Mayo School of Continuous Professional Development

Clinical Reviews 2014:

25th Annual Family Medicine and Internal Medicine Update

25

ing

Wednesday-Saturday March 26-29, 2014

lebrat Ce

Year s

Highlights: • Workshop on Critical Opportunities and Pitfalls in the Affordable Care Act • General Session Topics: Neurology, Cardiology, Endocrinology, Pediatrics, and Women’s Health • ABIM MOC: 2013 Update in Hospital Medicine 83P 2013 Update in Internal Medicine C0P • ABFM SAM: Cardiology Accommodations: Westin Kierland Resort & Spa Scottsdale, AZ REGISTER NOW! $75 DISCOUNT FOR ONLINE REGISTRATION

Go to www.mayo.edu/cme/family-medicine-2014s274 (offer expires Feb. 27, 2014)

General Information COURSE HIGHLIGHTS

CREDIT

Mark your calendar and plan to join us March 26-29, 2014 at the Westin Kierland Resort & Spa in Scottsdale, Arizona for the 2014 Clinical Reviews CME course, designed for Primary Care and Internal Medicine providers. This four-day course features medical updates and management strategies on various diseases, Q&A sessions, afternoon workshops in parallel with topics for both Family Medicine and Internal Medicine learners, plus grouped talks by topic in the General Session. The emphasis will be placed on clinical programs and management strategies in major subspecialties including: • Cardiology • Endocrinology • Gastroenterology • Neurology • Urology Optional Post Course ABIM maintenance of certification modules and ABFM self assessment module is also available in group sessions format (separate registration and fee is required).

Mayo Clinic College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Mayo Clinic College of Medicine designates this live activity for a maximum of 23.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. This program has been accredited by the American Osteopathic Association for 23.50 credits of AOA Category 2-A. A record of attendance will be provided to all registrants for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

COURSE LEARNING OBJECTIVES Upon completion of this course, participants should be able to: • Identify common and dangerous causes of tremor. • Review physical exam findings of heart murmurs to help determine the cause. • Review and understand the concept of Motivational Interviewing for the purpose of improving patient compliance to prescribed therapies. • Review methods for effective cardiovascular disease screening. • Review current guidelines for management of incidentally discovered pancreatic cysts (so-called “Incidentalomas”) • Recognize common and rare causes of abdominal bloating and effective therapies. • Identify appropriate indications and contraindications for use of erectile dysfunction medications. • Review risk assessment score for microscopic hematuria to assist in appropriate workup. • Review an update on Travel Medicine, including key indications for various immunizations and prophylactic medications. • Identify problems related to metal-onmetal hip replacements and indications for removal of these prostheses. • Inform their patients of specific behavior modifications and sunscreen strategies to prevent skin cancers. • Review key opportunities for success for primary care physicians under the Affordable Care Act.

MEETING LOCATION Westin Kierland Resort & Spa 480-624-1000; 1-800-354-5892 http://www.kierlandresort.com Online Reservations: www.starwoodmeeting.com/Book/ ClinicalReviews2014 The Westin Kierland Resort & Spa has reserved a limited block of luxurious rooms at a special group rate of $269 (USD), single or double occupancy, run of house, per night, for course participants and guests. Group rates will apply three days prior to and three days after the course dates, based on group room availability. To receive the special rate, make your reservations before the room block is filled and by the expiration date of Monday, March 3, 2014. Reservations will be taken following this date based upon resort room availability at the contracted meeting rate. To make your reservation call (800) 354-5892. When making a reservation, identify yourself as a participant of the “Mayo Clinic Clinical Reviews Course”. Attendees are responsible for their own reservations. All guest room rates are quoted exclusive of applicable state and local taxes, currently 12.27%. No Resort fee. Bellman gratuities and housekeeping service charge will be at the individual guest’s discretion. Children under the age of 17 will stay complimentary. Complimentary high speed Internet in guest room, and complimentary self-parking. Check-in time is 4:00 pm; checkout time is noon.

General Information DISCLAIMER

AMERICANS WITH DISABILITIES ACT

Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.

Mayo Clinic College of Medicine fully intends to comply with the legal requirements of the Americans with Disabilities Act. If you need assistance, please notify us at least two weeks prior to the activity. Email address: [email protected]

GRANTS AND EXHIBITS As of this printing, a complete listing of commercial supporters was not available. Appropriate acknowledgment will be given to all supporters at the meeting. Exhibits will be available for viewing at all scheduled breaks.

RECREATION/LEISURE ACTIVITIES Visit www.visitphoenix.com or www.scottsdalecvb.com for additional recreation and leisure activities.

TRANSPORTATION Ground Transportation: Hertz is offering a reduced daily rate for participants attending the course. Call (800) 654-2240 and refer to CV Number CV#03NR009 when making reservations. Supershuttle vans offer airport transportation to and from the hotel. To make reservations, call (800) 258-3826 or (602) 244-9000.

Faculty MAYO FACULTY Rodolfo Argueta, M.D. John W. Bachman, M.D. Kevin M. Barrett, M.D. Robert P. Bright, M.D. Murray S. Feldstein, M.D. F. David Fortuin, M.D. Amy E. Foxx-Orenstein, D.O. Amit K. Ghosh, M.D. Rashmi B. Halker, M.D. Jason J. Jameson, M.D. Steven S. Krotzer, M.D., D.T.M.H., M.P.H.

Steven J. Lester, M.D. David Simper, M.D. Shyamal H. Mehta, M.D., Ph.D. Mark J. Spangehl, M.D. Lester E. Mertz, M.D. Jan Stepanek, M.D., M.P.H. Joseph R. Mikhael, M.D. David L. Swanson, M.D. Denise M. Millstine, M.D. Stephen C. Textor, M.D. Martina Mookadam, M.D. Sarah B. Umar, M.D. John R. Muhm, Sr., M.D. Hugo E. Vargas, M.D. Steven A. Nelson, M.D. Laszlo T. Vaszar, M.D. Rahul Pannala, M.D. James C. Watson, M.D. Dharmendra (Dave) R. Patel, M.D. Sydney A. Westphal, M.D. Kevin J. Renfree, M.D. Michael D. Whitaker, M.D., F.R.C.P.C. Robert Scales, Ph.D. Eric H. Yang, M.D.

VISITING FACULTY Randon T. Hall, M.D., M.B.A., C.A.Q.S.M. Phoenix Children’s Hospital Phoenix, Arizona Jeffrey M. Vaughn, D.O. (Phx CH) Phoenix Children’s Hospital Phoenix, Arizona

Kristina Marie Wilson, M.D., M.P.H., C.A.Q.S.M. Phoenix Children’s Hospital Phoenix, Arizona

Jacque J. Sokolov, M.D. SSB Solutions Scottsdale, Arizona

STEERING COMMITTEE Jesse D. Bracamonte, D.O. Banner Health Glendale, Arizona Dan J. Echols, M.D. Mayo Clinic Arizona Campus Richard L. Engle, M.D. Mayo Clinic Arizona Campus

Michael J. Hovan, M.D.* Mayo Clinic Arizona Campus Steven W. Ressler, M.D.* Mayo Clinic Arizona Campus Connie J. Sterling, M.D. Ahwatukee Family Physicians Phoenix, Arizona

Lilia Murray, CMES Mayo Clinic Arizona Campus *Course Directors

FACULTY DISCLOSURE: As a provider accredited by ACCME, Mayo Clinic College of Medicine

(Mayo School of CPD) must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course Director(s), Planning Committee Members, Faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty will also disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

Program Wednesday, March 26, 2014 Noon Registration 12:45 p.m. Welcome Announcements 12:50 Opening Remarks

NEUROLOGY  1:00 Peripheral Neuropathy: A Practical Approach to Diagnosis and Management James C. Watson, M.D.  1:30 Tremors Shyamal H. Mehta, M.D., Ph.D.  2:00 Acute Ischemic Stroke: The Evidence and Future of Reperfusion Therapy Kevin M. Barrett, M.D.  2:30 Q & A Panel  3:00 Break

CARDIOLOGY  3:20 Management of Renovascular Disease Stephen C. Textor, M.D.  3:50 Reducing the Risk of Bleeding in Patients with Intracoronary Stents Eric H. Yang, M.D.  4:20 Imaging for Risk Prediction Steven J. Lester, M.D.  4:50 Motivational Interviewing for Life Style Change Robert Scales, Ph.D.  5:20 Adjourn

Thursday, March 27, 2014   7:00 a.m. Continental Breakfast  7:25 Welcome Announcements

GASTROENTEROLOGY  7:30

 8:00  8:30  9:00

 9:30 10:00

Pancreatic Incidentalomas/ IPMN Management Rahul Pannala, M.D. Anorectal Disorders Sarah B. Umar, M.D. Gas and Bloating Amy E. Foxx-Orenstein, D.O. HCV Treatment for 2014: The New Direct Anti-virals Hugo E. Vargas, M.D. Q & A Panel Break

UROLOGY 10:20

 elvic Pain Syndromes P Murray S. Feldstein, M.D. 10:50 Erectile Dysfunction? What to Think About Before Handing Out the Pill Jason J. Jameson, M.D. 11:20 Microscopic Hematuria Jason J. Jameson, M.D. 11:50 Q & A Panel 12:20 p.m. Break

MEET THE PRECEPTOR LUNCHEONS (30 min. lunch/60 min presentation) 12:30 Lunch  1:00 MTP Presentation • It is Not About Change, It is About Trust. Building your Team to Perform at a High Level. John W. Bachman, M.D. • T  ravel Medicine Steven S. Krotzer, M.D., D.T.M.H., M.P.H. • The  Lungs and Mediastinum: Plain Films and CT John R. Muhm, M.D. • A  erospace Medicine Topics of Relevance to Your Clinical Practice Jan Stepanek, M.D., M.P.H. • T  hyroid Issues Sydney A. Westphal, M.D.  2:00 Break  2:15 AFTERNOON WORKSHOPS • A  Hands-on Approach to Learning Motivational Interviewing with Demonstration and Practice Robert Scales, Ph.D. • Dermatology for the Primary Care Physician David L. Swanson, M.D. • R  heumatology Cases: Practical Points to Ponder – Gout, Rheumatoid Arthritis, ANCA Positive Vasculitis, Myositis Lester E. Mertz, M.D.  4:15 Adjourn  4:15 Reception

Friday, March 28, 2014   7:00 a.m. Continental Breakfast  7:25 Welcome Announcements

POTPOURRI  7:30 Dermatology – Sun Protection Steven A. Nelson, M.D.  8:05 Common Shoulder Disorders Kevin J. Renfree, M.D.  8:40 Metal-on-Metal Bearing Hip Replacements: Why I Left Orthopedics and Became a Lawyer Mark J. Spangehl, M.D.  9:15 Migraine Update Rashmi B. Halker, M.D.  9:50 Q & A Panel 10:20 Break

ENDOCRINOLOGY 10:40

 drenal Insufficiency and A Fatigue – When to Refer and With What Labs Michael D. Whitaker, M.D., F.R.C.P.C.

Program 11:15

Osteoporosis Rodolfo Argueta, M.D. 11:50 Q & A Panel 12:20 p.m. Break

Saturday, March 29, 2014   7:00 a.m. Continental Breakfast  7:25 Announcements

MEET THE PRECEPTOR LUNCHEONS (30 min. lunch/60 min presentation) 12:30 Lunch  1:00 MTP Presentation SAME AS THURSDAY  2:00 Break  2:15 AFTERNOON WORKSHOPS • Topics in Integrative Women’s Health Denise M. Millstine, M.D. • Sports  Related Issues in Children and Adolescents: – Update in Pediatric and Adolescent Concussion Management and Treatment Kristina Marie Wilson, M.D., M.P.H., C.A.Q.S.M. – Adolescent Sports Nutrition Randon T. Hall, M.D., M.B.A., C.A.Q.S.M. – Hip Pain in the Adolescent Athlete Jeffrey M. Vaughn, D.O.

SPECIAL SESSION “Optimizing Family Medicine and Internal Medicine Practice in the New and Ever Changing ACO/Value Based Healthcare World” (Separate Registration Fee Required) Jacque J. Sokolov, M.D.  4:15 Adjourn Program schedule is subject to change without notice.

POTPOURRI  7:30

 oping with Illness: How to  C Incorporate Brief, ResiliencyEnhancing Interventions into the Primary Care Patient Encounter Robert P. Bright, M.D.  8:30 Evaluation of the Red Eye Dharmendra (Dave) R. Patel, M.D.  9:30 Q & A Panel 10:00 Break 10:20  Cardiac Evaluation of Patients with Erectile Dysfunction David Simper, M.D. 10:50  Lung Cancer Screening Update Laszlo T. Vaszar, M.D. 11:20  Monoclonal Gammopathies and Primary Care – What You Need to Know Joseph R. Mikhael, M.D. 11:50 Q & A Panel 12:20 p.m. Adjourn

Saturday Afternoon  1:00 ABIM Maintenance of Certification: 2013 Update in Hospital Medicine 89P 2013 Update in Internal Medicine C0P Amit K. Ghosh, M.D. ABFM Self Assessment Module – Cardiology Martina Mookadam, M.D. F. David Fortuin, M.D.  5:00 Adjourn

Optional Sessions Pre-registration is required for all sessions noted below; some sessions require separate registration fee. Space is limited. Pre-registration is available online under: “Course Sessions and Activities Option” section of the registration page.

MEET THE PRECEPTOR LUNCHEONS (MTP) Included in registration fee: 30 minute lunch (provided) and 60 minute presentation; same sessions will be offered on Thursday and Friday, (select only one session for each day). • It is Not About Change, It is About Trust. Building your Team to Perform at a High Level. • Travel Medicine • The Lungs and Mediastinum: Plain Films and CT • Aerospace Medicine, Topics of Relevance to Your Clinical Practice • Thyroid Issues

AFTERNOON (PM) WORKSHOPS THURSDAY • Case Presentations on How Do You Do Motivational Interviews • Dermatology for the Primary Care Physician • Rheumatology FRIDAY • Topics in Integrative Women’s Health • Sports Related Issues in Children and Adolescents

SPECIAL SESSION • Optimizing Family Medicine and Internal Medicine Practice in the New and Every Changing ACO/Value Based Healthcare World (separate registration fee required)

Optional Sessions POST-COURSE SESSIONS American Board of Internal Medicine (ABIM) Maintenance of Certification 2013 Update in Internal Medicine C0P and 2013 Update in Hospital Medicine 89P Saturday, March 29, 2014 from 1 p.m. – 5 p.m. • Registration Fee: $100 with General Session

ABIM SEP MEDICAL KNOWLEDGE MODULES COURSE DESCRIPTION The optional post-course ABIM Self Evaluation Process (SEP) Medical Knowledge modules are chaired by expert faculty who will analyze each module question, review current evidence and key points and summarize clinical pearls. Session attendees actively participate using an audience response system and verbalize their understanding of current evidence and a common consensus would be achieved in answering these questions. The collective information gathered in these interactive sessions enhances individual knowledge and longer retention of current medical information. After the completion of these interactive modules, the attendee can go online to obtain MOC credit from ABIM. An additional fee applies. Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.

CREDIT Mayo Clinic College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Mayo Clinic College of Medicine designates this live activity for a maximum of 4.0 AMA PRA Category 1 Credits™ (2 credits per module). Physicians should claim only the credit commensurate with the extent of their participation in the activity. Please note: You may claim AMA PRA Category 1 Credits™, or ABIM points. You may not claim credit with both organizations.

American Board of Family Medicine (ABFM) Maintenance of Certification (SAM) “Cardiology” Saturday, March 29, 2014 from 1 p.m. – 5 p.m. • Registration Fee: $100 with General Session

COURSE DESCRIPTION In this group learning experience, attendees will work together, facilitated by expert Mayo Clinic faculty, to review and discuss core competency questions and to decide as a group on the best answers. After completing the session, Mayo staff will report the group’s answers and individual’s participation to the ABFM. Later, participants must individually access the ABFM web site, pay the necessary fees, and complete the clinical simulation section (which presents patient care scenarios corresponding to the topic module) in order to complete and receive final credit for the SAM. Attention attendees: Please provide ABFM ID# or AAFP ID# upon check-in at the course registration desk. Intended Audience: Family Medicine physicians who are diplomats of the ABFM.

CREDIT Mayo Clinic College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Mayo Clinic College of Medicine designates this live activity for a maximum of 4.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. You may claim AMA PRA Category 1 Credits™, or ABFM points. You may not claim credit with both organizations. In addition to fulfilling ABFM Part II SAM Requirements, CME credit will be granted by the AAFP upon successful completion of the patient simulation portion of this module. For individuals who do not complete the whole ABFM module, Mayo Clinic College of Medicine designates this educational activity for a maximum of 4.0 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Please note: There is a separate registration fee for the Self-Assessment sessions; attendees will be individually responsible for the additional ABFM fees required before completing the clinical simulation section.

2014S274 AMA, AAFP, AOA

REGISTRATION FORM

Clinical Reviews 2014: 25th Annual Family Medicine and Internal Medicine Update March 26-29, 2014

Registration at the standard fee may be completed using this form and faxing it to (480) 301-9176. Or you can mail it to: Mayo Clinic, Mayo School of CPD, 13400 East Shea Boulevard, Scottsdale, Arizona 85259. An email confirmation will be sent upon receipt of payment and completed registration. If you do not receive your confirmation, or if you have any questions, please email us at [email protected] or call (480) 301-4580. No refund will be granted unless a written notice of cancellation is received. If registration must be canceled, tuition less a $75 administrative fee, will be refunded when notification is received on or before March 13, 2014. No refunds will be made after this date. Although it is not Mayo Clinic’s policy to limit the number of registrants for a course, conference room facilities may necessitate closure of enrollment. Early registration is strongly recommended. Walk-in registrations cannot be guaranteed. Mayo Clinic will not be responsible for expenses incurred by individuals who are not confirmed for courses with a closed registration status. Costs incurred by the registrant such as airline/ hotel fees or penalties are the responsibility of the registrant. ONLINE SYLLABUS: Your registration fee includes access to a detailed online syllabus, emailed one week prior to the course. This allows you to view, save, or print the syllabus before attending the course. If you want to order a paper copy (additional fee), check the box at the bottom of this registration form. Course Registrant List (Check only if you want your name removed)  I do not want information (i.e., name, degree, city, and state) to appear on course registrant list provided upon request to registrants, grantors, and exhibitors, but not guests.

Registration

Please print. Use duplicate form for multiple registrations.

Name of Registrant – first, middle, and last name

Institution

Degree/Certification

Medical Specialty

Preferred mailing address is: (select one) Address

 Work/Business  Home

City

State/Province

ZIP/Postal Code

Country Email Daytime Telephone

Fax

$75 Discount for online registration (Offer expires February 27, 2014) Go to www.mayo.edu/cme/family-medicine-2014S274

Note: When registering online, please be sure to “check-out” after your profile is completed/updated.

Standard Fee

Online Discounted Fee

 Physicians Active in Practice $850 $775  Other (resident, retired and allied health) $735 $660 Note: Please refer to course agenda for included meals and refreshment breaks.  Paper copy of the syllabus $45 Note: Due to printing deadlines, this option will not be available after March 13, 2014

$________________ $________________ $________________

OPTIONAL SESSIONS: Pre-registration is available online under “Course Sessions and Activities Option” Meet the preceptor luncheons (Select one for each day) Afternoon Workshops (Select one for each day) Thursday ___ 1. Building a High Level Team ___ 2. Travel Medicine ___ 3. Sleep Apnea ___ 4. Aerospace Medicine ___ 5. Thyroid Issues

Friday Thursday Friday ___ ___ Motivational Interviews ___ Integrative Women’s Health ___ ___ Dermatology ___ Sports Related Issues in Children ___ ___ Rheumatology ___ ___

 No, I will not be able to attend

$________________

 “Optimizing FM & IM Practice in the New & Ever Changing ACO/Value Based Healthcare World”

$25

$________________

 ABIM MOCs (Office Based and Hospital Based Update)  ABFM SAMs (Cardiology)

$100 $100

$________________ $________________

Friday Special Session Afternoon Workshop: Saturday Afternoon ABIM/ABFM:

(To register for ABIM or ABFM only, without attending the General Session, please call 480-301-4580)

WELCOME RECEPTION: (Light Hors D’oeuvres)

Thursday, March 27, 2014; 4:15 p.m. – 5:15 p.m. (2 tickets, Learner and one guest, included in registration fee)  Yes, I will attend solo (included in registration fee)  Yes, I will attend and bring one guest (included in registration fee) Additional Guests: _____ # of additional tickets at $60 per adult

 No, I will not be able to attend

Payment Information

_____ # of additional tickets at $20 per child (5-12 yrs)

$_______________

(US Funds Only)

 Check is enclosed in the amount shown at right – make checks payable to Mayo Clinic CPD Credit Card (select one) Account Number Exp. Date (mm/yy)

Payment Total

 Discover  MC  Visa Signature Date