May 6-9, 2009 Anaheim, CA

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PRI-MED SYMPOSIA Pri-Med West CONFERENCE & EXHIBITION May 6-9, 2009 Anaheim, CA Earn up to 17 AMA PRA Category 1 Credit(s)

Pre-Conference Symposia Day Schedule Wednesday, May 6, 2009 6:30 AM 7:30 AM Registration & Breakfast 7:30 AM 7:45 AM Opening Remarks 7:45 AM 9:00 AM Improving Glucose Control in Type 2 Diabetes: Matching the Right Insulin to the Right Patient A Case Based Program 9:15 AM 10:30 AM Management of Rhinitis: Taking a Closer Look at Intranasal Antihistamines 10:30 AM 12:15 PM Early and Aggressive LDL-C Management: Perspectives on Your Top 10 Questions 1:00 PM 2:15 PM Slowing the Progression of Type 2 Diabetes: Early Intervention in the Primary Care Setting 2:15 PM 3:30 PM Information to come *Titles are subject to change PRE-CONFERENCE SYMPOSIA DAY ACCREDITATION STATEMENT Pri-Med institute is accredited by the Accreditation Council for Continuing Medical education to provide continuing medical education for physicians. DESIGNATION STATEMENT Pri-Med designates this educational activity for a maximum of 6.75 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity. AAFP APPLICATION Application for CME credit has been filed with the American Academy of family Physicians. Determination of credit is pending. AANP ACCREDITATION Pri-Med institute is approved as a provider of nurse practitioner continuing education by the American Academy of nurse Practitioners. AANP provider 040308. This program has been approved for 6.75 contact hours of continuing education (which includes 3.375 hours of pharmacology). AMERICAN WITH DISABILATIES STATEMENT In accordance with the Americans with Disabilities Act, Pri-Med institute seeks to make this conference accessible to all. If you have a need which might require special accommodations, please call 877-4PRI-MED or email support@pri-med.com three weeks prior to the meeting. COMMERCIAL SUPPORT These CME activities are supported by educational grants from Novo Nordisk Inc., Meda Pharmaceuticals, Merck/Schering Plough. INDUSTRY-SUPPORTED SYMPOSIA ACCREDITATION Symposia are produced independently of Harvard Medical School and David Geffen School of Medicine at UCLA. Sessions are planned and produced in accordance with the Accreditation Council for Continuing Medical Education. To obtain credit for industry-supported Symposia, you will need to scan your Attendance badge at each symposium attended. Credit certificates will either be distributed at the conclusion of the symposium or mailed to you by the accrediting institution approximately eight weeks after the close of the conference.

Dinner Symposium Thursday, May 7, 2009 6:00 PM 8:00 PM Managing Persistent Pain in the Older Patient: Effective Strategies for Clinical Practice Bill McCarberg, MD,FABPM Founder, Chronic Pain Management Program Kaiser Permanente San Diego, CA Assistant Clinical Professor (voluntary) University of California, San Diego San Diego, CA Assess and diagnose pain and comorbid conditions in the older patient Identify safe and effective treatment regimens for the older patient Differentiate typical physical, functional, and cognitive impairments specific to the older patient populations Accreditation Statement: Professional Postgraduate Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Designation Statement:Professional Postgraduate Services designates this activity for a maximum of 2.5 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity. Commercial Support: This activity is supported by an educational grant from Endo Pharmaceuticals, Inc.

Lunch Symposium Friday, May 8, 2009 12:00 PM 1:30 PM Do Ask, Do Tell: Successful Smoking Interventions Geoffrey Leung, MD Physician-in-Charge Don Schroeder Rubidoux Family Care Center Riverside, California Screen all patients for smoking status Design individualized cessation interventions for patients who smoke Commit to active follow-up with patients along the smoking cessation path Accreditation Statement: The California Academy of Family Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CAFP takes responsibility for the content, quality, and scientific integrity of this CME activity. Designation Statement: This activity has been reviewed and is acceptable for up to 3 Prescribed credits by the American Academy of Family Physicians. Of these credits, 1.5 conforms to the AAFP criteria for evidence based CME clinical content. CME credit has been increased to reflect 2 for 1 credit for only the EB CME portion. When reporting CME credit, AAFP members should report total Prescribed and Elective credit earned for this activity. It is not necessary for members to label credit as evidence based CME for reporting purposes. The California Academy of Family Physicians designates this educational activity for a maximum of 1.5 AMA PRA Category 1 Credit(s). TM Physicians should only claim credit commensurate with the extent of their participation in the activity. Commercial Support: This activity is supported by an educational grant from Pfizer, Inc.

Lunch Symposium Friday, May 8, 2009 12:00 PM 1:30 PM Integrating Incretin-based Therapies into Clinical Practice: Practical Considerations for Primary Care* Scott V. Joy, MD,CDE,FACP Chief of Clinical Services Division of General Internal Medicine Associate Clinical Professor Department of Medicine Duke University Medical Center Durham, NC Frank Svec, MD,PhD Professor of Medicine Health Sciences Center Chief, Section of Endocrinology Louisiana State University New Orleans, LA R. Daniel Pollom, MD Community Health Network Indianapolis, IN Explain the concept of the incretin effect, and describe defects in incretin secretion and incretin action that occur in type 2 diabetes List at least 3 of the mechanisms of action of incretin-based therapies Discuss the clinical efficacy, safety, and practical issues related to the use of DPP-4 inhibitors for the treatment of type 2 diabetes Compare and contrast the incretin mimetics currently available or in late stage development with respect to dosing, efficacy, and safety/side effect profile Summarize the role of incretin-based therapy (ie, both incretin mimetics and DPP-4 inhibitors) in the treatment algorithm for type 2 diabetes Accreditation Statement: Pri Med institute is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Designation Statement: Pri Med institute designates this educational activity for a maximum of 1.5 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity. Nursing Accreditation: Pri Med Institute is approved as a provider of nurse practitioner continuing education by the American Academy of Nurse Practitioners, AANP provider 040308. This program has been approved for 1.5 contact hours of continuing education (which includes 0.75 hours of pharmacology). Commercial Support: This activity is supported by an educational grant from Novo Nordisk, Inc.

Dinner Symposium Friday, May 8, 2009 6:00 PM 9:00 PM Aggressive Strategies for Type 2 Diabetes* Thomas Donner, MD Associate Professor of Medicine Division of Endocrinology Director, Joslin Diabetes Center University of Maryland School of Medicine Baltimore, MD Christopher E Sadler, MA,PA C,CDE Diabetes and Endocrine Associates La Jolla, CA Betsy B Dokken, PhD,NP,CDE Nurse Practitioner, Section of Endocrinology, Diabetes, and Hypertension University of Arizona Health Sciences Center Tucson, AZ Describe metabolic memory and the need to achieve early glycemic control in patients with type 2 diabetes Demonstrate that timely and aggressive intervention with insulin for patients with type 2 diabetes leads to lower AIC values and improved outcomes Illustrate through actual practice scenarios, case studies, and communication techniques at least 3 ways in which clinicians and patients may overcome barriers, myths, and misconceptions about insulin therapy Accreditation Statement: Pri Med institute is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Designation Statement: Pri Med institute designates this educational activity for a maximum of 2.5 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity. Nursing Accreditation: Pri Med Institute is approved as a provider of nurse practitioner continuing education by the American Academy of Nurse Practitioners, AANP provider 040308. This program has been approved for 2.5 contact hours of continuing education (which includes 1.25 hours of pharmacology). Commercial Support: This activity is supported by an educational grant from Sanofi-Aventis.

Dinner Symposium Friday, May 8, 2009 6:00 PM 8:00 PM Changing Paradigms in Hereditary Angioedema: A Focus on Prompt Diagnosis and New Therapies Alan Kaplan, MD Professor of Medicine University of South Carolina Charleston, South Carolina Bruce L Zuraw, MD Chief, Section of Allergy & Immunology Program Director Allery & Immunology Training University of California School of Medicine Escondido, CA Paula Busse, MD Assistant Professor of Medicine Clinical Immunology Mount Sinai School of Medicine New York, NY Describe the pathophysiology and immunologic features of hereditary angioedema (HAE) Review the signs and symptoms of patients who present with HAE Identify diagnostic considerations in HAE Outline therapeutic strategies for prophylaxis and acute HAE attacks Accreditation Statement: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Robert Michael Educational Institute LLC (RMEI) and Postgraduate Institute for Medicine (PIM). PIM is accredited by the ACCME to provide continuing medical education for physicians. Credit Designation: PIM designates this educational activity for a maximum of 1.5 AMA/PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity. Commercial Support: This activity is supported by an educational grant from ViroPharma Incorporated.

Lunch Symposium Saturday, May 9, 2009 12:00 PM 2:00 PM Chronic Opioid Therapy: Understanding Risk While Maximizing Analgesia David Fishbain, MD Professor of Psychiatry Adjunct Professor Neurological Surgery and Anesthesiology University of Miami Miller School of Medicine Miami, FL Assess the risk level of those chronic pain patients most likely to benefit from opioid therapy Identify appropriate opioid analgesic agent(s), based on safety and efficacy data, and patient presentation Optimize analgesia through titration, rotation, and conversion Use appropriate documentation to support opioid prescribing Accreditation Statement Professional Postgraduate Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Designation Statement: Professional Postgraduate Services designates this activity for a maximum of 2.0 AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Commercial Support: This activity is supported by an educational grant from Endo Pharmaceuticals Inc.

Industry-Supported Symposia Held during mealtime breaks during the Conference & Exhibition Attendance at Symposia sessions is limited Tickets are required for admission Registration for industry-supported Symposia is limited to physicians, physician assistants, and nurse practitioners currently engaged in patient care. Session information is subject to change *American with Disabilities Statement: In accordance with the Americans with Disabilities Act, Pri-Med institute seeks to make this conference accessible to all. If you have a need which might require special accommodations, please call 877-4PRI-MED or e-mail support@pri-med.com three weeks prior to the meeting. 2008 M C Communications LLC. All rights reserved. Pri-Med is a registered trademark and Knowledge that touches patients is a trademark of M/C Communications, LLC. All other trademarks are the property of their respective owners. WWW.PRI-MED.COM/WEST 1-877-4PRI-MED (1-877-477-4633)