PAAV 39th Winter CME Annual Conference

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

Thursday, January 20, 2022

• 12:30pm - 1:30pm

  TAKE AWAYS FROM THE ERA OF “TAKE OUT”: LESSONS LEARNED THROUGH THE PANDEMIC

  Stephen Leffler, MD – Emergency Medicine Physician; President & Chief Operating Officer, University of Vermont Medical Center, Burlington, VT
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Outline medical care changes implemented during the pandemic
  2. Discuss changes in healthcare that will continue after the pandemic
  3. Discuss what we would do different?
  4. Are we more prepared for the next healthcare challenge?

• 1:30pm - 2:30pm

  FRIED??? DON’T DENY, RECTIFY! : HOW TO DEAL WITH BURNOUT

  Christine O’Neill, MMSc, PA-C, PCC – Burnout Interventionist, Executive Leadership Coach, Burlington, VT
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Compare the signs and symptoms of chronic stress, exhaustion, and burnout
  2. Identify where you fall on the continuum
  3. Describe the neuroscience of stress and burnout, along with why things feel extra hard in 2021 (and apply that learning right away)
  4. Discuss how the system you work in, and your relationships with work, contribute to burnout so that you can make adjustments that better support your moving forward

• 2:30pm - 3:30pm

  CONTEMPORARY EVALUATION OF BREAST COMPLAINTS: MASTERING THE HISTORY, EXAM, AND IMAGING IN PRIMARY CARE PRESENTATIONS

  Marybeth Hans, PA-C – Clinical Director, B-PREP Program, Brigham and Women’s Hospital, Boston, MA
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Take a focused HPI being cognizant of key risk factors for the development of breast cancer
  2. Perform a proper clinical breast exam with recognition of features suspicious for cancer
  3. Explain the benefits and limitations of imaging modalities available for diagnostic work up

• 3:30pm - 4:00pm

  COFFEE BREAK AND VISIT EXHIBITORS

• 4:00pm - 5:00pm

  NEW PARADIGM/OLD NEMESIS: GENITOURINARY SYNDROME OF MENOPAUSE

  Rebecca Shaffer, MD – Assistant Professor; Division of Urogynecology; Department of Obstetrics, Gynecology, and Reproductive Sciences; Larner College of Medicine; University of Vermont, Burlington, VT
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Discuss the physiologic changes that occur in the vagina, vulva, and bladder due to menopause
  2. Initiate a targeted physical exam and consider possible laboratory tests to evaluate for the genitourinary syndrome of menopause
  3. Discuss treatment options for the genitourinary syndrome of menopause and overactive bladder syndrome

• 5:00pm - 6:00pm

  VERMONT'S RESPONSE TO COVID-19: PAST, PRESENT, FUTURE AND THE ROLE OF THE PA

  Mark Levine, MD – Commissioner, Vermont Department of Health, Montpelier, VT; Professor of Medicine, University of Vermont, Burlington, VT
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Review and explain successes and lessons learned
  2. Selectively explore a number of controversies
  3. Inform what the future may hold and the role of PA’s moving forward

• 6:00pm - 7:00pm

  “YOU HAVE SKIN IN THE GAME” WHAT THE SPECIALIST WANTS YOU TO KNOW: DERMATOLOGY UPDATE FOR THE PRIMARY CARE PROVIDER

  Daniel Peraza, MD – Dermatologist, Lebanon, NH
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Increase accurate detection of some common clinical presentations of rashes and tumors
  2. Discuss mechanisms of action and indications for new therapeutics in psoriasis
  3. Review approach to management for some common rashes in outpatient setting

• 7:00pm - 8:00pm

  NETWORKING HAPPY HOUR -IMMEDIATELY FOLLOWING THE LAST LECTURE

Friday, January 21, 2022

• 7:30am - 8:30am

  BREAKFAST AND VISIT EXHIBITORS

• 8:00am - 10:00am

  MEMBER BUSINESS MEETING

  All members are welcome to join the board for the annual member business meeting.

• 8:00am - 10:00am

  WORKSHOP 1 – PROCEDURE BUFFET: THE EASIEST WAY TO FILL UP ON ALL THE ESSENTIALS

  Amy Keim, MS, PA-C – Associate Clinical Professor, Director of Acute Wound Management Education and Training, Department of Emergency Medicine, The George Washington Medical Faculty Associates, Washington, DC James Marinucci – Principal & CEO, Alleanza Group, LLC., Washington, DC, Former Director of Trauma Technology and Wound Management, Department of Emergency Medicine, The George Washington Medical Faculty Associates, Washington, DC Ryan Strauss, PA-C – Associate Clinical Professor, Director of Advanced Practitioners, Department of Emergency Medicine, The George Washington Medical Faculty Associates, Washington, DC
  2.0 CE Credits

  At the conclusion of this session, the participant will be able to:
  1. Perform foreign body removal from noses and ears
  2. Control anterior epistaxis
  3. Repair simple lacerations
  4. Perform an I&D
  5. Describe finger injuries and infections and perform digital block and nail bed repair
  6. Review approaches to dental emergencies

• 8:00am - 10:00am

  CANCELLED - WORKSHOP 2 – HEED, LEAD AND STOP THE BLEED

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

  At the conclusion of this session, the participant will be able to:
  1. Describe the STB program being taught to the public
  2. Practice hemorrhage control techniques, including the use of tourniquets, hemostatic bandages, and proper packing of wounds
  3. Prepare to become Stop the Bleed instructors
  4. Prepare for tactical environment so you can safely care for others

• 8:00am - 10:00am

  WORKSHOP 3 – BECOME A RADIOLOGY ROCK STAR!

  Frank Acevedo PA-C, MS, DFAAPA – Assistant Professor, Physician Assistant Studies Department, New York Institute of Technology, Old Westbury, NY Barbara Picirillo, PA-C, MS, DFAAPA – Associate Professor, Physician Assistant Studies Department, New York Institute of Technology, Old Westbury, NY
  2.0 CE Credits

  At the conclusion of this session, the participant will be able to:
  1. At the conclusion of this session, the participant will be able to:
  1. Differentiate between normal and abnormal structures on chest radiographs with emphasis on familiarity with normal appearances.
  2. Identify abdominal organs on cross sectional imaging studies.
  3. Identify and provide names for the major musculoskeletal structures in the human body
  4. Interpret a CT scan for normal and abnormal intracranial findings.
  5. Identify free intraperitoneal air on a plain abdominal or chest radiograph

• 10:30am - 1:00pm

  WORKSHOP 4 – ORTHO: WHAT TO KNOW WHEN YOUR PATIENT REALLY” HITS” THE SLOPES

  Amy Keim, MS, PA-C – Associate Clinical Professor, Director of Acute Wound Management Education and Training, Department of Emergency Medicine, The George Washington Medical Faculty Associates, Washington, DC James Marinucci – Principal & CEO, Alleanza Group, LLC., Washington, DC, Former Director of Trauma Technology and Wound Management, Department of Emergency Medicine, The George Washington Medical Faculty Associates, Washington, DC Ryan Strauss, PA-C – Associate Clinical Professor, Director of Advanced Practitioners, Department of Emergency Medicine, The George Washington Medical Faculty Associates, Washington, DC
  2.5 CE Credits

  1. Understand mechanisms, appropriate evaluation, and treatment associated with common orthopedic injuries
  2. Recognize common orthopedic injuries on x-ray
  3. Review peripheral blocks, hematoma blocks, and joint aspiration and injection techniques for management of dislocations and fractures
  4. Apply a variety of immobilization materials including aluminum, pre-formed and fiberglass splinting materials
  5. Understand typical complications associated with orthopedic injuries and make appropriate referrals to specialist consultants

• 11:00am - 1:00pm

  WORKSHOP 5 – ENHANCING THE PRIMARY CARE ASSESSMENT OF CARDIOVASCULAR RISKS: THE APPLICATION OF POINT-OF-CARE ULTRASOUND (POCUS)

  Frank Acevedo, PA-C, MS, DFAAPA – Assistant Professor, Physician Assistant Studies Department, New York Institute of Technology, Old Westbury, NY Barbara Picirillo, PA-C, MS, DFAAPA – Associate Professor, Physician Assistant Studies Department, New York Institute of Technology, Old Westbury, NY
  2.0 CE Credits

  At the conclusion of this session, the participant will be able to:
  1. Identify and properly utilize the appropriate knobs on an ultrasound for image acquisition, to include Power, Freeze, Depth, Gain, Time Gain Compensation (TGC) and Calculations to improve image quality
  2. Compare and contrast the sonographic characteristics of arteries and veins
  3. Perform dynamic carotid ultrasound measurements of intima-media thickness (IMT) for the presence of clinical atherosclerosis

• 11:00am - 1:00pm

  WORKSHOP 6 – OPIOID UPDATE: PART 1 – OPIOIDS FOR CHRONIC PAIN & PART 2 – OVERVIEW OF MEDICATION ASSISTED THERAPY FOR OPIOID USE DISORDER

  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 Elly Riser, MD – Hospitalist, University of Vermont Medical Center, Burlington, VT
  2.0 CE Credits

  At the conclusion of this session, the participant will be able to:
  1. Discuss opioid prescribing rules in Vermont
  2. Implement an office system for opioid therapy for chronic pain
  3. Describe opioid tapering stages
  4. Recognize the overlap between chronic pain and opioid use disorder
  5. Identify the role of Medication Assisted Therapy for Opioid Use Disorder
  6. Identify strategies and easy tools to identify patients at risk for abuse

• 1:00pm - 2:00pm

  “A STROKE OF GENIUS”: EVALUATING, MANAGING, AND PREVENTION STRATGIES FOR TIA & CVA IN 2022 … A PCP PERSPECTIVE

  Robert Baldor, MD, FAAFP – Professor & Founding Chair, Dept. of Family Medicine UMMS – Baystate, Designated Institutional Official, Baystate Franklin Medical Center, Greenfield/Springfield, MA
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Discuss basic stroke pathophysiology
  2. Assess patients presenting with possible signs of TIA or stroke; ordering appropriate imaging and testing as indicated
  3. Consider strategies to minimize post-stroke effects and improve recovery

• 2:00pm - 3:00pm

  “TALK TO ME”: THE INTELLIGENT INTEGRATION OF TELEMEDICINE IN THE POST-COVID WORLD

  Joshua White, MD – Division Medical Director, Gifford Health Care, Randolph, VT
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. When to and when not to use telemedicine
  2. Discuss the latest rules, regulations, and payment systems for telemedicine
  3. Describe tips and tricks to make a telemedicine visit more successful

• 3:00pm - 3:30pm

  “NOBODY KNEW” IMPROVING IDENTIFICATION OF “OCCULT” SUICIDE RISK PATIENTS

  Alexis Bailey, MD
  0.5 CE Credits

  At the conclusion of this session, the participant will be able to:
  1. Identify a potentially suicidal person
  2. Provide guidance for further assistance

• 3:30pm - 4:00pm

  COFFEE BREAK AND VISIT EXHIBITORS

• 4:00pm - 5:00pm

  “BY THE WAY” : WHEN YOUR PATIENT CASUALLY MENTIONS THAT THEY HAVE BEEN HAVING CHEST PAINS

  Joshua White, MD – Division Medical Director, Gifford Health Care, Randolph, VT
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Discuss the physiology/pathophysiology behind the complaint, and why it matters
  2. Identify when to send to the ER
  3. Review when can I send my patient home

• 5:00pm - 6:00pm

  THE WRATH OF THOR: A CASE-BASED APPROACH TO MANAGEMENT AND PREVENTION OF LIGHTENING INJURIES

  David Kuhns, PA-C Emeritus, CCPA, MPH, DFAAPA – Consultant on International Development of Physician Assistant/Associate (PA) Education and Clinical Roles, Portland, ME
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Differentiate between lightning and electrocution injuries
  2. Describe the epidemiology of lightning-related injuries
  3. Review the physics of lightning strikes and the associated mechanisms of injuries
  4. Describe lightning injuries and management, both pre-hospital and ED
  5. Identify various means of prevention of these injuries

• 6:00pm - 7:00pm

  THE CHALLENGES OF CARING FOR TRANSGENDER & GENDER DIVERSE PATIENTS ACROSS THE LIFESPAN: CONSIDERATIONS IN YOUR PRACTICE

  Diane Bruessow, MPAS, PA-C, DFAAPA – Instructor in the Physician Assistant Online Program, Department of Internal Medicine, Yale School of Medicine, New Haven, CT
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Apply current knowledge to the care of transgender and gender diverse patients across the lifespan
  2. Describe the treatment goals for the care of transgender and gender diverse patients across the lifespan
  3. Discuss medical care of transgender and gender diverse patients across the lifespan

Saturday, January 22, 2022

• 7:00am - 8:30am

  BREAKFAST AND VISIT EXHIBITORS

• 8:00am - 9:00am

  PANCREATIC ‘INCIDENTALOMAS ON IMAGING : …“ Explore or Ignore ?”

  Rick Davis, PA-C – Senior Physician Assistant, UF Division of Gastroenterology, Hepatology & Nutrition, Department of Medicine in the College of Medicine, Gainesville, FL
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Review new guidelines for diagnosis of pancreatic cystic lesions and surveillance
  2. Appreciate features of pancreatic lesions by cross-sectional imaging with MR, CT, and endoscopic ultrasound
  3. Describe features of pancreatic lesions with malignant potential or benign

• 9:00am - 10:00am

  PANEL DISCUSSION ” WHAT JUST HAPPENED?” CURRENT HEALTHCARE POLICIES AND TRENDS IMPLICATIONS FOR PA PRACTICE

  Diane Bruessow, MPAS, PA-C, DFAAPA – Instructor in the Physician Assistant Online Program, Department of Internal Medicine, Yale School of Medicine, New Haven, CT Luc Dupuis, PA-C – Physician Assistant, Porter Medical Center, Middlebury, VT Will Hoser, PA-C – Physician Assistant, Springfield Medical Care System (SMCS), Springfield, VT
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Describe barriers preventing Pas form practicing to the full extent of our education, training, and experience
  2. Outline opportunities for Pas to expand access to care, reduce healthcare spending, help employers meet patient needs, and strengthen healthcare teams
  3. Illustrate desired outcomes from federal, state, and practice level opportunities for PAs

• 10:00am - 10:30am

  COFFEE BREAK AND VISIT EXHIBITORS

• 10:30am - 11:30am

  WHEN “ITIS” IS THE NIDUS: ENDO, MYO, AND PERICARDITIS.. PRESENTATIONS AND EVALUATIONS IN PRIMARY CARE

  Adrian Banning, DHSC, MMS, PA-C – Associate Clinical Professor, Drexel University College of Nursing and Health Professions, Philadelphia, PA
  1.0 CE Credit

  1. Differentiate the etiology, signs, and symptoms of endocarditis, myocarditis and pericarditis
  2. Describe the approach to consultation and treatment of the above
  3. Explain prognosis and sequelae for the above

• 11:30am - 12:30pm

  UPDATE FROM NCCPA: PULLING BACK THE CURTAIN

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

  At the conclusion of this session, the participant will be able to:
  1. Recognize the many ways PAs may participate in the organization including leadership positions, content development for knowledge assessments and more
  2. Recognize the options available for PANRE beginning in 2023
  3. Define and describe the CAQ program
  4. Describe the disciplinary policy and role of NCCPA

• 12:30pm - 1:45pm

  LUNCH - JOIN US FOR LUNCH

• 1:45pm - 2:45pm

  “PREP SCHOOL“: PRESCRIBING HIV PREVENTION: PREEXPOSURE PROPHYLAXIS …WHO, HOW, AND WHEN?

  Jonathan Baker, PA-C – Physician Assistant, Laser Surgery Care, New York, NY
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Identify risk factors for HIV among their patients
  2. Become familiar with prescribed HIV prevention methods including all available PrEP options
  3. Reference current guidelines for the use of ARVs as prevention
  4. Discuss how medical HIV prevention can be tailored as part of patient-centered care

• 2:45pm - 3:45pm

  “PRACTICE WHAT WE PREACH”: HOW TO STAY CURRENT WITH EVIDENCE BASED MEDICINE… STRATAGIES AND RESOURCES

  Adrian Banning, DHSC, MMS, PA-C – Associate Clinical Professor, Drexel University College of Nursing and Health Professions, Philadelphia, PA
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Review basic tenets of EBM and medical decision-making
  2. Identify common barriers to engaging with the applying medical evidence
  3. Describe a simple and realistic system for having high-quality evidence come to you regularly
  4. Identify high-quality sources for pre-appraised evidence at the point-of-care

• 3:45pm - 4:00pm

  COFFEE BREAK AND VISIT EXHIBITORS

• 4:00pm - 5:00pm

  SWEET SUCCESS OR DRUG OVERDOSE?: SORTING THROUGH THE NEW PHARMACOLOGY OF DIABETES MANAGEMENT AND THE ROLE OF TRADITIONAL THERAPEUTICS

  Ellen Mandel, DMH, MPA, MS, PA-C, RDN, CDCES – Clinical PA, Atlantic Health Family Care, Green Brook, NJ
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Apply updated American Diabetes Association Guidelines for medication selection
  2. Evaluate the benefits of using “Treat To Target” in addition to the Hbg A1c in patient outcomes
  3. Consider new approaches to minimizing morbidity applying recent outcome trails

• 5:00pm - 6:00pm

  “WE’VE GOT YOUR BACK”: TRICKS OF THE TRADE IN ASSESSING THE PATIENT WITH LOW BACK PAIN… WHAT REALLY MATTERS?

  Andrew Perron, MD, FACEP – Associate Dean for Graduate Medical Education, Professor of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Identify high-yield portions of the physical examination for back pain
  2. Know the pitfalls in evaluating back pain
  3. Describe the natural history for back pain patients presenting to the ER

• 6:00pm - 7:00pm

  WHEN “FUNCTIONAL” IS “ DYSFUNCTIONAL”… IRRITABLE BOWEL SYNDROME GETS A MAKEOVER

  Rick Davis, PA-C – Senior Physician Assistant, UF Division of Gastroenterology, Hepatology & Nutrition, Department of Medicine in the College of Medicine, Gainesville, FL
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Evaluate patients with IBS using the Rome IV diagnostic criteria and 2021 practice guidelines
  2. Develop a differential diagnosis for patients with features of IBS with attention to alarm signs and symptoms
  3. Select appropriate treatment options for patients with IBS

Sunday, January 23, 2022

• 7:00am - 8:30am

  BREAKFAST - BRING YOUR APPETITE!

• 8:00am - 9:00am

  “GAME CHANGERS?” LITERATURE REVIEW AND LESSONS IN FAMILY MEDICINE AND PEDIATRICS

  Melissa Foye-Petrillo, DO, FAAP – Pediatric Hospitalist, Ellis Pediatrics, Schenectady, NY John Petrillo, DO – Program Director, Ellis Medicine Family Medicine Residency, Schenectady, NY
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Review updated recommendations from AAP/AAFP/USPSTF on common outpatient topics in pediatrics and family medicine

• 9:00am - 10:00am

  “BRAIN TEASERS”: NEUROLOGY UPDATE FOR THE NON-NEUROLOGIST 2022

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

  At the conclusion of this session, the participant will be able to:
  1. Discuss recent literature in neurology that relates directly to primary care management
  2. Discuss and identify new important pharmacologic options in migraine/seizure and MS
  3. Identify the appropriate history, exam, and lab/imaging options in common neuro complaints

• 10:00am - 10:30am

  COFFEE BREAK AND HOTEL CHECK-OUT

• 10:30am - 11:30am

  HIGH-RISK ORTHOPEDIC EMERGENCIES: INJURIES YOU CAN’T AFFORD TO MISS

  Andrew Perron, MD, FACEP – Associate Dean for Graduate Medical Education, Professor of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Discuss what the high risk injuries in orthopedics that the clinician needs to be aware of
  2. Identify common pitfalls in the evaluation of orthopedic injuries
  3. Describe the treatment of orthopedic emergencies

• 11:30am - 12:30pm

  “BECOMING THE MVP OF STD’S”: UPDATE ON SEXUAL TRANSMITTED INFECTIONS: ADVANCED AND INTERESTING CASES

  Jonathan Baker, PA-C – Physician Assistant, Laser Surgery Care, New York, NY
  1.0 CE Credit

  At the conclusion of this session, the participant will be able to:
  1. Discuss clinical presentation, workup, and treatment of common STIs
  2. Review and reference current guidelines for screening and treatment of STIs
  3. Recognize atypical STI presentations and treatment options
  4. Contextualize STIs among a diverse patient population (including relationship structures and sexual/gender diversity)