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This intensive four-day program for family physicians, advance practice providers, nurses, and other primary care professionals will focus on current issues in the practice of Family Medicine, with special attention to new contributions. Emphasis is on practical, clinically applicable diagnostic and management issues in primary care. The course faculty is drawn from multiple specialties, including Family Medicine. The teaching program includes lectures, workshops and extensive course materials.

COURSE DIRECTORAnya S. Koutras, MD, FAAFP, IBCLC, Associate Professor of Family Medicine, Director of Fourth Year Electives in Family Medicine, and Director of Specialty Advising in Family Medicine at The University of Vermont Larner College of Medicine

OBJECTIVESAfter attending this conference, participants should be able to:

1. Review current recommendationsfor immunizations, treatment of hypertension, oral health, adolescent transgender care, and anticipatory guidance for well child visits.2. Discuss important updates for themanagement of diabetes, arthritis, common skin ailments, common anorectal issues and headache management.3. Participate in workshops including

Long Acting Reversible Contraception, Skin Biopsies, EKG cases, End of Life care and Shoulder and Knee Examinations .4. Discuss Practice Changers for 2020, common postpartum issues,treatment resistant depression, firearm safety and a personal perspective of frontotemporal dementia.

REGISTRATIONThe course fee includes tuition, comprehensive electronic course syllabus, continental breakfast each morning, coffee breaks, and luncheon on Thursday for registrants.

PLEASE REGISTER EARLY! Register by May 15, 2020 and SAVE on tuition.

Refunds may be obtained, minus an administrative fee of $75, if notice of cancellation is received by May 20, 2020. Refunds are not possible after that date, but substitutions may be possible by calling the CMIE office at 802-656-2292.

WORKSHOPSRegistrants will participate in 2 of 8 workshops to be conducted on Wednesday afternoon. The fun and innovative format of these sessions will focus on different approaches to a myriad of clinical problems. The presentations will raise important management issues, which will facilitate lively interaction between faculty and participants. There is limited enrollment in some workshops. Every effort will be made to provide registrants with their top choices.

CONFERENCE SYLLABUSThe conference syllabus will be available for download electronically. Please download available presentations prior to the conference and bring your laptop to view the electronic presentations.

In support of improving patient care, The Robert Larner, M.D. College of Medicine at the University of Vermont is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The University of Vermont designates this live activity for a maximum of 21.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This program has been reviewed and is acceptable for up to 21.75 Nursing Contact Hours.

The University of Vermont has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 21.75 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. Includes 1 Credit in Prescribing Controlled

Substances and 2.5 Credits in Hospice, Palliative Care and Pain Management

The University of VermontLarner College of MedicinePresents the46th Annual Family Medicine Review CourseJune 9-12, 2020DoubleTree Hotel by Hilton, Burlington, VT

Take Advantage of Burlington’s Discover Jazz Festival with Fantastic Negrito and Pharoah Sanders!The Burlington Discover Jazz Festival, a 10-day celebration of live music for all ages, is taking place June 5-14, 2020. With free live music on four stages in downtown Burlington, headlining shows at the historic

Flynn Center for the Performing Arts and the Waterfront Tent, and nightly showcases in restaurants and venues all over the city, the festival brings this community to life with a 10-day-long party. Visit https://discoverjazz.com/ for more information.

ACCOMMODATIONSA block of rooms has been reserved at the DoubleTree by Hilton Hotel Burlington Vermont (formerly the Sheraton). Please make your reservations directly with the hotel, 855-686-8875 prior to May 18, 2020 and indicate your participation in the course to receive special conference rates ($148.00 per day single to quad occupancy). Room rates cannot be guaranteed after May 18 and are based on availability.

TRANSPORTATIONThe Burlington Airport is served by several major airlines. Auto rentals are available at the airport, but should be reserved in advance. Complimentary hotel van service is available upon request from the Burlington Airport from 4:30am – 12 midnight. Burlington is an easy 4-hour drive from Boston, just 1.5 hours from Montreal, and 7 hours from New York City. The hotel exit is 14-W on Interstate 89.

LEISURE TIMEBurlington is ideally situated on the shores of Lake Champlain, the sixth largest freshwater lake in the U.S. It offers panoramic views of the Adirondack and Green Mountains, great shopping and excellent restaurants. The Burlington Community Boathouse has boats for rent. A bike path explores several miles of the lakeshore and bikes are available for rent nearby. Swimming beaches, public parks, golf courses and tennis courts are accessible by cab or car. Historic Shelburne Farms and Shelburne Museum are a 20-minute drive from the hotel. Within an hour’s drive are Zip-lining activities, Ben & Jerry’s Ice Cream Factory, UVM Morgan Horse Farm, and tours of the world’s largest granite quarry. Fishing opportunities abound.

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VERMONT FAMILY MEDICINE REVIEW COURSE

WORKSHOP INTERESTPlease rank order your workshop preferences from 1 (most) to 4 (least desirable) in each session. There is limited enrollment in each workshop. Every effort will be made to provide registrants with their top choices. Workshop assignments will be made in order of registration receipt.

June 9-12, 2020

REGISTER ON-LINE: http://www.med.uvm.edu/cmie

__________________________________________________________________________ NAME (As you would like it to appear on your nametag and certificate)

DEGREE: MD DO ND PA NP RN Other

__________________________________________________________________________ ADDRESS

__________________________________________________________________________ CITY STATE ZIP

__________________________________________________________________________ PHONE SPECIALTY

__________________________________________________________________________ EMAIL

Session I (1:30 - 3:00) _____ Shoulder Exam_____ Alcohol and Substances_____ Long-Acting Reversible Contraception _____ Skin Biopsies ($25 fee for supplies)

Session II (3:30 - 5:00)_____ Knee Exam _____ Talk Vermont _____ EKG Cases _____ Therapeutic Yoga

REGISTRATION FEE SUMMARY: $650 Physicians (MD, DO,ND) $550 Advanced Practice Professionals (NP, PA, etc) $450 Other Health Professionals (*Including Residents - Verification by Program Director Required) Add $25 for Skin Biopsies (Optional Workshop) Add $75 if received after May 15, 2020

(Note: Registrations at the door will incur an additional $50 fee.) Total Enclosed ____________

PAYMENT METHOD To register by credit card, please visit our website at: go.uvm.edu/fm2020 Check (payable to the University of Vermont) - Please mail your payment along with a completed registration form to:

UVM CMIE401 Water Tower Circle, Suite 102Colchester, VT 05446

PHONE: 802-656-2292

VERMONT FAMILY MEDICINE REVIEW COURSE PROGRAM SCHEDULE

Tuesday, June 9, 2020_______________________________________________________________________ 11:45am-1:00pm REGISTRATION_______________________________________________________________________ 12:50-1:00 Opening Remarks Anya S. Koutras, MD, FAAFP, IBCLCAssociate Professor of Family Medicine and Director of Fourth Year Electives and Specialty Advising, Robert Larner M.D. College of Medicine at the University of Vermont (UVM)_______________________________________________________________________ 1:00-1:45 How End-Organ Complications are Influencing Treatment Guidelines for Type 2 DiabetesJohn (Jack) L. Leahy, MDUVM Sarah Nichols Gruenig Green and Gold Professor of Diabetes Research, Division of Endocrinology, Diabetes and Metabolism_______________________________________________________________________ 1:45-2:30 Frontotemporal Dementia: A Family Member’s PerspectiveErica Leyden Frost, Family Member; and Waqar Waheed, MD, UVM Associate Professor of Neurological Sciences_______________________________________________________________________ 2:30-2:45 BREAK _______________________________________________________________________ 2:45-3:30 Update on Vaccines for Children and AdultsKelly M. Brooks, MDUVM Assistant Professor of Family Medicine_______________________________________________________________________ 3:30-4:15 Common Anorectal Issues in Primary CareJesse S. Moore, MD, FACS, FASCRSUVM Associate Professor of Surgery; Director of Active Learning in the Larner College of Medicine_______________________________________________________________________ 4:15-5:15 Challenges in End of Life Care in Nursing HomesZail S. Berry, MD, MPH, FACPUVM Associate Professor of Medicine, Division of Geriatric Medicine _______________________________________________________________________ 5:15 ADJOURN_______________________________________________________________________

Wednesday, June 10, 2020_______________________________________________________________________ 7:30am CONTINENTAL BREAKFAST_______________________________________________________________________ 8:00-8:45 Headache ManagementAllyson B. Bazarsky, DOUVM Assistant Professor of Neurological Sciences_______________________________________________________________________ 8:45-9:30 Family Oral HealthJustin E. Hurlburt, DMD, MAUVM Clinical Assistant Professor and Dental Residency Director_______________________________________________________________________ 9:30-10:15 Anticipatory Guidance during Well Child Visits Jessica L. Faraci, MDFamily Medicine Physician, UVM Medical Center_______________________________________________________________________ 10:15-10:30 BREAK _______________________________________________________________________ 10:30-11:15 Erectile Dysfunction and HypogonadismPeter A. Holoch, MDUVM Assistant Professor, Division of Urology; Urology Medical Student Education Director_______________________________________________________________________ 11:15-12:00 Caring for Women Around the Time of MiscarriageClara M. Keegan, MD, FAAFPUVM Associate Professor of Family Medicine _______________________________________________________________________12:00-1:30pm LUNCH (on your own)

_______________________________________________________________________ 1:30-3:00 Concurrent Sessions I

A. The Shoulder Exam Kimberly A. Sikule, MDUVM Assistant Professor of Family Medicine

B. Long-Acting Reversible Contraception: Concepts and PracticeClara M. Keegan, MD, FAAFP

C. Performing Skin Biopsies in Your OfficeBen Clements, MDUVM Assistant Professor of Family Medicine

D. Alcohol and Substances: Screening, Treatment and Patient ExperiencesMichelle L. Cangiano, MDUVM Assistant Professor of Family Medicine_______________________________________________________________________ 3:00-3:30 BREAK _______________________________________________________________________ 3:30-5:00 Concurrent Sessions II

A. The Knee ExamKimberly A. Sikule, MD

B. Therapeutic Yoga for Pelvic InstabilityJanet L. Carscadden, PT, DPT, OCS, E-RYTOwner, Evolution Physical Therapy and Yoga

C. Interactive EKG WorkshopRobert M. Lobel, MDUVM Assistant Professor of Medicine, Division of Cardiovascular Medicine, and Clinical Cardiac Electrophysiologist, UVM Medical Center

D. Talk Vermont: End of Life Conversations (1.5 Credits in Hospice, Palliative Care)Stephen Berns, MD UVM Assistant Professor of Family Medicine and Director of Education, Division of Palliative Medicine_______________________________________________________________________ 5:00 ADJOURN_______________________________________________________________________

Thursday, June 11, 2020 “Vermont Day”_______________________________________________________________________7:15am CONTINENTAL BREAKFAST AND EXHIBITS_______________________________________________________________________ 8:00-8:45 Infectious Disease Topic (TBA)Jean M. Dejace, MDUVM Assistant Professor of Medicine, Division of Infectious Disease_______________________________________________________________________ 8:45-9:30 Collaborative Care with Physical Therapy Kirsten Berggren, PhD, APRNUrgent Care, Northwestern Medical Center_______________________________________________________________________ 9:30-10:00 BREAK_______________________________________________________________________ 10:00-10:45 Hypertension: Getting to Goal?Virginia L. Hood, MBBS, MPHProfessor of Medicine Emerita, Division of Nephrology_______________________________________________________________________ 10:45-11:30 Adolescent Transgender CareErica J. Gibson, MDUVM Associate Professor, Pediatrics, Vermont Child Health Improvement Program_______________________________________________________________________11:30-11:45 Departmental Awards _______________________________________________________________________ 11:45-1:00pm LUNCH (Provided), EXHIBITS AND POSTER SESSION _______________________________________________________________________

1:00-2:00 Envisioning a Post-Roe World: The Effects of Abortion Policies on Access and ObtainmentCaitlin K. Myers, PhDProfessor of Economics, Middlebury College_______________________________________________________________________ 2:00-2:45 Journal Club: Practice Changers for 2020 John G. King, MD, MPH UVM Professor and Vice Chair of Family Medicine_________________________________________________________________ 2:45-3:45 Rapid Access to Medication (RAM): Bridging Community Partners to Best Treat Opiate Use Disorder Katie G. Marvin, MDPrimary Care Physician, Stowe, Vermont_______________________________________________________________________ 3:45-4:15 BREAK_______________________________________________________________________ 4:15-5:00 Health Impacts of Climate Change Megan P. Malgeri, MDUVM Assistant Professor of Family Medicine_______________________________________________________________________ 5:00-5:45 Treatment Resistant DepressionJohn G. Koutras, MD, UVM Clinical Assistant Professor of Psychiatry and Pediatrics; Medical Director of Vermont Collaborative Care, Blue Cross Blue Shield of Vermont_______________________________________________________________________ 5:45 ADJOURN_______________________________________________________________________

Friday, June 12, 2020_______________________________________________________________________ 7:30am CONTINENTAL BREAKFAST_______________________________________________________________________ 8:00-8:45 Pathophysiology and Treatment of Acne VulgarisRichard Q. Callahan, MSPA, PA-CUVM Medical Center Dermatology_______________________________________________________________________ 8:45-9:30 Arthritis Primer Chi Chi Lau, MDAssociate Professor of Medicine, Division of Rheumatology and Clinical Immunology_______________________________________________________________________ 9:30-10:15 Common Postpartum Issues Anya S. Koutras, MD, FAAFP, IBCLC _______________________________________________________________________ 10:15-10:30 BREAK_______________________________________________________________________ 10:30-11:15 Bridging the Gap from the Pediatric to the Adult Medical HomeKatherine M. Mariani, MD, MPHUVM Assistant Professor of Family Medicine_______________________________________________________________________ 11:15-12:00 Firearm Safe Storage Screening and CounselingRebecca C. Bell, MD, MPH, FAAP UVM Assistant Professor of Pediatrics and Thomas V. Delaney, PhDUVM Assistant Professor of Pediatrics_______________________________________________________________________ 12:00pm ADJOURN_______________________________________________________________________

Join us for Wilderness Medicine!Friday afternoon, June 12 - Saturday morning, June 13

Visit: go.uvm.edu/wildernessmedicine2020 for more information, or to register.