Thursday, Sept. 20, Ambassador Banquet and Conference Center 7794 Peach St. Erie, Pa.

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Approved for: AMA Category 1 Credit ANCC Credit Trauma Education Credit Pending: Prehospital Credit Continuing Medical Education presents: 2018 Challenges and Controversies in Emergency Medicine, a Day at the Cinema PACEP WESTERN PA RESIDENTS DAY Thursday, Sept. 20, 2018 Ambassador Banquet and Conference Center 7794 Peach St. Erie, Pa. Course Directors: Jonathan Miller, MD Ferdinando Mirarchi, DO PACEP THANKS EMRA FOR THEIR GENEROUS PARTNERSHIP AND SUPPORT OF PACEP S RESIDENTS DAYS

7:15 to 7:45 a.m. Triage 7:45 to 8 a.m. Admission PROGRAM OUTLINE 8 to 9 a.m. Driving Ms. Daisy to the ED What Is and Why Is a Geriatric ED Important?** Christopher Carpenter, MD 9 to 10 a.m. Houston, We Have a Problem: Should All Out-of-Hospital Cardiac Arrest Patients Go to the Cath Lab? Christopher Cammarata, DO; Christopher Carpenter, MD; Robert Maholic, DO, FACC, FSVM; Ferdinando Mirarchi, DO 10 to 10:15 a.m. Refreshment Break BREAK OUT SESSION OPTION 1: 10:15 to 11 a.m. Show Me the Money How You Get Paid F. Richard Heath, MD, FACEP 11 to 11:30 a.m. Our Lives Are Defined by Opportunities PACEP Update Ankur Doshi, MD BREAK OUT SESSION OPTION 2: 10:15 to 11:30 a.m. We re Not Going to Panic: Tricks of the Trade for Pediatric Emergencies and Trauma** Donald McDowell, BSN, RN, CEN, CTRN, PHRN 11:30 a.m. to 12:30 p.m. Lunch and Networking 12:30 to 12:45 p.m. FRANK C. STONITSCH, MD, COMMEMORATIVE LECTURE So You re Telling Me There s a Chance of Patient Satisfaction in the ED? Adam Griffith, DO; Jason Loflen, DO 12:45 to 1:45 p.m. Fear and Loathing in the ER Breaking the Cycle of Addiction** Daniel Swayze, PhD, MBA, MEMS 1:45 to 2:45 p.m. It Is Not Our Abilities That Show What We Truly Are It Is Our Choices: Resident Case Presentations Emergency Medicine Residents 2:45 to 3 p.m. Break 3 to 3:45 p.m. FRANK J. BENES, III, DO, COMMEMORATIVE LECTURE Courage Under Fire When an Active Shooter Strikes** Jason Chenault, PhD, CEM, CHEP, CMCO, FACEM 3:45 to 4:30 p.m. Transamerica Treating the Transgender Population** Keira DeSantis; Jonathan Miller, MD; Alexander Sloboda, MD; Caitlyn Strohmeyer, MSW 4:30 p.m. Closing Remarks and Adjournment **Indicates presentation contains specific trauma education content JOIN OUR EMAIL LIST: To receive links to electronic brochures in the future and join our email list, please be sure to provide your email address on the registration form. Your email address will not be sold or used for any purpose other than to inform you about CME opportunities at.

GOAL This activity has been designed to increase the participant s critical thinking and knowledge of some common and not-so-common challenges in emergency medicine. Specific topics were selected based on controversies faced almost daily in emergency patient care, as well as ongoing and emerging health care concerns and trends. Ample time for questions and answers has been built in to each presentation. Audience members will also have the opportunity to speak one-on-one with presenters during refreshment breaks and lunch. TARGET AUDIENCE Emergency medicine physicians, nurses, advanced practice providers, and prehospital personnel, as well as primary care practitioners with an interest in emergency medicine will benefit from attendance at this activity. OBJECTIVES At the conclusion of this activity, the participants should be able to: Discuss the role of the Geriatric Emergency Department (GED) and the impact on geriatric patient care Describe the pathway for certification of a GED Identify which cardiac patients may benefit from aggressive intervention vs. watchful waiting Discuss the impact of public reporting on postcardiac arrest management Review the potential impact of advance directives on pre- and postcardiac arrest management Discuss medical payment models for compensation Describe appropriate documentation to ensure medical payments and reimbursements are issued correctly Discuss the impact of the Pennsylvania College of Emergency Physicians on the field of emergency medicine Describe the systematic approach to pediatric assessment Review interventions for treating pediatric emergencies that help to avoid complications and improve patient outcomes Summarize the traditional ED workflow and identify steps that negatively impact the patient experience Discuss how improved patient navigation through ED workflow might improve the patient experience Describe the typical and atypical pathways of addiction Review resources available to patients while in the ED as well as upon discharge from the ED Assess various approaches to unique medical diagnoses in emergency medicine Review past active weapon events in school systems and workplaces Describe strategies and training to plan for, mitigate risk of, and respond to an active weapon incident Describe best practice for ensuring dignity and respect during treatment of the transgender patient in the ED setting Discuss common presentations and complications of the transgender patient List appropriate follow-up resources for transgender patients to ensure continuity of care Assess the impact of provider awareness, knowledge, and sensitivity on the transgender patient experience FRANK C. STONITSCH, MD, COMMEMORATIVE LECTURE Dr. Frank Stonitsch was the first emergency medicine residency-trained physician employed at and was well respected as a natural leader. This commemorative lecture is named to honor Dr. Stonitsch s memory and the influence he had on those of us who follow in his footsteps. FRANK J. BENES, III, DO, COMMEMORATIVE LECTURE Dr. Frank Benes served as Emergency Department medical director until 2007. During his tenure, developed a state-of-the-art Emergency Department, the region s only trauma center, as well as accredited chest pain centers. He was a co-founder in the development of the Emergency Medicine Residency Training Program, which celebrated its 10-year anniversary in 2015. He passed away well before his expected time in spring 2014. This commemorative lecture is named to honor Dr. Benes memory.

COURSE DIRECTORS Jonathan Miller, MD Associate Director, Emergency Medicine Residency Program Ferdinando Mirarchi, DO Medical Director FACULTY Christopher Cammarata, DO Christopher Carpenter, MD Director, Evidence Based Medicine, Washington University Division of Emergency Medicine Chair, ACEP Geriatric Section Jason Chenault, PhD, CEM, CHEP, CMCO, FACEM Medical Director Senior Director of Emergency, Hospitalist and Critical Care Services Regional Health Services/ Kiera DeSantis Board of Directors, TransFamily of NWPA Ankur Doshi, MD President, Pennsylvania College of Emergency Physicians Associate Professor of Emergency Medicine University of Pittsburgh School of Medicine Adam Griffith, DO F. Richard Heath, MD, FACEP Chief of Emergency Medicine UPMC St. Margaret Vice Chair of Compliance and Medical Documentation UPP Emergency Medicine Member, Secretary PACEP Board of Directors Jason Loflen, DO Robert Maholic, DO, FACC, FSVM UPMC Heart and Vascular Institute at Department of CV Medicine and Surgery Donald McDowell, BSN, RN, CEN, CTRN, PHRN Department of Nursing Administration Jonathan Miller, MD Associate Director, Emergency Medicine Residency Program Ferdinando Mirarchi, DO Medical Director Alexander Sloboda, MD Emergency Medicine Resident Caitlyn Strohmeyer, MSW President, TransFamily of NWPA Crisis Services Clinician I Safe Harbor Behavioral Health of Daniel Swayze, PhD, MBA, MEMS Vice President, Chief Operating Officer Center for Emergency Medicine of Western Pennsylvania EMERGENCY MEDICINE RESIDENTS TBD

AMA ACCREDITATION The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. AMA DESIGNATION The University of Pittsburgh designates this live activity for a maximum of 7.0 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded 0.7 continuing education units (CEUs), which are equal to 7.0 contact hours. ANCC ACCREDITATION UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. ANCC CREDIT HOURS A maximum of 7.0 nursing contact hours will be awarded. Participants will be able to claim credit commensurate with the extent of their participation in the program. Accreditation refers to recognition of continuing nursing education activities only and does not imply UPMC or Commission on Accreditation approval or endorsement of any commercial product. PREHOSPITAL CONTINUING EDUCATION CREDITS Continuing education credits for prehospital emergency medicine services personnel have been applied for. TRAUMA CREDIT HOURS Select sessions meet the requirements for trauma education hours. The maximum trauma education credit available for this conference is 4.75. SPECIAL NEEDS Participation by all individuals is encouraged. Advance notification of any special needs (i.e., gluten free or vegan meal, private room for nursing mothers, handicap accessibility) will help us provide better service. Please notify us of your needs at least two weeks in advance of the program by calling s CME office at 800-352-2553 or 814-877-5691. DISCLOSURE Faculty for this activity have been required to disclose all relationships with any proprietary entity producing health care goods or services, with the exemption of nonprofit or government organizations and non-health-care-related companies. CANCELLATION POLICY Tuition for cancellations postmarked or date stamped before Sept. 1, will be completely refunded. After Sept. 1, a $30 administration fee will be assessed. No refunds will be made after Sept. 1, 2018. However, substitutes are welcome. Please notify s CME Department of substitutions and cancellations via email to ham_cme@upmc.edu, or by telephone at 800-352-2553 or 814-877-5691, or via USPS mail to: CME Department, 201 State St., Erie, PA, 16550. reserves the right to cancel this program if sufficient registrations are not received. In the case of cancellation, registration fees will be fully refunded. Preregistrants will be informed of the cancellation via email, or phone if no email address is given. LOCATION The program is being held in the Crystal Ballroom at the Ambassador Banquet and Conference Center behind the Courtyard by Marriott at 7794 Peach St., Erie, Pa. ATTIRE Attire for the conference is business casual. Since meeting room temperatures can vary, it is recommended that you dress in layers and bring a light jacket or sweater with you to the conference.

2018 Challenges and Controversies in Emergency Medicine A Day at the Cinema Thursday, Sept. 20, 2018 Ambassador Banquet and Conference Center REGISTRATION The registration fee includes the seminar, electronic educational materials, continental breakfast, refreshment breaks, and lunch. If you have any questions, please contact the CME Office at 800-352-2553 or 814-877-5691. REGISTRATIONS RECEIVED PRIOR TO SEPT. 1 Physicians...$135 Nurses/Allied Health Professionals/Others...$65 Prehospital Personnel...$50 Residents/Students...$30 REGISTRATIONS RECEIVED AFTER SEPT. 1 Physicians...$155 Nurses/Allied Health Professionals/Others...$85 Prehospital Personnel...$70 Residents/Students...$50 ONLINE REGISTRATION: Registering online is the quickest and easiest way to reserve your space at conferences. Visit our online registration site at https://ccehs.upmc.com. Click the link for Upcoming Events and scroll down to the Sept. 20, 2018 2018 Challenges and Controversies in Emergency Medicine section on the web page. Click the registration button and enter all the requested information. After registering, an electronic confirmation will be sent to you. Online registration is complete upon receipt of a confirmation email. If you do not receive this email within 5 7 days of registration, please contact the CME Department at 814-877-5691. To assure participation, registration and payment are expected by Sept. 1, 2018. continued on back...

... 2018 Challenges and Controversies in Emergency Medicine registration continued Return completed form via: Mail, CME Department, 201 State St., Erie, PA 16550 Fax Attn: CME Department, 814-877-4010 or Email HAM_CME@upmc.edu Name Circle Title: MD DO NP RN PA PT ATC Other: Specialty Institution/Organization Street Address City, State, ZIP Daytime Phone Number Email Address Select the appropriate options below: Prior to Sept. 1, 2018 $135 Physicians $60 Nurses/Allied Health Professionals/Others $50 Prehospital Personnel $30 Residents/Students After Sept. 1, 2018 $155 Physicians $85 Nurses/Allied Health Professionals/Others $70 Prehospital Personnel $50 Residents/Students CHECK PAYMENT OPTIONS You can either mail this card with payment or fax this card and mail payment later with a copy of this completed form. My payment is enclosed. My payment will be mailed separately. CREDIT CARD PAYMENT Please mail or fax this completed form. I authorize the following credit card payment: Visa MasterCard American Express Discover Card Number: Expiration Date (Month/Year): Signature: UPMC Employee Journal Entry Transfer If you are a UPMC employee and your department will be responsible for payment, we can charge your department directly. DO NOT SUBMIT a disbursement to UPMC Accounts Payable. Ask your supervisor to complete and sign the following: Business Unit Account No. Depart. ID Number Depart. Manager/Director Name Authorized Depart. Signature