logoACOFP 46th Annual Convention & Exhibition
March 4-8, 2009
Gaylord National Resort & Convention Center
Washington, D.C

Lecture Schedule & Available Handouts


Opening Session – Keynote Speaker, Helen Darling

Saturday, February 28

6 – 8 pm
OMT Review Session (Repeated on Sunday)
CME Hours: 2 1-A Extra Credits
This review session targets family physicians practicing OMT in their offices, as well as residents and students. The review session will use an interactive format with case presentations to review osteopathic manipulative diagnosis and treatment techniques relevant to the family physician. There will be opportunities to discuss osteopathic diagnosis, review several treatment models and their application to common scenarios encountered in the outpatient setting.

At the conclusion attendees will be able to:

  • Incorporate a time efficient screening osteopathic exam into the physical exam;
  • Describe and document physical findings in standard format on AOA SOAP note forms;
  • Discuss diagnoses and choose appropriate OMT techniques;
  • Demonstrate Direct and Indirect OMT techniques.

Speaker: Stephen D. Blood, DO, FACOFP

Sunday, March 1

6 – 8 pm
OMT Review Session (Repeated from Saturday)
CME Hours: 2 1-A Extra Credits
This review session targets family physicians practicing OMT in their offices, as well as residents and students. The review session will use an interactive format with case presentations to review osteopathic manipulative diagnosis and treatment techniques relevant to the family physician. There will be opportunities to discuss osteopathic diagnosis, review several treatment models and their application to common scenarios encountered in the outpatient setting.

At the conclusion attendees will be able to:

  • Incorporate a time efficient screening osteopathic exam into the physical exam;
  • Describe and document physical findings in standard format on AOA SOAP note forms;
  • Discuss diagnoses and choose appropriate OMT techniques;
  • Demonstrate Direct and Indirect OMT techniques.

Speaker: Stephen D. Blood, DO, FACOFP

Wednesday, March 4

8 am – 12 Noon
Joint and Trigger Point Injection Workshop
CME Hours: 2 1-A Credits
Presented by Committee on Procedural Medicine

At the conclusion attendees will be able to:

  • Properly examine the shoulder, elbow, wrist and hand, ankle and foot;
  • Differentially diagnose problems of the shoulder, elbow, wrist and hand, knee, ankle and foot;
  • Demonstrate techniques for joint injection, trigger point injection, and OMT for the shoulder, elbow, wrist and hand, knee, ankle and foot;
  • Identify equipment needed, proper usage and vendor location;
  • Use proper coding for reimbursement;
  • Counsel patients on benefits and risks of procedures.

Speakers: Edward E. Hosbach, II, DO and Donald E. Jablonski, DO, FACOFP


12 Noon - 2 pm
New Horizons in the Management of Type 2 Diabetes: Expanding the Treatment Paradigm for Glycemic Control and Risk Reduction
CME Hours: 2 1-A Credits
Supported by an educational grant from Novo Nordisk, Inc.
Type 2 diabetes involves pancreatic islet cell dysfunction as well as insulin resistance in peripheral tissues. The progressive decline in islet cell function leads to reduced insulin production and unopposed glucagon secretion, which ultimately results in inadequate glycemic control. Earlier, more aggressive treatments for type 2 diabetes can slow the progression of the disease and reduce the potential for associated complications.
An increased understanding of the underlying pathophysiology of type 2 diabetes has led to therapeutic strategies aimed at improving islet cell function. Incretins are intestinal hormones that stimulate insulin secretion from pancreatic β-cells and inhibit glucagon secretion from pancreatic α-cells, both in a glucose-dependent manner.

Incretin-based therapies, which have significant effects on the regulation of glucose homeostasis, may slow disease progression and have emerged as important options in the management of type 2 diabetes.

This symposium will review the pathogenesis of type 2 diabetes, the mechanisms by which incretin hormones affect glucose homeostasis, the impact of early intervention on glycemic control, and the role of incretin-based therapeutics in the management of type 2 diabetes.

At the conclusion attendees will be able to:

  • Review the role of islet cell dysfunction in the pathogenesis and progression of type 2 diabetes and the impact of early intervention on glycemic control
  • Discuss how the evolving science of incretin biology has led to the development of novel strategies for the management of type 2 diabetes
  • Apply an evidence-based approach to optimize glycemic control and risk reduction in patients with type 2 diabetes

Moderator: Katherine E. Galluzzi, DO, FACOFP dist.
Speakers: Craig Spellman, DO, PhD; Jack L. Leahy, MD; and Jeffrey S. Freeman, DO, FACOI


2 - 4 pm
The Medical Home

CME Hours: 2 1-A Credits
The "Medical Home" is a concept that may greatly impact the role of the primary care physician in the US healthcare system. As conceived and discussed, the Medical Home will not only change the relationship family medicine physicians have with patients but also will cause changes related to practice management and compensation. Family medicine physicians will be provided with the latest information about the concept of the Medical Home and what this means to them.

At the conclusion attendees will be able to:

  • Discuss the history of the concept of the Medical Home;
  • Describe potential effects on the doctor-patient relationship;
  • Describe Medical Home criteria; and
  • Discuss controversies related to the concept and implementation of the Medical Home.

Speakers: James J. Dearing, DO; Ken Freeman, MD, JD; and Ronnie B. Martin, DO, FACOFP dist.


2 – 4 pm
Resident Recruiter Workshop: Focus on the Future Family
This workshop will provide Resident Recruiters with marketing and recruitment techniques to attract medical students to their residency program. In addition, attendees will receive invaluable resources to use with recruitment. Don't know what a resident recruiter is? Come find out. Attendees should be current or future resident recruiters or program directors.

Speakers: Rebeccah R. Rodriguez, DO; Lisa Phelps, DO; Ronna D. Compton, DO; M. Ross Pieper, DO; and Sarah J. James, DO


6 – 9 pm
Childhood Obesity, Diabetes Mellitus and Metabolic Syndrome: Strategies for Health Promotion and Disease Prevention
CME Hours: 3 1-A Credits
The American Medical Association Expert Committee on the Assessment, Prevention and Treatment of Child and Adolescent Overweight and Obesity has produced guidelines based on current evidence and experience. The purpose of this seminar is to provide family physicians with these guidelines. It is challenging to put these into everyday practice. It is necessary that family physicians address these problems in a timely and effective manner, generally during routine office visits for other acute or chronic conditions. Family physicians need to not only be aware of the increasing epidemic of obesity and its link to increasing diabetes, but also how to manage this problem in a busy office.

This lecture series will examine all primary aspects of childhood and adolescent obesity including scope and public health impact. Speakers will provide information about current thinking in prevention, diagnosis and management of obesity in children and adolescents. Management strategies including the multidisciplinary approach will be discussed including the role of surgical intervention. These lectures will give the family physicians working tools such as assessment, weight management and family intervention.

At the conclusion attendees will be able to:

  • Review and understand the epidemiology of obesity including its prevalence;
  • Understand and appreciate the risks associated with childhood obesity including the subsequent development of diabetes and cardiovascular disease;
  • Review the scope of this epidemic including cause;
  • Review and understand the management of childhood obesity including practical considerations in office evaluation and treatment;
  • Evaluate and review weight loss management and dietary considerations;
  • Present recommendations for family intervention including meal preparation; and
  • Evaluate and understand recommendations for physical activity, the limitations of sedentary activities and the implications for successful implementation in the community.

Moderator: Robert DeLuca, DO, FACOFP
Speakers: Adarsh Gupta, DO, MS and Malcolm Schwartz, DO

Thursday, March 5

8:00 am – 12 Noon
Dermatology Skills Workshop – REGISTRATION FULL
New Physician and Resident Program
CME Hours: 4 1-A Credits
Presented by the Procedural Medicine Committee and sponsored by ACOFP Education & Research Foundation

At the conclusion attendees will be able to:

  • Perform procedure preparation;
  • Review various skin pathology;
  • Demonstrate techniques for excisions, cryosurgery, basic suturing, cysts, lymphomas and nail surgery;
  • Discuss surgical safety and possible complications;
  • Identify the equipment needed, proper usage and vendor location;
  • Use proper coding for reimbursement; and
  • Promote procedures to patients.

Speakers: Donald E. Jablonski, DO, FACOFP and Bridget A. Bellingar, DO, FACOFP


10 am – 12 Noon
OMT and the Patient with Headache
CME: 2 1-A Extra Credits

At the conclusion attendees will be able to:

  • Discuss the various types of headaches and understand which OMT treatment may best fit therapeutically for each;
  • Diagnose three musculoskeletal causes of headaches;
  • Use at least three different cervical techniques to treat headaches in an office or urgent care situation including hands-on demonstration sessions;
  • Use at least three different other OMT modalities to diagnose and treat headaches in an office or urgent care situation including hands-on demonstration sessions; and
  • Correctly document, code and bill for osteopathic manipulative treatment for headache.

Speaker: Harald Lausen, DO, FACOFP


1 - 5 pm
Joint and Trigger Point Injections Workshop ­–  REGISTRATION FULL

New Physician and Resident Program
CME Hours: 4 1-A Extra Credits
Presented by the Procedural Medicine Committee and sponsored by ACOFP Education & Research Foundation

At the conclusion attendees will be able to:

  • Properly examine the shoulder, elbow, wrist and hand, ankle and foot;
  • Differentially diagnose problems of the shoulder, elbow, wrist and hand, knee, ankle and foot;
  • Demonstrate techniques for joint injection, trigger point injection, and OMT for the shoulder, elbow, wrist and hand, knee, ankle and foot;
  • Identify equipment needed, proper usage and vendor location;
  • Use proper coding for reimbursement;
  • Counsel patients on benefits and risks of procedures.

Speakers: Donald E. Jablonski, DO and David A. Lindley, DO


1 -5 pm
Medical Aesthetics

CME Hours: 4 2-A Extra Credit
Aesthetic medicine is a rapidly growing specialty that employs office-based procedures to enhance patient satisfaction with appearance. The demand for these procedures has increased with an aging population, as well as the advent of successful minimally invasive techniques that are both affordable and require no down time. This course offers a basic knowledge of the concepts necessary to develop expertise in aesthetic medicine and a review of the recommended procedures for a successful aesthetic practice.
– Overview of Aesthetic Medicine
– Facial Rebalancing Techniques Utilizing Botulinum Toxin A
– Facial Sculpting Techniques Utilizing Facial Fillers
– Facial Injectables Demonstration
– Aesthetic Laser Overview
– Integrating Aesthetic Procedures into Your Practice

At the conclusion attendees will be able to:

  • Discuss various modalities available for facial rejuvenation including facial fillers, Botox cosmetic and laser therapies;
  • Determine an appropriate aesthetic patient;
  • Understand the importance of the aesthetic consultation;
  • Discuss the proper use of Botox Cosmetic;
  • Discuss available facial fillers and their usage;
  • Understand basic laser therapeutics and safety;
  • Understand the financial side of aesthetic medicine;
  • Discuss professional liability insurance requirements for performing aesthetic services in a medical office.
  • See demonstrations of Botox Cosmetic, Facial Filters, and Light-based Facid Rejuvenation.

Speaker: Sharon McQuillan, MD

Friday, March 6

7 – 9 am
Adult Immunization Update
CME Hours: 2 1-A Credits
Supported by an Educational Grant from Merck & Co., Inc.
Diseases that could be prevented by vaccines infect thousands of American adults every year. Fortunately, we have the technology – vaccines – to avoid these deaths and illnesses. However, we are not yet using vaccines as effectively as we should among adults to close the gap between the number of cases that could be prevented and the number that actually are prevented. There are several reasons why our adult immunization rates are so poor.

Payment for adult vaccines is much more problematic than it is for children because there is no adult equivalent of the Vaccines for Children Program, which guarantees funding for vaccines for eligible children. Federal funding for adult vaccine programs is inadequate; it does not keep pace with the increasing number of vaccines and the number of adults who lack insurance coverage for immunizations. Unlike vaccines for children and adolescents, many vaccines for adults are indicated based on the presence of risk factors and not age, which adds the variables of physician and patient memory to the compliance formula. Historically, universal vaccine recommendations have resulted in much higher adherence rates than risk-specific ones.

At the conclusion attendees will be able to:

  • List the steps needed to prepare your practice to prevent infections in adult patients;
  • Improve the rate of immunizations among your staff and adult patients;
  • Establish a patient recall and reminder system that has patient education as part of a multicomponent intervention;
  • Institute expanded clinic hours for immunizations; and
  • Establish standing orders to allow staff to vaccinate patients.

Moderator: Richard Ogden, DO
Speaker: Kevin P. High, MD, M.Sc. and Lawrence Gelbs, MD


8 am – 12 Noon
How to Write a Grant Workshop
CME Hours: 4 1-B Credits
Presented by the ACOFP Grants Committee
Technical training on how to write successful grant applications, review grants, determine best sources for grants and how to find the emerging areas for public and private funding resources.

At the conclusion attendees will be able to:

  • Work on securing grants that advance the public awareness of the contributions and value of Osteopathic Family Medicine and Osteopathic Family Physicians;
  • Actively participate as Grant Reviewers for the public and private agencies;
  • Understand the process of grant acquisition, review and implementation; and
  • Engage with private and public organizations in fostering grant funds that relate to the health and safety of the nation.

Speakers: Margaret I. Aguwa DO, MPH, FACOFP; Mike Saxton, MEd, FACME, Pfizer Inc; Barbara Ross-Lee, DO, FACOFP; Brenda Williamson, MA, CTHE; Anthony Anyanwu, MHA; Nancy Kirkpatrick, MA; and Bruce Dubin, DO


9 - 10 am
Management of Allergic Rhinitis and Chronic Idiopathic Urticaria: Case-Based Challenges in Day-To-Day Practice

CME Hours: 1 1-A Credit
Supported by an Educational Grant from sanofi-aventis.
Each year, millions of patients visit their family physician with complaints of runny nose, stuffiness, congestion, diarrhea, and rash. With shorter amounts of time allotted to each patient, the family physician must quickly decide if the symptoms are a common cold or allergic rhinitis, food poisoning or food allergies, uticaria or dermatitis. Although the diagnosis is still difficult, experts are constantly developing guidelines to help physicians distinguish between allergic and non allergic diseases. If the diagnosis is allergic disease, many new safe and potent treatments are now available to help patients better cope with the symptoms. The family physician now has numerous ways to help patients with allergic disease feel better throughout the year.

At the conclusion attendees will be able to:

  • Recognize the prevalence and effects on quality of life among patients with allergic rhinitis and chronic idiopathic urticaria;
  • Underscore the magnitude of health-related absenteeism and presenteeism;
  • Explain the differences between allergic rhinitis and non-allergic rhinitis and asthma;
  • Outline the pathophysiology and immunologic underpinnings of allergic rhinitis and urticaria – including the identification of genetic and environmental risk factors for the development of these diseases;
  • Review the risk factors for allergic rhinitis and urticaria and triggers of symptoms;
  • Describe the latest management strategies for these comorbid conditions associated with poorly controlled allergic rhinitis and urticaria; an
  • Describe the latest therapies and management strategies for allergic rhinitis, and the use of these agents alone and in combination.

Moderator: Richard Ogden, DO
Speaker: Carman A. Ciervo, DO, FACOFP


9 – 10 am
Contract Negotiations
New Physician and Resident Program
CME Hours: 1 1-B Credit
This program will discuss common terminology of a contract, salary information and benefit packages. Attendees will gain a better understanding about healthcare contract negotiating, including the protective wording that should be included in a contract and warning phrases to avoid.

Speaker: Scott P. Sigman, Esq.


10 am – 12 Noon
Coding and Billing
New Physician and Resident Program
CME Hours: 2 1-A Credits
This program will provide a quick CPT and ICD course review as well as the federal documentation guidelines. Attendees will review cases to understand the office visits/hospital visits, with and without procedures.

Speaker: Douglas J. Jorgensen, DO, CPC, FACOFP


10 am – 12 Noon
2009 Pearls of Preceptorship
“Passing the Torch: Efficient and Effective Student Teaching in Your Office”

CME Hours: 2 1-B Extra Credit
Teaching medical students and residents in the office and at the bedside is fundamental to the growth and strength of our profession. Practice, financial and time pressures challenge community family physicians who teach the next generation of family doctors.

Learning objectives for this session include:

  • An understanding of generational characteristics as they apply to student learning styles;
  • Impact of national work hour standards;
  • Stratification of medical student skills and expectations;
  • A review of efficient teaching techniques useful in the office;
  • Documentation and privacy issues to avoid regulatory non-compliance.

Speaker: John R. Bucholtz, DO


10 am – 12 Noon
Institute for Women
CME Hours: 2 1-B Credit
Presented by ACOFP’s Task Force on Women’s Initiatives
This session will provide an overview of a new ACOFP series for women and will also include three distinct presentations: Being an effective leader, media training and policy briefing.

Dr. Nichols will discuss becoming familiar with support resources for a leader, as well as with different approaches to leadership self assessment. She will also talk about understanding the characteristics of a leader.

Mr. Reindl will look at the media as an important part of the care equation, providing critical information about health risks and issues and busting common myths about care and prevention.

But reporters need doctors who can help them get the story right and get it out in time. As a veteran public affairs expert, he will lead a lively and interactive "mini workshop" focusing on: a) the most important things to do–and not do–when reporters come to you; and b) tips taking the story to reporters.

Ms. Fox will address politics as a key part of the practice of medicine. New policies affecting the health care delivery system are being written into legislation every day by elected officials, few of whom have a medical degree. Learning how to influence policy, and the policymakers, at the state and federal level is key to ensuring that the best interests of physicians and the patients they serve are considered. As a profession, it is up to us to ensure that the right policies are made from the beginning and in this session you’ll learn how easy it is to get involved and what we can do with the amount of time we have available. This is the age of broad-based citizen advocacy, but we can’t assume that others will carry the message for us – we have to get involved ourselves.

Moderator: Dawn Fairley, DO, FACOFP dist.
Speakers: Karen J. Nichols, DO, MA, FACOI, CS; Leann Fox, MA; and Travis Reindl, MPP

Recommeded Books


12 Noon – 1 pm
Mental Illness and the Soldier: New Approaches in the Management of Depression, Anxiety and Post Traumatic Stress Disorder
CME Hours: 1 1-A Credit
Soldiers returning from combat face significant challenges as they attempt to re-assimilate into their home lives. Major depression, generalized anxiety disorder and post traumatic stress disorder are common. Upon returning home, soldiers may find it very difficult to cope with the memories of combat.

The warrior culture may also cause the soldier to delay seeking assistance for mental health issues.

This presentation will provide information about the mental health issues of soldiers returning home and present best approaches to diagnosis and treatment based on the Walter Reed Army Medical Center model of care.

At the conclusion attendees will be able to:

  • Describe the unique challenges of soldiers which make them more susceptible to mental illness; and
  • Describe strategies to identify soldiers at risk for mental illness.

Moderator: Lori Boyajian-O’Neill, DO, FACOFP
Speaker: Captain David M. Keller, DO


1 - 3 pm
It’s About Time: Smoking Cessation
CME Hours: 2 1-A Credits
This lecture will review epidemiology and demographics of smoking and provide information about screening patients for tobacco use and how to design an individualized cessation plan.

At the conclusion attendees will be able to:

  • Discuss the neurophysiology of nicotine addiction;
  • Describe prior strategies for smoking cessation;
  • Discuss current evidence for new smoking cessation strategies;
  • Describe the multi-disciplinary approach to smoking cessation;
  • Discuss primary prevention strategies in the US and compare global efforts; and
  • Explain current thinking about smoking cessation.

Moderator: Lori Boyajian-O’Neill, DO, FACOFP
Speaker: Katherine E. Galluzzi, DO, FACOFP dist.


1 - 2 pm
Medical Malpractice
New Physician and Resident Program
CME Hours: 1 1-B Credit
This program will discuss the legal elements of a malpractice claim, stages of malpractice litigation, and provide a better understanding of malpractice insurance policies. Also learn ways to prevent litigation.

Speaker: Joshua B. Axelrod, Esq.


2 - 3 pm
The Medical Marriage: Strategies to Promote Marital Relationships During Residency and Beyond
New Physician and Resident Program
CME Hours: 1 1-A Credit
Physicians, as well as patients, may enter into marriage with unrealistic expectations which can lead to conflict. This program will offer insight into the unique struggles experienced by physicians and their spouses in attempting to maintain marital satisfaction and emotional health during residency and beyond. We will review the faulty coping mechanisms often developed by physicians and their spouses. We will discuss use of the “BATHE” (Background, Affect, Trouble, Handling, and Empathy) technique and marital maintenance exercises to prevent and resolve conflict. With the use of video clips of medical marriages and group discussion, this forum will explore the misconceptions that hinder healthy relationships and examine strategies that promote healthy relationships. Benefits will be realized in the participant’s personal and professional life.

Speakers: Raymond Buch, MD, FABFP and Patricia H. Kroth, DO, MBA


3 - 4 pm
Moonlighting and Other Extracurricular Activities
New Physician and Resident Program
CME Hours: 1 1-A Credit
This program will focus on what "moonlighting" is and how to find other employment opportunities in family medicine. Attendees will learn the logistical and legal aspects of moonlighting as a resident or attending physician. Attendees will gain an understanding of the various per diem and part-time positions that family physicians can obtain outside their primary employment. Attendees will learn the costs of taking on more work-related responsibilities outside of their primary employment.

Speaker: Joshua S. Coren, DO, MBA


3 - 6 pm
Traumatic Brain Injury - Understanding and Management Approaches
CME Hours: 3 1-A Credits
This lecture will look at public health and wellness concerns related to traumatic brain injury. Presentations will examine a variety of brain injuries, their affects on the injured as well as the family of the injured. This lecture will include the Namey/Burnett Writing Award Presentation. In addition to the educational presentation, the speakers will provide input into a "tool-box" as a resource for the family physician in managing traumatic brain injury.

At the conclusion attendees will be able to:

  • Identify patient and family needs related to traumatic brain injury
  • Address patients with sports-related or military related brain injuries
  • Understand the psycho/social issues related to traumatic brain injuries
  • Implement the coordination of care for patients with traumatic brain injuries.

– Presentation of the Namey/Burnett Award Winners

Moderator: Dixie Tooke-Rawlins, DO, FACOFP
Speakers: Steve Scott, DO; Gunnar Brolinson, DO, FACOFP; and William Bograkos, DO

Saturday, March 7

8 - 9 am
Breast Cancer Prevention
CME Hours: 1 1-A Credit
Supported by an Educational Grant from Lilly USA, LLC
Breast cancer is the most commonly diagnosed cancer among U.S. women and is the second leading cause of cancer-related mortality. A woman’s lifetime risk for developing breast cancer, assuming she lives at least 80 years, is 12.5 percent (1 out of 8). The last decade has seen a striking decrease in the overall mortality rate of this disease. While advances in treatment of breast cancer have certainly contributed to this decline, increased screening and prevention strategies have definitely played a vital role as well. This year, more than 200,000 women in the United States will be diagnosed as having invasive breast cancer. Mortality rates among women with breast cancer have decreased steadily over the last two decades. It is thought that decreases seen in recent years are due to improvements in early detection and treatment, rather than changes in the underlying epidemiology of the disease. Family physicians are often the first contact for women concerned about their breast health and information on the latest screening and disease prevention is essential for the primary care provider.

At the conclusion attendees will be able to:

  • Assess breast cancer risk for individual patients;
  • Identify patients for whom breast cancer risk reduction is feasible and should be considered;
  • Describe the reduction in breast cancer risk in older women being treated for osteoporosis with Selective Estrogen Receptor Modulators (SERMs); and
  • Analyze the risks and benefits of SERMs in breast cancer prevention.

Moderator: Michael Becker, DO, FACOFP
Speaker: Robin Ciocca, DO


8 am – 5 pm
Dermatology Skills Workshop
CME Hours: 8 1-A Extra Credit
Presented by Committee on Procedural Medicine

At the conclusion attendees will be able to:

  • Perform procedure preparation;
  • Review various skin pathology;
  • Demonstrate techniques for excisions, cryosurgery, basic suturing, cysts, limpoma and nail surgery;
  • Discuss surgical safety and possible complications;
  • Identify the equipment needed, proper usage and vendor location;
  • Use proper coding for reimbursement;
  • Promote procedures to patients.

Speaker: Donald E. Jablonski, DO, FACOFP and Bridget A. Bellingar, DO, FACOFP


9 - 10 am
Men’s Health: Medical Management of BPH with Consideration of Sexual Function and Prostate Cancer
CME Hours: 1 1-A Credit
Benign prostatic hyperplasia (BPH) is a progressive, non-malignant condition characterized by an enlarged prostate gland. BPH is common among older men, and the incidence increases with age. More than 50 percent of men older than 60 years of age have a histologic diagnosis of BPH; by age 85, that number increases to 90 percent. Symptoms of BPH can significantly affect a patient’s quality of life. The inability to urinate freely, despite a sense of urgency, can cause frustration or embarrassment. Urine retention increases the risk of urinary tract and prostate infection. Men who have BPH may also suffer anxiety because of the potential for complications and the need for invasive treatment.

At the conclusion attendees will be able to:

  • Describe epidemiology, clinical presentation and medical management of BPH;
  • Discuss pharmacotherapies for BPH; and
  • Discuss effects of open prostatectomy on sexual function.

Moderator: Michael Becker, DO, FACOFP
Speaker: Ronnie B. Martin, DO, FACOFP, dist.


11 am – 12 Noon
Current Thoughts and Analysis of Hepatitis and Liver Function
CME Hours: 1 1-A Credit
Blood tests ordered by physicians, obtained through health fairs or in course of insurance physicals now commonly detect evidence of viral hepatitis or elevations of liver chemistries. These often include asymptomatic elevations of transaminases (AST/ALT), bilirubin, and alkaline phosphatase or presence of antibodies to hepatitis A, B or C that need further evaluation.

A common sense, systematic approach to evaluation of hepatitis and abnormal liver tests will be presented using illustrative case examples. On completion, the family physician will more confidently interpret, manage and refer, when appropriate, their patients found to have abnormal liver tests.

  • Incidental and/or asymptomatic elevations of liver chemistries (AST/ ALT, bilirubin, alkaline phosphatase), what work-up does your patient need?
  • Your patient's viral hepatitis blood tests are positive, now what?
  • Are liver function tests really test of liver function?
  • Liver injury: Is it fat, alcohol, viral, drug, Tylenol, autoimmune, iron, or gluten?

Moderator: Greg Smith, DO, FACOFP
Speaker: Scot M. Lewey, DO, FACP, FAAP, FACOP


12 Noon - 2 pm
OAB in Women … and in Men: Recognizing and Managing Different Symptom Complexes

CME Hours: 2 1-A Credit
Supported by an Educational Grant from Astellas Pharma US, Inc.
More than 33 million Americans—16 percent of U.S. adults—are affected by one or more symptoms of overactive bladder (OAB), such as urinary frequency, urgency, and nocturia, with or without urge incontinence. Although the prevalence of OAB is similar between men and women, women are more likely to experience incontinence. Although OAB affects persons of all ages, its occurrence increases with advancing age.

Many men experience urgency, frequency, incontinence, and nocturia—all classic OAB symptoms. Recent research suggests that the hesitancy, poor flow, intermittency, and straining associated with classic male lower urinary tract symptoms (LUTS) may be a more predominant feature of OAB in men. Many men develop OAB symptoms concomitantly with benign prostatic hyperplasia (BPH). Of all men with histologic BPH, approximately 50 percent develop moderate LUTS and, depending on the bother associated with these symptoms, seek advice from a health-care provider.

At the conclusion attendees will be able to:

  • Review the incidence, prevalence, and symptoms of overactive bladder (OAB), and understand the differences and similarities in OAB symptoms between men and women;
  • Describe the diagnostic workup of OAB symptoms and differential diagnosis in women and men;
  • Discuss pharmacologic and nonpharmacologic treatment modalities available for OAB, including different classes of therapeutic agents;
  • Demonstrate an understanding of the mechanism of action of antimuscarinic agents; and
  • Describe factors that need to be considered in selecting the most appropriate therapy.

Moderator: Gautam Desai, DO
Speakers: David O. Sussman, DO, FACOS; Matt Rosenberg, MD; and Carman A. Ciervo, DO, FACOFP


2 - 4 pm
Spirometry
CME Hours: 2 1-A Credit
Supported by an Educational Grant from Glaxo Smith Kline
This lecture will provide physicians an opportunity to gain information about the utility of spirometry in family medicine practice; equipment required to get started; competencies related to testing and interpretation; patient selection; coding and billing. Studies have shown that office spirometry is underutilized in primary care. Family medicine physicians can gain significant information about pulmonary function and trends in a patient to optimize management.

At the conclusion of this program participants will be able to:

  • Describe the screening of patients for spirometry testing;
  • Discuss common conditions for which spirometric testing is indicated;
  • Interpret spirometric findings of common conditions; and
  • Utilize appropriate billing codes for common pulmonary conditions using spirometry.

Moderator: Gautam Desai, DO
Speaker: Daniel J. Callan, DO, MPH, FACOFP


2 – 4 pm
OMT and the Patient with Headache Workshop
CME Hours: 2 1-A Extra Credits

At the conclusion attendees will be able to:

  • Discuss the various types of headaches and understand what OMT treatment may best fit therapeutically for each;
  • Diagnose three musculoskeletal causes of headaches;
  • Use at least three different cervical techniques to treat headaches in an office or urgent care situation including hands-on demonstration sessions;
  • Use at least three different other OMT modalities to diagnose and treat headaches in an office or urgent care situation including hands-on demonstration sessions;
  • Correctly document, code, and bill for osteopathic manipulative treatment for headache.

Speaker: Harald Lausen, DO, FACOFP


2 – 4:30 pm
ACOFP/SOMA OMM Demonstration for Students and Residents
“OMT for the Upper Arm, Lower Extremity”

Speaker: Ann L. Habenicht, DO, FACOFP, FAAO


2 – 6 pm
Medical Aesthetics Workshop
CME Hours: 4 2-A Extra Credits
Aesthetic medicine is a rapidly growing specialty that employs office-based procedures to enhance patient satisfaction with appearance. The demand for these procedures has increased with an aging population, as well as the advent of successful minimally invasive techniques that are both affordable and require no down time. This course offers a basic knowledge of the concepts necessary to develop expertise in aesthetic medicine and a review of the recommended procedures for a successful aesthetic practice.

– Overview of Aesthetic Medicine
– Facial Rebalancing Techniques Utilizing Botulinum Toxin A
– Facial Sculpting Techniques Utilizing Facial Fillers
– Facial Injectables Demonstration
– Aesthetic Laser Overview
– Integrating Aesthetic Procedures into Your Practice

At the conclusion attendees will be able to:

  • Discuss various modalities available for facial rejuvenation including facial fillers, Botox Cosmetic and laser therapies;
  • Determine an appropriate aesthetic patient;
  • Understand the importance of the aesthetic consultation;
  • Discuss the proper use of Botox Cosmetic;
  • Discuss available facial fillers and their usage;
  • Understand basic laser therapeutics and safety;
  • Understand the financial side of aesthetic medicine;
  • Discuss professional liability insurance requirements for performing aesthetic services in a medical office; and
  • See demonstrations of Botox Cosmetic, Facial Fillers, and Light-based Facial Rejuvenation.

Speaker: Sharon McQuillan, MD


2 – 6 pm
Introduction to Medical Acupuncture Workshop
CME Hours: 4 1-A Extra Credit

At the conclusion attendees will be able to:

  • Discuss basic acupuncture theory;
  • Understand basic acupuncture channel and point location;
  • Discuss approaches for acupuncture diagnosis and treatment;
  • Discuss acupuncture needling techniques;
  • Understand 1-2 basic techniques for treating patients with acupuncture in an office or urgent care setting; and
  • See demonstrations of acupuncture treatment Independent Medical Examination.

Speaker: Stevan A. Walkowski, DO


4 - 5 pm
The Amputee Soldier/Patient: The Long Road Home
CME Hours: 1 1-A Credit
Soldiers with traumatic limb amputations are returning to their homes having received the best in combat and stateside care. Family medicine physicians often assume care for the returning soldiers after they leave Walter Reed Army Medical Center. This lecture will present information about the physical and psychological aspects of care and the long road home for these patients. New technology for prosthetics will be discussed.

At the conclusion attendees will be able to:

  • Describe the epidemiology of traumatic limb injury;
  • Discuss basic surgical approaches to soldiers with traumatic limb injury;
  • Describe the physical and psychological approaches to patients with traumatic limb amputations; and
  • Describe prosthetic devices and rehabilitation approaches.

Moderator: Gautam Desai, DO
Speaker: Captain J. Jared Anderson, DO

Sunday March 8

7 - 9 am
The Future is Ours: DOs Involved in Best Practices
CME Hours: 2 1-A Credits
Presented by ACOFP’s Practice Management Subcommittee on Quality, P4P, and Safety.
This program will provide ACOFP members with important information that will impact their future practices, and to provide information related to emerging practice management issues.

At the conclusion of this program attendees will be able to:

  • Be familiar with the most current information regarding pay-for-performance, patient safety and quality practices; and
  • Be knowledgeable on how to provide better patient care while enhancing practice revenue.

Moderator: Lori Boyajian-O’Neill, DO, FACOFP
Speakers: Martin S. Levine, DO, FACOFP; William J. Burke, DO, FACOFP; and Ronald R. Burns, DO


9 - 11 am
Improved Patient Care Through Lawsuit Protection and Prevention
CME Hours: 2 1-A Credits
This program teaches proven and effective strategies to prevent and protect against lawsuits, allowing physicians the peace of mind necessary to focus on improved patient care.

At the conclusion attendees will be able to:

  • Maintain focus on improved patient care rather than lawsuit defense;
  • Structure practice for lawsuit protection and prevention; and
  • Reduce liability insurance costs.

Moderator: Lori Boyajian-O’Neill, DO, FACOFP
Speaker: Larry Oxenham


11 am - 1 pm
Quality Metrics, Pay-for-Performance and Optimizing Clinical Outcomes

CME Hours: 2 1-A Credits
This lecture will outline the dramatic changes to the medical reimbursement landscape. Specifically, attendees can expect to walk away with a firm grasp of what the federal and private Quality, Pay for Performance and Pay for Reporting programs are and how to achieve success for their patients and their practices relative to these programs. Dr. Douglas Jorgensen, a nationally-recognized authority on billing and coding on the federal and private levels, is a practicing osteopathic physician and a certified professional coder, having authored dozens of peer reviewed articles. He has lectured in nearly 30 states at state and national meetings.

At the conclusion attendees will be able to:

  • Understand the Physicians' Quality Reporting Initiative (PQRI) and the contemporary metrics of this initiative;
  • Appreciate the changes to the existing practice paradigm relative to the changing medical marketplace with the various private and federal quality performance initiatives;
  • Conceptualize the shift in the private and federal sector toward preventive clinical and medical diagnostics to improve clinical outcomes and reduce cost and consumption to the U.S. health care system;
  • Understand how to implement and comply with the Quality Reporting;
  • Pay-For-Performance federal and private programs relative to osteopathic family medicine; and
  • Be prepared for and conceptualize the impending Quality, Pay-For-Reporting & Pay-For-Performance implementation process and timing as well as how to be successful with each phase of the programs relative to osteopathic family practice.

Moderator: Lori Boyajian-O’Neill, DO, FACOFP
Speaker: Douglas J. Jorgensen, DO, CPC, FACOFP

 
 

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