2023 Clinical Challenges in Hospital Medicine

Wednesday, May 10

8:00 - 8:30 AM  Diabetes Medication Update for the Hospitalist 
Marco Corallo, DO, FACOI 
In this session, you'll learn: 

  • Use of different treatment options for inpatient hyperglycemia.
  • Knowing when it is appropriate for an insulin pump patient to operate their pump during hospital stay.
  • Knowing which non-insulin drugs can or should not be used in hospitalized patients.

8:35– 9:20 AM  Blood Product Utilization 
Amanda E. Haynes, DO  
In this session, you'll learn how to:

  • Describe basic concepts of anemia
  • Define indications for and use of blood components
  • Examine potential risks of blood products

9:25 – 10:10 AM  Antibiotic Stewardship 
Todd P. Levin, DO, FACOI 
In this session, you'll learn how to:

  • Discuss the adverse effects of antibiotics use
  • Understand the principals of optimal antibiotic use
  • Discuss the elements of an antimicrobial stewardship program

10:15 - 11:00 AM  Adrenal Disease for Hospital Medicine
John R. Sutton, DO, MACOI

11:05 - 11:35 AM  Lessons Learned from COVID19? 
Laurie Welton, DO, FACOI 
In this session, you'll learn how to:

  • Discuss the history of SARS and what we have learned about the viruses
  • Compare treatments and vaccines for Covid 19 (SARS 2)
  • Discuss isolation recommendations for Covid 19

11:35 AM -12:30 PM  LUNCH BREAK   

12:30 – 1:05 PM  Review of Strategy: Positive and Negative Value of Procalcitonin 
Patrick C. Cullinan, DO, FACOI 
In this session, you'll learn how to:

  • Discuss how procalcitonin is regulated.
  • Define the role that procalcitonin plays in patient management.
  • Understand the potential pitfalls of using procalcitonin.

1:10 - 1:50 PM  Usefulness of Rapid/Molecular Diagnostics 
Kenneth Woods, DO
In this session, you'll learn how to:

  • Review history and basics behind rapid/molecular technologies in clinical practice as related to Infectious Diseases diagnostics. (ie. RDT, Rapid Diagnostic Testing)
  • Discuss and compare timeline of rapid/molecular testing vs. older more traditional testing methods.
  • Discuss benefits of rapid/molecular testing and contrast with the negative impacts.

1:55 - 2:35 PM  Sepsis 
Mouhamed Shatila, DO 
In this session, you'll learn how to:

  • Understand the current literature regarding the use of steroids in septic shock
  • Understand the pathophysiology of adrenal insufficiency in septic shock
  • What the possible future holds for the use of steroids in septic shock

Thursday, May 11

8:00 - 8:40 AM  Medical Errors
Robert T. Hasty, DO, FACOI 
In this session, you'll learn how to:

  • Create a culture of safety in a healthcare organization.
  • Describe the role of technology in prevention of medical errors.
  • Discuss selected strategies for error reduction and prevention.

8:45 - 9:30 AM  Wound Care in the Hospital 
Davin Haraway, DO, FACOI 
In this session, you'll learn how to:

  • Discuss the physiology of normal wound healing.
  • Outline principals for picking out dressings in various wounds.
  • Consideration of principals for flap closure of wound.

9:35 - 10:00 AM  Heart Failure: When to Refer for Advanced Heart Failure 
Robert J. Chilton, DO, MACOI 

10:05 – 10:35 AM  Appropriate Use of High Sensitivity Troponins 
Robert J. Chilton, DO, MACOI 

10:40 - 11:20 AM  ECMO: When and Why 
Joan C. Wiley, DO, FACOI 
In this session, you'll learn how to:

  • Understand the differences between VV-ECMO and VA-ECMO
  • Discuss the major indications for VV-ECMO consideration/usage
  • Discuss complications that can be seen in VV-ECMO and VA-ECMO

11:00 AM - 12:20 PM  Break for Lunch  

12:00 - 1:05 PM  Inpatient Evaluation and Treatment for Patients with Congestive Heart Failure 
Chad A. Link, DO, FACOI 
In this session, you'll learn how to:

  • Heart Failure With Reduced LV Function (HFrEF) Guidelines Update and What’s New in 2021-2022
  • Where we are at with Heart Failure with Preserved LV Function (HFpEF)and discuss the current and past clinical trials from 2003-2022
  • Previous and recent clinical trials for patients presenting with acute CHF and current treatment recommendations for hospitalized patients with CHF

1:10 - 1:55 PM  Anticoagulation Updates for Atrial Fibrillation
Chad A. Link, DO, FACOI  
In this session, you'll learn how to:

  • Review several modifiable risk factors that contribute to AF and AF burden.
  • Guideline-directed first-line use of direct-acting oral anticoagulants (DOACs) as first-line therapies to prevent stroke or systemic embolism associated with atrial fibrillation.
  • Discuss emerging anticoagulation therapies for VTE and AF

2:00 – 2:45 PM  Opioids and Addiction for the Hospitalist 
Holly L. Geyer, MD
In this session, you'll learn how to:

  • Understand the role of over-prescribing in driving the opioid epidemic
  • Discuss the role of safe opioid prescribing and administration
  • Analyze the drivers of opioid addiction and how to address it

2:50 - 3:45 PM  Denial Management and Avoidance  
Ariana L. Peters, DO, FACOI, FHM, CMPC 
In this session, you'll learn how to:

  • Discuss common denial reasons
  • Describe denial avoidance strategies
  • Demonstrate communication techniques with case examples

Friday, May 12 

8:00 - 8:50 AM  Palliative Care Management 
Annette T. Carron, DO, FACOI 
In this session, you'll learn how to:

  • Introduce how Palliative Care can help the hospitalist.
  • Recognize when to refer a patient to Hospice vs. Palliative Medicine.
  • Educate on determining decision making capacity.

8:55 - 9:40 AM  Pain Management for Addicted, Medically Assisted or Relapsing Patients 
Annette T. Carron, DO, FACOI  
In this session, you'll learn how to:

  • Describe the rationale for opioid treatment in the patient with history of opioid use disorder.
  • Outline the scope of the opioid epidemic.
  • Recognize the importance of using tools for managing pain.

9:45 - 10:30 AM  CODE: Stroke! 
John R. Dahdah, DO 
In this session, you'll learn how to:

  • Diagnose: Understand stroke warning signs and diagnostic modalities
  • Treat: Review acute stroke therapies
  • Recovery: Consider short-term and long-term recovery plans

10:35 - 11:20 AM  Hypertension Crisis Management 
John R. Dahdah, DO 
In this session, you'll learn how to:

  • Diagnose hypertensive urgency and hypertensive emergency
  • Understand antihypertensive medication regimens aimed at managing hypertensive crises and providing long-term hypertension control
  • Review evidence guiding management of intracranial hemorrhage secondary to hypertensive emergency

11:25 - 12:15 PM  Inpatient Management of Hyperglycemia 
Nadine E. Palermo, DO 
In this session, you'll learn how to:

  • To review the rationale for glycemic control in the hospital and evidence-based recommendations for glycemic targets.
  • To discuss management strategies for common inpatient clinical scenarios.
  • To review important aspects to consider with new therapies for diabetes including use of non-insulin agents and technology in the acute setting and implications for transition of care.

12:15 - 1:00 PM LUNCH BREAK 

1:00 - 1:45 PM  A Day in the Life of a GI Hospitalist 
J. Steven Blake, DO, FACOI 
In this session, you'll learn how to:

  • Give exposure to the hospitalist's history, daily duties as a generalist (Internal medicine/Family Medicine), as a specialist/subspecialist, and particularly that of a gastroenterologist.
  • Revealing and confirming the transformative changes in the practice of medicine for the inpatient and outpatient.
  • Revealing the new lifestyles for the modern physician.

1:50 - 2:35 PM  Care of the Transgender Patient in a Hospital Setting  
Ole-Petter R. Hamnvik, MD 
In this session, you'll learn how to:

  • List key concepts and terms pertaining to transgender and gender diverse identities.
  • Outline the principles of gender-affirming hormone therapy.
  • List approaches to management of gender-affirming hormones in patients admitted to the hospital.

2:40 - 4:00 PM  Curbside Consultations: "Hey, Doc, Got a Minute?" 
Gerald W. Blackburn, DO, MACOI, Moderator  
Kevin P. Hubbard, DO, MACOI 
Joanne Kaiser-Smith, DO, FACOI 
Charlene A. LePane, DO, FACOI 
John E. Prior, DO, FACOI
In this session, you'll learn:

  • To help make our Osteopathic Internists more thoughtful, more compassionate, more knowledgeable, and overall uniquely more capable clinicians than their allopathic counterparts
  • To (hopefully) provide “pearls” useful to the internist in the care of his/her patients with complex or otherwise challenging medical problems
  • In the appropriate scenario, to remind clinicians to consider Toxic Shock Syndrome, potentially resulting in an improved outcome where current mortality estimates are 30-70%

Saturday, May 13

8:00 - 8:35 AM  OMM in the Hospital Setting 
Antonios Tsompanidis, DO 
In this session, you'll learn how to:

  • To review basic osteopathic philosophy, physiology and the application of OMT.
  • To review basic techniques that can be utilized safely for hospital patients.
  • To review how to these techniques can be adjuncts to standard medical care to improve outcomes.

8:40 - 9:20 AM  Medicare's 2023 Position on Split Shared Visits, Critical Care and Prolonged Care 
Jill M. Young, CEMC, CPC, CEDC, CIMC 
In this session, you'll learn how to:

  • Understand the concept of Split Shared and Critical Care visits from both CPT and CMS/Medicare's perspective.
  • Understand the differences between CPT and CMS regarding Prolonged Care including the differences in time periods and differences in the actual codes to be billed.
  • Understand the new details of Split Shared visits and Critical Care including the use of the initial Critical Care code, time blocks and code assignment.

9:25 – 10:05 AM  Social Determinants of Health, Health Care Disparities, and Health Inequities: The Role of Hospitalists
Adam J. Milan, MD, PhD 
In this session, you'll learn how to:

  • Describe key concepts related to health care disparities and the intersection with hospital medicine.
  • Identify the role of the medical workforce and healthcare institutions in improving care to underserved populations.
  • Formulate and apply strategies and interventions to reduce health care disparities.

10:10 – 11:00 AM  Starting Difficult IVs and Central Lines with POCUS 
Peter Bonadonna 

11:05 – 11:50 AM  Licensing and Certifying Board Issues? OCC Requirements 
J. Rico Blanco, AOBIM Executive Director 
In this session, you'll learn how to:

  • Define the Osteopathic Continuous Certification process.
  • Discuss American Osteopathic Board of Internal Medicine Subspecialties.
  • Review audience questions.

11:55 AM- 12:00 PM Closing Comments
Rick A. Greco, DO, MACOI