Diabetes Stress/Distress Depression/Anxiety

696 Pages·2017·34.44 MB·English

Thursday, May 11
7:30 a.m. - 7:55 a.m. Registration / Breakfast
7:55 a.m. - 8 a.m. Welcome by Daniel Knight, MD, FAAFP
8 a.m. - 9 a.m. Medications for Diabetes: Over 30 Options and Counting by Brandy Cooper, PharmD
9 a.m. - 10 a.m. Diabetes and Depression by Ronald Salomon, MD
10 a.m. - 10:15 a.m. Break
10:15 a.m. - 11 a.m. Diabetic Eye: What Does the PCP Need to Know? by Ahmed Sallam, MD
11 a.m. - 11:45 a.m. Diabetic Nephropathy: Slowing Progression by John Arthur, MD
11:45 a.m. - 12:30 p.m. Lunch
12:30 p.m. - 1:15 p.m. COPD: An Update for Primary Care Providers by Manish Joshi, MD
1:15 p.m. - 2:15 p.m. The Triangulum: the Future is Now by Phillip Gardiner, DrPH
2:15 p.m. - 2:30 p.m. Break
2:30 p.m. - 3:30 p.m. What’s Menthol Got to Do with It? Everything! by Phillip Gardiner, DrPH
3:30 p.m. - 4:30 p.m. Overuse Injuries by Chase Smith, MD

Hands-On Workshop
4:30 p.m. - 4:45 p.m. Registration
4:45 p.m. - 6:45 p.m. Splinting and Casting by Robert Martin, MD, and Mark Tait, MD

Friday, May 12

7:30 a.m. - 8 a.m. Registration / Exhibits / Breakfast
8 a.m. - 9:30 a.m. Drug Therapy Clinical Pearls by Tom Frank, PharmD
9:30 a.m. - 9:45 a.m. Break / Exhibits
9:45 a.m. - 10:45 a.m. Navigating the Genome: Genomics in the Clinic and Public Health by Kent McKelvey, MD
10:45 a.m. - 11:45 a.m. Forming a Culture of Well-being in Clinical/Medical Practices by Nick Ogle, PhD
11:45 a.m. - 12:30 p.m. Lunch
12:30 p.m. - 1:15 p.m. Effective Work with Trauma Survivors by Kevin Reeder, PhD
1:15 p.m. - 2 p.m. Care of the Adult Sickle Cell Patient by Pooja Motwani, MD
2 p.m. - 3 p.m. HIV PrEP and PEP by Ryan Dare, MD
3 p.m. - 3:15 p.m. Break
3:15 p.m. - 4 p.m. Managing the Complications of Spinal Injury by Thomas Kiser, MD
4 p.m. - 5 p.m. The Rabbit Hole of ADHD in Primary Care by John C. Leach, MD

Saturday, May 13

7:30 a.m. - 8 a.m. Registration / Breakfast
8 a.m. - 9 a.m. NIH & GINA Guidelines for Asthma Management in Primary Care by Larry Simmons, MD, PhD
9 a.m. - 9:30 a.m. Long-Acting Reversible Contraception by Erin Large, MD
9:30 a.m. - 10 a.m. Non-Alcoholic Fatty Liver Disease by Mary Rude, MD
10 a.m. - 10:15 a.m. Break
10:15 a.m. - 11:15 a.m. Breaking Bad News and Managing Conflict by Heather Moore, MD
11:15 a.m. - 11:45 a.m. What Did He Say? A Brief Guide to the Pathology Report by Matthew Quick, MD
11:45 a.m. - 12:30 p.m. Lunch
12:30 p.m. - 1:20 p.m. The Adrenal Incidentaloma: We Found It, Now What? by Rachel Slotcavage, MD
1:20 p.m. - 2:05 p.m. Current Management Strategies for Small Bowel Obstruction by Kevin Sexton, MD
2:05 p.m. - 2:15 p.m. Break
2:15 p.m. - 3 p.m. Update on Zika and Mumps by Dirk Haselow, MD, PhD
3 p.m. - 4 p.m. Identifying and Managing Polypharmacy by Jeremy Thomas, PharmD
Medical Directors Course Director

Marybeth Curtis, RN, BSN Alecia Hamilton, MA
Nurse Educator Director of Continuing Medical Education
Department of Family and Preventive Medicine Department of Family and Preventive Medicine
College of Medicine, UAMS
Amanda Ferstl, PharmD
Clinical Assistant Professor
Ambulatory Care Pharmacist
College of Pharmacy, UAMS

Cynthia Howington, APRN
Instructor and Nurse Planner
Department of Family and Preventive Medicine Exhibitors
College of Medicine, UAMS

Diane Jarrett, EdD Amgen
Assistant Professor Arkansas Blue Cross Blue Shield
Director of Education Arkansas Department of Health Oral Services
Department of Family and Preventive Medicine Arkansas Foundation for Medical Care
College of Medicine, UAMS Arkansas Prostate Cancer Foundation
Baptist Health
Shashank Kraleti, MD Boehringer-Ingelheim
Assistant Professor The Bridgeway
Department of Family and Preventive Medicine Correct Care Solutions
College of Medicine, UAMS Elite Home Health
Memory Care
Kent D. McKelvey, MD Merck
Associate Professor, Family Medicine and Genetics NexMed Solutions
Winthrop P. Rockefeller Chair in Clinical Genetics Overeaters Anonymous
College of Medicine, UAMS Sanofi-Aventis
UAMS Adult Sickle Cell Clinical Program
Bruce Schratz, MD UAMS Physician Relations
Adjunct Faculty UAMS Triumph Program
Department of Family and Preventive Medicine
College of Medicine, UAMS

Special Thanks:
Arkansas Department of Health’s Tobacco Prevention and Cessation Program
Arkansas Blue Cross Blue Shield
Table of Contents

Speaker Title Section
Brandy Cooper, PharmD Medications for Diabetes: Over 30 Options and Counting 1
Ronald Salomon, MD Diabetes and Depression 2
Ahmed Sallam, MD Diabetic Eye: What Does the PCP Need to Know? 3
John Arthur, MD Diabetic Nephropathy: Slowing Progression 4
Manish Joshi, MD COPD: An Update for Primary Care Providers 5
Phillip Gardiner, DrPH The Triangulum: The Future is Now 6
Phillip Gardiner, DrPH What’s Menthol Got to Do with It? Everything! 7
Chase Smith, MD Overuse Injuries 8
Tom Frank, PharmD Drug Therapy Clinical Pearls 9
Navigating the Genome: Genomics in the Clinic and Public
Kent D. McKelvey, MD 10
Health
Nick Ogle, PhD Forming a Culture of Well-being in Clinical/Medical Practices 11
Kevin Reeder, PhD Effective Work with Trauma Survivors 12
Pooja Motwani, MD Care of the Adult Sickle Cell Patient 13
Ryan Dare, MD HIV PrEP and PEP 14
Thomas Kiser, MD Managing the Complications of Spinal Injury 15
John C. Leach, MD The Rabbit Hole of ADHD in Primary Care 16
NIH & GINA Guidelines for Asthma Management in Primary
Larry Simmons, MD, PhD 17
Care
Erin Large, MD Long-Acting Reversible Contraception 18
Mary K. Rude, MD Non-Alcoholic Fatty Liver Disease 19
Heather Moore, MD Breaking Bad News and Managing Conflict 20
Matthew Quick, MD What Did He Say? A Brief Guide to the Pathology Report 21
Rachel Slotcavage, MD The Adrenal Incidentaloma: We found it, now what? 22
Kevin Sexton, MD Current Management Strategies for Small Bowel Obstruction 23
Dirk Haselow, MD, PhD Update on Zika and Mumps 24
Jeremy Thomas, PharmD Identifying and Managing Polypharmacy 25
Our pledge to healthy conferences

UAMS Family Medicine Resolution to Host Healthy Conferences

Whereas the Dietary Guidelines for Americans 2015 state that Americans consume too much
sodium, added sugars, refined grains and solid fats and not enough fruits, vegetables and
whole grains; and

Whereas the Physical Activity Guidelines for Americans 2008 state that Americans should get
150 minutes of moderate to vigorous physical activity each week; and

Whereas studies show a strong relationship between the physical and social environments of
the workplace and the health behaviors of employees; and

Whereas nearly half of many people’s waking hours are spent at work, and many of those
hours are spent in meetings and conferences; and

Whereas the foods and beverages available at meetings and conferences are often high in fat,
added sugars and sodium and contain few fruits, vegetables and whole grains; and

Whereas meetings and conferences generally involve too much time sitting and provide little
opportunity for physical activity; and

Whereas the Department of Family and Preventive Medicine has the ability to model healthy
eating and help to change social norms around meeting practices; and

Whereas it is consistent with the goals of the Department of Family and Preventive Medicine
to support people’s ability to eat well while at work events; therefore be it

Resolved that the UAMS Department of Family and Preventive Medicine's conferences will
adhere to healthy meeting guidelines; and we will practice the guidelines set forth by the
National Alliance for Nutrition and Activity.

Food and Beverage Choices: A variety of beverages are available to you including bottled
water, 100% juice and unsweetened tea. Meals and snacks will offer fresh fruits and
vegetables and lean proteins. If you have notified us in advance of special dietary requests,
please pick up your meal coupon at the registration desk. This will be exchanged for your
reserved meal.

Activity Breaks: We encourage you to stand between speakers to stretch and to move
during the breaks. You are in a safe location to take a walk around the block during breaks.
Take advantage of the fresh air by using the balconies.

Tobacco Free: The UAMS campus is tobacco-free. We ask that you refrain from all forms
of tobacco and electronic cigarette devices even within your car while on campus.

Sustainability: Please use the recycling bins provided for plastic bottles and aluminum cans.
Course Announcements
Parking validation: Please be sure to have your parking validated at the registration desk.

Please participate in electronic and paper CME evaluations. Evaluation is a creditable portion of
CME/CE activities and is required by all accrediting bodies. Using electronic evaluations saves
provides better reports to help shape future programming. Your opinion matters to us! So
click and share.

Please wear nametags—we want to get to know you!

Please help us keep the auditorium clean by removing your trash at each break. Please do not
leave valuables unattended.

Please silence all cell phones, pagers, and other devices.

In order to receive CME/CE credit, all participants MUST complete and return the appropriate
Continuing Medical Education evaluation and statement of attendance.

UAMS is a smoke-free facility

It is the policy of UAMS to promote the health, well-being and safety of visitors, employees and
students while on the UAMS campus. Smoking and the use of tobacco products by employees,
students and visitors are prohibited within all UAMS-owned or leased facilities and UAMS
adjacent grounds, including parking lots and ramps.

UAMS Disclosure Policy
It is the policy of the University of Arkansas for Medical Sciences (UAMS) Office of Continuing
Education to ensure balance, independence, objectivity and scientific rigor in all directly and
jointly provided educational activities. All individuals who are in a position to control the
content of the educational activity (course/activity directors, planning committee members,
staff, teachers or authors of CME) must disclose all relevant financial relationships they have
with any commercial interest(s) as well as the nature of the relationship. Financial relationships
of the individual’s spouse or partner must also be disclosed if the nature of the relationship
could influence the objectivity of the individual in a position to control the content of the CME.
The ACCME describes relevant financial relationships as those in any amount occurring within
the past 12 months that create a conflict of interest. Individuals who refuse to disclose will be
disqualified from participation in the development, management, presentation or evaluation of
the CME activity.
The following planning committee members, moderators and speakers for the 39th Annual Family
Medicine Intensive Review Course have no financial relationships with commercial interests.

Marybeth Curtis, RN, BSN Brandy Cooper, PharmD Pooja Motwani, MD
Amanda Ferstl, PharmD Ryan Dare, MD Nick Ogle, PhD
Alecia Hamilton, CME Director Tom Frank, PharmD Kevin Reeder, PhD
Andrea Hooten, CME Associate Dirk Haselow, MD, PhD Mary K. Rude, MD
Cynthia Howington, APRN Phillip Gardiner, DrPH Sallam Ahmed, MD
Diane Jarrett, EdD Manish Joshi, MD Ronald Salomon, MD
Shashank Kraleti, MD Thomas Kiser, MD Kevin Sexton, MD
Kent D. McKelvey, MD Erin Large, MD Larry Simmons, MD, PhD
Bruce Schratz, MD John C. Leach, MD Rachel Slotcavage, MD
Robert Martin, MD Chase Smith, MD
Heather Moore, MD Mark Tait, MD
Jeremy Thomas, PharmD

The following speakers have financial relationships with commercial interests which have been resolved:
 John Arthur, MD  Charles M. Quick, MD
• Bristol Myers Squibb – Grant/Research • Repros Therapeutics – Consultant
Support • USMLE Rx - Consultant

Accreditations
The Office of Continuing Education, University of Arkansas for Medical Sciences, is accredited as a
provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on
Accreditation.

This Live activity, 39th Annual Family Medicine Intensive Review Course, with a beginning date of
05/11/2017, has been reviewed and is acceptable for up to 23.75 Prescribed credit(s) by the American
Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of
their participation in the activity.

The University of Arkansas for Medical Sciences College of Pharmacy is accredited by the
Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

These educational activities have been planned and implemented in accordance with the accreditation
requirements and policies of the Accreditation Council for Pharmacy Education (ACPE) through the co-
sponsorship of the University of Arkansas for Medical Sciences College of Pharmacy and the University
of Arkansas for Medical Sciences Department of Family & Preventive Medicine. These activities will
provide pharmacists up to 21.75 contact hours or 2.175 CEUs.

For pharmacists to receive credit, the participants must complete and submit attendance forms and
complete all online program evaluations and post-tests. If the attendance documentation is illegible,
then no credit can be issued. Partial credit will not be given for a session; you must attend each session
in full to receive credit for that particular session. Credit will be uploaded to CPE monitor within 60
business days of completion of program. You may check the status of your CPE credit any time by
logging on to your CPE monitor account at www.mycpemonitor.net.

The Arkansas State Board of Physical Therapy has approved this activity for 23.75 total contact hours.

The Arkansas State Medical Board has approved this activity for up to 14.5 CEU’s for respiratory
therapist by the Respiratory Care Examining Committee. Program #ASMB RT04072017.
Medications for Diabetes:
Over 30 Options and Counting

Brandy Cooper, PharmD

Resident
Pharmacy Practice in Underserved Populations
UAMS

Section 1
Medications for
Diabetes: Over 30
options and counting…
BRANDY COOPER, PHARMD
PGY-1 PHARMACY PRACTICE RESIDENT
UAMS COLLEGE OF PHARMACY
Objectives:
Identify and describe medications used in the treatment of diabetes.
Apply appropriate use of guidelines for each class of medications for
treatment of diabetes