KEY ISSUES IN INTERNAL MEDICINE FOR: ENDOCRINOLOGY/GASTROENTEROLOGY/OBESITY/PSYCHIATRY

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1 KEY ISSUES IN INTERNAL MEDICINE FOR: ENDOCRINOLOGY/GASTROENTEROLOGY/OBESITY/PSYCHIATRY Maui, Hawaii The Ritz-Carlton, Kapalua January 18 22, 2015 Participating Faculty Robert S. Brown, Jr, MD, MPH Frank Cardile Professor of Medicine Medical Director, Transplant Initiative Columbia University College of Physicians and Surgeons New York, New York Veronica Piziak, MD, PhD Board Certified Internal Medicine, Endocrinology and Metabolism Emeritus Director of Endocrinology, Scott & White Professor of Medicine, Texas A & M University Program Director, Endocrinology Fellowship, Baylor Scott & White Director of Diabetes Section, Scott & White Michael A. Snyder, MD, FACS Bariatric and Advanced Laparoscopic Surgeon Medical Director for Rose Medical Center Bariatric Surgery Program Denver, Colorado Donna M. Sudak, MD Professor of Psychiatry Senior Associate Training Director Director of Psychotherapy Training College of Medicine Drexel University

2 Robert S. Brown, Jr., MD, MPH Frank Cardile Professor of Medicine Medical Director, Transplantation Initiative Columbia University College of Physicians and Surgeons New York, New York Robert S. Brown, Jr., MD, MPH is the Frank Cardile Professor of Medicine and Medical Director of the Transplantation Initiative at Columbia University College of Physicians and Surgeons in New York, New York. He also holds appointments in the Departments of Surgery and Pediatrics at Columbia and the Department of Medicine at Weill Cornell School of Medicine. Dr. Brown, Jr. is the Director of the Center for Liver Disease and Transplantation at New York Presbyterian Hospital in New York, New York. Dr. Brown, Jr. received his medical degree from New York University and his Master of Public Health from the Graduate School of Public Health, University of California in Berkeley. Following the completion of his medical degree, he fulfilled his internship in Medicine at Beth Israel Hospital in Boston and his fellowship in gastroenterology and hepatology at the University of California in San Francisco. A fellow of the American College of Physicians, the American Gastroenterological Association and the American College of Gastroenterology, Dr. Brown, Jr. is also a member of the American Association for the Study of Liver Diseases, the European Association for the Study of the Liver, and the American Society for Transplantation. He is board certified in Internal Medicine, Gastroenterology, and Transplant Hepatology.

3 Dr. Brown, Jr. has co-authored over 100 peer-reviewed articles most dedicated to viral hepatitis and liver transplantation and has extensive research funding in those areas. He is an Associate Editor for Liver Transplantation and a prior Associate Editor for Gastroenterology and Hepatology News and Hepatology. He received the Young Investigator Award from the American Society of Transplant Physicians in 1996, received the Senior Attending Teacher Award from New York Presbyterian Hospital/Columbia University Medical Center in 2009, and was the American Liver Foundation New York Chapter s Physician of the Year in 2010.

4 Veronica K. Piziak, MD, PhD Board Certified Internal Medicine, Endocrinology and Metabolism Emeritus Director of Endocrinology, Scott & White Professor of Medicine, Texas A & M University Program Director, Endocrinology Fellowship, Baylor Scott & White Director of Diabetes Section, Scott & White Dr. Piziak received her undergraduate degrees and her PhD from the University of Massachusetts at Amherst and her medical degree from the University of Kentucky in Lexington. She completed her Internal Medicine Residency at Akron General Medical Center in Akron and her fellowship training in Endocrinology and Metabolism at the University of Cincinnati both located in Ohio. Dr. Piziak is presently the Chief of Endocrinology and Director of the Lipid Clinic at Scott and White in Temple, Texas. She also has an appointment in the graduate faculty of Nutrition and the School of Rural Public Health of the Texas A&M Health Science Center. Dr. Piziak is a fellow in the American College of Physicians. Dr. Piziak is the author of many articles in such publications as the Journal of the American Medical Association, Diabetes Care and the Annals of Internal Medicine.

5 Michael A. Snyder, MD Bariatric and Advanced Laparoscopic Surgeon Medical Director Rose Medical Center Bariatric Surgery Program Denver, Colorado Dr. Snyder received his medical degree from the University of Miami School of Medicine and completed and internship and residency at Oregon Health Sciences University at Portland, Oregon. He is board certified in General Surgery by the American College of Surgeons. Dr. Snyder is an active member of the American Society for Metabolic & Bariatric Surgery (ASMBS) and is Medical Director of the Bariatric Surgery Center at Rose Medical Center in Denver. Dr. Snyder is an international leader in the field of bariatric surgery. As of February, 2011, he has personally done approximately 3500 primary bariatric surgical procedures. His program is the most comprehensive and highest volume program in the region. He regularly treats patients from all over the US and when appropriate, from other countries. He is the most experienced bariatric surgeon in the region.

6 Donna M. Sudak, MD Professor of Psychiatry Senior Associate Training Director Director of Psychotherapy Training College of Medicine Drexel University Donna Sudak is Professor and Director of Psychotherapy Training in the Department of Psychiatry at the Drexel University College of Medicine. She is a clinician-educator with a wealth of experience in teaching and patient care. She has made a number of significant contributions to the literature in CBT education and has played a major role in developing suggested curricula and guidelines for resident competency in Cognitive Behavior Therapy. In addition to her teaching responsibilities at Drexel University College of Medicine, Dr. Sudak is on the Speakers Bureau at the Beck Institute for Cognitive Therapy and Research. She is the current President of The Academy of Cognitive Therapy, the Editor of the PIPE examination, and serves on multiple national committees in ABCT and AADPRT.

7 Sunday, January 18th: 3:30 pm 4:00 pm Registration 4:00 pm 5:00 pm Robert S. Brown, Jr, MD, MPH Management of Lower GI Bleeding-From Occult to Massive The correct use and interpretation of tests for occult blood in the stool will be discussed in relation to lower GI bleeding; focus on the utility of different diagnostic and management approached to the spectrum of patients presenting with hematochezia 5:00 pm 6:00 pm - Robert S. Brown, Jr, MD, MPH Cost-Effective, Appropriate Management of Irritable Bowel Disease Importance of early and positive diagnosis based upon a careful history and the exclusion of other health problems; treatment focused on presenting symptoms recognizing that symptoms and functionality can be improved with a consistent approach 6:00 pm Session Adjourns

8 Monday, January 19th: 7:30 am 8:00 am Hot Breakfast 8:00 am 9:00 am Veronica Piziak, MD, PhD Type 1 Diabetes Mellitus Diagnosis and treatment; lessons from the DCCT; managing diabetic emergencies 9:00 am 10:00 am Veronica Piziak, MD, PhD Type 2 Diabetes Mellitus Prevalence, diagnosis, complications, new therapies 10:00 am 10:10 am Coffee Break 10:10 am 11:10 am Robert S. Brown, Jr, MD, MPH Hepatitis B Management for Primary Care HBV screening: whom to screen, whom to vaccinate; management of patients with decompensated hepatitis B related liver disease; treatment in special populations; 11:10 am 12:30 pm Robert S. Brown, Jr, MD, MPH Approach to Abnormal Liver Chemistry and Non-Alcoholic Fatty Liver Disease (NAFLD) A primary care approach to evaluating and managing mildly abnormal hepatocellular liver chemistry in the asymptomatic patient; review of NAFLD, its implications and management 12:30 pm Session Adjourns

9 Tuesday, January 20th: 7:30 am 8:00 am Hot Breakfast 8:00 am 9:00 am - Veronica Piziak, MD, PhD Osteoporosis Diagnosis and Treatment of Metabolic Bone Disease 9:00 am 10:00 am Veronica Piziak, MD, PhD Management of Dyslipidemia Cholesterol disorders; triglyceride disorders; NCEP guidelines; new tests and current therapies 10:00 am 10:10 am Coffee Break 10:10 am 11:30 am Michael A. Snyder, MD, FACS Treatment Options for Obesity Overview of obesity as a disease state; costs to the individual of being obese; treatment options and an overview of risks and effectiveness; surgical options; potential complications 11:30 am 12:30 pm Michael A. Snyder, MD, FACS Bariatric Surgery and Co-Morbid Conditions Associated with Obesity Who qualifies for obesity surgery; restrictive, malabsorptive and combination surgical options 12:30 pm Session Adjourns

10 Wednesday, January 21st: 7:30 am 8:00 am Hot Breakfast 8:00 am 9:00 am Michael A. Snyder, MD, FACS Engaging Patients Toward Appropriate Surgical Decision Making Discussion of the differences in treating obesity from other medical problems and procedures; overcoming inherent prejudices and understanding the perspective of the patient; creating a physician/patient partnership 9:00 am 10:00 am Michael A. Snyder, MD, FACS Patient Management Post Bariatric Surgery The role of the clinician for support and behavior modification; nutrition; the stages of patient management post-surgery 10:00 am 10:10 am Coffee Break 10:10 am 11:10 am Donna M. Sudak, MD The Complexity of Adult ADHD Diagnosis and treatment of ADHD in adults with an emphasis on history taking, differential diagnosis, medical and psychiatric co-morbidity, and FDA-approved treatments 11:10 am 12:30 pm Donna M. Sudak, MD When Antidepressants Don t Work in Adults with Bipolar Bipolar spectrum disorders in adults compared to children and adolescents; the importance of longitudinal/developmental history; multiple medical and psychiatric comorbidities; evidence-based treatments 12:30 pm Session Adjourns

11 Thursday, January 22nd: 7:30 am 8:00 am Continental Breakfast 8:00 am 9:00 am Donna M. Sudak, MD I Just Drink a Few Beers At Night (Substance Abuse) Substance abuse history-taking to encourage patient honesty; accurate diagnosis; use of screening tools; co-morbidities and treatment options. 9:00 am 10:00 am Donna M. Sudak, MD A Primary Care Overview of Anxiety Disorders Generalized anxiety disorder, panic disorder, and social phobia; focus on etiology, diagnosis, co-morbidity and treatment of these common and disabling conditions 10:00 am Conference Adjourns Target Audience This program is targeted to office-based primary care providers and other health professionals with updates in primary care medicine Learning Objectives Upon completion of this program, participants should be better able to: Identify at risk patients, institute diagnostic criteria, and manage fatty liver disease List current treatment recommendations for hepatitis B and lower GI bleeding Diagnose and tailor treatment strategies for Type 1 and Type 2 diabetes Review the diagnostic criteria and therapeutic approaches to osteoporosis and other calcium related disorders Discuss obesity treatment including both surgical and non-surgical options Describe the approach to patient management after bariatric surgery Accurately diagnose and treat (pharmacologic and nonpharmacologic) substance abuse, anxiety disorders, and ADHD in adults Discuss mood stabilizing psychosocial and pharmacologic treatments of bipolar disorder as well as frequent co-morbid psychiatric disorders Nursing Purpose Statement To provide updates in primary care medicine to office based providers

12 Disclosure of Conflicts of Interest Medical Education Resources insures balance, independence, objectivity, and scientific rigor in all our educational programs. In accordance with this policy, MER identifies conflicts of interest with its instructors, content managers, and other individuals who are in a position to control the content of an activity. Conflicts are resolved by MER to ensure that all scientific research referred to, reported, or used in a CME activity conforms to the generally accepted standards of experimental design, data collection, and analysis. MER is committed to providing its learners with high-quality CME activities that promote improvements or quality in health care and not the business interest of a commercial interest. The faculty reported the following financial relationships with commercial interests whose products or services may be mentioned in this CME activity: Name of Faculty Robert S. Brown, Jr, MD, MPH Veronica Piziak, MD, PhD Michael A. Snyder, MD, FACS Donna M. Sudak, MD Reported Financial Relationship Grants/Research Support: Gilead, Abbvie, Janssen Pharmaceuticals, Vertex Consulting Fees: Gilead, Abbvie, Janssen Pharmaceuticals, Vertex, Merck, Salix, Genentech Grants/Research Support: Janssen Pharmaceuticals Consulting Fees: Allergan Ownership Interest/Shareholder: Full Bar LLC Salary: HCA Speakers Bureau: Takeda The content managers reported the following financial relationships with commercial interests whose products or services may be mentioned in this CME activity: Name of Content Manager MER content managers MER nurse planner Reported Financial Relationship No financial relationships to disclose No financial relationships to disclose Disclaimer The content, views and opinions presented in this educational activity are those of the authors and do not necessarily reflect those of Medical Education Resources. The authors have disclosed if there is any discussion of published and/or investigational uses of agents that are not indicated by the FDA in their presentations. Before prescribing any medicine, primary references and full prescribing information should be consulted. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient s conditions and possible contraindications on dangers in use, review of any applicable manufacturer s product information, and comparison with recommendations of other authorities. The information presented in this activity is not meant to serve as a guideline for patient management.

13 Accreditation Physician Accreditation Medical Education Resources is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Credit Designation Medical Education Resources designates this live activity for a maximum of 17 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. American Academy of Family Physicians This Live activity, Key Issues in Internal Medicine, with a beginning date of January 18, 2015 has been reviewed and is acceptable for up to 17 Prescribed credits by the American Academy of Family Physicians. Physicians should only claim the credit commensurate with the extent of their participation in the activity. American Osteopathic Association These programs are approved for 17 hours in Category 2-A by the American Osteopathic Association. American College of Emergency Physicians This program is approved by the American College of Emergency Physicians for a maximum of 17 hours of ACEP Category I credit. Canadian Physicians The College of Family Physicians of Canada (CFPC) has a reciprocal credit agreement with the American Academy of Family Physicians (AAFP) for activities which offer Prescribed credit. CFPC members who complete these conferences may claim the equivalent number of Mainpro- M1 credits. American Academy of Physician Assistants AAPA accepts certificates of participation for educational activities certified for Category I credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit(s) TM from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 17 hours of Category I credit for completing this program. Nursing Accreditation Medical Education Resources is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. This CE activity provides 17 contact hours of continuing nursing education. Provider approved by the California Board of Registered Nursing, Provider Number 12299, for 17 contact hours.

14 Pharmacy Accreditation Medical Education Resources (MER) is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. MER designates this continuing education activity for 17 contact hours (1.7 CEUs) of the Accreditation Council for Pharmacy Education. Universal Program Number: XXX-L01-P Participants will be required to sign in at the start of the program and/or complete a program evaluation form. Certificates of credit will be provided at the conclusion of the activity. This activity is certified as Knowledge-based CPE.