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Presented by: Division of General Internal Medicine, Department of Medicine University of California, San Francisco School of Medicine CONCEPTS & CONTROVERSIES February 15-20, 2009 This course is designed for practicing internists, family physicians, nurse practitioners, physician assistants and specialists interested in expansion of their primary care knowledge and skills. The curriculum will feature a diverse selection of up-to-date, practical topics in primary care and specialty medicine including controversies in preventive medicine, management of cardiovascular risk factors, strategies in women's health and office gynecology, diagnosis and treatment of common ambulatory problems, new developments in management of chronic disease, and advances in neurology and hepatology. This year s course will also feature comprehensive updates in dermatology and sports medicine for primary care practice. Our approach is to combine the best in evidencebased medicine with the day-to-day realities of patient care. Ample time will be provided for questions and discussion of clinical problems commonly encountered by course participants. A detailed syllabus will complement the lectures and discussion. This course is presented by the Division of General Internal Medicine, Department of Medicine, and is sponsored by the University of California, San Francisco School of Medicine. TARGET AUDIENCE This course is designed for primary care clinicians including internists, family physicians, gynecologists, nurse practitioners, and physician assistants. EDUCATIONAL OBJECTIVES An attendee completing this course should be able to describe: Evidence-based approaches to office-based preventive medicine including cancer screening, immunizations, pap testing, and preventive medications An understanding of how US Preventive Services Task Force guidelines are developed and their impact on primary care practice Current strategies for assessment and treatment of cardiovascular risk factors New developments in the diagnosis and treatment of common disorders such diabetes, hepatitis B and C, obesity, GERD, peptic ulcer disease, cerebrovascular disease, and osteoporosis New approaches to issues in women's health such as cervical cancer, hormone replacement, menopause, and amenorrhea Diagnosis and treatment of common skin disorders and skin cancer Examination skills and management strategies of common sports injuries and musculoskeletal complaints Current strategies for diet therapy for weight loss and diabetes ACCREDITATION The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. UCSF designates this educational activity for a maximum of 19.50 AMA PRA Category 1 Credit(s) TM. Physician should only claim credit commensurate with the extent of their participation in the activity. This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency. For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credit TM issued by organizations accredited by the ACCME. The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA Category 1 Credit TM. The approved credits shown above include 6.50 credits toward meeting the requirement under California Assembly Bill 1820, Geriatric Medicine Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

Mexico SUNDAY, FEBRUARY 15, 2009 3-5:00pm Registration 5:00 Welcome Robert B. Baron, MD, MS OPENING ADDRESS 5:00 Preventive Medicine 2009: Understanding the George F. Sawaya, MD US Preventive Services Task Force Guidelines 6:00 Preventing Cardiovascular Disease with Lipid Robert B. Baron, MD, MS Management: Matching Treatment to Risk 7:00 Adjourn MONDAY, FEBRUARY 16, 2009 Moderator: Robert B. Baron, MD, MS 7:00 Current Strategies for Prevention of Breast Cancer Mary S. Beattie, MD, MAS 7:55 Cervical Cancer Screening and HPV Vaccination George F. Sawaya, MD 9:10 Primary Care for Chronic Hepatitis B and C Rena K. Fox, MD 10:05 Current Issues in Prevention and Treatment Kenneth Fox, MD of Stroke TUESDAY, FEBRUARY 17, 2009 Moderator: Mary Beattie, MD, MAS 7:00 Building Better Bones: New Developments in Mary S. Beattie, MD, MAS Osteoporosis 7:55 Current Issues in Diabetes Management Robert B. Baron, MD, MS 9:10 Approach to Musculoskeletal Injuries: Examining Anthony Luke, MD the History and Examination 10:05 Depression: More Than One Treatment Strategy Rena K. Fox, MD for Primary Care WEDNESDAY, FEBRUARY 18, 2009 Moderator: George Sawaya, MD 7:00 Management of Menopause: Should the New Mary Beattie, MD, MAS Data Change Our Practice? 7:55 Amenorrhea: You Will Never Be Confused Again George F. Sawaya, MD 9:10 Treatment of Common Orthopaedic and Anthony Luke, MD Sports Injuries (Part 1) 10:05 Treatment of Common Orthopaedic and Anthony Luke, MD Sports Injuries (Part 2) THURSDAY, FEBRUARY 19, 2009 Moderator: Rena K. Fox, MD 7:00 Obesity 2009: Ten Things You Thought Robert B. Baron, MD, MS You Knew 7:55 NASH, Cirrhosis, and Hepatocellular Carcinoma Rena K. Fox, MD on the Rise: How can Primary Care Clinicians be Better Prepared? 9:10 Common Dermatologic Disorders: Tips for Lindy Fox, MD Diagnosis and Management (Part 1) 10:05 Common Dermatologic Disorders: Tips for Lindy Fox, MD Diagnosis and Management (Part 2) FRIDAY, FEBRUARY 20, 2009 Moderator: Robert B. Baron, MD, MS 7:00 Managing Spine Problems: Back to Basics Anthony Luke MD 7:55 Melanoma and Non-Melanoma Skin Cancer: Lindy Fox, MD What You Need to Know 8:50 Avoiding Dermatologic Pitfalls Lindy Fox, MD 9:45 Adjourn Satisfies the California requirement for Geriatric CME

FPO 0569 University of California, San Francisco Office of Continuing Medical Education UCSF Box 0742 San Francisco, CA 94143-0742 POSTAL E Printed on Recycled Paper For more information or to register online visit our website at www.cme.ucsf.edu. You may also reach us by calling the Office of CME at (415) 476-4251 or email info@ocme.ucsf.edu. UPCOMING CME COURSES JULY IN HAWAII Essentials of Women s Health: An Integrated Approach to Primary Care and Office Gynecology Hapuna Beach Prince Hotel, Hawaii s Big Island June 28-July 3, 2009 AUGUST AT LAKE TAHOE Essentials of Primary Care: A Core Curriculum for Adult Ambulatory Practice Resort at Squaw Creek, North Lake Tahoe August 9-14, 2009 OCTOBER IN SAN FRANCISCO Primary Care Medicine: Principles & Practice Hotel Nikko, San Francisco October 21-23, 2009 DECEMBER IN SAN FRANCISCO Controversies in Women s Health Sir Francis Drake Hotel, San Francisco December 3-4, 2009 COURSE DIRECTOR Robert B. Baron, MD, MS Professor of Medicine; Associate Dean for Graduate and Continuing Medical Education; Vice Chief, Division of General Internal Medicine Mexico Hawaii COURSE FACULTY (All with the University of California, San Francisco unless otherwise noted) Mary S. Beattie, MD, MAS Associate Professor of Medicine Kenneth Fox, MD Chief of Neurology, Permanente Medical Group, Kaiser San Francisco Medical Center Lindy Fox, MD Assistant Professor of Dermatology; Director of Hospital Consultation faculty COURSE DIRECTOR Robert B. Baron, MD, MS Professor of Medicine; Associate Dean for Graduate and Continuing Medical Education; Vice Chief, Division of General Internal Medicine COURSE FACULTY (All with the University of California, San Francisco) Andrew Bindman, MD Chief, Division of General Internal Medicine, SFGH Professor Medicine, Health Policy, Epidemiology & Biostatistics Katherine A. Julian, MD Associate Professor of Medicine; Director, Primary Care Internal Medicine Residency Leah S. Karliner, MD, MAS Assistant Professor of Medicine Talmadge E. King, Jr., MD Julius R. Krevans Distinguished Professorship in Internal Medicine; Chair, Department of Medicine faculty COURSE FACULTY (CONT.) Rena K. Fox, MD Assistant Professor Division of General Internal Medicine Anthony C. Luke, MD, MPH Associate Professor of Orthopaedics and Family Medicine; Director, Primary Care Sports Medicine George F. Sawaya, MD Associate Professor, Department of Obstetrics, Gynecology and Reproductive Sciences, and Epidemiology and Biostatistics COURSE FACULTY (CONT.) Descartes Li, MD Associate Professor Psychiatry, Director of UCSF Bipolar Disorder Program Bernard Lo, MD Professor of Medicine; Director, Program in Medical Ethics Rebecca Smith-Bindman, MD Associate Professor; Radiology, Epidemiology and Biostatistics, Obstetrics, Gynecology and Reproductive Sciences Eliseo J. Perez-Stable, MD Professor of Medicine; Chief, Division of General Internal Medicine

COURSE DIRECTOR Robert B. Baron, MD, MS Professor of Medicine; Associate Dean for Graduate and Continuing Medical Education University of California San Francisco CONCEPTS & CONTROVERSIES SUNDAY-FRIDAY February 15-20, 2009 Fiesta Americana Puerto Vallarta, Mexico UPDATE 2009 SUNDAY-FRIDAY April 5-10, 2009 Wailea Beach Marriott Maui, Hawaii

Presented by: Division of General Internal Medicine, Department of Medicine University of California, San Francisco School of Medicine UPDATE 2009 Changing patterns of medical practice are placing greater emphasis on ambulatory medicine, including office-based preventive medicine, reduction of cardiovascular risk factors, issues in women's health, management of chronic disease, application of behavioral medicine skills to ambulatory medical patients and the rational use of diagnostic tests and new medications. Designed for practicing internists, family practitioners, and all other health professionals interested in providing high quality primary care, this course will present a comprehensive review of new developments in outpatient medicine. Special attention will be paid to the day-to-day controversies of office practice. The course will feature special topics in diagnostic imaging, mental health, women s health, clinical ethics, and health policy and social medicine. An audience response system will facilitate questions and discussion. A complete course syllabus will be provided for all participants. The course is presented by the UCSF Division of General Internal Medicine of the Department of Medicine and is sponsored by the Office of Continuing Medical Education, University of California, San Francisco. EDUCATIONAL OBJECTIVES An attendee completing this course should be able to describe: Evidence-based approaches to office-based preventive medicine including cancer screening, and prevention of stroke and coronary artery disease New developments in the diagnosis and treatment of common disorders such high blood cholesterol, diabetes, renal insufficiency, obesity, atrial fibrillation, dementia, asthma, COPD, and interstitial lung disease New approaches to issues in women's health such as prevention of cancer, treatment of early stage breast cancer, and evaluation of common symptoms Current strategies for treatment of common psychiatric disorders as they present in primary care including depression, bipolar disorder, generalized anxiety, panic disorder, and PTSD The treatment of obesity with diet, exercise, drugs and surgery Issues in diagnostic imaging including selection of the optimal tests and the potential risks of excess radiation Ten major articles in the last year that have changed the way we practice medicine Current issues in clinical ethics and palliative care Current approaches to redesigning primary care practice Current strategies for reducing health disparities April 5-10, 2009 ACCREDITATION The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. UCSF designates this educational activity for a maximum of 20.25 AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency. For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credit TM issued by organizations accredited by the ACCME. Family Physicians: Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. Geriatric Medicine: The approved credits shown above include 10.00 credits toward meeting the requirement under California Assembly Bill 1820, Geriatric Medicine. Physician Assistants: AAPA accepts category 1 credit from AOACCME, Prescribed credit from AAFP, and AMA PRA category 1 credit from organizations accredited by the ACCME.

Hawaii SUNDAY, APRIL 5, 2009 3-5:00pm Registration 5:00 Welcome Robert B. Baron, MD, MS 5:00 The Primary Care Medical Home: What Will It Andrew Bindman, MD Take To Make It a Reality? 5:55 Medical Management of Vulnerable Patients: Talmadge E. King, Jr., MD Recommendations for Reducing Disparities in Health Care 6:50 Adjourn MONDAY, APRIL 6, 2009 Moderator: Robert B. Baron, MD, MS 7:00 Cancer Screening 2009: Setting Evidence-Based Eliseo J. Perez-Stable, MD Priorities 7:50 Preventing Cardiovascular Disease with Lipid Robert B. Baron MD, MS Management: Matching Treatment to Risk 9:10 Maximizing the Use of Vaccines Old and New Katherine A. Julian, MD 10:05 Current Controversies in Clinical Ethics Bernard Lo, MD TUESDAY, APRIL 7, 2009 Moderator: Leah S. Karliner, MD, MAS 7:00 Breast Cancer, From Diagnosis to Treatment: Leah S. Karliner, MD, MAS The Role of Primary Care 7:55 Update on Asthma and COPD Talmadge E. King, MD 9:10 Evaluation of Common Symptoms in Rebecca Smith-Bindman, MD Women's Health 10:05 End of Life Decision-Making and Palliative Care Bernard Lo, MD WEDNESDAY, APRIL 8, 2009 Moderator: Katherine A. Julian, MD 7:00 Treatment of Atrial Fibrillation 2009 Katherine A. Julian, MD 7:55 Interstitial Lung Disease: A Clinician s Approach Talmadge E. King, Jr., MD to Diagnosis and Management 9:10 Modern Management of Hypertension Eliseo J. Perez-Stable, MD 10:05 Conflicts of Interest in Clinical Practice Bernard Lo, MD THURSDAY, APRIL 9, 2009 Moderator: Andrew Bindman, MD 7:00 New Developments in Management of Chronic Andrew Bindman, MD Kidney Disease 7:55 Current Issues in Diabetes Management Robert B. Baron, MD, MS 9:10 Managing Depression in Primary Care Descartes Li, MD 10:05 Updates in Diagnosis and Treatment of Dementia Katherine A. Julian, MD FRIDAY, APRIL 10, 2009 Moderator: Eliseo J. Perez-Stable, MD 7:00 Advances in Primary Care: Year in Review Eliseo J. Perez-Stable, MD 7:55 Obesity 2009: Ten Things You Thought You Knew Robert B. Baron, MD, MS 9:10 Current Issues in Management of Anxiety Disorders Descartes Li, MD 10:05 Radiation from Medical Imaging: A Silent Epidemic Rebecca Smith-Bindman, MD Satisfies the California requirement for Geriatric CME

GENERAL INFORMATION Pre-registration is preferred to ensure that registrants receive a syllabus and CME Certificate at the course. REGISTRATION INFORMATION Tuition: $715 Physicians $565 Nurses/Pharmacist/Allied Health Professionals/Residents/Fellows Payment may be made by Visa, MasterCard, AmEx or check. REGISTER VIA: Online: www.cme.ucsf.edu Mail: Complete course registration form and send with payment to: UCSF Office of CME P.O. Box 45368 San Francisco, CA 94145-0368 Fax: Fax completed registration form to: (415) 502-1795 (be sure to include your credit card number) Phone: (415) 476-5808 On-Site Registration: Generally we are able to accommodate on-site registration at our courses. Please check our website for up-to-date information on the course: www.cme.ucsf.edu REFUND POLICY Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date. general info CONFERENCE LOCATION Fiesta Americana Puerto Vallarta Puerto Vallarta, Mexico A block of guestrooms has been reserved at the special UCSF conference rate of $210 run of house. The cut off date is January 15, 2009, or until the group room block is filled. After this date, rooms will be provided on a space-available basis only. If you prefer to phone in your reservation, please identify yourself as a member of this conference to receive the special rate. Group name: Primary Care Medicine 2009 Corresponding reservations code or promo code: GGHTC For reservations through the Fiesta Americana website: 1. Please enter to www.fiestamericana.com and look for Fiesta Americana Puerto Vallarta into the "Find a Hotel" section. 2. You will be required to enter the arrival and departure dates. 3. Next please expand the Optional Information section and enter your promo code GGHTC@POSADAS.COM. You will then be able to select your desired room type. 4. Please note that on a first level you will see the rates with taxes and fees including but by clicking on the rate, system will show you the break down. 5. System will provide you with a confirmation number. For reservation through the 1-800 FIESTA 1 number. 1. Please call 1-800-343-7821, our Reservations Team speaks English and is ready to start taking your reservations. 2. Please mention your meeting name as calling reference. 3. You will be required to provide the dates and desired room type. 4. You will be provided with a confirmation number for your reservation. By staying at the host hotel, you help UCSF meet its contractual obligations and keep registration fees reasonable. RENTAL CAR Hertz is offering special rates for participants of this conference; simply call 800-654-2240 and refer to identification number #03BW0128, or call your travel agent. You may also make reservations at www.hertz.com. Advance reservations are recommended. AIR TRANSPORTATION Special arrangements have been made with Montgomery Travel. Simply call (800) 391-2287 or complete the form on the UCSF web page at www.montgomerytravel.com. In addition to offering lower rates than published airfares, ticketed passengers may take advantage of the 24 hour emergency service. There is a $50 service fee. UCSF has negotiated special fares with American and United Airlines for our course attendees. You may use the following tour codes to book on your own: American (800) 433-1790 code: 19686 United (800) 521-4041 code: 510cf CONFERENCE LOCATION Wailea Beach Marriott Maui, Hawaii Located on Maui s southern shore, the Wailea Beach Marriott is set on 15 acres. For more details, visit www.waileamarriott.com. A block of guestrooms has been reserved at the following discounted rates: Terrace View $230 Ocean View $255 Ocean Front $280 Rates are per room, per night, single or double, and subject to 11.416% occupancy tax; simply call 800-367-2960 and identify yourself as a member of UCSF Primary Care Medicine conference to receive the special rates. The reservations cut-off date is March 2, 2009 or until the group room block is filled. After this date, rooms will be provided on a space-available basis only. HOTEL RESERVATIONS To make hotel reservations on-line, go to www.marriott.com, use the booking code Terrace: PC9PCPA / Ocean View: PC9PC9B Ocean Front: PC9PC9C. If you prefer to telephone in your reservation, call 1-800-367-2960 or 1-808-879-1922, and identify yourself as a member of this UCSF conference to receive the special rate. RENTAL CAR Hertz is offering special rates for participants of this conference; simply call 800-654-2240 and refer to identification number CV#03BW0128, or call your travel agent. You may also make reservations at www.hertz.com. Advance reservations are recommended. AIR TRANSPORTATION Special arrangements have been made with Montgomery Travel. Simply call (800) 391-2287 or complete the form on the UCSF web page at www.montgomerytravel.com. In addition to offering lower rates than published airfares, ticketed passengers may take advantage of the 24 hour emergency service. There is a $50 service fee. UCSF has negotiated special fares with American and United Airlines for our course attendees. You may use the following tour codes to book on your own: American (800) 433-1790 code: 20322 United (800) 521-4041 code: 510CF

COURSE REGISTRATION FORM www.cme.ucsf.edu MDM09M07 MEXICO CONCEPTS AND CONTROVERSIES February 15-20, 2009 Fiesta Americana Puerto Vallarta, Mexico Dr. Mr. Mrs. Ms. Last Name First M.I. Degree Specialty Address City State Zip Daytime Phone Fax Email Address Label Code Letter (see address label: example, A, B, C, D, etc.) Would you like to be on our priority email list? Yes No Date of birth to be used as OCME registrant number: / / X X Please indicate if you have any special needs: MDM09M06 HAWAII UPDATE 2009 April 5-10, 2009 Wailea Beach Marriott Maui, Hawaii February 15-20, 2009 April 5-10, 2009 Mail to : UCSF Office of CME P.O. Box 45368 San Francisco, CA 94145-0368 Fax: (415) 502-1795 Registration Information: (415) 476-5808 Course Information: (415) 476-4251 Online registration: www.cme.ucsf.edu Month REGISTRATION FEES (Receipt/confirmation will be mailed within two to four weeks): CONCEPTS AND CONTROVERSIES MEXICO $715 Physicians $565 Nurses/Pharmacist/Allied Health Professionals /Residents/Fellows UPDATE 2009 HAWAII $715 Physicians $565 Nurses/Pharmacist/Allied Health Professionals /Residents/Fellows Make checks payable to UC Regents Please charge my credit card: Visa MasterCard AmEx $ / Card # Expiration date Name on Card (Please Print) Authorized Signature Refund Policy: Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date. Please check our website for up to date information on the course at www.cme.ucsf.edu Fiesta Americana Puerto Vallarta, Mexico Day Wailea Beach Marriott Maui, Hawaii