CONFERENCE APPLICATIONS AND REPORTS Conference … · Date: Thursday, May 16, 2019 Time: 12:00 – 1:00 p.m. Location: BHM, 5MCVI and Webcast Scoring Key: 5 - Strongly Agree 4 - Agree

CONFERENCE APPLICATIONS AND REPORTS Conference Evaluation Summaries

September 13, 2019

DATE CME ACTIVITY FINAL

SCORE 1-5

April 25 Cardiovascular Conference Series: Evaluation and Management of Patients Presenting With High Risk Pulmonary Embolism

4.6

May 7 Jose “Pepe” Alvarez, Jr., M.D. Memorial Lecture on Vascular Disease: Vascular Disease in Women – Is There a Difference?

4.9

14 Pediatric Multispecialty Conference: The ENT Overview – Management of the Routine to the Complicated

4.8

16 Cardiovascular Conference: Precision Medicine in CV Disease—Where Are We and Where Are We Going?

5.0

20 Radiology Grand Rounds in Conjunction with Miami Cardiac & Vascular Institute: Clinical Research Topics in Diagnostic and Interventional Radiology

5.0

29 Advanced Imaging and the Future of Stroke 5.0

30 Being Mortal 4.8

June 8 State of the Science Symposium, 9th Annual 4.8

July 12-14 Primary Care Focus, 188th Annual 4.8

CONTINUING MEDICAL EDUCATION EVALUATION SUMMARY

Conference Title: Cardiovascular Conference Series: Evaluation and Management of Patients Presenting With High Risk Pulmonary Embolism Conference Director: Marcus St. John, MD Date: Thursday, April 25, 2019 Time: 12 – 1 p.m. Location: Baptist Hospital MCVI 5th Fl. Conf. Room, and Live Webcast

Scoring Key: 5 - Strongly Agree 4 - Agree 3 - Neutral 2 - Disagree 1 - Strongly Disagree N/A- Not applicable for my practice

1. Please score your agreement with or assessment of the following questions and statements by rating on a scale of 1 to 5, with 5 representing the highest level of satisfaction or agreement.

The information and/or skills learned will enhance my professional competence or ability. 4.6

This activity conveyed information which will assist me in improving the health and/or treatment outcomes of my patients. 4.6


2. As a result of attending this conference, to what extent do you agree that you will be better able to:

Review the risk stratification in patients with acute pulmonary embolism (PE). 4.4

Assess the effectiveness of imaging and other diagnostic tools used to assess patients with acute PE. 4.6

Incorporate the pulmonary embolism response team (PERT) in the care of their patients. 4.6

Scoring Key: 5 - Excellent 4 - Very Good 3 - Good 2 - Fair 1 – Poor N/A- Not applicable

3. Conference content. 4.8

4. Effectiveness of the speaker:

Ian Del Conde, M.D., FACC 4.8

Total Average: 4.6

5. Was this conference fair, balanced and without commercial bias? Yes 5 No 0 No response 7

How many patients will you see in your practice next week that will likely be impacted by what you learned at this activity?

Number of Patients: 1-5 6-10 Over 10 Not applicable to my practice

Respondents: 3 0 1 1

What do you intend to do differently in the treatment of your patients as a result of what you learned at this conference? What new strategies will you apply in your practice of patient care?

Early intervention and access to facility.

Comprehensive work up needed to stratify pulmonary thromboembolism.

Availability of PERT. If you do not plan to implement any new strategies learned at this conference, please list any barriers or obstacles that might keep you from doing so:

None listed.

List topics related to this lecture that you want to learn more about?

Exercise in the healthy, Ill, cardiac and chronically debilitated patient.

Interpretation of CTs / CTAs. Comments:

Great review. PERT team will help improve patient outcomes.

Excellent conference.

Excellent job. 2 minor comments: Would have the speaker repeat questions from the audience so webinar folks can hear and would have speaker use the mouse as a pointer so webinar folks can follow.

Excellent program and webcast easy user access, great job by Christine Baldwin, always very helpful and knowledgeable.

Total

Attendance: 37 Physicians: 12 BHSF Employees: 24 Other: 1

Baptist Hospital Attendance: 25 Physicians: 8 BHSF Employees: 16 Other: 1

Webcast Attendance: 12 Physicians: 4

BHSF Employees: 8


Conference Title: Jose “Pepe” Alvarez, Jr., M.D. Memorial Lecture on Vascular Disease: Vascular Disease in Women – Is There a Difference? Conference Directors: Barry T. Katzen, M.D. and Howard Katzman, M.D. Date: Tuesday, May 7, 2019 Time: 6:00 – 7:30 p.m. Location: BHM, 5MCVI Conference Room







Discuss the risk factors, incidence and prevalence of vascular disease in women. 4.9

Recognize the differences in outcomes in women who undergo medical and/or surgical intervention for their vascular disease. 4.9

Formulate a preventative clinical plan to avert vascular disease in women. 4.8




Julie Ann Freischlag, M.D., FACS, FRCS (Edin), DVSVS 5.0

Total Average: 4.9






More screening of women. (5)

Be more aware of the subtle symptoms that may indicate vascular diseases in women.

Continue to perform in depth history and physical to improve evaluation of female related vascular disease.

Continue to recognize vascular disease differences of women.

I will take pedal pulses to evaluate for PVD.

I will encourage and educate my patients and their families to be tuned into possible vascular disease in their female friends and family members.

More aggressive screening of female patients.

Order more ABI and LE ultrasounds on my female patients.

Recognizing pad in women.

If you do not plan to implement any new strategies learned at this conference, please list any barriers or obstacles that might keep you from doing so:

Insurance reimbursement. (2)

Under-staffed.


Invasive and noninvasive treatment of vascular diseases.

Carotid Stenosis- more info about diagnosis.

Carotid and aortic diseases.

Statistics of women in other surgical specialties and in medical subspecialties. Comments:

Excellent conference. (4)

Great Job.

Dr. Freischlag brought to light the need to and ways to better diagnose vascular diseases in women.

Excellent speaker with a wide range of knowledge that she is willing to share with the audience

Excellent, timely discussion delivered by an inspirational and truly exceptional leader.


Webcast Attendance: 11 Physicians: 2 BHSF Employees: 3 Other: 3

Total Attendance: 56 Physicians: 43 BHSF Employees: 12 Other: 8


Conference Title: Pediatric Multispecialty Conference: The ENT Overview – Management of the Routine to the Complicated Conference Directors: Jennifer Cheney, M.D. Date: May 14, 2019 Time: 6:00 – 7:00 p.m. Location: BHM, Auditorium







Utilize the clinical practice guidelines for the diagnosis of obstructive sleep disorder breathing in children. 4.8

Evaluate treatment options, including risks and benefits, to minimize serious complications from obstructive sleep disorder breathing. 4.8

Utilize clinical criteria in the diagnosis, and recognition of potential complications, of pediatric sinusitis and acute bacterial sinusitis. 4.8

Describe the etiology of recurrent middle ear infections and complications of acute otitis media. 4.7



4. Effectiveness of the speakers:

Michael Owens, M.D., FACS 4.8

Andrew Schell, M.D. 4.8

Total Average: 4.8






Refer for sleep study. (2)

Allow patients with PET’s to swim. (2)

I will definitively evaluate situations better.

Application of ear drops.

When to refer.

Be aware of impending complications of ear and sinus infections.


None listed.


Treatment of complications in details. Comments:

Informative and nice to meet Dr. Schell.

Great lecture.



Conference Title: Cardiovascular Conference: Precision Medicine in CV Disease—Where Are We and Where Are We Going? Conference Directors: Marcus St. John, M.D. Date: Thursday, May 16, 2019 Time: 12:00 – 1:00 p.m. Location: BHM, 5MCVI and Webcast







Understand the goals of precision medicine. 5.0

Determine the significance of clinical implications of precision medicine. 5.0

For a given patient, estimate therapeutic response to antiplatelet therapy using CYP2C19 genotype information. 5.0

Apply lessons learned and consider future opportunities in the implementation of precision medicine. 5.0




Rhonda Cooper-DeHoff, Pharm.D., M.S., FAHA, FACC, FCCP 5.0

Total Average: 5.0






When available apply genotype specific guided medication therapy.

BHSF should explore making genetic influences in pharmacotherapy the next allergy list. If you do not plan to implement any new strategies learned at this conference, please list any barriers or obstacles that might keep you from doing so:

None listed.


Update on how genotype specific medication therapy is being applied in treating different diseases and conditions.

This is an exciting future of medicine and can be applied to more than cardio conditions so anything re cancer/gene therapies, Multiple Sclerosis or other demyelinating conditions, etc.

Comments:

A very well presented program that was easy to understand.

Great job and terrific selection of topic and super speaker; you do it so well all of the time.


Webcast Attendance: 22 Physicians: 1 BHSF Employees: 20 Other: 1

Total Attendance: 46 Physicians: 4 BHSF Employees: 41 Other: 1


Conference Title: Radiology Grand Rounds in Conjunction with Miami Cardiac & Vascular Institute: Clinical Research Topics in Diagnostic and Interventional Radiology Conference Directors: James Benenati, M.D. Date: Monday, May 20, 2019 Time: 6-8:30 p.m. Location: BHM, 5MCVI







Review Societal and national standards for protocols for anticoagulation in patients undergoing interventional radiology procedures. 5.0

Outline guidelines for physicians ordering procedures on patients who require anticoagulation or antiplatelet therapy in the peri-procedural period. 5.0

Review current literature regarding the use of paclitaxel in endovascular procedures. 5.0

Summarize recommendations for the use of drug-eluting devices during endovascular procedures. 5.0

Demonstrate the use value and indications for contrast enhanced ultrasound for vascular diagnosis. 5.0

Review the concept of intravascular lithoplasty and outline the clinical indications for this new technology. 5.0

Teach the techniques for using intravascular lithoplasty. 5.0

Summarize outcomes of tibial interventions in patients with critical limb ischemia. 5.0



4. Effectiveness of the speakers:

Bo Liu, M.D. 5.0

Gray Lyons, M.D. 5.0

Mustafa Haddad, M.D. 5.0

Raj Shah, M.D. 5.0

Vin Thakur, M.D. 5.0

Total Average: 5.0






Implement protocols for use of anticoagulant in patients scheduled for procedures.

Will absolutely employ contrast enhanced US to diagnose and pinpoint endoleaks in patients’ s/p EVAR.

Will shift from CTA to CEUS as first line diagnostic tool. If you do not plan to implement any new strategies learned at this conference, please list any barriers or obstacles that might keep you from doing so:

Insurance coverage.


None listed. Comments:

Great, diverse discussion.

Nice presentations.



Conference Title: Advanced Imaging and the Future of Stroke Conference Directors: Marcus St. John, M.D. Date: Wednesday, May 29, 2019 Time: 12:00 – 1:00 p.m. Location: BHM, Auditorium and Webcast







Identify currently available advanced imaging tests for acute stroke care. 5.0

Implement a tailored approach to advanced imaging for the selection of candidates to reperfusion therapies. 5.0

Describe institutional acute stroke treatment protocol. 5.0

Assess where the field is moving with regards to advanced imaging in acute stroke care. 5.0




Felipe de los Rios, M.D. 5.0

Total Average: 5.0






Refer to vascular/ stroke specialist stat.

Consider intervention on selected patients in first 24 hours.


None listed.


How imaging can be used to predict prognosis. Comments:

Very informative and updated with regards to treatment protocol.


Conference Title: Being Mortal Conference Directors: Ana Viamonte-Ros, MD, MPH Date: May 30, 2019 Time: 6:00 - 8:00 p.m. Location: South Miami Hospital, Victor E. Clarke Education Center, Auditorium







Describe the benefits of having timely conversations with patients about goals of care and what’s important to them. 4.7

Engage in difficult conversations about prognosis, clinical care options and treatment outcomes, including death, to understand a patient’s priorities and goals of care. 4.7

Recommend care plans for patients based on their goals of care. 4.8



Total Average: 4.8






Be aware of the need for the conversation.

Being more comfortable exploring this issue.

Best practices.

Better communication c/ family members.

Do not give false hope.

Expand on my understanding of patient and family goals.

Giving hope with realistic expectations, speaking and counseling the family through the hospice and palliative care

I talk to families’ everyday about being able to enhance the quality of life for their loved ones, better understanding how to set goals and wishes for the patient was something I will start implementing more knowing the important it has to them.

I would be more proactive in having this discussion with my patients.

Provide opportunity for pt. to express concerns about death and the dying process, including what they value and what is important to them about this process.

This will impact my personal life as well. I hope to be more empathic. If you do not plan to implement any new strategies learned at this conference, please list any barriers or obstacles that might keep you from doing so:

Communication barriers.

Appropriate timing.


Cultural and individual variations regarding perception of death and the dying process. Comments:

Excellent presentation and wonderful panels for subject the health care givers are difficult to deal with.

Excellent program.

Outstanding panelists and presenters, as always. I thought the use of the film also helped me recognize my own conflicts and contradictions with regard to the issue of death and dying, both professionally and personally.

Attendance: 52 Physicians: 20 Psychologists: 3 BHSF Employees: 17 Other: 15

CONTINUING MEDICAL EDUCATION DEPARTMENT

State of the Science Cancer Symposium, 9th Annual Miami, Florida June 8, 2019

Physicians Attended: 39

Physicians Responded: 25



The information and/or skills le arned will enhance my professional competence or ability. 4.8


As a result of participating in this course, to what extent do you agree that you will be better able to accomplish these objectives

Define post-intensive care syndrome (PICS) in the patient and family and identify the contributing factors to this syndrome.

4.7

Outline the strategies used by a multidisciplinary team for successful implementation of the ABCDEF bundle for maximizing patient outcomes

4.7

Differentiate the role of surgery versus anesthesia versus ICU in patient handoffs 4.5

Describe the impact of effective communication on a multidisciplinary and multiprofessional handoff. 4.8

Recognize the importance of handoff choreography in reducing preventable adverse events in healthcare.

4.8

Identify modes of transmission for the spread of microorganisms in the critical care environment and recommend methods of surveillance.

4.8

Define key evidence-based practices that can reduce bacterial load and/or prevent the development of healthcare-acquired infections.

4.7

Recognize the effect of fluid choice on the host immune response. 4.6

Easily differentiate between better and worse fluid choices in different resuscitating settings. 4.7

Evaluate the use of blood products on resuscitation. 4.7

How effective were the following speakers in meeting their learning objectives?

What Does “Before and After” Have to Do With ICU Survivorship? - Kathleen M. Vollman, MSN, R.N. 4.7

Intensive Care Medicine in 2050 - Jean-Louis Vincent, M.D., Ph.D. 4.8

Handoffs in the ICU: Opportunities for Better Care - Jose L. Pascual, M.D., Ph.D. 4.8

Why Do We Still Have HAI/Cs?: Are We Able to Get to Zero? Superbugs, Begone! - Kathleen M. Vollman, MSN, R.N.

4.6

Critical Care Research Year in Review - Andrew Quartin M.D. 4.8

Affordances Obtained Through Extending the ICU Outside the Walls of the ICU - Javier Pérez-Fernández, M.D.

4.2

Cardiopulmonary Physiology, Hemodynamic Monitoring and Endpoints of Resuscitation to Prevent Organ Failure in the 21st Century - Jean-Louis Vincent, M.D., Ph.D.

4.8

Fluids in Shock Resuscitation and the Immunological Implications - Jose L. Pascual, M.D., Ph.D. 4.7

Persistent and Emerging ICU Healthcare Challenges - Javier Pérez-Fernández, M.D. 4.2

Iodinated Contrast and Kidney Injury in the Critically Ill - Andrew Quartin M.D. 4.9

Total Average 4.7

Was this symposium fair, balanced, and free of commercial bias? Yes 25 No 0 No Answer 14

How many patients will you see in your practice next week that will likely be impacted by what you learned at this symposium? 2 1-5 2 6-10

12 Over 10 9 Not Applicable

Yes No

Is this your first time attending this symposium? 12 13

Would you attend this symposium again next year? 25 0

Would you recommend this symposium to a colleague?

25 0

What do you intend to do differently in the treatment of your patients as a result of what you learned at this symposium? What new strategies will you apply in your practice of patient care?

Adjust the way I fluid resus patients.

Not be afraid to use I contrast even in pts w/ renal insufficiency.

Institute IPASS handoff in my ICU.

Communication is a top priority in handoffs, and standardizing handoff process and implementation actually works, the result numbers are great, improving medical errors, preventable adverse events, and near misses/non harmful medical errors. Regarding CIN : because the kidney injury is not in general distinctive from other kidney injuries , how do we know is from contrast knowing that ICU patients get kidney injury from lots of things, and control populations trials suggest the risk is between nonexistent and quite small, so I believe we can order a contrast study when imaging demands it.

Greater use of high frequency supplemental oxygen.

History taking.

Identify modes of transmission of microorganisms in the critical care (clean hands).

The use of fluids in Resuscitation episodes.

How to manage better with COPD in the ICU.

It’s more of strengthening the present practice, ex, infection prevention, and echoing this to the hospital staff.

More support for nasal decontamination.

Prioritize treating the ICU patient as a human being as a whole and not just a sick body.

Response to fluid challenge.

IV contrast studies without fear of nephrotoxic effect.

More effective handoff communication.

To use more frequently ringer lactate as IV fluid due to its electrolytes levels are similar than blood electrolytes when comparing with normal saline solution.

Too much emphasis in reviewing details of some articles in the recent literature.

Updated practice.

Use of capillary refill for fluid resuscitation.

Will continue improving ICU best practices. If you do not plan to implement any new strategies learned, please list any barriers or obstacles that might keep you from doing so.

None listed.

Suggested topics and/or speakers you would like for future symposiums.

Further investigation of AI in intensive care medicine.

Why ICU not proper care setting for palliative/terminal care.

ICU care of the post-transplant/stem cell transplant patient.

When and how to use ECMO?

Cardiac arrest, resuscitation.

Lung transplant: state of the art.

Pulmonary Hypertension: current approach to treatment.

Ventilator update: waveform analysis, new modes of ventilation.

New pressers and inotropes

Echocardiographic assessment during ICU stays.

HIV patients in intensive care.

Mechanical Vent/NIV/Commencing & Weaning.

Sepsis.

More on resistance. Discuss staffing and errors.

Physiology of exercise in disease.

Use of therapeutic hypothermia for comatose cardiac arrest victims after vt and vf.

About the correct use of antibiotics in the critically ill.

Stem cell transplantation complications that require ICU care.

Sepsis and its treatment as a medical emergency.

Update on critical care medicine. Comments

Excellent program. (4)

Excellent and informative topics from all the speakers. (3)

I am pleased with the manner this Symposium was prepared.

This has been again a great symposium this year, a lot of medical knowledge learned and reviewed. Thanks.

Good meeting but not clear what the target audience is. I would have enjoyed more hard science and cutting edge material.

I couldn't understand Dr. Perez-Fernandez, lecture, maybe it’s his accent or maybe it’s the sound system.

I would have Dr. Gidel do more in running the conference. Is it possible in the future to have a 2 day conference at Marco Island? If you want topics/speakers to choose for the future, take a look at the index of Dr. Jean Luis Vincente textbook on Intensive Care Medicine, or perhaps any of his research studies.

Thank you for the teaching.

Room temp was too low


State of the Science Cancer Symposium, 9th Annual Miami, Florida June 8, 2019

Non-Physicians Attended: 136 Non-Physicians Responded: 79






Define post-intensive care syndrome (PICS) in the patient and family and identify the contributing factors to this syndrome.

4.9

Outline the strategies used by a multidisciplinary team for successful implementation of the ABCDEF bundle for maximizing patient outcomes

4.9

Differentiate the role of surgery versus anesthesia versus ICU in patient handoffs 4.8

Describe the impact of effective communication on a multidisciplinary and multiprofessional handoff. 4.8

Recognize the importance of handoff choreography in reducing preventable adverse events in healthcare.

4.9

Identify modes of transmission for the spread of microorganisms in the critical care environment and recommend methods of surveillance.

4.9

Define key evidence-based practices that can reduce bacterial load and/or prevent the development of healthcare-acquired infections.

4.8

Recognize the effect of fluid choice on the host immune response. 4.8

Easily differentiate between better and worse fluid choices in different resuscitating settings. 4.8

Evaluate the use of blood products on resuscitation. 4.8

How effective were the following speakers in meeting their learning objectives?

What Does “Before and After” Have to Do With ICU Survivorship? - Kathleen M. Vollman, MSN, R.N. 4.9

Intensive Care Medicine in 2050 - Jean-Louis Vincent, M.D., Ph.D. 5.0

Handoffs in the ICU: Opportunities for Better Care - Jose L. Pascual, M.D., Ph.D. 4.8

Why Do We Still Have HAI/Cs?: Are We Able to Get to Zero? Superbugs, Begone! - Kathleen M. Vollman, MSN, R.N.

4.9

Critical Care Research Year in Review - Andrew Quartin M.D. 4.8

Affordances Obtained Through Extending the ICU Outside the Walls of the ICU - Javier Pérez-Fernández, M.D.

4.8

Cardiopulmonary Physiology, Hemodynamic Monitoring and Endpoints of Resuscitation to Prevent Organ Failure in the 21st Century - Jean-Louis Vincent, M.D., Ph.D.

4.9

Fluids in Shock Resuscitation and the Immunological Implications - Jose L. Pascual, M.D., Ph.D. 4.8

Persistent and Emerging ICU Healthcare Challenges - Javier Pérez-Fernández, M.D. 4.8

Iodinated Contrast and Kidney Injury in the Critically Ill - Andrew Quartin M.D. 4.9

Total Average 4.9


How many patients will you see in your practice next week that will likely be impacted by what you learned at this symposium? 8 1-5 7 6-10

56 Over 10 8 Not Applicable

Yes No

Is this your first time attending this symposium? 43 36


The room was too small, no way to eat, not enough female bathrooms. Too cramped vendor area.

Would you recommend this symposium to a colleague?

79 0


Be more aware of the use of ABCDEF bundle. (7)

Better handoff in the ICU setting. (5)

Better hand hygiene. (5)

Appropriate use of vasopressors and fluid resuscitation to prevent organ failure.

Use of iodine contrast in ordering appropriate diagnostic exams.

Advocate for more adequate treatment.

Better choice of fluids, better handoff, more profound understanding of challenges in the ICU.

Better identifying PICS in patients and families, and implementation of the ABCDEF bundle.

Cardiopulmonary Physiology, Hemodynamic Monitoring and Endpoints of Resuscitation to Prevent Organ Damage very useful information I can implement in my practice.

Closer look at fluid management and evaluation of response.

Communication methods and how to protect ourselves best from all the germs we are faced with.

Concept of contrast induced nephropathy dispute.

Fluid resuscitation in hemorrhagic shock.

Consider lab values as they relate to active IVF Orders and discuss with practitioner if warranted. Continue to practice excellent infection control but adjust hand washing and gel times up based on research/best practice disclosed. Pay special attention to RN as potential source of contamination-badge, stethoscope, shoes... More aggressively engage ICU transfer patients in ADLs/Early Ambulation.

Decrease the mode of transmission of microorganisms in the acute care setting.

Disseminate best evidenced based practices.

Enhance and Implementation on preventing spread of contamination. Promote early mobilization. Embrace changes that comes in our way as healthcare professionals.

Evaluate fluid choices of my patients to insure appropriate care.

Feel more comfortable ordering contrast.

Follow evidence based guidelines.

Gained more knowledge with recognition of early sepsis.

How infection control is carried out and educated amount my unit.

I always learned the latest evidence based practices, researches. Would take to bedside practice vent weaning protocols, fluids choice and management in shock resuscitation. Knowledge on how iodinated contrast have very little effect on kidney injury in critically ill patients, have always been told differently. Handoffs in ICU for better care, decrease medical errors.

I found the discussion of IV fluid types to be particularly interesting and applicable to my practice.

I will be choosing the right fluids to resuscitate hypotension and implement fluid challenge as recommended by Dr. Vincent.

I will be diligent in monitoring patients under my care.

I will implements aspects of “Before and After” Have to Do with ICU Survivorship to my patient's with a caner diagnoses. These will specially apply to those with complications that requires ICU and hospital admission.

I would like to implement advice and tips provided regarding hand-off of care when receiving a critical patient from ER or the OR.

Identifying PICS in patients and families and implementation of the ABCDEF bundle.

Importance of sleep/wake cycle in ICU patients and involvement of family in their care.

improve the effectiveness of communication on a multidisciplinary and multi-professional handoff and use effective fluids

IV fluid recommendations.

Use of kidney protecting agents for iodinated contrast procedures.

More individualized care.

Pay closer attention to changes in Patient condition, follow MD order promptly not delaying care.

Refer to in nursing education activities.

Review current practice, and possible changes.

Sepsis treatment, ICU staffing.

The ability to use fluids and vasopressors simultaneously for septic patients.

Tighten bundle use in ICU A-F, improve handoff communications across various disciplines and nursing units. Discuss and review fluids and volume resuscitation with staff and physician leaders. Share insights related to contrast media and sequelae.

Use of fluids and hemodynamic management.

Will bring up information in pt rounds. If you do not plan to implement any new strategies learned, please list any barriers or obstacles that might keep you from doing so.

None listed.


Any topic that is geared on nursing (i.e. how nursing practice has been impacted by technology, budget, and other regulatory requirements, nursing in the next generation).

ARDS management; CHF management.

Biopsychosocial model and its connection to the manifestation of autoimmune and idiopathic diseases such as multiple sclerosis, amyotrophic lateral sclerosis, rheumatoid arthritis, cancer, etc...

Fluids and electrolytes.

Eccentric versus concentric.

I highly recommend inviting again Dr. Jean-Louis Vincent. Amazing presentations and very knowledgeable. Great work!

Include Med-Surg topics to include nurses from other specialties.

Management of CIWA positive patients.

More on pain management.

Mental health.

New innovations in cardiac surgery.

Paul Bolin, MD.

Jeff Solheim.

Pulmonary hypertension.

Should every medical team personal have the same training in order to prepare them for the incoming change, we talk on a tendency in the increase of ICU, and less subacute beds, are we preparing for it our Doctors, nurses, etc...

Ventilation management. Comments

Excellent speakers. (3)

Excellent speakers and well organized program. Will definitely be attending next year and support more programs from CME/BHSF.

Excellent! Thank you!

Great speakers, very dynamic.

Great topics and excellent speakers.

Had a great day, the conference was excellent. We had 8 staff attend from our critical care unit, thanks.

Health care providers within the critical care specialty should be strongly encouraged to participate in symposiums such as this one. Seeing as that I am a new nurse with no nursing experience, I was still able to benefit greatly from the listening to the speakers and from their responses to the questions by the audience. Gives you a perspective that being on the job may not give you.

I am a nurse educator and this symposium is geared more to a physician practice. However, I love the presentation Jean-Louis Vincent, M.D., Ph.D. The information was interesting and more generic, his PowerPoint presentation was awesome and his delivery was fantastic! All the physicians who presented were knowledgeable and expert in their own field but again as mentioned above, this caters more to physicians.

I am thankful to my friend who extended the invitation. I work at Memorial Regional Hospital and I learned a lot.

Thank you for yet another awesome symposium!

The concepts spoken about by Dr. Bincent is great however, in the USA, there is a shortage of nurses and intensive care docs.....

Very good topics and line-ups. Looking forward for next year. Kudos to the team

The Critical Care Symposium was very informative and the speakers are very knowledgeable in their respective field.

The speakers were excellent but the venue was not good at all. Too small too cramped, no way to eat. Too cold. I will not come back next year


Primary Care Focus – 18th Annual Ritz Carlton Naples, Florida

July 12-14, 2019

Physicians and Psychologists Attended: 96 Physicians and Psychologists Responded: 66






Friday

Define presentation, diagnosis and management of the most common ENT infections seen in the primary care setting.

4.7

Describe how antibiotic usage in ENT treatment remains a subject of controversy. 4.6

Recognize signs and symptoms related to early-onset Parkinson’s disease. 4.8

Describe traditional treatment approaches for early-onset Parkinson’s disease and describe the potential side effects associated with available treatment options.

4.7

Recognize and appropriately diagnose sleep apnea, restless leg syndrome and parasomnias. 4.8

Delineate the best available treatment options to date for these sleep disorders. 4.8

Differentiate between these sleep disorders and comorbid medical illnesses. 4.8

Identify new trends in the diagnosis and treatment of lung malignancies and describe bronchoscopy treatment for severe asthma.

4.7

Recognize when to refer patients with abnormal pulmonology imaging findings to a specialist. 4.7

Identify and assess risk factors for falls in older adults. 4.8

Select evidence-based intervention to reduce the risk of falls in older adults. 4.6

Describe some of the most common travel-related infections and symptoms of illness in returning travelers.

4.7

Examine the geographic links associated with tropical infections. 4.7

Analyze the importance of rapid diagnostics of the ill returning traveler. 4.7

Review cases in travel medicine. 4.6

Saturday

Identify the typical cognitive and behavioral presentation for the most common dementias. 4.8

Describe how depression can mimic and be differentiated from dementia. 4.8

Recognize how neuropsychological testing can assist in differential diagnosis. 4.7

Assess the clinical indications for cannabis as a potential therapy for specific healthcare diagnoses supported by current evidence for efficacy.

4.5

Identify the endocannabinoid receptor system’s unique mechanisms of action and essential role in modulating physiology.

4.5

Identify and assess warning signs and symptoms of patients who may be at risk for suicide and recognize when a referral to a specialist is necessary.

4.8

Describe the prevalence of cardiovascular disease in people with diabetes. 4.8

Strategize the use of antihyperglycemic medications according to cardiovascular outcomes. 4.7

Define PDE5 inhibitor failure in the diabetic patient. 4.7

Utilize clinical principles and expert opinions to evaluate patients with erectile dysfunction. 4.7

Describe the surgical treatment options for men with erectile dysfunction. 4.8

Sunday

Define the most recent rulings pertaining to Medicare Access and CHIP Re-authorization Act (MACRA) and the Merit-based Incentive Payment System (MIPS).

4.5

Describe the Quality Payment Program (QPP) under the Medicare Part B physician fee schedule. 4.5

Implement value-based care and best-practice approaches in order to achieve success in these programs.

4.5

Define the pathophysiology of aortic stenosis. 4.8

Identify and diagnose the different types of aortic stenosis. 4.8

Recognize when a patient needs a TAVR or a SAVR. 4.8

Identify key aspects of an optimal secondary prevention of stroke plan. 4.8

Recognize common pitfalls in secondary prevention of stroke. 4.7

Implement a standardized approach to secondary prevention of stroke. 4.7

Explain which abnormal CBC findings should prompt further testing and/or referral to a hematologist. 4.8

How effective were the following speakers in meeting their learning objectives

Friday

Commonly Seen ENT Complications in the Primary Care Setting - Alberto Fernandez, M.D. 4.7

Parkinson’s at the Early Onset - Bruno V. Gallo, M.D. 4.7

Sleep Medicine Pearls: Update on Sleep Apnea, Restless Leg Syndrome and Parasomnias - Timothy L. Grant, M.D.

4.9

Interventional Pulmonology - Raúl R. Valor, M.D. 4.6

Fall Prevention in Older Adults - Edgar Ramos Vieira, P.T., MSC, Ph.D. 4.6

When Vacation Takes Revenge: Care of the Ill Returning Traveler - CPT S. David Shahbodaghi, M.D., MPH, CTH, CTropMed

4.8

Saturday

Differential Diagnosis of Depression and Dementia: A Neuropsychological Perspective - Richard Hamilton, Ph.D.

4.8

Cannabis Conundrums - Jeffrey Block, M.D., P.A. 4.5

Suicide: Risk Factors and How to Identify Them - Larry Brooks, Ph.D., ABPP-CN 4.8

Newer Diabetes Medications and Cardiovascular Outcomes - Priyathama Vellanki, M.D. 4.6

Erectile Dysfunction in Diabetic Men - Ranjith Ramasamy, M.D. 4.8

Sunday

MACRA and MIPS: How to Be Successful in These Programs - Tomas Villanueva, D.O. 4.6

The New Frontier in Aortic Stenosis - Elliott J. Elias, M.D. 4.8

Best Practices in Secondary Prevention of Stroke - Felipe De Los Rios La Rosa, M.D. 4.7

What Primary Care Providers Need to Know About Blood Cancers - Steven Fein, M.D. 4.8

Total Average 4.7


Participation in this learning activity has:

Yes No Not

Applicable

Increased my knowledge 66 (100%) 0 (0%) 0 (0%)

Improved my competence (ability to perform) 64 (97%) 1 (1.5%) 1 (1.5%)

Enhanced my performance (will practice regularly in my workplace)

59 (89%) 3 (5%) 4 (6%)

Ensured that my patients will have improved outcomes 61 (92%) 1 (1.5%) 4 (6%)

How many patients will you see in your practice next week that will likely be impacted by what you learned at this symposium? 4 1-5 7 6-10 50 Over 10 5 Not Applicable Yes No

Is this your first time attending this Symposium? 26 40

Would you attend this symposium again next year?

Not all speakers and topics had relevance for my practice.

Hotel is costly with no regular parking.

64 2

Would you recommend this symposium to a colleague? 66 0


Apply what I learned. (9)

Ask about erectile dysfunction diabetic patients and all male patients. (4)

Better diabetes management. (3)

Better differentiation between dementia and depression.

Help in the appropriate discussion with patient with aortic stenosis about TAVR vs SAVR.

Acetic acid and topical steroid for fungal otitis externa.

Wick placement if canal is swollen in OE.

Medrol pack in acute labyrinthisis.

Involve patients in decision making and following recommendations. Involve nurse and assistants to convince patients to follow recommendations.

Contraindications for cannabinoids in pregnancy.

Preexisting heart disease and predisposition to mental health disorders.

Sleep apnea worse on REM sleep as skeletal muscle is paralyzed so more important to use C pap.

Consider different sleep disorders at the same time.

Gabapentin for restless leg syndrome.

Be more proactive in the care and education of the patient based on implementing the newly learned information.

Be more selective when choosing diabetic medications and cardiovascular protection.

Better understanding of the new techniques that exist for certain conditions.

Changed treatment strategies for sinusitis, proper referral to sleep specialist.

Use more cognitive testing, more vigilant about travel medicine.

Differential dx criteria between Dep/Suicide warning risks/assessments.

Safety precautions in the Use of cannabis by patients.

Document more diagnosis.

Ensure my diabetic patients with CAD are on appropriate agents.

ENT-Be more aggressive in pushing the normal saline for sinusitis.

Sleep Medicine-use gabapentin for restless leg syndrome.

Fall prevention-advise to do more weight lifting to build muscle mass.

Erectile dysfunction in diabetic men-starting the medication at higher doses, then trying a lower dose if applicable.

Stroke prevention-more aggressive lowering of the cholesterol.

Fall prevention program.

Family medical support partner- to help improve outcomes.

Follow Aortic Sclerosis more closely, refer to cardiology.

Use newer diabetic agents to supplement current treatments.

Handle more ED Patients instead of Refer them to Urology right away.

I will address the medical condition in a different way because of what I learned in the course.

I will be more diligent in asking about sleep apnea and other sleep disorders that could affect my management of chronic and be much more likely to send a patient for a sleep study.

I will be more conscious of fall risk in elderly patients and ask for PT assessment rather than trusting only the word of the patient or family.

I will be more proactive involving the office staff more on the patient care process and chart documentation during the office visits.

Immunize for flu all year for people traveling close to equator.

Improve quality of care.

Manage diabetes by tailoring medications to benefit cardiovascular risk reduction in patient with CAD and CKD.

Ensure family involvement in treatment of depression and dementia.

Screen depressed patient with specific direct questions regarding suicide ideations and plans.

Treat chronic sinusitis different to chronic rhinitis. No antibiotics for chronic sinusitis. Focus on prevention.

More documentation on chart, more specific and explicit explain to the physical therapist about fall precaution.

More targeted use of diabetic drugs for CV outcomes.

Better differentiation between dementia and depression.

More thorough history for sleep disorders; Evaluate gait in elderly more frequently; implement use of Geriatric Depression Scale; refer more ED in diabetic men to urology for other treatment options; evaluate minor CBC abnormalities more closely.

New therapies for treating diabetes and new with Modalities for secondary stroke prevention.

Novel hypertriglyceridemia treatment will be used ASAP.

Improved OSA assessment. New points to consider.

Clarity in depression vs dementia assessment.

I am going to look into travel/ tropical medicine certification.

Refer pulmonary patients, and hematology patients more appropriately.

Manage diabetics more aggressively.

Referrals specifically when it comes to dementia vs depression screenings.

Regarding Hyperlipidemia in the setting of the TIA/CVA patient, I will be more careful to optimize lipid lowering Medications to achieve the desired LDL value.

Review stroke meds, Consider meds for DM care, Consider Fall etiologies, Refer for Sleep testing more, Better interview skills for potential suicide, Consider AS more, consider adding cognitive testing.

Screen for sleep disorders especially in patients with atrial fibrillation, hypertension and heart disease.

Identify patients with aortic sclerosis and stenosis who are symptomatic and refer them for possible TAVR.

Sleep apnea evaluation much earlier on in patients.

Suspect untreated OSAS in hypertensive patients complaining of early morning surges of blood pressure. Not all OSAS patients fit the stereotype and some are not obese at all.

The role of Glucagon Receptor agonists is expanding and will make more use of them. A recent report indicates they will be available in oral form soon.

Think about aortic stenosis differently.

Through history taking is the key to reach diagnosis.

Treat my patients with stroke according to the most recent guidelines. Tailor the meds for my diabetic pt to meet the guidelines for cardiovascular disease.

Use more neuropsychology testing for evaluation of dementia vs depression.

Be more suspicious of diseases not commonly seen but dangerous in travelers.

If you do not plan to implement any new strategies learned, please list any barriers or obstacles that might keep you from doing so.

Time factors usually a limiting reason. (2)

Getting approval for PCSK9 from insurance companies is time consuming.

Insurances companies restrictions.

Limited appointment time with patients.

Effectiveness of communication.


Antibiotics vs patient satisfaction.

Behavior control on mentally disabled and in Alzheimer.

Blood disorder lecture.

Bullet points and Perles for the everyday physician in primary care.

CHF, irritable bowel.

Chronic kidney disease.

Immunizations.

Common malignancies.

How to manage time in a busy practice between patient management, EMR, Administrative work, etc..

Diabetes updates.

Exercise and Nutrition.

Obesity, DM, HIV.

Osteoporosis: when to stop treatment.

Ovarian cancer.

Swallowing disorders.

Parathyroid and thyroid.

Parkinson's disease.

Physician burnout/suicide risk; lifestyle changes and treatment for obesity, especially morbid obesity.

Please provide all PowerPoint presentations for lectures. Better to follow along on laptop.

Practice management strategies.

Strategies for treating diabetes successfully in the middle class and lower class population [not affluent] in the age of unaffordable diabetes medications. For this population that cannot get these new very expensive drugs, teaching the use of the older insulins that cost $25 per vial. Also the use of meds like pioglitazone in the patients that can safely use them. Teach about best use of glipizide or glimepiride. Better strategies to make metformin more tolerable in those patients that have side effects.

A lot of noncompliance occurs because people cannot afford the medications, whether it's initially or the continuing of the meds.

Topics in Geriatric Medicine, Exercise and Nutrition.

Treatment of Hypertension, Non-Invasive Cardiac evaluation of Angina, Treatment of Diabetes in the Primary Care setting.

Understanding how Medicare works- for the primary care physician.

Update on pay for quality, MACRA, MIPS, and ACOS.

Further update on medical marijuana.

Parkinson’s disease update.

Update on the accepted guidelines for treatment of hypertension.

Update on women’s healthcare.

Updates in screening and treating breast cancer and colon cancer.

What antibiotics to use in the common maladies when the drugs of choice do not work. Comments

Excellent conference. (5)

We will miss Dr Caride. (5)

I would like to thank Dr. Ruben Caride for his excellent directorship over the past 18 y. I am very disappointed to see him let go. He has done an outstanding job organizing and leading these meetings. In general all the lectures were very good presented and I learned pitfalls from all of them

Would like to see it beginning on Thursday thru Sunday and obtain more CME Credits

Do not change the daily schedule.

Great and informative symposium.

Great Course and good speakers.

Great location

Many of the speakers were only so so.

The conference was awesome, I attend every year because I know I will learn and will be able to apply new strategies in my practice. The sleep lecture and aortic stenosis were fantastic , topics I deal with on daily basis

This has always been an excellent symposium, good topics, very educational and practical

This symposium always is excellent! Dr. Ramaswamy and Captain Shahbodaghi were top-tier speakers. I would have liked to see more women speakers.

Thought it was an excellent symposium, speakers where very well prepared. Noted some political memes in the slides that I felt unnecessary given our countries current political controversy. There’s no need for me or anyone to know what your political preference is at these meetings. Just felt that was out of context, besides that I enjoyed every speaker and the information they presented and am thankful for their knowledge and dedication.

Very good symposium as always. Ritz Carlton was an excellent choice

Welcome reception was not at the height of the previous occasions.

On a less important note there was no food at the Friday night reception for people who do not eat meat. I was very disappointed by the quality of the reception on Friday night.

Some of the speakers need to update the presentation because the slides are so faint that cannot be read from any distance.


Primary Care Focus – 18th Annual Ritz Carlton Naples, Florida

July 12-14, 2019

Non-Physicians Attended: 118 Non-Physicians Responded: 83






Friday

Define presentation, diagnosis and management of the most common ENT infections seen in the primary care setting.

4.9

Describe how antibiotic usage in ENT treatment remains a subject of controversy. 4.8

Recognize signs and symptoms related to early-onset Parkinson’s disease. 4.8

Describe traditional treatment approaches for early-onset Parkinson’s disease and describe the potential side effects associated with available treatment options.

4.8

Recognize and appropriately diagnose sleep apnea, restless leg syndrome and parasomnias. 4.9

Delineate the best available treatment options to date for these sleep disorders. 4.9

Differentiate between these sleep disorders and comorbid medical illnesses. 4.8

Identify new trends in the diagnosis and treatment of lung malignancies and describe bronchoscopy treatment for severe asthma.

4.8

Recognize when to refer patients with abnormal pulmonology imaging findings to a specialist. 4.8

Identify and assess risk factors for falls in older adults. 4.8

Select evidence-based intervention to reduce the risk of falls in older adults. 4.8

Describe some of the most common travel-related infections and symptoms of illness in returning travelers.

4.9

Examine the geographic links associated with tropical infections. 4.8

Analyze the importance of rapid diagnostics of the ill returning traveler. 4.9

Review cases in travel medicine. 4.8

Saturday

Identify the typical cognitive and behavioral presentation for the most common dementias. 4.8

Describe how depression can mimic and be differentiated from dementia. 4.9

Recognize how neuropsychological testing can assist in differential diagnosis. 4.8

Assess the clinical indications for cannabis as a potential therapy for specific healthcare diagnoses supported by current evidence for efficacy.

4.8

Identify the endocannabinoid receptor system’s unique mechanisms of action and essential role in modulating physiology.

4.8

Identify and assess warning signs and symptoms of patients who may be at risk for suicide and recognize when a referral to a specialist is necessary.

4.8

Describe the prevalence of cardiovascular disease in people with diabetes. 4.9

Strategize the use of antihyperglycemic medications according to cardiovascular outcomes. 4.8

Define PDE5 inhibitor failure in the diabetic patient. 4.8

Utilize clinical principles and expert opinions to evaluate patients with erectile dysfunction. 4.9

Describe the surgical treatment options for men with erectile dysfunction. 4.9

Sunday

Define the most recent rulings pertaining to Medicare Access and CHIP Re-authorization Act (MACRA) and the Merit-based Incentive Payment System (MIPS).

4.7

Describe the Quality Payment Program (QPP) under the Medicare Part B physician fee schedule. 4.6

Implement value-based care and best-practice approaches in order to achieve success in these programs.

4.7

Define the pathophysiology of aortic stenosis. 4.9

Identify and diagnose the different types of aortic stenosis. 4.8

Recognize when a patient needs a TAVR or a SAVR. 4.8

Identify key aspects of an optimal secondary prevention of stroke plan. 4.9

Recognize common pitfalls in secondary prevention of stroke. 4.9

Implement a standardized approach to secondary prevention of stroke. 4.8

Explain which abnormal CBC findings should prompt further testing and/or referral to a hematologist. 4.8

How effective were the following speakers in meeting their learning objectives

Friday

Commonly Seen ENT Complications in the Primary Care Setting - Alberto Fernandez, M.D. 4.9

Parkinson’s at the Early Onset - Bruno V. Gallo, M.D. 4.9

Sleep Medicine Pearls: Update on Sleep Apnea, Restless Leg Syndrome and Parasomnias - Timothy L. Grant, M.D.

4.9

Interventional Pulmonology - Raúl R. Valor, M.D. 4.8

Fall Prevention in Older Adults - Edgar Ramos Vieira, P.T., MSC, Ph.D. 4.7

When Vacation Takes Revenge: Care of the Ill Returning Traveler - CPT S. David Shahbodaghi, M.D., MPH, CTH, CTropMed

4.9

Saturday

Differential Diagnosis of Depression and Dementia: A Neuropsychological Perspective - Richard Hamilton, Ph.D.

4.9

Cannabis Conundrums - Jeffrey Block, M.D., P.A. 4.8

Suicide: Risk Factors and How to Identify Them - Larry Brooks, Ph.D., ABPP-CN 4.8

Newer Diabetes Medications and Cardiovascular Outcomes - Priyathama Vellanki, M.D. 4.7

Erectile Dysfunction in Diabetic Men - Ranjith Ramasamy, M.D. 4.9

Sunday

MACRA and MIPS: How to Be Successful in These Programs - Tomas Villanueva, D.O. 4.8

The New Frontier in Aortic Stenosis - Elliott J. Elias, M.D. 4.9

Best Practices in Secondary Prevention of Stroke - Felipe De Los Rios La Rosa, M.D. 4.9

What Primary Care Providers Need to Know About Blood Cancers - Steven Fein, M.D. 4.9

Total Average 4.8


Participation in this learning activity has:

Yes Not

Applicable

Increased my knowledge 83 (100%) 0 (0%)

Improved my competence (ability to perform) 82 (99%) 1 (1%)

Enhanced my performance (will practice regularly in my

workplace) 80 (96%) 3 (4%)

Ensured that my patients will have improved outcomes 79 (95%) 4 (5%)

How many patients will you see in your practice next week that will likely be impacted by what you learned at this symposium? 6 1-5 11 6-10 58 Over 10 9 Not Applicable Yes No

Is this your first time attending this Symposium? 42 41


Would you recommend this symposium to a colleague? 83 0


Apply updated knowledge to the practice. (10)

Better assessment and treatment. (5)

Address and treat ED more confidently. (3)

Apply clinical practice guidelines stablished in the protocols and recommendations clinical and practice offered in the themes of course.

Adopting the ABCS of prevention and control and management of all patient in my practice.

Assess for ED and treat the patients.

Consider cardiac risk when treating diabetes.

Screen falls risk.

Awareness of differential diagnosis/appropriate timing for referral to expert provider.

Be more attentive and proactive upon encountering patients with related complaints as addressed in the symposium.

Be more aware of different symptoms and cases within my current practice. And address, refer accordingly.

Better informed as to Diabetic Medications, Sleep apnea, and E.D.

Chronic sinusitis generally not treated with antibiotics and the importance of saline rinsing.

Consider other options and treatment modalities.

Differentiating types of blood cancers.

Discuss HTN and DM control with my patients more regularly as well as making sure they are keeping up with screenings.

Distinguish between depression and dementia.

I learned a little more about CBCs and how platelets along with WBCs may indicate certain blood cancers.

Evaluate ENT conditions for fungal more.

Evaluate use of antibiotics closely in ENT conditions.

Evaluate pts for sleep disorders.

nvest time on prevention care.

Explore increased use of updated diabetes treatments.

I feel like I have a stronger understanding on ED and feel more confident talking to my patients about it.

I plan to implement more fall risk assessments.

I will focus more on blood pressure improvement.

I will use recent advances in diagnosis, management and treatment and address compelling issues as they relate in the primary care setting.

I work in cardiac surgery and will be able to council patients more thoroughly on their diabetic medications and the indications in relation to CV disease.

I will also know the appropriate questions to ask patients who are presenting suicidal and the appropriate management of the situation after the complaint is expressed.

Better to explain why important to avoid using marijuana during pregnancy.

My approach to pharma-therapeutic choices and achievable goals will be reevaluated.

Increase statin intensity in diabetic patients and make sure intensity is sufficient in post stroke patients.

Make sure to tell patients on sildenafil to take on empty stomach.

Increased awareness of suicide risk factors, screen for depression, sleep apnea.

Investigate further for cardiovascular issues when men come in for an office visit for ED.

Learned about different situations that would be better to refer or not to refer to specialists.

Learned more specifically what some of the invasive pulmonary interventions entail and will be better able to explain and answer questions regarding these.

Will be better equipped to identify symptoms of depression vs. dementia and intervene accordingly.

Making sure to screen more thoroughly for traveling related illnesses.

More adequate screening of older patients to differentiate between dementia and depression.

Monitor CBC more intently.

More detailed questions to diagnose and treat.

Moving from decades of Emergency Medicine to Primary Care. So, I will apply everything

Offer better treatment strategies.

Refined assessment skills and improve documentation.

Sleep Apnea: Important for patients to recognize multiple REM deep sleep patterns throughout the night, not only after immediately falling asleep, bust also including just prior to waking.

Streamline assessment questions to differentiate dementia vs depression.

Suicide risk factors to be aware of.

Take better time to think about each outcome.

The ENT, sleep, and fall prevention will be especially useful for me in my practice.

This helps with overall prognostication and treatment recommendations in my patient populations. I work in palliative care in acute hospital setting, so may not directly manage all of these issues, but do treat side effects, symptoms and make recommendations based on prognostication.

Thorough assessments on the mentioned topics.

To improve teaching, patient education and strategies for safety.

Treat ED quickly and comprehensively before trying pharmaceutical interventions. Help patients understand why TAVr may be most appropriate for treatment of AS.

Update to my knowledge base will improve patient care.

Waste less time with needless tests.

When we encounter patient that is trying to commit suicide, besides encouraging them to live for their family. We can also encourage them to live for themselves. What and how is helpful to change their situation. What can they do differently from what got them to this thinking or situations. The know how to think positive of themselves.

Will be referring patients for sleep study much earlier than before based on different clinical symptoms.

Will institute secondary Stoke prevention based on the last recommendations.

Will educate patient about the illness and disease.

I learned about the Marchment Act which I plan to research more about as I practice in Florida and there are some families with addiction problems that may not be aware of this.

If you do not plan to implement any new strategies learned, please list any barriers or obstacles that might keep you from doing so.

Lack of similar pulmonary procedure provided in my region.

Obstacles include rapid turnover in observation unit.

Patient compliance.

Payment of services and coverage by insurance companies.

Some of the treatments may not be available on the formulary.

Time / money / staff.


APRN's and the role they play in practice both private practice and in the hospital setting.

Also- primary care NP's are the main referral source to specialists and need to communicate with specialists just as importantly as primary care docs communicating with specialists.

Autoimmune disorders -RA, lupus, migraines.

Benefits of robotic surgery.

Spinal surgery procedures.

Childhood obesity/adult obesity.

Autism.

Irritable Bowel Syndrome/Crohn’s disease.

Assessment of knee injuries.

Chronic Disease management (Diabetes, COPD, Heart Failure), post-acute care (rehabilitation).

Depression in older adults.

Bariatric surgery may also be a good topics. The treatment and care of obese populations.

Doctor Rabaza or Dr. Whittwell.

Diagnosing heart failure at early onset. Example: is my patient's dependent edema simply a problem with peripheral vascular disease, or is it a sign of HF?

What is the minimum information required in the primary care office to diagnose CKD? Is kidney US required for DX?

Dr. Matthew Soff – Gastroenterologist.

Functional medicine.

Integrative//complementary medicine.

Gastro issues..

I always like to learn more information on dermatology and orthopedic patients seen in primary care.

I would be interested in topics of anticoagulation in the geriatric population with multiple co morbidities- risks/benefits etc.

I think other general providers may benefit from topics of palliative care vs. hospice- this from my own experiences in a community acute care setting.

Infection and wound care.

Management of HTN based on latest AHA recommendations.

Oncologist repeat, travel medicine topic, ENT conditions.

Pain management: types of medications, other treatment modalities.

Nutrition for pain and other diseases.

PVD diagnosis and treatment options.

Parkinson.

ADHD.

Hormones.

Parkinson’s disease.

Breast cancer.

Pulmonary fibrosis.

Amyloidosis.

RVUs and quality.

Sickle Cell disease and its complications for the Adult and Child.

Thyroid Disease in the post-menopausal woman.

Non pharmacological treatment for common disorders.

Stem cell treatment of erectile dysfunction and Ketamine I.V. infusion therapy for depression.

STI diagnosing and treatments.

Woman’s health issues.

Osteoporosis.

Thyroid disease when to treat.

Polycystic ovarian dz.

Dermatological problem.

The traveling illness and Erectile Dysfunction presentations were excellent - recommend them to return.

This past symposium was very well informative and balanced, however, I always like to include healthy lifestyles with a nutrition component.

Women and sexual dysfunction related to menopause.

Women health from Endometriosis and managing pain to menopause as a PCP perspective.

Liver disease especially from ETOH.

Mental health issue of the young adult.

Stress related disorders.

Women's health, Nutrition, Obesity, Diabetes, Pulmonary embolism, depression and anxiety. Comments

Beautiful location for the conference. (4)

Great conference. (3)

Great presentations.

Great variety of topics so useful since I consult for an internal medicine practice. I was hoping to hear the presenter on Parkinson’s and was disappointed he didn’t show up.

I enjoyed this conference and learned a lot.

I love this conference. I tell all my colleagues to come.

I thoroughly enjoyed the symposium and all of the lecturers. I look forward to attending in the future.

It would be nice if presenters addressed any subject more from an ARNP point of view. There seemed to be quite a few Nurse Practitioners attending the conference.

Learned new information at this conference, not the usual repeated topics, really enjoyed learning. Looking forward to returning next year.

Love Baptist Health Symposiums.

It was perfect with enough time daily to explore and relax.

Overall excellent program.

Thank you for a wonderful conference.

The program director did an excellent job. This conference is representative of his dedication and hard work.

The length of the program was great.

I would like to have an option for lunch and dinner for attendees and family members on two different days with a variety of food options.

I would prefer the option for meals such as lunch and dinner instead of appetizers.

Location and stay for the symposium was excellent.

Option for the discounted stay at the resorts one day prior and 1 day after symposium Thank you!

The staff were very friendly and helpful. The organizers did a good job on the lecture arrangements. But there was not enough chair and table on Friday night dinner.

This symposium was a very organized and good source of knowledge to be applied daily.

The Staff at the hotels are exemplary, impeccable. Everyone was very nice, smiling, they act as though they like their jobs. They make us feel very welcome.

Thoroughly enjoyed the travel medicine topic. Pertinent to living in South Florida.

Travel medicine talk was excellent - would love to learn more.

Suicide talk was excellent and important information was provided.

It is important to remind speakers who is in the audience- the room was filled with NP's, PA's and nurses and they were hardly addressed.

Well rounded topics appropriate to Primary care practice.

Wonderful experience. Would like the Marriott for the pool area.

I have always enjoyed this conference. However, I did not enjoy the location. The Ritz is too expensive and there was not a lot of near-by activity. Please reconsider this location in the future.

Was not a fan of Dr. Brooks as I did not agree with his view of using family to watch over suicidal patients. I was a fan of Dr. Block and Dr. Ramasamy! They were exceptional speakers and knew their topics well.

I was very disappointed with the dinner we had Friday night. It was expensive and not really worth it.

It is too bad not all the presentations have the slides available for us to review them.

It seemed that the food for both days were cold cuts, maybe hot food might be a good preference.

The light dinner on Friday, there was not enough seat for guests.

Documents

CONFERENCE APPLICATIONS AND REPORTS Conference … · Date: Thursday, May 16, 2019 Time: 12:00 – 1:00 p.m. Location: BHM, 5MCVI and Webcast Scoring Key: 5 - Strongly Agree 4 - Agree