Primary Care 2014 Update for Nurses

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1 Primary Care 2014 Update for Nurses January 21 24, 2014 Crown Plaza Atlanta Perimeter at Ravinia Hotel Atlanta, Georgia

2 Primary Care 2014 Update for Nurses > Overview This course is designed for the US Department of State (DOS) to provide an annual educational forum for their Health Unit nurses. These nurses face a wide array of clinical issues, from the simple and routine health care visit to the complex and challenging care of acute and chronic symptoms and disease states. The content is collaboratively developed between the course provider and the continuing education team at the DOS and is based on real experiences and updates in medical knowledge. As the only course these providers may attend during the year, the interaction between the faculty and the attendees is critical to the course s success and encompasses theatre style presentations to informal small group discussions. > Learning Objectives 1. Review management of common medical problems in female patients: thyroid nodules and osteoporosis 2. Review of new insulin analogs and new insulin delivery technologies 3. Review prenatal testing and care, and use of pharmaceuticals for specific symptoms and disease states in pregnancy 4. Review diagnoses, treatment and nutrition therapy for food allergies and celiac disease and apply to specific cases; review specific diets for medical nutrition therapy. 5. Assess the severity of ocular and orbital injuries; discuss acute necessary care and the need for transfer to a specialized center for medical and surgical interventions. 6. Provide current guidelines on the evaluation and management of concussion and post-concussive syndrome 7. Discuss clinical symptoms, risk factors and preventive strategies for Alzheimer s disease 8. Review late-breaking infectious disease outbreaks and changes in immunization recommendations; focus on the pitfalls of diagnosing latent TB and various treatment modalities; discuss prophylactic treatment of malaria. 9. Discuss updates in the Mental Health Program processes and review various mental health-related cases involving Alcohol Drug Awareness Program (ADAP), Family Advocacy, and postpartum patients. 10. Provide an overview and discuss the current status, challenges, and new initiatives of MED programs. > Target Audience This activity is designed for nurses and primary care physicians. > Accreditation Statement The Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Foundation Center for Continuing Education designates this live activity for a maximum of 29 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit. Nursing contact hours will be awarded Enterprise is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. > Disclaimer The information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient s medical condition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by The Foundation. In no event will The Foundation be liable for any decision made or action taken in reliance upon the information provided through this CME activity. 1

3 January 21 24, 2014 Crown Plaza Atlanta Perimeter at Ravinia Hotel :: Atlanta, Georgia > Evaluation Form and CME Certificate The evaluation and CME certificates are available online. In order to receive AMA PRA Category 1 Credits, please go to to complete the course evaluation and to print your CME certificate. Once you enter the site, please enter The above code is active for 30 days following the symposium. User Instructions: If you are a first-time user of MyCME, you will need to create a six-digit password comprised of any combination of letters and/or numbers. This will become your permanent log in for future MyCME programs. 1. Login to 2. Click on New User? located under the login box 3. Complete all the fields in the form and click on Create Account 4. Click on Click Here To Login 5. Login using the information you just provided in the registration form 6. In the Regularly Scheduled Series box, enter the code Complete all the fields and hit Submit 8. Your official CME certificate will appear. Please print and keep with your permanent files Please note: Be sure to print your CME certificate and keep for your files. This is your permanent record; no other certificate will be generated. > Evaluation Form and CNE Certificate To receive your CNE certificate, you will need to sign in at the registration desk each day and complete & turn in the course evaluation form to attendant at the registration desk at the end of the activity. To receive a CE certificate each day, you must attend, at minimum, 80% of each day s events to receive the CE certificate after you have signed in and turned in your completed evaluation. 2

4 Primary Care 2014 Update for Nurses > Activity Director Jonathan Schaffer, MD, MBA Managing Director, eclevelandclinic Information Technology Division Orthopaedic Research Center Center for Adult Reconstructive Surgery Department of Orthopaedic Surgery > Co-Activity Directors Deborah Klein, MSN, RN, ACNS-BC, CCRN, CHFN, FAHA Clinical Nurse Specialist Coronary ICU, Heart Failure ICU, and Cardiac Short Stay/PACU Catherine Skowronsky, MSN, RN, ACNS, CMSRN Clinical Nurse Specialist > Planning Committee Assefa Kidane Deputy Executive Director Jeri Lockman, FSHP Director FSHP and CME Programs Charles Rosenfarb, RMO Deputy Medical Director >Faculty Karl Albrecht Executive Director Diane Ballerino-Regan, MD, MPH, MS Chief, Occupational Medicine Pam Combs, MSN, BC-ANP, CDE Endocrinology, Diabetes and Metabolism Institute Valerie Davis, RMO/P Regional Medical Officer/Psychiatrist Kenneth Dekleva, RMO/P Director, Mental Health Services Leslie Edwards, MS, RN Epidemiologist William Green, RMM Regional Medical Manager for Western Hemisphere 3 Karen Guzi, MSN, RN, ACNS-BC Clinical Nurse Specialist Emergency Services Institute Ermie Herring, MSN, RN, PMP Chief, Medical Informatics George Johnston, MD Director, Quality Improvement Ms. Kyna, FSHP Health Promotion FSHP Angela Lauvray Branch Chief, A/LM/OPS/RLC Gregory Martin, MD Chief, Infectious Disease/ Tropical Medicine Kathleen McCray, RMO Director, Emergency Preparedness Alex McFadden, RMO Deputy Director, DASHO Operations Edward Miron, RMO Chief, Foreign Programs Lorie J. Morris, PsyD, MA, BA Director, Alcohol & Drug Awareness Program Michael Morris, RMO Clinical Director, Medical Informatics Michael Nesemann, RMM Regional Medical Manager for EUR and EURASIA Amy Newby, FSHP Deputy, Medical Clearances Lynda Newman, MSN, RN, ACNS-BC Clinical Nurse Specialist, Gastroenterology Center for Human Nutrition Digestive Disease Institute

5 January 21 24, 2014 Crown Plaza Atlanta Perimeter at Ravinia Hotel :: Atlanta, Georgia >Faculty continued Kimberly Ottwell, RMM Regional Medical Manager for the Near East and South Central Asia Gary Penner, RMO Medical Director Shane Pierce, FSHP Deputy, Foreign Programs Stan Piotroski, PhD, LCSW-C, CSW Director, Employee Consultation Services Deputy Director, Mental Health Domestic Programs >Faculty Disclosure Wayne Quillin, RMO Director, DASHO Operations Joseph Rawlings, RMO/P Regional Medical Officer/Psychiatrist Nicholas Riesland, RMM Regional Medical Manager for Asia Ann Roach, MSN, RNC-OB, RNC-MNN, ACNS-BC Clinical Nurse Specialist Women s and Children s Services Fairview Hospital Charles Rosenfarb, RMO Deputy Medical Director Susan Summers, FSHP Chief, Medical Clearances Brooks Taylor, RMM Regional Medical Manager for Africa Anne Vanderbilt, MSN, CNS, CNP Advanced Practice Nursing Manager William Walters, MD Director, Operational Medicine Amy Wunderle, RN, BSN, CNOR, RNFA Oculoplastics, Cole Eye Institute In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Education (ACCME), The Foundation Center for Continuing Education requires resolution of all faculty conflicts of interest to ensure CME activities are free of commercial bias. The following faculty have indicated they have no relationship which, in the context of their presentation(s), could be perceived as a potential conflict of interest: Karl Albrecht Diane Ballerino-Regan Pam Combs Valerie Davis Kenneth Dekleva Leslie Edwards William Green Karen Guzi Ermie Herring George Johnston Assefa Kidane Deborah Klein Ms. Kyna Angela Lauvray Jeri Lockman Gregory Martin Kathleen McCray Alex McFadden Edward Miron Lorie J. Morris Michael Morris Michael Nesemann Amy Newby Lynda Newman Kimberly Ottwell Gary Penner Shane Pierce Stan Piotroski Wayne Quillin Joseph Rawlings Nicholas Riesland Ann Roach Charles Rosenfarb Jonathan Schaffer Catherine Skowronsky Susan Summers Brooks Taylor Anne Vanderbilt William Walters Amy Wunderle 4

6 Primary Care 2014 Update for Nurses > Program Agenda Tuesday, January 21, :45 am Welcome and Introductions Jeri Lockman, FSHP Catherine Skowronsky, MSN, RN, ACNS, CMSRN Session 01: 8:15 am Endocrine and Diabetes Update Pam Combs, MSN, BC-ANP, CDE 9:45 am Questions and Answers 10:00 am BREAK Session 02: 10:15 am Obstetrics and Gynecology Update Ann Roach, MSN, RNC-OB, RNC-MNN, ACNS-BC Session 03: 1:00 pm Human Nutrition Update Lynda Newman, MSN, RN, ACNS-BC 2:30 pm Questions and Answers 2:45 pm BREAK Session 04: 3:00 pm Ophthalmologic Emergencies Amy Wunderle, RN,BSN, CNOR, RNFA 4:30 pm Questions and Answers 4:45 pm Conclude 11:45 am Questions and Answers 12:00 pm LUNCH Wednesday, January 22, 2014 Session 05: Infectious Disease A 8:00 am Latent Tuberculosis Infection (LTBI) Update Gregory Martin, MD 9:45 am BREAK Session 06: Infectious Disease B 10:00 am Malaria Update Gregory Martin, MD 11:15 am Questions and Answers 2:15 pm Questions and Answers 2:30 pm BREAK Session 08: 2:45 pm Neurologic Degeneration Anne Vanderbilt, MSN, CNS, CNP 4:15 pm Questions and Answers 4:30 pm Conclude 11:45 am LUNCH Session 07: 12:45 pm Neurologic Consequences of Concussion and Blunt Trauma Karen Guzi, MSN, RN, ACNS-BC 5

7 January 21 24, 2014 Crown Plaza Atlanta Perimeter at Ravinia Hotel :: Atlanta, Georgia > Program Agenda Thursday, January 23, 2014 Session 09: Mental Health A 8:00 am A Case-Based Discussion of Depression across the Reproductive Life Cycle Valerie Davis, RMO/P 9:45 am BREAK Session 10: Mental Health B 10:00 am Administrative and Clinical Considerations in Family Advocacy Stan Piotroski, PhD Joseph Rawlings, RMO/P 11:30 am Questions and Answers Session 11: Mental Health C 12:45 pm The Alcohol and Drug Awareness Program Lorie J. Morris, PsyD 2:30 pm BREAK Session 12: Environmental Health 2:45 pm Health Risks of Long Term Pollution Exposure Wayne Quillin, RMO 4:15 pm Questions and Answers 4:30 pm Conclude 11:45 am LUNCH 6

8 Primary Care 2014 Update for Nurses > Program Agenda Friday, January 24, 2014 DOS Management Day Session 13 8:00 am Current Status, Challenges, and New Initiatives of the Medical Program Gary Penner, RMO Charles Rosenfarb, RMO Session 14 8:45 am MED Executive Office Update Karl Albrecht Session 15 9:30 am Quality Improvement Update George Johnston, MD 10:00 am BREAK Session 16 10:15 am Operational and Emergency Medicine Update William Walters, MD Kathleen McCray, RMO Session 17 11:00 am Medical Clearances Update Susan Summers, FSHP Amy Newby, FSHP 11:30 am LUNCH Session 18 2:00 pm BREAK Session 19 2:15 pm Mental Health Services Update Kenneth Dekleva, RMO/P Session 20 2:45 pm Medical Store Angela Lauvray, A/LM Session 21 3:15 pm DASHO Update Wayne Quillin, RMO Alex McFadden, RMO Diane Ballerino-Regan, MD, MPH, MS Ms. Kyna, FSHP Leslie Edwards, MS, RN Session 22 4:00 pm Medical Informatics Update Michael Morris, RMO Ermie Herring, MSN, RN, PMP Session 23 4:30 pm Foreign Programs Update Edward Miron, RMO Shane Pierce, FSHP 5:00 pm Conclude 12:30pm Break-Out Sessions with Regional Medical Managers (RMMs): Discussion of Regional Medical and Administrative Issues Michael Nesemann, RMM Brooks Taylor, RMM Nick Riesland, RMM Kimberly Ottwell, RMM William Green, RMM 7

9 January 21 24, 2014 Crown Plaza Atlanta Perimeter at Ravinia Hotel :: Atlanta, Georgia 8

10 Primary Care 2014 Update for Nurses 9

11 January 21 24, 2014 Crown Plaza Atlanta Perimeter at Ravinia Hotel :: Atlanta, Georgia 10

12 Copyright 2014 The Foundation. All Rights Reserved.

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