21stAnnual Louis A. Cancellaro Primary Care Conference
Monday March 20, 2017 – Thursday March 23, 2017
Millennium Centre, Johnson City, Tennessee
Overall Conference Objectives /
  • Evaluate patients of all ages using most current medical trends
  • Demonstrate an increased knowledge base on up-to-date pharmacological agents available
  • Determine the most appropriate treatment for patients in the primary care setting
  • Apply knowledge to current panel of patients
  • Demonstrate understanding of current medications available for treatment of chronic illnesses.
  • Compare current diagnosis treatment plan to alternative medicines and treatment

Target Audience /
  • This conference is designed for all physicians, pediatricians, pediatric, family medicine physicians, internal medicine physicians, physical therapists, psychiatrists, surgeons, emergency medicine, advanced practice nurses, physician assistants, pharmacists, nurses, EMS providers, public health providers, billing and coding personnel, medical students, APN/PA students, nursing students, and EMS students.

AGENDA
Monday March 20, 2017
7:15 AM – 7:45 AM / Breakfast, Registration,and Exhibitors
7:45 AM – 8:00 AM / Welcome
Pre-conference, Announcements and Introductions / Learning Objectives:
As a result of participating in this activity, the attendee will be able to…
8:00 AM – 9:00 AM / Zika Virus Update
David Kirschke, MD /
  • Identify the signs and symptoms of Zika virus
  • Understanding the Zika virus
  • Express prevention and control of Zika

9:00 AM – 10:00 AM / Routine to Rare: Complex Wound and Skin Conditions
Debbie Harrell, RN, MSN, NE-BC /
  • Identify the root causes of complex wound and skin conditions and critical impact on body systems and complications.
  • Describe various pediatric complex wound and skin conditions.
  • Describe the treatments for complex wound and skin conditions

10:00 AM – 10:15 AM / Break and Exhibitors
10:15 AM – 11:15 AM / Pain, Anxiety, and Addiction
John P. Hendrick, MD, BFAPA /
  • Theorize addiction risks
  • Re-evaluate opioids in chronic pain
  • Review anxiety and depression in chronic pain
  • Compare current strategies of management

11:15 AM – 12:15 PM / Hepatitis C Update
Penny Thayer, FNP, BC /
  • Assess updated guidelines for screening and evaluating patients for HCV in the primary care setting

12:15 PM – 1:00 PM / Lunch and Exhibitors
1:00 PM – 1: 45 PM / Everyday Podiatry for the Primary Care Physician
Ryan Chatelain, DPM /
  • Identify basic podiatric pathology and treatment
  • Examine basic wound etiologies and when to refer to a wound care specialist

1:45 PM – 2:30 PM / Sinusitis and the Primary Care Practice
Leonard Brown, MD /
  • Recognize SAHP disease classification
  • Learn current surgical technique
  • Learn how to diagnose sinusitis and allergies
  • Communicate current recommended treatments

2:30 PM – 3:15 PM / Audiology and Primary Care
Lee Cottrell, AuD, CCC-A /
  • Recognize patients in need of audiology services
  • Implement standardized screening protocols for hearing loss and/or balance impairment
  • Understand and interpret audiograms

3:15 PM – 3:25 PM / Break and Exhibitors
3:25 PM – 4:15 PM / SLP s Role in Caring for the Adult and Geriatric Populations
Courtney Andrews, MA, CCC-SLP
Shawn and Lori Randolph ALS Patient Clinic / •Define the SLP role with patients commonly seen in primary care
•Duplicate SLP knowledge to help in primary care
•Evaluate the role of the SLP as part of the multidisciplinary team
4:15 PM – 5:15 PM / Spots, Dots, and Funny Colored Knots (An Introduction to Neurocutaneous Syndromes
Kathryn Idol Xixis, MD /
  • Be familiar with the presentation of common neurocutaneous syndromes
  • Understand the resources available to diagnose and manage these syndromes

5:15 PM / Closing Remarks
Please remove all personal items, the ballroom is being used for another function in the evening.
Tuesday March 21, 2017
7:30 AM – 7:50 AM / Breakfast,
Registration and Exhibitors
7:50 AM – 8:00am / Welcome and Announcements
8:00 AM – 9:00 AM / Update on Immunization Guidelines
James Thigpen, PharmD, BCPS /
  • Communicate changes in the vaccine guidelines to patients and other healthcare providers
  • Explain why outbreaks of vaccine-preventable diseases continue to occur in the United States
  • Identify the reasons that patients refuse or delay vaccination for themselves or their children
  • Describe the vaccines that are currently under development and their potential impact

9:00 AM – 10:00 AM / Cardiac CTA
Lance Klosterman, MD /
  • Apply the principles to Coronary CTA
  • Understand appropriate patient preparation for Coronary CTA
  • Evaluate patient selection
  • Learn how to interpret the report

10:00 AM – 10: 15 AM / Break and Exhibitors
10:15 AM – 11:15 AM / Wait and See or Refer to PT: Role of Physical Therapists in Minimizing Cost and Maximizing Patient Outcomes for Low Back Pain
Raine Osborne, DPT, OCS, FAAOMPT /
  • Discuss the evidence for early access to PT for patients with LBP
  • Recognize current best-evidence practices for physical therapists treating patients with LBP
  • Identify key clinical presentations that support early access to PT for patients with LBP
  • Discuss the potential benefits of physical therapist’s consultation in clinical decision-making about patients with LBP

11:15 AM – 12:15 PM / Using Analytics in Health Care
Brian D. Johnston, PhD, ATC /
  • Interpret data for staff administration
  • Analyze data to make informed decisions
  • Present visual display of data
Analyze and manage employee time
12:15 PM – 12:45 PM / Lunch and Exhibitors
12:45 PM – 3:00 PM / The Many faces of Dementia and coping with Aberrant Behaviors
Ronald Hamdy, MD
Skits
Actors Patrick Cronin Opal Clarke /
  • Identify potential triggers for aberrant behaviors
  • Know how to avoid/avert potentially catastrophic situations when interacting with patients who have dementia.

3:00 PM / Adjourn
Please remove all personal items, the ballroom is being used for another function in the evening.
Wednesday March 22, 2017
7:30 AM – 7:50 AM Breakfast, Registration, and Exhibitors
7:50 AM – 8:00 AM / Welcome and Announcements
8:00 AM – 9: 00AM / Endocrine Clinical Pearls and Pitfalls for PCP
Evan Los, MD /
  • Differentiate urgent from non-urgent endocrine issues in the clinic setting
  • Order and interpret appropriate lab screening for thyroid dysfunction Use the growth chart to differentiate endocrine causes of poor growth
  • Identify first steps in the management of obesity-related comorbidities

9:00 AM – 10:00 AM / Manipulation Update: What you really need to know
Michael Bourassa, PT, DPT Patricia King, PT, PhD Craig Wassinger, PT, PhD /
  • Communicate physical modalities and procedures available
  • Demonstrate manual therapy

10:00 AM – 10:15 AM / Break and Exhibitors
10:15 AM – 11:15 AM / Opioid Use, Misuse and Abuse: Influence of Sex and Gender
Marjorie R. Jenkins, MD, MEdHP /
  • Understand the epidemiology, including gender, of opioid use and abuse
  • Identify gender influences of opioid access and dependence
Recognize biological sequelae of opioid use
11:15 AM – 12:15 PM / Working with Headaches: An Interdisciplinary Approach
Michael Bourassa, PT, DPT /
  • Explain Interprofessional management of headache disorders
  • Review the pathophysiology associated with different forms of headache
  • Demonstrate common clinical headaches based on the ICHD-3
  • Examine intervention strategies for common headache types

12:15 PM – 12:30 PM / Travel to Skill Sessions Stanton Gerber Hall on the Veterans Affairs Campus Lunch and Breakout Sessions (5 -7 minute drive or 15-20 minute walk uphill) /
  • If you are driving, please pick up your parking pass and directions at the Registration Desk. Parking area locate to west side of Stanton Gerber Hall. Follow the ETSU – CME signs.

12:30 PM – 1:15 PM / Lunch at Stanton-Gerber Hall, located on VA Campus Lower level (Ground Floor) Maple Avenue, Johnson City, 37684
Please remove all personal items, the ballroom is being used for another function in the evening.
1:15 PM - 5:15 PM / Breakout Skill Sessions at ETSU’s Stanton Gerber Hall on the Veterans Affairs Campus
Breakout Skill Sessions
Rotation Group 1 / Rotation Group 2 / Rotation Group 3 / Rotation Group 4 / Rotation Group 5 / Rotation Group 6 / Rotation Group 7 / Rotation Group 8 / Rotation Group 9
1:15pm-2:15 pm / Headache Assessment - B238 / Stop the Bleed B237 / Speech Therapy C-003 / Imaging- B003 / Requesting Narcotics: A Case Study in Communication Skills C001/2 / Vestibular C-000 / Yoga - C023 (Large Auditorium) / Podiatry - Sim2 / Joint Exam - Sim3
2:15pm-3:15pm / Stop the Bleed - B-237 / Headache Assessment - B238 / Requesting Narcotics: A Case Study in Communication Skills C001/2 / Speech Therapy - C- 003 / Headache Assessment - B238 / Imaging B-003 / Vestibular - C000 / Joint Exam - Sim3 / Podiatry - Sim2
3:15pm-4:15pm / Podiatry- Sim3 / Joint Exam - Sim3 / Yoga - C023 / Vestibular C000 / Imaging- B003 / Speech Therapy -C-003 / Requesting Narcotics: A Case Study in Communication Skills C001/2 / Stop the Bleed B237 / Headache Assessment- B238
4:15pm-5:15pm / Joint Exam - Sim 2 / Podiatry - Sim2 / Imaging - B003 / Yoga - C023 / Vestibular C000 / Requesting Narcotics: A Case Study in Communication Skills C001/2 / Speech Therapy C-003 / Headache Assessment B238 / Stop the Bleed B237
Adjourn at 5:15 PM
Thursday March 23, 2016
7:30 AM – 7:50 AM / Breakfast, Registration, and Exhibitors
7:50 AM – 8:00 AM / Welcome and Announcements
8:00 AM – 9:00 AM / Practical Approach to EKG Interpretation
Reid Blackwelder, MD FAAFP
Richard Hess, Pharm D, CDE, BC-ADM /
  • Explain a comfortable approach to any EKG
  • Identify key abnormalities that require immediate attention
  • Recognize normal variants

9:00 AM – 10:00 AM / Lesbian, Bisexual, and Transgender Healthcare
Martin Olsen, MD /
  • Understand health risks associated with lesbian, bisexual and transgender status
  • Recognize health access issues faced by lesbian, bisexual and transgender patients
  • Recognize heteronormativity and heterosexism in health care

10:00 AM – 10:15 AM / Break and Exhibitors
10:15AM – 11:15 AM / Reframing Services From a Trauma Informed Perspective
Andrea Clements, PhD /
  • Define the “three E’s” of trauma: Event, Experience, and Effect
  • Describe trauma-informed services
  • Analyze environments and activities to determine whether there is a likelihood of traumatization or re-traumatization

11:15 AM – 12:00 PM / Trauma Centers Partnering with Law Enforcement; Providing Injury Prevention and Outreach in Today’s Environment
Carol Jones, APN NREMT-P /
  • Provide a basic understanding of the Hartford Consensus
  • Identify the partnerships with law enforcement and trauma centers and what roles we can play
  • Recognize other supportive outreach opportunities for trauma centers

12:00 PM – 1:00 PM / Lunch and Exhibitors
1:00 PM – 2:00 PM / Health Care: How did we get here and where do we go from here?
Wendell Potter President, To Be Fair, Inc. /
  • Identify the various ways entrenched special interests use emotion-laden language to influence their thinking and actions as well as elections and public policy
  • Appraise and evaluate policy proposals with greater clarity and understanding

2:00 PM – 3:00 PM / Opioid Safe Prescribing** (Hour 1)
Steven Baumrucker, MD, FAAHPM, FAAFP /
  • Understand state guidelines on opioid prescribing
  • Understand the concept of MEDD
  • Appropriately assess and document chronic pain complaints
  • Appropriately assess patients for pathologic use of pain medication

3:00 PM – 3:15 PM / Break and Exhibitors
3:15 PM – 4:15 PM / Opioid Safe Prescribing** (Hour 2)
Steven Baumrucker, MD, FAAHPM, FAAFP /
  • continued

4:15 PM – 5:15 PM / Nonalcoholic Steatohepatitis (NASH)
Chakradhar Reddy, MD /
  • Examine the natural history and developing means of diagnosis, treatment and clinical management

**Meets 2 hour Continuing Education for Controlled Substance Prescribing with Tennessee Chronic Pain Guidelines**

Presenters and Actors / Courtney Andrews, MA, CCC- SLP
Assistant Professor, ALS Clinic and College of Clinical and Rehabilitative Health Sciences, East Tennessee State University, Johnson City, Tennessee
Steven Baumrucker, MD, FAAHPM, FAAFP System Medical Director, Hospice and Palliative Medicine, Wellmont Health System; Associate Editor in Chief, The American Journal of Hospice and Palliative Medicine, Kingsport, Tennessee
Reid Blackwelder, MD FAAFP Professor and Interim Chair, Department of Family Medicine, Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee
Michael Bourassa, PT, DPT, OCS, FAAOMPT
Clinical Assistant Professor and Residency Program Director, Professor, Department of Physical Therapy, College of Clinical and Rehabilitative Health Sciences, East Tennessee State University, Johnson City, Tennessee
Leonard Brown, MD
President, Otolaryngology Head & Neck Surgery Associates, Knoxville, Tennessee
Andrea D. Clements, PhD
Professor and Assistant Chair, Department of Psychology, Developmental, Psychology and Health Psychology, East Tennessee State University Johnson City, Tennessee
Lee Cottrell, AuD, CCC-A
Director of Audiology, Farragut Hearing Aids and Audiology, Knoxville, Tennessee
Ryan Chatelain, DPM
Assistant Professor, Department of Surgery, Quillen College of Medicine, East Tennessee State University, Surgeon, ETSU Quillen Physicians, Johnson City, Tennessee
Patrick Cronin, BS
Professor, Director of Artistic Outreach, Department of Communications and Performance, East Tennessee State University, Johnson City, Tennessee Television and Film Actor.
Kerry Ferguson
Owner / Operator Yoga Tree, Waldorf Trained
Courtney D. Hall, PhD, MS
Associate Professor, Department of Physical Therapy, College of Clinical and Rehabilitative Health Sciences, East Tennessee State University, Johnson City, Tennessee
Ronald C. Hamdy, MD
Professor of Medicine, Quillen Chair of Geriatrics, Quillen College of Medicine, East Tennessee State University, Surgeon, ETSU Quillen Physicians, Johnson City, Tennessee
Debbie Harrell, RN, MSN, NE-BC
Director of Professional Relations Shriners Hospitals for Children Cincinnati Burn Center Cincinnati, OH
John P. Hendrick, MD, BFAPA
Associate Professor, Department of Psychiatry, Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee
Richard Hess, Pharm D, CDE, BC-ADM Associate Professor, Department of Pharmacy Practice, Bill Gatton College of Pharmacy, East Tennessee State University, Jonson City, Tennessee
Marjorie R. Jenkins, MD, MEdHP, FACP Professor of Medicine, Associate Dean for Women in Science, Chief Science Officer, Laura W. Bush Institute for Women’s Health, Texas Tech University Health Sciences Center, Amarillo, Texas
Carol Jones, APN NREMT-P
Injury Prevention and Outreach Coordinator, Holston Valley Medical Center, Kingsport, Tennessee
Brian D. Johnston, PhD, ATC
The Jerry Robertson BucSports Athletic Medicine Center; Clinical Director, Sports Medicine, East Tennessee State University, Johnson City, Tennessee
Patricia King, PT, PhD, OCS, MTC, HFAAOMPT
Department Chair, Professor, Department of Physical Therapy, College of Clinical and Rehabilitative Health Sciences, East Tennessee State University, Johnson City, Tennessee
David Kirschke, MD
Northeast Tennessee Medical Director, Northeast Tennessee Regional Health Office, Johnson City, Tennessee
Lance Klosterman, MD
Assistant Chief of Radiology, James H. Quillen Veterans Affairs Medical Center, Mountain Home, Johnson City, Tennessee
Evan Los, MD
Assistant Professor, Pediatric Endocrinology, Quillen College of Medicine, East Tennessee State University, Pediatric Endocrinology, Johnson City, Tennessee
Martin Olsen, MD Professor, Department Obstetrics & Gynecology ,Quillen College of Medicine, East Tennessee State University Johnson City, Tennessee
Raine Osborne, DPT, OCS, FAAOMPT, Research Manager, Faculty and Mentor Brooks Rehabilitation Institute of Higher Learning Residency & Fellowship Programs Jacksonville, Florida
Wendell Potter, BS
President, To Be Fair, Inc., author, journalist, former health insurance company executive, Philadelphia, Pennsylvania
Chakradhar Reddy, MD
Assistant Professor, Division of Gastroenterology, Quillen College of Medicine, East Tennessee State University, Gastrointestinal Associates of Northeast Tennessee, Gastroenterologist, VA Medical Center, Mountain Home, Tennessee
Jody Rice, MS, CCC-SLP Speech-Language Pathologist, James H. Quillen VA Medical Center Assistant Professor, Department of Audiology and Speech-Language Pathology, East Tennessee State University, Johnson City, Tennessee
Penny Thayer, FNP
Nurse Practitioner, Gastroenterology/Hepatology, James H. Quillen VA Medical Center, Mountain Home, Tennessee
James Thigpen, PharmD, BCPS
Associate Professor, Department of Pharmacy Practice, Bill Gatton College of Pharmacy, East Tennessee State University, Johnson City, Tennessee
Craig Wassinger, PT, PhD
Associate Professor, Department of Physical Therapy, College of Clinical and Rehabilitative Health Sciences, East Tennessee State University, Johnson City, Tennessee
Kathryn Xixis, MD
Assistant Professor, Quillen College of Medicine, East Tennessee State University, Pediatric Neurologist, MSMG, Johnson City, Tennessee
Activity Directors / Caroline Abercrombie, MD, Assistant Professor, Section of Medical Education Anatomy Lab Director, Department of Biomedical Sciences, East Tennessee State University, Johnson City, Tennessee
Judy East, FNP, Clinical Faculty, Northeast State Community College, Blountville, Tennessee
Planning Committee / Michael Bourassa, PT, DPT, OCS, FAAOMPT
Clinical Assistant Professor and Residency Program Director, Professor, Department of Physical Therapy, College of Clinical and Rehabilitative Health Sciences, East Tennessee State University, Johnson City, Tennessee
David Cluck, PharmD, BCPS, AAHIVP Associate Professor, Department of Pharmacy Practice, Bill Gatton College of Pharmacy, East Tennessee State University, Johnson City, Tennessee
Marta Gouge, BS, CHCP, Educational Planner, Continuing Medical Education, Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee
Patty Harnois-Church, PhD Candidate, MSN, MHA, RN, College of Nursing, East Tennessee State University, Johnson City, Tennessee
Patricia King, DPT PT, PhD, OCS, MTC, HFAAOMPT
Department Chair, Professor, Department of Physical Therapy, College of Clinical and Rehabilitative Health Sciences, East Tennessee State University, Johnson City, Tennessee
Penny Thayer, FNP
Nurse Practitioner, Gastroenterology/Hepatology, James H. Quillen Veterans Affairs Medical Center, Mountain Home, Tennessee
Disclosure Information and Potential Conflicts of Interest / Speakers / Disclosure
Steven Baumrucker, MD / Takeda, salary/consultant fees
Reid Blackwelder / AAFP, Board- travel and per diems
Leonard Brown, MD / Acclarent - J&J, salary/consultant fees
Martin Olsen, MD / Cambridge University Press , Co-Patent Holder
Participants with No Potential Conflicts of Interest / Disclosure
Planning Committee / Caroline Abercrombie, MD
Judy East, FNP / None
Michael Bourassa, PT, DPT, OCS, FAAOMPT / None
David Cluck, PharmD, BCPS, AAHIVP / None
Marta Gouge, BS, CHCP / None
Patty Harnois-Church, PhD Candidate, MSN, MHA, RN / None
Patricia King, DPT PT, PhD, OCS, MTC, HFAAOMPT / None
Penny Thayer, FNP / None
Speakers / Disclosure
Courtney Andrews, MA, CCC- SLP
Andrea D. Clements, PhD
Lee Cottrell, AuD, CCC-A
Ryan Chatelain, DPM
Patrick Cronin
Kerry Ferguson
Courtney D. Hall, PhD, MS
Ronald C. Hamdy, MD
Debbie Harrell, RN, MSN, NE-BC
John P. Hendrick, MD, BFAPA
Richard Hess, Pharm D, CDE, BC-ADM
Marjorie R. Jenkins, MD, MEdHP, FACP
Carol Jones, APN NREMT-P
Brian D. Johnston, PhD, ATC
David Kirschke, MD
Lance Klosterman, MD
Evan Los, MD
Raine Osborne, DPT, OCS, FAAOMPT,
Wendell Potter, BS
Chakradhar Reddy, MD
Jody Rice, MS, CCC-SLP James Thigpen, PharmD, BCPS Craig Wassinger, PT, PhD Kathryn Xixis, MD / None
None
None None
None
None
None
None
None
None
None
None None None None None None NoneNone
None
None
None
None
None
Commercial Support Disclosure / It is the policy of the Office of Continuing Medical Education at Quillen College of Medicine, East Tennessee State University to disclose all supporters of this educational activity from which educational grants were received. No Commercial Support has been received for this activity.