Fort Lauderdale, Florida Westin Fort Lauderdale

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1 8030 Peters Road, D105 Plantation, Florida (954) Phone (954) Fax Fort Lauderdale, Florida Westin Fort Lauderdale Program Chair Gregg Sherman, M.D. Activity Director Alan Goodstat, LCSW Program Evaluation September 19,

2 Introduction In August 2005, NACE sponsored a CME program, Emerging Challenges in Primary Care: 2005, in Fort Lauderdale, FL. The conference was geared toward physicians, physician s assistants, and nurse practitioners. The program provided Primary Care Providers the opportunity to learn first hand from national thought leaders in their field. The goal of the program was to provide a clearer understanding of the most common disease processes, in light of the rapid scientific advances. Approximately 126 healthcare providers attended Emerging Challenges in Primary Care: 2005 in August in Fort Lauderdale, FL. Each attendee was asked to complete and return a conference satisfaction and planning form and a needs assessment form prior to the end of the conference. One hundred twenty-four completed forms were received. The data collected is displayed in this report. 2

3 Conference Schedule Saturday, August 20, :30-8:00 Continental Breakfast and Registration 8:00-8:10 Welcome Remarks 8:10-9:00 Aggressive Treatment of Coronary Artery Atherosclerosis: Is Regression Possible Richard Kerensky, MD 9:00-9:50 Integrating Advanced Heart Failure Management with the use of Cardiac Devices: Role of the Primary Physician Juan Aranda, MD 9:50-10:10 Break/Vendor Area 10:10-11:00 Bariatric Surgery for the Community Physician Paul Wizman, MD 11:00-11:50 Peripheral Neuropathy Robert Tannenberg, MD 11:50-12:40 Osteopenia Yvonne Scherrer, MD 12:40-1:30 Lunch 1:30-2:20 Hepatitis C: An Approach to this Challenging Disease Norman Gitlin, MD 2:20-3:10 Gastroesophageal Reflux Disease: Mechanisms and Current Trends Jamie Barkin, MD 3:10-3:30 Break/Vendor Area 3:30-4:20 Spirometry and the Diagnosis of COPD Tom Ferro, MD 4:20-5:00 Community Acquired Pneumonia Tom Ferro, MD 3

4 Sunday, August 21, :30-8:00 Continental Breakfast 8:00-8:10 Conference Update 8:10-9:00 Is it Depression or BiPolar Disorder? Michael Ostacher, MD 9:00-9:50 Dementia Walter Martinez, MD 9:50-10:10 Break/Vendor Area 10:10-11:00 Chronic Renal Disease Biff Palmer, MD 11:00 11:50 Immune Response Modifiers: Emerging Indications Brian Berman, MD 11:50 12:00 Conference Wrap Up 4

5 Participant Information Eighty-seven percent of attendees were physicians, the majority specializing in Internal Medicine and Family Practice. Nurse practitioners, physician assistants, and nurses comprised 13% of the attendees. Sixty-eight percent of attendees heard about the conference through the mailed program. The remainder of attendees heard about the program from a colleague (21%), from a pharmaceutical representative (8%), or from another source (3%). 5

6 Attendees were asked to rate the importance of the aspects that attracted them to the program as Not At All Important, Somewhat Important, or Very Important. All aspects were rated on average as Very Important. 6

7 Program Evaluation Attendees were asked to rate aspects of the overall conference on a four-point scale, with one being Unsatisfactory and four being Excellent. Overall, attendees rated the program as Excellent, with an average score of 3.7. Average scores for each aspect are displayed in the chart below. Attendees were also asked to rate each presentation on a four-point scale, with one being Unsatisfactory and four being Excellent. Average scores for each presentation are displayed in the chart below. 7

8 Needs Assessment Attendees were asked to complete a needs assessment survey to assist in planning future continuing education activities. Below is a list of the most frequently suggested topics. For a full list, refer to the Appendix. What medical disorders or topics would you like to receive further information about through a continuing education activity? Diabetes (18) o complications o education o treatment o type II Dermatology (8) o Common skin disease update o Skin conditions that represent systemic disease o Skin infections HIV/AIDS (7) Hypertension (6) Back pain (5) Pain management (5) Arthritis (4) Cancer (4) o current treatments o from primary care point of view o screening Fibromyalgia (4) HTN (4) o chronotropic therapy in management of Thyroid disorders (4) What diagnostic procedures would you like to learn more about? Colonoscopy (6) o virtual Minimally invasive surgeries (3) Radiological procedures (3) Bariatric Surgery (2) Diagnostic tests (2) o MRA o MRI (3) Interpretation o CT o US o PET (3) 8

9 Prostate cancer (2) o PSA testing Spirometry (2) What types of therapies or treatments would you wish courses to be offered about? Diabetes (6) o new medications o starting insulin therapy o type II HIV (3) Alternative medicine (2) Cancer (2) o Cervical o Colorectal Cardiac problems (2) CHF (2) o Medical management of Echocardiography (2) Injections (2) Skin biopsy (2) 9

10 Summary Overall, Emerging Challenges in Primary Care: 2005 was successful. Attendees were satisfied with the topics, speakers, and overall quality of the conference. One hundred percent of the attendees said that they would like to see this conference held again next year. Ninety-seven percent responded that they would attend another primary care conference next year in the same location. Based on the evaluations, attendees were very pleased with the conference. 10

11 Appendix A Suggested Topics What medical disorders or topics would you like to receive further information about through a continuing education activity? Acute care Alcohol abuse related disease and treatment Alzheimer's (3) Anemia work up of Arthritis (4) Atrial Fibrillation (2) Back pain (5) Bariatric surgery BPH (2) Breast Cancer (2) Cancer (4) current treatments from primary care point of view screening Cardiac arrhythmias Cardiology (2) Cardiomyopathy Cardiovascular disease (3) Cervical cancer Chest pain syndrome CHF Childhood obesity Chronic neuropathic pain Coding Colorectal cancer (3) In young people Community Acquired Pneumonia Cost effective way to care for patients Dental care in PC Dermatology (8) Common skin disease update Skin conditions that represent systemic disease Skin infections Diabetes (18) complications education treatment type II Diastolic heart failure Diet and nutrition (2) Drug addiction and treatment Drug interactions (3) Drug effect on other disorders Electrolyte imbalance Elevated liver enzymes evaluation EMR End of life care Endocrine disorders Evaluation of enlarged prostate Family Medicine topics Fibromyalgia (4) Gastropathy Genetic disorders commonly seen Geriatrics GI bleeding Glaucoma HBV HBY HCV (2) Health promotion Heart Failure Management Hepatitis B Hepatitis C Herniated disk HIV/AIDS (7) Hormone Replacement Therapy recommendations HPV (2) HTN (4) chronotropic therapy in management of Hypertension (6) IBS IFG Insomnia (2) 11

12 in elderly Kidney diseases Lipid disorders Liver disease Medical emergencies in family practice setting Melanoma (2) Metabolic syndrome (3) Migraine (2) diagnosis Multiple Sclerosis (2) NASH Natural hormone therapy Neck pain Neurology (2) Neuromuscular disorders NSAID Nutritional supplementation and Vitamin deficiency OCD Office based diagnostics Oncology (2) Orthopedic (2) Osteoporosis Pain management (5) Parathyroid disease Parkinson s Disease (2) compared to Alzheimer s Pearls Pediatrics (2) Pre-op medical clearance Preventive medicine Prostate cancer (2) Psoriatic Arthritis Psychiatric disorders Radiation prescription and consequences Rehab medicine Renal insufficiency, Restrictive lung disease management Retinopathy Rheumatology (2) SLE Sleep disorders Sports medicine STD Update Stroke (2) Syndrome X Thyroid disorders (4) TIA (2) Tropical medicine topics Unusual viral illness seen in practice Updates on new treatments and approaches to disease UTI What diagnostic procedures would you like to learn more about? Advances in imaging techniques AIDS All new emerging techniques Alzheimer's disease Angioplasty Back pain Bariatric Surgery (2) Cancer prevention screening treatment Capsule endoscopy Cardiac ablation procedures for arrhythmias Causes of chronic pain and special procedures available for this Cervical cancer Colonoscopy (6) virtual CT Coronary Angiography CVVHD Depression Dermatology procedures Diabetic In-office testing Diagnostic tests (2) MRA MRI (3) Interpretation CT US PET (3) EKG Interpretations 12

13 Family planning H Pylori Hypertension review I&D procedure Interventional cardiology Joint injections Lab criteria Laproscopic surgery Lipid disorders Minimally invasive surgeries (3) Neurologic diseases Newer development in evaluation of cardiac diseases Office cardiology Office radiology Ortho procedures Osteoporosis Prostate cancer (2) PSA testing Psychiatry- basic review Psychometrics Radiological procedures (3) Robotic valve replacement Spirometry (2) Thoractomy approach open heart surgery Use of intravascular U/S in the diagnosis of coronary artery atherosclerosis What types of therapies or treatments would you wish courses to be offered about? Acupuncture Alternative medicine (2) Antihypertensive treatment Anxiety Arthritis in patients with cardiac risk Arterial hypertension Biologics BPH Cancer (2) Cervical Colorectal Cardiac problems (2) Cervical dysplasia treatment and Aldara CHF (2) Medical management of Chronic renal failure Combination drug therapy for treatment of heart failure, COPD Cryotherapy Depression Dermatology procedures Diabetes (6) new medications starting insulin therapy type II Echocardiography (2) Feeding disorders in elderly HIV (3) Hormone therapy Injections (2) Neuropathic pain advances in treatment Obesity in children Office procedures Pain management with chronic medical painful illness PVP Renal Sigmoidoscopy Skin biopsy (2) Sonograms Spirometry Surgical endoscopy Using botox in PC 13

14 Appendix B Suggested Speakers Juan Aranda (9) Jamie Barkin (18) Brian Berman (3) Calvin Cohen, MD Castelli Dr. Boutiman- GI Edward Shahady- Sports medicine- Orthopedic complications Tom Ferro (3) Gerald Appel- kidney disease Norman Gitlin (6) Richard Kerensky (4) Mark Samuel- BWH- harvard Walter Martinez (4) Michael Ostacher Biff Palmer (7) Yvonne Scherrer (3) Robert Tannenberg (4) Thomas Zubber, MD- AAFP Paul Wizman 14

15 Appendix C Overall Comments/Suggestions Suggestions Interactive response devices to questions Better audio system Consolidate speaker evaluations into 1 page Ask presenters to include all slides they use in their presentations in the handouts Colored handouts Please number pages in the book Handouts need to be clearer and larger Full breakfast and lunch on Saturday Provide vegetarian lunch Offer fruits and healthier alternatives for breakfast Consider location further South Have at a place closer to shopping Hold in W Palm Beach or Palm Beach Gardens More NACE programs in Broward county Make it 2 full days 2 full days Shorten back to one day Shorten to 1 day Too many hours on first day Split lectures equally on both days 5 hours of lectures on each day Keep program to 1 day Start Sunday session at 9am instead of 8am Provide online credits using live recordings of these talks Provide tapes of the sessions to listen to in car Home study programs Seek AOA accreditation as well as AMA Osteopathic CMEs More CME credits Room temperature was uncomfortable 15

16 Other Topics to Cover in Future Programs Alzheimer's and Dementia update Board review/new or recently changed treatment guidelines focus Chronic Pain Management (3) Clinical pearls Diabetes (2) Florida mandated courses (9) HIV Domestic Violence End of life Medical errors (make available on-line) Risk Management GERD Kidney disease Legal lecture, protecting your license, malpractice insurance, new FLA laws (3) Lipid treatment Medical ethics (2) Methods of assessment and treatment More office based diagnostics (3) More pathophysiolgy and treatment Psychiatric topics Terrorism Topics in general medicine Treating more patients in office as opposed to referring out for minor issues General Feedback Continue this program. Continue to offer programs in broad scope More frequent conferences The same as this one but more frequently More often Offer annually. Please notify me of other conferences again next year. I recommend it highly. Twice a year Give twice a year Invite faculty again. Excellent conference. Thank you very much for this conference. I was pleasantly surprised. Thank you! It will be difficult to improve the format. All of my needs were met Excellent course Excellent format. Excellent. 16

17 It is now excellent! It was excellent. Excellent CME meeting! Excellent course. Excellent program! Excellent program. I enjoyed it. Meetings are fine. Pearls were excellent So far is very good Thank you for this opportunity to attend. They have been very well chosen This was a great program and great speakers and an excellent site. Keep up the good work and get a better printer for the book. The lectures are excellent. This has been a nice CME is selecting matters, accommodations, food, lab representation, and medical staff Love this hotel. Great location. This is a wonderful location. Location is perfect Thank you for getting AAFP approved credits. 17