CONVERSATIONS PRIMARY CARE

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1 Conversation in PC 2017 Cover 2.qxp_Cover 2/21/17 2:43 PM Page 1 CONVERSATIONS IN PRIMARY CARE Live Virtual Conference Saturday, March 4, 2017 Streaming Live From Fort Lauderdale, FL Provided by

2 COPYRIGHT 2017 All rights reserved. No part of this book, except those portions specifically noted, may be reproduced or transmitted in any form or by any means now known or to be invented, electronic or mechanical, including photocopying, recording, or by any information storage or retrieval system without written permission from the authors, except for the brief inclusion of quotations in a review. Requests for permission or further information should be addressed to the author(s) of each presentation. National Association for Continuing Education 300 NW 70 th Avenue, Suite 102 Plantation, Florida (954) Printed in the United States of America.

3 Table of Contents A Message from the Course Director 2 Agenda 3 Course Faculty and Planning Committee 4 CME/CE Information 5 Accreditation and Designation Statements How to Obtain Your Certificate Disclosure Policy Summary of Individual Disclosures Disclosure of Commercial Support Americans with Disabilities Presentations* Getting Comfortable with SGLT-2 Therapy: New Insights 7 Recognition and Management of Idiopathic Pulmonary Fibrosis: The Role of Primary 9 Care Legalize it? A Clinician's Guide to Medical Marijuana 11 Adult ADHD in Primary Care: Addressing the Unmet Need 13 * Full slide presentations are available for download at Courses/cpc-slides.php. 1 Visit for FREE online CME!

4 A Message from the Course Director 300 NW 70 th Avenue Suite 102 Plantation, Florida (954) Phone (954) Fax internet: s a primary care physician, I know first-hand the complex challenges that primary care providers face everyday in their busy practices. I also know that with rapid changes in medicine, staying informed about new developments can be equally challenging. Our goal in this CME activity is to help you hone your skills in the diagnosis and management of patients with varied conditions you are likely encountering in your practice, without having to travel to a meeting. Topics we are discussing today include Diabetes, Idiopathic Pulmonary Fibrosis, Medical Marijuana and Adult ADHD. To reach this goal, Dr. Jan Basile and I will discuss these topics with well-known thought leaders and experienced teachers who, as clinicians themselves, understand the challenges you face every day as a primary care provider. The lectures will provide evidence-based science, current treatment guidelines, discuss challenging cases, and provide answers for you that can ultimately lead to better health care for your patients. There will be lots of conversation, and opportunities to submit questions to be answered. Please engage with us and share your thoughts. We know you will leave with new ideas, skills, and tools to help your patients. Enjoy the conference! Gregg Gregg Sherman, MD Chief Medical Officer National Association for Continuing Education 2 Visit for FREE online CME!

5 Agenda 10:00 10:10 Welcome Remarks Gregg Sherman, MD 10:10 11:10 Getting Comfortable with SGLT-2 Therapy: New Insights Mark Stolar, MD and Jan N. Basile, MD 11:10 12:10 Recognition and Management of Idiopathic Pulmonary Fibrosis: The Role of Primary Care Kevin R. Flaherty, MD, MS and Jan N. Basile, MD 12:10 12:25 Break 12:25 1:25 Legalize it? A Clinician's Guide to Medical Marijuana Charles P. Vega, MD, FAAFP and Gregg Sherman, MD 1:25 2:25 Adult ADHD in Primary Care: Addressing the Unmet Need Greg Mattingly, MD and Gregg Sherman, MD 2:25 2:30 Closing Remarks Gregg Sherman, MD 3 Visit for FREE online CME!

6 Course Faculty and Planning Committee Chief Medical Officer and Course Director Gregg Sherman, MD National Association for Continuing Education Plantation, FL Faculty Kevin R. Flaherty, MD, MS Professor of Pulmonary and Critical Care Medicine University of Michigan Health System Ann Arbor, MI Greg Mattingly, MD Associate Clinical Professor Department of Psychiatry Washington University School of Medicine St. Louis, MO Mark Stolar, MD Associate Professor of Clinical Medicine Northwestern University Medical School Chicago, IL Charles P. Vega, MD, FAAFP Clinical Professor Family Medicine School of Medicine UC Irvine Health Irvine, CA Moderators Jan N. Basile, MD Professor of Medicine Seinsheimer Cardiovascular Health Program Medical University of South Carolina Ralph H. Johnson VA Medical Center Charleston, SC Gregg Sherman, MD Chief Medical Officer National Association for Continuing Education Plantation, FL Staff and Planning Committee Michelle Frisch, MPH, CHCP National Association for Continuing Education Plantation, FL Joshua F. Kilbridge President and Creative Director Kilbridge Associates San Francisco, CA Sheila Lucas, CWEP National Association for Continuing Education Plantation, FL Harvey C. Parker, PhD, CHCP Director of Continuing Education National Association for Continuing Education Plantation, FL Gregg Sherman, MD Chief Medical Officer National Association for Continuing Education Plantation, FL 4 Visit for FREE online CME!

7 CME/CE Information Accreditation and Designation Statements The National Association for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The National Association for Continuing Education 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. National Association for Continuing Education is approved as a provider of nurse practitioner continuing education by the American Association of Nurse Practitioners. AANP Provider Number This program has been approved for 4 contact hours of continuing education. How Do I Get My CME Certificate? You must claim credit for your participation in this CME/CE activity by completing the Evaluation Form included in this handbook and submitting it at the registration desk before you leave the conference. Your CME/CE certificate will indicate the number of credits claimed on your evaluation form. You will receive a follow-up survey from NACE via within 4 weeks. Your CME certificate will be available immediately upon completion of the online follow-up survey. Disclosure Policy It is the policy of the accredited providers to ensure fair balance, independence, objectivity and scientific rigor in all activities. All faculty participating in CME activities sponsored by the accredited providers are required to present evidence-based data, identify and reference off-label product use and disclose all relevant financial relationships with those supporting the activity or others whose products or services are discussed. Faculty disclosure will be provided in the activity materials. Summary of Individual Disclosures Jan N. Basile, MD Speakers Bureau - Amgen, Arbor, Janssen; Consultant - Novartis; Researcher - Medtronic; Writing Committee - Up-to-date Kevin R. Flaherty, MD, MS Consultant - Boehringer Ingleheim, Genentech; Advisory Board - Fibrogen Michelle Frisch, MPH, CCMEP No relationships to disclose Joshua Kilbridge No relationships to disclose Sheila Lucas, CWEP No relationships to disclose Greg Mattingly, MD Speaker - Allergan, Lundbeck, Merck, Otsuka, Shire, Sunovion,Takeda and Vanda; Consultant - Alkermes, Allergan, Forum, Lundbeck, Merck, Otsuka, Perdue, Rhodes, Shire, Sunovion, Takeda and Vanda; Researcher - Akili, Alcobra, Alkermes, Allergan, Boehringer, Forum, Janssen, Medgenics, NLS-1 Pharma AG, Reckitt Benckiser, Shire, Sunovion, Supernus and Takeda. Harvey C. Parker, Ph.D., CHCP No relationships to disclose Gregg Sherman, MD No relationships to disclose Mark Stolar, MD Speaker/Advisory Board Astra Zeneca Charles P. Vega, MD, FAAFP Consultant - McNeil Healthcare; Speaker - Shire Pharm 5 Visit for FREE online CME!

8 Disclosure of Commercial Support This educational activity is supported by an independent educational grant from Boehringer Ingelheim Pharmaceuticals, Inc.; an independent educational grant from Boehringer Ingelheim Pharmaceuticals, Inc. and Lilly USA, LLC; and an independent medical educational grant from Shire. Americans With Disabilities Any activity registrant who feels s/he may need accommodations based on the impact of a disability should contact NACE to discuss your specific needs. 6 Visit for FREE online CME!

9 Getting Comfortable with SGLT-2 Therapy: New Insights Learning Objectives Faculty Member Describe the role of the kidney in glucose metabolism in health and disease Review the physiologic effects and clinical efficacy of SGLT-2 therapy in various patient populations Review emerging data on possible renal and macrovascular effects of evidence-based diabetes treatment options Integrate the impact of treatment decisions on postprandial hyperglycemia and risk of hypoglycemia The faculty member listed below contributed to the development of the content being presented. Mark Stolar, MD Associate Professor of Clinical Medicine Northwestern University Medical School Chicago, IL Slides are available for download at: 7 Visit for FREE online CME!

10 KEY NOTES WHAT SHOULD I IMPLEMENT IN MY PRACTICE? 8

11 Recognition and Management of Idiopathic Pulmonary Fibrosis: The Role of Primary Care Learning Objectives Implement an appropriate strategy for diagnosing a patient with suspected idiopathic pulmonary fibrosis (IPF) Discuss and contrast the available pharmacotherapeutic options for patients with IPF Describe the non-pharmacotherapeutic options for IPF patients Establish the clear role for the primary care clinician in diagnosing and managing disease in IPF patients Faculty Member The faculty member listed below contributed to the development of the content being presented. Franck Rahaghi, MD, MHS, FCCP Chairman, Department of Pulmonary Medicine Head, Pulmonary Education and Rehabilitation Cleveland Clinic Florida Weston, FL Kevin R. Flaherty, MD, MS Professor of Pulmonary and Critical Care Medicine University of Michigan Health System Ann Arbor, MI Slides are available for download at: 9

12 KEY NOTES WHAT SHOULD I IMPLEMENT IN MY PRACTICE? 10

13 Legalize it? A Clinician's Guide to Medical Marijuana Learning Objectives Assess trends in the use of marijuana, medical and recreational Analyze the potential benefits of medical marijuana Evaluate the potential negative consequences of medical marijuana Review research of physician attitudes towards medical marijuana Faculty Member The faculty member listed below contributed to the development of the content being presented. Charles P. Vega, MD, FAAFP Clinical Professor Family Medicine School of Medicine UC Irvine Health Irvine, CA Slides are available for download at: 11

14 KEY NOTES WHAT SHOULD I IMPLEMENT IN MY PRACTICE? 12

15 Adult ADHD in Primary Care: Addressing the Unmet Need Learning Objectives Faculty Member Discuss ADHD symptom profiles and common presentations in a primary care setting Identify risks for coexisting disorders in adult patients with ADHD with emphasis on anxiety disorders, mood disorders, and substance use/abuse disorders Implement appropriate pharmacologic treatment for adults diagnosed with ADHD designed to improve compliance, minimize side effects and maximize outcomes in a busy primary care setting Use adult ADHD assessment and treatment tools for assessment, treatment and follow-up monitoring The faculty member listed below contributed to the development of the content being presented. Greg Mattingly, MD Associate Clinical Professor Department of Psychiatry Washington University School of Medicine St. Louis, MO Slides are available for download at: 13

16 KEY NOTES WHAT SHOULD I IMPLEMENT IN MY PRACTICE? 14

17 KEY NOTES WHAT SHOULD I IMPLEMENT IN MY PRACTICE? 15

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