April, 2009

Volume IX, Issue IV

Fitzgerald Health Education Associates, Inc

Inside this issue:

The Effect of Breast-Milk on Newborn Gut

2

Who We Are... 2

Six Day Clinical Pharmacology Course

3

Question and Answer with

5

Customer Comments

5

Upcoming Conferences Featuring FHEA Speakers

6

System Maintenance 7

Sixteenth Annual UT NP Pharmacology Conference

7

2009 Cruises 7

American Academy of Nurse Practitioners Announces New Chief Executive

8

Need a Speaker? 8

Pharmacology Update

8

Monthly Featured Faculty Member

9

New and Updated Products

9

Margaret Fitzgerald’s Upcoming Speaking Engagements

8

FHEA News

Upcoming Cruises

10-Day Mediterranean Cruise Holland America’s Noordam Begins: October 6, 2009

Upcoming NP Certification Exam Review Courses 04/16/2009 Amherst, NY 04/17/2009 Ann Arbor, MI 04/19/2009 Lexington, KY 04/22/2009 Atlanta, GA 04/30/2009 Charleston, WV 04/30/2009 Houston, TX 04/30/2009 Pittsburgh, PA

(Also Acute Care) 05/01/2009 Greenville, SC 05/07/2009 Philadelphia, PA 05/11/2009 Newton, MA

(Acute Care and Pediatric) 05/12/2009 Newton, MA

(Also Gerontology and Women’s Health)

05/12/2009 Salt Lake City, UT 05/15/2009 New Haven, CT 05/16/2009 Lisle, IL

(Also Acute Care) 05/20/2009 Tampa, FL

(Also Acute Care) 05/29/2009 Miami, FL 05/29/2009 Dallas, TX 05/30/2009 Evansville, IN (Also Acute Care) 06/02/2009 Phoenix, AZ 06/03/2009 New York, NY

(Also Acute Care) 06/05/2009 Richmond, VA 06/08/2009 Los Angeles, CA

(Also Acute Care)

Recently Added Courses 05/05/2009 Omaha, NE

(Acute Care) 05/08/2009 Omaha, NE 07/17/2008 Miami, FL

(Also Pediatric) 08/06/2009 Puerto Rico

FHEA Offer of the Month 10% off Expert Exam: Primary Care Neurologic Exam

Editor’s comment

In 2004, The American College of Obstetri-cians and Gynecologists (ACOG) announced that options for earlier, noninvasive screening for chromosomal abnormalities should be made available to all pregnant women. This month’s Fitzgerald Health Education Associ-ates email newsletter article highlights the state of California’s new program to facilitate this screening option.

In March 2009, the California Department of Public Health’s Prenatal Screening Program will roll out a program expansion that includes first trimester blood tests and Nuchal Translucency (NT) results. California is the largest state prena-tal screening program to offer integrated screen-ing. This enhancement significantly improves accuracy and detection rates for Down syn-drome and trisomy 18 when first and second trimester test results are analyzed together. The Program also screens for Open Neural Tube Defects and Abdominal Wall Defects, and Smith-Lemli-Opitz syndrome in the second trimester. (continued on page 4)

California Prenatal Screening Program: Now Includes Prenatal Integrated Screening for Women in California

Conveniently browse through FHEA products and seminars. Click here to see the online catalog.

Fitzgerald Health Education Associates Catalog Now Available Online!

Page 2 FHEA News

The Effect of Breast-milk on Newborn Gut Maturation

By Marie L Bosco, BSN, RNC, IBCLC

The gut of the newborn is functionally immature and im-munonaive at birth. The gut is permeable and leaves open junctions which increases the risk for necrotizing enterocolitis, diarrheal disease and allergies. The GI (gastrointestinal) tract experiences rapid growth and maturation following the birth process. However, it takes many weeks for these junctions of the GI mucosa to ma-ture and close tightly protecting the passage of patho-gens and whole proteins to the infant. This permeability decreases faster in breastfed infants compared to for-mula-fed infants. While this GI development is occurring, colostrum and breast-milk coat the gut providing passive immunity. The mother’s IgA from the milk is antigen spe-cific and targets pathogens in the infant’s immediate sur-roundings via the enteromammary pathway. Antibodies are synthesized as she ingests, inhales, or comes in con-tact with a threatening pathogen.

The newborn is exposed to a variety of bacteria immedi-ately following delivery. The method of delivery utilized has a direct impact on microbial development within the infant’s system. Infants born vaginally are colonized with their mother’s bacteria, but those born by cesarean are exposed to environmental microbes from the air, other infants, and the nursing staff. The primary gut flora of these babies may be disturbed for up to six months after birth. Additionally, infants requiring admission to the In-tensive Care Unit are at risk for development of undesir-able gut flora. For the first six weeks, the normal pH of the breastfed gut is acidic and is dominated by bifidobac-teria with minimal pathogenic microbes. This flora is diet-dependant and by the fourth day after delivery 47% of the bacteria in the gut are bifidobacteria. The pH of the for-mula-fed newborn is higher, allowing a variety of patho-genic bacteria to grow. A primary organism needed to mature and protect the immature gut is bifidobacterium. Interestingly, if a breastfed newborn receives even a sin-gle dose of formula the gut flora may be permanently altered. The newborn gut flora resembles that of a formula-fed newborn. At a minimum it takes two to four weeks for the gut to return to the gram-positive state. If a breastfed newborn is going to receive formula it is ideal to wait until the gut closures occur and permeability is decreased. During this precarious time, infants at risk for cow’s milk protein may be exposed to it through formula use, in-creasing risk of allergy development. Also, infants at risk for insulin-dependent diabetes mellitus (IDDM) may be exposed to cow’s milk protein which often increases the

risk for developing this disease. Human milk insulin con-tent is relatively high compared to bovine insulin in formula. This insulin plays an important role in the process of gut maturation by supporting intestinal immunities and generat-ing mechanisms to suppress the development of autoim-mune diabetes. The immature newborn gut is protected and supported in its development through breast-milk ingestion. Newborn gut flora remains normal and prevents invasion of patho-gens during this time. Breast-milk coats and protects the open junctions which helps aid immunity and prevent expo-sure to undesirable cow’s milk proteins. Taking all of this information into account, one can see that breast-milk in-gestion is needed for normal development of the gut follow-ing birth. References:

American Academy of Pediatrics, Committee on Nutrition. Hypoallergenic infant formulas. Pediatrics 2000; 106:346-349. Catassu C, et al. Intestinal permeability changes during the first month: effects of natural versus artificial feeding. J Pediatr Gastroenerol Nutr 1995; 21:383-386. Kimpimaki T, et al. Short-term exclusive breastfeeding predisposes young children with increased genetic risk of Type I Diabetes to progressive beta-cell autoimmunity. Diabetologia 2001; 44: 63-69 Gronlund MM, et al. Fecal microflora in healthy infants born by different methods of delivery: permanent changes in intestinal flora after cesarean delivery. J Pediatr Gastro-enterol Nutr 1999: 28: 19-25.

Who We Are…

Fitzgerald Health Education Associates, Inc. is an NP-owned company dedicated to helping nurse practitioners and advanced practice nurses achieve certification through review courses and to help healthcare pro-viders maintain professional competence by providing live continuing education seminars, web and computer based learning courses, au-dio/video learning modules and books. The Fitzgerald Nurse Practitio-ner Certification Exam Review and Advanced Practice Update Course has helped more than 45,000 NPs nationwide achieve certification and improve their clinical assessment skills since its inception in 1988.

Page 3 FHEA News

Presented live in Los Angeles, CA September 14-19, 2009 Presented live in Minneapolis, MN October 19-24, 2009 This course addresses the growing need for a thorough course in the principles of pharmacotherapeutics. Prescrib-ing has become a major part of the role of advanced prac-tice nurses while at the same time, prescribing has become more complex and polypharmacy is more prevalent with the possibility of adverse interactions. Thus, a course of this caliber is critical to the preparation of advanced prac-tice nurses.

The course is taught in an intensive format by two of the nation’s most respected NP educators. The instructors have taught this curriculum at several universities most recently at Pennsylvania State, Lasalle, and Samford Uni-versities. In addition, recorded lectures of this course form the basis for other university NP pharmacology courses. The material constitutes the equivalent of a three credit university course in pharmacology.

Six Day Clinical Pharmacology for NPs & Advanced Practice Clinicians

Presented by: Margaret A. Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP and

Sally K. Miller, PhD, ACNP-BC, ANP-BC, FNP-BC, GNP-BC, CNE, FAANP

Topics covered: · National Legal and Practice Issues · Principles of safe prescribing: Pharmacokinetics, pharmacodynamics, pharmacogenomics, drug interactions · Prescribing in special populations: Pregnancy, lactation, children, older adults · Hormonal contraception and post menopausal hormone therapy

· Pharmacologic management in type 1 and type 2 DM: Oral agents, insulin and non-insulin preparations · Principles of antimicrobial therapy: Intervention in bacterial infection · Drugs that affect the respiratory system: Beta2 agonists, methylxanthines, anticholinergics, mast cell stabilizers, inhaled and systemic corticosteroids, leukotriene modifiers, over-the-counter cough and cold medications · Evaluation and intervention in common thyroid disorders

· Assessment and intervention in common anemias

· Drugs that affect the cardiovascular systems: Antihypertensives, antianginals, dysrhythmics, medications used in the management of heart failure · Pharmacologic treatment of lipid abnormalities and drugs that affect clotting

· Drugs that affect the GI system: H2 receptor antagonists, proton pump inhibitors, antacids, prokinetics, antidiarrheals, including over-the-counter medications For additional topic information, and to register online visit: www.fhea.biz

Pharmacology contact hours: 45.0*

Code: PCON — standard $775; advance: $7501; early bird: $6992 Note 1: Registrations received or postmarked between two months and two weeks prior to the start of the course qualify for this rate.

Note 2: Registrations received or postmarked more that two months prior to the start date of the course qualify for this rate. Upon receipt of your enrollment and full payment, you will receive a confirmation of registration and directions to the course. An administrative fee of $50.00 will be charged for cancellation. No refunds will be granted within two weeks of the starting date. All cancellations and changes must be received in writing. *Because states’ requirements vary, it is important that you con-tact your Board for details regarding educational requirements for prescriptive authority.

Margaret A. Fitzgerald Sally K. Miller

Page 4 FHEA News Page 4 FHEA News

(California Prenatal Screening Program: Continued from page 1) The goal of the California Prenatal Screening program is to provide the best risk assessment for each patient’s cir-cumstances. “While I don’t underestimate the challenges we will encounter during the transition phase, the advent of the new State program ultimately will simplify the menu of options available to California women,” says Dr. Bruce Blumberg, a medical geneticist and former Kaiser Perma-nente Prenatal Diagnostic Center Chief. “The new algo-rithms will be flexible enough to accommodate, within a single program and with a single set of order forms virtu-ally all women during their pregnancy whether they are early or late to care, whether they have access to an NT ultrasound or not, and whether they prioritize an early result or a high detection rate.” The Program provides a screened woman with her indi-vidual risk assessment for the birth defects noted above based on:

• Concentrations of the following serum markers: Preg-nancy-Associated Plasma Protein A (PAPPA), Alpha-fetoprotein (AFP), Human chorionic gonadotropin (hCG), Unconjugated estriol (uE3), and Inhibin

• Results from her NT ultrasound, if available

• Other factors affecting risk assessment, such as her age at term, weight, race, and special circum-stances such as twins

The components of the new California Prenatal Screening Program include:

(1) Quad Marker Screening (Second Trimester): One blood specimen drawn between 15 weeks and 20 weeks of pregnancy.

(2) Serum Integrated Screening: Combines first trimester blood test results drawn between 10 weeks and 14 weeks with second trimester blood test re-sults.

(3) Full Integrated Screening: Combines NT ultrasound results with first and second trimester blood test re-sults. Patients with first trimester blood specimens and NT will receive a preliminary risk assessment for chromosomal abnormalities such as Down syndrome and trisomy 18 in the first trimester. The risk is refined when the second trimester blood specimen is re-ceived.

The Program does not pay for the NT ultrasound, but uses the NT results, when provided. A current list of reg-istered NT Practitioners can be found on the Prenatal Screening Program website at: http://www.cdph.ca.gov/programs/pns The new program is also cost-effective for California resi-dents and their insurers, with one flat rate ($162) that includes the initial blood test(s) for screening and any authorized follow-up services, such as genetic counsel-ing, comprehensive ultrasound, amniocentesis, and CVS. The program offers follow-up services at State-approved Prenatal Diagnostic Centers for women with screen posi-tive (increased risk) results in the first or second trimes-ters. The inclusion of free prenatal diagnosis for all women who are screen positive is one of the hallmarks

(Continued on page 6)

Page 5 FHEA News

Customer Comments

Try Peg Fitzgerald's course. It’s well worth it. I recommend it to everyone. I have taken the course in the past after I have taken boards as a review. -Johnny Hudson Dear Ms. Fitzgerald,

I just drove home from Los Angeles back to Orange County California and listened to your FNP certification review CDs all the way home. They are fantastic and have some really great clinical pearls and safety issues. I am a new FNP and you seem to be a superstar in the NP world! -Terry Raya Hoffman MSN, FNP

Question: My classmates and I will complete our NP studies in about 8 months. We are considering taking an NP certification preparation course in the next few months when we still have about 5-6 months left in school. Will the course help us in school or would we be better waiting until we are closer to graduation? Answer: About 10% of our Fitzgerald Health Educa-tion Associates course attendees have one or more semesters of study to go, some as much as one year. Often these students need help pulling together all the content they have learned so far to get more "up to speed" for their upcoming clinical rotations. Many new graduates who take the review course to prepare for certification comment that they wish they attended the lecture earlier in their studies. Others say they would have been willing to pay for the course twice, once about half way through their studies, then a second time at the end to prepare for certification. Often people who take the review course earlier in their studies will purchase the lecture on-line or on CD for home study at the end of their NP program. If you decide to attend a live review course there are several discounts which you can make use of. Customers who choose to attend a second review course within the year can receive 50% off of the ad-vanced price of the seminar. Discounts for audio CD and on-line programs are also available and vary based on track. For more information on live and recorded seminars visit: www.fhea.biz

Question and Answer With Margaret A. Fitzgerald, DNP, FNP-BC, NP-C,

FAANP, CSP

Page 6 FHEA News

Upcoming Conferences Featuring FHEA Speakers

April 25-28, 2009 May 19, 2009 October 06, 2009

NCNP-ACC Conference Westin Boston Waterfront Hotel Boston, MA Topics: Various FHEA Speakers Margaret A. Fitzgerald, Bruce D. Askey, Linda S. Blasen, Victor Czerkasij, Louise McDevitt, Shawn M. Stewart, Monica N. Tombasco, Diane C. Viens, Christy M. Yates

Utah NP Pharmacology Conference Sheraton City Centre Salt Lake City, UT Topics: Drug Update: What is hot, what is not; What is on the shelf? Over-the-counter medications for the treat-ment of cough and cold symptom, FHEA Speaker: Monica N. Tombasco

AJN Conference- Advancing Excellence in Nursing Practice Hyatt Regency McCormick Place, Chicago, IL Topic: Heart Disease in Women-2009 Update FHEA Speaker: Kismet D. Rasmusson

(Continued from page 4:California Prenatal Screening Program) of the California Prenatal Screening Program. “The expan-sion of our prenatal screening program represents a signifi-cant advance toward improving birth outcomes,” explains Dr. Mark B. Horton, Director of the California Department of Public Health. “California women will now have access to a single unified and cost-effective program to provide them comprehensive prenatal screening services.” In conjunction with the new program, the State of California is increasing access to services, with Medi-Cal recipients now eligible for coverage of the NT ultrasound procedure. Medi-Cal is expected to pay for NT ultrasounds performed by credentialed practitioners. To increase awareness of and participation in the Califor-nia Prenatal Screening Program for physicians and other

providers, the program is conducting multiple outreach activi-ties, including in-services for healthcare provider groups and office staff, a series of Regional Forums on the scientific foundations of the new program, and the distribution of edu-cational program materials on the scope of the expansion and changes to protocol.

For further information, please visit the Prenatal Screening Program website at: http://www.cdph.ca.gov/programs/pns

Dr. Fred Lorey, Acting Chief, Genetic Disease Screening Program California Department of Public Health

Notice of System Maintenance for Testing & Learning Site Routine maintenance is scheduled for April 18th, 2009. FHEA is committed to provid-ing our customers maximum uptime, reliability, and security for our On-line Testing and Learn-ing Site. Regular system maintenance is critical to achieving this goal. System maintenance is normally performed the 3rd Saturday of each month.

Page 7 FHEA News

Continuing Education with Margaret Fitzgerald while at Sea - 12 contact hours

Topics*

• Hot Topics in Drug Therapy: New products, new uses, new warnings

• Worst Case Scenario: Uncommon outcomes in common diseases

• Challenging Case Studies in Laboratory Diagnosis

• Dangerous Liaisons: Case studies in drug interactions • Antimicrobial Update: A focus on prescribing in the age of

resistant organisms

*For a full list of topics visit www.fhea.biz

Tuition: US$450

2009 Cruise

12-Day Itinerary

Cabins $1,399—$2,599 per person* Includes:

• Hotel—ship—airport transfers

• All taxes & port charges

• Fuel surcharge

• Cruise staff gratuities * add gratuities, transfers

and fees US$547pp

1 Tour fee to be determined

Two Days in Rome & Western Mediterranean

October 4—17, 2009

Click here to register on-line

or call (978) 794-8366 for more information about

this cruise

• Mallorca

• Carthage

• Palermo

• Naples

• Disembark Civitavecchia

• Special tour of Vatican1

• Embark Civitavecchia

• Pisa / Florence

• Monte Carlo

• Barcelona

Click here for more information and to register online

This conference is designed to meet the continu-ing education needs of advanced practice nurses. There will be an intense review and update of new pharmacological agents. Discussion of drugs and treatment modalities relating to specific illnesses will be reviewed at length. Drug actions, indication for use, contraindications, and side effects will be presented. Program content meets the State of Utah educational requirement for APRNs to main-tain prescriptive privilege. Full attendance will earn 12.5 CE Contact Hours.

Sixteenth Annual Pharmacology Conference

Presented by: Utah Nurse Practitioners

May 14-16, 2009

Sheraton City Centre Hotel 150 West 500 South Salt Lake City, Utah

Need a Speaker?

If you are interested in having Margaret or one of our other talented associates speak at your school, local, regional or national conference, please e-mail services@fhea.com for more information. Conference administrative services are also available.

AUSTIN, Texas, March 18 PRNewswire-USNewswire/ -- The American Academy of Nurse Practitioners (AANP) announces the appointment of Timothy R. Knettler to the position of AANP Chief Executive Officer, effective March 20, 2009. He re-places Judith Dempster, DNSc, FNP, FAANP, who will retire after 13 years as CEO of AANP. Although retiring from AANP, Dr. Dempster will continue in her role as Executive Director of the AANP Foun-dation.

Knettler has over 19 years of healthcare and pro-fessional association experience, most recently eight years with the Federation of State Medical Boards (FSMB) of the United States and the FSMB Research and Education Foundation. In addition to his many years of health policy experience, Knet-tler brings an extensive background in the manage-ment of non-profit health care organizations to his new CEO role. Knettler is a strong advocate for advancing health policy and collaborating with state, national and international organizations, to help ensure AANP a seat at the table in important health care discus-sions. He brings strong business expertise with proven ability to improve the quality and delivery of existing services and the development of new ones. He is well known within the health care field and among policymakers and is recognized for his research and analytical abilities.

A sought-after speaker, Knettler has presented more than 37 professional speeches that included multiple national and international engagements over the last five years.

Knettler received his BA in Psychology from Oral Rob-erts University and his MBA in Marketing from the Cox School of Business at Southern Methodist Univer-sity in Dallas. He will be based at the organization's administrative office in Austin, Texas.

American Academy of Nurse Practitioners Announces New Chief Executive Officer

Click here to read the rest of this article

8:00am­9:30am  Antimicrobial Update:  The Basics and Beyond (Part 1) 

 9:45am­11:15am 

 Antimicrobial Update:  The Basics and Beyond (Part 2)   

12:15pm­1:45pm 

Drug‐drug and Drug‐Nutrient  Interactions: A Focus on Common  Problems   

2:00pm­3:30pm 

Worst Case Scenario:  Uncommon Outcomes in Common  Diseases   

3:45 pm­5:15pm   

Prescribing in the Elder   

Pharmacology Update  June 8, 2009 Lecturer:  

Margaret A. Fitzgerald,  DNP, FNP‐BC, NP‐C, FAANP, CSP  

Click here for more information and to register online 

*Because states’ requirements vary, it is important that you contact your Board for details  regarding educational require‐ments for prescriptive authority. 

1.5 Contact Hours awarded per topic 7.5 Pharmacology Related Contact Hours awarded for  all 5 topics* 

Page 8 Newsletter Title

Early Bird Price: $175 Sale Ends 04/08/2009

Page 9 Newsletter Title Page 9 FHEA News Page 9 FHEA News

This Month’s Featured Faculty Member

Louise McDevitt, MS, ACNP-BC, ANP-BC, FNP-BC

Louise McDevitt is a Senior Lecturer with Fitzgerald Health Education Associates, Inc., an international provider of NP Cer-tification Exam Review and Advanced Practice Update and continuing educa-tion for healthcare providers. She pre-sents the FHEA NP Certification Exam Review and Advanced Practice Prepara-tion Course for Family, Adult and Acute Nurse Practitioners as well as several of the Clinical Skills Modules. As an Adult, Family and Acute Care Nurse Practitioner Ms. McDevitt currently practices at Grace Cottage Family Prac-tice in Townshend, Vermont as well as Dartmouth-Cheshire Emergency Care Services in Keene, New Hampshire. She is a member of Sigma Theta Tau. Her teaching positions include Assistant Clinical Instructor at Albany Medical School and Adjunct Clinical Professor at University of Massachusetts Graduate School of Nursing.

Ms. McDevitt has presented workshops in collaboration with other FHEA associ-ates on the topics of Common Derma-tologic Procedures, Common Office Pro-cedures, Expert Exam of the Knee, Ex-pert Exam of the Shoulder, Expert Exam of the Ear, Nose and Throat, Joint Injec-tion, Ophthalmology and Suturing and Wound Management, offered at Fitzger-ald Health Education Associates, Inc. Clinical Skills Workshop Seminars held several times per year around the coun-try. She has presented at numerous national NP conferences, including the National Conference of Nurse Practitio-ners and Advanced Care Clinicians (NCNP/ACC) annually since 2003. Ms. McDevitt has recorded Expert Exam: Practical Orthopedics - Shoulder and Expert Exam: ENT Skills for Primary and Acute Care Practitioners, which are available through Fitzgerald Health Edu-cation Associates, Inc.

Interesting in attending a lecture taught by this speaker? Ms. McDevitt will be teaching the Nurse Practitioner Certification Review and Advanced Practice Update in Amherst, NY on April 16th.

Click here for more information this course, and to register online.

New and Updated Products

This informative program will provide the essential com-ponents of a complete pre-sports participation physical examination. Key areas of every pre-sports assessment, including heart murmurs and orthopedic examination skills, will be covered.

Fitzgerald's Nurse Practitioner Certification Examination And Practice Preparation and Winland-Brown's Adult and Family Nurse Practitioner Certifi-cation Examination: Review Questions and Strategies, 3E Buy both books and save 10%!

Special Offer for Review & Practice Questions Books - Save 10%

Expert Exam: Conducting a Pre-Sports Physical Examination

To see a complete list of seminars offered by FHEA visit: www.fhea.biz

85 Flagship Drive, North Andover, MA

01845-6154

Phone: 978.794.8366 Fax: 978.794.2455

E-mail: cs@fhea.com

Providing Education to the Health Care Community

Fitzgerald Health Education Associates, Inc.

Editorial Staff Managing Editor: M. W. Comstock Editor: Emily L. Paquin Assistant Editor: June Kuznicki Technical Assistant: B. Flete

Contributors Margaret A. Fitzgerald DNP, FNP-BC, NP-C, FAANP, CSP Marie L. Bosco, BSN, RNC, IBCLC

Open Forum

FHEA welcomes articles, news, comments and ideas from its readers! Please e-mail emily@fhea.com If you would like to contact customer service please e-mail cs@fhea.com We have sent this e-mail news-letter in the hope that you will find it useful. If you prefer not to receive future issues, please e-mail: stopnews@fhea.com Please include "Stop" as the subject of your e-mail and your full name and the mail address you wish to cancel in the body. If you received a copy of this newsletter from a friend, you can subscribe by sending an e-mail to: newsletter@fhea.com. Be sure to include your full name, mailing address and day-time phone number so that we can confirm and authenticate your subscription.

Interested in advertising in this newsletter? Email june@fhea.com

Margaret A. Fitzgerald’s Upcoming Speaking Engagements

4/15/09 NONPF- North American Organization of Nurse Practitioner Faculties 35th Annual Meeting Portland, OR

- Pharmacology Update

04/25-27/09 NCNP/ACC – National Conference of Nurse Practitioners and Advanced Care Clinicians, Boston, MA

- Pediatric Pharmacology: Update for Primary Care - Antimicrobial Update: The basics and beyond -Parts 1 & 2 - Prescribing for Pregnancy and Lactation: A focus on issues for the urgent care provider - Challenging Case Studies in Laboratory Diagnosis

05/21/09 Maine Nurse Practitioner Conference Holiday Inn by the Bay Convention Center Portland, ME

- Keynote: Negotiating your NP Future - Antibiotic Update: Community Acquired Pneumonia and Acute Bacterial Exacerbation of Chronic Bronchitis

06/18-21/09 AANP 24th National Conference Gaylord Opryland Nashville, TN

Thursday, June 18 - In the Spotlight: Honing Your Presentation Skills Saturday, June 20 - Inflammation: Assessing, Preventing and Treating This Common Denominator in a Variety of Diseases - Dangerous Liaisons: Drug-Drug, Drug-Nutrient Interactions Sunday, June 21 - Honing Your Cardiac Exam: A Focus on Heart Sounds and Murmurs

7/16/09 34th University of Colorado Annual Nurse Practitioner Symposium (NPS) Copper Mountain, CO

- Hot Topics in Drug therapy: new Products, new uses, new warnings - The Role of Inflammatory Process in Disease States

- Emerging Infectious Disease Threats

9/10/09 Nursing Management Congress 2009, Hilton Chicago Chicago, IL

- DNP: Changing the Academic Face of Nursing

9/18/09 UARPN NP Conference Macon, GA

- Challenging Case Studies in Laboratory Diagnosis: A focus on anemia - Type 2 Diabetes Mellitus, Metabolic Syndrome, PCOS: How to assess and manage the many faces of insulin resistance

- Dealing with the difficult/unreasonable patient