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Volume XI, Issue III

March 2011

Take advantage of discounts and information only available

to FHEA Facebook fans!

Inside this issue:

Pediatric Obesity and Early Initiation of Solids, by Marie Bosco, BSN, RNC, IBCLC

2

“The Use of the Term Doctor in the Clinical Setting”

Statement by the American College of Clinicians

3

A Tip From Carolyn Buppert— Nurse Practitioner and Attorney

4

NP News in Brief 5

Question and Answer with Dr. Fitzgerald

5

What our Customers Say... 6

Clinical Pharmacology for NPs and Advanced Practice Clinicians

7

Advanced Pathophysiology for NPs and Advanced Practice Clinicians

8

Upcoming FHEA Conferences

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Adult and Family NP Certification Exam

Review Courses

03/11/2011 Charlotte, NC 03/17/2011 Philadelphia, PA

03/23/2011 San Diego, CA

04/15/2011 Charleston, WV

04/20/2011 Atlanta, GA

04/29/2011 Greensville, SC

05/04/2011 Oakbrook, IL (Also Acute Care)

05/04/2011 Newark, NJ

05/05/2011 Columbus, OH

05/10/2011 Salt Lake City, NJ

05/13/2011 New Haven, CT 05/13/2011 Tampa, FL

05/16/2011 Boston, MA (Acute Care and Pediatric)

05/18/2011 Boston, MA (Also Women’s Health)

05/20/2011 Dallas, TX

05/20/2011 Evansville, IN

05/20/2011 Miami, FL

05/20/2011 Omaha, NE (Also Acute Care)

06/01/2011 Manhattan, NY (Also Acute Care)

06/03/2011 Ann Arbor, MI

06/03/2011 Louisville, KY

06/03/2011 Phoenix, AZ

06/03/2011 Richmond, VA

06/04/2011 Manhattan, NY (Geriatric)

06/06/2011 Los Angeles, CA

06/10/2011 Pittsburgh, PA

06/10/2011 Raleigh, NC

Click Here to See More Course Listings

Offer of the Month 10% off Primary Care Management of Acute and Chronic Pain Syndromes

Professional Awakening: What Physician Assistants can Learn

from Nurse Practitioners by Robert M. Blumm, MA, PA-C, DFAAPA

National PA Speaker and Consultant Fitzgerald Health Education Associates, Inc. Faculty

Failure is not the only punishment for laziness;

there is also the success of others. Jules Renard (1864–1910)

An Introduction from Dr. Fitzgerald

For years the roles of nurse practitioners and physi-cian assistants have been portrayed as supplemen-tary to the role of physicians. Nurse practitioners have made monumental strides to deflect the ar-chaic stereotypes so often associated with our role in the healthcare system. But these achievements have not come without a great deal of time and ef-fort. Ultimately, these strides have brought our pro-fession to the public eye to reveal that we do not provide “supplementary” or “midlevel” care but are a viable, crucial force in the success of healthcare in the United States. The following is an article written by Robert M. Blumm, MA, PA-C, DFAAPA, which examines how physician assistants can look to the achievements of nurse practitioners to influence their own profes-sional goals. Robert Blumm is an associate lecturer with Fitzgerald Health Education Associates, Inc. He is a certified physician assistant and currently prac-tices in Long Island, NY. He is a charter member of numerous professional physician assistant organi-zations and is the author and contributor of more than 150 editorials, clinical articles, and book chap-ters.

*******

The quote above by Jules Renard is a reminder to the small group of physician assistants (Pas) who may take umbrage with the recent successes of the nurse practitioner profession. It all goes back to an article I wrote for Advance for PAs where the topic was “Apathy, the Malignancy of the Profession.” (Continued on page 4)

*********Recently Added Courses*******

06/13/2011 Oakland, CA

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Pediatric Obesity and Early Initiation of Solids by Marie L. Bosco, BSN, RNC, IBCLC

Breastfeeding News

Pediatric obesity is a serious issue the children in the United States face. Healthcare professionals such as nurse practitio-ners guide parents to make best choices regarding early feeding of their infants. The first few months of a child’s life can serves as an important window for the development of obesity. Data suggests initiating solids prior to 4 months of age is associated with increased body fat or weight in child-hood (Gilman). Until recently, there had been little research that examined the relationship between the type of infant feeding, breastfeeding, or formula feeding, and introduction of solids and the association to obesity. Pediatrics published an article that addressed this question. Research was done through the Division of Gastroenterology and Nutrition, the Division of General Pediatrics at Children’s Hospital Boston, the Obesity Prevention Program, and the Department of Nu-trition at Harvard. A study by Huh et al. found that infants who were never breastfed or who were weaned before 4 months old and were introduced to solids before 4 months old had a 6-fold

increase in becoming obese by the age of 3. Furthermore, the timing of initiation of solids in infants breastfed 4 months or longer was not associated with risk of obesity. Clearly, the importance of breastfeeding and following guidelines regarding the initiation of solids could decrease the risk of obesity in children. Current guidelines by the American Association of Pediat-rics (AAP) recommend exclusive breastfeeding for the first 6 months with solid food introduction after that time. The AAP recommends breastmilk as the optimal milk choice for infants during the first year. In addition, the AAP rec-ommends donor breastmilk as a good second choice, and formula as an acceptable third choice. Adherence to these guidelines can have a positive impact on the ever growing childhood obesity rates in the United States, and the asso-ciated health complications References: Gillman MW. The First Months of Life: A Critical Period for Devel-opment of Obesity. AM J Clin Nutr. 2008; 87(6): 1587-1589. Huh S, Rifas-Shiman SL, Taveras EM, Oken E, Gillman MW. Tim-ing of Solid Food Introduction and Risk of Obesity in Preschool-Aged Children. Pediatrics. 2011; 127:e544-e551. Taveras EM, Rifas-Shipman SL, Belfort MB, Kleinman KP, Oken E, Gillman MW. Weight Status in the First 6 Months of Life and Obe-sity at 3 Years of Age. Pediatrics. 2009; 123(4):1177-1183.

Special Offer

Fitzgerald Health Education

Associates Catalog Available On-line!

Browse through FHEA

products and seminars in this

convenient on-line format

3

March 2011

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Contact Hour Tracker

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contact hour data again!

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The word doctor has been associated with physicians for many years. Doctor is Latin for “to teach” but this literal meaning did not place the word into general public use. More likely, it was the fact that medical practitioners were among the first of several groups to attain a doctorate as the terminal degree. Unlike other doctoral professions, medical doctors began to interface with the general public in larger and larger numbers. Thus the use of the title Dr. became more commonplace. Historically, the title doctor has never been exclusively used to describe medical doctors, as the degree awarded by many professions confers this title as well. We all know of “doctors” outside of health care (Juris Doctor, Doctor of Divinity, Doctor of Philosophy). Within the healthcare world the public generally has associated the term doctor with physicians or with those people who provide them with medical or health care advice and treatment. In the middle of the 20th century, many neighborhood pharma-cists who commonly dispensed medication, medical advice and treatment were affectionately called “doc.”And for al-most as long medics and corpsmen in all branches of our armed services have been addressed as “doc.” Today, many healthcare professionals besides physicians possess a doctorate. A more varied group of clinical profes-sionals will possess this degree in the future. For many years’ psychologists, nurses, clinical social workers, phar-macists, physical therapists, podiatrists, optometrists, nurse practitioners and physician assistants have obtained the highest level of education possible in their field and have been granted doctorates. Several professions have recently announced that the doc-torate is to become the entry level degree for their profes-sional practice. We predict that over the next decade most professions that prescribe, diagnose or treat patients will likely require a doctorate to practice. These professions will have a significant number of clinicians practicing at the doctorate level. Understandably, physicians are concerned about this shift and the confusion it brings. We understand their concern in regard to the use of the term doctor. The American Medical Association has considered adopting official posi-tions that would restrict the use of the term doctor to

“The Use of the Term Doctor in the Clinical Setting” Statement by the American College of Clinicians

Adopted October 6, 2008

Reprinted with permission from the American College of Clinicians.

physicians, dentists and podiatrists (and also restrict the terms “resident” and “residency"). We ask how this would be achieved as no profession can own an academic title? It is the belief of organized medicine that the use of the term doc-tor by other health care professions will create confusion. We agree with this assertion, as even positive change can be confusing. What we do not agree with is that this temporary period of confusion will result in any significant disruption or decrease in the quality of health care that is provided. We also do not agree with the view that many physicians espouse; that other professionals want to earn a doctorate because they want to be somehow viewed as a physician. State laws protect titles such as physician and any undesig-nated person who uses the title physician is breaking those laws. The ACC agrees strongly that it is inappropriate to vio-late title protection in any form. However, the ACC also rec-ognizes the critical difference between the word physician and the use of the title Dr. (Continued on page 6)

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(Professional Awakening: Continued from page 1) Whenever professionals from any group become depend-ent on their organizations to do all of the work, it creates apathy. It's like posting an area in sub-freezing weather; as you sit down and try to keep warm you fall asleep and never awaken from the freeze-induced coma. Apathy on any front has the ability to stop all progress. Ultimately, apathy leads to failure. This failure is recog-nized by other professions, patients, administrators, phy-sicians, and sometimes by ourselves. We see comments in newsletters, newspapers, and in national magazines and see ourselves portrayed merely as “assistants.” We see the errors on this assumption when we read postings con-cerning "physician's assistants." How long will we wait before awakening to the fact that this is slowly killing our profession? There are brilliant PA administrators and leaders who disagree with the false perceptions of our profession. These people are intellectuals who have been past leaders, presidents, and educators with the American Academy of Physician Assistants (AAPA). The next step is to poll the profession and develop accurate statistics. As you see, many of us take this seriously. The nurse practitioner (NP) profession formed a strong foundation and became dedicated to building their profes-sion. They were committed, worked as a team, shared ideas, fought the American Medical Association (AMA) and any organization that tried to define their role in the healthcare system. NPs were never satisfied with the status quo and endeavored to reach the pinnacle of educa-tion, the doctorate degree, to prove their commitment. They paid their dues to the groups that were working to-ward the same goals. They did research on the challenges of healthcare in the 21st century, discovered that there were gaps in the delivery of healthcare, and created a ve-hicle called retail healthcare clinics, which have met the needs of many patients. NPs strived for independence and won it in 24 states. NPs deliver quality healthcare and know when they need additional training. They attend conferences, courses, review sites, and become reedu-cated. They do this so they can meet the needs of the 31 million people that enter the system. Can PAs accomplish these same achievements? Many have; they’ve gained higher degrees, sought greater edu-cation, and completed residencies. But we are still bur-dened by an archaic name placed upon us by another pro-fession and have not demanded change. Am I speaking about rebellion by saying "demand?" That's what it is go-ing to take.

There are leaders waiting silently who will move this pro-fession in a different direction if we don’t. I am excited and delighted to see the successes of NPs, because their successes can be ours. They have already paved roads and we share the exact same history of birth concerning our profession. Rejoice in their success and accomplish-ments and then ask why can't we do likewise; why can’t we share in the responsibilities at a greater level, why are we afraid of the comments of some AMA leadership, why do we need to support groups who do not support our expertise, and why will we allow ourselves the luxury of falling asleep? It's time to arise from our slumber, our laziness, and our apathy and awaken to a new dawn of passion and futuristic ideas that will create hope. We need every PA to understand the importance of changing a ridiculous ideology that has been attached to our name for the past 10 years. It's time for a change. It’s time for a polling of the PA profession on this issue.

A Tip From Carolyn Buppert— Nurse Practitioner and Attorney

The Centers for Medicare and Medicaid Services (CMS) have extended the deadline for documentation of face-to-face visits for home care and hospice to April 1, 2011.

For more information visit: www.buppert.com

Live Q&A with Dr. Fitzgerald

Have questions about the certification exam? Attend a live on-line Q&A session that covers the content presented in Dr. Fitzgerald’s NP Certification Exam Review Seminar. Listen and interact with Dr. Fitzgerald as she answers your questions and the questions of your classmates. Adult NPs will have access to two sessions and Family NPs will have access to three. Each of these sessions are 1.25-hours and include audio and visual aids as needed. Offered quarterly.

This program is available as:

A bundle package with the on-line NP Certification Exam Review Click here for more information about this program

An add on product for the live or recorded NP Certifica-tion Exam Review Click here for ANP track Click here for FNP track

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NP News in Brief Need a Speaker?

If you are interested in having Dr. Fitzgerald 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.

Certified Nurses Day Certified Nurses Day (CND) is an annual day of recognition for nurse practitioners and registered nurses around the world who have achieved board certification. As in the past, this year’s CND will be observed on Saturday, March 19. The celebration of CND coincides with the birthday of Margretta "Gretta" Madden Styles, RN, EdD, FAAN, a pio-neer in the development of standards for nurse credential-ing. Since 2008, the American Nurses Credentialing Center and the American Nurses Association have come together to organize this day of appreciation for nurse practitioners and registered nurses who choose increase the quality of patient care by attaining certification. Read More

Voting Begins for the 2011 AANP Election The candidates for the 2011 American Academy of Nurse Practitioners (AANP) Election have been posted online. AANP members can vote online beginning March 10 and ending March 31. This election will determine the board of directors and state representatives for AANP. Read More

American College of Radiology Outlines Guidelines The American College of Radiology (ACR) has developed evidence-based guidelines to aid healthcare providers in determining which form of diagnostic imagery is appropri-ate in indentifying certain health problems. Known as the ACR Appropriateness Criteria (AC), these national guide-lines allow a person to search for a medical condition and then view a complete list of applicable radiologic proce-dures. Each procedure is rated on a scale of one to nine, where one is usually not an appropriate diagnostic method and nine is usually appropriate. The ACR AC can be viewed online and recently became available in the form of a mo-bile device application known as Anytime, Anywhere. Read More

Notice of System Maintenance for

Testing and Learning Site

Routine maintenance is scheduled for March 19, 2011. FHEA is committed to providing our customers maximum uptime, reliability, and security for our On-line Testing and Learning Site. Regular system maintenance is critical to achieving this goal. System maintenance is normally performed the third Saturday of each month.

Question and Answer with Dr. Fitzgerald: Information about Contact Hours

Question: I have been in practice and am certified. I would like to take your certification review course again as a comprehensive update/review. If I do this, will I get con-tinuing education credit? Answer: Yes. There are three ways to take this course. You can take it live, on-line, or on audio CD. Each form of study is multi-media and includes:

Access to images on-line

Lectures

Workbook

Hundreds of sample questions

On-line review of questions for content reinforcement

Contact hours (varies by track. Click here for details about each track)

Question: Do contact hours need to be approved or ac-credited by a national organization to qualify for ANCC np recertification? Answer: Yes. Both the AANP and the ANCC offer certifica-tion for family and adult NPs. Other organizations offer certification for specialities such as geriatric, pediatric, acute care, and women’s health NPs. If you have been ANCC certified since January 1, 2003, 50% of your contact hours must be provided by an ANCC accredited or ap-proved provider. See the ANCC website for a list of ap-proved organizations: (http://www.nursecredentialing.org). Please note that the AANP, the accrediting organization for Fitzgerald Health Educations Associates, Inc. is approved by the ANCC. Thus, continuing education hours earned from Fitzgerald Health qualify for both AANP and ANCC credit. For an easy and convenient way to keep track of your contact hours, use FHEA’s Contact Hour Tracker!

March 2011

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What Our Customers Say…

I took your FNP review course in Gainesville, Florida. I also bought the review course CDs. I loved listening to them! I used the CDs and the review workbook to study. I took my FNP certification exam earlier today and passed! I want to thank you for providing such a great course.

—Ginny Browning I took your NP review course [in Manhattan]. I ended up passing the exam! I have you and your staff members to thank for a wonderful experience that prepared me to pass the exam as well as to lay down the foundation for my practice as an ER NP!

—Kayode K. Smith, FNP-C

(The Use of the term doctor: Continued from page 3)

The American College of Clinicians believes that the title doctor may be used by all clinicians who have earned a doctorate and who choose to do so.

It is a right they have earned. We also believe no one profession owns an educational degree (be it clinical or non-clinical, degree or title) especially at the doctoral level. The realities of the healthcare world of the 21st century need to reflect this fact. The College also believes that to minimize confusion, all healthcare professionals should identify themselves and their profession when first meeting a patient. All pro-fessionals should wear a name tag which is in full view of the patient at all times when practicing in the appro-priate circumstances and in the appropriate dress. This policy of identification with an appropriate badge or name tag should also include physicians, as patients en-counter a number of different practitioners. We recog-nize that many institutions require clear identification, and seek this practice to expand into more practice ven-ues. Lastly, we urge all health care professionals to use the word physician when describing someone who has a medical degree. Too many health care professionals continue to substitute the word “doctor” when they mean physician, even though they realize that many health care professionals have clinical doctorates. This simple change in description will enable patients to more readily understand the complexities of our evolv-ing health care system and recognize the contributions of all the members of the health care team. We urge the same response of health care administra-tors, the pharmaceutical industry and others who can have a positive influence on this problem. It is our wish to begin an open dialogue about this issue which would hopefully lead to an increased understanding of the con-tribution of all professionals involved in patient care. The American College of Clinicians is a national profes-sional organization that represents nurse practitioners and physician assistants. More information available at: http://www.clinician1.com//news/view/C22/accs_position_statement_on_the_use_of_the_term_doctor_october_2008

Dr. Fitzgerald’s Upcoming Speaking Engagements

Date Location Topics

March 15, 2011

Pharmacology Update Sheraton Maui Resort and Spa 2605 Kaanapali Pkwy. Lahaina, HI 96761

Click here for more information

April 8, 2011

Nurse Practitioner Association Long Island Chapter Conference Crest Hollow Country Club 8325 Jericho Turnpike Woodbury, NY 11797

Click here for more information

April 13, 2011

National Organization of Nurse Practitioner Faculties 37th Annual Conference Hyatt Regency Albuquerque 330 Tijeras NW Albuquerque, NM 87102

Click here for more information

April 15, 2011

WNA APN 25th Anniversary Pharmacology and Clinical Update Monona Terrace and Convention Center 1 John Nolen Dr. Madison, WI 53703

Click here for more information

April 20, 2011

Nurse Practitioner Certification Exam Review and Advanced Practice Update DoubleTree Atlanta Buckhead 3342 Peachtree Road NE Atlanta, GA 30326

Click here for more information

7

Clinical Pharmacology for NPs and 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

Presented live in the following city:

Dallas, TX— October 25 to 30, 2011

Can’t attend a live course?

This program is also available on-line*

Click here for more information

This 5 ¾ day course addresses the growing need for a thor-

ough course in the principles of pharmacotherapeutics. Pre-

scribing has become a major part of the role of advanced

practice nurses while at the same time, prescribing has be-

come 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 practice

nurses.

The course is taught in an intensive format by 2 of the na-

tion’s most respected NP educators. In addition, recorded

lectures of this course form the basis for other university NP

pharmacology courses including Pennsylvania State, Pace

University, Neumann College, Georgia College and State

University. The material constitutes the equivalent of a three

credit university course in pharmacology.

Pharmacology contact hours: 45.0**

Code: PCON — standard $799; advance: $7501;

early bird: $6992

Note 1: Registrations received or postmarked between 2 months

and 2 weeks prior to the start of the course qualify for this rate.

Note 2: Registrations received or postmarked more than 2 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. A fee of

$50.00 will be charged for cancellation. No refunds will be granted

within 2 weeks of the starting date. All cancellations and changes

must be received in writing.

* Contact hours differ from the live course. See www.fhea.biz for

details.

**Because states’ requirements vary, it is important that you contact

your Board for details regarding educational requirements for

prescriptive authority.

Topics covered in this course:

National legal and practice issues

Principles of safe prescribing: Pharmacokinetics, pharma-

codynamics, 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, in-

haled 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: Antihyperten-

sives, 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

Management of viral, fungal and protozoal infection

Management of pain; opioids, NSAIDs and others including

over-the-counter medications

Management of eye, ear, and skin disorders

For more information visit: www.fhea.biz

7

March 2011

8

Advanced Pathophysiology for NPs and Advanced Practice Clinicians

New York, NY

July 18 to 23, 2011

Presented by:

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

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

Earn 45 Contact Hours!

This 5 ¾ Day course is presented by highly acclaimed clinician-educators who currently maintain clinical practice, thus bringing clini-cal relevance to the classroom in addition to their knowledge and teaching skills in pathophysiology. FHEA instructors consistently rank at the top of speaker ratings at national conferences. Both the course material and testing material are kept up-to-date on sub-ject matter. The electronic components of this program are updated as needed to reflect the current state of practice. Test items are professionally developed and are subject to rigorous validity and reliability review. This course meets the needs of a geographically dispersed student population using on-line lectures with full audio-visual content. On-line version allows students to proceed at their own pace and earn contact hours as they complete each module.

Topics Presented by Sally K. Miller

Unit I Cellular Pathophysiology

I. Cell structure and function

II. Mechanisms of cellular transport

III. Membrane and action potentials

Unit III Mechanisms of Cell Trauma

I. Reversible injury

II. Irreversible injury

III. Hypoxia

IV. Physical trauma

V. Infectious trauma

VI. Chemical trauma

Unit IV Cellular Response to Injury

I. Adaptation

II. Inflammation

Unit V Pathophysiology of the Hematologic System

I. Hematopoiesis

II. Microcytic anemias

III. Macrocytic anemias

IV. Hemoglobinopathies

V. Primary hemostasis

VI. Secondary hemostasis

Unit VI Pathophysiology of the Nervous System

I. Synaptic transmission

II. Neurotransmitter

III. Post-synaptic processes

IV. Selected disorders

Unit VIII Pathophysiology of the Cardiovascular System

I. Cardiac action potential

II. Contractile tissue

III. Non-contractile tissue

IV. Cardiac conduction

V. Contractile fibers and the sarcomere

VI. Electromechanical coupling

VII. Cardiac muscle tasks

VIII. Selected disorders

IX. Lipid synthesis and transport

X. Selected dyslipidemias

Unit IX Pathophysiology of Endocrine Disease

I. Types of hormones

II. Hormone receptors

III. Feedback mechanisms of secretion

IV. Maintenance of plasma glucose concentra-tion

V. Maintenance of thyroid hormone concen-tration

VI. Maintenance of adrenal cortex/medullary hormone concentration

VII. Selected disorders

Unit X Pathophysiology of Pulmonary Disease

I. Anatomy and physiology of airways

II. Vascular and lymphatic anatomy

III. Autonomic nervous system regulation

IV. Compliance and recoil

V. Airflow and resistance

VI. Ventilation and perfusion

VII. Selected obstructive/restrictive diseases

Unit XI - Pathophysiology of Renal Disease

I. Anatomy and physiology of the nephron

II. Regulation of blood pressure, calcium, and erythropoietin

III. Regulation of renal function; tubuglomerular feedback

IV. Cortical and medullary flow

V. Acute renal failure

VI. Chronic kidney disease

VII. Electrolyte imbalance

VIII. Regulation of acid/base balance

Unit XII - Pathophysiology of Digestive System Disease

I. Anatomy and musculature of the gastroin-testinal track

II. Neural control systems

III. Chemical control systems

IV. Myogenic control systems

V. Oropharyngeal/esophageal motility

VI. Gastric motility and control

VII. Gastric acid secretion

VIII. Selected disease states

Topics Presented by Margaret A. Fitzgerald Unit VII - Pathophysiology in Reproduction

I. Factors influencing impaired female fertility

II. Factors influencing impaired male infertility

III. Pathophysiologic problems encountered in pregnancy: Recurrent pregnancy loss, preg-nancy induced hypertension, placental dis-orders, others

Click here for more information about this course

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Upcoming FHEA Conferences

Click here for

more information

Pharmacology Update May 3, 2011

DoubleTree Chicago-Oak Brook Hotel

1909 Spring Rd

Oak Brook, IL 60523

Earn 6 Pharmacology Contact Hours!

Featuring:

The latest in treatment options

In-depth pharmacologic information on clinical conditions you encounter in practice

Recommendations for assessment and diagnostic testing be-fore and during drug therapy

Drug and food interactions highlighted with each session

Topics:

Prescribing for Relief of Symptoms

Assessment and Intervention in Common GI Disorders: PUD, Gastritis, GERD, and IBS

Controlled Substance: A Focus on Prescribing

Click here for more

information

9

March 2011

Fitzgerald Health Education

Associates, Inc.

85 Flagship Drive,

North Andover, MA

01845-6154

Phone: 978.794.8366

Fax: 978.794.2455

E-mail: cs@fhea.com

Interested in advertising in this

newsletter? E-mail june@fhea.com

Editorial Staff

Publisher:

Margaret A. Fitzgerald,

DNP, FNP-BC, NP-C, FAANP, CSP

Managing Editor:

Marc Comstock

Editor:

Emily Paquin

Assistant Editors:

June Kuznicki

Jaclyn Fitzgerald

Technical Assistant:

Bernice Flete

Contributors

Margaret A. Fitzgerald,

DNP, FNP-BC, NP-C, FAANP, CSP

Marie L. Bosco, BSN, RNC, IBCLC

Robert M. Blumm, MA, PA-C, DFAAPA

Open Forum

FHEA welcomes articles, news, com-

ments 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 newsletter in

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Be sure to include your full name, mail-

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so that we can confirm and authenticate

your subscription.

Pharmacology Update July 27–28, 2011

Coonamessett Inn

311 Gifford St

Falmouth, MA 02540

Earn 9 Pharmacology Contact Hours!

Featuring:

The latest in treatment options

In-depth pharmacologic information on clinical conditions you en-counter in practice

Recommendations for assessment and diagnostic testing before and during drug therapy

Drug and food interactions highlighted with each session

Topics:

Hot Topics in Drug Therapy: New Products, New Uses, New Warn-ings

Type 2 Diabetes Mellitus: Current Issues in Assessment and Inter-vention

Vitamin D Deficiency: How to Assess and Intervene in this Common Condition

Pharmacological Therapies for Cough, Could and Fever Symptoms?

Contraception Update