THE 29TH ANNUAL RECENT DEVELOPMENTS IN INTERNAL MEDICINE

Transcription

1 THE 29TH ANNUAL RECENT DEVELOPMENTS IN INTERNAL MEDICINE October 26-28, 2017 Coral Bay Club, Atlantic Beach, NC Jointly provided by: The and the Office of Continuing Medical Education of The Brody School of Medicine of East Carolina University and UNC Eshelman School of Pharmacy in association with the Eastern Area Health Education Center

2 This popular annual course, offered by the, Brody School of Medicine, is designed to provide the most current, practical and concise information available on recent advances made in clinical medicine. The areas selected for discussion are derived from requests and suggestions made by past participants in response to a recent survey and from developing knowledge in a variety of medical specialties. Lectures and discussion periods will offer opportunities for both formal and informal exchanges between faculty and participants. A comprehensive course e-syllabus will provide useful information and references for future practice. Internists, family physicians, gynecologists, emergency medicine physicians, pharmacists and others providing primary care management of adult and adolescent medical problems should find the course will enhance their ability to apply practical, state-ofthe-art knowledge of differential diagnoses, management strategies and practice performance in the areas outlined below. Who Should Attend This conference has been planned for Physicians, Nurse Practitioners, Physician Assistants, and Pharmacists, particularly those in the fields of Primary Care, Family Medicine, Pulmonary, Women s Health and Oncology. All proceedings will be informal. Please plan to dress casually and bring a sweater or jacket for your comfort. Credit ACCREDITATION: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The Brody School of Medicine of East Carolina University and UNC Eshelman School of Pharmacy in association with the Eastern Area Health Education Center. The Brody School of Medicine of East Carolina University is accredited by the ACCME to provide continuing medical education for physicians. CREDIT: The Brody School of Medicine of East Carolina University designates this live activity for a maximum of 17.5 AMA PRA Category 1 Credits. Physicians should claim only the credits commensurate with the extent of their participation in the activity. Pharmacists: Day 1 ACPE# L01-P 6.5 contact hours Day 2 ACPE# L01-P 6.5 contact hours Day 3 ACPE# L01-P 4.5 contact hours This program, of continuing pharmacy education credit has the potential of 17.5 contact hours for full-program participation. To receive CE credit, attendance must be acknowledged at the registration desk upon arrival at the program. Participants must attend the entire session to receive CE credit. Statements of credit can be viewed and printed from CPE Monitor. The University of North Carolina Eshelman School of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Application for CME credit has been filed with the American Academy of Family Physicians (AAFP). Determination of credit is pending. Other Professionals: EAHEC Contact Hours: Certificates reflecting 17.5 contact hours of education will be awarded at the completion of the program.

3 Course Content Upon completion of this knowledge-based program the participant should be able to integrate into practice new developments in the following areas: Skin Problems in Fishermen and Farmers Examine the various skin problems that are seen in these two outdoor occupations Discuss treatment options for many of these skin conditions Recognize and diagnose skin problems related to these occupations Interpretation of Challenging Thyroid Function Test Results: Discussion of a Series of Interesting Cases Review a process for interpretation of seemingly incongruent/difficult TFT results Identify potential medication effects on various thyroid function test results Discuss interesting cases highlighting difficult to interpret TFT results Discuss when to request endocrine consultation when dealing with difficult to interpret TFT results Almost Everything You Always Wanted to Know about Antibiotic Resistance Communicate an overview of the current state of antibiotic resistance Discuss driving forces of antibiotic resistance in the community and hospital settings Review clinical clues to the presence of antibiotic resistance- when to use the big guns Explore new tests to help reduce antibiotic use Alternative Therapy for Chronic Pain Management Evaluate non-opiate pharmacologic agents for use in chronic pain Introduce clinical health psychology as viable treatment options Examine effectiveness and indications for specialized interventions such as topical agents, physical medicine and mechanical interventions Hepatitis C: Role of Primary Care Discuss the epidemiology of hepatitis C: specifically regional Review recommendations for prevention, screening and diagnosis Identify when to refer and what to expect after referral Rehabilitation of the Stroke Patient Evaluate a patient post stroke to determine rehabilitation needs Develop a rehabilitation plan to optimize functional gains for a patient s post stroke Identify the appropriate rehabilitation setting to achieve the best possible functional outcome based on a patient s individual needs 2017 HTN Guidelines: Where Are We Now? Review new guidelines for the treatment of HTN Discuss hypertension in special populations Discuss appropriate measurement of blood pressure in a busy clinic Pre-operative Evaluation of the Geriatric Patient Discuss key issues that need to be addressed in the pre-operative evaluation of the geriatric patient Describe a thoughtful and thorough plan to evaluate these patients successfully Non Insulin Antidiabetic Drugs for the Management of Type 2 Diabetes Mellitus Discuss the principles and goals of diabetes pharmacotherapy Review the different non insulin drug classes available for treatment, their drug profiles, beneficial properties, adverse effects and contraindications Discuss combination therapy drugs Insulin 2017: New and Improved but Expensive Describe the pharmacology and potential role of the newest insulins including inhaled Compare Basal Bolus to Basal-Plus and to pre-mixed insulin Explore the potential benefit of combining insulin with GLP-1 Agonists Review Insulin options for patients without health insurance

4 The Changing Face of Atherosclerotic Peripheral Arterial Disease (APAD): A Guide for Those Providing Care Explore how Life s Simple 7 can lead to healthier patients and decreases in health spending Examine APAD as a manifestation of systemic atherosclerosis and the need for maximal risk factor treatment, just like Atherosclerotic coronary artery disease Discuss the increasing role of Code Stroke for patients with TIA or evolving stroke Recognize the diminishing role for interventional therapy for ASYMPTOMATIC carotid artery stenosis Examine the cause and treatment of significant BP difference between the arms Identify what factors may predict response of severe HBP or CKD to renal artery interventions Discuss recognition and lethality of chronic mesenteric ischemia Communicate the increasing role of atherosclerotic risk factor management and exercise therapy for patients with lower extremity claudication The PrEP and PEP Talk: HIV Prevention in 2017 Review the current recommendations on Pre and Post Exposure Prophylaxis for HIV prevention Review the science behind Pre-Exposure prophylaxis Discuss future options for Pre-Exposure prophylaxis Treatment of Overweight in Adults: Besides Surgery, What Works? Examine evidence based dietary plans to prevent/treat adult obesity Discuss the effectiveness of dietary supplements, fasting and other approaches for weight loss and maintenance Examine the Interprofessional Competencies for Obesity from the National Academy of Sciences, Engineering and Medicine and assess personal competencies to provide obesity care to plan for further CME Non-melanoma Skin Cancer: Keeping on the Sunny Side of Life Explain the relationship of sunlight and skin cancer Recognize basal and squamous cell carcinomas Discuss management and cost of management of non-melanoma skin cancer Only Neurosurgeons Take Out Brain Tumors but Everyone Takes Care of Heart Failure Patients Review the classification of HFpef and HFref Discuss what studies to order Identify when to refer the patient to a higher level of care Transgender Healthcare: Caring for Transgender and Gender Non-Conforming (TGNC) Patients Recognize and use appropriate terminology related to transgender patients Identify health care disparities and related specific health care needs affecting transgender patients Discuss strategies for creating a safe and welcoming clinical environment for transgender patients Management of Adult Severe Asthma: Basics and Beyond Recognize the burden of adult asthma Discuss the importance of control in adult asthma Review basics of managing adult asthma Explore advanced management of tools Emerging Pathogens: The Hits Keep Coming! Identify the mode of transmission of the most recent emerging pathogens Explore treatments and vaccines for these emerging pathogens Review the methods of prevention of transmission of these pathogens to your staff What Not to Miss: Ten Common Orthopedic Problems and How You Treat Them Identify common orthopedic problems Discuss appropriate treatment options CKD: Doesn t Anyone Have a Normal Creatinine Anymore? Describe the stages of CKD Review the key pathophysiologic processes seen in CKD (anemia, bone-mineral metabolism, electrolyte disturbance) and the management of each Examine strategies to slow progression of CKD Discuss the indications for initiation of dialysis

5 Agenda Thursday, October 26 7:45 a.m. Registration & Breakfast 8:15 a.m. Welcome/Overview Paul R. Bolin, MD 8:20 a.m. Skin Problems in Fishermen and Farmers William Burke, MD 9:05 a.m. Interpretation of Challenging Thyroid Function Test Results: Discussion of a Series of Interesting Cases Al Drake, MD 9:50 a.m. BREAK 10:10 a.m. Almost Everything you Always Wanted to Know about Antibiotic Resistance Paul Cook, MD 11:00 a.m. Alternative Therapy for Chronic Pain Management Mike Lang, MD 12:00 p.m. LUNCH WITH FACULTY 1:00 p.m. Hepatitis C: Role of Primary Care Hamza Khalid, MD 1:45 p.m. Rehabilitation of the Stroke Patient John Norbury, MD 2:30 p.m. BREAK 2:45 p.m HTN Guidelines: Where Are We Now? Paul Bolin, MD 3:30 p.m. Pre-operative Evaluation of the Geriatric Patent James Powell, MD 4:15 p.m. Q&A 4:30 p.m. ADJOURN Friday, October 27 7:30 a.m. Breakfast Buffet 8:00 a.m. Non Insulin Antidiabetic Drugs for the Management of Type 2 Diabetes Mellitus Francesca Ramirez, MD 8:45 a.m. Insulin 2017: New and Improved but Expensive Robert Tanenberg, MD 9:45 a.m. DM Panel for Q&A 10:15 a.m. BREAK 10:45 a.m. The Changing Face of Atherosclerotic Peripheral Arterial Disease (APAD): A Guide for Those Providing Care Steven Powell, MD 11:45 a.m. LUNCH WITH FACULTY 12:45 p.m. The PrEP and PEP Talk: HIV Prevention in 2017 Nada Fadul, MD 1:30 p.m. Treatment of Overweight in Adults: Besides Surgery, What Works? Kathryn Kolasa, PhD 2:15 p.m. BREAK 2:30 p.m. Non-melanoma Skin Cancer: Keeping on the Sunny Side of Life Charles Phillips, MD 3:15 p.m. Only Neurosurgeons Take Out Brain Tumors but Everyone Takes Care of Heart Failure Patients Blase Carabello, MD 4:00 p.m. ADJOURN Saturday, October 28 7:30 a.m. Breakfast Buffet 8:00 a.m. Transgender Healthcare: Caring for Transgender and Gender Non- Conforming (TGNC) Patients Brandon Kyle, PhD 9:00 a.m. Management of Adult Severe Asthma: Basics and Beyond Arjun Mohan, MD 9:45 a.m. BREAK 10:00 a.m. Emerging Pathogens: The Hits Keep Coming! Keith Ramsey, MD 10:50 a.m. What Not to Miss: Ten Common Orthopedic Problems and How You Treat Them Deanna Boyette, MD 11:40 a.m. CKD: Doesn t Anyone Have a Normal Creatinine Anymore? MJ Barchman, MD 12:30 p.m. Q&A Wrap-up 12:45 p.m. ADJOURN

6 Program Directors Paul Bolin, MD Chair and Professor Charles Phillips, MD Professor of Medicine Chief, Dermatology Guest Faculty Deanna Boyette, MD Boyette Orthopedics & Sports Greenville, NC Keith M. Ramsey, MD, FACP, FIDSA, FSHEA Medical Director of Infection Control Vidant Medical Center Brody School of Medicine Faculty MJ Barchman, MD, FACP, FASN Professor of Medicine Section of Nephrology and Hypertension Paul Bolin, MD Chair and Professor William Burke, MD Professor of Medicine, Division of Dermatology Blase Carabello, MD Chief of Cardiology Department of Cardiovascular Sciences Paul Cook, MD Division Chief Infectious Diseases Almond J. Drake, MD Division Chief Endocrinology and Metabolism Nada Fadul, MD Clinical Associate Professor Ryan White Program Director Ambulatory Medical Director Division of Infectious Diseases Hamza Khalid, MD Affiliated Assistant Professor Division of Gastroenterology, Hepatology & Nutrition Kathryn M Kolasa, PhD, RDN, LDN Professor Emeritus and Affiliate Professor Master Educator Vidant Health Nutrition Consultant Department of Family Medicine Brandon Kyle, PhD Assistant Professor Division of Behavioral Medicine Department of Psychiatry and Behavioral Medicine Michael C. Lang, MD Clinical Associate Professor Division of Internal Medicine Arjun Mohan, MD Assistant Professor Director, ECU Severe Asthma Clinic Division of Pulmonary and Critical Care Medicine John Norbury, MD, RMSK Vidant/ECU Electrodiagnostic Laboratory Director PM&R Medical Student Clerkship Director Department of Physical Medicine and Rehabilitation ECU Physicians Charles Phillips, MD Professor of Medicine Chief, Dermatology James Powell, MD Associate Professor Division Chief, General Internal Medicine Steven Powell, MD Professor, Dept. of Cardiovascular Sciences Francesca Ramirez, MD Clinical Assistant Professor of Endocrinology Robert J. Tanenberg, MD, FACP Professor of Medicine Director, Diabetes Clinical Research Center Division of Endocrinology Director, Diabetes Fellowship Medical Director, Diabetes and Obesity Institute Medical Director, VMC Inpatient Diabetes Program

7 Course Location: the Crystal Coast Stroll the miles of beach or cast your best lure beyond the surf as the sun rises huge from the far horizon, the sea birds soar and cry overhead, and the Cape Lookout lighthouse flashes the last of its long night of friendly beacons. Follow the nature trails through the shady maritime forest of the Theodore Roosevelt State Park and visit our state of the art aquarium. Play a round of golf on a course bordered by gnarled yaupon trees and dancing sea grasses. Browse the unusual shops along the boardwalks in Morehead City or old restored Beaufort, where there is an intriguing museum, and where the docks are often crowded with boats from distant ports traveling the Intracoastal Waterway. Take your choice of excellent seafood restaurants or enjoy a romantic moonlight dinner cruise, then stop in at one or two of the area night spots. Course Meeting Site and Nearby Accommodations: the Coral Bay Club No facility along the Crystal Coast can compare with the Coral Bay Club. Its relaxing oceanfront views are indescribable and the chef s selections are superb! The Hampton Inn and Suites is located within walking distance and offers luxury suites that are provided with every convenience a visitor could want. On-site amenities include: Large outdoor pool Continental Breakfast Microwave in room Refrigerator in room Concierge on-site A block of rooms is being held for course participants until September 25 at a special rate. Room Reservation Information Call the Hampton Inn & Suites Pine Knoll Shores at to request the special rate of $95 and 12.75% room tax. All reservations must be guaranteed by credit card or advance payment before September 25. Please note: hotel reservations must be canceled 72 hours prior to your anticipated arrival time to ensure refund of advance deposit. Family and Guests Because of the variety of interesting activities available in the area for families and guests, we do not want to detract from your free time to explore the area; however, your spouse/guest may join you for the breakfast buffet on Friday and Saturday morning and for lunch on Thursday or Friday. Please see Registration Information.

8 Registration Information Registration is available online only at PREREGISTRATION AND FEE PAYMENT IS REQUIRED. Advance payment of fee is necessary to guarantee space. Registration fee includes education session, breaks, lunch, and an e-syllabus. Please read carefully before registering! A letter of confirmation which includes a link to a map and e-syllabus will be ed a week prior to the program date. Please be sure that we have a current address for you upon registration in order to receive all follow-up course information. Hard copies will not be available. Please see registration information for further details. You may make any changes to your contact information by visiting MyAHEC at my.ncahec.net. MyAHEC will allow you to set up an account to update personal information at any time as well as track your credit record. Eastern AHEC Cancellation Policy To be eligible for a refund, cancellations MUST be ed to easternahec@ecu.edu at least one week in advance of the activity. No refunds will be given for cancellations less than one week prior to the activity. For continuing professional development activities canceled more than one week prior to the activity: A $35.00 fee will be deducted from the refund, OR The registrant may elect to apply the full amount toward a future Eastern AHEC continuing professional development activity being held with one year, OR Substitutions are welcome; advance notification encouraged Americans with Disabilities Act Individuals requesting accommodation under the Americans with Disabilities Act (ADA) should contact the Department of Disability Support Services at (252) (V/TTY) at least five business days prior to the program. REGISTRATION FEES: Full Conference: Thursday or Friday: Saturday: $ MDs/PharmD/Other Doctorates $ PAs/NPs/Others $ Residents $ All Participants $90.00 Residents $ All Participants $75.00 Residents This project is supported by funds from the Bureau of Health Professions (BHPr), Health Resources and Services Administration (HRSA), Department of Health and Human Services (DHHS) under grant number # U1QHP28734, Carolina Geriatric Education Center. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by the BHPr, HRSA, DHHS or the U.S. Government. Guest Lunch Thursday and/or Friday - $15.00 each day Guest Breakfast Buffet Friday and/or Saturday - $15.00 each day The UNC Center for Aging and Health, Carolina Geriatric Education Center also provided support for this activity. Printed Syllabus $50.00 (Also available on-line at no charge) Printed syllabus and guest meals can only be ordered by calling Angie at By attending this event, I acknowledge that Eastern AHEC staff and/or their designees including news media may take general (not close-up) photos or videos of this event for marketing/publicity purposes, and I further allow my likeness to be used in this manner. If I do not wish to appear in these photos or videos, I understand that it is my responsibility to notify Eastern AHEC staff so my preference can be met. For more information about this program, please contact Angie Campbell at or mcarthura@ecu.edu.