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Conversation in PC 2017 Cover 2.qxp_Cover 2/7/17 12:16 PM Page 1 CONVERSATIONS IN PRIMARY CARE Live Virtual Conference Saturday, April 14, 2018 Streaming Live From Fort Lauderdale, FL Provided by

COPYRIGHT 2018 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 33317 (954) 723-0057 www.naceonline.com Printed in the United States of America.

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* Confronting Psoriatic Disease: Putting New Tools to Work 7 Detection of Skin Cancers 9 Liver Function Abnormalities Implications and Evaluations 11 Managing Sleep Health in a Primary Care Setting 13 * Full slide presentations are available for download at http://naceonline.com/cme-courses/cpc-slides.php. 1

A Message from the Course Director 300 NW 70 th Avenue Suite 102 Plantation, Florida 33317 (954) 723-0057 Phone (954) 723-0353 Fax email: info@naceonline.com internet: www.naceonline.com s a primary care physician, I know first-hand the complex challenges that primary care providers face every day 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 Psoriasis, Skin Cancer, Liver Function Abnormalities and Sleep Health. To reach this goal, the program moderators 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

Agenda 10:00 10:10 10:10 11:10 11:10 12:10 Welcome Remarks Gregg Sherman, MD Confronting Psoriatic Disease: Putting New Tools to Work Brad P. Glick, DO, MPH, FAOCD and Gregg Sherman, MD Detection of Skin Cancers Brad P. Glick, DO, MPH, FAOCD and Penny Tenzer, MD 12:10 12:40 Break 12:40 1:40 1:40 2:40 2:40 2:45 Liver Function Abnormalities Implications and Evaluations Kalyan Ram Bhamidimarri, MD, MPH and Penny Tenzer, MD Managing Sleep Health in a Primary Care Setting Paul P. Doghramji, MD, FAAFP and Gregg Sherman, MD Closing Remarks Gregg Sherman, MD 3

Course Faculty and Planning Committee Chief Medical Officer and Course Director Gregg Sherman, MD National Association for Continuing Education Plantation, FL Faculty Kalyan Ram Bhamidimarri, MD, MPH Associate Professor of Clinical Medicine Medical Director of Small Bowel & Multivisceral Transplantation University of Miami Miller School of Medicine Miami, FL Paul P. Doghramji, MD, FAAFP Family Physician Collegeville Family Practice Medical Director of Health Services Collegeville, PA Brad P. Glick, DO, MPH, FAOCD Director, South Florida Psoriasis Treatment Centers Clinical Assistant Professor of Dermatology FIU Herbert Wertheim College of Medicine Miami, FL Moderators Penny Tenzer, MD Professor of Clinical Family Medicine Vice Chair of Academic Affairs, Department of Family Medicine & Community Health University of Miami Miller School of Medicine Miami, FL Staff and Planning Committee Sandy Bihlmeyer, M.Ed. Senior Project Manager National Association for Continuing Education (NACE) Michelle Frisch, MPH, CHCP National Association for Continuing Education Plantation, FL Daniela Hiedra, BA Activity Director National Association for Continuing Education Plantation, FL Joshua F. Kilbridge President and Creative Director Kilbridge Associates San Francisco, CA Harvey C. Parker, Ph.D., CHCP National Association for Continuing Education Plantation, FL Gregg Sherman, MD Chief Medical Officer National Association for Continuing Education Plantation, FL Gregg Sherman, MD Chief Medical Officer National Association for Continuing Education Plantation, FL 4

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 121222. This program has been approved for 4 contact hours of continuing education including 0.50 pharmacology hours. How Do I Get My CME Certificate? You may complete your CME Evaluation form today completing the evaluation on the link that you will receive right after the conference. There will be another opportunity after the program to complete your course evaluation as we will email you the link. This form must be submitted to get credit for participation. You will receive an email with instructions on how to download your CME certificate in 2-3 weeks. We will also send a final survey with some of the questions presented, to see what you have retained. This is part of an outcomes study developed to demonstrate your knowledge gains and see if we are meeting your needs. We truly appreciate your help in completing the 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 Sandy Bihlmeyer Michelle Frisch, MPH, CCMEP Daniela Hiedra, BA Joshua Kilbridge Harvey C. Parker, Ph.D., CHCP Gregg Sherman, MD Kalyan Ram Bhamidimarri, MD, MPH Paul P. Doghramji, MD, FAAFP Brad P. Glick, DO, MPH, FAOCD No relationships to disclose No relationships to disclose No relationships to disclose No relationships to disclose No relationships to disclose No relationships to disclose Dr. Bhamidimarri is part of the advisory board for Gilead and Abbvie. He also serves as a Speaker for Alexion. Dr. Doghramji serves a Faculty and Peer Reviewer at Merck. He is also part of the Speakers Bureau at Merck. Dr. Glick serves on the speakers bureau for SunPharma/Ranbaxy, Merz, LEO, Abbvie, Janssen, Celgene, Galderma, Lilly, and Novartis Pharmaceuticals Corporation. Dr. Glick is also a member of the advisory board for Lilly and TopMD stockholder. Disclosure of Commercial Support This educational activity is supported by educational grants from Novartis Pharmaceuticals Corporation. 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. 5

Confronting Psoriatic Disease: Putting New Tools to Work Learning Objectives Identify and describe the clinical features of psoriatic skin and joint disease Review and discuss associated comorbidities and emerging bio factors and their significance in the management of psoriatic disease Discuss the expanding and dynamically changing treatment paradigm for psoriasis and its related disorders Review and interpret up to date evidence-based clinical trial data and the latest treatments available for the management of psoriatic disease Faculty Member The faculty member listed below contributed to the development of the content being presented. Brad P. Glick, DO, MPH, FAOCD Director, South Florida Psoriasis Treatment Centers Clinical Assistant Professor of Dermatology FIU Herbert Wertheim College of Medicine Miami, FL Slides are available for download at: www.naceonline.com/cme-courses/cpc-slides.php 6

KEY NOTES WHAT SHOULD I IMPLEMENT IN MY PRACTICE? 7

Detection of Skin Cancers Learning Objectives Recognize actinic skin damage and appropriate treatment options Identify clinical features of basal cell carcinoma and management strategies Recognize when to suspect squamous cell carcinoma and how to manage in practice Identify various forms of melanoma and current treatment options Faculty Member The faculty member listed below contributed to the development of the content being presented. Brad P. Glick, DO, MPH, FAOCD Director, South Florida Psoriasis Treatment Centers Clinical Assistant Professor of Dermatology FIU Herbert Wertheim College of Medicine Miami, FL Slides are available for download at: www.naceonline.com/cme-courses/cpc-slides.php 8

KEY NOTES WHAT SHOULD I IMPLEMENT IN MY PRACTICE? 9 Visit www.naceonline.com for FREE online CME

Liver Function Abnormalities Implications and Evaluations Learning Objectives Recognize patterns of liver injury List non-invasive tests for evaluating liver function abnormalities Implement appropriate diagnostic workup for patients presenting with abnormal liver function tests Faculty Member The faculty member listed below contributed to the development of the content being presented. Kalyan Ram Bhamidimarri, MD, MPH Associate Professor of Clinical Medicine Medical Director of Small Bowel & Multivisceral Transplantation University of Miami Miller School of Medicine Miami, FL Slides are available for download at: www.naceonline.com/cme-courses/cpc-slides.php 10 Visit www.naceonline.com for FREE online CME

KEY NOTES WHAT SHOULD I IMPLEMENT IN MY PRACTICE? 11

Managing Sleep Health in a Primary Care Setting Learning Objectives Define sleep health and summarize its clinical importance Communicate risk factors associated with not getting enough sleep Explain the sleep/wake cycle and circadian rhythms Identify common sleep disorders in primary care Use appropriate diagnostic tools to assess patients sleep health Faculty Member The faculty member listed below contributed to the development of the content being presented. Paul P. Doghramji, MD, FAAFP Family Physician Collegeville Family Practice Medical Director of Health Services Collegeville, PA Slides are available for download at: www.naceonline.com/cme-courses/cpc-slides.php 12

KEY NOTES WHAT SHOULD I IMPLEMENT IN MY PRACTICE? 13

KEY NOTES WHAT SHOULD I IMPLEMENT IN MY PRACTICE? 14