Primary Care Workshop Agenda

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Alzheimer s Tennessee, Inc. Presents Strategies for Managing in Primary Care A Primary Care Workshop of The 26 th Annual Alzheimer s Disease Symposium December 9, 2011 Jubilee Banquet Center 6700 Jubilee Center Way 37912 (Only 12 minutes from West Knoxville) Primary Care Workshop Agenda 7:00 AM 8:00 AM Continental Breakfast and Registration Time Topic Learning Objectives 8:00 AM 8:10 AM Welcome and Introductions 8:10 AM 8:40 AM The Changing Face of Healthcare/The Aging of America Douglas M. Leahy, MD Internal Medicine Associates 8:40 AM 9:25 AM BioMarkers and Pre Clinical Diagnosis John H. Dougherty, Jr., MD Director, Cole Neuroscience Center Medical Center TBA Describe the role of CSF biomarkers on early diagnosis of AD Describe the role of Plasma biomarkers on early diagnosis of AD Examine the role of structural and functional MRI, PET and SPECT on early diagnosis Identify the patient care, social and ethical issues involved in a potential pre clinical diagnosis 9:25 AM 9:45 AM Break 9:45 AM 10:45 AM The Differential Diagnosis of Recognize signs, symptoms, and

in Primary Care Daniel D. Christensen, MD Clinical Professor Psychiatry Clinical Professor of Neurology Adjunct Professor of Pharmacology University Neuropsychiatric Institute University Health Care University of Utah Salt Lake City, Utah 10:45 AM 11:15 AM Alzheimer s Disease Primary Care Treatment Strategies Speaker TBA 11:15 AM 12:00 Noon Frontotemporal /Disorder Presentation and Management in Primary Care Monica K. Crane, MD Clinical Assistant Professor Department of Medicine School of Graduate Medicine Associate Director, Senior Assessment Clinic, Cole Neuroscience Center UT Medical Center risk factors of dementia and associated co morbid conditions Describe the difference in normal aging and mild cognitive impairment Evaluate and document cognitive and functional ability of patients with suspected dementia and describe the differential diagnosis of dementia Assess whether the problem is related to dementia or co morbid conditions Differentiate between the major types of dementia, how they present and their diagnosis Describe the impact of early diagnosis on patient and family Identify available interventions to address physical and mental health problems Describe the frequency of monitoring for treatment efficacy and symptom changes Describe the differentiating clinical presentations of Frontotemporal Review current treatment options for Frontotemporal Review specific medical, legal and sociological issues relevant to providing care for and living with patients with Frontotemporal

12:00 Noon 12:30 PM Break to pick up lunch and return for continued learning sessions 12:30 PM 1: 15 PM Telling the Patient and Family Strategies and Controversies Daniel D. Christensen, MD Clinical Professor Psychiatry Clinical Professor of Neurology Adjunct Professor of Pharmacology University Neuropsychiatric Institute University Health Care University of Utah Salt Lake City, Utah Describe the role of the primary care physician in making the diagnosis and sharing it with the patient and family Describe strategies for handling a patient or family member that does not want the diagnosis shared Discuss the value of time in diagnosing and communicating the diagnosis with patient and family Describe the role of the primary care provider in assessing caregiver strain and in assisting the caregiver in accessing resources Define those circumstances when family may begin to transition to alternate sites of care 1:15 PM 1:35 PM Break 1:35 PM 2:20 PM Associated with Lewy Body and Parkinson Disease Karen A Mullins, DO Neurologist Knoxville Neurology Clinic 2200 Sutherland Ave 37919 2:20 PM 3:00 PM Driving and Other Acts of Independence John H. Dougherty, Jr., MD Director, Cole Neuroscience Center Medical Center Describe the differentiating clinical presentations of Lewy Body and Parkinson s Associated Describe the pathophysiological mechanisms associated with Lewy Body and Parkinson s Associated Review the non pharmacological and pharmacological treatments for Lewy Body and Parkinson s Associated Describe the primary care physician s role in addressing continued driving in dementia patients Describe formal and informal information sources a physician can use in evaluating patient driving safety

Describe the value of early conversations with patients regarding driving and other acts of independence that can endanger the patient or the public 3:00 PM 3:45 PM Speaker Panel John Dougherty, Jr, MD Monica K Crane, MD Daniel D Christensen, MD Karen A Mullins, DO Address participant questions that have emerged as a result of the day s presentations 3:45 PM 4:10 PM Oak Ridge Research Update Speaker TBA 4:10 PM 4:20 PM Wrap Up and Evaluation Activity Director: John H. Dougherty, Jr., MD, Director, Cole Neuroscience Center, Medical Center, Target Audience: For Primary Care Physicians, APNs and PAs; Also Neurologists, Psychologists, Pharmacists, Nurses and Social Workers in the Primary and Acute Care Setting, and long term care leadership. Course Content and Learning Objectives: As a result of participating in this activity, the attendee should be able to. Describe how Alzheimer s, Lewy Body/Parkinson s and Frontotemporal patients present in primary care, including what diagnostic tools best facilitate their differential diagnosis Discuss the importance of timing in making the diagnosis. Describe how the diagnostic process and timing will change in primary care with the coming FDA approval of CSF biomarkers Compare and contrast how patient care management differs among Alzheimer s, Lewy Body /Parkinson s and Frontotemporal patients Discuss the options related to sharing the diagnosis with the patient and family, including the issues related to timing Discuss intervention strategies that primary care providers can use with dementia patients who continue to drive or engage in risky activities Describe how the aging of America and the changing models of health care affect the primary care provider s role in managing patients with dementia Date and Location: Friday, December 9, 2011. This conference is being broadcast from the Jubilee Center in, and is available for remote broadcast to those living outside of Eastern Tennessee. Registrations: To register go to www.etsu.edu/cme/, to the far right side of the screen, and scroll down to conference. Or call 423 439 8027. Fees: $55 for physicians, APNs, PAs, Nurses and all other Allied Health Professionals. Registrants will receive credit and online access to course materials. Financial Support: Commercial support is being sought for this conference. Companies providing grants will be disclosed before and at the conference.

Accreditation: ACCME Accreditation: Quillen College of Medicine, East Tennessee State University, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CME Credit: Quillen College of Medicine, East Tennessee State University designates this live activity for a maximum of 7.0 AMA PRA Category 1 Credits TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Joint Sponsorship: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Quillen College of Medicine at East Tennessee State University and Alzheimer s Tennessee, Inc. Quillen College of Medicine is accredited by the ACCME to provide continuing medical education for physicians. AAFP Prescribed Credits NAB Credit Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. Application for credit has been filed with the National Continuing Education Review Service of the National Association of Boards of Examiner of Long Term Care Administrators. Determination is pending. CNE CREDIT: 7.0 continuing nursing education contact hours for this conference. East Tennessee State University College of Nursing is an approved provider of continuing nursing education by the Tennessee Nurses Association, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation This event is presented by the Quillen College of Medicine Office of Continuing Medical Education, the College of Nursing Office of Continuing Education at East Tennessee State University and Alzheimer s Tennessee, Inc. About Alzheimer s Tennessee, Inc.: Alzheimer's Tennessee, Inc., a 501(c)(3) not for profit organization offers community and professional education, provides family support, advocates for the needs and rights of those with Alzheimer's disease and related dementias, and is a proponent of research for its prevention, cure and treatment. The organization's locally staffed Helpline answered by area experts and social workers has been sharing educational material, programs, and local referrals since 1983.. For Questions or Further Information: Contact the Office of Continuing Medical Education at Quillen College of Medicine, ETSU. Phone: 423 439 8027 or cmedean@etsu.edu