Spring Refresher 2010 Faculty and Session Objectives

Preventing Chronic Disease Factors in Primary Care
-Thomas Kottke, M.D. M.S.P.H., Cardiologist, The Heart Center, Regions Hospital and other HealthPartners Medical Group locations; Medical Director for Evidence-Based Health, HealthPartners; Professor of Medicine, University of Minnesota

Session Objective: At the end of the session, the participant will be able to 1) name the four behaviors responsible for about half of all deaths in the United States (inadequate physical activity, poor nutrition, use of tobacco, and hazardous use of alcohol); 2) describe the rationale for a universal lifestyle recommendation; 3) explain why a collaboration between primary care and worksite health promotion programs has the potential to be a powerful intervention tool; 4) describe the return on investment (ROI) that some employers have experienced from their investment in worksite health promotion programs (3:1 for health care costs and an additional 3:1 for productivity).

Medical Home: Experience in Implementation & Practical Tools
-John Halfen, M.D., Medical Director, Lakewood Health System; Medical Director, Lakewood Nursing Home; Medical Director, Central Todd County Care Center; Medical Consultant, Todd County Public Health; Certified Medical Review Officer

-Nicole Worden, R.N., Medical Home Care Coordinator, Lakewood Health System

Session Objective: This session will explain the principles of medical homes, then describe how they have been implemented and the resulting improvement of care delivery and satisfaction of patients and providers.

Many Faces of Tremor
-Jawad Ahmad Bajwa, M.D., Medical Director, Capistrant Center for Parkinson's Disease and Movement Disorders, Bethesda Hospital, St. Paul; Medical Director, Deep Brain Stimulation Program for Movement Disorders at United Hospital, St. Paul; Medical Director, American Parkinson Disease Association for State of Minnesota

Session Objective: To learn clinical phenomenology about various tremors. To understand differential diagnosis of various tremors.  To learn treatment for various tremors.

Acute Stroke Management
-Ron Tarrel, D.O., Director of Stroke Services Program, Medical Director of Neurocritical Care Program, Abbott Northwestern Hopsital; Adjunct Associate Professor, University of Minnesota; Adjunct Assistant Professor, Western University of Health Sciences

Session Objective: Up-to-date review of management of acute stroke, including definition of acute stroke, diagnosis and testing, treatments and treatment window, research, regional stroke center, and telehealth.

Applying New Concepts in Pain Mechanisms to the Management of Pain
-David Schultz, M.D., Board-certified anesthesiologist with additional board-certification in pain management from the American Board of Anesthesiology (ABA), The American Board of of Interventional Pain Physicians (ABIPP) and the American Board of Pain Medicine (ABPM); Founder and medical director of MAPS Medical Pain Clinics; Adjunct Professor, Department of Anesthesiology, University of Minnesota

Session Objective:  Review the pathophysiology of acute and chronic pain.  Review options for treating acute and chronic pain.

How to Deal with Addiction & Prevention Diversion
-David Schultz, M.D., Board-certified anesthesiologist with additional board-certification in pain management from the American Board of Anesthesiology (ABA), The American Board of of Interventional Pain Physicians (ABIPP) and the American Board of Pain Medicine (ABPM); Founder and medical director of MAPS Medical Pain Clinics; Adjunct Professor, Department of Anesthesiology, University of Minnesota

Session Objective: Recognizing addiction. Managing the addict with acute and/or chronic pain. Addiction vs. pseudoaddiction. Detoxification and chemical dependency treatment. Suboxone therapy. NASPER-history and current status in Minnesota.

Childhood Obesity
Steven Stovitz, M.D., Family Physician, University of Minnesota Physicians

Session Objective: The presentation will focus on the recommendations for the assessment, prevention and treatment of childhood obesity.

Developmental & Mental Health Screening in the Pediatric Primary Care Setting
-Meredith Martinez, M.P.H., Maternal and Child Health Assurance, Minnesota Department of Human Services
-Shannon Neale, M.D., Family Physician, Park Nicollet - Creekside Clinic
-Catherine Wright, M.S., Early Childhood Mental Health Program Coordinator, Minnesota Department of Human Services

Session Objective: This session will discuss the value of using validated developmental and mental health screeing tools for young children and will address how to implement the use of screenig tools in primary care.

Resident & Student Session:  How to Effectively Work with Trained Interpreters

Session Objective: Residents and students will learn specific techniques and skills for working with trained interpreters.

Back Pain Treatment - What Works and What Doesn't
-Dave Thorson, M.D., Family Physician
-Steve Peterson, P.T., Regional Director, OSI Therapy, West St. Paul

Session Objective:  Coming Soon

Integration and Collaboration Between Mental Health Professionals & Family Physicians
-David Rossmiller, M.D., Family Physician and Clinical Instructor of Clinical Medicine at the University of Minnesota, Vadnais Heights Clinic, Family Health Services Minnesota; Community Preceptor, United Family Medicine Clinic

Session Objective:  Our group has bridged the gap between primary care and mental health providers in two ways: integrating behavioral health providers and integrating the DIAMOND program into our office.  We will share the benefits and challenges of our experience.

ADHD and Bi-Polar Disease in Children and Adults
-Steven Bauer, M.D., Human Development Center, Duluth, MN
-Joel Oberstar, M.D., Assistant Professor of Psychiatry, University of Minnesota Medical School

Session Objective:  Dr. Bauer will present evidence-based treatment algorithms and discuss additional comorbidity considerations when selecting pharmacotherapy and other treatment recommendations.  Dr. Oberstar will review the symptoms of bipolar disorder in children and adults.  Treatment options will be reviewed with a particular focus on psychiatric medications.  After the presentations, both speakers will answer questions from the audience.

Interventional Treatment of Arrhythmias
-Stephen Hustead, D.O., F.A.C.C., Director of Clinical Electrophysiology, Mercy and Unity Hosptials

Session Objective: To review common and less common forms of cardiac arrhythmia that can be effectively treated with catheterablation.  Utilization of both radio frequency and cryoablation approaches will be discussed as well.

Congestive Heart Failure - Nuts and Bolts of Management
-Amin Rahmatullah, M.D., Cardilogist, Metropolitan Cardiology Consultants; Director, Heart Failure

Session Objective: To understand the burden of heart failure in the community.  To understand basic pathophysiology of heart failure.  To learn basic investigations and work up for heart failure.  To learn about the basics of managing heart failure.

Tick-and Mosquito-Borne Illnesses
-Mark Bixby, M.D., Director, U of M North Memorial Family Medicine Residency Program

Session Objective: Understand some of the background and demographics of common tick & mosquito-borne illnesses encountered in Minnesota.  Know the diagnostic approach used for tick & mosquito-borne illnesses.  Be familiar with treatment recommendations for tick & mosquito-borne illnesses.  Be able to discuss controversies surrounding tick & mosquito-borne illnesses.

Antibiotic Resistant Organisms
-Noe Mateo, M.D., Medical Director, Infection Control, Regions Hospital; Infectious Diseases Consultant, HealthPartners Medical Group

Session Objective: Discuss the epidemiology of MRSA, Clostridium difficide, and ESBL + bacilli, common clinical syndromes, and rational management strategies in the impatient and outpatient settings.  Discuss prevention strategies, and when to call for consultations.

SAM Study Group: Coronary Artery Disease
-Facilitator: John Wilkinson, M.D., Assistant Professor of Family Medicine and Consultant, Department of Family Medicine, Mayo Clinic
-Content: Courtney Jordan, M.D., Cadiology, University of Minnesota, Department of Cardiology and School of Public Health

Session Objective: The MAFP is pleased to offer a SAM Study Group session on Coronary Artery Disease.  A family physician will facilitate group discussion of the answers to the ABFM Self-Assessment Module on Coronary Artery Disease.

More Information: To cover the administrative costs, the MAFP will charge a fee of $20 to register for the SAM Study Group session in addition to the one- or two-day registration fee for the Spring Refresher. Registration will be limited to 50 family physicians on a first come, first served basis.

Important Note: Fees paid to the MAFP do not include the ABFM Maintenance of Certification (MC-FP) fees. Participants in MC-FP will be required to pay MC-FP fees in order to complete the Clinical Simulation portion of the SAM module. Participants not in MC-FP who desire to receive CME credit for this session will be required to pay to the ABFM the current SAM fee in order to complete the Clinical Simulation portion of the SAM module and prior to receiving CME credit.

Participants will only receive MC-FP credit for the module if they are currently eligible for and enrolled in the MC-FP process; have not already completed the module topic that is being covered in the SAM Study Group session; have not already completed their current MC-FP Stage requirements; successfully complete the Knowledge Assessment portion of the SAM module within the group or afterward if needed as well as the Clinical Simulation and they attend and fully participate in the educational discussion of the entire session. For more information about re-certification, contact the American Board of Family Medicine online at www.theabfm.org or call 888-995-5700.

Litigation Stress
-Ronald Hofeldt, M.D., Director, MMIC Group Physician Support Services

Session Objective:  Describe the physician personality and why a lawsuit impacts the physician.  Explore the impact of litigation on the physician.  Describe coping mechanisms that assists physicians through the litigation process.

Management of Acute and Chronic Dizziness & Balance Disorders in a Multi-Specialty Dizzy and Balance Center
-Mark Cheple, AuD, Director of Audiology, National Dizzy and Balance Center; Fellow, American Academy of Audiology

Session Objective: Identify and treat benign paroxysmal positioning vertigo.  Identify other forms of acute or chronic dizziness and balance complaints and forms of treatment.

Toxic Behaviors in Health Care: Impacting Personal Cost & the Bottom Line
-Mitchell Kusy, Ph.D., Fulbright Scholar in International Organization Development and Professor at Antioch University Ph.D. Program in Leadership and Change
-Elizabeth Holloway, Ph.D., Fellow of the American Psychological Association and Diplomat in Professional Psychology, Professor at Antioch University, Ph.D. Program in Leadership and Change

Session Objective: Identify the financial and human costs of uncivil, toxic behaviors in their practice area.  Explain why feedback alone is largely ineffective.  Describe how the new Joint Commission Standards related to civil, disruptive behaviors can impact patient-centered care.  Take at least 4 immediate actions to mitigate the deleterious effects of toxic, uncivil behaviors.  Reduce your risk of hiring a toxic, disruptive person.  Increase patient safety and quality care by decreasing disruptive behaviors.

Osteoporosis Risk Assessment
-Christine Simonelli, M.D., Medical Director, HealthEast Osteoporosis Care, HealthEast Clinics; Associate Clinical Professor of Medicine, University of Minnesota

Session Objective: The main objective is to understand how to quantify risk for an osteoporosis-related fracture using bone density in conjunction with other independent risk factors for fracture.

Mammography Screening: Untangling the Controversy
-Krista Skorupa, M.D., Assistant Professor, University of Minnesota Department of Family Medicine and Community Health

Session Objective: This session will provide a brief update on the current breast cancer screening recommendations including review of the recent research that led to a change in the screening recommendations for women in their 40's.

Workshop on Toxic Behaviors in Health Care
-Mitchell Kusy, Ph.D., Fulbright Scholar in International Organization Development and Professor at Antioch University Ph.D. Program in Leadership and Change
-Elizabeth Holloway, Ph.D., Fellow of the American Psychological Association and Diplomat in Professional Psychology, Professor at Antioch University, Ph.D. Program in Leadership and Change

Session Objective:  Problem-solve at least 3 alternative strategies based on small-group, in-depth discussions.  Determine potential "toxic protectors" and "toxic buffers" in your organization who enable the problem - and subsequent actions you will take.  Create a norm of respectful engagement that makes it extremely uncomfortable for the following to survive in your organization - pit bulls, chameleons who "kiss up" and "kick down", prima donnas who get away with tyranny.  Introduce new hiring practices that will increase the probability of bringing on people who promote respectful interactions.  Using systems perspectives, give feedback that really works when these 3 steps are used a) anonymous data-driven feedback; b) tie the feedback to their own self-interests, such that they tell you why their behavior must change to achieve their professional goals; c) use solutions-focused questions to stimulate their desire to change.

Teaching & Precepting Skills in the Office
-Kathleen Brooks, M.D., Director of RPAP
-Keith Stelter, M.D., RPAP Faculty
-Therese Zink, M.D., RPAP Faculty

Session Objective: Family physicians are important contributors to medical education.  In this highly interactive session, you will learn teaching strategies and discuss clinical teaching scenarious that will enhance your teaching skills and efficiency in the office setting.  Come, learn and share at this very lively session.  By the end of the session, attendees will understand the SNAPPS model of student presentations to preceptors, and consider incorporating it into their teaching; obtain the tools to initiate a process in their clinics to precept in the exam room with patients present; commit confidently to providing behavior based feedback for learners.

Allergy Rhinitis
Pramod Kelkar, M.D., Founder, National Cough Clinic; Allergy and Asthma Care, P.A.

Session Objective: Describe clinical manifestations.  Describe diagnosis and step-wise treatment protocols.  Discuss specific strategies in "difficult-to-control" patients.

Food Allergy
Pramod Kelkar, M.D., Founder, National Cough Clinic; Allergy and Asthma Care, P.A.

Session Objective: Discuss diagnosis and treatment protocols.  Discuss common pitfalls in management.  Discuss specific strategies in "difficult-to-control" patients.

Preeclampsia: Biomarkers & Current Directions
Emanuel Gaziano, M.D., Perinatology, Minnesota Perinatal Physicians

Session Objective: Discuss new insights into preeclampsia prediction, the results of the trial ongoing at Abbott Northwestern Hospital and future uses for biomarkers.

Obesity in Pregnancy
William Wagner, M.D., Partner, Minnesota Perinatal Physicians

Session Objective: Discuss risks of obesity and its impact on prenatal care.  Discuss intrapartum risks of obesity.  Provide a brief overview of obesity in the obstetric intensive care setting.  Discuss intrapartum management of the morbidly obese gravida.

Creating Your Roadmap for EHR Adoption to Achieve Meaningful Use Incentives
-Paul Kleeberg, M.D., President, the Itinerant CMIO, LLC

Session Objective:  With HITECH, there is increased impetus for physicians to adopt and meaningfully use an electronic health record (EHR).  This session will provide users a roadmap for successful adoption and also provide them with tools and resources they cna use with their own staff to assist them in becoming meaningful uses and receiving the incentives.

How Technology Can Support Health Care Homes
Sue Severson, Stratis Health

Session Objective: Coming Soon

Vitamin D Deficiency - The Newest National Epidemic
Teresa Kovarik, M.D., Associate Clinical Pediatric Professor, University of Minnesota; Director of HP Lactation Services and Co-director of Regions Lactation Services; MN Breastfeeding Coordinator for AAP

Session Objective: Describe the prevalence of vitamin D deficiency in the U.S. population.  List risk factors for vitamin D deficiency.  Discuss chronic medical conditions associated with vitamin D deficiency.

Dermatology Pearls 2010
Charles Crutchfield, III, M.D., Medical Director, Crutchfield Dermatology, Eagan, Minnesota; Clinical Professor of Dermatology, University of Minnesota Medical School

Session Objective: The talk will cover the most common skin challenges seen in primary care with up-to-date, practical treatment pearls.