AT A G L A N C E Eleventh Annual Primary Focus Symposium Faculty A. Ruben Caride, M.D. Friday-Sunday, June 22-24, 2012 Marco Island Marriott Hotel Marco Island, Florida A. Ruben Caride, M.D., Symposium Director Target Audience I Family Physicians, General Internists, Psychologists, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists, Dietitians, Respiratory Therapists Symposium Overview I This symposium will provide practical, evidence-based strategies to strengthen healthcare competencies associated with a wide spectrum of common and important medical conditions encountered in the primary care setting. Expert faculty will explain recent advances, discuss emerging treatments and address compelling issues. FRIDAY, JUNE 22 11:30 a.m. Session I 12:55 p.m. 1:00 p.m. 2:00 p.m. 3:00 p.m. 4:00 p.m. 4:30 p.m. 5:30 p.m. 6:30 p.m. 6:45 p.m. 7:15 a.m. Session II 7:50 a.m. 8:00 a.m. 9:00 a.m. 10:00 a.m. 10:30 a.m. 11:30 a.m. 12:30 p.m. 12:45 p.m. 7:15 a.m. Session III 7:50 a.m. 8:00 a.m. 9:00 a.m. 10:00 a.m. 10:30 a.m. 11:30 a.m. Registration Welcome and Introductions Ethics, Health Information Technology and Primary Care Reid Cushman, Ph.D. Chronic Pelvic Pain Syndrome, Chronic Prostatitis and Prostadynia Darren S. Bruck, M.D. Oh, My Aching Knee! Jan Pieter Hommen, M.D. Break and Visit Exhibits Integrating Religion and Spirituality Into Clinical Practice Chaplain Guillermo Escalona Diseases of the Head and Neck: What Should a Primary Care Physician Be Looking For? Shawn A. McClure, DMD, M.D. Adjourn Welcome Reception SATURDAY, JUNE 23 Registration, Continental Breakfast and Visit Exhibits Welcome and Introductions Acupuncture — In Primary Care Practice Ilana Newman, M.D. Male “Man-O-Pause” and Testosterone Replacement Therapy Atil Y. Kargi, M.D. Break and Visit Exhibits The Anti-aging Phenomenon and Growth Hormone Injections Atil Y. Kargi, M.D. Congestive Heart Failure Update Francisco J. Jimenez-Carcamo, M.D. Adjourn Lunch SUNDAY, JUNE 24 Registration, Continental Breakfast and Visit Exhibits Welcome and Introductions The Patient With Abnormal Liver Function Tests Paul Martin, M.D. Abnormal Uterine Bleeding in the Perimenopausal Woman Jason S. James, M.D. Break and Visit Exhibits PSA Screenings: To Do or Not to Do? Alan M. Nieder, M.D. Adjourn Symposium Director General Internist, Baptist Hospital Miami, Florida Darren S. Bruck, M.D. Urologist, Baptist, Doctors and South Miami Hospitals Miami, Florida Reid Cushman, Ph.D. Director, Research Ethics Program University of Miami Ethics Programs University of Miami Miller School of Medicine Miami, Florida Rev. Guillermo Escalona, M.Div. Board-certified Chaplain, APC Certified Thanatologist, ADEC Director, Pastoral Education Baptist Health Pastoral Care Services Miami, Florida Jan Pieter Hommen, M.D. Orthopedic Surgeon, Baptist, Doctors and South Miami Hospitals Miami, Florida Jason S. James, M.D. Obstetrician and Gynecologist, Baptist Hospital of Miami Miami, Florida Javier Jimenez, M.D., Ph.D. Heart Failure, Transplant Cardiologist Doctors, and South Miami Hospitals Miami, Florida Atil Y. Kargi, M.D. Assistant Professor of Medicine Division of Endocrinology University of Miami Miller School of Medicine Miami, Florida Paul Martin, M.D. Chief of Hepatology University of Miami Miller School of Medicine Miami, Florida Shawn A. McClure, DMD, M.D. Oral and Maxillofacial Surgeon Baptist and South Miami Hospitals Miami, Florida Associate Professor, Director of Research Department of Oral and Maxillofacial Surgery NOVA/NSU College of Dental Medicine Ft. Lauderdale, Florida Ilana Newman, M.D. Family Medicine Attending Hospice & Palliative Care Fellow Department of Family and Community Medicine University of Miami Miller School of Medicine Miami, Florida Alan M. Nieder, M.D. Assistant Professor, Columbia University Division of Urology Mount Sinai Medical Center Miami Beach, Florida Educational Objectives Upon completion of this symposium, participants should be better able to: Friday, June 22 I Describe the basic principles of how biomedical ethics are applied to deployments of health information technologies. I Identify the particular challenges and opportunities of advanced information technologies in primary care settings. I Compare the various therapies advocated for men diagnosed with chronic prostatitis/chronic pelvic pain syndromes (CP/CPPS), including investigative approaches to managing individual patient symptoms. I Recognize the pathophysiology of various syndromes, such as nonbacterial prostatitis, and explain how their management differs from conventional treatment. I Explain and identify various causes of knee pain, correctly utilize diagnostic testing and determine when to appropriately refer for physical therapy or specialist care. I Examine personal growth and development from a religious and spiritual perspective, and explore ethical concerns related to religious and spiritual interventions in clinical practice. I Identify etiologic factors in the development of head and neck cancer, including prior exposure to papilloma virus. I Effectively explain the multidisciplinary approach generally required for treatment planning and managing patients with head and neck cancers. Saturday, June 23 I Recognize the benefits and limitations of acupuncture and its appropriate application in clinical practice for patients with chronic back pain and headache. I Describe the normal cycle and patterns of growth hormone, recognize primary and secondary growth hormone deficiency and examine the current use of growth hormone supplementation by some practitioners as an anti-aging drug. I Recognize the signs and symptoms of primary and secondary testosterone deficiency, and formulate an appropriate treatment plan for the individual patient. I Examine the use of testosterone replacement as an anti-aging medication in healthy males. I Examine innovations in medical and surgical approaches to the management of advanced heart failure. Sunday, June 24 I Identify the patient with abnormal liver enzymes through appropriate use of diagnostic testing. I Effectively explain causes of abnormal liver function tests, treatable causes of liver disease and optimal approaches to treatment. I Explain the various etiologies of abnormal uterine bleeding in the perimenopausal woman, and initiate an appropriate workup. I Examine the role of hormone replacement therapy, including the risks associated with unopposed estrogen therapy, and recognize the danger signs of early carcinoma. I Evaluate the various medical and surgical options for managing abnormal uterine bleeding, and determine when to refer to a specialist. I Implement the most recent U.S. Preventive Task Force recommendations on PSA screening in asymptomatic males. I Differentiate between prostate-specific antigen (PSA) screening and PSA testing, and identify the nuance of current PSA evaluation and treatment of prostate cancer across various age groups. Hotel Location and Accommodations Marco Island Marriott Hotel is a tranquil island paradise nestled on three miles of pristine Southwest Florida beaches, a perfect destination for a family vacation and a memorable symposium. Don’t delay — hotel rooms go very quickly! Make your reservation now by calling 800-438-4373 or go to marcoislandmarriott.com to receive the special group rate of $189, plus applicable taxes. Group rates will be honored through Monday, May 21. Disclosures and Conflict of Interest Resolutions Baptist Health requires resolution of all conflicts of interest to ensure balance, independence, objectivity and scientific rigor in all CME programming. Conflicts of interest of any individuals who control CME content will be identified and resolved prior to this educational activity. Full disclosure will be made in the symposium handout. Presenters will also disclose discussions of off-label (unapproved) uses. Accreditation and Credits Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Baptist Health South Florida designates this educational activity for a maximum of 12 AMA PRA Category 1 Credits™. Physicians should claim only credit commensurate with the extent of their participation in the activity. Baptist Health South Florida is approved as a provider of Continuing Psychological Education by the Florida Board of Psychology. CE Broker Provider #50-182. This activity has been approved for 5.0 credits for the Friday session (CE Broker #20-343428), 4.0 credits for the Saturday session (CE Broker #20-343429) and 3.0 credits for the Sunday session (CE Broker #20-343430). This activity has been approved on a session-by-session basis for a total of 12.0 contact hours by the Florida State Board of Nursing, Baptist Health South Florida. CE Broker Provider #50-182. (5.0 credits for the Friday session, 4.0 credits for the Saturday session and 3.0 credits for the Sunday session.) This activity has been approved on a session-by-session basis for a total of 12.0 contact hours for respiratory therapy personnel in the category of personal growth by the State of Florida, AHCA provider #RCE58, Baptist Health South Florida, CE Broker #50-182. (5.0 credits for the Friday session, 4.0 credits for the Saturday session and 3.0 credits for the Sunday session.) This Live activity, Eleventh Annual Primary Focus Symposium, with a beginning date of June 22, 2012, has been reviewed and is acceptable for up to 12 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity. NOTE: Partial credits are available as indicated above. Participants must attend each session in its entirety to receive complete credit for the session. (This does not apply to M.D.s and D.O.s.) Symposium Registration The registration fee includes tuition for the entire symposium and continental breakfast on Saturday and Sunday. The Friday Welcome Reception and the Saturday Poolside Lunch are also available to you and your family for a nominal fee. The following options are available to expedite your symposium registration: I Register online at PrimaryFocus.BaptistHealth.net. I Mail registration with payment to the Baptist Health CME Department: 8900 North Kendall Drive, Miami, FL 33176. I Fax the registration form with your credit card information to 786-533-9821. Cancellation Policy Cancellations must be received in writing by Friday, June 15, to receive a refund of the registration fee, less a $50 administrative fee. Cancellations received after June 15 will forfeit the registration fee. Important: The schedule is subject to change. For the most updated schedule, please visit the symposium website at PrimaryFocus.BaptistHealth.net.