AOA/ACOFP 114th Osteopathic Medical Conference & Exposition

November 1-5, 2009
Ernest N. Morial Convention Center, Halls A&B
New Orleans, Louisiana

Schedule of Events & Handouts

As of October 15 and subject to change.
Attendees must scan in for all CME extra credit sessions. All programs are held in La Louisianne Ballroom’s A & B unless otherwise noted.
Information about the Certification, Recertification and CAQ Exam Schedule are available at the American Osteopathic Board of Family Physicians

Sunday November 1, 2009

HIV “Total Body Effect”
9:00–11:00 am • CME Hours: 2.0 Category 1-A (extra credit)
Expert Panel discussions covering: Cardiology, Neurology, Pulmonology
David Condoluci, DO, FACOI handout; Gerald Blackburn, DO – handout
HIV is still a dynamic disease state that requires coordinated effort on behalf of the physicians treating the patient. The Family Physician must understand all aspects for the disease, as well as help manage this complex diagnosis.

  • Review the HIV diagnosis criteria
  • Review the treatment approach used by the subspecialists
  • Outline the role of the Family Physician as part of the treatment team
  • Apply an evidence-based approach to optimize treatment

Pain Management, Part 1 Pain Syndrome
11:00–12 noon • CME Hours: 1.0 Category 1-A (extra credit)
Somatic, Viscera-Somatic, Neurogenic
John M. Jones, III, DO handout; Steven P. Stanos, Jr., DO – handout not available

Fibromyalgia - Lunch Lecture
Located in La Louisianne Ballroom C

12:00–2:00 pm • CME Hours: 2.0 Category 1-A (extra credit)
handout not available

AOA/ACOFP
SOMA Residency Program Fair
Located in La Louisianne Hall B
2:00–5:00 pm • Refreshments and sweets will be served

Pain Management, Part 2 Chronic Constipation – handout
2:00–3:00 pm • CME Hours: 1.0 Category 1-A (extra credit)
Michael Schulman, DOhandout
Opioid-induced constipation is a significant side effect associated with chronic opioid use. The Family Physician is often the main source of pain management and therefore must be able to recognize the signs and symptoms of this side effect.

  • Review the role of opioids in current medical practices
  • Review the pathophysiology of constipation
  • Apply an evidence-based approach to optimize treatment and control the side effect of opioid-induced constipation

Hepatitis Update: Viral and Non-viral
3:00–4:00 pm • CME Hours: 1.0 Category 1-A (extra credit)
Art Berman, DO, FAAIM handout
Hepatitis remains one of the most prevalent GI disorders. The Family Physician must be able to recognize and treat with the help of specialists.

  • Review the cause, pathology, and the diagnostic indicators of hepatitis
  • Discuss the evolving treatment protocols available
  • Apply evidence-based approach to optimize treatment and reduce risk of spread

Coding Compliance; PQRI; and Pay-for-Performance
4:00–5:30 pm • CME Hours: 1.5 Category 1-A (extra credit)
Douglas Jorgensen, DO, FACOFP handout; Carol Henwood DO, FACOFP handout; Ronald Burns, DO, FACOFP handout
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.
At the conclusion of this program participants will:

  • 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 US healthcare system
  • Implement the Quality Reporting Initiative, and Pay-For-Performance federal and private programs relative to osteopathic family medicine
  • Successfully comply with new coding regulations with each phase of the programs relative to osteopathic family practice.

Joint ACOFP and AOA Dinner Program
Grand Ballroom Hilton Riverside
Confronting the Challenges of ADHD
5:30–9:00 pm • CME Hours: 3.5 Category 1-A (extra credit)
John Cruickshank, DO, MBA, CPE handout; Michael Manos, PhD handout;

Practical Steps to Improve Outcomes
Jefferson Prince, MD – handout, Lawrence Suess, DO, PhD handout
Family Physicians often function as the bridge between patient, health professionals, and agencies involved in treatment plans. This activity will help mprove the skills needed to implement proven techniques and resources such as the American Academy of Pediatrics Toolkit, ADHD assessment scales, and Patient Centered Medical Home (PCMH) model.

  • Differentiate the diagnosis of ADHD at various ages from other common comorbid, psychiatric diagnoses
  • Examine the use of ADHD assessment scales
  • Evaluate the nonpharmacologic and pharmacologic treatment options that are available
  • Specify a plan for appropriate follow up care and long-term management of patients with ADHD

(Supported by an educational grant from McNeil Pediatrics, Division of Ortho-McNeil-Janssen Pharmaceuticals, Inc., administered by Ortho-McNeil Janssen Scientific Affairs, LLC)

MONDAY, NOVEMBER 2nd

Theme of the day: Cardiology

Medical Home Model, Practical Application in the FP Office
10:00–12 noon • CME Hours: 2.0 Category 1-A
James Dearing, DO, FACOFP handout not available; Ronnie Martin, DO, FACOFP dist. – handout not available
The Patient Centered Medical Home (PCMH) is a pilot study concept that may impact the role of the primary care physician. The concept has broad goals to increase the role of the primary care physician by changing the relationship within the healthcare system relating to practice management and compensation. It is necessary for the Family Physician to be provided with the latest information relating to this pilot study and show how to implement it into everyday practice.

  • Discuss the history of the PCMH concept
  • Discuss the potential and realized effects on the patient-doctor relationship
  • Describe the criteria for implementation
  • Outline examples of current practices utilizing the PCMH concept to include compensation and policy needs

Screening and Prevention: Acute Coronary Syndrome
12:00–1:00 pm • CME Hours: 1.0 Category 1-A
Daniel Waters, DOhandout
Acute coronary syndrome replaces the term myocardial infarction due to the many presentations of coronary disease. The disease remains the number one killer in the world. With all of the advances in this disease state, there are still unanswered questions, and goals, and guidelines remain a topic of discussion. The Family Physician must be able to identify patients at risk as well as start treatment to prevent this disease from progressing.

  • Review the pathophysiology for the coronary system and disease process
  • Discuss the evolution of evaluation of the pre-symptomatic patient via screens and guidelines
  • Discuss the goals of treatment prior to an event
  • Apply evidence based approach to optimizing treatment and reducing risk in the acute coronary patient

Alumni Lunches
Located at Hilton Riverside
1:15–2:30 pm

Lipid Management: HDL vs. LDL How Low Do We Go?
3:00–4:00 pm • CME Hours: 1.0 Category 1-A
Michael Clearfield, DO, FACOI handout
Hyperlipidemia has a significant role in cardiovascular disease. Currently there are guidelines in place to decrease the risk of the patient due to elevation of cholesterol. The Family Physician must be able to identify those at early risk and treat to goal prior to any CV event.

  • Review the role of cholesterol in the disease process
  • Discuss the evolution of the guidelines including current accepted lipid levels and expected new levels
  • Discuss the potential treatment side effects and remediation of effects includingnon-pharmaceutical approaches
  • Apply evidence based approach to optimizing treatment and reducing risk in patients with hyperlipidemia

Smoking Cessation
4:00–5:00 pm • CME Hours: 1.0 Category 1-A
M. Susan Burke, MD, FACPhandout
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.

TUESDAY, NOVEMBER 3rd

Theme of the day: Metabolic
7:00–8:00 am Fellows Breakfast
8:00–10:30 am AOA Town Hall Meeting

Differential Diagnoses of Acute Pelvic Pain
9:00–10:00 am • CME Hours: 1.0 Category 1-A
Maria Daley, DO, FACOFPhandout

Screens and Guidelines: Preventing and Managing Diabetes Complications
10:00–11:00 am • CME Hours: 1.0 Category 1-A
Ronnie Martin, DO, FACOFP, dist., Natasha Martin-Bray, DO

  • Review the role of screens and guidelines of the ADA for evaluation and diagnosis of diabetes mellitus
  • Review the short and long term complications of treated and non-treated diabetes
  • Apply evidence based approach to optimize Glycemic control and risk reduction in patients with type 2 diabetes

Obesity: Dietary Requirements and Restrictions in Diabetes Mellitus
11:00–12 noon • CME Hours: 1.0 Category 1-A
Tracie Leonhardt, DO handout
Type 2 diabetes has reached epidemic proportions in the United States. The substantial increase in diagnoses is due in part to the aging US population aging, but the US trend toward overweight and sedentary lifestyle will contribute to an even greater increase in the number of type 2 diabetes diagnoses over the next few decades.

Lunch - Adult Attention Deficite and Hyperactivity
Located in La Louisianne Ballroom C
12:00–2:00 pm • CME Hours: 2.0 Category 1-A

ACOFP Student Program
Located at Hilton New Orleans Napoleon Room
LGBT: Practical Considerations and Applications
12:00–1:00 pm
Chad Coren, M.Ed., Phy, D. handout
Congratulations Doctor, Now What?: Debt Management, Investment Planning and Creditor Protection
1:00–2:00 pm
Byran Drowos, MBA, CFP – handout not available
Moderator: Joshua Coren, DO, MBA

OMT Workshop: Low Back Pain and Lumbo-Sacro-Pelvic Somatic Dysfunction
2:30–4:30 pmhandout
Kenneth Nelson, DO, FAAO, FACOFP, ACOFP Ostepathic Principles and Practices Subcommittee Chair

Thyroid Update
2:00–3:00 pm
CME Hours: 1.0 Category 1-A
John Tourtelot, MDhandout
The thyroid is considered the “master gland” of the body. It is also considered the most common endocrine disorder diagnosis and treated by the primary care physician. The Family Physician must have acumen in all aspects of the disease.

  • Review the pathophysiology of the “master gland”
  • Discuss the current screens and guidelines
  • Apply evidence based approach to the management of thyroid disease

PCOS and Other Syndromes
3:00–4:00 pm • CME Hours: 1.0 Category 1-A
Jennifer Hayes, DO, FACOOG – handout not available
Polycystic Ovarian Syndrome is a complex disease affecting obese females age 16 to 45. The disease encompasses multiple endocrine disorders prevalent in the primary care setting. The Family Physician must be able to recognize and treat this complex syndrome.

  • Review the pathophysiology of the inter-relationship of the endocrine system
  • Discuss the evolving science of metabolism and the relating physical symptoms and laboratory data
  • Apply evidence based approach to optimizing metabolism and risk reduction of endocrine mismatch

Practice Management – Coding, Billing and EMR
4:00–5:00 pm • CME Hours: 1.0 Category 1-A
Bruce Cunningham, DO, FACOFP – handout not available
The Family Physician must not only be a competent physician, but must also be a competent business person. Without the basic knowledge of coding and billing and up to date EMR, the business of medicine is nearly impossible. There are currently hundreds of Electronic Medical Records software products that incorporate coding and billing so the intent of this lecture is to expose the Family Physician to the benefits and different choices available.

  • Review requirements necessary to implement EMR
  • Discuss the role of EMR in the current medical environment
  • Outline the benefits of current EMR products

Wednesday, NOVEMBER 4th

Theme of the day: Men’s/Women’s Health

Successful Strategies to Support your OAB Patients
8:00–10:00 am • CME Hours: 2.0 Category 1-A
Katherine Galluzzi, DO, CMD, FACOFP dist.handout
More than 33 million people suffer from problems related to overactive bladder (OAB). Patients believe that leaking urine is just a normal part of aging and are embarrassed to discuss what they perceive to be personal hygiene issues. They would rather live with the consequences than talk to their health care clinician. In turn, clinicians are reluctant to screen for OAB, as they believe treatment risks outweigh the benefits or are ineffective. To improve the care of patients with OAB, clinicians must understand the impact of OAB on patients, screen and diagnose for urinary disorders including OAB, and provide appropriate behavioral and pharmacologic treatment options.
Supported with an educational grant from the California Academy of Family Physicians

Current Cancer Screens: Colorectal, Prostate, Lung, Genetic Testing
10:00–11:00 am • CME Hours: 1.0 Category 1-A
Roxane Weighall, DO, FACOShandout; Gail Feinberg, DO, FACOFPhandout
The primary role of the Family Physician is to screen and diagnose disease at the earliest stage possible. Statistics show the benefit of early detection, therefore the Family Physician should be well versed in all screens to allow the patient the best chance of survival.

  • Review the current screens for the top three cancers today
  • Discuss the pathophysiology of each of the top three cancers
  • Apply evidence based approach to optimize and reduce risk of obtaining cancer by reduction of toxic exposure

ACOFP State Society Leadership Meeting
Located in the Hilton Riverside Oak Alley Room
10:00-11:00 am
All ACOFP State Society Executive Directors and Board Members are invited to share ideas and hear from ACOFP Board of Govenors.

Perceptions of Graduate Medical Education: “See One, Do One, Teach One” Is That All it Takes…Really?
11:00-12 noon • CME Hours: 1.0 Category 1-A
Randy Shuck, DO, FACOFP, Cindy Shuck, PhD – handouts
The Family Physician is usually the default educator. It is considered that if you have the experience, you have the ability to teach. But teaching is a profession that requires not only knowledge and skills but also the ability to communicate. This combination is not inherent to all physicians. Communication is a learned skill that all physicians require to be effective thus the ability to transpose this into education should be inherent. The reality is that medical students are not our patients and do not respond the same. It is necessary to distinguish the difference.

Lunch Topic: Allergic Rhinitis, Non Allergic Rhinitis and Idiopathic Urticaria
Located in La Louisianne Ballroom C
12:00–2:00 pm • CME Hours: 2.0 Category 1-A
Carman Ciervo, DO, FACOFP – handout; Christopher Chappel, MDhandout
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, urticaria 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.

Bipolar Depression
2:00-3:00 pm • CME Hours: 1.0 Category 1-A
Jed Magen, DO, MShandout
The Family Physician is confronted with many different medical disease states, but the most common and often most difficult is psychiatric disease. Depression is very prevalent and bipolar depression appears to be under-diagnosed. It is the goal of this session to educate the FP in psychiatric disease recognition, diagnosis, and treatment.

  • Review the inclusion criteria for bipolar depression
  • Discuss the pathophysiology of neurotransmitters responsible for the disease
  • Apply evidence based approach to optimize treatment and maximize recognition at an earlier stage to reduce effects and suicide risks.

Substance Abuse Markers, Screens, and Treatment
3:00-4:00 pm • CME Hours: 1.0 Category 1-A
Bradley Miller, DO, FAAFPhandout
Addiction medicine education has been reported to be grossly under-represented in medical education from undergraduate level through CME. In that substance use disordered are two of the top three behavioral health problems in the world in their overall contribution to morbidity and mortality, and it is estimated that 20 percent of the patients visiting a PCP office are there for a SUD related illness, it is appropriate that the PCP be well educated in this important area of medicine.

  • Discuss the epidemiology of the problem of unhealthy alcohol use and associated chronic medical problems
  • List the physical psychological manifestations and laboratory markers increasing the index of suspicion of an alcohol use problem
  • Discuss with patients the current treatments available for alcohol use problems and how one might choose between them
  • Use the resources from AA and other support groups to support the alcohol dependent patient and their family over an extended period of time as they deal with this chronic medical problem

Cultural Competency
4:00–5:00 pm • CME Hours: 1.0 Category 1-A
Josh Coren, DO, LMBA – handout; Carman Ciervo, DO, FACOFPhandout
This forum will enable physicians to identify and address health care disparities; improve diagnosis and treatment of conditions prevalent in minority communities; improve physicians’ cultural awareness and ability to recognize language and literacy barriers; and improve communication and interactions with patients.

  • Discuss the health care practices and beliefs of diverse patient populations within the family and community context
  • Recognize patterns of health care disparities and identify strategies to eliminate factors influencing them
  • Recognize the impact of stereotyping in medical decision making
  • Improve communication and interpersonal skills with patients

AOA Dinner Seminar: Advances in Type II Diabetes
Located at Hilton Riverside Grand Ballroom A-C
6:00–9:00 pm