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Division of General Internal Medicine Department of Medicine University of California San Francisco, School of Medicine University of California San Francisco CONCEPTS & CONTROVERSIES SUNDAY-FRIDAY February 20-25, 2011 Fiesta Americana Puerto Vallarta, Mexico UPDATE 2011 COURSE DIRECTOR Robert B. Baron, MD, MS Professor of Medicine; Associate Dean for Graduate and Continuing Medical Education SUNDAY-FRIDAY April 3-8, 2011 Wailea Beach Marriott Resort Maui, Hawaii

Presented by: Division of General Internal Medicine, Department of Medicine University of California, San Francisco School of Medicine UPDATE 2011 Changing patterns of medical practice are placing greater emphasis on ambulatory medicine and primary care practice, 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, gynecologists, nurse practitioners, physician assistants, and all other health professionals interested in providing high quality primary care, this course will provide opportunities to enhance competence and improve performance. The course will focus on the skills and strategies needed in day-to-day office practice. The curriculum will feature in-depth discussion of challenging cases in preventive medicine, common problems in ambulatory care, a broad selection of chronic illnesses, and controversial topics in health policy and clinical ethics. This year's course will also feature extensive discussion of key issues in clinical neurology and in women's heath. An audience response system will facilitate discussion of challenging clinical cases. 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 managed by the Office of Continuing Medical Education, University of California, San Francisco. EDUCATIONAL OBJECTIVES April 3-8, 2011 The purpose of this course is to increase competence and improve clinician practice in primary care. We specifically anticipate improvements in skills and strategies: to discuss and implement new guidelines in office-based preventive medicine including new guidelines for cancer screening, vaccines, and reduction of cardiovascular risk factors; to manage common office problems including hypertension, diabetes, coronary heart disease, valvular heart disease, chronic kidney disease, atrial fibrillation, transient ischemic attacks, obesity, GERD, peptic ulcer disease, and migraine; to diagnosis and treat common problems in women's health including management of abnormal pap tests, amenorrhea, vaginal bleeding, STIs, and to improve communication about family planning choices; to use the neurological history and physical exam to better assess abnormal mental status, aphasia, cranial nerve abnormalities, coma, weakness, and sensory abnormalities; to diagnose and treat common neurologic disorders including stroke, dementia, and delirium; to better diagnosis substance abuse disorders using brief screening tools and to better utilize office interventions, community resources and medications; to understand recent comparative effectiveness research and apply it in office practice in making better treatment decisions. 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 live 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. Nurses: 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. 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 15.25 AMA PRA Category 1 Credit TM toward meeting the requirement under California Assembly Bill 1820, Geriatric Medicine.

Hawaii SUNDAY, APRIL 3, 2011 3-5:00pm Registration 5:00 Welcome and Introduction Robert B. Baron, MD, MS 5:10 Health Disparities 2011: Update for the Clinician Eliseo J. Perez-Stable, MD 6:05 Preventive Medicine 2011: Understanding the George F. Sawaya, MD US Preventive Services Task Force Guidelines 7:00 Adjourn MONDAY, APRIL 4, 2011 Moderator: Robert B. Baron, MD, MS 7:00 Current Controversies in Cancer Screening: Eliseo J. Perez Stable, MD Letting Evidence Be Our Guide 7:55 Cervical Cancer Prevention Update: George F. Sawaya, MD 2011 and Beyond l 9:10 Vaccine Preventable Diseases in Adults: Katherine A. Julian, MD Why Can t We Do Better? 10:05 Sexually Transmitted Infections: Implications Jody Steinauer, MD of the New CDC Guidelines TUESDAY, APRIL 5, 2011 Moderator: Eliseo J. Perez-Stable, MD l 7:00 Hypertension 2011: Today s Clinical and Public Eliseo J. Perez-Stable, MD Health Challenges l 7:55 Management of Diabetes: A Primary Care Robert B. Baron, MD, MS Perspective l 9:10 Advances in Prevention and Treatment of Stroke: S. Andrew Josephson, MD What Every Primary Care Physician Needs to Know l 10:05 Modern Management of Stable Coronary Artery Grace Lin, MD Disease WEDNESDAY, APRIL 6, 2011 Moderator: Katherine A. Julian, MD l 7:00 Management of Atrial Fibrillation in 2011 Katherine A. Julian, MD l 7:55 Management of Valvular Heart Disease: What Does Ian S. Harris, MD the Primary Care Clinician Need to Know? l 9:10 Comparative Effectiveness Reviews for Clinicians: Robert B. Baron, MD, MS Helping Us Make Better Treatment Choices l 10:05 Dementia and Delirium: A Neurologist s Approach S. Andrew Josephson, MD to Altered Mental Status THURSDAY, APRIL 7, 2011 Moderator: George F. Sawaya, MD 7:00 Using Best Evidence to Select the Best Jody Steinauer, MD, MAS Contraceptive l 7:55 Amenorrhea and Abnormal Uterine Bleeding: George F. Sawaya, MD You Will Never Be Confused Again l 9:10 Current Strategies in Chronic Kidney Disease Grace Lin, MD l 10:05 Clinical Dilemmas in Neurology: Using the S. Andrew Josephson, MD Neurological Exam to Sort Out Clinical Problems FRIDAY, APRIL 8, 2011 Moderator: Grace Lin, MD 7:00 Current Strategies in Obesity Robert B. Baron, MD, MS l 7:55 Controversies in the Upper GI Tract: GERD, Grace Lin, MD Ulcers, PPI Interactions, and Screening for Barrett s 9:10 Detection and Treatment of Substance Katherine A. Julian, MD Use Disorders in Primary Care 10:05 Clinical, Political, and Ethical Issues in Jody Steinauer, MD, MAS Abortion Today l Satisfies the California requirement for Geriatric CME

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 University of California, San Francisco) Margaret Fang, MD, MPH Associate Professor of Medicine Jeffrey M. E. Fox, MD, MPH Assistant Professor of Medicine; Chief of Gastroenterology, Permanente Medical Group, Kaiser San Rafael Kenneth Fox, MD Assistant Professor of Medicine; Chief of Neurology, Permanente Medical Group, Kaiser, San Francisco Lindy P. Fox MD Assistant Professor of Dermatology; Director of Hospital Consultation Rena K. Fox, MD Associate Professor of Medicine Bradley A. Sharpe, MD Associate Professor of Medicine; Associate Chief Medical Service; Associate Program Director, Internal Medicine Residency Program 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 University of California, San Francisco) Ian Harris, MD Assistant Professor of Medicine S. Andrew Josephson, MD Assistant Professor of Neurology; Director, Neurohospitalist Program Katherine A. Julian, MD Associate Professor of Medicine; Director, Primary Care Internal Medicine Residency Grace Lin, MD Assistant Professor of Medicine Eliseo J. Perez-Stable, MD Professor of Medicine; Chief, Division of General Internal Medicine; Director, Medical Effectiveness Research Center for Diverse Populations George F. Sawaya, MD Professor of Obstetrics, Gynecology, and Reproductive Sciences, and of Epidemiology and Biostatistics Jody Steinauer, MD, MAS Associate Professor of Obstetrics, Gynecology and Reproductive Sciences; Associate Director, Family Planning Fellowship Mexico Hawaii CONFERENCE LOCATION Fiesta Americana Puerto Vallarta Puerto Vallarta, Mexico HOTEL RESERVATIONS A block of guestrooms has been reserved at the special UCSF conference rate of $179/night. Website: www.fiestamericana.com Hotel Phone: 1-800-343-7821 Group Name: Primary Care Medicine 2011 Promo Code: GLPDH@FAV The reservation cut-off date is January 20, 2011, or until the group room block is filled. ADDITIONAL TRAVEL INFORMATION For additional reservations information, rental car and air transportation options please visit our website: www.cme.ucsf.edu. CONFERENCE LOCATION Wailea Beach Marriott Maui, Hawaii HOTEL RESERVATIONS A block of guestrooms has been reserved at the following discounted rates: Terrace View $199/night Ocean View $239/night Ocean Front $269/night Website: https://resweb.passkey.com/go/123456 Hotel Phone: 1-800-367-2960 Group Name: UCSF Primary Care Medicine 2011 The reservation cut-off date is March 4, 2011 or until the group room block is filled. ADDITIONAL TRAVEL INFORMATION For additional reservations information, rental car and air transportation options please visit our website: www.cme.ucsf.edu.

COURSE REGISTRATION FORM www.cme.ucsf.edu MDM11M07 MEXICO CONCEPTS AND CONTROVERSIES February 20-25, 2011 Fiesta Americana Puerto Vallarta, Mexico æ Dr. æ Mr. æ Mrs. æ 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 Month Day Please indicate if you have any special needs: REGISTRATION FEES (Receipt/Confirmation will be mailed within two to four weeks): CONCEPTS AND CONTROVERSIES MEXICO $715 Physicians $565 Nurses/Allied Health Professionals/Residents/Fellows UPDATE 2011 HAWAII $715 Physicians $565 Nurses/Allied Health Professionals/Residents/Fellows MDM11M06 HAWAII UPDATE 2011 April 3-8, 2011 Wailea Beach Marriott Maui, Hawaii February 20-25, 2011 April 3-8, 2011 Mail to : UCSF Office of CME P.O. Box 45368 San Francisco, CA 94145-0368 Fax: (415) 502-1795 Online registration: www.cme.ucsf.edu Registration Information: (415) 476-5808 Course Information: (415) 476-4251 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 Wailea Beach Marriott Maui, Hawaii

Presented by: Division of General Internal Medicine, Department of Medicine University of California, San Francisco School of Medicine CONCEPTS & CONTROVERSIES This course is designed for primary care clinicians including internists, family physicians, gynecologists, nurse practitioners, and physician assistants. The curriculum will feature a diverse selection of up-todate, practical topics in primary care, inpatient medicine, and specialty medicine including controversies in preventive medicine, management of cardiovascular risk factors, diagnosis and treatment of common ambulatory problems, new developments in management of chronic disease, and management of selected issues in inpatient medicine. This year's curriculum will also feature a comprehensive minicourse on dermatology in primary care practice. Our approach is to combine the best in evidencebased medicine with the day-to-day practicalities of providing quality patient care. Learning will center on discussion of challenging clinical cases commonly encountered by course participants. An audience response system will facilitate discussion. A complete course syllabus will be provided for all participants. 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 February 20-25, 2011 The purpose of this course is to increase competence and improve clinician practice in primary care. We specifically anticipate improvements in skills and strategies: to discuss and implement new guidelines in officebased preventive medicine including new guidelines for cancer screening, genetic testing, and prevention of diabetic complications; to manage common office problems including pneumonia, atrial fibrillation, deep venous thrombosis, transient ischemic attacks, obesity, depression, hepatitis B and C, GERD, peptic ulcer disease, migraine and irritable bowel syndrome; to diagnosis and treat common problems in women's health including osteoporosis and menopause; to diagnose and treat common dermatologic disorders; to manage common inpatient problems including stroke and hospital acquired infections, improve patient safety and quality, and work collaboratively with inpatient specialists; to understand recent comparative effectiveness research and apply it in office practice. 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 live activity for a maximum of 19.25 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. Nurses: 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. 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 15 AMA PRA Category 1 Credit TM toward meeting the requirement under California Assembly Bill 1820, Geriatric Medicine.

Mexico SUNDAY, FEBRUARY 20, 2011 3-5:00pm Registration 5:00 Welcome and Introduction Robert B. Baron, MD, MS OPENING ADDRESS l 5:10 Colorectal Cancer Screening: Jeffrey M. E. Fox, MD, MPH Is Total Prevention Possible? 6:05 Using Genetic Testing for Disease Prevention: Mary S. Beattie, MD, MAS Has the Era of Personalized Medicine Begun? 7:00 Adjourn MONDAY, FEBRUARY 21, 2011 Moderator: Robert B. Baron, MD, MS l 7:00 Management of Diabetes: A Primary Care Robert B. Baron, MD, MS Perspective 7:55 Management of Atrial Fibrillation in 2011 Margaret Fang, MD l 9:10 Current Issues in Prevention and Treatment Kenneth Fox, MD of Stroke l 10:05 Primary Care for Hepatitis B and C: Clinical Tools Rena K. Fox, MD for Efficient Management TUESDAY, FEBRUARY 22, 2011 Moderator: Bradley A. Sharpe, MD l 7:00 Maximizing Care for Community-Acquired Bradley A. Sharpe, MD Pneumonia 7:55 Comparative Effectiveness Reviews for Clinicians: Robert B. Baron, MD, MS Helping Us Make Better Treatment Choices 9:10 Common Dermatologic Disorders: Tips for Lindy P. Fox, MD Diagnosis and Management (Part 1) 10:05 Common Dermatologic Disorders: Tips for Lindy P. Fox, MD Diagnosis and Management (Part 2) WEDNESDAY, FEBRUARY 23, 2011 Moderator: Rena K. Fox, MD l 7:00 Depression: More Than One Strategy for Rena K. Fox, MD Primary Care l 7:55 Management of Venous Thromboembolism Margaret Fang, MD l 9:10 New Developments in Osteoporosis Mary S. Beattie, MD, MAS l 10:05 Management of Common Inpatient Infections: Bradley A. Sharpe, MD What You Need to Know about C-diff, MRSA, VRE, and More THURSDAY, FEBRUARY 24, 2011 Moderator: Mary Beattie, MS, MAS 7:00 Modern Management of Menopause Mary S. Beattie, MS, MAS l 7:55 Controversies in the Upper GI Tract: GERD, Ulcers, Jeffrey M. E. Fox, MD, MPH PPI Interactions, and Screening for Barrett s l 9:10 Melanoma and Non-Melanoma Skin Cancer: Lindy P. Fox, MD What You Need to Know 10:05 Avoiding Dermatologic Pitfalls Lindy P. Fox, MD FRIDAY, FEBRUARY 25, 2011 Moderator: Robert B. Baron, MD, MS 7:00 Current Strategies in Obesity Robert B. Baron, MD, MS 7:55 Irritable Bowel Syndrome: Masquerader s Ball? Jeffrey M. E. Fox, MD 9:10 Migraine: Growing Understanding and Expanding Rena K. Fox, MD Therapeutics l 10:05 Update in Hospital Medicine Bradley A. Sharpe, MD l Satisfies the California requirement for Geriatric CME

0569 University of California, San Francisco Office of Continuing Medical Education UCSF Box 0742 San Francisco, CA 94143-0742 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 emailing: info@ocme.ucsf.edu. UPCOMING 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 July 3-8, 2011 AUGUST AT LAKE TAHOE Essentials of Primary Care: A Core Curriculum for Adult Ambulatory Practice Resort at Squaw Creek, North Lake Tahoe August 7-12, 2011 OCTOBER IN SAN FRANCISCO Primary Care Medicine: Principles & Practice Hotel Nikko, San Francisco October 26-28, 2011 DECEMBER IN SAN FRANCISCO Controversies in Women s Health Hotel Nikko, San Francisco December 8-9, 2011