CME 4-Panel, 2-Color - Int Med Rev NP/Phys ... - Mayo Clinic

Mayo School of Continuing Medical Education 

Internal Medicine Review for Nurse 

Practitioners and Physician Assistants 

A Case Study Approach to the 

Management of Common Problems 

Thursday, September 15 – Friday, September 16, 2005 

Siebens Medical Education Building, Mayo Clinic, Rochester, MN 

Call for Posters! 

KEYNOTE PRESENTER – Please join us for dinner 

Thursday evening in Phillips Hall and hear Rick A. 

Nishimura, MD, speak on Working with NPs and PAs from a 

Physician Perspective – The Good, Bad and Ugly. 

Rick A. Nishimura, MD, is currently a Consultant in 

Cardiovascular Diseases at Mayo Clinic - Rochester and 

is the Judd and Mary Morris Professor of Cardiovascular 

Diseases. He is also Associate Chair of Clinical Operations for the 

Mayo Cardiovascular Division, Associate Chair for the Department of 

Medicine, and Vice-Chair of the Rochester Mayo Hospital Practice 

Committee. Doctor Nishimura has been involved in education his 

entire career. He is the recipient of the Mayo CV Fellows Outstanding 

Teacher Award for 15 consecutive years and has been the Mayo 

Graduate School Teacher of the Year six times, and inducted into the 

“Teacher of the Year Hall of Fame”. Participants will truly enjoy this 

opportunity to learn his perspective on joys and challenges relating to 

this collegial practice.

INTENDED AUDIENCE 

General Information 

The program is designed for nurse practitioners and physician assistants who care for 

patients with common medical problems. Family practitioners, general internists, and nurses 

interested in enhancing their delivery of care will also benefit from this program. 

COURSE DESCRIPTION 

This annual interdisciplinary course offers participants an overview of current topics in 

internal medicine including interactive case studies with a computer automated audience 

response system. Interdisciplinary speakers present diverse clinical topics chosen for 

applicability to NP/PA practice settings. This year, topics such as valvular heart disease, 

evaluation of elevated liver function tests, links between erectile dysfunction and 

cardiovascular disease, gynecologic dermatology, sleep apnea, infectious diseases, pearls and 

pitfalls of pediatric orthopedics, dementia evaluation, preanesthesia exams, pediatric 

dermatology, preparing for international travel and other topics prominent in internal 

medicine will be featured. New this year is a hands-on workshop related to common 

musculoskeletal injections in the office setting. Dr. Edward T. Creagan, author of How NOT to 

be My Patient, will focus on how to empower patients to achieve maximum wellness. During 

the interactive auscultation session, participants gain experience with heart sounds utilizing a 

state-of-the-art infrared auscultation system. 

COURSE LEARNING OBJECTIVES 

At the conclusion of this course, participants should be able to: 

• Identify abnormal heart and lung sounds during auscultation workshop. 

• Discuss common abnormal findings on chest x-rays. 

• Discuss issues related to mandatory influenza immunizations for health care workers. 

• Describe the relationship between sleep apnea and cardiovascular disease. 

• Define important diagnostic interpretive markers for abnormal liver tests. 

• Identify the diagnostic evaluation and principles of musculoskeletal injections. 

• Differentiate common differential diagnoses in gynecologic dermatology. 

• Describe the clinical evaluation process to differentiate common dementias. 

• Identify the relationship between polycystic ovary syndrome and women’s heart disease. 

• Discuss recommendations for pre-anesthesia examination variations. 

• Identify assessment variables that influence states of wellness. 

• Describe the link between erectile dysfunction and heart disease. 

• Discuss the most recent pharmacologic recommendations for cardiovascular diseases. 

• Differentiate between common and uncommon pediatric exanthems. 

• Identify health considerations for international travel. 

• Describe useful diagnostic tips in pediatric orthopedics. 

• Discuss innovative roles for nurse practitioners and physician assistants. 

Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the 

performance of any procedures that may be discussed or taught in this course. 

CREDIT 

This activity has been planned and implemented in accordance with the Essentials and 

Standards of the Accreditation Council for Continuing Medical Education through the joint 

sponsorship of Mayo Clinic College of Medicine, University of Minnesota Rochester, 

Association of Southeast Minnesota Nurse Practitioners, and Minnesota Academy of 

Physician Assistants. Mayo Clinic College of Medicine is accredited by the ACCME to 

provide continuing medical education for physicians. 

Mayo Clinic College of Medicine designates this educational activity for a maximum of 14 

category 1 credits towards the AMA Physician’s Recognition Award. Each physician should 

claim only those credits that he/she actually spent in the educational activity. 

Other health care professionals will be provided a certificate of attendance for requesting credits 

in accordance with state nursing boards, specialty societies, or other professional associations.

DATE AND LOCATION 

The Internal Medicine Review for Nurse Practitioners and Physician Assistants will be 

held Thursday, September 15- Friday, September 16, 2005. Course headquarters will be 

located in Phillips Hall, First floor of the Siebens Medical Education Building, 100 Second 

Avenue Southwest, Rochester, Minnesota. Meeting facilities are easily accessible by skyway 

and pedestrian subway, which connect Mayo Clinic to shops, restaurants, and hotels. 

REGISTRATION 

To register, complete the attached registration form and return by mail or fax. Registration is 

also available on-line at http://www.mayo.edu/cme/sep2005.html. The registration fee 

includes tuition, course syllabus, daily continental breakfasts, refreshment breaks, and 

breakout sessions. A letter of confirmation will be sent upon receipt of payment and 

completed registration form. Please present this letter when checking in at the meeting 

registration desk. 

CALL FOR POSTERS 

Abstracts are now being accepted for consideration for poster presentations for conference 

participants. The conference committee invites individuals to submit posters that address 

innovative and or interdisciplinary clinical practice models involving nurse practitioners and/or 

physician assistants in any health care delivery setting. Please submit a 250 word paragraph 

describing an innovative practice model by July 1, 2005 and include the presenter(s) CV with 

the submission. Send electronic submission to: fairbanks.dawn@mayo.edu (Dawn Fairbanks) 

You will be notified if your poster is accepted by July 22, 2005 and receive detailed 

information on the poster specifications and display requirements at that time. A waiver of 

50% of the registration cost of the conference will be provided for the primary author for 

posters accepted for display at the conference. 

CANCELLATION POLICY 

Your registration fee, less a $75 administrative fee, will be refunded when written notification 

is received by the Mayo School of Continuing Medical Education by September 1, 2005. You 

may FAX written notification to 507-284-0532. No refunds will be made after this date. 

PARKING 

Parking is available in hotel, city, and Mayo patient/visitor ramps. The cost for parking is 

not included in the registration fee. A map indicating the location of downtown parking 

facilities will be mailed with the registrant confirmation letter. 

TRAVEL ARRANGEMENTS 

Rochester, Minnesota, is a friendly city that greets thousands of visitors from around the 

world each year. The city is serviced by a modern international airport with multiple flights 

daily from Chicago and Minneapolis via American or Northwest Airlines. Access to and 

from the airport is provided by taxi cab and shuttle service. The airport is located 

approximately 10 miles from the Mayo Clinic complex. 

AAA Travel has been designated as the official travel agency for this course. Discounted 

airfare has been secured with American Airlines to travelers originating within North 

America. To obtain the special group airfare discounts or information about ground 

transportation arrangements, contact AAA Travel, Group Reservations department at: Local: 

507-289-0418; FAX: 507-289-9210; Toll Free: 800-888-5908; E-Mail: rochd@mn-ia.aaa.com. 

Please reference this course under star file #S9988, by destination and date.

LODGING ACCOMMODATIONS 

Blocks of guestrooms have been reserved with special course rates at each of the following 

downtown Rochester hotels. To ensure accommodations and the discounted rates, please 

make your reservation by August 24, 2005. Room rates do not include applicable city and 

state taxes. Reservation requests received after this date are subject to availability at the group 

rate. When making reservations, identify yourself as a participant in the Mayo Clinic Internal 

Medicine Review for Nurse Practitioners and Physician Assistants. 

Kahler Grand Hotel 

20 Second Avenue SW 

800-533-1655/507-282-2581 

$85 single/double 

Radisson Plaza Hotel 

150 South Broadway 

800-333-3333/507-281-8000 


Rochester Marriott Hotel 

101 First Avenue SW 

877-623-7775/507-280-6000 


The hotels listed above are connected by skyway and pedestrian subway to conference 

facilities, downtown shops, and restaurants. You may also wish to visit the Rochester 

Convention and Visitors Bureau website at www.rochestercvb.org. 

FACULTY 

Course Directors 

David A. Foley, MD 

Jane A. Linderbaum, MS, FNP 

Rick A. Nishimura, MD 

Mayo Clinic 

Shelley P. Ahrens, CNP 

William P. (Patricio) Aleman, PA-C 

Dalene M. Bott-Kitslaar, FNP 

Mark J. Callahan, MD 

Edward T. Creagan, MD 

Philip R. Fischer, MD 

Kevin C. Fleming, MD 

David A. Foley, MD 

Jane E. Getting, PA-C 

Lisa M. Gilman, MN, ANP 

Andrea A. Gossard, FNP 

Fred R. Kupfer, PA-C 


Mary L. Marnach, MD 

Wendy S. Moon, PNP 

Debra I. Mucha, NP 

Ajay Nehra, MD 


Steve R. Ommen, MD 

Gregory A. Poland, MD 

John J. Poterucha, MD 

Walter S. Rothwell, PA-C 

William J. Shaughnessy, MD 

Virend Somers, MD, PhD 

Joanna L. Stollings, PharmD 

Mary D. Thoma, PA-C 

Ellen D. Willis, MD 

FACULTY DISCLOSURE 

As a provider accredited by ACCME, Mayo Clinic College of Medicine (Mayo School of CME) 

must ensure balance, independence, objectivity and scientific rigor in its educational activities. 

Course Director(s), Planning Committee Members, Faculty, and all others who are in a 

position to control the content of this educational activity are required to disclose all relevant 

financial relationships with any commercial interest related to the subject matter of the 

educational activity. Safeguards against commercial bias have been put in place. Faculty also 

will disclose any off-label and/or investigational use of pharmaceuticals or instruments 

discussed in their presentation. Disclosure of these relevant financial relationships will be 

published in course materials so those participants in the activity may formulate their own 

judgments regarding the presentation.

Course Schedule 

THURSDAY, SEPTEMBER 15, 2005 

7:30 a.m. Registration and Continental Breakfast 

Marriott Ballroom 

8:00 a.m. Welcome and Introductions 

Jane L. Linderbaum, MS, FNP 

8:30 a.m. Controversies in Medicine: Should Influenza Immunizations 

Be Required for Health Care Workers? 

Gregory A. Poland, MD 

9:45 a.m. To Sleep, Perchance to Breathe...Sleep Apnea and Cardiovascular 

Death & Disease 

Virend Somers, MD, PhD 

10:45 a.m. Refreshment Break with Poster and Exhibit Viewing 


11:15 a.m. Fun and Games Interpreting Abnormal Liver Tests 

John J. Poterucha, MD and Andrea A. Gossard, FNP 

12:15 p.m. Lunch with Poster Viewing 


2:00 p.m. BREAKOUT SESSIONS 

Workshop: Musculoskeletal Injections in the Office 

Walter S. Rothwell Jr.,PA-C, Fred R. Kupfer, PA-C, Wendy S. Moon, PNP 

Siebens 405 

Auscultation – Do You Hear What I Hear? 

Steve R. Ommen, MD and Jane A. Linderbaum, MS, FNP 

Geffen Auditorium 

Does It Itch?: Gynecologic Dermatology 

Mary L. Marnach, MD and Jane E. Getting, PA-C 

Leighton Auditorium 

3:00 p.m. Refreshment Break with Poster Viewing 



Workshop: Musculoskeletal Injections in the Office 

Walter S. Rothwell, PA-C, Fred R. Kupfer, PA-C, Wendy S. Moon, PNP 

Siebens 405 

What is Polycystic Ovary Syndrome and How Does It Relate to 

My Patient’s Heart? 

Dalene M. Bott-Kitslaar, FNP 


Dementia Evaluation: Madness or Just Getting Old 

Kevin C. Fleming, MD and Patricio Aleman, PA-C 


4:30 p.m. “Pearls for Your Practice” from Today’s Sessions 


Phillips Hall 

5:00 p.m. Social Hour with Poster Viewing 


6:00 p.m. Keynote Dinner Presentation 

Working with NPs and PAs from a Physician Perspective – 

The Good, Bad and Ugly 


Phillips Hall

FRIDAY, SEPTEMBER 16, 2005 

7:30 a.m. Registration – Phillips Hall, Siebens Medical Education Building 

Continental Breakfast – Marriott Ballroom 

7:45 a.m. Welcome and Opening Comments 

Jane A. Linderbaum MS, FNP 

8:00 a.m. Valvular Heart Disease- When to Call a Cardiologist 

David A. Foley, MD and Jane A. Linderbaum, MS, FNP 

9:00 a.m. Pre-anesthesia Medical Exams 

Ellen D. Willis, MD and Mary D. Thoma, PA-C 

9:45 a.m. Refreshment Break and Poster Viewing 

Phillips Hall Foyer 

10:15 a.m. Chest X-Ray Interpretation 

Mark J. Callahan, MD 

11:15 a.m. Empowering Patients to Achieve Maximum Wellness 

Edward T. Creagan, MD 

12:00 a.m. Lunch – Marriott Courtyard 

Poster Viewing – Phillips Hall Foyer 


Common and Not-So-Common Pediatric Exanthems 

Debra I. Mucha, PNP 

Phillips Hall 

Insights into Men’s Health – The Link Between ED and CV Disease 

Ajay Nehra, MD 


Community Aquired Pneumonia 

Joanna L. Stollings, PharmD 


2:00 p.m. Refreshment Break with Poster Viewing 

Phillips Hall Foyer 


Medical Management of Congestive Heart Failure: The ABCD’s of Treatment 

Lisa M. Gilman, MN, ANP 

Phillips Hall 

Preparing Your Patients for International Travel 

Philip R. Fischer, MD and Shelley P. Ahrens, CNP 


Pearls and Pitfalls in Pediatric Orthopedics 

William J. Shaughnessy, MD and Wendy S. Moon, PNP 


3:30 p.m. “Pearls for Your Practice” from Today’s Sessions 

Closing Comments and Evaluations 


Phillips Hall 

3:45 p.m. Adjournment 

4:00 p.m. Physician Assistants Town Hall Meeting and Reception 

The Minnesota Academy of Physician Assistants invites you to share concerns, 

bring questions, and learn about professional issues 

Phillips Hall, Siebens Medical Education Building

REGISTRATION FORM 

2005R180 

Internal Medicine Review for Nurse Practitioners 

and Physician Assistants 

Thursday, September 15 – Friday, September 16, 2005 • Rochester, Minnesota 

Complete the form below, print and submit by mail or FAX. Pre-registration is required. The registration fee includes 

tuition, comprehensive course syllabus, continental breakfasts, refreshment breaks, luncheons, and reception. A letter of confirmaion 

will be sent upon receipt of payment and completed registration form. Enrollment is limited; early registration is encouraged. 

For additional information, contact: 

Mayo School of Continuing Medical Education Phone 800-323-2688 or 507-284-2509 

Plummer 2-60 FAX 507-284-0532 

200 First Street SW E-mail cme@mayo.edu 

Rochester, MN 55905 Web site www.mayo.edu/cme 

On-line registration available at http://www.mayo.edu/cme/sep2005.html 

Contact Information 

Name of Registrant – first name, middle name or initial, and last name 

Name of Institution 

Degree – select all that apply 

MD PhD DO PA NP 

Other – specify: 

Medical Specialty 

Preferred Mailing Address – select one Work/Business Home 

Work/Business Address – street address 

Work Phone – include all country and city/area codes as 

needed along with complete phone number 

City State or Province ZIP or Postal Code Country 

Home Address – street address 

Home Phone – include all country and city/area codes as 


City State or Province ZIP or Postal Code Country 

E-mail Address FAX – include all country and city/area codes as FAX Location – select one 


Work/Business 

Home 

SPECIAL 

If you have special assistance needs or dietary restrictions, describe here: 

NEEDS 

Breakout Sessions – indicate first, second, and third choice for each day. Space is limited and will be 

processed on a first come-first serve basis. 

Thursday, Sept. 15 at 2:00 p.m. 

Friday, Sept. 16 at 1:00 p.m. 

___ Musculoskeletal Injections in the Office 

___ Common and Not-So-Common Pediatric Exanthems 

___ Auscultation 

___ Insights into Men’s Health 

___ Gynecologic Dermatology 

___ Community Acquired Pneumonia 

Thursday, Sept. 15 at 3:30 p.m. 

___ Musculoskeletal Injections in the Office 

___ Polycystic Ovary Syndrome 

___ Dementia Evaluation 

Friday, Sept. 16 at 2:30 p.m. 

___ Management of Congestive Heart Failure 

___ Preparing Your Patients for International Travel 

___ Pearls and Pitfalls in Pediatric Orthopedics 

Yes, I will attend the (complimentary) keynote presentation by Rick A. Nishimura, MD to be held on Thursday, 

September 15 at 6:00 p.m. 

Yes, I will attend the (complimentary) Physician Assistants Town Hall Meeting and Reception to be held on 

Friday, September 16 at 4:00 p.m. 

NP / PA Fee: $265 $______________ 

Physician Fee: $500 $______________ 

Payment Information 

Check is enclosed in the amount shown at right – make checks payable to Mayo Foundation Payment Total 

Credit Card – select one Account Number Exp Date – mm/yy 

Discover MasterCard Visa 

Name of Cardholder – as it appears on the card 

Signature of Cardholder – required 

X

200 First Street SW 

Rochester, Minnesota 55905 

Non-Profit 

Organization 

U.S. POSTAGE PAID 

Minneapolis, MN 

Permit No. 3395 

Internal Medicine Review for Nurse 

Practitioners and Physician Assistants: 

A Case Study Approach to the Management 

of Common Problems 

Thursday and Friday 

September 15 – 16, 2005 

Mayo Clinic 

Rochester, Minnesota 

2006 CONFERENCE 

Mark your calendar now and join us 

for next year’s conference! Registration 

begins Summer 2006. 

Thursday and Friday, 

September 14 – September 15, 2006 

Mayo Clinic, Rochester, MN 

http://www.mayo.edu/cme/sep2005.html 

© 2005, Mayo Press • Printed in U.S.A. MC8002-39

CME 4-Panel, 2-Color - Int Med Rev NP/Phys ... - Mayo Clinic

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