Sponsored by:UC DAVIS HEALTH SYSTEM

Office of Continuing Medical Educationand Department of Internal MedicineDivision of Cardiovascular Medicine

33rd AnnualCURRENT CONCEPTS IN

PRIMARY CARE CARDIOLOGY

Wednesday - Saturday October 9-12, 2013

Ka’anapali Coast, Lahaina, Hawaii

SCAN FOR ONLINEREGISTRATION

33rd AnnuAl CurrEnT COnCEPTS In PrIMArY CArE CArdIOlOGY

WEDNESDAY, OCTObER 9, 20137:30 am Registration, Continental Breakfast and Conversation

Prevention of CardiovasCular diseaseModerator: Ezra Amsterdam, MD

8:10 Welcome and Course objectivesEzra Amsterdam, MD

8:20 Knowledge assessment: Pre-testEzra Amsterdam, MD

8:30 Primary Prevention of Cardiovascular diseaseGetting the jump on atherosclerosis, a preventable diseaseEzra Amsterdam, MD

8:55 Q&a

9:00 secondary Prevention of Cardiovascular diseaseIt’s never too late…new understanding, new managementSaul Schaefer, MD

9:25 Q&a

9:30 Current understanding of Heart disease in WomenA refreshing perspective for the 21st centuryEzra Amsterdam, MD

9:55 Q&a

10:00 Refreshments, Conversation

10:20 resistant and Pseudo-resistant HypertensionNew concepts for this complex and challenging problemGarrett Wong, MD

10:45 Q&a

10:50 alternative/integrative Medicine in Preventive CardiologyValue and limitations of a widespread practiceSaul Schaefer, MD

11:15 Q&a

11:20 Measurement of improvement in Knowledge: Post-testEzra Amsterdam, MD

11:30 Adjourn

THURSDAY, OCTObER 10, 201312:00 pm Registration, Snacks and Conversation

12:00 roundtable discussionsInformal case discussion with faculty, limited seating, pre-registration not required.

1. Difficult Lipid Cases2. Antiarrhythmic Drugs, Defibrillators3. Palpitations, Dizziness4. How to Interpret the Echo Report5. Navigating Stress – You and Your Patient

Saul Schaefer, MDYingbo Yang, MDAmogh Bhat, MD

Ezra Amsterdam, MDDina Amsterdam

ManageMent of CardiovasCular diseaseModerator: Saul Schaefer, MD

1:15 Welcome and objectivesSaul Schaefer, MD

1:25 Knowledge assessment: Pre-testSaul Schaefer, MD

1:35 success with systolic Heart failureIncreasing therapeutic options continue to improve outcomesAmogh Bhat, MD

2:00 Q&a

2:05 Cardiac stress tests: Which one for Which Patient?An everyday question of the practitionerEzra Amsterdam, MD

2:30 Q&a

2:35 diastolic Heart failure: What it is, How to diagnose, How to treat?Unraveling this common clinical enigmaSaul Schaefer, MD

3:05 Refreshments, Conversation

3:25 the Patient with Chest Pain: life-threatening or Benign?An ubiquitous symptom that can bedevil the clinicianEzra Amsterdam, MD

3:50 Q&a

3:55 atrial fibrillation, the ever increasing ChallengeInnovative drugs and interventions are confronting this epidemicYingbo Yang, MD

4:20 Q&a

4:25 Measurement of improvement in Knowledge: Post-testSaul Schaefer, MD

4:35 Adjourn

5:00 - 6:00 pm

ocean-side Yoga – a gentle Practice for all levelsDina AmsterdamOptional: Participants and their guests are invited.Please reserve your place on the registration form. No CME credit.

5:00 - 6:00 pm

ocean-side Yoga – a gentle Practice for all levelsDina AmsterdamOptional: Participants and their guests are invited.Please reserve your place on the registration form. No CME credit.

11:30 – 2:00 pm

interMediate eCg lunCH WorKsHoPLunch will be provided from 11:30-12:00 Optional: Additional fee, box lunch included and 2 hours of credit

INTERACTIvE SESSION, DEMONSTRATIONS, ECG UNKNOWNS Assumes knowledge of ECG interpretation equivalent to that in the text: “The Only EKG Book You’ll Ever Need” by Thaler (preferred) or Dubin ECG text.Ezra Amsterdam, MD

fRIDAY, OCTObER 11, 20137:00 am Continental Breakfast, Conversation

Breakfast roundtable discussionsInformal case discussion with faculty, limited seating, pre-registration not required.

6. Resistant Hypertension7. New Anticoagulants for Atrial Fibrillation8. Advanced Therapy for Heart Failure9. Stroke, TIA, Migraine: PFO/ASD Closure or

Medication10. Navigating Stress – You and Your Patient

Garrett Wong, MD Yingbo Yang, MDAmogh Bhat, MDJason Rogers, MD

Dina Amsterdam

CHallenging CliniCal ProBleMs and neW MetHodsModerator: Jason Rogers, MD

8:10 Welcome and objectivesJason Rogers, MD

8:20 Knowledge assessment: Pre-testJason Rogers, MD

8:30 Coronary revascularization: angioplasty-stent or CaBgWhat are the indications for each of these beneficial procedures?Jason Rogers, MD

8:55 Q&a

9:00 new and evolving Cardiac imaging Methods: indications and utility of recent advancesNoninvasive coronary angiography is real, status of coronary calcium screeningSaul Schaefer, MD

9:25 Q&a

9:30 Peripheral arterial disease and its significanceScreening, common clinical scenarios, treatment/prognosisJason Rogers, MD

9:55 Q&a

10:00 Refreshments, Conversation

10:20 Who needs a Pacemaker? Symptoms are most important, but not the only indicationsYingbo Yang, MD

10:45 Q&a

10:50 obesity, Metabolic syndrome and the HeartSaul Schaefer, MD

A major epidemic with grave cardiovascular implications

11:15 Q&a

11:20 Measurement of improvement in Knowledge; Post-testJason Rogers, MD

11:30 Adjourn

33rd AnnuAl CurrEnT COnCEPTS In PrIMArY CArE CArdIOlOGY

4:00 - 5:00 pm

ocean-side Yoga – a gentle Practice for all levelsDina AmsterdamOptional: Participants and their guests are invited; Please reserve your place on the registration form. No CME credit.

SATURDAY, OCTObER 12, 20137:00 am Continental Breakfast, Conversation

Breakfast roundtable discussionsInformal case discussion with faculty, limited seating, pre-registration not required.

11. Metabolic Syndrome, Obesity12. New Antithrombotic Agents13. Pulmonary Embolism14. Care of Patients With a Coronary Stent15. How to Interpret the Echo Report

Saul Schaefer, MD Garrett Wong, MD

Amogh Bhat, MD

Jason Rogers, MDEzra Amsterdam, MD

CHallenging CliniCal ProBleMs and neW MetHodsModerator: Garrett Wong, MD

8:10 Welcome and objectives

8:20 Knowledge assessment: Pre-testGarrett Wong, MD

8:30 new antithrombotic agentsIncreased options with improved efficacy for inhibiting platelet activityGarrett Wong, MD

8:55 Q&a

9:00 syncope: etiologies range from Benign to forebodingWhat evaluation for this common and concerning syndromeAmogh Bhat, MD

9:25 Q&a

9:30 When to refer the Patient with valve diseaseClinical and echocardiographic criteria help you decideGarrett Wong, MD

9:55 Q&a

10:00 Refreshments, Conversation

10:20 transcatheter and Minimally invasive treatment of valve diseaseRemarkable advances are providing these methods without surgeryJason Rogers, MD

10:45 Q&a

10:50 Palpitations: a Common ComplaintRelation to arrhythmias, prognosisAmogh Bhat, MD

11:15 Q&a

11:20 Measurement of improvement in Knowledge; Post testGarrett Wong, MD

11:30 Conference Adjourns

11:30 - 2:00 pm

fridaY afternoon WorKsHoPs (Concurrent)Lunch will be provided from 11:30-12:00 Optional: Additional fee, lunch included and 2 hours of CME credit

CARDIAC AUSCULTATION LUNCH WORKSHOPTechniques of physical diagnosis, including inspection of venous pressure, carotid pulses and cardiac auscultation of common cardiac conditions, will be presented in case format with audience participation.Saul Schaefer, MD

MINDfULNESS PRACTICUM LUNCH WORKSHOPIn this experiential workshop you will learn a practical inner approach and simple techniques to reduce stress and increase well-being in the challenges of daily living. You will learn how this practice may support you and your patients in mitigating the psychophysiological factors that undermine health and happiness.Dina Amsterdam

COURSE CHAIRSEzra A. Amsterdam, MD, FACCProfessor Associate Chief (Academic Affairs) UC Davis Department of Internal Medicine, Division of Cardiovascular Medicine

Jason H. Rogers, MD, FACCAssociate Professor Director, Interventional Cardiology UC Davis Department of Internal Medicine, Division of Cardiovascular Medicine

Saul Schaefer, MD, FACCProfessor Chief of Cardiology Veterans Administration, Northern California Health System UC Davis Department of Internal Medicine, Division of Cardiovascular Medicine

UC DAvIS DEPARTMENT Of INTERNAL MEDICINE, DIvISION Of CARDIOvASCULAR MEDICINEAmogh Bhat, MDAssistant Professor, Director Cardiac Cath Lab, VA NCHCS

Garrett B. Wong, MDAssociate Professor, Director CTICU UC Davis Department of Internal Medicine, Division of Cardiovascular Medicine

Yingbo Yang, MDAssociate Professor

GUEST SPEAKERDina AmsterdamFounder of Inner Yoga Yoga Teacher and Yoga Therapist, EYRT500 San Francisco, CA

CONfERENCE COORDINATORPamela SchneiderCME Specialist Office of Continuing Medical Education UC Davis Health System

Faculty

fOR fURTHER INfORMATIONUC Davis Health SystemOffice of Continuing Medical Education3560 Business Drive, Suite 130Sacramento, CA 95820–2161

(866) CME4EDU (263–4338)(916) 734–5390(916) 734–0742 Faxhttp://cme.ucdavis.edu

TARGET AUDIENCEThis conference is directed to primary care providers who wish to improve their knowledge and application of current practice in common cardiovascular diseases.

EDUCATIONAL PURPOSEThis conference is designed to present new and updated information on cardiology topics relevant to primary care practitioners. Methods to diagnose, manage and prevent heart disease continue to advance and change rapidly. Content will address clinical conditions commonly seen in primary care practice including arrhythmias, coronary artery disease, heart failure, and valvular heart disease. Cardiac risk factors such as lipid disorders, obesity, diabetes and stress will be covered along with newer interventional techniques for the management of cardiovascular disease.

This conference will focus on common clinical problems seen in daily practice and will provide practitioners with information, methods and strategies to improve their ability to treat patients with cardiovascular disease.

EDUCATIONAL METHODSLecture with Q and A sessions and case presentations will facilitate the dissemination of information. Interactive workshops and roundtable discussions are included to facilitate a more in-depth understanding of certain clinical issues. Pre/post tests will be given to help attendees ascertain the level of learning being achieved. Faculty have been selected on the basis of their comprehensive clinical experience, academic excellence and presentation skills. Throughout the conference there will be ample opportunity for interaction with the faculty in both formal and informal settings.

EDUCATIONAL ObJECTIvESAt the end of the activity, participants should be able to:

• Applymethodstopreventandtreatcardiacriskfactors

• Managepatientswithatrialfibrillation

• Diagnoseandtreatcoronaryarterydisease(CAD)

• RecognizeindicationsformedicaltherapyvsrevascularizationforCAD

• Evaluatesymptomsofcardiacdiseasespecifictowomen

• Detectvalvularheartdiseasebyphysicalexamination

• Managepatientsreceivingtheneweranticoagulantdrugs

• Evaluatethepatientwithsyncope

• DiagnosebasicarrhythmiasonECG

• Utilizetechniquesofstressreduction

• Recognizetheindicationsforanechocardiogram

REGISTRATIONPlease register early – space is limited. Tuition is $575 for physicians and $400 for all others. Confirmation of registration will be sent within two weeks after receipt of registration form. The fees will increase after August 1, 2013.

Tuition includes continental breakfasts, refreshment breaks, electronic syllabus, and an online certificate of attendance. Tuition may be paid by check, American Express, Discover, MasterCard or VISA. Cash is not accepted. UC Davis Health System and UC Davis School of Medicine faculty and staff are eligible for tuition discounts. See registration form for details. Conference materials cannot be guaranteed unless registration is received by September 13, 2013. The Office of Continuing Medical Education reserves the right to cancel this conference. In such a case, a full refund will be given.

Registration forms received without payments will not be processed until payment is received, and payment must follow within 10 days. Early discount rates are honored if payment is received by the date noted on the registration form. After that date, the late fee is applied.

On-site Fees: At door registrations will be charged at a higher rate. Please see registration form for details.

CAnCellAtiOn AnD ReFunD POliCy: A refund of tuition, less $75 administrative fee, will be allowed if requested in writing by September 13, 2013. No refunds will be provided after this date.

OffICE Of CME MISSION STATEMENTTo educate health care providers through evidence-based activities that emphasize advances in medicine, new medical technology, biomedical research, and changes in health care delivery to improve clinical outcomes.

OffICE Of CME vISIONProviding medical education for health care professionals to improve patient care.

bROCHURE ART CREDITBrochure images courtesy of Accreditation Council for Continuing Medical Education, UC Davis Public Affairs, Hyatt, and iStockphoto.com.

ACCREDITATIONThe University of California, Davis, Health System is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CREDIT DESIGNATIONPhysiCiAn CReDit: The University of California, Davis, Health System designates this live activity for a maximum of 19 AMA PRA Category 1 Credits™. Physicians should claim only the 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.

AMA PRA Category 1 Credits™ acceptable for interprofessional team members

nuRse: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credits™ issued by organizations accredited by the ACCME. For the purpose of relicensure, the California Board of Registered Nursing accepts AMA PRA Category 1 Credits™ (report actual attendance hours and fill in “CME Category 1” for the provider number).

PhysiCiAn AssistAnt: The National Commission on Certification of Physician Assistants (NCCPA) states that AMA PRA Category 1 Credits™ are acceptable for continuing medical education requirements for recertification.

ELECTRONIC EvALUATION AND CREDITThe link to your electronic syllabus, evaluation and certificate of credit will be available for 30 days after the last day of the conference. Once you have completed the evaluation process your certificate can be printed.

ELECTRONIC SYLLAbUSThe electronic syllabus will be available to pre-registered attendees online prior to the meeting for downloading and printing. A flash drive will be distributed at the conference. If you prefer to have a printed syllabus, we will be happy to accommodate you for an additional fee of $75 if ordered by September 13, 2013.

aMa Pra CategorY 1 Credits™

if You attend all sessionsUp to a maximum of 19 AMA PRA Category 1 Credits™

general session12 AMA PRA Category 1 Credits™

CardiaC ausCultation WorKsHoP2 AMA PRA Category 1 Credits™

interMediate eCg WorKsHoP2 AMA PRA Category 1 Credits™

Mindfullness PraCtiCuM WorKsHoP2 AMA PRA Category 1 Credits™

roundtaBle disCussions3 AMA PRA Category 1 Credits™

LOCATION200 Nohea Kai DriveKa’anapali CoastLahaina, Hawaii, USA 96761-1985www.hyattregencymaui.com(808) 661-1234(800) 233-1234 Reservations

Discover the ultimate Kaanapali Beach hotel - Hyatt Regency Maui Resort & Spa. Surrounded by 40 lush, beachfront acres, our breathtaking Maui hotel presents an astonishing array of delightful ways to spend your days and nights. Frolic in our water playground, pamper yourself at the spa, play championship golf and tennis, scuba, ride the waves, even spend an evening with the heavens. Feast on the beauty of nature, on our priceless art collection, and in our delectable restaurants. Indulge in all we have to offer to create your own perfect Maui resort getaway.

•Ourinvitingresorthotelisidealforfamilies

•Twofree-formpoolsdividedbywaterfalls

•Lavatubeslideandropebridgewithanoutdoorwhirlpooland interactive children’s pool

•SnorkelatBlackRockandridethewaves

•SpaMoana–Hawaii’sonlyoceanfrontfull-servicespa

•Two18-holeadjacentGolfCourseswithfreeshuttle

•Wildliferesorttours,hulalessons,leimaking,aquaaerobics

•€Hyatt’sownnightlyLuau

A block of rooms is being held for conference participants at the following rates:

ResORt VieW $225 OCeAn VieW $257PARtiAl OCeAn VieW $240 OCeAn FROnt $270

Mention UC Davis Cardiology Conference for group rates. Rooms are single or double occupancy plus hotel and sales tax (extension dates may be available). After September 22, reservations will be on a space and rate available basis. Reservations should be made directly with the hotel.

Please be aware that a limited number of rooms in each category have been reserved and the hotel will likely sell out prior to the reservation deadline of September 22, 2013.

By staying at the host hotel, you help the University of California, Davis, meet its contractual obligations with the Hyatt and keep future registration fees reasonable. Please consider that when making your accommodation decisions. We encourage you to stay at the host hotel.

AIR TRAvEL TO KAHULUI AIRPORT (OGG)The Office of Continuing Medical Education has arranged group rates with the following airlines. Please read and follow the directions carefully to obtain these special rates for your travel to our conference.

HAWAIIAN AIRLINESFor this specific conference, substantial flight discounts are available through Hawaiian Airlines for our West Coast attendees. You may access these rates by logging on to the Hawaiian Airlines website: http://www.HawaiianAir.com/Affiliate. You must enter the Preferred Affiliate Program Code: UCDHEALTH to book your discounted flight online. This discount is only available to internet bookings. At the FareShopper Page, be sure to click on the tabs showing discounts available. Tickets will be issued directly from Hawaiian Airlines by Electronic Ticketing (E-Ticket).

UNITED AIRLINES ONLINE RESERvATIONS To obtain Groups and Meetings discount prices go to www.united.com and enter offer code: ZNNT235740

GROUND TRANSPORTATIONHertz Car Rental: To obtain discount prices go to www.hertz.com and enter Convention Number 04H70004 for discounted rates.

National Car Rental: 1 (800) CAR-RENT and request ID #5282865 for discounted rates.

KID’S CAMP HYATT KA’ANAPALICall (808) 661-1234, x 3225 or email dan.iza@hyatt.com

(Children 5-12 years old; charges are from $25-$80 depending on time and day)

Wednesday: Sports Day (coconut bowling, tennis and more)

Thursday: Undersea Adventures (Undersea adventures including fishing)

Friday: Camp Aloha (Hawaiian arts & crafts day, hula and lei making)

Saturday: Nature and Science Day (meet family friendly hotel’s wildlife)

Night Camps also available

For Office Use Only

CCPCC146051

TELEPHONE: (916) 734-5390

FAx APPLICATION: (916) 734-0742

ONLINE: https://chtapps-prod.ucdmc.ucdavis.edu/cme/CmeSignIn?ccode=CCPCC14

REGISTER ONLINE AT: https://chtapps-prod.ucdmc.ucdavis.edu/cme/CmeSignIn?ccode=CCPCC14

REGISTRATION FORM Current ConCepts in primary Care Cardiology • oCtober 9-12, 2013

________________________________________________________________________________________________________________________________________________________________________First Name M.I. Last Name

MD DO PA NP RN Other: ______________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________Institution/Employer (as you would like it to appear on your badge) Profession/Occupation

________________________________________________________________________________________________________________________________________________________________________Address (or where you would like your receipt mailed)

________________________________________________________________________________________________________________________________________________________________________City State Zip Code

________________________________________________________________________________________________________________________________________________________________________Day Phone Fax Number

If you need disability accommodations at the meeting, please let us know by September 22, 2013 and our representative will contact you.

Please note special dietary/food allergy requirements: ______________________________________________________________________________________________________________________

Please check your payment method: Registration forms received without check, credit card number or purchase order number will not be processed until payment is received.

Check enclosed payable to: UC Regents AMEx Discover MasterCard VISA

__________________________________________________________________________________________________________________________________________Account Number Expiration Date

__________________________________________________________________________________________________________________________________________Authorized Signature (name on card) 3 Digit Security Code

Physician information required for CME credit and name badge. Please indicate primary medical specialty:

FP GP IM Other (specify) ______________________________________________________________________________

Social Security Number (last 4 digits required for transcript purposes)

Please copy the mail code from the address side of the brochure(above your name, e.g. PPCCC, MMSCCC) _________________________________________________________________________

If you did not receive a brochure in the mail, how did you hear about this conference? (Example: PT&MG, UCD website, web search, magazine, colleague) ____________________________________________________

Please use ONE of these methods to register:

MAIL APPLICATION AND PAYMENT TO:Office of Continuing Medical Education, c/o UC Davis Cashier’s OfficePO Box 989062, West Sacramento, CA 95798-9062

REGISTRATION fEES (Receipt/Confirmation will be mailed within two weeks)

Early Discount After August 1 On Site

Physician $575 $675 $750Other health-care Professional $400 $475 $550

______________________________________________________________________________7 Digit Acct # Authorized Signature and Phone # Department

WORKSHOP fEES

( ) ( )

ELECTRONIC SYLLAbUSthe electronic syllabus will be available to pre-registered attendees online prior to the meeting for downloading and printing. A usB flash drive will be distributed at the conference. if you prefer to have a printed syllabus, we will be happy to accommodate you for an additional $75 if ordered by 9/13/13.

E-mail for link to electronic syllabus. UC Davis CME will not use your email for any purpose other than corresponding with you.

Flash Drive included in tuition

Have you attended this conference in the past? Yes No

Wednesday ECG Lunchtime Workshop $65

Wednesday Ocean-side Yoga for All LevelsParticipants and their guests are invited

$10

Thursday Ocean-side Yoga for All LevelsParticipants and their guests are invited

$10

Friday Cardiac Auscultation Lunchtime Workshop $65

TOTAL $____________

Printed additional $75

Friday Mindfullness Practicum Lunchtime WorkshopGuests are also invited to attend the Inner Yoga Practicum, for the additional fee.

$65

Name(s) ______________________________

______________________________________

University of California, DavisOffice of Continuing Medical Education3560 Business Drive, Suite 130Sacramento, CA 95820-2161

This conference is self-supporting and receives no state funding.

33RD AnnuAl

CURRENT CONCEPTS IN PRIMARY CARE CARDIOLOGYWednesday - saturdayOctober 9-12, 2013

Ka’anapali Coast, Maui, Hawaii

HIGHLIGHTS:• Recent advances in antihypertensive therapy • New approaches to treatment of atrial fibrillation • Evolving management of coronary artery disease • Update on treatment of lipid disorders• Stress reduction techniques • Understanding the Echo report • New understanding of women and heart disease • New concepts in the treatment of valvular disease • ECG, cardiac auscultation and stress reduction workshops • Small group roundtable discussions• Ocean-side Yoga sessions• Daily self-assessment audience response system

COMMENTS fROM PREvIOUS CONfERENCE PARTICIPANTS“Wonderful conference! Best conference I’ve ever attended! Speakers were exceptional and topics were well covered. Good scheduling and flow/timekeeping of presentations. Practical application of info rather than esoteric review/discussion.”

“Appreciated level of info and coverage for primary care providers.”

“I attend many conferences and I always find UC Davis’ among the best. The faculty are very good and their lectures are always very practical and up to date. The faculty are great teachers!”

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