Annual Rheumatology Conference Update 2006 New Perspectives in the Management of the Rheumatic Diseases. September 9, 2006

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8030 Peters Road, D105 Plantation, Florida 33324 (954) 723-0057 Phone (954) 723-0353 Fax email: info@naceonline.com Annual Rheumatology Conference Update 2006 New Perspectives in the Management of the Rheumatic Diseases September 9, 2006 Westin Diplomat Resort & Spa 3555 South Ocean Drive Hollywood, Florida Conference Committee Charles Kahn, MD, FACP, FACR Wayne G. Riskin, MD, FACP, FACR Elaine Kahn, MN, ARNP Program Evaluation September 20, 2006

Introduction In September 2006, NACE sponsored a CME program, Update 2006 New Perspectives in the Management of the Rheumatic Diseases, in Hollywood, FL. The conference was geared toward rheumatologists. The goal of the program was to enable rheumatologists to learn first hand from thought leaders in their field. The program covered osteonecrosis of the jaw, osteoarthritis treatment, anti-phospholipid syndrome, treatment of gout, and B cell and T cell therapy. Approximately 99 healthcare providers attended Update 2006 New Perspectives in the Management of the Rheumatic Diseases, in Hollywood, FL. Each attendee was asked to complete and return a conference satisfaction and needs assessment form prior to the end of the conference. Ninety-four completed forms were received. The data collected is displayed in this report.

CONFERENCE SCHEDULE Saturday, September 9, 2006 7:45-8:30 Registration and Continental Breakfast Welcome Charles Kahn, MD and Wayne Riskin, MD 8:30-9:20 What Do We Tell Our Patients Taking Bisphophonates Regarding Osteonecrosis of the Jaw? Michael McClung, MD 9:20-10:10 At Last! A disease modifying treatment for psoriatic arthritis Alan Brown, MD 10:10-10:30 Morning Break Tour Exhibits 10:30-11:20 Abatacept: When and why? Carlos J. Lozada, M.D., FACP, FACR 11:20-12:10 Intra-articular Hyaluronan: Evidence, controversies, and product comparisons Edward Miller, MD 12:10-1:10 Lunch 1:10-2:00 Anti-Phospholipid Syndrome: Current thinking on evaluation and management Robert Lahita, MD 2:00-2:50 B-Cell Therapy: Another option for second line therapy in the rheumatic diseases Marc Cohen, MD 2:50-3:10 Afternoon Break Tour Exhibits 3:10-4:00 Gout Update Marc Cohen, MD 4:00-4:50 Treatment of Osteoarthritis: Challenges, myths and realities Lee Simon, MD 4:50-5:00 Closing Remarks Charles Kahn, MD and Wayne Riskin, MD

Participant Information Seventy percent of attendees were physicians, the majority specializing in Rheumatology and Internal Medicine. Seventeen percent of attendees were nurses. Physician assistants and nurse practitioners comprised 13% of the attendees. Fifty-six percent of attendees heard about the conference through the mailed program. The remainder of attendees heard about the program from a colleague (29%), from a pharmaceutical representative (10%), or from another source (5%).

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 Somewhat Important, with the quality of presenters and topics covered as the most important (2.8 on a 3-point scale).

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 3.8. Average scores for each aspect are displayed in the charts below.

Attendees were also asked to rate the content of each presentation and the presentation skills of each speaker on a four-point scale, with one being Unsatisfactory and four being Excellent. Average scores for each presentation and speaker are displayed in the chart below.

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? Ankylosing Spondilitis (2) Dermatology (2) Fibromyalgia (4) Gout (2) o as related to Heart DX Hypertension (2) Lupus (7) Nepheritus (2) Pregnancy & Rheum Disease (3) Radiology (2) Rheumatology (3) Sarcoidosis (2) Scleroderma (5) Vasculitis (7) What diagnostic procedures would you like to learn more about? MRI (9) Osteoporosis (2) Skin biopsy (3) Ultrasound (6) What types of therapies or treatments would you wish courses to be offered about? Alternative Medicine (2) Insulin Therapies (2) Latest RX of RA (2) Lupus (2) Novel therapies (2) Nutrition (2)

Summary Overall, Update 2006 New Perspectives in the Management of the Rheumatic Diseases 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 attend another conference next year in the same location. Based on the evaluations, attendees were very pleased with the conference.

Appendix A Suggested Topics What medical disorders or topics would you like to receive further information about through a continuing education activity? Ankylosing Spondilitis (2) Anti-Aging APS Autoinflammatory Disease Carpal Tunnel Syndrome Colorectal Cancer Dermatology (2) Endocrine Fibromyalgia (4) Genetics/Molecular Biology Geriatric issues Gout (2) as related to Heart DX Hepatis B & C treatments Hypertension (2) Immunology & Arthritis Inflammatory Eye Disease Lung Disease Lupus (7) Myositis Nepheritus (2) New Heart Medicines New Insulins Obesity in young children. Orthopedics approach to joint replacement Osteoarthritis Osteoporosis Pain management Periodic Fever Syndromes Pregnancy & Rheum Disease (3) Psychometrics Pulmonary HTN Radiology (2) Renal issues Respiratory Diseases Rheumatology (3) Rheumatoid Arthritis and Complementary Therapies Rx of Spinal Injections Sarcoidosis (2) Scleroderma (5) Sleep Disorders Soft Tissue Musculoskeletal Disorders Still's Disease Thyroid Diseases Tuberculosis Management Updates on New Medication Vasculitis (7) What diagnostic procedures would you like to learn more about? Adrenal Disorders Antiphospholipid syndrome Arthroscopy Bone Density Dexa Diagnostic lab testing Flouroscopy Joint aspiration Joint Injections of Steroids Joint taps Lumber taps MRI (9) Nerve Conduction Studies Osteoporosis (2) Pap smear Parathyroid Disease PET Prosorba Role of prolotherapy in pain management of rheumatic joint disease

Sigmoidoscopy Skin biopsy (3) Synovial Fluid TEE Ultrasound (6) VFA on DRA's What types of therapies or treatments would you wish courses to be offered about? Alternative for Knee Replacement Alternative Medicine (2) Anti-Scleroderma Biologics CAM Cellcipt Cyclophosphemide Gene therapy Immune Modulation Insulin Therapies (2) IV Bisphosphonates Latest RX of RA (2) Lupus (2) Novel therapies (2) Nutrition (2) Opioid Use Orencia Phosphocitrate Radiotheraphy Rheumatalogical disorders Rituxan Sjorgens Syndrome Vasculitis

Appendix B Suggested Speakers Marc Cohen Robert Lahita

Appendix C Overall Comments/Suggestions Best Handouts Ever Difficulty hearing Door noise bad. A/C too cold. Excellent Excellent Excellent Excellent Excellent Good Conference Great Great Great Conference Great Program Great, Excellent Info. Very informative. Excellent speakers. Refreshing, Nicely done This will enhance my practice Very good choice of speakers and subjects Glad only on Saturday Liked one day set-up Small Room for amount of people. Hall too small for all attendees. Dr. Cohen/Lahitta was very impressive. A little too much focus on RA. Dr. Cohen rushed lecture.