Conference Details

2008 Best Practices in Primary Care
10/10/2008 - 10/11/2008
Hyatt Regency Reston
1800 Presidents Street
Reston , VA 20190
Phone: 703-709-1234

Who Should Attend

All primary care clinicians (physicians, physician assistants, and nurse practitioners) who are active in patient care.

Agenda

 
10/10/2008
6:30 am - 7:15 am Registration and Complimentary Continental Breakfast
7:15 am - 12:10 pm Sessions 1, 2, & 3 (each session followed by a 15 minute break)
12:10 pm - 12:40 pm Complimentary Lunch
12:40 pm - 3:25 pm Sessions 4 & 5 (each session followed by a 5-15 minute break)

10/11/2008

6:30 am - 7:30 am Registration and Complimentary Continental Breakfast
7:30 am - 12:10 pm Sessions 1, 2, & 3 (each session followed by a 15 minute break)
12:10 pm - 12:40 pm Complimentary Lunch
12:40 pm - 3:25 pm Sessions 4 & 5 (each session followed by a 5-15 minute break)

Venue Information

Meeting Room: Grand Ballroom

Parking: Complimentary self parking and overnight valet parking is $24.

A limited number of rooms have been reserved at the Hyatt Regency Reston at a rate of $179 per night. For reservations, call 800-233-1234 and mention the Primary Care Education Network room block. Reservations must be made by September 18, 2008 in order to receive the discounted rate.

Accreditation

ACCME
Primary Care Network, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Primary Care Network designates this educational activity for a maximum of 13.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AAFP
This activity has been reviewed and is acceptable for up to 13.5 Prescribed credits by the American Academy of Family Physicians.

AANP
This program has been approved for 13.5 contact hours of continuing education (which includes 6.66 hours of pharmacology) by the American Academy of Nurse Practitioners. Program ID 0809430.

AAPA
AAPA accepts Category 1 credit from AOACCME, Prescribed credit from AAFP, and AMA Category 1 CME credit for the PRA from organizations accredited by ACCME.

Topics

 
 IBS
 Success in IBS: Deconstructing the Barriers to Optimal Management in Irritable Bowel Syndrome

Overview
Irritable bowel syndrome (IBS) is a highly misunderstood functional bowel disorder that is underreported and underdiagnosed. Because IBS can be challenging to diagnose and manage, it is important that clinicians stay up-to-date on current developments of diagnostic and treatment options in IBS.

Objectives
Recognize the symptoms of IBS and employ ACG guidelines and Rome III criteria to make a symptom-based diagnosis of IBS

Implement a patient-centered and evidence-based approach to the treatment of IBS, taking patientsÕ treatment goals into consideration as well as the efficacy, safety, and mechanisms of action of available treatment options

Faculty
Louis Kuritzky, MD
Clinical Assistant Professor
Dept. of Community Health & Family Medicine
University of Florida
Gainesville, FL

David A. Peura, MD
Professor of Medicine
University of Virginia Health Sciences Center
Charlottesville, VA


 Diabetes
 Taking Control of Glycemia in Type 2 Diabetes Patients with Cardiovascular Risk

Overview
More than 20 million people in the United States are affected by diabetes, with 1.5 million new cases appearing each year. Of this population, nearly 65% will die from heart disease or stroke, a rate that is 4-times higher than in the non-diabetic population. Individualized and early glycemic control is critical in the prevention and management of diabetes and in reducing cardiovascular risk. This activity will expose attendees to the relationship between insulin resistance, type 2 diabetes, and the resulting cardiovascular risk in an effort to uncover effective treatment strategies and patient-based therapeutic options.

Objectives
Utilize appropriate glucose-lowering agents to reduce A1C to * 7.0%

Minimize adverse events and cardiovascular risk associated with glycemic therapy by employing appropriate glucose, blood pressure, and serum cholesterol agents

Faculty
Silvio Inzucchi, MD
Professor of Medicine
Department of Internal Medicine
Yale University School of Medicine
New Haven, CT

Stan Schwartz, MD, FACE, FACP
University of Pennsylvania Medical Group
Hospital of the University of Pennsylvania
Philadelphia, PA

 Mood Disorders
 Managing Mood and Anxiety Disorders in Primary Care Practice: A Focus on Complex and Difficult-to-Treat Patients

Overview
Bipolar disorder (BD) and major depressive disorder (MDD) are two of the most prevalent psychiatric disorders in adults. These conditions are associated with overlapping disorders of mood including anxiety and depression; differentiating the two disorders can be difficult and can lead to misdiagnosis and mismanagement. This activity will focus on practical approaches to the diagnosis and management of the Òdifficult-to-treatÓ patient presenting with depression associated with MDD and BD.

Objectives
Recognize overlapping symptomatology and comorbid psychiatric disorders that can complicate the differential diagnosis of depression

Design and implement practical strategies to diagnosis and manage the difficult-to-treat patient with depression associated with major depressive disorder and bipolar disorder

Faculty
J. Sloan Manning, MD
Adjunct Associate Professor
University of North Carolina - Chapel Hill
Co-Director, Mood Disorders Clinic
Moses Cone Family Practice Residency
Greensboro, NC

Linda Carpenter, MD
Associate Professor
Psychiatry and Human Behavior
Brown University Medical School
Butler Hospital
Providence, RI

 Zoster Virus
 Preventing Herpes Zoster and Postherpetic Neuralgia: Are Your Patients Adequately Protected?

Overview
An estimated 1 million cases of herpes zoster (shingles) occur annually in the United States. The incidence and severity of herpes zoster increase with advancing age to produce substantial negative effects on quality of life, activities of daily living, neuropsychological functioning, and social status, resulting in significant morbidity in older adults. While antiviral therapy reduces the incidence and severity of herpes zoster, it does not reliably prevent postherpetic neuralgia (PHN), the most common and debilitating clinical sequela of herpes zoster. Herpes zoster vaccination has been demonstrated to reduce the incidence of the disease and its complications. Clinical trial data have demonstrated significant reductions in the incidence of herpes zoster and PHN, as well as overall reductions in the burden of disease.

Objectives
Review the benefits and limitations of current treatment options for herpes zoster and postherpetic neuralgia (PHN)

Evaluate clinical trial results of the herpes zoster vaccine and discuss current recommendations of the Advisory Committee on Immunization Practices for the prevention of herpes zoster

Faculty
M. Susan Burke, MD, FACP
Clinical Assistant Professor of Medicine
Thomas Jefferson University
Philadelphia, Pennsylvania
Director, Internal Medicine Clinical Care Center
Lankenau Hospital
Wynnewood, PA

 HPV
 Reducing the Burden of HPV-Related Diseases: Cervical Cancer and Beyond

Overview
Human papillomavirus (HPV) is the most common newly acquired sexually transmitted infection in the United States. It is a necessary cause of cervical cancer and genital warts, and is associated with other anogenital and head and neck cancers, and recurrent respiratory papillomatosis. Prevention of HPV infection through prophylactic vaccination provides a safe and effective option to reduce the health burden associated with HPV-related diseases. Two vaccines have been developed: a quadrivalent HPV (6, 11, 16, 18) vaccine, approved by the US Food and Drug Administration (FDA), and a bivalent HPV (16, 18) vaccine, currently under FDA review. Both vaccines have demonstrated lasting efficacy against HPV-associated cervical disease and are generally well tolerated. This program will review the health consequences of HPV infection; provide an update on the safety and efficacy of HPV vaccines, including recent data on efficacy in mid-adult women, duration of protection, and cross-protection against nonvaccine HPV types; and evaluate the benefits of widespread HPV vaccination in preventing HPV-related diseases.

Objectives
Describe the epidemiology, natural history and consequences of HPV infection

Evaluate the anticipated benefits of widespread HPV vaccination in preventing cervical and anogenital cancers, genital warts, and other HPV-related diseases

Faculty
Gregory L. Brotzman, MD
Professor of Family and Community Medicine
Medical College of Wisconsin
Milwaukee, WI

Martin C. Mahoney, MD, PhD
Director, Cancer Prevention & Detection Center
Roswell Park Cancer Institute
Associate Professor of Family Medicine
State University of New York at Buffalo
Buffalo, NY

 Hypertension
 Management of the Moderate-to-Severe Hypertensive: Individualizing Treatment to Maximize Outcomes

Overview
This program will underscore the need for early, aggressive, combination BP treatment in order to reach JNC 7 goals, in light of the effect hypertension and diabetes has on the pathogenesis of hypertensive renal damage. It will explain the mechanisms of action of the various antihypertensive drug classes and how clinicians can use this understanding when selecting a drug regimen. Based on recent and ongoing trials, the safest and most efficacious drug combinations will be discussed.

Objectives
Develop appropriate combination therapy regimens individualized to each diabetic hypertensive patientÕs established risk and comorbid conditions

Demonstrate an understanding of the role of renin-aniotensin-aldosterone system blockers in the treatment of hypertension, the prevention of new onset diabetes, and the prevention of progression in diabetic nephropathy by selecting the most appropriate treatment regimen for diabetic hypertensive patients

Faculty
Philip Altus, MD, MACP
Professor of Medicine Emeritus
University of South Florida
Tampa, FL


Raymond R. Townsend, MD
Professor of Medicine
University of Pennsylvania
Philadelphia, Pennsylvania

 Pain Management
 A Clinical Conversation: Diagnosis & Treatment of Neuropathic Pain

Overview
Four million people in the United States suffer from neuropathic pain, a condition that is often difficult to diagnose. This session, A Clinical Conversation: Diagnosis & Treatment of Neuropathic Pain will address practical ways primary care physicians can improve recognition and treatment of neuropathic pain.

Objectives
Recognize signs and symptoms of neuropathic pain to increase identification of patients with neuropathic pain

Evaluate available treatment options for neuropathic pain and their appropriateness for your patient population to improve outcomes in these patients

Faculty
Katherine E. Galluzzi, DO, FACOFP
Professor and Chairperson
Department of Geriatrics
Philadelphia College of Osteopathic Medicine
Philadelphia, PA

David Bazzo, MD


 Osteoporosis
 Appropriate Identification and Treatment of Non-vertebral Fractures

Overview
This program is designed to provide primary care providers with information about the state of the science and evidence-based strategies for the accurate identification and comprehensive treatment of osteoporosis.

Objectives
Identify appropriate diagnostic tools & procedures that can be employed for early diagnosis of osteoporosis

Evaluate the treatment strategies, including methods of administration and MOAs of various antiresorptive agents that are currently available to prevent fractures and treat osteoporosis

Faculty
Abby Abelson, MD


Richard Pittsley, MD


 
 Prevent The Event: Role of Oral Antiplatelet Therapy in Atherothrombosis

Overview
Atherothrombotic disease, including acute coronary syndrome, stroke/TIA and PAD (peripheral arterial disease), continues to be a world-wide challenge in terms of morbidity, premature death, and disability with tremendous costs to patients, health care systems and society. The diffuse nature of atherothrombosis (cardiovascular, cerebrovascular, or peripheral arterial) and the heightened risk of recurrence represent major challenges to the clinician. This lecture will overview current studies and treatment guidelines for PAD, ACS and Stroke and explore the role of primary care in long-term treatment of these patients.

Objectives
Faculty
 Rhinitis
 Allergic Rhinitis and Its Comorbidities: A Serious Challenge to the Healthcare Professional

Overview
Allergic rhinitis (AR) is the most common allergic condition in the US, affecting nearly 40 million people. Although AR is associated with significant comorbidities, current therapies have proven only modestly successful. Allergic Rhinitis and Its Comorbidities: A Serious Challenge to the Health Care Professional will provide primary care physicians with practical, evidence-based solutions to the challenges of managing AR, with particular emphasis on finding effective treatments and ensuring patient compliance. Two nationally recognized allergy/immunology experts will lead each 75-minute presentation with 60 minutes of didactic lectures and case history presentation, and a 15-minute question-and-answer session. Interactive discussion and a dynamic audience response system will also be integrated into the session.

Objectives
Describe key clinical characteristics of allergic rhinitis, its associated comorbidities, and its impact on patient health and quality of life

Identify barriers to treatment success of allergic rhinitis (treatment-related, physician-related, and patient-related barriers) and adequate control of symptoms, and devise strategies for overcoming those barriers

Faculty
Ketan Sheth, MD
Medical Director, Lafayette Allergy and Asthma Clinic
Lafayette, IN




Myron Zitt, MD