Florida Academy of Family Physicians Florida Academy of Family Physicians Foundation 101 FAMILY MEDICINE WEEKEND ST December 12-14, 2008 Continuing Education Planned by Family Physicians for Family Physicians Sandra Argenio, MD; Timothy Davlantes, MD; and Amber Isley, MD, Program Chairs Imagine yourself at the Ritz-Carlton on Amelia Island -where Southern charm meets the sea and live oaks meet white sandy beaches. CME SESSIONS Friday, December 12, 2008 9:00 am - 12:00 pm Joint Injections (Upper & Lower Extremities) Walter Taylor, MD, Jacksonville, and Jennifer Roth, MD, Jacksonville (optional session/3 credits) 12:00 - 1:00 pm Syllabus Review (Friday Afternoon Topics) 1:00 – 2:00 pm Pediatric Otolaryngology William Collins, MD, Gainesville 2:00 – 3:00 pm Pediatric Hearing Assessment Daniel Montero, MD, Jacksonville 3:00 - 3:10 pm Academy Update & Research Poster Awards FAFP President Tim Davlantes, MD 3:10 – 3:15 pm FAFP Foundation Golf Tournament Awards Presented by Rick Hays, MD, Chair 3:15 – 3:30 pm Refreshment Break & Exhibit Visitation 3:30 – 4:30 pm Overactive Bladder Dennis Saver, MD, Vero Beach 4:30 – 5:30 pm Breast Cancer Prevention Issues for the Rural Physician Amber Isley, MD, Jacksonville Saturday, December 13, 2008 7:00 - 8:00 am Syllabus Review (Saturday Morning Topics) 8:00 – 9:00 am Evidence-Based Answers at the Point of Care Scott Strayer, MD, Charlottesville, VA MAINTENANCE OF CERTIFICATION SYMPOSIUM (main stage) 9:00 - 10:00 am Do Ask, Do Tell: Successful Smoking Interventions Thomas Bent, MD, Laguna Beach, CA 10:00 – 10:05 am Foundation Update FAFP Foundation President Dan Lestage, MD - page 2 - 10:05 - 10:20 am Refreshment Break & Exhibit Visitation 10:20 – 11:20 am Case Studies in Coronary Artery Disease and Cardiovascular Disease Allan Abbott, MD, Los Angeles, CA 11:20 am – 12:20 pm The Primary Care Challenge: Is Depression Over-Diagnosed? Thomas Bent, MD, Laguna Beach, CA 12:20 - 12:35 pm Panel Q & A Drs. Abbott and Bent 1:30 – 4:30 pm Group Visits Steven Masley, MD, St. Petersburg (optional session/3 credits) 2:00 – 4:00 pm Medical Errors Anh-Vu Nguyen, MD, Seminole (optional session/2 credits/satisfies State of Florida licensure requirements) Sunday, December 14, 2008 7:00 - 8:00 am Syllabus Review (Sunday Morning Topics) 8:00 – 9:00 am I’m So Sleepy: Diagnosis and Treatment of Excessive Daytime Sleepiness in the Primary Care Setting Joseph Lieberman, III, MD, MPH, Hockessin, DE 9:00 – 10:00 am Common Questions About Prostate Health and Disease Louis Kuritzky, MD, Gainesville 10:00 – 10:15 am Refreshment Break 10:15 – 11:00 am Five Things I Wish I Knew Last Year Louis Kuritzky, MD, Gainesville 11:00 am - 12:00 pm Diabetes Metabolic and Cardiovascular Health: Diagnosis and Treatment Options for the Family Physician Alison Lauber, MD, Augusta, GA - page 3 - ANCILLARY MEETINGS & ACTIVITIES Friday, December 12, 2008 7:00 am – 12:00 pm FAFP Foundation Golf Tournament (preregistration required; includes continental breakfast) 12:55 pm Welcome & Opening of Session by FAFP President Tim Davlantes, MD (preceded by Syllabus Review at 12:00 pm) 1:30 - 4:30 pm Meeting of Florida Family Medicine Residency Program Directors 2:00 - 5:00 pm Meeting of Florida Association of Family Medicine Residents (medical students are welcome to sit in on residents' meeting) 3:00 – 3:10 pm Academy Update & Research Poster Awards 3:10 – 3:15 pm FAFP Foundation Golf Tournament Awards 3:15 - 3:30 pm Refreshment Break (visit exhibits & research poster displays) 5:30 pm General CME Session adjourns for the day 5:30 - 7:00 pm Meetings of FAFP Committees (as called by the Chairs) 5:30 – 7:30 pm Diabetes Master Clinician Program Reunion (DMCP by invitation) 7:00 – 9:00 pm Mixer and Dinner for Residents and Medical Students (ticket required) Evening On your own -- enjoy the area & company of friends and colleagues Saturday, December 13, 2008 7:00 - 8:30 am 7:00 - 8:00 am 8:00 am 10:00 - 10:05 am 10:05 - 10:20 am 10:30 - 12:30 pm 12:35 pm 12:30 – 1:30 pm 1:30 - 5:00 pm 7:00 – 10:00 pm Meetings of FAFP Committees (as called by the Chairs) Continental Breakfast (visit exhibits & research poster displays) Opening of Morning CME Session (preceded by Syllabus Review at 7:00 am) Foundation Update Refreshment Break (visit exhibits & research poster displays) Special Medical Student Session General CME Session adjourns for the day -- everyone on own for lunch Luncheon for Board Members & Committee Chairs (by invitation) Hosted by Merrill Lynch Meeting FAFP Board of Directors & FAFP Foundation Board of Trustees (members are invited to attend and see your Board in action) A Key West Holiday Party Honoring Mr. Tad P. Fisher, FAFP Executive Vice President, 2002-2008 (ticket required … Key West resort holiday attire appropriate!) Sunday, December 14, 2008 7:00 - 8:00 am 8:00 am 10:00 – 10:15 am 12:00 pm Breakfast for Meeting Registrants Opening of Morning CME Session (preceded by Syllabus Review at 7:00 am) Refreshment Break for Meeting Registrants CME Session Adjourns - page 4 - REGISTRATION Online registration is preferred and strongly encouraged. Register online by going to the FAFP website http://www.fafp.org and clicking on the Register Online Now! link. Register on or before Monday, November 10th, to save $50. If you have questions or experience any difficulties, feel free to contact FAFP at 1-800-223-3237, Ext 18, for assistance. If you are unable to register online, mail or fax (904-726-0923) completed registration form and credit card authorization or check payable to FAFP Foundation, 6720 Atlantic Boulevard, Jacksonville, FL 32211-8730. $ Early registration fees disappear after Monday, November 10th, so save a little green. Register early! Registration fees for physicians cover the general scientific sessions, a comprehensive program syllabus, Saturday and Sunday breakfasts, and all refreshment breaks. Additional fees are required for optional CME sessions and the Saturday evening party honoring Tad Fisher. Registration is accepted based on space availability. On-site registration may be possible but call first to be sure! Refunds, minus a $50 administrative fee, will be made upon receipt of written request. No refunds will be made for cancellations made after December 8th. If hotel accommodations are required, make your reservation directly with The Ritz-Carlton Amelia Island by calling 1-800-241-3333. You may also book online at www.ritzcarlton.com by entering Group Code FAFFAFA. Hotel rooms are available on a first-come, first-served basis at a group rate of $179 single/double. There is no resort fee. Please bear in mind that there is no self-parking at the Ritz-Carlton. Valet parking is the only option. The discounted overnight valet parking rate is $10. There is no charge for valet day parking. Rooms are expected to sell quickly so make your reservation early. Any unsold rooms that may remain in the FAFP block will be released after Monday, November 10th; however, rooms may be sold out prior to that time. Don’t wait. Make your reservation now! SPECIAL SERVICES If you require special accommodations to fully participate, please attach a written description of needs to your registration form. - page 5 - ACKNOWLEDGMENTS This program is funded in part by educational grants from the following organizations which had no control over its content. No personally-identifiable information regarding meeting attendees is provided to any grant supporters. California Academy of Family Physicians Eli Lilly Michigan Academy of Family Physicians New Jersey Academy of Family Physicians Procter & Gamble Pharmaceuticals Up-To-Date ACCREDITATION The Florida Academy of Family Physicians is accredited by the Florida Medical Association to sponsor continuing medical education for physicians. The Florida Academy of Family Physicians designates this educational activity for a maximum of 21 AMA PRA Category 1 Credits™. Physicians should claim credit commensurate with the extent of their participation in the activity. The Florida Academy of Family Physicians designates each of the sessions for AMA PRA Category 1 Credit™ as follows: CME General Session, for a maximum of 12 credits; Syllabus Review, for a maximum of 3 credits; Joint Injections Workshop, for 3 credits; Group Visits, for 3 credits; and Medical Errors, for 2 credits. Physicians should claim credit commensurate with the extent of their participation in the activity. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. NOTE: Any CME activities receiving the AAFP evidence-based CME (EB CME) designation will earn double Prescribed credit for the portion designated as EB CME. Credits will apply toward FLORIDA PRESCRIBED (chapter) activities. - page 6 - OBJECTIVES Physicians attending this program will receive current information on a diversity of medical subjects pertinent to patient care in daily practice. See specific objectives for each topic. Subject material was chosen based on assessed needs, future trends, and relevance to quality patient care. At the conclusion of the program, registrants will have a working and applicable understanding of these topics and will be provided written materials for future reference. This meeting also allows an opportunity for students, residents, practicing physicians, educators, and faculty to interact academically, professionally, and socially. GENERAL CME SESSION SYLLABUS REVIEW Participants will (1) have the opportunity to familiarize him/herself with the day’s presentations including charts, graphs, statistical data, and content, reinforcing key concepts; (2) recommend to the moderator additional areas that they would like discussed or emphasized; (3) prepare questions in advance, covering areas relevant to the topic and needs of the participants; and (4) ask questions directly of the moderator to clear up any uncertainties prior to the presentation. PEDIATRIC OTOLARYNGOLOGY Upon completion participants will be able to (1) discuss the diagnosis and management of common ear problems in children, (2) describe indication of tonsillectomies/adenoidectomies, and (3) identify the various surgical procedures for treating congenital deafness. PEDIATRIC HEARING ASSESSMENT Upon completion participants will be able to (1) identify the facts surrounding pediatric hearing loss; (2) define EDHI; (3) discuss the outcomes of untreated hearing loss; (4) describe updates on treatment; and (5) examine legal ramifications of missing the diagnosis. OVERACTIVE BLADDER Upon completion participants will be able to (1) diagnose overactive bladder and urge urinary incontinence during patient work-up using appropriate questions and screening tools, (2) develop effective individualized management plans for overactive bladder and urge urinary incontinence that incorporates behavioral and pharmaco-therapeutic interventions, and (3) identify co-morbid conditions and factors associated with urinary incontinence that mandate referral to a sub-specialist. BREAST CANCER PREVENTION ISSUES FOR THE RURAL PHYSICIAN Upon completion participants will be able to (1) assess breast cancer risk for individual women patients accurately, (2) identify patients to whom breast cancer risk reduction is feasible and should be considered, (3) describe the reduction in breast cancer risk in older women being treated for osteoporosis with Selective Estrogen Receptor Modulators (SERMs), and (4) discuss with menopausal patients the risks and benefits of SERMs and a comparison to hormonal replacement therapy and no pharmacologic intervention. - page 7 - EVIDENCE-BASED ANSWERS AT THE POINT OF CARE Upon completion participants will be able to (1) test their knowledge of current best practices, (2) identify the frequency of clinical questions that arise in their everyday practice, and (3) describe how electronic resources can be used to get evidence-based answers. DO ASK, DO TELL: SUCCESSFUL SMOKING INTERVENTIONS Upon completion participants will be able to (1) describe advances in understanding the genetic components of smoking, (2) recognize treatment strategies including medical/pharmaceutical and lifestyle treatment options for smoking cessation, (3) implement updates to smoking cessation guidelines, and (4) use useful and practical hands-on tools and resources to assist their patients to quit smoking. CASE STUDIES IN CORONARY ARTERY DISEASE AND CARDIOVASCULAR DISEASE Upon completion participants will be able to (1) describe the differences between men and women in cardiovascular presentation and hypertension, (2) outline preventive cardiovascular care for female patients, (3) discuss with patients both pharmaceutical and non-pharmaceutical treatment options, and (4) use current Heart, Lung, and Blood Institute recommendations for cardiovascular treatment and JNC-VII guidelines. THE PRIMARY CARE CHALLENGE: IS DEPRESSION OVER-DIAGNOSED? Upon completion participants will be able to (1) identify and diagnose patients with depression, while paying particular attention to patient somatic symptoms, (2) effectively treat patients with depression to a goal of achieving and maintaining remission, and (3) recognize the special issues in unique populations. I’M SO SLEEPY: DIAGNOSIS AND TREATMENT OF EXCESSIVE DAYTIME SLEEPINESS IN THE PRIMARY CARE SETTING Upon completion participants will be able to (1) differentiate between excessive sleepiness and other sleep disorders; (2) recognize the underlying causes of excessive sleepiness to target patients at the greatest risk; (3) review the risk factors/symptoms of Obstructive Sleep Apnea; (4) identify the strategies to overcome the barriers to effective management of excessive sleepiness; (5) communicate the serious side effects of excessive sleepiness to appropriate patients; (6) recommend appropriate behavioral strategies for dealing with excessive sleepiness based on medical evidence and expert opinion; and (7) select appropriate therapeutic options to treat excessive sleepiness when necessary. COMMON QUESTIONS ABOUT PROSTATE HEALTH AND DISEASE Upon completion participants will be able to (1) describe the common presentations and treatments for prostatitis in different age groups, (2) explain the diagnosis of prostate cancer and the role of PSA testing, and (3) identify the presentation, diagnosis, and treatment of BPH. FIVE THINGS I WISH I KNEW LAST YEAR Upon completion participants will be able to (1) recognize patients on statins who may be at risk of myopathy despite normal CPK levels, (2) identify bleeding disorders as a significant cause of unexplained menorrhagia, and (3) provide topical nitroglycerin as a tool for healing rectal fissure. - page 8 - DIABETES METABOLIC AND CARDIOVASCULAR HEALTH: DIAGNOSIS AND TREATMENT OPTIONS FOR THE FAMILY PHYSICIAN Upon completion participants will be able to (1) develop an effective individualized treatment plan for patients to maintain or reduce weight, (2) outline strategies to attain tight control of diabetes, thus impacting metabolic and cardiovascular health, and (3) discuss the importance of routine laboratory surveillance – especially HgbA1c and kidney function. OPTIONAL WORKSHOPS JOINT INJECTIONS – UPPER AND LOWER EXTREMITIES Upon completion participants will be able to (1) describe the musculoskeletal anatomy of both the upper and lower extremities, (2) list the most common conditions treatable with injections, and (3) describe the indications, medications, and procedures for injections. GROUP VISITS Upon completion participants will be able to (1) improve clinical outcomes for patients with diabetes, cardiovascular disease, hypertension, asthma, and dyslipidemia, (2) increase productivity and billing by 20%, without working extra hours, (3) enhance patient and provider satisfaction, and (4) lower total health care costs while increasing primary physician reimbursement. MEDICAL ERRORS Upon completion participants will be able to (1) discuss systems which must be in place to reduce errors and review use of new information and communication technologies to allow for these improvements, (2) identify the five most misdiagnosed conditions as determined by the Board of Medicine, and (3) satisfy the State of Florida licensure requirements including a study of root-cause analysis, error reduction and prevention, and patient safety. - page 9 - Want to get away? Want to indulge yourself? Do it! Relax in the midst of all the holiday hustle and bustle. Spend time with family and friends. Treat yourself to a round of golf, walk on the beach, or treatment at the spa. Enjoy dining, shopping, reading a book. Take some time for yourself! There’s something for everyone at the RitzCarlton – especially during the holiday season. There’s Santa’s Story Book Tea Party; a sevencourse tasting menu at their Holiday Champagne Dinner; a variety of services at the spa; and lots, lots more! Check with the hotel for options and make reservations early. If you wait to make plans upon arrival, your choices may be limited. Lots to keep you as busy as you would like to be! While CME is the focus of the program, there is Academy and Foundation business to be conducted. Please participate as fully as you would like. Review the complete listing of ancillary activities. If you have a particular interest or would like to volunteer for a committee, talk to any Board or staff member. Golfers are in for a treat! So you don’t feel too self-indulgent, you’ll also be able to expand your knowledge and hone your skills to become an even better, more resourceful family physician. Earn up to a maximum of 21 credits and complete your twohour Medical Errors licensure requirement. If you’re a golfer, you can have fun and support your FAFP Foundation by participating in its Golf Tournament. Join your colleagues and friends in these final events celebrating the FAFP’s 60th anniversary! The Ritz-Carlton Amelia Island is a favorite FAFP destination! Don’t be left out! Make your reservation NOW! Call 1-800-2413333 or book online at www.ritzcarlton.com using Group Code FAFFAFA. The group rate is $179 single/double. There is no resort fee. Selfparking is not available. Please plan accordingly. Overnight valet parking is discounted from $17 to $10 for FAFP attendees. There is no charge for valet day parking. The FAFP Foundation is sponsoring a Golf Tournament at The Golf Club of Amelia Island on December 12. Tournament Chair Dr. Rick Hays invites you to make plans now to arrive on Thursday so you can play golf Friday morning. We begin with continental breakfast at 7:00 a.m. with a shotgun start at 8:30 a.m. You’ll be finished in time to make it to the afternoon CME session. Winners will be announced and prizes awarded just before the mid-afternoon break. Entry fee for the tournament is $125 per person and includes your continental breakfast, greens fee, and cart (GPS equipped). Normally to play this course you would expect to pay $165 so this is a bargain! Plus, proceeds benefit your Foundation. Sign up early. - page 10 - Sadly we bid farewell to Executive Vice President Tad Fisher. But we plan to do it in a fun, festive way … a la Jimmy Buffett! Most all who know Tad well are aware of his enthusiasm for Buffett and the laid-back Key West/Margaritaville lifestyle. Join us in a grand send-off for Tad as he gets one step closer to his home at the beach in Melbourne. On Saturday evening while we’re having fun, we also want to celebrate the many contributions Tad has made to the Academy, the Foundation, and the specialty of family medicine over the past fifteen years. Tickets for the event are $85 each and include dinner, drinks, dancing, and a chance to offer thanks and pay tribute to the man of the hour, Mr. Tad P. Fisher. Sign up early for this special event. Dress is Key West resort holiday attire. While we will miss Tad’s being available on a daily basis, we fully expect our paths to cross again in the future. We wish all good things for Tad in his new endeavors. Thanks for your leadership and dedication to the specialty of family medicine. You are an important part of the success family medicine enjoys. Tad’s first meeting as the Executive Vice President was December 6-8, 2002, at the Ritz-Carlton Amelia Island during the 87th Family Practice Weekend. Program chairs were C. Biliston Clarke and Brian Ellis. Officers were: President John Saranko, President-Elect Fleur Sack, Board Chair Cecilia Collins, Vice President Sandra Argenio, and Secretary-Treasurer Dennis Saver. It is fitting that Tad’s last meeting as EVP is December 12-14, 2008, at the Ritz-Carlton Amelia Island during the 101st Family Medicine Weekend. Program chairs are Sandra Argenio, Amber Isley, and Tim Davlantes. Officers are: President Tim Davlantes, President-Elect Dennis Mayeaux, Board Chair Cyneetha Strong, Vice President George A W Smith, and Secretary-Treasurer Bruce Flareau. Over the years Tad has worked with a number of family physicians. Much has transpired since 1993, and Tad has been a vital component in the process of change. We invite Tad’s friends, colleagues, and the many Academy and Foundation leaders who have had the pleasure of working with him to join us in thanking him personally for 15 years of outstanding service to Florida’s family physicians, to the specialty, and to the patients of Florida. Congratulations, Tad, on a job well done! The Ritz-Carlton, Amelia Island 4750 Amelia Island Parkway, Amelia Island, FL 32034 Telephone 904-277-1100 • Fax 904-261-9064 Reservations 800-241-3333 Book online at www.ritzcarlton.com (Group Code FAFFAFA) Tad’s first meeting as the FAFP’s legislative consultant was November 19-21, 1993, in Daytona Beach at the 64th Family Practice Weekend. Do you remember? Dr. Denise Carter was the General Chairman of that Weekend. Officers at the time were: President Walt Larimore, President-Elect Tom Hicks, Board Chair Roman Hendrickson, Vice President Bill Belk, and Secretary-Treasurer Merrill Anderson. Florida Academy of Family Physicians & Florida Academy of Family Physicians Foundation 6720 Atlantic Boulevard, Jacksonville, FL 32211-8730 Telephone 904-726-0944 or 800-223-3237 Fax 904-726-0923 • www.fafp.org - page 11 - FUTURE MEETINGS March 27-29, 2009 102nd Family Medicine Weekend Bay Point Marriott Golf Resort & Spa Panama City July 16-19, 2009 2009 Summer Break Away Boca Raton Resort & Club November 13-15, 2009 103rd Family Medicine Weekend Buena Vista Palace Lake Buena Vista (Orlando) Florida Academy of Family Physicians & Florida Academy of Family Physicians Foundation 6720 Atlantic Boulevard Jacksonville, Florida 32211-8730 Non Profit U.S. Postage PAID Jacksonville, FL Permit # 3705