Judi East, FNP Activity Director Program Manager, Women s Health, James H. Quillen Veteran Affairs Medical Center

Transcription

1 17 th Annual Primary Care Conference Monday Thursday, March 25 28, 2013 Millennium Centre, Johnson City, TN Judi East, FNP, Activity Director Skills sessions will be conducted at Stanton-Gerber Hall, VA Campus, Bldg. 178 This program has been approved for 30.0 AMA PRA Category 1 Credits TM ** Applications are being filed for TPTA, APA, CNE, ACPE, AAFP, ASLP, and ACOG credits Pre-Conference Activities 7:15 AM 7:45 AM Breakfast Learning Objectives: As a result of participating in this activity, the attendee will 7:30 AM 7:45 AM Conference Opening Philip Bagnell, MD Dean of Medicine and Professor, James H. Quillen College of Medicine, Johnson City, TN 7:45 AM 8:00 AM Welcome and Introductions Monday, March 25, 2013 Judi East, FNP Activity Director Program Manager, Women s Health, James H. Quillen Veteran Affairs Medical Center 8:00 AM 8:55 AM Uniqueness of Depression in the Elderly Louis Cancellaro, M.D., Ph.D. Interim Chair, Professor Emeritus, Department of Psychiatry & Behavioral Sciences, Quillen College of Medicine, East Tennessee State University 9:00 AM 9:55 AM Pregnant Women & Opioid Addiction Stephen Loyd, M.D. Associate Chief of Staff for Education, James H. Quillen Recognize the presence of depression in older adults Diagnose depression with confidence Recognize those patients at risk for suicide Develop a treatment strategy for patients, families and/or caregivers Understand the scope of opiate abuse in the State of Tennessee Understand addiction as a brain disease Recognize Neonatal

2 Veterans Affairs Medical Center, Johnson City, TN Abstinence Syndrome symptoms Understand the impact of Neonatal Abstinence Syndrome in our Healthcare System Role of Buprenorphine in management of these patients and how it compares with the standard of care 10:00 AM 10:15 AM Break / Exhibitors Hall 10:15 AM 11:10 AM Fever Phobia Dawn Tuell, M.D. Associate Professor Department of Pediatrics, Quillen College of Medicine, East Tennessee State Understand the definition of a fever Dispel parental myths regarding fever Distinguish when to treat a fever and when to observe 11:15 AM 12:10 PM The Role of the Primary Care Physician in the Sports Medicine Chain 12:15 PM 1:00 PM Lunch Brian Johnston, ATC Assistant Athletic Director for Sports Medicine, Clinical Director BucSports Athletic Medicine Center, Johnson City, TN Presentation / Demonstration: Arthritis, Osteoporosis and Range of Motion Dawn Gordon, NSCA-PT, AFAA Primary, Group Fitness ETSU Basler Center for Physical Activity, East Tennessee State Understand the role of the primary care physician in the sports medicine chain Understand the relationship of various sports medicine personnel within the sports medicine chain Understand the role of sport science in and as part of the sport medicine chain With confidence request activities for the patient to pursue an active lifestyle. Demonstrate simple exercises to keep the patient as mobile as possible under the circumstances. Simple everyday things to do to keep osteoporosis at bay. Stay strong enough to support the osteoporosis bone structure.

3 1:00 PM 1:55 PM OTC Oral Health Products Randy F. Huffines, DDS, FDS RCSEd Director, Dental Geriatrics, James H. Quillen Veterans Affairs Medical Center, Johnson City (Mountain Home), TN 2:00 PM 2:55 PM Cardiac Arrhythmias in Children: Emphasis on Supra-Ventricular Tachycardia (SVT) Otto Teixeira, M.D. Associate Professor, Department of Pediatrics, Quillen College of Medicine, East Tennessee State University List 2 ingredients in topical toothache preparations Describe proper use of denture adhesives Explain how abuse of denture sore preparations can lead to further problems List 4 common ingredients in toothpaste Define and understand prevalence of cardiac arrhythmias in children Identify different types of arrhythmias in children Understand diagnosis, mechanisms and management of SVT in children 3:00 PM 3:15 PM Break Exhibitors Hall 3:15 PM 4:10 PM Long Term Effects of Anti- Osteoporosis Therapy Ronald Hamdy, M.D., FRCP, FACP Professor, Chairholder, Cecile Cox Quillen Chair of Excellence in Geriatric Medicine and Gerontology, East Tennessee State University 4:15 PM 5:00 PM Chronic Opiate Therapy Benjamin Meeks, FNP Staff Nurse Practitioner, Pain Medicine Associates, Johnson City, TN Identify risk of chronic opiate therapy Identify patient characteristics for successful opiate therapy Tuesday, March 26, 2013 Special Pre-session Presentation 7:00 AM 7:55 AM The Many Faces of Dementia Ronald Hamdy, M.D., FRCP, FACP Professor, Chairholder, Cecile Cox Quillen Chair of Excellence in Geriatric Medicine and Gerontology, Recognize the characteristic clinical features of Alzheimer s disease, Lewy Body Dementia, Multi-infarct dementia, Fronto-temporal dementia and Normal Pressure

4 East Tennessee State University Hydrocephalus Develop a diagnostic approach to identify various types of dementia 7:30 AM 8:00 AM Breakfast 8:00 AM 8:55 AM Universal Precautions Sarah T. Melton, PharmD, BCACP, BCPP, CGP, FASCP Associate Professor, Department of Pharmacy Practice, Bill Gatton College of Pharmacy, East Tennessee State University 9:00 AM 9:55 AM Sorting through a Gluten Free Diet Sandy Arner. RD, LDN Clinical Dietitian, James H. Quillen Veteran Affairs Medical Center, Mountain Home (Johnson City), TN Describe three symptoms of celiac disease State two conditions associated with untreated celiac disease Identify three grain alternatives that are gluten free 10:00 AM 10:15 AM Break Exhibitors Hall 10:15 AM 11:10 AM Tinnitus Mechanisms and Management Marc Fagelson, Ph.D. Professor; Director of Audiology, Department of Audiology & Speech- Language Pathology; Hearing Loss and Tinnitus, College of Clinical & Rehabilitative Health Sciences, East Tennessee State University, Johnson City, TN 11:15 AM 12:10 PM Novel Oral Anticoagulant Agents: An Update in Pharmacotherapy David Stewart, PharmD, BCPS Associate Professor of Pharmacy Practice, Bill Gatton College of Pharmacy, East Tennessee State Identify differences between tinnitus and hearing loss Analyze results from intake forms to determine management options Refer patients suffering from tinnitus appropriately to other health care professionals List the new oral anticoagulant medications currently approved or in the approval process by the United Stated Food and Drug Administration Communicate basic principles of pharmacokinetics to other

5 health care providers Identify appropriate indications for the use of new oral anticoagulant medications Develop patient specific plans utilizing newly approved oral anticoagulant agents for the treatment and prevention of venous thromboembolic events in various patient populations 12:15 PM 1:00 PM Lunch 1:00 PM 1:45 PM Update on Birth Control Howard Herrell, M.D. Assistant Professor, Department of Obstetrics/Gynecology, Quillen College of Medicine, East Tennessee State 1:50 PM 3:45 PM How Should Chronic Disease Guidelines be Applied to Elderly Patients? L. Brian Cross, PharmD, BCACP, CDE Associate Professor & Vice-Chair, Department of Pharmacy Practice Bill Gatton College of Pharmacy, and Associate Professor, Department of Family Medicine, Quillen College of Medicine, East Tennessee State Chad K. Gentry, PharmD, BCACP, CDE Assistant Professor of Pharmacy Practice, College of Pharmacy, Lipscomb University, Nashville, TN Describes risks and benefits of various birth control methods Identify complications associated with birth control use Avoid pitfalls in prescribing birth control Describe discrepancies between current guidelines for hypertension and current evidence for its treatment in elderly patients Describe discrepancies between current guidelines for type 2 diabetes mellitus and current evidence for its treatment in elderly patients Describe discrepancies between current guidelines for hyperlipidemia and current evidence for its treatment in elderly patients 3:00 PM 5:00 PM OPTIONAL SKILLS WORKSHOP SIMPLE SUTURING Location: Stanton-Gerber Hall, Quillen College of Medicine, VA Capacity: 50

6 Campus, Room C-000 and C-001 (Lower Level) Transportation: TBD Coordinator: Caroline Abercrombie, MD Instructor, Section of Medical Education, Quillen College of Medicine, East Tennessee State 3:45 PM 4:10 PM Break Exhibitors Hall 4:15 PM 5:00 PM Pharmacotherapy Update Benjamin Gross, PharmD, BCPS, BCACP, BC-ADM, CDE Associate Professor and Director of Residency Programs, Lipscomb University College of Pharmacy and Health Sciences, Nashville, TN Discuss new medications and their impact on the elderly Discuss adverse effects of medications and their impact on treatment plans Discuss common medication issues in the elderly Discuss new medications, adverse effects, or restrictions for the general population Wednesday, March 27, :30 AM 8:00 AM Breakfast 8:00 AM 8:55 AM Injection, Aspiration & Suture Techniques Marc A. Aiken, MD MD-CEO Watauga Orthopedics, PLC Specialty Orthopaedic Surgeon, Johnson City, TN Know proper techniques of injection/aspiration Sterile prep tips & procedures Various suture techniques reviewed Shawn Sutterlin, PA-C Watauga Orthopaedics, PLC Specialty, Orthopaedic Physician Assistant, Johnson City, TN 9:00 AM 9:55 AM Top Ten Things You Need to Know About Bariatric Surgery Patients Identify appropriate candidates for bariatric surgery

7 Laura Dyck, MS,RD, LDN Registered Dietitian Bariatrics Comprehensive Weight Management Center), Kingsport, TN Determine lab values that are more prone to deficiency after bariatric surgery Describe at least 3 co-morbid conditions which bariatric surgery can have a significant, positive impact 10:00 AM 10:15 AM Break Exhibitors Hall 10:15 AM 11:10 AM Auditory Processing Disorders in School-Aged Children Saravanan Elangovan, Ph.D. Associate Professor/Audiologist, Department of Audiology & Speech- Language Pathology, College of Clinical & Rehabilitative Health Sciences, East Tennessee State 11:15 AM 12:10 PM Quiz-Diabetes Endocrine Alan N. Peiris, MD(Lon), PhD, FRCP Professor, Chief of Endocrinology, Quillen College of Medicine, East Tennessee State University; James H. Quillen Veteran Affairs Medical Center, Mountain Home, (Johnson City) TN Kelli A. Jones BSN, RN, CDE Diabetes Clinic Coordinator James H. Quillen Veterans Affairs Medical Center, Mountain Home (Johnson City), TN Describe Auditory Processing Disorders (APD) Identify symptoms of APD in school aged children Summarize information on current evaluation methods and therapy/management approaches Refer patients with suspected auditory processing deficits/symptoms appropriately to other health care professionals Describe signs and symptoms of endocrine problems that require immediate attention Recognize basal/bolus insulin adjustments needed Discuss U-500 insulin use and when appropriate Recognize discrepancies in blood glucose readings and evaluate possible causes Tammy Monk, FNP-BC,CDE Family Nurse Practitioner, Department of Veterans Affairs, Mountain Home (Johnson City), TN 12:15 PM 1:00 PM Lunch Presentation: Treat LTBI Know when to order IGR

8 Gama Interferon for LTBI Know the side effects of INH treatment Jay Mehta, M.D., FCCP Professor of Medicine, Department of Internal Medicine, Quillen College of Medicine, East Tennessee State 1:00 PM 1:55 PM Care of the Methamphetamine- Exposed Child Jenny Rose, M.D. Department of Pediatrics, Quillen College of Medicine, East Tennessee State 2:00 PM 2:55 PM The Continuing Challenge of MRSA Jim Thigpen, PharmD, BCPS Assistant Professor, Department of Pharmacy Practice, Bill Gatton College of Pharmacy, East Tennessee State Understand the effects of methamphetamine Consider the immediate and long-term treatment needs for a pediatric patient exposed to methamphetamine Understand the prevalence of this problem in our area Describe the clinical presentation and diagnosis of MRSA Classify the therapeutic options available for the treatment of MRSA Formulate a therapeutic plan for the treatment of MRSA in various situations 3:00 PM 3:15 PM Break 3:15 PM 4:10 PM Unipolar, Bipolar or Borderline: Which is it and How Can You Tell? 4:15 PM 5:00 PM Topic: MRSA John P. Hendrick, M.D., DFAPA Assistant Professor of Psychiatry, Department of Psychiatry, Quillen College of Medicine, East Tennessee State University; Chief of Inpatient Psychiatric Services, James H. Quillen Veteran Affairs Medical Center, Mountain Home (Johnson City), TN Differentiate between affective and personality disorders Consider different therapeutic structures Plan medication strategies for different or co-morbid conditions Appreciate the off-label nature of mixed psychopharmacologic prescribing Lesli Taylor, M.D.

9 Thursday, March 28, 2013 Professor, Division of Pediatric Surgery, Department of Pediatrics, Quillen College of Medicine, East Tennessee State University 7:30 AM 8:00 AM Breakfast 8:00 AM 8:55 AM Battle of the Titans: W.H.I. versus K.E.E.P.S. T. Watson Jernigan, M.D., MA, NMCP Associate Dean for Clinical Affairs, Chairman and Professor, Department of Obstetrics and Gynecology, Quillen College of Medicine, East Tennessee State 9:00 AM 9:55 AM Nerve Stimulation Therapies for Bowel and Bladder Control R. Keith Huffaker, M.D., MBA, FACOG Assistant Professor, Chief of Urogynecology, Department of Obstetrics and Gynecology, Quillen College of Medicine, East Tennessee State Demonstrate an understanding of the intent and focus of the Women s Health Initiative (W.H.I.) Demonstrate an appreciation for the outcomes of the W.H.I. Demonstrate an understanding of the format of the Kronos Early Estrogen Prevention Study (K.E.E.P.S.) Demonstrate the similarities and differences between the outcomes of the two sides Be aware of sacral nerve stimulation for overactive bladder Be aware of sacral nerve stimulation for incomplete bladder emptying Be aware of tibial nerve stimulation for overactive bladder Be aware of sacral nerve stimulation for fecal incontinence 10:00 AM 10:15 AM Break 10:15 AM 11:10 AM Pre-op Cardiac Clearance Reena Kuriacose, M.D., FACP Staff Physician, Primary Care, James H. Quillen Veteran Affairs Medical Center, Mountain Home (Johnson City), TN, and Clinical Assistant Professor, Department of Internal Medicine, Quillen College of Understand the guidelines for pre-op cardiac clearance Make decisions on pre-op cardiac clearance

10 Medicine, East Tennessee State 11:15 AM 12:10 PM Stress Testing 12:15 PM 1:00 PM Lunch Shobha Hiremagalur, M.D., FACP, FACC, FSCAI, FASNC, FSCCT, FASE Cardiology Consultants of Johnson City, Johnson City, TN Presentation: Best Primary Care Practices for Hepatitis B Infection: Focus on Therapeutic Strategies Larry Culpepper, M.D., MPH Professor of Family Medicine, Department Family Medicine, Boston University School of Medicine, Boston, MA Understand different types of stress test Common indications of stress test How to decide which test to order How to interpret stress test results Increase screening rate of at-risk patients for hepatitis B infection Provide accurate patient education/counseling to HBsAg-positive patients and families Develop a plan for monitoring and follow-up, including for determination of treatment candidacy of HBsAg-positive patients 1:00 PM 1:55 PM Infection Control in Primary Care Rebecca Bartles, MPH, CIC Corporate Director of Infection Prevention and Inpatient Wound Care, Mountain States Health Alliance, Johnson City, TN Identify & Discuss high risk areas for transmission within 1 o of care Identify & Discuss methods for reducing transmission risk 2:00 PM 2:55 PM Arthritis in the Elderly Gerald F. Falasca, M.D. Rheumatologist, Medical Specialists of Johnson City, Johnson City, TN Manage gout more effectively Recognize Sjogren syndrome and polymyalgia rheumatica as mimics of fibromyalgia Manage rheumatoid arthritis in the elderly Minimize NSAID risk in the elderly 3:00 PM 3:15 PM Break

11 3:00 PM 5:00 PM OPTIONAL SKILLS WORKSHOP GIVING GREAT INJECTIONS AND PERFORMING JOINT ASPIRATIONS Location: Stanton-Gerber Hall, Quillen College of Medicine, VA Campus, Room B-004 (Ground Floor) Coordinator: Caroline Abercrombie, MD Instructor, Section of Medical Education, Quillen College of Medicine, East Tennessee State Capacity: 36 Transportation: TBD 3:15 PM 4:10 PM Engaging Difficult Patients & Families: Finding Change with Primary Care Thomas W. Bishop, Psy.D. Assistant Professor of Family Medicine; Director of Behavioral Medicine/Clinical Psychologist, LP, HSP; ETSU/Quillen College of Medicine, Department of Family Medicine, Johnson City, TN Identify strategies in engaging patients and families Identify challenges to engaging patients Utilize some base strategies of positive psychology with families 4:15 PM 5:00 PM Mark A. Howell, M.D., FACS Ear, Nose, Throat Associates, Johnson City, TN 5:00 PM 5:15 PM Evaluation & Closing Remarks Charlene S. Ehret, FACHE Medical Center Director, James H. Quillen VA Medical Center, Mountain Home, TN Learning Objectives:

12 The attendee will have an increased knowledge of current and updated practices in the field of primary care, and will therefore be able to provide better patient care. As a result of participating in this activity, the attendee should be able to.. Evaluate patients of all ages using most current medical trends Demonstrate an increased knowledge based on up-to-date pharmacological agents available Determine the most appropriate treatment for patients in the primary care setting Demonstrate understanding of current medication available for treatment of chronic illnesses List the new oral anticoagulant medications currently approved or in the approval process by the United Stated Food and Drug Administration Communicate basic principles of pharmacokinetics to other health care providers Identify appropriate indications for the use of new oral anticoagulant medications Discuss new medications and their impact on the elderly Discuss adverse effects of medications and their impact on treatment plans and the general population Target Audience: Family and Internal Medicine Physicians, OB/GYN Physicians, Pediatricians, Psychiatrists, Surgeons, Medical Residents, & Fellows, Orthopedists, APNs and PAs, Psychologists, Hospitalists, Emergency Physicians, Nurses and Clinical Team, health care students and other health care providers who desire to update their knowledge of the primary care field Accreditation: AACME Accreditation: Quillen College of Medicine, East Tennessee State University, is accredited by the Accreditation Council for Continuing Medical Education for physicians. CME Credit: Quillen College of Medicine, East Tennessee State University designates this live activity for a maximum of 30.0 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity. AAFP Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. CNE Credit: 30.0 continuing nursing education contact hours for this conference. East Tennessee State University College of Nursing is an approved provider of continuing nursing education by the Tennessee Nurses Association, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. East Tennessee State University College of Nursing is an approved provider of continuing nursing education by the Tennessee Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. The University of Tennessee College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. Successful completion of this knowledge-based program will provide a statement for thirty (30.0) live contact hours credit (3.0 CEUs) and will be mailed within 3 weeks

13 following the program. Successful completion includes attending the session, signing the attendance sheet, and completion of the program evaluation form. CE credit will also be submitted to the NABP CE Monitor. Universal Activity Number (UAN): L01-P Grievance Policy: A participant, sponsor, faculty member or other individual wanting to file a grievance with respect to any aspect of a program sponsored or co-sponsored by the UTCOP may contact the Associate Dean for Continuing Education in writing. The grievance will be reviewed and a response will be returned within 45 days of receiving the written statement. If not satisfied, an appeal to the Dean of the College of Pharmacy can be made for a second level of review. CDR Prescribed Credits: Application for CPEUs has been filed with the Commission on Dietetic Registration. Determination of credit is pending. TBoD Credits: Program information has been provided to the Tennessee Board of Dentistry. Those individuals seeking continuing education credits in dentistry should visit the Registration area for an application packet. The Course Evaluation Form for Individual Licensees/Registrants Seeking Approval of Continuing Education Courses (Form PH3867) must be submitted within thirty (30) days of this program. Other accreditations are being sought and will be added to the conference web page at as they are made available.