CME Conference Topics & Classes

Are you a nurse practitioner or physician assistant interested in earning CME credits?

Skin, Bones, Hearts & Private Parts is a leading provider of high-quality CME covering Dermatology, Orthopedics, Cardiology, Women’s Health, and Emergency Medicine. Enhance your medical education with 4 days of CME from passionate speakers that inspire attendees. Our conference is a great way to network with medical industry peers and learn in an intimate group setting. Choose any of our fun conference locations that cover the topics relevant to your practice. Check out all of our amazing topics and CME classes offered below!

Our 2018 CME Conferences

May 15-18: Phoenix/Scottsdale, AZ
June 11-1: Destin, FL
July 23-26: Myrtle Beach, SC
Sept 11-14: Orlando, FL
Sept 18-21: Pensacola, FL
Sept 30-Oct 7: Caribbean Cruise
Oct 9-12: San Antonio, TX
Nov 6-9: Las Vegas, NV

Kathleen Haycraft, DNP, FNP/PNP-BC, DCNP, FAANP

Another Rash?

This session is a review of patients that presented with a description of “rash”. A wide variety of rashes will be reviewed with a treatment algorithm for common rashes.

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Benign Cutaneous Neoplasms

This discussion will overview common benign cutaneous neoplasms. The focus will be on the importance of knowing what is common and benign to build on the ability to identify benign cutaneous neoplasms. Pathology, treatment, and prognosis will be reviewed.

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Malignant Cutaneous Neoplasms

We will review cutaneous malignant neoplasms via a pictorial class. Pathology, treatment, and prognosis will also be discussed.

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Cutaneous Manifestations of Systemic Disease

This review will focus on pictures of patients who have cutaneous signs of systemic disease. The skin is the largest organ of the body and the most expressive one. Pathology, treatment, and prognosis will be discussed.

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Blistering, Palpulosquamous, Connective Tissue, and Alopecia

Blistering and connective tissue disease, as well as types of alopecia will be reviewed in a pictorial fashion. Pathology, treatment, and prognosis will be discussed.

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The Scene of the Crime: Basic Skin Anatomy

An overview of basic skin anatomy and function of layers, structures, and appendages……the scene of the crime!

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The Line Up: Describing the Suspects

This session will help you understand primary and secondary morphology for benign lesions, skin cancer, and dermatoses. Instruction on how to approach and apply these terms to describe “the suspects”.

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The Suspects: Common Criminals and Death Row Inmates

An overview of commonly found benign lesions, dermatoses, and skin cancers found in a skin examination.

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Working the Scene: Line of Questioning, Common Diagnostic Tests, Procedures, and Pathology

A discussion on diagnostic tests, procedures, and basics of specimen preparation needed to determine or confirm your diagnosis. This includes preparation for procedures like consent, local anesthesia, hemostasis, and wound healing.

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Punishment that Fits the Crime: First Time and Repeat Offenders

This session will discuss current treatment options of skin cancer and common dermatoses. In addition, an overview on managing these rashes when they become difficult to treat.

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Laurel Short, MSN, FNP-C

Mastering Your Musculoskeletal Exam

Musculoskeletal (MSK) problems are in the top reasons for primary care visits. Over half of chronic medical conditions in the United States are related to MSK diagnoses. These conditions are a leading cause of disability, resulting in both individual and societal burden. Achieving confidence with your head-to-toe musculoskeletal exam is the first step in diagnosing and managing MSK issues. This interactive session will provide a solid foundation for optimizing orthopedic care in the primary care setting.

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Heads Up: Concussion Diagnosis and Treatment

A majority of traumatic brain injuries in the United States are mild (mTBI). Traumatic brain injury often occurs from sports injury, motor vehicle accidents, falls, and military trauma. By definition concussion is mTBI, and there is growing knowledge about the pathophysiology and management strategies for concussion. This session will utilize case studies to inform your practice of assessment and treatment of acute concussion, as well as post-concussion syndrome. Topics will include assessment, medication and non-medication therapies, patient education, and return to learn/return to play.

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Peak Performance for Spine Assessment

Is it a shoulder issue or neck problem? Is it pain related to the lumbar spine or hip? These are common challenging scenarios for the primary care provider. There are many etiologies for neck and back pain, and often symptoms resolve with conservative measures. This session will focus on history and exam findings that allow for accurate diagnosis of neck and low back pain. Teaching approaches include exam demonstration, when to consider diagnostic testing, and comprehensive treatment plans. Discussion will include use of both pharmacologic and non-pharmacologic modalities.

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The Essential Toolkit for Musculoskeletal Injections

Performing joint and periarticular injections will enhance your practice and improve patient access to care. These injections are utilized to address pain, improve tolerance for rehabilitation, and diagnose musculoskeletal conditions. This session will include general information for musculoskeletal injections, as well as specific training for multiple injection sites. The presentation toolkit will include everything from needed supplies and procedure codes to video demonstration and patient aftercare.

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Healthy Bones: Osteoporosis Management

It is estimated that approximately 10 million individuals in the United States have osteoporosis. Up to half of women and a quarter of men over age 50 will sustain a low impact fracture in their remaining lifetime. Patients with osteoporosis are seen across the healthcare system, and many go untreated due to the silent nature of poor bone quality. This presentation will review the pathophysiology of osteoporosis, with emphasis on current treatment guidelines and strategies for implementing bone health programs in clinical practice.

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Larry Collins, PA-C, ATC

Hi Grandma, Why are You Limping?

Hip and knee osteoarthritis are two of the more common musculoskeletal complaints found in the elderly population. An appropriate approach to the patient with hip or knee osteoarthritis may allow for extended periods of near symptom-free lifestyle. This discussion will focus on the pathophysiology associated with osteoarthritis, followed by appropriate physical examination and radiologic evaluation techniques. Pharmacologic and other non-surgical treatment options will be discussed. A brief overview of surgical options will also be reviewed.

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Knee Immobilizers –Tool of the Devil?

Musculoskeletal injuries and conditions are a common presentation of patients to primary care and acute care settings. Appropriate use of braces for musculoskeletal injuries and conditions may be of benefit for some patients. This presentation will identify specific musculoskeletal conditions that may benefit from the use of specific braces. Physical examination, treatment options and prognosis will be described, including appropriate pharmacologic treatments and how bracing and other modalities may help your patients recover. Detailed descriptions of common braces and their potential benefits will be discussed.

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FOOSH – It Sounded Like A Fun Thing at the Time!

The ‘fall on an outstretched hand’ is a common presentation in the acute setting. This presentation will describe a systematic approach to the evaluation of acute hand and wrist injuries. Physical examination and radiographic findings of common upper extremity injuries will be reviewed. Evidence-based treatment options, including pharmacotherapeutics will be discussed.

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So, This Won’t Hurt A Bit, Eh?

Utilization of joint and soft tissue injections are of benefit to many musculoskeletal conditions. This presentation will discuss common musculoskeletal conditions that may benefit from these injections and specifically the techniques for these injections. Pharmacologic options for the injections will also be discussed, focusing on evidence-based treatment options.

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Sit Down, Stand Up, Bend Over

Musculoskeletal complaints are the most common presenting complaints in primary and acute care. Having a solid core understanding of the musculoskeletal physical examination is essential for any provider in these areas. This presentation will review the complete musculoskeletal examination, including the cervical and lumbar spins as well as hip, shoulder and extremities. Focus will be on a practical system of assessment that the provider will be able to reproducibly use for any patient complaint. Understanding normal and abnormal findings will be emphasized to allow the examiner to better narrow their differential diagnosis.

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Jennifer Carlquist, PA-C

EKG 123 – Back To The Basics

This course will review normal cardiac conduction, as well as normal intervals and wave morphology. Participants will learn how to assess heart rate using the EKG and just a rhythm strip, as well as some basic rhythm interpretation. The PQRST model of EKG interpretation will be discussed, along with normal EKG review, troubleshooting the EKG, to include artifact and 60 cycle interference.

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Cardiac Mixology – A Bartender’s Guide

Participants will learn strategies to combat AF and how to use the CHADS score to define risk. CHF recipes will be discussed on how to adjust/maximize diuretics and how the new novel agents may play a role in treating CHF. Discussion of the role of the “Cardiac Happy Meal” and how to tailor the medications to prevent side effects. A case based review of some of the more common side effects of cardiac medications and how to identify them.

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Young People Don’t Have Heart Disease

Young people can have heart attacks. Case based review of ten patients that died or almost died and lived to tell about it. A retrospective review of these cases and how these near misses could have been prevented. Participants will walk through actual cases of cardiac arrest survivors, people who had near fatal myocardial infarctions with focus on how to prevent other patients from the same fate.

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EKG Boot Camp (Rx=0.25hr)

The course will progress from a basic level, to intermediate to advanced. Participants will learn a chief based complaint approach to reading EKGS and how not to miss the pertinent findings associated with high risk findings like PE or MI. Participants will also learn the different etiologies of palpitations and how to differentiate between their EKG patterns. A unique look at the EKG will be introduced using it as a diagnostic tool for lab abnormalities and to detect chamber size abnormalities WITHOUT the echocardiogram. Subtle STEMI as well as STEMI mimics will be reviewed. A triage approach to reading EKGS will be reviewed.

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Daria Ruffolo, DNP, RN, CCRN, ACNP-BC

Intra-Abdominal Hypertension and Abdominal Compartment Syndrome: The Big Squeeze

Abdominal compartment syndrome (ACS) refers to organ dysfunction caused by intra-abdominal hypertension (IAH) whereby organs within the abdominal cavity become compressed and lead to systemic organ failure. This is often a fatal sequela of events that are under-recognized as the clinical manifestations are difficult to definitively detect on physical examination alone. Virtually all critically ill or injured patients are at risk but the most prevalent being patients that are postoperative that have undergone prolonged surgical intervention with large fluid shifts, medical patients that have undergone large volume fluid resuscitation for severe sepsis, and the victims of traumatic injury that required massive transfusion. Additional at risk patients include those with space occupying masses or ascites. This session will review the definitions of IAH and ACS, at risk populations, an overview of clinical manifestations, as well as evidence-based techniques of measuring pressure within the abdominal cavity and therapeutic interventions to offset the potential complication of ACS.

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Polypharmacy and the Elderly: A Bag Full of Pills

Drug-related harm among the elderly is one of the most challenging public health issues globally. Older people are more vulnerable to morbidity and mortality secondary to drug-related issues because of age-related changes and co-morbidity of chronic conditions, such as cardiovascular diseases and psychological disorders; and changes in pharmacokinetics and pharmacodynamics as we age. Consequently, older adults are more susceptible to adverse drug reactions (ADR). The term polypharmacy is defined as the ‘unnecessary drug use’ and ‘medication use without indication’. This session will provide some insight in the management of the geriatric patient on multiple medications, be aware of potential problems this may cause, and give guidance on medication management. Included will be a review of the physical, psychological, and social changes that may occur with age and relate them to dosing and issues associated with lower compliance and adherence among the elderly.

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Is Your Patient Ready for Surgery? An Update on An Age Old Question

There has been increasing academic and professional interest in the optimal preoperative risk assessment and perioperative care for patients undergoing surgical interventions. This session summarizes the current best practices for preoperative risk assessment and preoperative optimization for providers that are called upon to “clear” their patients for surgical intervention. The American College of Cardiologist (ACC) and the American Heart Association (AHA) have collaborated to produce best practice guidelines for preoperative and medical optimization for patient undergoing surgical intervention. Included will be evidence–based review of recommendations for resting 12-lead electrocardiogram, laboratory studies, stress imaging and approaches to management of those patients with unstable coronary syndromes, decompensated heart failure, significant arrhythmias, and severe valvular disease. Good functional status predicts good outcomes and low rates of complications. Accurate assessment of patient functional capacity will be discussed as well as current guideline regarding cessation of medications prior to surgical intervention.

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Venothrombotic Events: The Subtle Killer

Venous thrombolytic events (VTE), including deep vein thrombosis (DVT) and pulmonary emboli (PE), are the most preventable causes of death in hospitalized or recently hospitalized patients. Over 2 million patients experience VTE annually with 300,000 patients, or approximately 1 in 100 die each year from associated complications. Health care providers should be aware of their patients at risk for VTE. The pathophysiology of VTE was described by Virchow in 1846 as coming from a triad of possible changes in the venous system. The triad includes changes in the vessel wall (injury), changes in the pattern of blood flow (venous stasis), and changes in the constituency of blood (hypercoagulability). This process leads to a myriad of inflammatory events that can lead to profound life threatening symptoms. This session will provide an overview of the most current evidence-based guidelines for risk stratifying, assessment, diagnosis and intervention as published by The American College of Chest Physicians (ACCP). Included will be a review of which patients can safely undergo prophylaxis and for what duration diagnostic work-up of the suspected patient with VTE, as well as a review of those patients that can potentially be treated on an outpatient basis and use of the most current novel oral anticoagulants (NOACs).

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Atrial Fibrillation: What’s Old, What’s New, What’s Tried and True

Atrial fibrillation (AF) is the most common clinically significant cardiac arrhythmia health care providers face and accounts for approximately 35% of patients hospitalized with a cardiac rhythm disturbance. It has been estimated that 2.2 million Americans have paroxysmal or persistent AF. One of every 6 strokes occurs in patients with AF, including transient ischemic attacks and clinically silent strokes detected radiographically, the rate of brain ischemia accompanying nonvalvular AF exceeds 7% per year. Although ischemic stroke and systemic arterial occlusion in AF are generally attributed to embolism from the left atrium, the pathogenesis of thromboembolism is complex, this session will review the risk factors for AF, the local and systemic effects associated with the arrhythmia and some of the probable causes. There will be a discussion of the clinical manifestations, as well as the most current 2016 evidence-based guidelines for management of conversion, mechanical vs. chemical, rate control and long term care. There will be a review of risk stratifying guidelines for anti-coagulation, the new anticoagulants and possible reversibility agents, as well as quality of life measurements as we care for this population.

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Nancy Berman, MSN, ANP-BC, NCMP, FAANP

HPV: Everything You Want to Know: Part 1. Natural History, Screening Guidelines, Pap and HPV Co-Testing, and Vaccines

Cervical cancer prevention has changed significantly in recent years with widened screening intervals, the increased use of HPV testing and primary prevention by vaccination. This session will build a foundation in the understanding of the natural history of HPV and the rationale for current screening guidelines. The session will address the benefit of co-testing with Pap and HPV and the appropriate use of genotyping for HPV 16 and 18. There will be a review of current ACIP recommendations for the administration of the 9vHPV vaccine.

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HPV: Everything You Want to Know: Part 2. Primary (Stand alone) HPV Testing, Anal Cancer Screening, and Counseling Tips

Primary HPV Screening with a stand-alone HPV test has been approved in the United States for one HPV test and is currently the screening algorithm of choice in many countries in Europe and Australia. This session will describe the appropriate use of primary HPV testing in practice including current interim guidance. There will be a review of anal cancer screening with cytology and high-resolution anoscopy for screen positive patients. This session will also address basic counseling strategies for using HPV testing in practice.

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Menopause Magic: Learn Tricks for the Management of Women at Midlife and Beyond

This session will provide the attendee with an overview of the menopause transition into the post-menopause with an emphasis on symptom management. There will be an update on guidelines for hormone therapy including issues of long term use and use after the age of 65. There will be discussion of FDA approved hormonal and non-hormonal therapy and dietary supplement options for the treatment of hot flashes. There will be a discussion of the treatment of vulvovaginal atrophy. Case studies will be utilized to provide clinical management decision-making.

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Treasure the Bones: Osteoporosis and Fracture Prevention Strategies

This session will provide information regarding the identification of women and men at risk for fracture based on bone densitometry and their 10-year fracture risk using the FRAX calculation. Pharmacologic therapies will be reviewed including their risks and benefits. Current issues in management will be discussed including long-term use of drugs, drug holidays, and the use of the FRAX calculation to identify patients at high risk for fracture, in the absence of osteoporotic scores on their bone density. Case studies will be used to provide real clinical scenarios.

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Alphabet Soup: AUB and PALM COEIN for Systematic Diagnosis and Management of Abnormal Uterine Bleeding

Abnormal Uterine Bleeding is a symptom and not a diagnosis! This session will review a systematic approach to the identification and classification of abnormal uterine bleeding by using the PALM-COEIN system. Each letter of PALM COEIN stands for a structural or non-structural diagnosis for AUB and is a system that helps the clinician determine a diagnosis that leads to appropriate interventions. There will be a review of the diagnostic workup for AUB including history, physical exam, and screening for coagulopathies. The session will review management options including both pharmacologic and surgical interventions such as endometrial ablation.

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Denise Rizzolo, PhD, PA-C

HPV: Here, There, Everywhere

Human papillomavirus (HPV) is the most common sexually transmitted infection (STI). According to the US President’s Cancer Panel and the Centers for Disease Control and Prevention (CDC), nearly 80 million people in the United States are currently infected with HPV and about 14 million people become newly infected each year. The CDC states that HPV is so common that nearly all men and women who have sex will get it at some point in their lives. Some HPV types can cause genital warts and are considered low risk, with a small chance for causing cancer. Other types are considered high risk, causing cancer in different areas of the body including the cervix and vagina in women, penis in men, and anus and oropharynx in both men and women. This presentation will review HPV with regards to epidemiology, clinical presentation, diagnosis and treatment. A focus on oral HPV will be discussed but cervical and anal HPV will be reviewed. Challenges along with prevention strategies will be described.

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Questions About Sex You Were Too Embarrassed to Ask?

Lack of interest in sex can be multifactorial but can have a negative impact on relationships. Reasons range from menopause, stress, to even lack of sleep. Stress often predominates, but goes unrecognized as the one of the reasons by both the patient and provider. Often women are reluctant to discuss the topic sex with their providers, but it should be an open conversation. Some believe that as we grow older, sex is no longer an option. There are many questions patients may have, but never ask. Providers may often avoid the conversation due to embarrassment, lack of time or even training. This lecture will review reasons for a lack of interest in sex, strategies to discuss a sexual history with your patients, along with strategies to help improve one’s sex life.

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What’s Going On Down There?

Many women will experience some form of vulvovaginitis or vaginal disorder at some point in their lives. Vulvovaginitis accounts for 10 million visits yearly in the US and is the most common gynecologic complaint in prepubertal girls. They are often embarrassed to discuss the symptoms with their providers and often try self-remedies that are unsuccessful. This lecture will review common causes of vaginal disorders with a focus on Lichen Sclerosis, Bacterial Vaginosis, along with other vulvovaginal disorders commonly seen in practice. Presentation, diagnostic work up, along with treatment strategies will be reviewed and discussed.

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Women’s Health Jeopardy

Test your jeopardy skills on women’s health topics ranging from disorders that affect the oral cavity, sexually transmitted infections, the latest screening guidelines, hormones, diagnostic imagining and benign vaginal lesions. The material will serve as a brief refresher on topics covered on many board exams. It will discuss clinical presentation, diagnosis and treatment strategies. This session is in the format of a live jeopardy game and the audience will be asked to participate!

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Evidence Based Approach to Screening Transgender Patients

Primary care clinicians, charged with the responsibility of early detection and prevention of medical conditions, are lacking the tools needed to appropriately adapt health maintenance and disease prevention to the transgender patient’s context. Commonly referenced preventive guidelines such as the evidence-based, United States Preventive Service Task Force (USPSTF) offer little to no guidance for adaptation for the transgender population. This presentation will review evidence based literature to explain appropriate guidelines for preventative care of transgender patients who are using cross-sex hormone therapy (CSHT) and/or have had surgical treatment.

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