AAPA Boot Camp 2015 Final program by Mary Hickey

THE SEVENTH ANNUAL

OCTOBER 14-18, 2015

PH OE NIX , A Z

Schedule At-A-Glance Pre-Course: Wednesday, October 14 6:30 a.m. – 5:30 p.m.

Registration

8 a.m. – 12:15 p.m.

Diagnostic Primer Workshop

Camelback Patio

• EKG Review (8 – 9:30 a.m.)

Sonoran Sky Ballroom 6-8

• The ABCs of the Labs (9:30 – 10:30 a.m.)

Sonoran Sky Ballroom 6-8

• Break (10:30 – 10:45 a.m.)

Paseo East Patio

• Plain Film and Common CT Studies: A Case Study Approach (10:45 a.m. – 12:15 p.m.)

Sonoran Sky Ballroom 6-8

1:15 – 5:30 p.m.

Clinician-Performed Point-of-Care Ultrasound Workshop

Sonoran Sky Ballroom 5

1:15 – 5:30 p.m.

Reimbursement Workshop for the PA/NP in Hospital Medicine

Sonoran Sky Ballroom 6-8

General Course: Thursday, October 15 6:30 a.m. – 5 p.m.

Registration

Camelback Patio

6:30 – 7:30 a.m.

Continental Breakfast (provided)

Sonoran Sky Ballroom 1-2

7:45 – 8 a.m.

Welcome and Introductions

Sonoran Sky Ballroom 4-8

8 – 9 a.m.

PAs and NPs Practicing in Hospitals: Hot Topics and FAQs From the Field

Sonoran Sky Ballroom 4-8

9 – 10 a.m.

The Exciting and Dynamic Problem of Sepsis

Sonoran Sky Ballroom 4-8

10 – 10:15 a.m.

Break

Paseo East Patio

10:15 – 11:15 a.m.

Management of Venous Thromboembolism

Sonoran Sky Ballroom 4-8

11:15 a.m. – 12:15 p.m.

LFTs -1, 2, 3s

Sonoran Sky Ballroom 4-8

12:15 – 1:15 p.m.

Lunch (provided)

Sonoran Sky Ballroom 1-2

1:15 – 2:15 p.m.

COPD Exacerbations in the Hospitalized Patient

Sonoran Sky Ballroom 4-8

2:15 – 3:15 p.m.

New Treatment Strategies for an Old Problem: Management of Hypertensive Urgency and Emergency

Sonoran Sky Ballroom 4-8

3:15 – 3:30 p.m.

Break

Paseo East Patio

3:30 – 4:15 p.m.

Basics of ABGs: Making Sense of Acid/Base Disorders

Sonoran Sky Ballroom 4-8

4:15 – 5 p.m.

Acute Stroke

Sonoran Sky Ballroom 4-8

5 – 6 p.m.

Welcome Reception

Paseo West Patio

General Course: Friday, October 16 7 a.m. – 5 p.m.

Registration

Camelback Patio

7 – 8 a.m.

Continental Breakfast (provided)

Sonoran Sky Ballroom 1-3

8 – 9 a.m.

Diabetes Mellitus and Hyperglycemia in Hospitalized Patients

Sonoran Sky Ballroom 4-8

9 – 9:15 a.m.

Break

Paseo East Patio

9:15 – 11:15 a.m.

Breakout Sessions I • Cancer Pain Management and Essential Conversations in Advanced Illness

Acacia and Bougainvillea

• Cases in Perioperative/Co-management Care

Copperwood and Desert Willow

• Respiratory Failure and Non-Invasive Positive Pressure Ventilation

Eucalyptus

• A Day in the Life of a Hospitalist NP/PA: Common Cases

Sonoran Sky Ballroom 4-8

11:15 a.m. – 12:45 p.m.

Lunch (on your own)

12:45 – 2:45 p.m.

Breakout Sessions II • Cancer Pain Management and Essential Conversations in Advanced Illness

Acacia and Bougainvillea

• Cases in Perioperative/Co-management Care

Copperwood and Desert Willow

• Respiratory Failure and Non-Invasive Positive Pressure Ventilation

Eucalyptus

• A Day in the Life of a Hospitalist NP/PA: Common Cases

Sonoran Sky Ballroom 4-8

2:45 – 3 p.m.

Break

Paseo East Patio

3 – 5 p.m.

Breakout Sessions III • Cancer Pain Management and Essential Conversations in Advanced Illness

Acacia and Bougainvillea

• Cases in Perioperative/Co-management Care

Copperwood and Desert Willow

• Respiratory Failure and Non-Invasive Positive Pressure Ventilation

Eucalyptus

• A Day in the Life of a Hospitalist NP/PA: Common Cases

Sonoran Sky Ballroom 4-8

General Course: Saturday, October 17 7 a.m. – 5:30 p.m.

Registration

Camelback Patio

7 – 8 a.m.

Continental Breakfast (provided)

Sonoran Sky Ballroom 1-3

8 – 9 a.m.

Acute Coronary Syndrome

Sonoran Sky Ballroom 4-8

9 – 10 a.m.

Hematologic and Oncologic Emergencies

Sonoran Sky Ballroom 4-8

10 – 10:15 a.m.

Break

Paseo East Patio

10:15 – 11:15 a.m.

Hospital Treatment of the Acutely Decompensated Heart Failure Patient

Sonoran Sky Ballroom 4-8

11:15 a.m. – 12:15 p.m.

Anemia: A Hospital-based Approach

Sonoran Sky Ballroom 4-8

12:15 – 1:15 p.m.

Lunch (provided)

Sonoran Sky Ballroom 1-3

1:15 – 2:15 p.m.

Common GI Cases in the Hospitalized Patient

Sonoran Sky Ballroom 4-8

2:15 – 3:15 p.m.

Diagnosing Spells in the Hospital Setting

Sonoran Sky Ballroom 4-8

3:15 – 3:30 p.m.

Break

Paseo East Patio

3:30 – 4:30 p.m.

Management of the Hospitalized Patient with Pneumonia

Sonoran Sky Ballroom 4-8

4:30 – 5:30 p.m.

Electrolyte and Fluid Disorders: Translating Physiology into Patient Care

Sonoran Sky Ballroom 4-8

General Course: Sunday, October 18 7 a.m. – 12:30 p.m.

Registration

Camelback Patio

7 – 8 a.m.

Continental Breakfast (provided)

Sonoran Sky Ballroom 1-3

8 – 9 a.m.

Management of Acute Kidney Injury and ESRD in the Hospitalized Patient

Sonoran Sky Ballroom 4-8

9 – 10 a.m.

Infectious Diseases Overview

Sonoran Sky Ballroom 4-8

10 – 10:15 a.m.

Break

Paseo East Patio

10:15 – 11:15 a.m.

Dizziness, Vertigo and Syncope: What Caused It and How Is It Managed?

Sonoran Sky Ballroom 4-8

11:15 a.m. – 12:15 p.m.

Wounds and Decubitus Ulcers

Sonoran Sky Ballroom 4-8

12:15 – 12:30 p.m.

Closing

Sonoran Sky Ballroom 4-8

GENERAL INFORMATION Accreditation Statement

WELCOME! The American Academy of Physician Assistants (AAPA) and the Society of Hospital

The Boot Camp 2015: Diagnostic Primer Workshop, offered Oct. 14, 2015, has been reviewed and is approved for a maximum of 4 hours of AAPA Category 1 CME credit by the Physician Assistant Review Panel. PAs should claim only those hours actually spent participating in the CME activity.

Medicine (SHM) are pleased to welcome you to the Seventh Annual Adult Hospital Medicine Boot Camp. We hope Boot Camp will be a fulfilling educational journey for you. Thank you for helping make our conference a success! We hope you enjoy this important educational program. Sincerely,

The Boot Camp 2015: Clinician-Performed Point-of-Care Ultrasound Workshop, offered Oct. 14, 2015, has been reviewed and is approved for a maximum of 4 hours of AAPA Category 1 CME credit by the Physician Assistant Review Panel. PAs should claim only those hours actually spent participating in the CME activity. The Boot Camp 2015: Reimbursement Workshop for the PA/NP in Hospital Medicine, offered Oct. 14, 2015, has been reviewed and is approved for a maximum of 4 hours of AAPA Category 1 CME credit by the Physician Assistant Review Panel. PAs should claim only those hours actually spent participating in the CME activity. The Seventh Annual Adult Hospital Medicine Boot Camp General Course, offered Oct. 15–18, 2015, has been reviewed and is approved for a maximum of 26.5 hours of AAPA Category 1 CME credit by the Physician Assistant Review Panel. PAs should claim only those hours actually spent participating in the CME activity.

Zachary Hartsell, MHA, PA-C; Jeanette Kalupa, DNP, ACNP-BC, SFHM; Chad R. Nelson, MD; and Jennifer Williams, MMS, PA-C

These programs were planned in accordance with AAPA’s CME Standards for Live Programs and for Commercial Support of Live Programs.

Course Directors

STAY CONNECTED Complimentary wi-fi is offered in the meeting space and sleeping rooms at the Arizona Grand Resort. Please follow the steps below to connect:

The Adult Hospital Medicine Boot Camp 2015 SelfAssessment, the optional online self-assessment CME program, has been reviewed and is approved for a maximum of 5 AAPA Category 1 Self-Assessment CME credits by the Physician Assistant Review Panel. PAs should claim only the credit commensurate with the extent of their participation in the activity. This program was planned in accordance with AAPA’s CME Standards.

• Select the wireless network “Meeting Space” • Launch your internet browser • Enter “bootcamp” for the username • Enter “bootcamp15” for the password

The Seventh Annual Adult Hospital Medicine Boot Camp Final Program

Accessing Electronic Handouts

Accessing the Course Evaluation and CME Certificate

Copies of handouts provided by conference faculty are available under My Curriculum on Learning Central.

Your feedback helps us plan future conferences; therefore, your completion of a course evaluation is a prerequisite for a CME certificate. The course evaluation/certificate will be available on AAPA’s Learning Central starting on Sunday, Oct. 18, 2015. You will have until Nov. 20, 2015 to complete the evaluation.

1. Log on to Learning Central at cme.aapa.org using your AAPA username and password. If you don’t know your user credentials, or are unable to log in, please contact cme@aapa.org 2. Click the My Curriculum tab and select The Seventh Annual Adult Hospital Medicine Boot Camp General Course, Boot Camp 2015: Diagnostic Primer Workshop, Boot Camp 2015: Clinician-Performed Pointof-Care Ultrasound Workshop, or Boot Camp 2015: Reimbursement Workshop for the PA/NP in Hospital Medicine. 3. Click on the yellow Select or Resume button on the top right of the page. 4. Navigate to the Activity Material section and click on the PDFs to open the session handouts.

Accessing the Online Self-Assessment CME Activity Please use the following steps to complete the Adult Hospital Medicine Boot Camp 2015 Self-Assessment CME activity: 1. Log on to Learning Central at cme.aapa.org using your AAPA username and password. If you don’t know your user credentials, or are unable to log in, please contact cme@aapa.org 2. Click the My Curriculum tab and select the Adult Hospital Medicine Boot Camp 2015 Self-Assessment course.

Please use the following steps to complete the course evaluation and receive your certificate: 1. Log on to Learning Central at cme.aapa.org using your AAPA username and password. If you don’t know your user credentials, or are unable to log in, please contact cme@aapa.org 2. Click the My Curriculum tab and select The Seventh Annual Adult Hospital Medicine Boot Camp General Course, Boot Camp 2015: Diagnostic Primer Workshop, Boot Camp 2015: Clinician-Performed Pointof-Care Ultrasound Workshop, or Boot Camp 2015: Reimbursement Workshop for the PA/NP in Hospital Medicine. 3. Click on the yellow Select or Resume button on the top right of the page. 4. Navigate to the Evaluation section and click on the Launch button to open and complete the survey. 5. View your certificate under My Transcript.

Note: This agenda may be updated or modified without notification.

3. Click on the yellow Select or Resume button on the top right of the page. 4. Navigate to the Pre-Assessment section. This pre-assessment MUST be completed prior to midnight on Thursday, Oct. 15, 2015. 5. After the conference, complete the post-assessment. You will have until Nov. 30, 2015 to complete the post-assessment. 6. Upon successful completion of the post-assessment, your CME certificate is generated. You MUST complete both the pre-assessment and the post-assessment and score at least 70 percent on the post-assessment to earn AAPA Category 1 Self-Assessment CME credit.

The Seventh Annual Adult Hospital Medicine Boot Camp Final Program

Pre-Course: Wednesday, October 14 6:30 a.m. – 5:30 p.m. Camelback Patio

Registration

8 a.m. – 12:15 p.m.

Diagnostic Primer Workshop

Sonoran Sky Ballroom 6-8 8 – 9:30 a.m. – EKG Review Martina Frost, PA-C At the conclusion of this session, participants should be able to: • Apply a systematic approach to every EKG interpretation • Distinguish between various arrhythmias such as A. Fib vs. MAT or 2:1 A. Flutter vs. sinus tachycardia • Recognize STEMI abnormalities vs. other conditions that elevate the ST segment Sonoran Sky Ballroom 6-8

9:30 – 10:30 a.m. – The ABCs of the Labs Janie McDaniel, MS, MLS(ASCP)SC At the conclusion of this session, participants should be able to: • Interpret routine laboratory tests including clinical chemistries, coagulation studies, urinalysis and complete blood counts • Identify correlating disease states indicated by common abnormal lab results • Establish clinical correlation of laboratory values to specific patient presentations • Differentiate unique laboratory specialty tests and when applicable to order

Paseo East Patio

Sonoran Sky Ballroom 6-8

10:30 – 10:45 a.m. – Break 10:45 – 12:15 p.m. – Plain Film and Common CT Studies: A Case Study Approach Lisa Rotellini-Coltvet, MA, MMS, PA-C At the conclusion of this session, participants should be able to: • Discuss common indications for plain films vs. CTs • Determine appropriate radiologic studies to aid in the diagnosis of commonly seen inpatient medical conditions • Identify proper indications for and risks of contrast administration • Describe frequently ordered interventional radiology procedures in the inpatient setting

1:15 – 5:30 p.m. Sonoran Sky Ballroom 5

Clinician-Performed Point-of-Care Ultrasound Workshop Joseph P. Wood, MD, RDMS; Timothy J. Fuller, RDCS; Zachary Hartsell, MHA, PA-C; Ilko Ivanov, MD; Stacy L. Libricz, MPAS, PA-C; Hannah Studer, PA-C, MMS; Andrew P. Walker, PSM, MS, PA-C; and Jennifer Williams, MMS, PA-C At the conclusion of this session, participants should be able to: • Describe basic ultrasound physics and basic machine function • Demonstrate the ultrasound probe and ultrasound equipment interface • Determine when emergent bedside ultrasound is indicated • Assess cardiac function, including the presence of effusion, global contractility, and volume status, using bedside ultrasound • Perform a Focused Assessment with Sonography in Trauma (FAST) exam

The Seventh Annual Adult Hospital Medicine Boot Camp Final Program

1:15 – 5:30 p.m. Sonoran Sky Ballroom 6-8

Reimbursement Workshop for the PA/NP in Hospital Medicine Tricia Marriott, PA-C, MPAS, MJ Health Law At the conclusion of this session, participants should be able to: • Describe payment policies and requirements that affect the ability of PAs/NPs to deliver services in hospitals, focusing on Medicare compliance • Evaluate productivity in both economic and noneconomic terms, and demonstrate contribution to increased practice efficiency • Communicate the role PAs/NPs can play in the success of quality initiatives and the value these initiatives bring to an institution or medical practice • Avoid pitfalls for fraud and abuse

General Course: Thursday, October 15 6:30 a.m. – 5 p.m. Camelback Patio

Registration

6:30 – 7:30 a.m. Sonoran Sky Ballroom 1-2

Continental Breakfast (provided)

7:45 – 8 a.m. Sonoran Sky Ballroom 4-8

Welcome and Introductions

8 – 9 a.m. Sonoran Sky Ballroom 4-8

PAs and NPs Practicing in Hospitals: Hot Topics and FAQs From the Field Tricia Marriott, PA-C, MPAS, MJ Health Law At the conclusion of this session, participants should be able to: • Dispel common myths and misunderstandings regarding the practice of PAs and NPs in the hospital setting • Develop an algorithm for addressing regulatory and compliance controversies as they arise • Describe the competency assessment process for privileging PAs and NPs as required by accrediting bodies such as the Joint Commission and DNV (FPPE/ OPPE)

9 – 10 a.m. Sonoran Sky Ballroom 4-8

The Exciting and Dynamic Problem of Sepsis Stacy L. Libricz, MPAS, PA-C At the conclusion of this session, participants should be able to: • Define the continuum of SIRS, sepsis, severe sepsis and septic shock • Define vital sign abnormalities that are early warning signs in sepsis • Describe early resuscitation measures in patients with sepsis • Discuss the recent controversy of Early Goal Directed Therapy vs. usual care in patients with septic shock

10 – 10:15 a.m. Paseo East Patio

Break

The Seventh Annual Adult Hospital Medicine Boot Camp Final Program

10:15 – 11:15 a.m. Sonoran Sky Ballroom 4-8

Management of Venous Thromboembolism Erin E. Stutz, MPAS, PA-C At the conclusion of this session, participants should be able to: • Examine the current statistics and epidemiology • Review the basic work-up for a patient presenting with acute VTE • Identify the options for initial pharmacologic management of acute DVT and PE • Describe the indications for non-pharmacologic treatments • Discuss the most recent landmark studies • Compare and contrast the new oral anticoagulants

11:15 a.m. – 12:15 p.m. Sonoran Sky Ballroom 4-8

LFTs -1, 2, 3s Janie McDaniel, MS, MLS(ASCP)SC At the conclusion of this session, participants should be able to: • Analyze the physiology behind the bilirubin pathway and the pathophysiology resulting from disruptions in the normal pathway • Evaluate pre-hepatic, hepatic and post-hepatic jaundice to include interpretation of pertinent hepatic function test results • Identify the use and application of hepatic enzyme tests, such as alkaline phosphatase (ALP), aspartate aminotransferase (AST), alanine aminotransferase (ALT) and gamma glutamyl transferase (GGT) • Evaluate hepatitis A, B, C, D and E, including route of transmission, serology patterns and clinical outcomes

12:15 – 1:15 p.m. Sonoran Sky Ballroom 1-2

Lunch (provided)

1:15 – 2:15 p.m. Sonoran Sky Ballroom 4-8

COPD Exacerbations in the Hospitalized Patient Kari Williams, ACNP-BC, ANP-BC At the conclusion of this session, participants should be able to: • List the etiologies, signs and symptoms of a COPD exacerbation • Determine appropriate diagnostic studies during a COPD exacerbation • Describe indications for hospitalization during a COPD exacerbation • Discuss treatment options for the hospitalized patient with a COPD exacerbation • List strategies/treatment modalities to prevent hospital readmission

2:15 – 3:15 p.m. Sonoran Sky Ballroom 4-8

New Treatment Strategies for an Old Problem: Management of Hypertensive Urgency and Emergency Amber Brooks-Gumbert, MMS, PA-C At the conclusion of this session, participants should be able to: • Define hypertension according to JNC 7/8 guidelines • Define hypertensive urgency and emergency • Discuss the pathophysiology of hypertensive urgency/emergency • Identify signs and symptoms associated with hypertensive urgency/emergency • Choose appropriate pharmacologic agents to treat hypertensive urgency/emergency • Develop treatment goals for specific disease states related to or caused by hypertensive urgency/emergency

3:15 – 3:30 p.m. Paseo East Patio 8

Break The Seventh Annual Adult Hospital Medicine Boot Camp Final Program

3:30 – 4:15 p.m. Sonoran Sky Ballroom 4-8

Basics of ABGs: Making Sense of Acid/Base Disorders Hannelisa Callisen, PA-C At the conclusion of this session, participants should be able to: • Recognize the importance of acid-base homeostasis • Perform systematic ABG analysis • Recognize acid-base disorders and their causes

4:15 – 5 p.m. Sonoran Sky Ballroom 4-8

Acute Stroke Bart Demaerschalk, MD At the conclusion of this session, participants should be able to: • Discuss classification of ischemic and hemorrhagic stroke • Identify treatment of ischemic and hemorrhagic stroke Welcome Reception

5 – 6 p.m. Paseo West Patio

General Course: Friday, October 16 7 a.m. – 5 p.m. Camelback Patio

Registration

7 – 8 a.m. Sonoran Sky Ballroom 1-3

Continental Breakfast (provided)

8 – 9 a.m. Sonoran Sky Ballroom 4-8

Diabetes Mellitus and Hyperglycemia in Hospitalized Patients Patricia A. Mackey, FNP-BC, BC-ADM, CDE At the conclusion of this session, participants should be able to: • Identify the different types of insulin most commonly used in the hospital setting and their pharmacodynamics • Define glycemic targets in the hospital setting • Describe how to start insulin therapy in newly diagnosed diabetes • Discuss the role and benefit of insulin infusions • Describe how to transition a patient off a continuous insulin infusion to a basalbolus insulin program • Discuss the potential adverse effects of hyperglycemia or hypoglycemia

9 – 9:15 a.m. Paseo East Patio

Break

9:15 – 11:15 a.m.

Breakout Sessions I

Acacia and Bougainvillea

Cancer Pain Management and Essential Conversations in Advanced Illness Amy C. S. Gentry, CNP, and Natalie Rodden, MD At the conclusion of this session, participants should be able to: • Define palliative medicine • Identify the principles of cancer pain management • Outline communication strategies to implement in goals of care discussions

The Seventh Annual Adult Hospital Medicine Boot Camp Final Program

Copperwood and Desert Willow

Cases in Perioperative/Co-management Care Jeanette Kalupa, DNP, ACNP-BC, SFHM At the conclusion of this session, participants should be able to: • Identify considerations in the perioperative care of patients • Discuss orthopedic co-management • Discuss surgical co-management • Implement multi-modal pain management • Discuss consultive management of surgical patients • Identify opportunities to grow co-management programs in non-traditional areas

Eucalyptus

Respiratory Failure and Non-Invasive Positive Pressure Ventilation Amelia Lowell, RRT; Hannelisa Callisen, PA-C; David Croy, RRT, ACCS, VA-BC; and Stacy L. Libricz, MPAS, PA-C At the conclusion of this session, participants should be able to: • Define respiratory failure and identify the need for non-invasive positive pressure ventilation • Outline the physical principles of positive pressure ventilation and ventilatory assistance • Manage a patient on non-invasive positive pressure ventilation • Describe cardiopulmonary interaction and physiologic consequences of positive pressure ventilation

Sonoran Sky Ballroom 4-8

A Day in the Life of a Hospitalist NP/PA: Common Cases Zachary Hartsell, MHA, PA-C, and Jennifer Williams, MMS, PA-C At the conclusion of this session, participants should be able to: • List differential diagnoses for commonly encountered inpatient medical conditions • Develop diagnostic and treatment plans for commonly encountered inpatient medical conditions • Appropriately manage calls from bedside nurses

11:15 a.m. – 12:45 p.m.

Lunch (on your own)

12:45 – 2:45 p.m.

Breakout Sessions II

Acacia and Bougainvillea

Cancer Pain Management and Essential Conversations in Advanced Illness Amy C. S. Gentry, CNP, and Tom Fitch, MD

Copperwood and Desert Willow

Cases in Perioperative/Co-management Care Jeanette Kalupa, DNP, ACNP-BC, SFHM

Eucalyptus

Respiratory Failure and Non-Invasive Positive Pressure Ventilation Amelia Lowell, RRT; Hannelisa Callisen, PA-C; David Croy, RRT, ACCS, VA-BC; and Stacy L. Libricz, MPAS, PA-C

Sonoran Sky Ballroom 4-8

A Day in the Life of a Hospitalist NP/PA: Common Cases Zachary Hartsell, MHA, PA-C, and Jennifer Williams, MMS, PA-C

2:45 – 3 p.m. Paseo East Patio

Break

The Seventh Annual Adult Hospital Medicine Boot Camp Final Program

3 – 5 p.m.

Breakout Sessions III

Acacia and Bougainvillea

Cancer Pain Management and Essential Conversations in Advanced Illness Amy C. S. Gentry, CNP, and Tom Fitch, MD

Copperwood and Desert Willow

Cases in Perioperative/Co-management Care Jeanette Kalupa, DNP, ACNP-BC, SFHM

Eucalyptus

Respiratory Failure and Non-Invasive Positive Pressure Ventilation Amelia Lowell, RRT; Hannelisa Callisen, PA-C; David Croy, RRT, ACCS, VA-BC; and Stacy L. Libricz, MPAS, PA-C

Sonoran Sky Ballroom 4-8

A Day in the Life of a Hospitalist NP/PA: Common Cases Zachary Hartsell, MHA, PA-C, and Jennifer Williams, MMS, PA-C

General Course: Saturday, October 17 7 a.m. – 5:30 p.m. Camelback Patio

Registration

7 – 8 a.m. Sonoran Sky Ballroom 1-3

Continental Breakfast (provided)

8 – 9 a.m. Sonoran Sky Ballroom 4-8

Acute Coronary Syndrome Chad R. Nelson, MD At the conclusion of this session, participants should be able to: • Define ACS, UA, NSTEMI and STEMI • Discuss evaluation and risk stratification of ACS • Identify proper management of ACS

9 – 10 a.m. Sonoran Sky Ballroom 4-8

Hematologic and Oncologic Emergencies Kristin Lindaman, MMS, PA-C At the conclusion of this session, participants should be able to: • Recognize signs and symptoms of hypercalcemia and perform appropriate diagnostic evaluation • Discuss initial management and treatment of neutropenic fever • Review pathophysiology of tumor lysis syndrome • Determine the most appropriate treatment of VTE in the oncologic patient

10 – 10:15 a.m. Paseo East Patio

Break

10:15 – 11:15 a.m. Sonoran Sky Ballroom 4-8

Hospital Treatment of the Acutely Decompensated Heart Failure Patient Jenifer Spadafore, PA-C At the conclusion of this session, participants should be able to: • Describe the NYHA/ACC classes and stages • Describe the ACC/AHA recommended medications for heart failure • Have tools for prognosis and treatment of the acutely decompensated heart failure patient

The Seventh Annual Adult Hospital Medicine Boot Camp Final Program

11:15 a.m. – 12:15 p.m. Sonoran Sky Ballroom 4-8

Anemia: A Hospital-based Approach Kristin Lindaman, MMS, PA-C At the conclusion of this session, participants should be able to: • Define anemia • List the differential diagnoses for microcytic, normocytic and macrocytic anemias • Review transfusion guidelines

12:15 – 1:15 p.m. Sonoran Sky Ballroom 1-3

Lunch (provided)

1:15 – 2:15 p.m. Sonoran Sky Ballroom 4-8

Common GI Cases in the Hospitalized Patient Brenda D. Kimery, MPAS, PA-C At the conclusion of this session, participants should be able to: • Establish a differential diagnosis and swift management for a patient with an acute GI bleed • Apply current blood transfusion guidelines when resuscitating a patient with an acute GI bleed • Create an evidence-based evaluation and treatment plan for a patient with acute pancreatitis, identifying complications of acute pancreatitis • Discuss diagnostic imaging and procedures available that can assist with evaluation and management of common GI diseases in the hospital

2:15 – 3:15 p.m. Sonoran Sky Ballroom 4-8

Diagnosing Spells in the Hospital Setting Joseph Drazkowski, MD At the conclusion of this session, participants should be able to: • Recognize common features of seizures and their mimics • Discuss the usefulness and limitations of EEG/EMU • Recognize pitfalls when diagnosing “spells”

3:15 – 3:30 p.m. Paseo East Patio

3:30 – 4:30 p.m. Sonoran Sky Ballroom 4-8

Break Management of the Hospitalized Patient with Pneumonia Kristen K. Will, MHPE, PA-C At the conclusion of this session, participants should be able to: • Identify patients with community-acquired pneumonia (CAP) who require hospitalization according to the Pneumonia Severity Index vs. CURB-65 • Prescribe appropriate empiric intravenous antibiotics for patients with CAP according to current guidelines • Describe the current evidence-based guidelines which outline dismissal criteria for patients admitted with CAP • Differentiate between healthcare-associated pneumonia (HCAP), ventilatorassociated pneumonia (VAP) and hospital acquired pneumonia (HAP) • Implement a treatment plan for HCAP, VAP and HAP • Identify the appropriate screening and treatment for patients with fungal or viral pneumonias • Evaluate and manage a patient with aspiration pneumonia

The Seventh Annual Adult Hospital Medicine Boot Camp Final Program

4:30 – 5:30 p.m. Sonoran Sky Ballroom 4-8

Electrolyte and Fluid Disorders: Translating Physiology into Patient Care Andrew P. Walker, PSM, MS, PA-C At the conclusion of this session, participants should be able to: • Evaluate the cause of common electrolyte disorders and form a differential diagnosis for alternative etiologies • Efficiently diagnose the basis of hyponatremia and hypernatremia • Manage common electrolyte disorders to optimize patient outcomes

General Course: Sunday, October 18 7 a.m. – 12:30 p.m. Camelback Patio

Registration

7 – 8 a.m. Sonoran Sky Ballroom 1-3

Continental Breakfast (provided)

8 – 9 a.m. Sonoran Sky Ballroom 4-8

Management of Acute Kidney Injury and ESRD in the Hospitalized Patient Zachary Hartsell, MHA, PA-C At the conclusion of this session, participants should be able to: • Recognize the stages of kidney disease and the signs and symptoms that accompany them • Define acute kidney injury (AKI), its different causes and treatment options • Determine the desired goals of therapy for patients with progressive kidney disease • Identify the indications for dialysis in a hospitalized patient with ESRD or AKI

9 – 10 a.m. Sonoran Sky Ballroom 4-8

Infectious Diseases Overview Mark Burns, DNP, FNP, ACNP At the conclusion of this session, participants should be able to: • Discuss allergic reactions • Discuss cellulitis • Discuss Methicillin-resistant Staphylococcus aureus (MRSA) • Discuss Clostridium difficile and fecal transplant • Discuss prolonged QTc syndrome related to antimicrobial therapy

10 – 10:15 a.m. Paseo East Patio

Break

10:15 – 11:15 a.m. Sonoran Sky Ballroom 4-8

Dizziness, Vertigo and Syncope: What Caused It and How Is It Managed? Meghan Comer, MSN, FNP-BC, RN At the conclusion of this session, participants should be able to: • Discuss differential diagnoses for dizziness and vertigo • Decipher central vs. peripheral and determine when imaging is necessary • Discuss differential diagnoses for syncope and management

The Seventh Annual Adult Hospital Medicine Boot Camp Final Program

11:15 a.m. – 12:15 p.m. Sonoran Sky Ballroom 4-8

Wounds and Decubitus Ulcers Martin L. Johnson, MD, MPH, FACS At the conclusion of this session, participants should be able to: • Define and describe normal and abnormal wound healing • Outline preventive care for decubitus ulcers • Discuss treatment options for wounds and decubitus ulcers

12:15 – 12:30 p.m. Sonoran Sky Ballroom 4-8

Closing

Are you enjoying Arizona?

CME Support This activity is supported by an educational grant from Novo Nordisk, Inc. This activity is supported by an educational grant from Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.

Come back for the

This activity is supported by an

Arizona State Association of Physician

educational grant from

Assistants 2016 Primary Care CME

Otsuka America Pharmaceutical, Inc.

Conference in Sedona, AZ from March 2 - 5, 2016.

This activity is supported by an independent education grant from Boehringer Ingelheim

Learn more at www.asapa.org.

Pharmaceuticals, Inc.

The Seventh Annual Adult Hospital Medicine Boot Camp Final Program

The Seventh Annual Adult Hospital Medicine Boot Camp Faculty Amber Brooks-Gumbert, MMS, PA-C

Zachary Hartsell, MHA, PA-C

Chad R. Nelson, MD

Mayo Clinic Hospital Arizona Phoenix, Ariz.

Wake Forest School of Medicine Winston-Salem, N.C.

Mayo Clinic Hospital Arizona Phoenix, Ariz.

Disclosures: No commercial relationships to disclose

Mark Burns, DNP, FNP, ACNP

Ilko Ivanov, MD

Natalie Rodden, MD

Mayo Clinic Hospital Arizona Phoenix, Ariz.

Mayo Clinic Hospital Arizona Scottsdale, Ariz.

Disclosures: No commercial relationships to disclose

Hannelisa Callisen, PA-C

Martin L. Johnson, MD, MPH, FACS

Lisa Rotellini-Coltvet, MA, MMS, PA-C

Mayo Clinic Hospital Arizona Phoenix, Ariz.

Disclosures: No commercial relationships to disclose

Meghan Comer, MSN, FNP-BC, RN

Jeanette Kalupa, DNP, ACNP-BC, SFHM

Jenifer Spadafore, PA-C

Aurora West Allis Medical Center West Allis, Wis.

Mayo Clinic Hospital Arizona Phoenix, Ariz.

Disclosures: No commercial relationships to disclose

David Croy, RRT, ACCS, VA-BC

Brenda D. Kimery, MPAS, PA-C

Hannah Studer, PA-C, MMS

Mayo Clinic Hospital Arizona Phoenix, Ariz.

Disclosures: No commercial relationships to disclose

Stacy L. Libricz, MPAS, PA-C

Erin E. Stutz, MPAS, PA-C

Mayo Clinic Hospital Arizona Phoenix, Ariz.

Disclosures: No commercial relationships to disclose

Kristin Lindaman, MMS, PA-C

Andrew P. Walker, PSM, MS, PA-C

Wake Forest School of Medicine Winston-Salem, N.C.

Mayo Clinic Hospital Arizona Phoenix, Ariz.

Disclosures: No commercial relationships to disclose

Amelia Lowell, RRT

Kristen K. Will, MHPE, PA-C

Mayo Clinic Hospital Arizona Phoenix, Ariz.

Disclosures: No commercial relationships to disclose

Patricia A. Mackey, FNP-BC, BC-ADM, CDE

Jennifer Williams, MMS, PA-C

Mayo Clinic Hospital Arizona Phoenix, Ariz.

Mayo Clinic Hospital Arizona Phoenix, Ariz. Disclosures: No commercial relationships to disclose

Bart Demaerschalk, MD Mayo Clinic Hospital Arizona Phoenix, Ariz. Disclosures: No commercial relationships to disclose

Joseph Drazkowski, MD Mayo Clinic Hospital Arizona Phoenix, Ariz. Disclosures: Research – Neuropace, Neurovista, Artemis; Consultant – Union Pacific Railroad

Tom Fitch, MD Mayo Clinic Hospital Arizona Phoenix, Ariz. Disclosures: No commercial relationships to disclose

Martina Frost, PA-C Desert Cardiology at Northwest Cardiology Tucson, Ariz. Disclsoures: No commercial relationships to disclose

Timothy J. Fuller, RDCS Mayo Clinic Hospital Arizona Phoenix, Ariz.

Mayo Clinic Hospital Arizona Phoenix, Ariz. Disclosures: No commercial relationships to disclose

Tricia Marriott, PA-C, MPAS, MJ Health Law

Disclosures: No commercial relationships to disclose

American Academy of Physician Assistants Alexandria, V.A.

Amy C. S. Gentry, CNP

Disclosures: Salary – American Academy of Physician Assistants

Mayo Clinic Hospital Arizona Phoenix, Ariz. Disclosures: No commercial relationships to disclose

Janie McDaniel, MS, MLS(ASCP)SC

Mayo Clinic Hospital Arizona Phoenix, Ariz. Disclosures: No commercial relationships to disclose

Kari Williams, ACNP-BC, ANP-BC Mayo Clinic Hospital Arizona Phoenix, Ariz. Disclosures: No commercial relationships to disclose

Joseph P. Wood, MD, RDMS Mayo Clinic Hospital Arizona Scottsdale, Ariz. Disclosures: No commercial relationships to disclose

Wake Forest School of Medicine Winston-Salem, N.C. Disclosures: No commercial relationships to disclose

The Seventh Annual Adult Hospital Medicine Boot Camp Final Program

FLOOR PLAN

The Seventh Annual Adult Hospital Medicine Boot Camp Final Program

Notes: _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ The Seventh Annual Adult Hospital Medicine Boot Camp Final Program

The Seventh Annual Adult Hospital Medicine Boot Camp Final Program