Friday Evening Event. Program Goals. Mission. Course Objectives

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1 Program Goals Mission With the goal of improving the quality of healthcare, the University of Tennessee Graduate School of Medicine Office of Continuing Medical and Dental Education activities are offered to enhance the skills and knowledge of physicians, dentists, and other healthcare professionals at the local, state, regional and national levels. Course Objectives Attendees will leave this conference with the basics of cardiology and pulmonary information as well as knowledge of the most recent advances in the field. At the conclusion of this program, the participants should be able to change their method of care by using gained knowledge to Recognize symptomatic aortic stenosis presenting as angina in the elderly and determine appropriate use of stress perfusion Identify high-risk patients to screen for abdominal aortic aneurysm Appraise the symptoms of claudication and refer patients with peripheral vascular disease for appropriate intervention and treatment Evaluate latest findings and new treatments for hypertension Select lipid-lowering strategies in at-risk patients based on race and gender groups Visit online and register: Call: (865) Continuing Medical Education Credits Accreditation The University of Tennessee Health Science Center College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Education Credits AMA: The University of Tennessee designates this educational activity for a maximum of 8.75 AMA PRA Category 1 Credit(s) TM. Physicians should claim credit commensurate only with the extent of their participation in the activity. AAPA: American Academy of Physician Assistants accepts Category I credit from AOACCME, Prescribed credit from AAFP, and AMA Category 1 CME credit for the PRA from organizations accredited by ACCME. CEUs: Adhering to guidelines set by the American Medical Association, the University of Tennessee Graduate School of Medicine will issue Certificates of Attendance and CEUs for non-physicians attending this educational activity. This activity is designated for up to.9 CEUs by the University of Tennessee using the national standard that 1 hour of educational instruction is awarded.1 CEU. Friday Evening Event Join Us! All conference attendees are invited to a Friday Evening Event hosted by the University of Tennessee Medical Center and its Heart Lung Vascular Institute. Friday, October 3, 2008, at 6:30 p.m. Volunteer Landing 6:30-7:00 p.m. Reception (at dock) 7:00-7:30 p.m. Address by Dave Clawson, offensive coordinator University of Tennessee Football 7:30 p.m. Cruise on Volunteer Princess yacht This social event occurs after the adjournment of the conference on Friday and is separate from the CME-certified activity.

2 UT Graduate School of Medicine Continuing Medical Education 1924 Alcoa Highway, D-116 Knoxville, TN Heart, Lung, Vascular: Update for Primary Care Providers October 3-4, 2008 UT Conference Center Knoxville, Tennessee Seating is limited. Register today. The University of Tennessee does not discriminate on the basis of race, sex, color, religion, national origin, age, disability, or veteran status in provision of educational programs and services or employment opportunities and benefits. This policy extends to both employment by and admission to the University. The University does not discriminate on the basis of race, sex or disability in the educational programs and activities, pursuant to the requirements of Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, and the Americans With Disabilities Act (ADA) of Inquiries and charges of violation concerning Title VI, Title IX, Section 504, ADA or the Age Discrimination Employment Act (ADEA) or any of the other above referenced policies should be directed to the Office of Equity & Diversity; 1818 Lake Avenue, Knoxville, TN ; telephone (865) (TTY available). Requests for accommodation of a disability should be directed to the ADA Coordinator at the Office of Human Resources Management, 600 Henley Street, Knoxville, TN Publication #E (MS06018). Non-Profit Org. U.S. Postage PAID Permit #001 Knoxville, TN

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4 Heart, Lung, Vascular: Update for Primary Care Providers October 3-4, 2008 UT Conference Center Knoxville, TN Who should attend? Primary Care Physicians Internal Medicine Physicians Physician Assistants Nurse Practitioners Nurses Allied Health Professionals Program Overview Regardless of age or race cardiovascular and pulmonary diseases affect a large number of Tennesseans. Here are the grim statistics: Tennessee ranks sixth highest in mortality from diseases of the heart. Additionally, lung disease is the third leading cause of death of Americans, and in Tennessee each year, respiratory diseases account for 5.5% of the deaths, the fourth leading cause. New strategies and treatment options are coming to light every day. Heart, Lung, Vascular: Update for Primary Care Providers is a course that can help physicians, nurses, and allied health professionals tackle this looming health issue by providing the latest information and tools from regional experts. Visit online: Call: (865) Fax: (865)

5 Program Agenda Friday, October 3, :00-8:30 a.m. Registration and Continental Breakfast Visit Exhibits 8:30-8:45 a.m. Opening Remarks Course Director and Moderator Stuart Bresee, M.D. Conference Pre-Test 8:45-9:15 a.m. Healthcare Reform: A Political Reality David Hall, M.B.A. Both of the major party presidential candidates have prioritized healthcare reform. Mr. Hall will present the key components of each candidate s plans and provide his assessment of post-election change in the healthcare industry. 9:15-10:00 a.m. The Approach for the Patient with Painful Legs Tjuan Overly, M.D. Dr. Overly will use a case-based presentation to outline the evaluation and management of the patient with leg pain, including clues in the history that help distinguish claudication from neuropathy, arthritis, and spinal stenosis. He will also discuss the use of ABIs and segmental pressures in helping to decide whom should be referred for angiography and possible intervention. Interventional options for patients with arterial insufficiency, including newer alternative endovascular techniques, will be presented. 10:00-10:20 a.m. Break and Visit Exhibits 10:20-11:05 a.m. Breakout Sessions: 1. Robotically Assisted Cardiac Surgery Jeffrey Everett, M.D. Robotically assisted cardiac surgery achieves superior results with less morbidity. This combination can impact the accepted indications for several procedures, including valve repair, allowing earlier intervention. Dr. Everett will describe advances in this field and how they have benefited patients at UT. 2. Incidental Solitary Pulmonary Nodule Paul Branca, M.D. Dr. Branca will present a case-based update on the approach to the patient with solitary nodules with specific guidelines on which presentations to refer for fine needle biopsy, transbronchial biopsy, or wedge resection and which can be followed with PET and serial CTs. 3. Clinical EKG Review Rubinder Ruby, M.D. Dr. Ruby will review common EKG patterns in arrhythmia, ischemia, and metabolic abnormalities and present clinical pearls for their recognition. 11:05-11:50 a.m. Atrial Fibrillation: A Longstanding Persistent Problem James Cox, M.D., and Thomas Gaines, M.D. Name changes, CHADS2 scoring, advances in therapy: What the primary care provider needs to know to be up to date. Dr. Gaines will outline the Mini-Maze procedure and explain our results using it at UT Medical Center. 11:50 a.m.-12:35 p.m. Lunch and Visit Exhibits Friday Afternoon Session Moderator: James W. Cox, M.D. 12:35-1:20 p.m. The Recognition and Management of Aortic Valve Disease Bret A. Rogers, M.D. Aortic valve disease is common, frequently overlooked in the elderly, and often accompanies vascular disease, severely complicating its management. Dr. Rogers will present current concepts of pathogenesis, recognition, evaluation and management of aortic stenosis and regurgitation as well as other aortic valve conditions. 1:20-2:05 p.m. Hypertension Management as part of Total Cardiovascular Risk Reduction Thomas Giles, M.D. Hypertension is a major public health issue and common primary care problem. Dr. Giles will discuss the latest findings and recommendations for treatment as well as new therapies. 2:05-2:25 p.m. Break and Last Opportunity to Visit Exhibits

6 Program Agenda (continued) 2:25-3:10 p.m. Breakout Sessions: 1. High Altitude and Dive Medicine Bruce B. Ludwig, M.D. Dr. Ludwig will discuss common questions regarding fitness to dive and outline recommendations for pre-dive physical screening. He will review essential points in the diagnosis and treatment of decompression illness. Additionally, he will outline the recognition, management and prevention of acute mountain sickness and high altitude pulmonary edema. 2. CT Coronary Angiography Dale Wortham, M.D. CT coronary angiography study is here. Which patients should have this study versus myocardial perfusion imaging or conventional angiography as an initial study? Dr. Wortham will outline how to use this technology now to make cardiac diagnoses and to plan therapy. 3. The Cardiac Physical Examination Gayathri Baljepally, M.D. Even in today s world of high tech evaluations, the cardiac physical examination can have great value in providing real-time information literally at your fingertips. Dr. Baljepally will present information useful to the primary care provider in methods of determining the severity of left ventricular dysfunction, valvular lesions, and restrictive or obstructive cardiomyopathies. 3:10-3:55 p.m. The Management of Thoracic Aortic Aneurysms Scott Stevens, M.D. What is the best assessment tool for descending thoracic aneurysms? Is it an appropriate screening test for high risk individuals? Once an abnormality is identified, how often should the study be repeated in follow-up? At what diameter should the patient be referred for surgery or endovascular repair? Dr. Stevens will answer these questions and describe the state of the art for aortic interventions and the planned Aortic Center at the UT Medical Center. 3:55 p.m. Adjournment Saturday, October 4, :00-8:20 a.m. Registration and Continental Breakfast 8:20-8:30 a.m. Opening Remarks Dale Wortham, M.D. 8:30-9:15 a.m. Coronary Heart Disease and the Millennial Woman Nanette Wenger, M.D. This presentation reviews gender differences in the clinical presentations and outcomes of coronary heart disease. 9:15-10:00 a.m. State of the Art in COPD Management James E. Shamiyeh, M.D., M.S.P.H. Dr. Shamiyeh will discuss the latest advances in pharmacologic and non-pharmacologic therapy for COPD with particular emphasis on the role of hyperinflation in the disease pathophysiology. He will also discuss interventions that may have the potential to alter the natural history of this progressive chronic disease. 10:00-10:15 Break 10:15-11:00 a.m. The Management of Abdominal Aortic Aneurysm Oscar Grandas, M.D. Which patients should have ultrasound assessment for AAA? Is it an appropriate screening test for high risk individuals? Once an abnormality is identified, how often should the study be repeated in follow-up? At what diameter should the patient be referred for surgery or endovascular repair? Dr. Grandas will answer these questions and describe the state of the art for aortic interventions. 11:00-11:45 a.m. Management of Lipid Disorders in 2008 Stuart Bresee, M.D. The results of recent cholesterol trials can guide us to improve patient management. Dr. Bresee will summarize these trials and how they can be used to help make practical, real-world decisions in patient care. 11:45-12:00 noon Closing Remarks Conference Exit Test 12:00 noon Adjournment

7 Conference Information University of Tennessee Course Design Committee Stuart J. Bresee, M.D. Course Director, Clinical Associate Professor, Department of Medicine, Chief, Cardiology Division James W. Cox, M.D. Course Co-Director, Clinical Assistant Professor, Department of Medicine, Director of Cardiac Electrophysiology Laboratory Dale C. Wortham, M.D. Course Co-Director, Professor, Department of Medicine, Division of Cardiology, Director of Cardiac Catheterization Laboratory, President, University Cardiology, Cardiovascular Disease Fellowship Program Director University of Tennessee Faculty Gayathri Baljepally, M.D. Fellow, Department of Medicine, Division of Cardiology Paul Branca, M.D. Clinical Assistant Professor, Department of Medicine, Division of Pulmonary Medicine Jeffrey Everett, M.D. Associate Professor, Department of Surgery Thomas Gaines, M.D. Associate Professor, Department of Surgery Oscar Grandas, M.D. Assistant Professor, Department of Surgery, Director, Vascular Access Center David Hall, M.B.A. Senior Vice President for Operations, University Heath System Bruce B. Ludwig, M.D. Clinical Assistant Professor, Department of Medicine, Division of Pulmonary Medicine Tjuan Overly, M.D. Clinical Assistant Professor, Department of Medicine, Division of Cardiology Bret Rogers, M.D. Clinical Assistant Professor, Department of Medicine, Division of Cardiology Rubinder Ruby, M.D. Fellow, Department of Medicine, Division of Cardiology James E. Shamiyeh, M.D. M.S.P.H., Clinical Assistant Professor, Department of Medicine, Division of Pulmonary Medicine Scott L. Stevens, M.D. Professor, Department of Surgery, Director of Endovascular Surgery Visiting Faculty Nannette Wenger, M.D. Professor of Medicine, Emory University School of Medicine, Chief of Cardiology, Grady Memorial Hospital Thomas Giles, M.D. Professor of Medicine, Tulane University School of Medicine Conference Attire We encourage you to be comfortable as we spend two days at this quality education experience. Casual business attire and a light sweater or jacket are suggested. Conference Venue Sessions will be held in the ballroom of the UT Conference Center in downtown Knoxville, Tennessee. Directions will be sent with your registration confirmation. Parking Parking is available at two commercial lots adjacent to the UT Conference Center and nearby. Directions will be forwarded to you in your confirmation materials. Fees The fee covers registration as well as all sessions, materials, luncheon, and breaks. Registration will be confirmed when full payment is received. Please register as early as possible. Conference materials and food arrangements must be made for you. Additionally, this conference has limited enrollment and is filled on a first-come, first-served basis. A receipt, if needed, and follow-up information will be mailed to you. Cancellations To qualify for a refund on conference registration fees, send a written request by September 26, An administrative fee of $40 will be assessed. Noshows and late cancellations will not be refunded; however, substitutions are encouraged. Four Easy Ways To Reserve your Seat! Online: Telephone: Call (865) Fax: (865) Mail: UT Conferences, Attn: HLV2008 P.O. Box 2648, Knoxville, TN Conferences@utk.edu

8 Please Type or Print Clearly Registration Heart, Lung, Vascular: Update for Primary Care Providers October 3-4, 2008 UT Conference Center Knoxville, TN Register online at Course code: 09DS01CR Name Title Company Name or Institution Mailing Address City State/Province Zip/Postal Code Daytime Phone Fax o Special Needs Please check the box if your attendance requires special assistance. You will be contacted by UT Conferences to discuss how your needs can be met. Availability of appropriate arrangements cannot be ensured without early notification. Registration Fees Early Registration (through September 26, 2008) o $125 Physicians o $95 Allied Health Professionals, Residents, Nurses, Retirees Registration (after September 26, 2008) o $200 Physicians o $125 Allied Health Professionals, Residents, Nurses, Retirees Breakout Choice for Friday Morning (choose one): o Robotically Assisted Cardiac Surgery o Incidental Solitary Pulmonary Nodule o Clinical EKG Review Breakout Choice for Friday Afternoon (choose one): o High Altitude and Dive Medicine o CT Coronary Angiography o The Cardiac Physical Examination Payment Methods o Check made payable to the University of Tennessee o Purchase Order # Credit ID* - - *Your Credit ID is composed of the following three pieces of information: The first three letters of your birth month. The last two digits of your birth year. The last four digits of your Social Security Number. For example, if you were born February 1979 and your Social Security Number is then your Credit ID would be feb Friday Evening Event: Registration required; space is very limited. Only one guest, please. This social event occurs after the adjournment of the conference on Friday and is separate from the CME-certified activity. o I plan to attend. o I will bring a guest. Ticket(s) for the football game with University of Tennessee vs. Northern Illinois on Saturday, October 4, 2008 Saturday, October 4, 2008 o x $50 each $ Tickets must be purchased with your registration. Registration fee $ Total enclosed $ Reservations are limited. Seating, course materials, and meals cannot be guaranteed for on-site registrants. Please register today. Credit Card o VISA o MasterCard o Discover o American Express Card Number Expiration Date Card Holder s Signature UT Conferences, Attn: HLV 2008, P.O Box 2648, Knoxville, TN