Care Update INTERACTIVE HANDS-ON SESSIONS: DAY 2. APRIL 27-28, 2018 Omaha Marriott Regency Hotel Regency Cir.

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2018 Primary Care Update APRIL 27-28, 2018 Omaha Marriott Regency Hotel 10220 Regency Cir. Omaha, Nebraska INTERACTIVE HANDS-ON SESSIONS: DAY 2 DESIGNED FOR: JOINTLY PROVIDED BY: Primary Care Physicians, Nurse Practitioners, Physician Assistants, Pharmacists, Nurses, Fellows, Residents, Students, and Other Interested Health Care Professionals,, Health Sciences Continuing Education and CHI Health

Purpose and Objectives Purpose: This conference is designed to update attendees regarding the evidence supporting best current clinical practices in ambulatory care. The information presented is intended to enhance clinical competence in the diagnosis and treatment of selected primary care topics as identified by past participants. Objectives: At the end of this program, the participants should be able to: FRIDAY, APRIL 27 Discuss the guidelines, diagnostic algorithm and lung function tests in the diagnosis and management of asthma in the primary care setting Describe the prevalence, etiology and current management options for gastroesophageal reflux disease (GERD) Review the clinical features, evaluation and diagnosis of melanoma and identify newer immunotherapy and targeted therapies in the management and treatment of this disease Describe the pathophysiology of diabetes mellitus and discuss clinical practice guidelines to improve management in the primary care and outpatient settings Explain the assessment of elevated creatinine levels, potential etiologies, diagnosis and treatment options Identify new medication therapies which were approved by the FDA in the past 12 months and understand the role(s) of these agents in clinical practice SATURDAY, APRIL 28 Discuss typical developmental milestones from birth to age one; recognize the warning signs that could indicate a type of developmental delay and the clinical guidelines to evaluation, diagnosis and management Examine the challenges of diagnostic workup, differential diagnosis and guidelines in the evaluation and management of patients with syncope Evaluate guidelines, recommendations, improved access to HIV testing and new testing algorithms to decrease the number of individuals who present with advanced immunocompromise, enhance detection, and reduce transmission to others SATURDAY, APRIL 28: HANDS-ON SESSIONS Demonstrate injection technique for cosmetic botulinum toxin treatment Review and practice various techniques of skin closure and repairs Employ best practice guidelines for the application of intra-articular shots Demonstrate an implant placement procedure and removal instructions 2

Education Credit Category 1: Creighton University Health Sciences Continuing Education designates this live activity for a maximum of 14.50 AMA PRA Category 1 Credit(s) TM. Physicians should claim only credit commensurate with the extent of their participation in the activity. AAFP: Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. Accreditation Statement: AAPA accepts AMA category 1 credit for the PRA from organizations accredited by ACCME. Nurse CE: Creighton University Health Sciences Continuing Education designates this activity for 14.50 contact hours for nurses. Nurses should claim only credit commensurate with the extent of their participation in the activity. Nurses licensed in Iowa and California: This activity was planned and developed in accordance with the continuing education standards of the American Nurses Credentialing Center (ANCC). The Iowa Board of Nursing and the California Board of Nursing will honor ANCC continuing education credits for face-to-face programs held outside Iowa and California, or for ANCC-approved online recorded courses taken in a self-study format. Pharmacy: Creighton University Health Sciences Continuing Education (HSCE) is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education (CPE). The 2018 Primary Care Update is accredited for 14.50 hour(s) for completion of all CE Sessions on April 27-28, 2018. The 2018 Primary Care Update is a knowledge-based activity. In support of improving patient care, this activity has been planned and implemented by Creighton University Health Sciences Continuing Education and CHI Health. Creighton University Health Sciences Continuing Education (HSCE) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Disclosure Policy: It is the policy of Creighton University Health Sciences Continuing Education, to ensure balance, independence, objectivity and scientific rigor in all its educational activities. All faculty participating in this activity are expected to disclose to the audience any significant financial interest or other relationship he/ she has with the manufacturer(s) of any commercial product(s) discussed in an educational presentation. 3

Welcome From The Course Director Naureen Rafiq, MBBS The 2018 Primary Care Update focuses on ambulatory care, an area of clinical practice, characterized by wide working styles, many viewpoints, perspectives, and evolving clinical evidence. This background provides us an opportunity to create a curriculum that is up to date and addresses these difficulties. We are very fortunate to have an excellent panel of speakers who are considered experts in their fields and we sincerely hope that you will find these two days full of useful information that you can take home and apply in your everyday practice. Interactive Audience Response System We will be utilizing an Audience Response System in select educational sessions to facilitate an interactive learning experience between the speakers and program attendees. Through a wireless handheld unit, speakers will be able to query the attendees with results posted simultaneously. See real time responses to important clinical questions while comparing your opinion with those of your colleagues by participating in these interactive sessions. 4

Schedule Day One April 27, 2018 Day Two April 28, 2018 7:30 a.m. Registration, Continental Breakfast and Visit Exhibits 7:30 a.m. Registration, Continental Breakfast and Visit Exhibits 7:45 a.m. Welcome and Program Overview Naureen Rafiq, MBBS MORNING SESSION Moderator: Naureen Rafiq, MBBS 8 a.m. Asthma: Spirometry and Management Bryan J. Krajicek, MD 9 a.m. GERD: Diagnosis and Treatment Subhash Chandra, MBBS 10 a.m. Break and Visit Exhibits 10:15 a.m. Update on Melanoma: Diagnosis and Treatment Christopher J. Huerter, MD 11:15 a.m. Ask The Experts Q&A Panel Subhash Chandra, MBBS Christopher J. Huerter, MD Bryan J. Krajicek, MD 11:45 a.m. Lunch and Visit Exhibits AFTERNOON SESSION Moderator: Mark D. Goodman, MD 1 p.m. Diabetes Mellitus: Update in Outpatient Treatment Andjela T. Drincic, MD 2 p.m. Elevated Creatinine: Causes and Approach Khalid Bashir, MD, FACP 3 p.m. Break and Visit Exhibits 3:15 p.m. New Medications in Primary Care Gary N. Elsasser, PharmD, BCPS 4:15 p.m. Ask The Experts Q&A Panel Khalid Bashir, MD, FACP Andjela T. Drincic, MD Gary N. Elsasser, PharmD, BCPS 4:45 p.m. Closing Remarks, Evaluation and Adjournment 7:45 a.m. Welcome and Program Overview Naureen Rafiq, MBBS MORNING SESSION Moderator: Amy L. McGaha, MD, FAAFP 8 a.m. Developmental Delays in the First Year of Life Cristina Fernandez, MD 9 a.m. Syncope: Workup and Management Sanjay P. Singh, MD, FAAN 10 a.m. Break and Visit Exhibits 10:15 a.m. HIV: Screening, Diagnostic Algorithm and Initiation of Treatment Mark D. Goodman, MD 11:15 a.m. Ask The Experts Q&A Panel Cristina Fernandez, MD Mark D. Goodman, MD Sanjay P. Singh, MD, FAAN 11:45 a.m. Lunch and Visit Exhibits 12:45 p.m. Hands-On Sessions (45 min Sessions Run Simultaneously-Attend 2 Sessions) Moderator: Sanjeev K. Sharma, MD, MBA A. Botox Injections Rubab F. Husain, MBBS B. Suturing Techniques Michael A. Greene, MD Sanjeev K. Sharma, MD, MBA 2:15 p.m. Break and Visit Exhibits C. Intra-Articular Shots Shailendra K. Saxena, MD, PhD Joseph A. Stangl, PA-C D. Nexplanon K. John Burhan, MD 2:30 p.m. Hands-On Sessions (45 min Sessions Run Simultaneously-Attend 2 Sessions) A. Botox Injections Rubab F. Husain, MBBS B. Suturing Techniques Michael A. Greene, MD Sanjeev K. Sharma, MD, MBA 4 p.m. Open Session/Practice On Your Own C. Intra-Articular Shots Shailendra K. Saxena, MD, PhD Joseph A. Stangl, PA-C D. Nexplanon K. John Burhan, MD 4:30 p.m. Evaluation and Adjournment 5

Faculty Course Director Naureen Rafiq, MBBS Assistant Professor Faculty Khalid Bashir, MD, FACP Assistant Professor and Chief Department of Medicine, Division of Nephrology CHI Health Nephrology K. John Burhan, MD Assistant Professor Subhash Chandra, MBBS Assistant Professor Division of Gastroenterology and Hepatology Department of Medicine CHI Health Gastroenterology Andjela T. Drincic, MD Associate Professor Department of Internal Medicine Division of Diabetes, Endocrine and Metabolism The Diabetes Center, Nebraska Medical Center Specialty University of Nebraska College of Medicine Gary N. Elsasser, PharmD, BCPS Professor of Pharmacy and Medicine Vice Chair, Department of Pharmacy Practice Creighton University School of Pharmacy and Health Professions Pharmacy Education and Research, Cristina Fernandez, MD Professor, Department of Pediatrics Weight Management, HEROES Clinic and Program Children s Hospital and Medical Center Pediatrician, Children s Physicians Creighton Mark D. Goodman, MD Professor Michael A. Greene, MD Assistant Professor Christopher J. Huerter, MD Professor and Chief Division of Dermatology, Department of Medicine CHI Health Dermatology Rubab F. Husain, MBBS Family Medicine Physician Bryan Health Bryan J. Krajicek, MD Pulmonologist CHI Health Pulmonary Medicine and Critical Care Amy L. McGaha, MD, FAAFP Professor and Chair Sanjeev K. Sharma, MD, MBA Professor Sanjay P. Singh, MD, FAAN Professor and Chair Department of Neurology Director, Neurological Institute CHI Health Joseph A. Stangl, PA-C Physician Assistant Planning Committee: Naureen Rafiq, MBBS; Amy L. McGaha, MD, FAAFP; Michael A. Greene, MD; Colin T. Dworak, BSBA; Joseph A. Stangl, PA-C; Kate Dosenovich, RN; Gary N. Elsasser, PharmD, BCPS; LuAnn Miller HSCE Program Review Committee: William Hunter III, MD; Tom Berry, BS, DDS; Susan Connelly, DNP, APRN-NP; Timothy F. Walker, DDS; Dan Hilleman, PharmD; Mark Malesker, PharmD; Mike G. Miller, EdD, MS, BSEMS, NRP; Colin T. Dworak, BSBA; Anne Schoening, PhD, RN, CNE 6

Logistics Handout Options: Please be advised that handout materials for this conference will not be included in the registration fee and be distributed as paper copies, but rather, made available online ahead of time (to the best extent possible). Participants can download and print the presentations prior to the conference, or follow along on their own laptop during the conference. A link will be sent by email a week prior to the Conference to download and print the handouts needed before the event For those needing a traditional handout, they will be available by pre-order at a cost of $15. Please pre-order your handout by April 16, 2018 Please note if you require special accommodations (dietary, mobility, hearing, etc.) for the meeting, there will be an opportunity to enter them through the online registration. Meeting Place and Lodging: Omaha Marriott Hotel 10220 Regency Cir. Omaha, NE 68114 800.228.9290 402.399.9000 omahamarriott.com Emergency Phone: 402.399.9000 Identify the Creighton Primary Care Update Program. Lodging: Call Kerry Kasper at the Marriott Hotel for the conference rate. Phone: 402.516.3624 Email: Kerry.Kasper@marriott.com. Or visit visitomaha.com for a list of hotels in the area. Special Accommodations: Creighton University Health Sciences Continuing Education wishes to ensure that no individual with special needs is excluded, denied services, segregated, or otherwise treated differently from other individuals because of the absence of auxiliary aids and services. If you are in need of auxiliary aids or services, please contact Health Sciences Continuing Education (HSCE) at 800.548.2633 or 402.280.1830. Climate and Dress: Casual dress is encouraged for the entire meeting. Temperature in meeting rooms can fluctuate, therefore layered clothing is suggested. Plan to bring a sweater or jacket. Courtesy: For the concentration and comfort of our participants, we ask that all cell phones and pagers be silenced during sessions of the conference. Breaks are provided for your communication convenience. Thank you for your cooperation. Website: healthsciences.creighton.edu Cancellation: Please call 800.548.2633 OR 402.280.1830 by Tuesday, April 24, 2018. Refund less $20 if cancelling by Tuesday, April 24, 2018. No refund after Tuesday, April 24, 2018. Money Back Guarantee: We are convinced you ll leave with more than enough information to earn back your investment in these programs. However, if you feel you haven t received your money s worth by the end of the program, you will receive a 100% refund of your registration. In the unlikely event this program is cancelled, you will be notified by phone. 7

780216 California Plaza Omaha, Nebraska 68178-0216 230281-811610-7431-110 2018 Primary Care Update MAY 5-6, 2017 Registration DON T MISS OUT REGISTER ONLINE TODAY AT: 2018primarycare.eventbrite.com Please register by Tuesday, April 24, 2018 Physicians, Nurse Practitioners, Physician Assistants, Pharmacists $150 Nurses, Public Health Officials, Other Health Care Professionals $100 Fellows, Residents, and Full-Time Students (Verification of full-time student status may be requested either by phone or email from appropriate authority.) $75 FP55