Walt Disney World CME Conference

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Walt Disney World CME Conference

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Walt Disney World CME Conference Session Descriptions

Day One

Dermatology

Andrew Berg
PA-C

Marine Dermatology

Water is the key to life…and a lot of other troubles for the skin. Thanks to the trend that began with the left over DC-3’s from WW2 , our patients now have easy access to remote tropical destinations. These changes in latitudes expose our patients to more than just intense sun. We will take a look at how to diagnosis and treat these exotic presentations of tropical bacterial, viral, and parasitic infections. This lecture will also discuss how to recognize, prevent, and treat marine envenomations. If you travel, or know someone who does, bring some sunscreen, and a good dose of education.

Melanoma Updates

The guidelines for Melanoma staging have changed. What are the current AJCC Melanoma Staging Criteria? Why do some people have better outcomes with their melanoma than others? How are new genetic tests on individual melanomas affecting the Dermatologist, the Surgical Oncologist and the Medical Oncologists? What you need to know about melanoma to stay informed for counseling your patient.

Psoriasis and Atopic Dermatology

We now know that Psoriasis and Atopic Dermatitis are serious systemic diseases… with a skin manifestation. Angry skin is often the red flag that stops us in dermatology and asks us to look deeper at what is going on and why. We have had the treatments for these two common skin diseases backwards for decades. It is now recognized that treating systemically with steroid free options rather than the traditional topical steroid may be in our patients best interest. What are the key inflammatory mediators for each disease and what comorbidities do these two systemic disease share?

Biologics and Beyond

Imagine practicing medicine prior to the age of antibiotics. One of my first patients, an Internist who started practicing 1930’s related her practice of medicine, and how it changed overnight. We have entered into a similar, rapidly developing advancement in medicine. It was just as exciting.. and overwhelming to the practitioners then as it to us now. The list of medications and uses is growing daily. Just what are these TNF Inhibitors, Interleukin Inhibitors,  Phosphodiesterase Inhibitors, and JAK Inhibitors. A look at the proposed mechanisms of action and pharmacologic “personalities”, a discussion about half lives, and other pertinent questions about these new classes of medications that are being used in dermatology.

Acne and Rosacea

Common problems are common. The treatment however isn’t. How do we manage these patients? Learn the proposed theories of what is actually going on that creates Acne and how that differs from Rosacea. What do the medications actually do to treat these difficult to manage skin conditions. What is a retinoid? What about BPO? The role of antibiotics, why… and why not to use them. Wait..why Ivermectin? Sulfur? Are we just shooting from the hip? A thoughtful discussion to help you on decide what is right for both topical and systemic therapy choices.


Day Two

Orthopedics

Sarah Bolander Skin Bones CMESarah Bolander
MMS, PA-C

Making Musculoskeletal Radiology More Black and White

Identifying and describing fractures is a skill necessary for many providers. This interactive session will provide the tools needed to appropriately identify, document, and articulate fracture findings from plain radiographs. Additionally, eponymous fractures, including Salter-Harris classification, and fractures with other unique names will be defined.

Concerning Features and Pathologic Fractures

Worrisome orthopedic patient presentations may be difficult to navigate. Similarly, asymptomatic conditions with concerns only on imaging can be just as challenging. This session will discuss physical exam findings, labs, and imaging for the most common benign and malignant orthopaedic complaints. Classification of lytic lesions, bone tumors, and normal growth variants will be provided and the differential diagnosis will be narrowed based on age, clinical presentation, location of the lesion/tumor, and radiographic findings.

Beyond Inspection and Palpation to Specialized Examinations

There are numerous musculoskeletal and neurovascular specialized examination techniques. It can be difficult to select which exams would be the most beneficial based on the patient’s clinical presentation. This interactive session will guide participants through the selection process and provide the appropriate physical exam techniques. Understanding the results of these exams will better guide the diagnosis and management of common orthopedic complaints.

Back to School Means Back to the Playground

The majority of childhood injuries occur on the playground or with school sports participation. The most common injuries seen on the playground are from falls causing orthopedic complaints. A thorough history can often be key in guiding your evaluation based on the mechanism of injury and specific playground equipment involved. This session will provide an interactive pediatric case-based approach to injuries on the playground and common school sports complaints.

When to Wake Your Orthopedic Provider

Orthopedic emergencies can occur at any age and not all orthopaedic emergencies are caused by massive trauma. These patients may present to not only the emergency department but also an urgent care or primary care office. Knowing how to quickly identify and treat these clinical scenarios is critical to prevent morbidity and mortality. The most common traumatic and atraumatic musculoskeletal emergencies will be introduced with the focus of the session on early diagnosis and emergent treatment options.


Day Three

Women’s Health

Mimi Secor
DNP, FNP-BC, FAANP, FAAN

Women’s Health Guidelines Update

During this interactive session presented by a national women’s health expert, you will learn about the newest, hot off the press, evidence-based women’s health guidelines. Selected hot topics will include cervical cancer screening, contraception, STIs, menopause, osteoporosis and breast cancer. The rationale for these guidelines and controversies will also be discussed.

Contraceptive Update: The New CDC MEC & More

During this session, you will learn about the NEW CDC Contraceptive Guidelines including how to use the free App and resources available from CDC. You will also learn about late-breaking research and the clinical implications. This session is essential to ensure you are up-to-date and a safe contraceptive prescriber.

STI Update: Everything You’re Itching to Know

Did you know STI rates are the highest since written records have been kept? During this session you will learn everything you’re itching to know about the latest epidemiology, diagnosis, and management of STIs in the US. Management of selected STIs focusing on the female including, genital herpes, chlamydia, gonorrhea, PID and cervicitis will be addressed. HIV prophylaxis (PrEp/PEP) and post-sexual assault STI screening will also be discussed.

PCOS Update: Contemporary Diagnosis and Management

PCOS is increasingly common, underdiagnosed and recognized as more serious than ever. During this interactive session, attendees will learn about the newest understanding of the complex pathophysiology, and associated risks and potential complications/sequelae including ObGyn risks. You may be surprised to learn about some of these underrecognized risks and health threats. The recommended diagnostic workup and management guidelines (one size does not fit all) will also be discussed.

Menopause Update: Vasomotor Symptoms and Vulvovaginal Atrophy: What’s New?

Every day in the US, about 8,000 women become post-menopausal and many will be seeking care to manage their bothersome symptoms. During this session, attendees will learn about the epidemiology, symptoms and clinical challenges in managing post-menopausal women. The most recently released management guidelines from the North American Menopause Society (NAMS) will be discussed with a focus on vasomotor symptoms and vulvovaginal atrophy (VVA) /dyspareunia, now referred to as genitourinary syndrome of menopause (GSM). Attend this session and learn how to provide cutting-edge care to your post-menopausal patients.


Day Four

Cardiology/Emergency Medicine

Leslie Davis
PhD, RN, ANP-BC, FAANP, FPCNA, FAHA

Pearls for Cardiac History & Physical Exam

When caring for adults with acute or chronic cardiovascular conditions, clinicians are tasked with completing a focused history and physical exam with each encounter. Cardiac auscultation is an essential component of the physical exam. This presentation describes specific cardiovascular history questions and exam techniques for assessing adult patients. The history includes an assessment of the present illness, relevant past medical, surgical, and social history. Physical exam techniques such as inspection, palpation, percussion, and auscultation will be demonstrated. Pearls for auscultating heart sounds (S1, S2, murmurs, rubs, and gallops) will be shared, including what to do if heart sounds are difficult to hear. Discussion about implications for abnormal assessment findings will be included.

Treating Hypertension: What May Change Your Practice in 2019

The talk will discuss the latest guidelines for treating hypertension (HTN) in adults. Emphasis will be on treatment goals for treating adults, pros and cons of lower targets for systolic blood pressure, and new strategies to improve blood pressure control in those with HTN.

Managing Patients with Heart Failure: Focus on Reduced Ejection Fraction

The talk will discuss the latest guidelines for treating adults with heart failure with an emphasis on patients with reduced ejection fraction. Focus will be on how to optimize guideline directed medical therapy in these complex patients. Strategies will be provided for ways to overcome barriers to medication titration.

12 Lead EKG Interpretation: Using A Systematic Approach

Didactic content and case studies will be used to increase participants’ knowledge and skills for interpreting 12 Lead ECGs in adult patients. During the session participants will practice hands-on activities to increase their confidence in applying a systematic approach to interpretation.

12 Lead EKG Interpretation: Looking for CAD

This session will utilize a systematic approach to assess for coronary artery disease on the 12 lead EKG, including acute ischemia, acute injury, and infarction. Practice cases will be used to apply knowledge gained. Resources will be shared with participants to use in the practice setting.


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