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1 8030 Peters Road, D105 Plantation, Florida (954) Phone (954) Fax Dallas, TX Westin City Center Dallas Program Chair Gregg Sherman, M.D. Activity Director Alan Goodstat, LCSW Program Evaluation July 22, 2005

2 Introduction In June 2005, NACE sponsored a CME program, Emerging Challenges in Primary Care: 2005, in Dallas, TX. The conference was geared toward physicians, physician s assistants, and nurse practitioners. The program provided Primary Care Providers the opportunity to learn first hand from national thought leaders in their field. The goal of the program was to provide a clearer understanding of the most common disease processes, in light of the rapid scientific advances. Approximately 52 healthcare providers attended Emerging Challenges in Primary Care: 2005 in June in Dallas, TX. Each attendee was asked to complete and return a conference satisfaction and planning form and a needs assessment form prior to the end of the conference. Fifty-one completed forms were received. The data collected is displayed in this report.

3 Conference Schedule Saturday, June 25, :30-8:10 Continental Breakfast and Registration 8:10-8:20 Welcome Remarks Gregg Sherman, MD 8:20-9:10 Atherosclerosis and Cardiovascular Disease: Factors Influencing Progression and Regression Charles H. Hennekens, MD 9:10-10:00 Integrating Advanced Heart Failure Management with the Use of Cardiac Devices: Role of the Primary Physician Juan Aranda, MD 10:00-10:20 Break 10:20-11:10 Chronic Renal Disease Robert Toto, MD 11:10-12:00 Anemia in Chronic Kidney Disease: Past, Present and Future Robert Toto, MD 12:00-1:00 Lunch 1:00-1:10 Conference Update Gregg Sherman, MD 1:10-2:00 Advancing Insulin Therapy in Type 2 Diabetes: Practical Tools and Effective Algorithms Luigi Meneghini, MD 2:00-2:50 Differential Diagnosis and Treatment of Bipolar Disorder Trisha Suppes, MD, PhD 2:50-3:10 Break 3:10-4:00 Acid Suppression 2005: GERD to NSAIDS Kenneth R. DeVault, MD 4:00-4:50 COPD A New Look at an Old Disease Bruce Krieger, MD 4:50-5:00 Conference Wrap-Up Gregg Sherman, MD

4 Participant Information Ninety-four percent of attendees were physicians, the majority specializing in Internal Medicine and Family Practice. Nurse practitioners and physician assistants comprised 6% of the attendees. Ninety percent of attendees heard about the conference through the mailed program. The remainder of attendees heard about the program from a colleague (6%), from a pharmaceutical representative (2%), or from another source (2%).

5 Attendees were asked to rate the importance of the aspects that attracted them to the program as Not At All Important, Somewhat Important, or Very Important. All aspects were rated on average as Very Important, with the topics covered as the most important (2.9 on a 3-point scale).

6 Program Evaluation Attendees were asked to rate aspects of the overall conference on a four-point scale, with one being Unsatisfactory and four being Excellent. Overall, attendees rated the program as Excellent, with an average score of 3.6. Average scores for each aspect are displayed in the chart below. Attendees were also asked to rate each presentation on a four-point scale, with one being Unsatisfactory and four being Excellent. Average scores for each presentation are displayed in the chart below.

7 Needs Assessment Attendees were asked to complete a needs assessment survey to assist in planning future continuing education activities. Below is a list of the suggested topics. What medical disorders or topics would you like to receive further information about through a continuing education activity? Alternative medicine Acid-Base abnormalities Adrenal Dysfunction Allergies Arthritis (2) Asthma Bariatric surgery Barrett's Esophagus Breast cancer Cancer (2) CHF Collagen diseases Comorbid medical/psychiatric conditions CVD Depression Dermatology (5) Diabetes (5) Dyspepsia Emergency medicine topics Endocrinology Ethics (2) Fibromyalgia Genetics in primary care GERD HTN Hypercholesterolemia Hyperlipidemia Hyper Triglyceredemia Hypertension (3) ISD Leukemia Lipid disorders Lower back pain Metabolic syndrome (4) Motivation Multiple Sclerosis Neuropathic pain

8 Normal findings with aging Nutrition and wellness Obesity (2) Osteoporosis Orthopedic topics (2) Pain control Parkinson's Disease Pediatric issues Peripheral Vascular Disease (2) Prediabetic Sexual Dysfunction Skin cancer Thyroid issues Weight management (2) Thyroid What diagnostic procedures would you like to learn more about? Acupuncture Advances in laceration repair Breast cancer Colonoscopy Compare and contrast most cost efficient use of CT v. MRI of spine, abdomen, etc., Coronary calcification scores and if useful CT Scanners (2) Dermatology (3) Echocardiology (4) EGD EKG Endoscopy Excisions IVP v. CT for diagnosis of kidney stones and kidney problems Joint injections (2) Lab values that are often misinterpreted or missed Leukemia MRI (2) Neuro-imaging (2) New radiological interventions Noninvasive cardiovascular studies Office Gyn Osteoporosis Peripheral Vascular Disease Pulmonary Function Test (2) Stress echo Toxicology

9 What types of therapies or treatments would you wish courses to be offered about? Antibiotics Cardiac arrhythmia Barrett's esophagus Biopsy excision of skin cancer Botox Breast cancer Dementia Depression (2) Dermatology Diabetes (2) Ear wax cleansing mechanism in office EKG interpretation Epilepsy GERD HRT (2) Hypertension (2) Hypertriglyceridemia Infectious Disease ISD Joint injections (2) Leukemia (2) Lymphomas Migraine management Obesity Osteoporosis Peripheral Vascular Disease Pneumonia Restoring sexual function Statins Stem Cell Rx Thyroid diseases Weight loss Please list the names of speakers whose workshops you would like to attend. Juan Aranda, MD Stuart Black, MD Kenneth DeVault, MD (3) Dan Foster, MD Norman Kapland, MD Bruce Krieger, MD Dr. Luby Veronica Peziak, MD Don Seldon, MD

10 Matt Sloane, MD Robert Toto, MD Robert Warner, MD- Prakis Wound Care Gene Wilson, MD

11 Overall Comments/Suggestions Suggestions Conference room too cold Warmer Warmer room Better if shorter breaks Half day CME better. Change conference hotel Free parking Real food for breakfast. More Hemorrhoid friendly seating Inform me in a more timely fashion to allow me time to arrange my clinic patient visits I like to hear and see mechanisms of action- so slides illustrating end-organ function on a microscopic level, electron micrographs, illustrations Reproductions of slides was illegible Slides printed into the pages often not readable Some slides did not reproduce in handout very well Improve the handout quality. Better handout Handout would be improved if the slides were enlarged. Colored and clearly printed handouts Slide reproduction was not clear. Please improve clarity. Other Topics to Cover in Future Programs Sports medicine Specific approaches to exercise and diet we can recommend to patients Weight loss teaching Ethics or Professional Responsibility Ethics credits Latest treatments/tests/drugs on market for diabetes, HTN, COPD, etc. General Feedback Excellent lecture Well-organized program None Continue having one day meeting Excellent lecture. I liked your multi-topic CME lectures About as good as possible. Liked the way it was structured today.

12 Summary Overall, Emerging Challenges in Primary Care: 2005 was successful. Attendees were satisfied with the topics, speakers, and overall quality of the conference. One hundred percent of the attendees said that they would like to see this conference held again next year. Ninety-three percent responded that they would attend another primary care conference next year in the same location. Based on the evaluations, attendees were very pleased with the conference.

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