerman Freeman, PsyD 3:05 BREAK 3:25 BREAKOUT SESSION III A. Nutrition in the Geriatric Population: It s Not Just Rearranging the Deck Chairs on the Titanic - Robert Martindale, MD B. Female Athlete Triad, How Bone Health, Energy Consumption/Expenditure and Periods Relate - Melissa Novak, DO C. Management of Chronic Pain with Medical Marijuana: Clinical Correlates and an Update on the Evidence - Ben Morasco, PhD & Devan Kansagara, MD, MCR D. How Can We Be of Service? (What Works and Does Not Work in Caring for People with High Body Weight) - Moderator: Esther Lerman Freeman, PsyD 4:30 PLENARY: When the Well Runs Dry: What to do About Burnout - Barbara Glidewell, MBS 5:30 ADJOURN

7 PROGRAM THURSDAY, FEBRUARY 15, :30 Continental Breakfast 7:55 Announcements 8:00 Prostate Cancer Screening - Tomasz Beer, MD 8:40 Marijuana, Vaping and the Heart: Opinions Smolder or Go Up in Smoke - Tina Kaufman, PhD, PA-C 9:20 Panel/Questions and Answers 10:00 BREAK 10:20 Adherence with Heart Failure Regimens: How Can Patients and Providers Stay Motivated? - Adrienne Kovacs, MD 11:00 Geriatric Best Practices - Lessons Learned From Around the World - Elizabeth Eckstrom, MD, MPH 11:40 Panel/Questions and Answers 12:10 LUNCH 1:00 BREAKOUT SESSION I A. The Reasons We Hurt: Making the Interview Count for Patient and Clinician (2 hours) - Steve Wahls, MD & Chloe Ackerman, PsyD B. Challenging Cases in HTN - Tonja Dirkx, MD C. How Hip and Knee Replacements Fail - Kathryn Schabel, MD D. Orthopedic Emergencies: When is it Urgent to Refer? - Darin Friess, MD 2:05 BREAKOUT SESSION II A. The Reasons We Hurt: Making the Interview Count for Patient and Clinician (cont.) B. Sleeping with Danger: What Every Provider Needs to Know About Safe Infant Sleep - Ben Hoffman, MD C. Affirming Care for Transgender and Gender Nonconforming Patients - Carol Blenning, MD & Amy Penkin, MSW, LCSW D. Understanding the Definitions of Work: Making Sense of Disability Paperwork - Nels Carlson, MD 3:05 BREAK 3:25 BREAKOUT SESSION III A. Risky Business: Teen Drivers and Graduated Driver s Licensing - Ben Hoffman, MD B. Ophthalmology for Primary Care - Afshan Nanji, MD C. Transgender Health: Hormonal Treatment and Surgical Care - Amy Penkin, MSW, LCSW & Ruth Christiansen, PA-C D. What you Need to Know about Pre-Exposure Prophylaxis (PrEP) to Prevent HIV Seroconversion - Anthony Cheng, MD 4:30 PLENARY: Caring for Adults with Substance Use Disorder: Addiction 101 and the Improving Addiction Care Team - Honora Englander, MD 5:30 ADJOURN

8 7:30 Continental Breakfast 7:55 Announcements PROGRAM FRIDAY, FEBRUARY 16, :00 Acute Knee Injuries - Jacqueline Brady, MD 8:40 Patient-Goal Directed Care in the Context of Multimorbidity: A Journey Towards What Matters - Jennifer Barton, MD 9:20 Panel/Questions and Answers 10:00 BREAK 10:20 Difficult Skin and Soft Tissue Infections - Erin Bonura, MD 11:00 Update on Pneumonia - Graeme Forrest, MBBS 11:40 Panel/Questions and Answers 12:10 ADJOURN FACULTY Chloe Ackerman, PsyD, Instructor of Family Medicine, OHSU Joseph Ahn, MD, MS, Associate Professor of Medicine (Gastroenterology & Hepatology), OHSU Paula Amato, MD, Associate Professor of Obstetrics and Gynecology, OHSU Sharon Anderson, MD, Dean, School of Medicine; Professor of Medicine (Nephrology & Hypertension), OHSU Jennifer Barton, MD, Associate Professor of Medicine (Rheumatology), OHSU Tomasz Beer, MD, Professor of Medicine (Hematology & Medical Oncology), OHSU Carol Blenning, MD, Associate Professor of Family Medicine, OHSU Erin Bonura, MD, Associate Professor of Medicine (Infectious Diseases), OHSU Jacqueline Brady, MD, Assistant Professor of Orthopaedics & Rehabilitation, OHSU Cynthia Caraballo, MD, Private Practice, Kaiser Permanente, Portland, Oregon Nels Carlson, MD, Associate Professor of Orthopaedics & Rehabilitation; Assistant Dean for Continuing Professional Development, OHSU James Carson, PhD, Associate Professor of Anesthesiology and Perioperative Medicine, OHSU Anthony Cheng, MD, Assistant Professor of Family Medicine, OHSU James Chesnutt, MD, Associate Professor of Orthopaedics & Rehabilitation, OHSU Ruth Christiansen, PA-C, Assistant Professor of Family Medicine, OHSU Thomas DeLoughery, MD, Professor of Medicine (Hematology & Medical Oncology), OHSU Tonja Dirkx, MD, Associate Professor of Medicine (Nephrology & Hypertension), OHSU Katherine Drago, MD, Assistant Professor of Medicine (General Internal Medicine), OHSU Elizabeth Eckstrom, MD, MPH, Associate Professor of Medicine (General Internal Medicine), OHSU Honora Englander, MD, Associate Professor of Medicine (Hospital Medicine), OHSU Graeme Forrest, MBBS, Associate Professor of Medicine (Infectious Diseases), OHSU

9 FACULTY Esther Lerman Freeman, PsyD, Associate Professor of Psychiatry, OHSU Darin Friess, MD, Associate Professor of Orthopaedics & Rehabilitation, OHSU Brian Gibbs, PhD, MPA, Vice President, Equity & Inclusion; Chief Diversity Officer, OHSU; Associate Professor, OHSU-PSU School of Public Health Barbara Glidewell, MBS, Associate Professor Emerita, Senior Scholar, Center for Ethics in Health Care, OHSU Jessica Gregg, MD, PhD, Associate Professor of Medicine (General Internal Medicine), OHSU Megan Herink, PharmD, Assistant Clinical Professor, OSU/OHSU College of Pharmacy Timothy Herrick, MD, Assistant Professor of Family Medicine, OHSU Andrea Herzka, MD, Assistant Professor of Orthopaedics & Rehabilitation, OHSU Ben Hoffman, MD, Professor of Pediatrics, OHSU Continued Alan Hunter, MD, FACP, Professor of Medicine (Hospital Medicine); Head, Division of Hospital Medicine; Director, Medicine Hospital Services, OHSU Janice Jou, MD, Assistant Professor of Medicine (Gastroenterology & Hepatology), OHSU Devan Kansagara, MD, MCR, Associate Professor of Medical Informatics, OHSU Tina Kaufman, PhD, PA-C, Assistant Professor of Medicine (Cardiovascular Medicine), OHSU Adrienne Kovacs, MD, Associate Professor of Medicine (Cardiovascular Medicine), OHSU Joan Laguzza, CSWA, Clinical Social Worker, Legacy Health, Portland, Oregon David Lee, PharmD, Assistant Professor of Pharmacy Practice, OSU/OHSU College of Pharmacy David Lieberman, MD, Professor of Medicine (Gastroenterology & Hepatology), OHSU Allison Lindauer, PhD, NP, Assistant Professor of Neurology, OHSU Robert Martindale, MD, Professor of Surgery (General Surgery), OHSU Robert McLafferty, MD, Professor of Surgery (Division of Vascular Surgery), OHSU Ben Morasco, PhD, Associate Professor of Psychiatry, VAPHCS Alisha Moreland-Capuia, MD, Assistant Professor of Psychiatry; Executive Director, Avel Gordly Center for Healing, OHSU Emily Morgan, MD, Assistant Professor of Medicine (General Internal Medicine), OHSU Lynne Morrison, MD, Associate Professor of Dermatology, OHSU Christine Mullowney, MD, Assistant Professor of Medicine (General Internal Medicine), OHSU Afshan Nanji, MD, Assistant Professor of Ophthalmology, OHSU Maureen Nash, MD, Affiliate Assistant Professor of Psychiatry; Medical Director, Providence Elderplace, Portland, Oregon Omar Nazir, MD, Assistant Professor of Orthopaedics & Rehabilitation, OHSU Melissa Novak, DO, Assistant Professor of Family Medicine, OHSU Mark O Hollaren, MD, Vice President, Strategic Outreach, OHSU Robert Orfaly, MD, Associate Professor of Orthopaedics & Rehabilitation, OHSU Joel Papak, MD, Assistant Professor of Medicine (Division of Hospital Medicine), OHSU Amy Penkin, MSW, LCSW, Assistant Professor of Family Medicine, OHSU

10 FACULTY Continued Vinay Prasad, MD, MPH, Assistant Professor of Medicine (Hematology & Medical Oncology), OHSU David Rozansky, MD, PhD, Associate Professor of Pediatrics (Division of Nephrology), OHSU Jose Rueda, MD, Associate Professor of Medicine (Nephrology & Hypertension), OHSU Jone Sampson, MD, Associate Professor of Molecular & Medical Genetics, OHSU Mary Samuels, MD, Professor, Oregon Clinical and Translational Research Institute, OHSU Kim Sanders, PA, Assistant Professor of Dermatology, OHSU Kathryn Schabel, MD, Assistant Professor of Orthopaedics & Rehabilitation, OHSU Ann Thomas, MD, Public Health Division, Oregon Health Authority, Portland, Oregon John Vetto, MD, FACS, Professor of Surgery (Surgical Oncology), OHSU Steve Wahls, MD, Assistant Professor of Family Medicine, OHSU Kate Westmoreland, MD, Private Practice, Palliative Care, Providence Health System, Portland, Oregon E. Foy White-Chu, MD, Geriatric Fellowship Director; Assistant Professor of Medicine, VAPHCS Jenny Wilhelm, DPT, Physical Therapist, OHSU Craig Williams, PharmD, Affiliate Associate Professor of Family Medicine; OHSU; Professor of Clinical Pharmacy; OSU College of Pharmacy Cezary Wojcik, MD, PhD, Assistant Professor of Family Medicine, OHSU Bruce Wolfe, MD, PhD, Professor of Surgery (Bariatric Surgery), OHSU PROGRAM PLANNING COMMITTEE Michelle Berlin, MD, MPH, Professor of Obstetrics and Gynecology, OHSU Julianne Bernstein, MPAS, PA-C, Assistant Professor of Medicine, Internal Medicine, OHSU Carol DeFrancesco, MALS, RDN, LD, Senior Research Coordinator, Health Promotion & Sports Medicine, OHSU Leslie Doering, Educational Activities Manager, Division of CPD, OHSU Alan Hunter, MD, Professor of Medicine, Hospital Medicine, OHSU David Mansoor, MD, Associate Professor of Psychiatry, OHSU Rose Miller, MD, Samaritan Health Services, Albany, OR Jayne Mitchell, NP, Instructor of Medicine, Cardiovascular Medicine, OHSU Emily Morgan, MD, Assistant Professor of Medicine, Internal Medicine & Geriatrics, OHSU Michael Shapiro, DO, Associate Professor of Medicine, Cardiovascular Medicine, OHSU Steve Wahls, MD, Assistant Professor of Family Medicine, OHSU Craig Williams, PharmD, Affiliate Associate Professor of Family Medicine; Professor of Clinical Pharmacy; OSU College of Pharmacy, OHSU