50th Annual The Year in Internal MedicineJanuary 15-17, 2014 P r e n t i c e W o m e n ’ s H o s p i t a l2 5 0 E . S u p e r i o r S t r e e t3 r d F l o o r , C o n f e r e n c e R o o m LC h i c a g o , I l l i n o i s 6 0 6 1 1

S p o n s o r e d b yN o r t h w e s t e r n U n i v e r s i t y F e i n b e r g S c h o o l o f M e d i c i n eD e p a r t m e n t o f M e d i c i n eD i v i s i o n o f G e n e r a l I n t e r n a l M e d i c i n ea n dT h e O f f i c e o f C o n t i n u i n g M e d i c a l E d u c a t i o n

50

G E N E R A L I N F O R M A T I O N

1. Compare the advantages of discussing resilience and engagement with physicians instead of just focusing on impairment and burnout. Identify common reasons for impairment in physicians and common strategies for increasing resilience.

2. Describe an innovative approach to emergency department care for Geriatric patients. This approach should help reduce preventable admissions and coordinate care optimally from the ED for patients 65 and older.

3. Become familiar with the CDC and USPTSF recommendations on universal HIV testing. Applying universal HIV testing into practice. Identify HCV risk groups and whom to screen. Review a comparison of Tuberculosis screening tests and identify which patient populations should undergo screening.

4. Review national efforts to decrease the use of low-value services, including the development of overuse measures, public reporting, and value-based purchasing.

5. Describe pharmacologic and behavioral treatments and assessment methods of insomnia for primary care patients.

6. Understand strengths and weaknesses of performance measurement in improving quality of care for cardiovascular disease including the issue of readmissions for congestive heart failure.

7. Describe the appropriate laboratory testing for a male partner in a couple with infertility. Discuss physical exam findings associated with impaired spermatogenesis.

8. Define the different subtypes of fecal incontinence. Understand when to order tests, which tests to order, and how to recommend appropriate treatments for this common disorder.

9. Recognize fibromyalgia and achieve a timely and cost effective diagnosis. Understand new knowledge of the pathophysiology of chronic central pain.

10. Identify those patients for whom genetic screening is appropriate and what actions to take.

11. Describe the relationship between trauma surgery and public health principles including motor vehicle collisions, gun violence, and health care disparities.

12. Become up-to-date with the diagnosis and treatment options for carpal tunnel syndrome including when to refer, when to treat conservatively, and when to refer.

13. Distinguish what is (and what is not) a “Patient-Centered Medical Home”. Understand where the PCMH fits within the broader healthcare quality movement. Discuss possible pathways to go from the current fee-for-service (FFS) model to an accountable care (ACO) model.

14. Define the current state-of-the-art for optimal medical therapy for coronary artery disease (CAD). Understand the role and options for non-invasive testing for CAD. Clarify the benefits and drawbacks to a strategy of early coronary revascularization.

Learning Objectives | At the conclusion of this activity, participants should be able to:

Target AudienceThis continuing medical education program is designed to meet the educational needs of physicians in General Internal Medicine & Geriatrics, Family Practice and subspecialists who also practice Primary Care Medicine. Conference LocationThe program will be held in Prentice Women’s Hospital, 250 E. Superior St., 3rd Floor Conference Room L, Chicago, IL. For directions and parking information, please visit http://www.northwestern.edu/campus-life/chicago-campus/index.html.Accreditation StatementThe Northwestern University Feinberg School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Credit Designation Statement Northwestern University Feinberg School of Medicine designates this live activity for a maximum of 16.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity.Faculty DisclosureThe Northwestern University Feinberg School of Medicine requires course directors, speakers, instructors, planners and other individuals who are in a position to control the content of this activity to disclose any relevant financial relationships. All identified potential conflicts of interest are thoroughly vetted by NUFSM for fair, balanced, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

15. Review the evidence and guidelines in support of lung cancer screening. Gain an awareness and understanding of the pitfalls of low-dose CT screening for lung cancer. Discuss current management strategies for pulmonary nodules detected on screening scans.

16. Identify who to test for BRCA mutations. Understand the implications of a positive and negative test on the patient and their family.

17. Gain increased awareness of their negotiation personality (Self Assessment). Learn the 7 steps to preparing for a successful negotiation. Better understand how to conduct negotiations with confidence. Gain improved knowledge of how to deal with difficult negotiators (patients and payers).

18. Understand risk factors for macular degeneration, signs & symptoms, and gain familiarity with the latest management & treatment.

19. Review common skin findings seen in the primary care office and enhance the primary care physician’s ability to accurately identify and manage these conditions.

20. Define bronchiectasis and identify the possible etiologies. Review diagnostic work-up strategies. Consider therapeutic interventions for patient populations.

21. Learn to distinguish inflammatory back pain from mechanical back pain. Understand the disease spectrum of inflammatory spondyloarthropathies. Review the treatment options for inflammatory spondyloathropathies.

22. Discuss the reality of a malpractice suit produces significant distress for physicians. Bring awareness to the need for physicians to be more open in discussing their mistakes and the impact legal action has had on their careers and practice of medicine.

23. Identify components of an interdisciplinary pain program and the specific focus of disciplines involved, including physical and occupational therapy, pain psychology, relaxation training, and vocational rehabilitation. Familiarize oneself to the psychological factors beyond depression, including anxiety, catastrophizing, fear and anger, that many patients with chronic pain may present with. Understand how the use of rationalize polypharmacy may help to improve patients’ pain, affective distress, and sleep in implementing an improved medication treatment plan.

24. Understand diagnostic features, pathophysiology, and future treatment strategies for the anemia of inflammation.

25. Understand basic principles of use of both non-insulin and insulin therapies in diabetes management.

26. Demonstrate the importance of critical thinking and how to start to appraise evidence. Provide key indicators that help evaluate the quality of information and provide a practical guide to quickly move beyond an abstract.

The faculty disclosures and the discussion of off-label usage will be indicated in the course syllabus.RegistrationYou may register on-line at: www.cme.northwestern.edu/conferences. An email confirmation will be sent once your registration is complete. If you do not receive a confirmation once registration is complete, please contact the Office of CME at 312-503-8533. Registrations can also be mailed with a check made payable to Northwestern University, CME. Registrations will not be accepted by telephone.Cancellation Policy Cancellations must be made in writing to the Office of Continuing Cancellations must be made in writing to The Office of Continuing Medical Education. The paid registration fee, minus $50 administrative charge, will be refunded if cancellation is received by January 3, 2014.Special NeedsThe Northwestern University Feinberg School of Medicine fully intends to comply with the legal requirements of the Americans with Disabilities Act. If any participant of this conference is in need of accommodations, please indicate those needs on the registration form or submit written requests to The Office of CME at least one month prior to the conference date.Additional InformationContact the Office of Continuing Medical Education, Northwestern University Feinberg School of Medicine at phone: 312-503-8533, fax: 312-503-4531, email: nums-cme@northwestern.edu or visit our website at: www.cme.northwestern.edu.

P R O G R A MWednesday, January 15, 20147:15 am Registration and Breakfast

8:00 am What an Internist Needs to Know about Insomnia, Common Pitfalls and Best Practices Kelly Glazer Baron, PhD, MPH

8:40 am Common Skin Pitfalls in Primary Care: A Dermatologist’s Perspective Stavonnie Patterson, MD

9:20 am Update on Screening Tests in Infectious Disease: Universal HIV Testing, HCV Testing in “Baby Boomers” and Tuberculosis Screening Michael Angarone, DO

10:00 am Break

10:20 am Carpal Tunnel Syndrome Gregory A. Dumanian, MD, FACS

11:00 am Genetic Screening in Your Practice Joel Charrow, MD

11:40 am Geriatric Emergency Department Innovations Amer Z. Aldeen, MD

12.20 pm Luncheon

1:30 pm Fibromyalgia Update 2014 Calvin R. Brown, Jr., MD

2:10 pm To Err is Human, Even for Physicians James R. Spindler, MD

2:50 pm Break

Concurrent Workshops3:00 pm Engagement and Burnout in Physicians: Increasing Resilience and Decreasing Impairment Gaurava Agarwal, MD

Stable Ischemic Heart Disease: The Role of Noninvasive and Invasive Management in the Era of Optimal Medical Therapy James D. Flaherty, MD, MS, BS

Patient-Centered Medical Home Model: A Guide for the Internist Daniel Evans, MD

3:50 pm Break

4:00 pm All Workshops Repeated

4:50 pm Adjourn

Thursday, January 16, 20147:45 am Registration and Breakfast8:30 am Quality of Cardiac Care, USA: Can We Do Better? Robert O. Bonow, MD, MS9:10 am Lung Cancer Screening Keenan A. Hawkins, MD9:50 am Choosing Wisely: How We Can Improve Value in Health Care David Baker, MD, MPH10:30 am Break10:50 am Age Related Macular Degeneration: An Update on Management and Treatment Rukhsana G. Mirza, MD11:30 am Identifying Inflammatory Spondyloarthropathies Eric Ruderman, MD12:10 pm Luncheon1:20 pm Evidence Based Medicine Eric Terman, MD2:00 pm Male Infertility Robert E. Brannigan, MD2:40 pm Break2:50 pm Trauma and Public Health Marie Crandall, MD, MPH3:30 pm Current Concepts in Diabetes Management Emily Szmuilowicz, MD, MS4:10 pm Genetics of Breast Cancer Virgina Kaklamani, MD4:50 pm Adjourn

Friday, January 17, 20147:45 am Registration and Breakfast8:30 am Fecal Incontinence: Who, Why and What to do About Treating It Darren M. Brenner, MD9:10 am Bronchiectasis: From Persistent Cough to Chronic Infections Michelle Prickett, MD, MS 9:50 am Best Alternative to a Negotiated Agreement (BATNA) in the changing Healthcare Arena: Examples and answers for the general internist June M. McKoy, MD, MPH, JD, MBA10:30 am Break10:50 am The Anemia of Inflammation Brady L. Stein, MD, MHS11:30 am Comprehensive Approach to Assessing and Managing Chronic Pain Steven Stanos, DO12:10 pm Adjourn

F A C U L T YAashish Didwania, MDCo-Course DirectorProgram DirectorDepartment of MedicineDivision of General Internal Medicine & Geriatrics Daniel Evans, MDCo-Course DirectorAssistant Professor of MedicineDepartment of MedicineDivision of General Internal Medicine & Geriatrics

Gaurava Agarwal, MDInstructor of MedicineDepartment of Psychiatry

Amer Z. Aldeen, MDAssistant Professor of MedicineDepartment of Emergency Medicine

Michael Angarone, DOAssistant Professor of MedicineDepartment of Internal MedicineDivision of Infectious Disease

David Baker, MD, MPHMichael A. Gertz Professor of MedicineChief, General Internal Medicine & GeriatricsDepartment of MedicineDivision of General Internal Medicine & Geriatrics

Kelly Glazer Baron, PhD, MPHAssistant Professor of MedicineDepartment of NeurologyDivision of Circadian Rhythms and Sleep

Robert O. Bonow, MD, MSGoldberg Distinguished Professor of CardiologyDepartment of MedicineDivision of Cardiology

Robert E. Brannigan, MDAssociate Professor of MedicineAndrology Fellowship DirectorDepartment of Urology

Darren M. Brenner, MDAssistant Professor of Medicine and SurgeryDepartment of Internal MedicineDivision of Gastroenterology

Calvin R. Brown, Jr., MDAssistant Professor of MedicineDepartment of MedicineDivision of Rheumatology

Joel Charrow, MDProfessor of PediatricsDepartment of PediatricsDivision of Genetics, Birth Defects & Metabolism

Marie Crandall, MD, MPHAssociate Professor of SurgeryDepartment of SurgeryDivision of Trauma & Critical Care

Gregory A. Dumanian, MD, FACSProfessor of Surgery, Neurosurgery and OrthopedicsDepartment of SurgeryDivision of Plastic Surgery

James D. Flaherty, MD, MS, BSAssociate Professor of Medicine Department of MedicineDivision of Cardiology

Keenan A. Hawkins, MDAssistant Professor of MedicineDepartment of MedicineDivision of Pulmonary & Critical Care

Virginia Kaklamani, MDAssociate Professor of MedicineDepartment of MedicineDivision of Hematology & Oncology

June M. McKoy, MD, MPH, JD, MBAAssociate Professor of MedicineDepartment of MedicineDivision of General Internal Medicine & Geriatrics

Rukhsana G. Mirza, MDAssistant Professor of MedicineDepartment of OphthalmologyDivision of Retina

Stavonnie Patterson, MDAssistant Professor of MedicineDepartment of Dermatology

Michelle Prickett, MD, MSAssistant Professor of MedicineDepartment of MedicineDivision of Pulmonary and Critical Care

Eric Ruderman, MDProfessor of MedicineDepartment of MedicineDivision of Rheumatology

James R. Spindler, MDGrand Rapids Family Practice Residency Faculty andClinical Professor of Family Medicine (Retired)College of Human MedicineMichigan State University

Steven Stanos, DOAssistant Professor of MedicineDepartment of Physical Medicine and Rehabilitation

Brady L. Stein, MD, MHSAssistant Professor of MedicineDepartment of MedicineDepartment of Hematology & Oncology

Emily Szmuilowicz, MD, MSAssistant Professor of MedicineDepartment of MedicineDivision of Endocrinology

Eric Terman, MDAssistant Professor of Clinical MedicineDepartment of MedicineDivision of General Internal Medicine

R E G I S T R A T I O N

Last Name ____________________________________________________ q M.D. q R.N.First Name ____________________________________________________ q __________

Institution ____________________________________________________________________

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City ____________________________________________State _____ Zip Code __________

Daytime Phone __________________________________ Fax _________________________

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5 0 t h A n n u a l T h e Y e a r i n I n t e r n a l M e d i c i n eJ a n u a r y 1 5 - 1 7 , 2 0 1 4

Physicians $ 495Residents, Fellows, Nurses $ 250(Residents and Fellows must enclose letters from their Chiefs of Service)

How to register:You may register online at: www.cme.northwestern.edu/conferences. Registrations can also be mailed with a check made payable to Northwestern University, to the Office of Continuing Medical Education, Arthur J. Rubloff Building, 420 E. Superior Street, Office of Continuing Medical Education, McGaw Medical Center, 240 East Huron Street, Suite 1-200, Chicago, IL 60611. Registrations will not be accepted by telephone.

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