Guidelines for Prescribing Controlled Substances for Pain | Roger Kasendorf, DO

This lecture will review and discuss the guidelines for prescribing controlled substances for pain which were released July 2023. This knowledge will assist treating physicians on understanding, treating, and other care that is needed to address patients with acute and chronic care in various settings. This lecture is essential to appropriately manage this patient population.

Learning Objectives:

• Understand Pain Terminology
• Patient evaluation and assessment
• Initiating Opioid Trial
• Counseling patients on overdose risk and response
• Ongoing pain assessment
• Compliance Monitoring
• Tapering and discontinuing opioid therapy
• Terminating Care
• Medical Records Keeping
• Supervising Allied Health Professions
  
• Special Populations (Acute pain, cancer pain, Emergency care, inherited patients, older adults, pediatrics patients, Cannabis use, pregnancy women, Workers' compensation patients, those with history of substance abuse, psychiatric patients, patients on benzodiazepines, Telehealth)

Eating Disorder Initial Evaluation |  Alexandra Myers, DO

This lecture is designed to help providers from any specialty identify possible signs of an eating disorder, and to initiate a preliminary work up.

Learning Objectives:

• Identify basic clinical signs and symptoms that may be indicative of an eating disorder
• Perform an initial eating disorder work up
• Determine when a patient may need a higher level of care for referral
• Determine types of care available to patients with eating disorders

New Era of Anti-Obesity Medication | Michelle Look, MD

Embark on a transformative journey into the New Era of Anti-obesity Medications with this presentation. Uncover cutting-edge pharmaceutical advancements of current AOM/s as well as those in development that are reshaping the landscape of weight management. Understand why long-term treatment of the chronic disease of obesity with lifestyle interventions and medication makes sense and its impact on other chronic diseases.

This session challenges previous treatment paradigms offering primary care providers a comprehensive understanding of the evolving treatment of obesity. After decades of limited options, we've entered a new era in which we have anti-obesity medications that produce 15-20% or more weight reduction and are improving health in ways that we've never seen before.

Learning Objectives:

• Recognize and prioritize obesity as a chronic, progressive relapsing disease that requires a comprehensive, long-term treatment approach.
• Identify the goals of obesity treatment using pharmacotherapy.
• Implement an evidence-based, stepwise, comprehensive treatment plan that includes pharmacotherapy.
• Discuss how pharmacotherapeutic approaches can both enhance initial weight reduction and improve weight maintenance.

(Workshop) Rapid Headache Management: A Five Step Approach for a 15-minute Office Visit |Sara Modlin-Tucker, DO

This hands-on lab equips osteopathic physicians with the skills to efficiently manage headaches using a structured, quick, and effective protocol. Participants will learn to identify and treat key anatomical structures involved in headache pathophysiology, mastering techniques such as the SI Still technique, OA joint treatment, C2 BLT for dural tension, direct treatment of the suboccipital enthesis, and the star trigger band in the Fascial Distortion Model (FDM). Through a blend of concise lectures and practical demonstrations, this course emphasizes integrating these techniques into a cohesive treatment protocol that can be utilized in a quick 15-minute office visit. This can enhance clinical decision-making and patient communication. By the end of the lab, attendees will confidently apply these methods to provide rapid relief for headache sufferers within a typical office visit timeframe.

Learning Objectives:

• Identify key anatomical structures involved in headache pathophysiology.
• Demonstrate SI Still technique for dysfunction related to headaches.
• Execute effective OA joint treatments to alleviate headache symptoms.
• Use C2 BLT techniques to address dural tension.
• Directly treat the enthesis of the suboccipital muscles to reduce headache-related muscle tension.
• Implement FDM techniques, focusing on the star trigger band, to treat fascial distortions causing headaches.
• Combine all five techniques into a rapid, efficient treatment protocol for a 15-minute office visit.

GLP-1 Receptor Agonists in Diabetes and Beyond 2024 | Jay Shubrook, DO

In this session we will explore the how, when, and why of these agents in a variety of health conditions. The GLP-1RA has foundationally changed the way we treat diabetes. Now they are used for many on and off label indications with more to come.

Learning Objectives:

• Review the direct and pleiotropic effects of incretin based agonism.
• Explore current and future incretin-based agents.
• Discuss current and future health benefits in diabetes, obesity, kidney disease, heart disease, and cognition.

(Workshop) Osteopathic Considerations from Inside the Mouth Out | Lenn Ann Cuny, DO

In this hands-on workshop, Dr. Cuny will spend some time speaking about why it is important osteopathic evaluations to include consideration of orofacial function and mechanics. Participants will learn about how facial development happens normally, the forces that can change the way it develops, and the impacts these changes can have for lifelong health. Through practical demonstrations, attendees will expand their ability to assess orofacial mechanics and function. Table trainers will assist participants in their evaluations, as well as review of several treatment techniques useful for patients with orofacial concerns. Participants will have the opportunity to refresh their OMT skills with the goal of gaining confidence in their ability to integrate OMT into their practice and enhance patient care.

Learning Objectives:

• Discuss the importance of understanding orofacial mechanics and function.
• Discuss some of the possible impacts on facial development that can explain functional changes.
• Review simple physical assessments that osteopathic physicians can incorporate into their exams to assess orofacial function.
• Discuss use of an interdisciplinary team to address altered orofacial function and mechanics.
• Review some simple osteopathic techniques that can be useful for patients with altered orofacial function.

Establishing a Positive Patient Relationship... and Knowing When and How to Let Go | Andrea "Andie" Tena, BA

Once a relationship is established between a physician and patient, the physician bears an ongoing responsibility towards the patient until the relationship is formally concluded. Situations may arise where it becomes necessary to terminate the relationship. It is critical to promptly identify such situations to prevent potential harm to the patient, such as non-adherence or non-compliance, as well as to ensure the safety of the patient, other patients, and staff members from any risks, such as abusive behavior or violence. In order to mitigate professional liability and the risk of being accused of patient abandonment, it is essential for physicians to have a clear understanding of the responsibilities and obligations in a proper discharge process. When terminating an established physician-patient relationship, it is important to adhere to recommended practices and legal guidelines. It is crucial to identify and address issues that are causing the deterioration of the relationship at an early stage. Engage in open discussions with patients regarding any potential issues that may be adversely affecting the relationship. This presentation aims to provide healthcare professionals with circumstances where the physicians have established a relationship with a patient. It will highlight indicators that may contribute to the decline of the physician-patient relationship and provide guidelines for effectively terminating the relationship to prevent harm to the patient and mitigate any accusations of abandonment.

Learning Objectives:

• Identify when a physician-patient relationship is established to determine duty and obligations to your patients.
• Demonstrate how to appropriately terminate the physician-patient relationship to avoid patient harm or allegations of abandonment.
• Assess situations that could lead to the deterioration and subsequent termination of the physician-patient relationship.
• Develop a Workplace Violence Prevention Plan that includes protocols for dealing with difficult patient situations

(Workshop) OMT for the Cold and Flu Season | Victor Nuno, DO

In this hands-on workshop, Dr. Nuno will demonstrate osteopathic manipulative treatment (OMT) techniques to help support your patient's immune system in preparation of the cold and flu season. Participants will explore how structural findings can influence and contribute to compromised host immune defenses. Through practical demonstrations, attendees will learn to apply OMT techniques specifically tailored to effectively improve immune function. Table trainers will guide participants in correctly performing demonstrated OMT techniques, emphasizing the importance of precise palpatory contacts and initiating therapeutic responses that promote optimal health outcomes. Participants will have the opportunity to refresh their OMT skills with the goal of gaining confidence in their ability to integrate OMT into their practice and enhance patient care.

Learning Objectives:

• Identify key structural areas that can influence immunity
• Connect the autonomic nervous system to the immune defenses
• Correctly perform demonstrated OMT techniques by using appropriate palpatory contacts and initiating a therapeutic response

Urgent Care Vignettes: The Promise and Pitfalls of AI in your Clinic | David LaRue, DO, Gregory Pecchia, DO, Neesheet Parikh, DO

This session will present urgent care cases in cardiology, neurology, dermatology, orthopedic trauma, and infectious disease using classical case presentation. SOAP note format with cutting edge AI technology.

Learning Objectives:

• Definition of AI as it relates to clinical practice.
• Develop a diagnosis using AI.
• Integrate AI into your current methodology when ordering labs and diagnostics.
• Enhance your SOAP note using AI.

Sports-related Concussion | Richard Riemer, DO

This lecture is on Sports-related concussion and provides an up-to-date overview of this topic, including update on the most recently revised side-line assessment tools.

Learning Objectives:

• Define sports-related concussion/mTBI Describe why SRC is a diffuse brain disorder.
• Assess the four common symptom/sign categories of SRC.
• Describe the roles of the licensed healthcare provider in the preparticipation, side-line evaluation, and post injury of the injured athlete.
• Recognize the “red flags” of SRC leading to emergency evaluation and treatment.
• Gain confidence in transitioning the athlete back to the classroom and back into competition: “Return to Learn” and “Return to Play”.
• Counsel the older athlete about retirement from contact sports.
  

Diagnosis and Management of Urinary Incontinence | Paul Lee, MD

This session will present an up-to-date review of the current status in the diagnosis and management of urinary incontinence primarily focused on female urinary incontinence, overactive bladder and pelvis floor muscle dysfunction.

Learning Objectives:

• Discuss various causes of urinary incontinence.
• Diagnosis of different types of urinary incontinence.
• Behavioral, dietary and medical therapies.
• Surgical treatment options.

OMT for Concussion | Alexandra Myers, DO

This session will focus on basic Osteopathic Manipulative Treatment options for patients with concussion.

Learning Objectives:

By the end of the workshop, the learner will be able to:

• Identify common somatic dysfunction patterns associated with concussion.
• Develop a basic treatment plan for patients with concussion

Osteopathic Approach to Gynecological Patient with Metabolic and Hormonal Disorders | Vladimir Leibovsky, DO

This presentation will focus on implementing a distinctly osteopathic approach to gynecological patients with addressing the whole “person” rather than “individual system” care. We will discuss how metabolic and hormonal disbalances affect gynecological patient in terms of generalized Women’s health, sexual health, cardiovascular, reproductive health, and risk of malignancy. Specific examples of PCOS, perimenopausal/menopausal patient, and Metabolic syndrome will be used to demonstrate the need for different types of testing and patient counselling.

Learning Objectives:

• Understand distinctly Osteopathic approach to gynecological patients.
• Recognize the role of metabolic and hormonal disbalance in the overall health evaluation and interventions in gynecology.
• Learn to implement Osteopathic healthcare principles of physician patient relationships in gynecological care.

(Workshop) OMT Techniques for Genitourinary Health | Nicole Pena, DO

In this hands-on workshop, Dr. Peña will delve into the intersection of anatomy, physiology, osteopathic manipulative treatment (OMT) and genitourinary health. Participants will explore how structural findings can influence and contribute to common genitourinary complaints and conditions. Through practical demonstrations, attendees will learn to apply OMT techniques specifically tailored to effectively address these issues. Table trainers will guide participants in correctly performing demonstrated OMT techniques, emphasizing the importance of precise palpatory contacts and initiating therapeutic responses that promote optimal health outcomes.

Participants will have the opportunity to refresh their OMT skills with the goal of gaining confidence in their ability to integrate OMT into their practice and enhance patient care.

Learning Objectives:

• Discuss the A (Autonomics), B (Biomechanics), C (Circulation), and S (Screening) aspects of how structural findings could contribute to genitourinary conditions.
• Apply OMT techniques to the treatment of common genitourinary complaints.
• Correctly perform demonstrated OMT techniques by using appropriate palpatory contacts and
  initiating a therapeutic response.

Presented by the California Academy of Family Physicians (CAFP), a member of the Collaborative on REMS Education (CO*RE), 10 interdisciplinary organizations working together to improve pain management and prevent adverse outcomes, including AAFP, AANP, AAPA, AAHPM, AOA, ASAM, IPMA, NPHF & AAOS. See:   www.core-rems.org.

Women's Pain Matters: Expert Insights and Best Practices | Anita Gupta, DO

By the end of this CME activity, participants should be able to demonstrate increased knowledge, competence, and performance in providing high-quality pain care for women, ultimately improving patient outcomes and reducing disparities.

This CME activity focuses on the complex and multifaceted issue of pain in women, addressing the gender-specific differences in pain perception and response. Expert faculty will present evidence-based insights and best practices for assessing and managing pain in women, including the impact of hormonal fluctuations, sex and gender differences in pain processing, and effective communication strategies. Participants will learn how to integrate multidisciplinary approaches into pain management plans and develop a patient-centered approach to addressing women's pain.

Learning Objectives:

• Identify the gender-specific differences in pain perception and response.
• Recognize the unique challenges and disparities in pain management for women.
• Discuss the impact of hormonal fluctuations on pain experience in women.
• Describe the role of sex and gender in pain processing and treatment outcomes.
• Apply evidence-based guidelines for assessing and managing pain in women.
• Develop effective communication strategies for addressing women's pain concerns.
• Integrate multidisciplinary approaches (e.g., physical therapy, psychology) into pain management plans for women.
• Critically evaluate the latest research and clinical recommendations for women's pain management.
• Identify opportunities for improving pain care in diverse populations of women (e.g., menstrual cycle, pregnancy, menopause).
• Develop a patient-centered approach to addressing women's pain, incorporating shared decision-making and cultural sensitivity.
  

A Soft Tissue/Facial Approach to Cervical Somatic Dysfunction | David Escobar, DO

Treatment of spinal somatic dysfunction is a foundational skillset for all osteopathic physicians. There are times however when treating the cervical spine, that minimal spinal mobilization is desired. Using the fascial distortion model as a framework, we will explore the interplay between soft tissue structures in the neck and the cervical spine. This exploration will culminate in a treatment modality that is focused on soft tissue/fascial structures, allowing the spinal somatic dysfunction resolution to follow naturally.

Learning Objectives:

• Review the gross anatomy of the cervical spine and supporting structures
• Understand and expound upon the anatomic and functional relationship between the cervical vertebrae, the muscles of the neck and the supporting structures of the clavicles and scapulae
• Palpate cervical somatic dysfunction and practice treating soft tissue and fascial structures to facilitate resolution of somatic dysfunction

Panel: State and Federal Legislative Discussion | Matt Back and John-Michael Villarama, BA

This session will be a discussion on current State and Federal legislative issues.

Learning Objectives:

• Discuss various state and federal legislative issues
  
  

Updates in Cardiology | Christopher Wulff, MD

This lecture will be based on current state of the art cardiology treatments and guidelines.

Learning Objectives:

• Identify current treatment options for coronary artery disease, atrial fibrillation, atrial flutter, PSVT and ventricular tachycardia.
• Differentiate the difference between heart failure with preserved and reduced ejection fraction and the current guideline directed medical therapies.
• Understand the available percutaneous options for the treatment of structural heart disease including aortic and mitral valve disease.

Complementing Stroke Recovery with Osteopathic Care | Alan Yee, DO

This session will discuss e a new osteopathic examination paradigm to identify, and quantify, the burden of somatic dysfunction among stroke survivors. Incorporating HRQoL assessment and osteopathic musculoskeletal evaluation and a potentially impactful approach to a chronic disease with few effective long-term treatment options.

Learning Objectives:

• Describe the burden of motor disability after stroke and common secondary musculoskeletal complications.
• Differentiate patient reported outcome measures (i.e. Health related-quality-of-life) from traditional stroke outcome assessments (i.e. modified Rankin Scale & Barthel’s index).
• Summarize the current evidence of inter-rater reliability of select osteopathic physical examination tests in evaluation of somatic dysfunction.
• Describe a (new) osteopathic musculoskeletal diagnostic paradigm and its applicability in stroke recovery assessment.

Vaccine Updates | Massoud Mahmoudi, DO

The purpose of this talk is to update the audience on the recent recommendations of ACIP and CDC on vaccination practices. This information includes the new vaccine indications, adverse reactions of vaccines, and ongoing trials and research on selected vaccines.

Learning Objectives:

• The audience will learn about the recently approved recommendation on vaccinations.
• Audience will learn the updated recommendation from ACIP (Advisory Committee on Immunization Practices)
• Audience will be updated on ongoing research and trials on vaccines.