Physician Assistant Academy of Vermont
We are YOUR Voice. We are YOUR PAAV.

38th Annual Winter CME Conference

The Lodge at Spruce Peak
7412 Mountain Road
Stowe, VT 05672

Thursday, January 23, 2020 at 1:30pm ET - Sunday, January 26, 2020 at 12:30pm ET

7412 Mountain Road, Stowe, VT 05672

Info

Credits Offered

This event offers 28.5 CME credits to attendees.
Accredited by : This activity has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 28.50 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation. This activity was planned in accordance with AAPA CME Standards for Live Programs and for Commercial Support of Live Programs..


Additional Information

Dear Colleagues,

It is my pleasure to present the 2020 PAAV Winter CME Conference program. It is the culmination of our talented committee's efforts driven in large part by the evaluations and requests of our membership and attendees.

Our 38th Annual Meeting returns to our traditional location now renamed: The Lodge at Spruce Peak in Stowe, Vermont at the height of the winter season. Slope side skiing, heated outdoor pool, full spa services, and a village of great dining options await you in this historic ski community.

Join us to recharge your professional batteries and enjoy a memorable weekend in the Green Mountains.  We offer outstanding networking opportunities, and provide a food service commensurate with this resort property all included in your registration costs.

Goals and philosophy of our education program:
• Lecture-based continuing education needs to be inspirational and entertaining as well as simply educational and deserving of busy clinicians' time and attention.
• We focus on areas of new clinical and technical knowledge that cross specialty areas such that content is reevant to all.
• Speakers are chosen not just for their content expertise, but also for their expert presentations skills.
• Workshops offer more in-depth, small group learning opportunities including the Vermont State mandated opiate CME training for PA's.

Our loyal following of PAs and NPs come year after year. If you have not joined us in the past, please review the
program we offer and discover the unique experience that is the PAAV Annual Winter CME Conference.

We look forward to having you with us in Stowe in January.

Sincerely,

Cary J. Stratford, PA-C

Chairman – PAAV CME Committee

Event Agenda

38th Annual Winter CME Conference

Event Agenda

Thursday, January 23, 2020 at 1:30pm ET - Sunday, January 26, 2020 at 12:30pm ET

All times listed in Eastern Time (US & Canada).
Download event agenda (PDF)

Thursday, January 23, 2020

  • 1:30pm - 2:30pm

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

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

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

  • 2:30pm - 3:30pm

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

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

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

  • 3:30pm - 4:00pm

    COFFEE BREAK

  • 4:00pm - 5:00pm

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

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

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

  • 5:00pm - 6:00pm

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

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

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

  • 6:00pm - 7:00pm

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

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

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

Friday, January 24, 2020

  • 7:00am - 9:00am

    BREAKFAST

  • 7:00am - 9:00am

    PAAV BUSINESS MEETING

  • 8:00am - 11:00am

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

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

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

  • 9:00am - 10:30am

    WORKSHOP 2 – STOP THE BLEED

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

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

  • 11:00am - 1:00pm

    WORKSHOP 3 – OPIOID TRAINING

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

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

  • 11:00am - 1:30pm

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

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

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

  • 1:30pm - 2:30pm

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

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

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

  • 2:30pm - 3:30pm

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

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

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

  • 3:30pm - 4:00pm

    COFFEE BREAK

  • 4:00pm - 5:00pm

    GOING NOWHERE? NEW OPTIONS IN MANAGEMENT OF CHRONIC CONSTIPATION

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

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

  • 5:00pm - 6:00pm

    NO PAIN? MUCH GAINED: BUILDING PATHWAYS IN PAIN MANAGEMENT

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

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

  • 6:00pm - 7:00pm

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

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

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

  • 7:00pm - 9:00pm

    RECEPTION

Saturday, January 25, 2020

  • 7:00am - 8:00am

    BREAKFAST

  • 8:00am - 9:00am

    NO BONES ABOUT IT? OSTEOPOROSIS STATE OF THE ART MANAGEMENT

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

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

  • 9:00am - 9:30am

    CRYSTAL THERAPY: GOUT MANAGEMENT OPTIONS – NEW CHOICES

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

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

  • 9:30am - 10:00am

    GUT PARASITES? COMMON INTESTINAL PARASITES IN THE NORTHEAST

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

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

  • 10:00am - 10:30am

    COFFEE BREAK

  • 10:30am - 11:30am

    REVERSAL REHEARSAL: MANAGEMENT OF ANTICOAGULANTS IN THE BLEEDING PATIENT

    Robert Dachs, MD, FAAFP
    1.0 CE Credit

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

  • 11:30am - 12:00pm

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

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

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

  • 12:00pm - 12:30pm

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

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

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

  • 12:30pm - 1:30pm

    LUNCH BUFFET

  • 1:30pm - 2:30pm

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

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

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

  • 2:30pm - 3:30pm

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

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

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

  • 3:30pm - 4:00pm

    COFFEE BREAK

  • 4:00pm - 5:00pm

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

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

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

  • 5:00pm - 5:30pm

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

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

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

  • 5:30pm - 6:00pm

    SUCCEEDING WITH BLEEDING: MANAGEMENT OF MICROHEMATURIA

    Zita Ficko, MD
    0.5 CE Credits

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

  • 6:00pm - 6:30pm

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

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

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

  • 6:30pm - 7:00pm

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

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

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

Sunday, January 26, 2020

  • 7:00am - 8:00am

    BREAKFAST

  • 8:00am - 9:00am

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

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

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

  • 9:00am - 10:00am

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

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

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

  • 10:00am - 10:30am

    COFFEE

  • 10:30am - 11:30am

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

    Joshua White, MD
    1.0 CE Credit

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

  • 11:30am - 12:30pm

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

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

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

Register

PAAV Member
Early Bird Discount Until 11/6/2019
$635.00   $485.00

Student Member
Early Bird Discount Until 11/6/2019
$220.00   $170.00

Member Business Meeting - Friday, January 24, 7:00am - 9:00am
Free

Workshop 1 - Ortho - Member
Early Bird Discount Until 11/6/2019
$125.00   $85.00

Workshop 2 - Bleed - Member
Early Bird Discount Until 11/6/2019
$100.00   $50.00

Workshop 3 - Opioid - Member
Early Bird Discount Until 11/6/2019
$165.00   $125.00

Workshop 4 - Lacerations - Member
Early Bird Discount Until 11/6/2019
$165.00   $125.00

Non-Member
Early Bird Discount Until 11/6/2019
$785.00   $635.00

Student Non-Member
Early Bird Discount Until 11/6/2019
$270.00   $220.00

Workshop 1 - Ortho - Non-Member
Early Bird Discount Until 11/6/2019
$140.00   $100.00

Workshop 2 - Bleed - Non-Member
Early Bird Discount Until 11/6/2019
$140.00   $100.00

Workshop 3 - Opioid - Non-Member
Early Bird Discount Until 11/6/2019
$185.00   $145.00

Workshop 4 - Lacerations - Non-Member
Early Bird Discount Until 11/6/2019
$185.00   $145.00

Hard Copy of Program Book
$25.00

Guest Breakfast - Adult

Includes tickets for all days of breakfasts and coffee breaks

$125.00

Guest Breakfast - Adult - 2 tickets
$250.00

Guest Breakfast - Child (6-12 yrs)

Includes tickets for all days of breakfasts and coffee breaks

$75.00

Guest Breakfast - Child (6-12 yrs) - 2 tickets
$150.00

Welcome Reception - Attendee

Friday, January 24 - 7:00pm - 9:00pm

Free

Welcome Reception - Adult Guest

Friday, January 24 - 7:00pm - 9:00pm

$75.00

Welcome Reception - Adult Guest - 2 tickets
$150.00

Welcome Reception - Child Guest (6-12 yrs)

Friday, January 24 - 7:00pm - 9:00pm

$50.00

Welcome Reception - Child Guest (6-12 yrs) - 2 tickets
$100.00