All times listed in Eastern Time (US & Canada).
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Thursday, January 23, 2020

• 1:30pm - 2:30pm

  ROIDS ARE ALL THE RAGE: ORAL CORTICOSTEROIDS - WHAT’S IN, WHAT’S OUT, WHAT’S CONTROVERSIAL

  Robert Dachs, MD, FAAFP – Vice Chair, Department of Emergency Medicine, Ellis Hospital, Schenectady, NY; Clinical Associate Professor and Director of Research, Ellis Hospital Family Medicine Residency Program, Albany Medical College, Albany, NY
  1.0 CE Credit

  • Provide a number of prescribing pearls regarding oral corticosteroids
  • Review the current literature on when and when not to prescribe oral corticosteroids for common acute care conditions
  • Recognize the often overlooked potential adverse reactions associated with oral steroids

• 2:30pm - 3:30pm

  HAVE YOU HEARD ABOUT THE HERD? RE-EMERGING PEDIATRIC INFECTIONS: MEASLES, MUMPS, RUBELLA AND PERTUSSIS

  George L. Higgins, III, MD, FACEP – Professor and Academic Faculty, Maine Medical Center, Portland, ME; Tufts University School of Medicine, Boston, MA
  1.0 CE Credit

  • Review clinically relevant signs and symptoms associated with the following infections: measles (rubeola), rubella, mumps, and pertussis
  • Discuss clinicians’ point-of-care responsibilities when considering these infections

• 3:30pm - 4:00pm

  COFFEE BREAK

• 4:00pm - 5:00pm

  THAT VOODOO THAT YOU DO: TROPICAL MEDICINE IN HAITI – INTRO TO MEDICAL MISSION TRIPS

  Brian Kloss, DO, JD, PA-C – Assistant Professor of Emergency Medicine, SUNY Upstate Medical University, Syracuse, NY
  1.0 CE Credit

  • Discuss short term experiences in global health and the ethical considerations regarding medical mission trips
  • Identify signs and symptoms of the most common mosquito-borne illnesses that affect developing nations
  • Discuss soil transmitted helminth infections and how they affect the health and development Individuals in developing nations

• 5:00pm - 6:00pm

  CUT TO THE CHASE: EVIDENCE-BASED WOUND CARE PRINCIPLES REPLACE MYTHS AND TRADITIONS

  Amy Keim, MS, PA-C & Ryan Strauss, MPAS, PA-C
  1.0 CE Credit

  • Summarize recent literature on acute wound management
  • Discuss myths and misconceptions in wound care approaches
  • Review best practices for wound closure options in acute wounds

• 6:00pm - 7:00pm

  LITERATURE REVIEW 2020: STUDIES YOU NEED TO KNOW ABOUT - ADULT

  Robert Dachs, MD, FAAFP & George L. Higgins, III, MD, FACEP Family Medicine Residency Program, Albany Medical College, Albany, NY
  1.0 CE Credit

  • Summarize recent adult-focused, clinically relevant and potentially practice changing articles
  • Discuss the strengths and weaknesses of each article

Friday, January 24, 2020

• 7:00am - 9:00am

  BREAKFAST

• 7:00am - 9:00am

  PAAV BUSINESS MEETING

• 8:00am - 11:00am

  WORKSHOP 1 – ESSENTIAL PROCEDURES SERIES – ORTHOPEDIC SKILLS EVERY PA SHOULD KNOW

  Amy Keim, MS, PA-C & James Marinucci
  3.0 CE Credits

  • Practice splinting and immobilization of upper and lower extremities
  • Incorporate bedside ultrasound into joint evaluation and soft tissue injury
  • Review optimal techniques for common joint dislocations

• 9:00am - 10:30am

  WORKSHOP 2 – STOP THE BLEED

  David Kuhns, PA-C Emeritus, CCPA, MPH, DFAAPA – Consultant on International Development of the Physician Assistant/ Associate (PA) Education and Clinical Roles, Portland, ME & Lee Morissette, MPAS, PA-C, EM-CAQ – Emergency Services of New England, Chief Physician Assistant, Emergency Department, Mount Ascutney Hospital, Windsor, VT & Joshua Rosenblum, MPAS, PA-C, NRP - Winhall Police & Rescue Department, Winhall, VT; Stratton Mountain Rescue & Ski Patrol, Stratton, VT
  1.5 CE Credits

  • Describe the STB program being taught to the public
  • Practice hemorrhage control techniques, including the use of tourniquets, hemostatic bandages, and proper packing of wounds
  • Prepare to become Stop the Bleed instructors
  • Prepare for tactical environment so you can safely care for others

• 11:00am - 1:00pm

  WORKSHOP 3 – OPIOID TRAINING

  Charles MacLean, MD – Professor of Medicine, Associate Dean for Primary Care, University of Vermont, Burlington, VT & Mark Pasanen, MD – Associate Professor of Medicine, University of Vermont, Burlington, VT
  2.0 CE Credits

  • Review national scope of abuse and abuse potential for narcotic analgesics
  • Identify strategies and easy tools to identify patients at risk for abuse
  • Review regulations and record-keeping requirements for opiate prescribing

• 11:00am - 1:30pm

  WORKSHOP 4: ESSENTIAL PROCEDURES SERIES – LACERATION REPAIR SKILLS EVERY PA SHOULD KNOW

  Amy Keim, MS, PA-C & James Marinucci
  2.0 CE Credits

  • Practice basic suturing of linear and complex margin wounds
  • Practice use of most common suture patterns in a variety of wound shapes

• 1:30pm - 2:30pm

  WE WILL BUILD A GREAT PROFESSION AND MEXICO’S GOING TO PAY FOR IT: THE INTERNATIONAL GROWTH OF THE PA PROFESSION – WHAT DOES IT MEAN FOR YOU?

  David Kuhns, PA-C Emeritus, CCPA, MPH, DFAAPA
  1.0 CE Credit

  • Identify the countries that account for expansion of the PA profession
  • Describe the reasons why the PA profession is now becoming more accepted
  • Describe areas of opportunity for PAs to work internationally
  • Advise those considering working abroad the realities of such work

• 2:30pm - 3:30pm

  VAPOR CAPERS: E-CIGARETTES – THE GOOD, THE BAD, AND THE UGLY

  Brian Kloss, DO, JD, PA-C – Assistant Professor of Emergency Medicine, SUNY Upstate Medical University, Syracuse, NY
  1.0 CE Credit

  • Discuss the history of e-cigarettes on electronic nicotine delivery systems
  • Describe butane hash oil (BHO) and its emerging manufacture and use in predominantly “green” states
  • Recognize the mechanism of action, signs, symptoms, and management of nicotine overdose

• 3:30pm - 4:00pm

  COFFEE BREAK

• 4:00pm - 5:00pm

  GOING NOWHERE? NEW OPTIONS IN MANAGEMENT OF CHRONIC CONSTIPATION

  Rick Davis, PA-C – Senior Physician Assistant, Division of Gastroenterology, University of Florida, Gainesville, FL
  1.0 CE Credit

  • Differentiate the major types of constipation including: slow transit, IBS-C, opiate-induced, and pelvic floor disorders
  • Discuss appropriate testing for the evaluation of constipation
  • Identify the latest pharmacologic and non-pharmacologic therapies for constipation based on sub-type

• 5:00pm - 6:00pm

  NO PAIN? MUCH GAINED: BUILDING PATHWAYS IN PAIN MANAGEMENT

  Benjamin Smith, PA-C – Assistant Professor, Director of Didactic Education, Florida State University College of Medicine, Tallahassee, FL
  1.0 CE Credit

  • Advance current understanding of pain pathophysiology, epidemiology of chronic pain, and the impact and burden of pain
  • Address challenges in caring for patients with chronic pain
  • Provide tools and resources to support the appropriate care of patients with osteoarthritis (OA) and chronic low back pain (CLBP)

• 6:00pm - 7:00pm

  LITERATURE REVIEW 2020: STUDIES YOU NEED TO KNOW ABOUT - PEDIATRICS

  Robert Dachs, MD, FAAFP & George L. Higgins, III, MD, FACEP
  1.0 CE Credit

  • Review recent pediatric-focused, clinically relevant and potentially practice changing articles
  • Discuss the strengths and weaknesses of each article

• 7:00pm - 9:00pm

  RECEPTION

Saturday, January 25, 2020

• 7:00am - 8:00am

  BREAKFAST

• 8:00am - 9:00am

  NO BONES ABOUT IT? OSTEOPOROSIS STATE OF THE ART MANAGEMENT

  Rick Pope, MPAS, PA-C, DFAAPA – Senior Physician Assistant, Arthritis Center of Connecticut, Waterbury, CT
  1.0 CE Credit

  • Apply accepted criteria to make the diagnosis of osteoporosis
  • Decipher tests and apply tools that are helpful in assessing individual patient risk for fracture
  • Develop strategies to manage your patient’s skeletal health and decrease their risk for fracture
  • Compare and critique different mechanisms of action for FDA approved OP medications
  • Summarize the best choices for treatment given specific patient examples

• 9:00am - 9:30am

  CRYSTAL THERAPY: GOUT MANAGEMENT OPTIONS – NEW CHOICES

  Rick Pope, MPAS, PA-C, DFAAPA
  0.5 CE Credits

  • Summarize the physiology of the underlying metabolic disorder of hyperuricemia
  • Recognize precipitating events that tips gout to flare
  • Provide treatment for rapid relief with prescribed pharmaceuticals and tailor the most appropriate drugs for your patients
  • Select the best urate lowering drug given your patient’s particular comorbidities

• 9:30am - 10:00am

  GUT PARASITES? COMMON INTESTINAL PARASITES IN THE NORTHEAST

  Anthony Sassi, MSc – Faculty, Community College of Vermont, Burlington, VT
  0.5 CE Credits

  • Identify select intestinal parasites most commonly encountered in the Northeast
  • Review the challenges of recognizing and treating common intestinal parasites
  • Describe the best available detection methods and clinical approaches for the parasitic diseases discussed
  • Differentiate the clinical relevance of acute and chronic parasitic infections

• 10:00am - 10:30am

  COFFEE BREAK

• 10:30am - 11:30am

  REVERSAL REHEARSAL: MANAGEMENT OF ANTICOAGULANTS IN THE BLEEDING PATIENT

  Robert Dachs, MD, FAAFP
  1.0 CE Credit

  • Discuss the increasing use and indications for DOAC’s
  • Provide the tools to incorporate shared- decision making with patients who might initiate antithrombotic therapy
  • Identify which reversal agents are the therapy of choice in managing bleeding patients on anticoagulation
  • Increase awareness of the role of tranexamic acid

• 11:30am - 12:00pm

  THE ABCs OF A1Cs: NEWER AGENTS FOR DIABETES AND WHERE THEY FIT IN

  John Petrillo, DO - Program Director, Allopathic Program & Osteopathic, Director of Medical Education, Ellis Medicine Family Medicine Residency, Schenectady, NY
  0.5 CE Credits

  • Review the traditional agents for treatment of Type II DM and their current roles
  • Discuss the newer agents by understanding classes and mechanism of action
  • Develop a strategy that is patient centered in use of pharmacologic options

• 12:00pm - 12:30pm

  LITTLE EYES…BIG PROBLEM? COMMON PEDIATRIC EYE CONDITIONS IN PRIMARY CARE

  Melissa Foye-Petrillo, DO, FAAP – Pediatric Hospitalist, Ellis Hospital, Schenectady, NY
  0.5 CE Credits

  • Review the specifics and nuances to physical examination of the child eye
  • Summarize common eye conditions in pediatrics both congenital and acquired
  • Incorporate current state of the are medications and therapies in treatment of pediatric eye conditions

• 12:30pm - 1:30pm

  LUNCH BUFFET

• 1:30pm - 2:30pm

  LITERATURE REVIEW 2020: STUDIES YOU NEED TO KNOW ABOUT - POTPOURRI

  Robert Dachs, MD, FAAFP & George L. Higgins, III, MD, FACEP
  1.0 CE Credit

  • Review recent most generalized, clinically relevant and potentially practice changing articles
  • Discuss the strengths and weaknesses of each article

• 2:30pm - 3:30pm

  SEEN IT BUT MISSED IT? THORACIC OUTLET SYNDROME: A CASE STUDY

  Angelo Rizzi, PA-C – Physician Assistant, Orthopaedic Surgery, Orlin & Cohen Medical Specialists Group, Long Island, NY
  1.0 CE Credit

  • Review the anatomy and factors that could predispose you to TOS
  • Discuss the history, physical examination and diagnostic testing that raises your suspicion of TOS
  • Develop a differential diagnosis that include TOS
  • Develop a treatment options following the diagnosis of TOS

• 3:30pm - 4:00pm

  COFFEE BREAK

• 4:00pm - 5:00pm

  WHEN YOU ARE ON CALL FOR ONCOLOGY: CANCERSPECIFIC CONDITIONS RECOGNITION AND MANAGEMENT

  George L. Higgins, III, MD, FACEP
  1.0 CE Credit

  • Review Tumor Lysis Syndrome; Hyperleukocytosis and Leukostasis; Neutropenic Enterocolitis; and Hypercalcemia of Malignancy
  • Describe diagnostic clues and acute management priorities of above conditions
  • Discuss adverse effects of the newly developed Immune Checkpoint Inhibitors

• 5:00pm - 5:30pm

  LEAVE THE SCREEN DOOR OPEN? PSA SCREENING: WHERE DOES IT BELONG IN 2020?

  Zita Ficko, MD – Springfield Urology, Springfield, VT
  0.5 CE Credits

  • Identify and name the basic anatomic zones of the prostate gland, including the locations where prostate cancer develops
  • Describe the physiologic role of the prostate
  • Discuss the controversy surrounding the use of serum PSA as a screening tool for prostate cancer
  • Describe the role of prostate MRI and prostate biopsy in identifying prostate cancer
  • Describe the current American Urological Association guidelines for prostate cancer screening
  • Briefly describe the treatment options for localized and metastatic prostate cancer
  • Describe when prostate cancer does NOT need to be treated

• 5:30pm - 6:00pm

  SUCCEEDING WITH BLEEDING: MANAGEMENT OF MICROHEMATURIA

  Zita Ficko, MD
  0.5 CE Credits

  • Define microscopic hematuria
  • Describe the proper technique for performing microscopic urinalysis
  • Describe etiologies of microscopic hematuria
  • Identify risk factors that increase the likelihood of finding malignancy during evaluation of hematuria
  • Discuss the evaluation of hematuria
  • Identify the indications for screening urinalyses in the general population

• 6:00pm - 6:30pm

  ABUSED….NOW BETTER USED: KETAMINE – NEW USES FOR OLD DRUGS

  Joshua White, MD – Division Medical Director, Gifford Health Care, Randolph, VT
  0.5 CE Credits

  • Recognize the role for ketamine in chronic pain and depression
  • Review prior indications and historical usage of ketamine
  • Appreciate the science and practicality of over label use of ketamine

• 6:30pm - 7:00pm

  AN INSTALLMENT PLAN WITH A HIGHER INTEREST RATE? PANRE PILOT UPDATE

  Greg Thomas, PA-C Emeritus, MPH – Director of PA Relations, National Commission on Certification of Physician Assistants, Johns Creek, GA
  0.5 CE Credits

  • Recognize the many ways PAs may participate in the organization including leadership positions, content development for assessments and exams and more
  • Recognize the transition to core medical knowledge as the basis for the
  assessment portion of the certification maintenance process and the changes to the 2019 PANRE content blueprint
  • Recognize the benefits offered through the pilot alternative to PANRE

Sunday, January 26, 2020

• 7:00am - 8:00am

  BREAKFAST

• 8:00am - 9:00am

  PAIN IN THE SHOULDER? PAIN IN THE BUTT! COMMON MUSCULOSKELETAL NUISANCE CONDITIONS

  Thomas Gocke, DMSc, ATC, PA-C, DFAAPA – President & Co- Founder, Orthopaedic Educational Services, Inc., Boone NC
  1.0 CE Credit

  • Recognize common nuisance conditions in the shoulder and upper extremity
  • Recognize common nuisance in the hip and lower extremity
  • Discuss how to treat common MSK nuisance conditions

• 9:00am - 10:00am

  SPELLS DO TELL: SORTING OUT SYNCOPE FROM SEIZURE AFTER THE EVENT

  Keith Nagle, MD – Medical Director, Clinical Neurophysiology, Associate Professor, Larner College of Medicine, Burlington, VT
  1.0 CE Credit

  • Review the critical historical features that define different etiologies of syncope
  • Review the historical features that define varioius seizure presentation
  • Discuss lab and imaging studies and their role in differentiating cause of altered mental status

• 10:00am - 10:30am

  COFFEE

• 10:30am - 11:30am

  NUMBER NEEDED TO UNDERSTAND: EBM-STATISTICS APPLIED TO PATIENT MANAGEMENT

  Joshua White, MD
  1.0 CE Credit

  • Describe clinical use of number needed to treat and to harm
  • Review differences between absolute and relative risk reductions
  • Evaluate use of confidence intervals in reviewing efficacy of a variety of therapies

• 11:30am - 12:30pm

  BRIDGE OVER TROUBLED WATERS: THE BIOPSY IS POSITIVE. NOW WHAT? HOW TO SUPPORT AND TRANSITION YOUR PATIENT INTO TERTIARY CARE AFTER A BAD DIAGNOSIS

  Elaine Owen, APRN, ACNS-BC, AOCN – Advanced Oncology Registered Nurse, Central Vermont Medical Center, Berlin, VT
  1.0 CE Credit

  • Review best practices for discussion and presenting a new onset cancer diagnosis
  • Identify the resources that assist patients in acceptance and knowledge about their Dx
  • Evaluate strategies for appropriate, efficient ,and rapid referral that best engage patients