Program Evaluation

CME Activity Evaluation Form for 105th Annual NW Osteopathic Convention June 7-10, 2018 Cedarbrook Lodge SeaTac, Washington

Question Title

* 1. Please evaluate this educational activity as a whole by filling in the appropriate box:

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Usefulness
Quality
Facilities/Management
Registration
Environment
Audiovisuals
Food & Beverage

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* 2. Thursday June 7, 2018
Making Sense of the US Hypertension Guideline in 2018
William Elliott, MD, PhD
Objectives:
-Name at least one advantage and at least one disadvantage for the most current US hypertension guidelines promulgated by:
a. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7)
b. The panel members appointed to JNC 8,
c. The American Society of Hypertension and the International Society of Hypertension,
d. The American Diabetes Association,
e. The National Kidney Foundation, and
f.  The American College of Cardiology and the American Heart Association.
-Interpret the results of the recent Systolic blood PRessure INtervention Trial (SPRINT), and summarize their impact on the 2017 ACC/AHA US Hypertension Guideline.
-Explain why, using clinical trial evidence, the recommended initial drug therapy for hypertension varies according to race/ethnicity, in all guidelines since JNC 7.

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Ability to Convey the Subject Matter Clearly

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* 3. Update on Heart Failure: Past, Present & Future
Rosemary Peterson, MD
Objectives:
-Describe the common causes, presentation and trajectory of heart failure in the US population
-Understand the stages of heart failure and the guideline directed targets at each stage
-Describe guideline directed therapy indicated for Stage C and beyond HF patients
-Feel confident in prescribing GDT (guideline directed therapy) to include new drug treatment in the treatment of HF
-Understand options for advanced HF and when to refer.

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Ability to Convey the Subject Matter Clearly

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* 4. New Washington State Guidelines & Mitigating the Opioid Epidemic 
Lynda Williamson, DO 
Objectives:
-Have the latest information on national opioid prescribing trends and Washington State statistics on opioid overdoses and deaths
-Be familiar with proposed new opioid prescribing guidelines/rules for Washington State and the timeline for implementation
-Describe how FDA REMS and CDC guidelines contribute to minimizing risks to patients who are prescribed opioids
-Explain three strategies that can help improve prevention efforts and reduce diversion and aberrant drug taking behaviors
-Appreciate some of the latest research efforts and published data that are helping guide policy and clinical decision making processes in managing chronic pain and substance use disorders

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Ability to Convey the Subject Matter Clearly

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* 5. Proton Pump Inhibitors in Renal Disease and Ace-1/ARBS Considered 
Mark Baldwin, DO
Objectives:
-Understand the significant risks of PPI use and acute and chronic renal disease
-Understand the role of PPIs in various electrolyte abnormalities and increased risk of death
-Understand the lack of information on RAAS blockade in advanced CKD and potential risks of continued use
-Understand the potential tradeoff between lower BP and advanced CKD

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Ability to Convey the Subject Matter Clearly

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* 6. Nature vs. Nurture: Integrative Strategies to Treat Obesity
Gina Many, PhD
Objectives:
-Distinguish between genetic and epigenetic modifiers of obesity risk.
-Describe clinical and community-based methods for obesity prevention, with focus on imprinting.
-Review guidelines for treating obesity.
-Learn cognitive methods to assess and overcome patient barriers to weight loss.
-Discuss methods to prevent weight gain after weight loss.

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Ability to Convey the Subject Matter Clearly

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* 7. Friday June 8, 2018
Key Lower Extremity Injuries, Prevention & Rehabilitation 
Anthony West, DO
Objectives:
-Describe vulnerable structures in the L.E. anatomy to stress injuries
-Understand anatomical characteristics and stressors in athletes at different ages predisposing them to lower extremity injuries.
-Explain specific strategies and patient education for prevention of LE injuries
-Describe the rehabilitation prescription for specific LE injuries including appropriate application of Osteopathic Manual Medicine treatment

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Ability to Convey the Subject Matter Clearly

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* 8. Exercise is Medicine: The Anti-Inflammatory Effects of Exercise
Gina Many, PhD
Objectives:
-Describe the acute and long-term effects of exercise on inflammation.
-Review the four major types of exercise, associated physiological pathways and recommended dose.
-Examine evidence supporting the anti-inflammatory effects of exercise in a variety of disease states.
-Understand that heterogeneous responses to exercise exist and some patients may need to vary exercise dose to meet their individual needs.

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Ability to Convey the Subject Matter Clearly

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* 9. Incidental Findings in Imaging
Joseph Stengal, DO
Objective:
-Describe benign and suspicious features of thyroid nodules
-Report the relative risk of malignancy in lung nodules of various sizes
-State recommendations for follow-up of anterior mediastinal masses
-Explain differential considerations and imaging follow-up of liver, pancreatic and adrenal masses
-State recommendations for follow-up of incidentally noted adnexal cysts and masses
-Describe imaging characteristics and follow-up of incidentally noted renal cysts and masses

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Ability to Convey the Subject Matter Clearly

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* 10. OP&P Approaches to Common Lower Extremity Injuries
Allison Abresch-Meyer, DO, John Dew, DO & Jeremy Ginoza, DO
Objectives:
Lecture:
-Describe a variety of osteopathic techniques for lower extremity injuries
-Describe a multi-joint approach to ankle sprains
-Briefly counsel patients on self-care recommendations following injury
Table Time:
-Demonstrate an osteopathic approach to plantar fasciitis and shin splints
-Demonstrate a multi-joint approach to ankle sprains
-Apply a variety of osteopathic techniques to lower extremity injuries

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* 11. An Overview of Transgender Care
Linda Gromko, MD
Objectives:
-Identify the difference between gender identity and sexual orientation.
-List three forms of treatment for transgender individuals that are used to help people undergoing a gender transition.
-List three warning signs or symptoms associated with deep vein thrombosis and/or pulmonary embolism.
-According to Dr. Gromko, what is the most compelling reason to address gender issues in teenagers and youth?

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* 12. Patient & Family Perspectives in Transgender Health Care Panel
Linda Gromko, MD, Ginger Chien & Carol Waymack, MD
Objectives:
-Describe three adverse health impacts/risks experienced by transgender individuals resulting from ignorance in health care professionals
-State two resources for the transgender individual and that person’s family for increasing understanding of gender dysphoria 
-List three ways the primary care provider can make their clinic environment more welcoming for the transgender individual 
-Explain the importance of screening for suicidality in adolescents with possible gender dysphoria/identification concerns

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Ability to Convey the Subject Matter Clearly

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* 13. The Patient at Risk of Violence: Expert Panel
Jon Berner, MD, Psychiatrist, Prof. Terry Price, MSW, JD U of W Law School & Patrick J. Preston, JD, Asst. Attorney General
Objectives:
-To educate attendees about the legal scope of the Volk decision and respond to questions about medical practice implications.
-Review sensitivity and specificity of current clinical tools used to predict suicide and homicide in outpatient settings.
-Review historical developments in psychiatric diagnosis, contextualizing controversies about the magnitude of the correlation between "mental illness" and violence.
-As a result of attendance at this session participants will understand the different duty requirements for health care providers whether a patient is inpatient or outpatient and threatens harm to another person

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Ability to Convey the Subject Matter Clearly

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* 14. Saturday June 9, 2018
The Oral Cavity Microbiome: In Health & Disease-What we Know
Kimberly J. Taylor, PhD
Objectives:
-Evaluate the timeline of development of human oral microbiome studies.
-Describe the members of the oral microbiome as currently catalogued in the Human Oral Microbiome Database (HOMD).
-Summarize the molecular/cell structure basis of microbiome phylotyping.
-Evaluate the systemic connections of the oral cavity microbiome to the other parts of the body (in “balance” and “dysbiosis”).
-Evaluate the role the oral microbiome exerts on the establishment and existence of the microbiome of other anatomical areas.

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Ability to Convey the Subject Matter Clearly

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* 15. Diagnosis & Management of Food Protein-Induced Enterocolitis Syndrome
David Naimi, DO
Objectives:
-Identify the common clinical symptoms of FPIES
-Identify the current management strategies for FPIES
-Recognize the natural history of FPIES and when to refer to a specialist

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Ability to Convey the Subject Matter Clearly

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* 16. Vaccinations: What's New? 
Mark Baldwin, DO & Bethany Mulder, DO
Objectives:
-Quickly identify patients whose vaccines are not up-to-date.
-Properly implement the recent updates to vaccine recommendations for adults greater than age 18.

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Ability to Convey the Subject Matter Clearly

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* 17. Sepsis: New Understanding 
Mark Baldwin, DO & Viktoriya Yanchuk, DO
Objectives:
-Identify the evidence-based practices performed in sepsis management.
-Use the SOFA score to predict in ICU mortality and patient prognosis.

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Ability to Convey the Subject Matter Clearly

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* 18. Cannabis in 2018: An Allergist's Perspective
David Naimi, DO
Objectives:
-Recognize how cannabis legalization impacts patient perceptions and use of the drug
-Identify the effects of cannabis on the lungs
-Recognize the symptoms of cannabis allergy

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Ability to Convey the Subject Matter Clearly

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* 19. Navicular Stress Fractures 
Martina Randall, DPM
Objectives:
-Understand the occult nature of making the diagnosis of navicular fracture.
-Review the physical exam and imaging for making the diagnosis.
-Review the management and rehabilitation of navicular stress fracture.

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Ability to Convey the Subject Matter Clearly

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* 20. Teaching Leaders to Teach Leadership 
David Tate, Executive Director, NOMF
Objectives:
-Identify the stages of team development
-Identify the appropriate style of leadership for that team at that stage.
-Identify ways team leaders can recognize each team members contributions
-Identify ways team leaders can recognize each team members’ stage of development

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Ability to Convey the Subject Matter Clearly

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* 21. Medicare Physician Payment: QPP Requirements for 2018 
Bob Perna, MBA, FACMPE, Director WSMA Health Care Economics & Practice Support
Objectives:
-Name the two “pathways” within MACRA’s Medicare Quality Payment Program.
-Describe the four “performance categories” of Medicare’s Merit-based Incentive Payment System (MIPS).
-Describe the range of potential incentives and penalties within MIPS.
-Identify the reporting requirements and key dates for MIPS.

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Ability to Convey the Subject Matter Clearly

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* 22. Sunday June 10, 2018
Population Health: Think Globally, Act Locally
Jeanne Rupert, DO
Objectives:
-Describe efforts in Washington State to understand variations in cost and quality of health care.
-Explain how WOMA participates in one of the most innovative collaborations in health care at both local and State levels.
-Give examples of topics that have been studied by the BREE Collaborative
-Give examples of how small, local efforts can tie into larger efforts to improve health globally.

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Ability to Convey the Subject Matter Clearly

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* 23. Torn Apart: How Immigration Policy is Affecting Health in Latino Population 
Tania Hernandez, DO
Objectives:
-Be able to describe recent changes to immigration policies in the United States.
-Be able to discuss adverse impacts on health for immigrants associated with current immigration policies
-Be able to identify three or more specific review of system questions that are important to evaluate when caring for immigrant patients
-Be able to list one or more helpful recommendations/resources for individuals or families who fear deportation

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Ability to Convey the Subject Matter Clearly

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* 24. Racism in Medicine 
Monica DeMasi, MD & Asra Mazhar, DO
Objectives:
-Explain Camara Jone’s Cliff Analogy of Levels of Health Care Intervention.
-List at least two ways that health inequalities arise.
-Define racism.
-List three levels of racism.

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Ability to Convey the Subject Matter Clearly

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* 25. Living Like Manuelito: Lessons from the Blue Zones
Yami Cazorla Lancaster, DO, MPH
Objectives:
-Understand the impact of genetics and lifestyle choices on longevity
-Describe the Blue Zones
-Describe the Power 9 principles
-Describe the Blue Zones Project
-Describe how the principles of the Blue Zones can be applied in community settings and during patient interactions

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Ability to Convey the Subject Matter Clearly

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* 26. Additional Comments:

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