TAPA FallFest 2009 OCTOBER 5 - 9, 2009 Continuing Medical Education Conference Focusing on Primary Care Medicine Presented by the Tennessee Academy of Physician Assistants at the Mills Auditorium at Gatlinburg Convention Center Gatlinburg, Tennessee

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Tentative Topics and Sessions

Hyperlipidemia
Jaan Kelly, MSN, PA-C, Faculty

South College PA Program, Gregory Brewer Cardiology, PLLC
Knoxville, Tennessee

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Discuss the pathophysiology of mixed hyperlipidemia
  • Review morbidity and mortality statistics associated with hyperlipidemia
  • Identify the patient population at risk for hyperlipidemia
  • Discuss appropriate workup of the patient with hyperlipidemia
  • Review appropriate pharmacologic and non-pharmacologic therapies
  • Discuss accepted benchmarks in long-term management

“Reel” Psychiatric Diagnoses, Part 1 and Part 2
Jon Cohen, MD and Robert Zylstra, EdD, LCSW

Objectives:
At the conclusion of this session, the participant will be able to:

  • Recognize the signs and symptoms of multiple psychiatric disorders as presented in pre-recorded video scenarios
  • Review differential diagnoses for each scenario
  • Discuss the diagnostic criteria per DSM-IV for each psychiatric disorder
  • Identify appropriate screening mechanisms for each psychiatric disorder
  • Better understand pharmacologic and non-pharmacologic treatment for each of the portrayed psychiatric disorders

Prescribing Practices: Preventing Red Flags
Steve Winbery, MD

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Discuss the prevalence of medication prescribing and its contribution to drug-related morbidity, patient injury and professional liability
  • Provide knowledge designed to minimize risk of civil, disciplinary and/or criminal liability that may result from medication prescribing
  • Identify specific drug-drug interactions particularly notable in the Medicare population
  • Identify potentially inappropriate medications in the Medicare population

Geriatrics “D” List
John Standridge, MD, FAAFP, FASAM, CMD
Professor and Program Director, Department of Family Medicine, University of Tennessee College of Medicine, Chattanooga, Tennessee

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Discuss the prevalence and causes of Vitamin D deficiency and review major functions of Vitamin D
  • Review medication compliance issues prevalent in the Medicare Part D population
  • Discuss the prevalence of depression in the elderly population, associated comorbidities and possible exacerbating factors
  • Demonstrate skills related to diagnosing and treating dementia in the geriatric population
  • Discuss common drug-related morbidities in the elderly population
  • Review drug abuse and self-medication related to aging

Acute Coronary Syndrome
John McGinnity, MS, PA-C
This session is presented through the AAPA Chapter Lecture Series which is supported by Pfizer.

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Define and differentiate ACS without enzyme leak, non ST-elevation myocardial infarction (NSTEMI), and ST-elevation myocardial infarction (STEMI)
  • Describe variable clinical presentations of patients with unstable angina and acute myocardial infarction (MI)
  • Describe how cardiac biomarkers are used in the diagnosis of ACS, including timing of testing, and the effects of renal disease and other co-morbidities
  • Describe the role of non-invasive cardiac tests
  • Explain the indications, contraindications, and mechanisms of action of pharmacologic agents used to treat ACS
  • Identify clinical, laboratory, and imaging studies that indicate the severity of the disease
  • Synthesize results of history & physical examination ( H&P), electrocardiogram( EKG), laboratory findings, and imaging to determine therapeutic options and formulate a treatment plan

Metabolic Syndrome
Karen Gilson, MD

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Discuss the diagnostic criteria for metabolic syndrome per multiple national and international models
  • Review the pathophysiology of insulin resistance
  • Identify the indications for screening and the standard-of-care screening methods
  • Discuss standard-of-care treatment goals and methods

Managing Allergic Rhinitis: Controlling Symptoms and Improving Quality of Life – A Physician Assistant Perspective
Jay Portnoy, MD, Chief of the Section of Allergy, Asthma & Immunology, Children’s Mercy Hospital and Professor of Pediatrics, Kansas City School of Medicine, Kansas City, Missouri
This session is supported by Network for Continuing Medical Education.

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Identify the clinical characteristics of allergic rhinitis, including key symptoms and symptoms that patients rate most bothersome, and assess their impact on the management of allergic rhinitis
  • Evaluate the effects that allergic rhinitis can have on physical and psychosocial functioning in patients, including its impact on work in adults and on school in children
  • Formulate evidence-and guideline-based strategies for the aggressive management of allergic rhinitis
  • Analyze barriers to treatment success and adequate control of symptoms, and develop strategies for removing those barriers
  • Assess evidence for current and emerging treatment strategies for allergic rhinitis with respect to patient outcomes and safety

Diabetes Mellitus: New Advances in Optimal Control
Karen Gilson, MD

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Discuss the pathophysiology of diabetes mellitus
  • Discuss latest guidelines and criteria for definitive diagnosis
  • Discuss latest recommendations and parameters of acceptable control
  • Discuss pharmaceutical therapies for optimal control

 

Life in the ER: Case Studies
Jim Montag, Jr., PA-C, Emergency Medicine PA, Emergency Cove Physicians,
Tri-Cities, Tennessee

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Discuss atypical presentations
  • Round table discussions
  • How to incorporate zebra hunting into your practice

A New Era in Pain Management: An Advance in Multimodal Analgesic Therapy AAPA Product Theater Luncheon

*This is a non-accredited educational presentation sponsored by PriCara®, Division of Ortho-McNeil-Janssen Pharmaceuticals, Inc.

A Case-Based Approach to Improving Patient Outcomes in HIV/AIDS
Susan LeLacheur, DrPH, PA-C, Director of the Academic Curriculum
The George Washington University School of Medicine and Health Sciences, PA Program, Washington, DC
This session is presented through the AAPA Chapter Lecture Series which is supported by BMS, Tiboec, and Gilead.

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Discuss the most recent statistics on the prevalence of HIV
  • Identify the HIV population most “at risk” for developing complications from an acute illness
  • Discuss common co-morbid disease processes
  • Discuss standard-of-care treatment options for the most common co-morbid diseases
  • Discuss recent advances in HIV treatment

Workshop #1
Screening Tools and Referral Training (START)
Quentin Humberd, MD

This workshop is supported by the Tennessee Chapter of the American Academy of Pediatrics.

Objectives
At the conclusion of this workshop, the participant will be able to:

  • Increase early identification and referral of children with potential developmental, behavioral or emotional problems using standardized screening tools
  • Better understand referral resources in their community
  • Learn about better documentation of services, coding and reimbursement

New Vaccines and Vaccination Controversies
Douglas Mitchell, MD, Professor of Pediatrics, Eastern Virginia Medical School, Virginia Beach, Virginia

This session is supported by Outcomes Management Educational Workshops Inc.

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Discuss current CDC recommendations for vaccination of children and adults
  • Discuss current CDC recommendations for vaccinations in preparation for travel outside the United States
  • Discuss possible future vaccinations currently in the research and development pipeline

Gouty Arthritis
Aqueel Kouser, MD

This session is supported by Takeda Pharmaceuticals.

Objectives:
At the completion of this presentation, the participant will be able to:

  • Discuss the prevalence and incidence of gouty arthritis
  • Review the pathophysiology of gout and it’s presenting signs and symptoms
  • Discuss appropriate diagnostic tests and procedures
  • Discuss risk factors and co-morbid diseases associated with gout
  • Define the four stages of gout
  • Discuss pharmacologic and non-pharmacologic preventative and therapeutic measures and treatment options

Diagnosis and Management of Chronic Heart Failure: ACC/AHA Guidelines
Peter Purrington, MD

Objectives:
At the completion of this presentation, the participant will be able to:

  • Discuss the pathophysiology of congestive heart failure
  • Discuss the appropriate workup of the patient with signs and symptoms of CHF
  • Discuss appropriate pharmacologic intervention of CHF
  • Discuss new non-pharmacologic interventions of CHF, including appropriate criteria and expected outcomes

Understanding the Impact of Gender on the Diagnosis and Treatment of Depression (Educational presentation with lunch)
Melissa Schroer, MD, Private Practice Physician, Delhi Family Care Associates, Mercy Western Hills Campus, Cincinnati, Ohio

*This is a non-accredited educational presentation sponsored by Eli Lilly and Company and is intended for healthcare professionals treating patients 18 years of age and older. Lunch will be provided for attendees of this program.
 

Celiac Disease: Not Just a Pain in the Gut
Joyce Eyler, PA-C
, Physician Assistant, Nashville Medical Group,
Nashville, Tennessee

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Discuss the pathophysiology of gluten intolerance
  • Review the prevalence of gluten intolerance in the general population
  • Discuss common presenting signs and symptoms
  • Identify the “at risk” population
  • Review appropriate workup of suspected sprue
  • Understand the appropriate pharmacologic and non-pharmacologic approach to long-term management

Screening and Treating Patients with Sleep/Wake Disorders (AAPA CLS)
Julianne Blythe, MPA, PA-C, RPSGT
This session is presented through the AAPA Chapter Lecture Series which is supported by Cephalon Inc.

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Describe sleep/wake disorders common in adults, such as obstructive sleep apnea (OSA), insomnia, circadian rhythm sleep disorders, and restless legs syndrome (RLS)
  • Explain techniques for screening and diagnosing common sleep/wake disorders
  • Identify nonpharmacologic and pharmacologic treatment strategies for common sleep/wake disorders
  • Outline optimal approaches for patient monitoring and follow-up, including criteria for referral to a sleep specialist

The Many Faces of Atopic Dermatitis
Andrew Morgan, MD

Objectives:
At the completion of this presentation, the participant will be able to:

  • Discuss the prevalence of atopic dermatitis in the pediatric and adult population
  • Review the prevalent presentations of atopic dermatitis and co-morbid disease processes
  • Discuss skin disorders frequently misdiagnosed as atopic dermatitis
  • Review appropriate workup of the patient with suspected atopic dermatitis
  • Discuss accepted benchmarks of prevention and long-term management

Advanced Prostate Cancer:  Understanding Therapy Options (AAPA CLS)
Todd Doran, PAC

This session is presented through the AAPA Chapter Lecture Series which is supported by Indevus.

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Describe the epidemiology of advanced prostate cancer in the US
  • Define the diagnostic criteria for advanced prostate cancer
  • List the current treatment options available for advanced prostate cancer, including rationale, side effects and appropriate monitoring
  • Describe strategies for managing side effects
  • Delineate the prognosis for patients with advanced prostate cancer

The Febrile Child
Kurt A. Smith, MD, Assistant Professor of Emergency Medicine, Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Review the definition of fever in the pediatric population
  • Review appropriate workup of the febrile patient
  • Identify the patient population “at risk” for bacteremia
  • Discuss the most prevalent causes of fever in the pediatric population
  • Review appropriate therapy for bacteremia
  • Discuss preventative measures for most common causes of fever in the pediatric population

Strategies for TB Elimination: What Health Care Providers Need to Know
Diane Pieterse, RN, BSN, Regional Tuberculosis Program Coordinator,
Mid-Cumberland Region, Tennessee Department of Health, Nashville, Tennessee

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Discuss the international, national, and state prevalence of tuberculosis
  • Explain the pathophysiology and transmission of tuberculosis
  • Recognize high risk factors that predispose a person to TB infection and development of disease
  • Discuss the standard-of –care in laboratory testing and treatment of tuberculosis

Disaster Preparedness
William Smith, Jr.

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Discuss the prevalence and threat of a disaster occurring in the Southeast Region
  • Review the regional state laws governing the role of the PA in an emergency situation
  • Identify regional and state emergency agencies and the role each plays in a disaster

Orthopedics Review:  Shoulder, Hip and Knee Maladies
Michael Casey, MD

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Discuss the most common presentations of shoulder, hip and knee complaints
  • Define common mechanism of injury for each complaint
  • Review the appropriate workup of shoulder, hip and knee pain
  • Discuss appropriate treatment options for each complaint and accepted benchmarks in long-term care

Workshop #3: Intra Uterine Presentation
Anne Moore, MSN, RNC, FAANP
This workshop is supported by Association of Reproductive Health Professionals.

Objectives:
After participating in ARHP’s clinical education session on intrauterine contraception, participants will be able to:

  • Name the two forms of intrauterine contraception available in the US
  • Rank efficacy associated with intrauterine contraceptives compared with other contraceptive methods
  • List three selection criteria for appropriate candidates for intrauterine contraception
  • Identify two possible side effects of each type of intrauterine contraceptive
  • Discuss strategies for follow-up of intrauterine contraceptive users

Workshop #4: Shoulder, Hip and Knee Evaluations and Injections
Michael Casey, MD

Objectives:
At the conclusion of this workshop, the participant will be able to:

  • Discuss appropriate physical evaluation of the shoulder, hip and knee
  • Identify anatomical landmarks of the shoulder, hip and knee
  • Demonstrate proper technique for injection of the shoulder joint, hip joint and knee joint

Blood Dyscrasias
Allan Platt, PA-C, MMSc, Faculty, Emory University School of Medicine Physician Assistant Program, Atlanta, GA

Objectives:
At the conclusion of this presentation, participants will be able to:

  • Describe the normal physiology of blood cells
  • Explain the common presentations of patients with blood dyscrasias
  • Identify anemias by interpreting laboratory tests
  • Discuss appropriate work-ups of microcytic, normocytic, macrocytic and hemolytic anemias
  • Discuss available appropriate pharmaceutical and non-pharmaceutical treatments

“It’s Not the Thyroid, it’s the Food: Endocrine Abnormalities in Obese Children”
Jefferson I. Lomenick, MD, Assistant Professor of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee

Objectives:
At the conclusion of this session, the participant will be able to:

  • Discuss the prevalence of childhood obesity in the U.S.
  • Discuss common co-morbid disease processes of childhood obesity
  • Identify the “at risk” population
  • Review causes of childhood obesity, preventive measures and management techniques

Reintegrating America’s Returning Warriors to the Workplace
R. Paul Maiden, PhD, LCSW, Vice Dean and Professor, University of Southern California, School of Social Work, Los Angeles, CA 
 
Jose Coll, PhD, Chair, Military Social Work Program, University of Southern California, School of Social Work, San Diego, CA

Objectives:
At the conclusion of this session, the participant will be able to:

  • Discuss common challenges faced by our returning war veterans
  • Identify strategies for transitioning war veterans from battle-mind to civilian-mind
  • Identify strategies for reintegration into the civilian community, workplace and family
  • Discuss potential problems with transition and reintegration and ways to address issues as they arise

Optimal Strategies in Radiology
R. Kent Hutson, MD

Objectives:
At the conclusion of this presentation, the participant will be able to:

  • Review basic physics of radiology
  • Understand the indication for and proper ordering of radiologic procedures of the abdomen, chest, spine and extremities
  • Discuss the risks of contrast and identify those medications that can interact with contrast
Ovarian Cancer Diagnosis and Treatment (SGO GynecoLogic Cancer Collaborative)
Michael Gold, MD, Vanderbilt University, Nashville, Tennessee
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