
ACOI 2024 Clinical Challenges in Hospital Medicine Agenda
Tuesday, April 9
Welcome
Rick A. Greco, DO, MACOI & Mia A. Taormina, DO, FACOI
8:00-9:00 AM  Diabetes and CKM Syndrome: Treating More than the Triad 
John R. Sutton, DO, MACOI
In this session you will learn:
- The stages of CKM syndrome
 - The AHA Life's Essential 8
 - The CKM syndrome treatment recommendations
 
9:05-9:50 AM  Transitions Between Inpatient and Outpatient Management of Diabetic Patients
Quang T. Nguyen, DO
In this session you'll learn:
- The key challenges and factors influencing the transition from inpatient to outpatient management in chronic pain patients
 - Best practices for developing personalized care plans to facilitate seamless transitions and improve patient outcomes
 - Challenges associated with transitions and identify solutions to overcome barriers for more effective chronic pain management
 
9:55-10:40 AM  Understanding Obesity Management: GLP-1 Agents and  Weight Loss
Jeffrey S. Freeman, DO, FACOI
In this session you will discuss:
- The epidemic of obesity
 - The physiologic basis of GLP and GLP-GIP
 - Clinical trials and clinical applications of GLP and GLP-GIP use for treatment of obesity
 
10:45-11:30 AM  To Transfuse or Not to Transfuse: A Review of Blood and Blood Product Guidelines
Minh-Ha Tran, DO
In this session you'll learn:
- The origins of commonly held transfusion practices
 - The key principles underlying transfusion therapy
 - Current recommendations for red cell and platelet transfusion thresholds
 
11:35 AM - 12:20 PM  Presentation of Acute Adverse Drug Reactions to Common Chemotherapeutic Drugs
Joseph W. McCollom, DO, FACOI
In this session you will learn:
- The grades of chemotherapy related nausea and anemia and approaches to prevention and treatment
 - Quality of life impacting chemotherapy induced peripheral neuropathy and fatigue as well as strategies to mitigate it
 - Unique toxicities of immunotherapy agents, steroid responsiveness as well as strategies in endocrinopathies and steroid refractory disease
 
12:25-1:10 PM  Management of ESRD Patient Who Desires In-Home Dialysis
Mark D. Baldwin, DO, FACOI
In this session you'll learn:
- The basic terms of dry weight, access, dialysate, return, and ultrafiltrate and principles of dialysis and fluid removal
 - The basic structure and types of home dialysis, the benefits, and appropriates patients
 - The care of dialysis access and commonly associated conditions and treatments
 
1:15-2:00 PM  Acute Kidney Injury: An Update
Anis Rauf, DO
2:05 - 2:50 PM  Diverticulitis Disease
Herbert L. Pasternack, DO, FACOI
2:55-3:25 PM  Endoscopic Advances in GI
Tolga Erim, DO
In this session you'll learn:
- Endoscopic role of treatment of pancreatic fluid collections
 - Novel lumen apposing metal stent uses in endoscopy
 - Different endoscopic modalities for treating bile duct and pancreatic dust strictures
 
3:30-4:20 PM  New Therapies in GI 
Robert Aran, DO
In this session you'll learn to:
- Define ALF and etiologies
 - Differentiate acue on chronic liver failure from acute liver failure
 - Develop a therapy plan for ALF and ACLF
 
"A good selection of practical and thought provoking topics."
Wednesday, April 10
8:00 - 8:45 AM  Goal Directed Medical Therapy for the Management of Congestive Heart Failure
Arash Karnama, DO, FACOI
In this session you'll learn:
- The pathophysiology of congestive heart failure
 - Non-pharmacologic management options for congestive heart failure
 - Guideline Directed Medical Therapy for heart failure with reduced and preserved ejection fraction
 
8:50 - 9:35 AM  Review of Non-Invasive Diagnosis in Coronary Artery Disease
Vik Gongidi, DO, FACOI
9:40 - 10:30 AM  Hospitalist Role in Length of Stay
Beth J. Makowski Shell, DO, FACOI
In this session you'll learn:
- Trends and drivers of increasing length of stay
 - To identify clinical vs. operational opportunities in length of stay improvement
 - To engage hospitalist teams for length of stay improvement
 
10:35-11:30 AM  Work-up of the Hospitalized Fever of Unknown Origin Patient when Infectious Disease Work-up is Unrevealing 
Christian M. Chiaveta, DO, FACOI
In this session you will learn:
- What a fever of unknown origin is and how the definition has changed over the years
 - The epidemiology, classifications, and diagnostic workup of the infectious and non-infectious fever of unknown origin
 - Causes and cases of non-infectious fever of unknown origin, including treatment
 
11:35-12:20 PM  Medical Management After Hip Fragility Fracture
Mikhail Signalov, DO, FACOI
In this session you will:
- Review the current clinical definition and diagnostic criteria for osteoporosis
 - Review FRAX® as one of the primary ways to calculate potential fragility fracture risk
 - Review the current pharmacological treatment options for patients with osteoporosis
 - Learn to recognize clinical aspects of fragility hip fractures as initial presentations of osteoporosis in many patients and the importance of postoperative medical management for secondary fracture prevention
 
12:25-1:05 PM  Contact and Airborne and Droplet, Oh My!  A Review of Hospital Isolation Guidelines
Mia A. Taormina, DO, FACOI
In this session you'll learn:
- The basic types of hospital isolation
 - Disease specific isolation policies and procedures
 - About the duration of isolation and criteria to discontinue
 
1:10-1:40 PM  When Your IV Drug Abuser Needs Long-Course Antibiotics and Aftercare  
Mia A. Taormina, DO, FACOI
In this session you will:
- Review the data regarding PICC line placement in higher risk individuals
 - Review and discuss infections that typically require longer course intravenous antibiotics and the complexities of administering to individuals with IV drug abuse histories
 - Discuss the data behind the use of long-course oral antibiotics as potential alternative treatment strategies for these infections
 
1:45-2:30 PM  Leveraging Rapid Diagnostic Testing to Expediate Diagnosis and Treatment of Hospitalized Patients
MarkAlain Dery, DO, MPH, FACOI
In this session you'll learn:
- To compare and contrast the 3 main rapid diagnostic tests
 - To identify the application of rapid diagnostic tests in clinical scenarios
 - To recognize that in the field of infectious diseases, biomarkers are biological surrogates of infection or predictors of certain outcomes
 
2:35-3:15 PM  Gender-Affirming Therapy: No Longer Specialized Care  
Danit Ariel, MD, MS
In this session you will learn:
- Key concepts and terms pertaining to transgender and gender diverse identities
 - The principles of creating respectful and inclusive clinical environment
 - The principles of gender-affirming hormone therapy
 - Key medical conditions and how they may impact transgender women and men
 
3:20-4:05 PM  Inpatient Management of the Medically or Surgically Affirmed Transgender Patient  
Ole-Petter R. Hamnvik, MB BCh BAO, MMSc, MRCPI
In this session you'll learn:
- Key concepts and terms pertaining to transgender and gender diverse identities
 - The principles of gender-affirming hormone therapy
 - Approaches to management of gender-affirming hormones in patients admitted to the hospital
 
Thursday, April 11
8:00-9:00 AM  Heart to Heart with the Grim Reaper: Identifying and Referring Patients with Advanced Heart Failure 
Steven Antoine, MD
In this session you will learn:
- The pathophysiology, morbidity, and mortality associated with end stage heart failure
 - How to identify and when to refer your patients with heart failure to an advanced heart failure specialist
 - The different therapies available for patients with advanced heart failure
 
9:05-9:50 AM  Inpatient Management of the HIV Patient  
Andrea Sciberras, DO, FACOI
In this session you'll:
- Become knowledgeable regarding HIV incidences and comorbidities in the older patient in today's day and age
 - Become aware of the most common reasons for hospital admission as well as ICU admission in persons living with HIV
 - Understand the management of the HIV patient who is hospitalized as well as the role of antiretroviral therapy during hospitalization
 
9:55-10:35 AM  2024 Update on Pulmonary Arterial Hypertension
Mary R. Suchyta, DO, FACOI
In this session you'll learn:
- FDA approved PAH drugs in light of the newest guidelines
 - Drug category updates
 - Future directions in the treatment of PAH
 
10:40-11:30 AM  An Evidence Based Medicine Update for Hospitalists  
Andrew Buelt, DO
In this session you'll learn:
- To implement updated evidence from recent articles into hospital based patient care
 - To critically analyze scientific articles and journals applicable to hospital medicine
 - Treatment modalities best suited for improvement in patient outcomes
 
11:35 AM - 12:35 PM  New Considerations in Heart Failure: New Roles for SLGT-2 Inhibitors
Andrew Buelt, DO
In this session you will:
- Evaluate the evidence supporting the use of SGLT2 inhibitors in the management of heart failure, including their impact on cardiovascular outcomes
 - Discuss the limitations in the trials used for FDA approval of the SGLT2 inhibititor
 - Understand the difference in benefit with SGLT2 inhibitors between systolic and diastolic dysfunction
 
12:40-1:35 PM  Sleep Update in the Management of Insomnia
Michelle Zetoony Nudell, DO, FACOI
In this session you'll learn:
- Updates in management of sleep in hospitalized patients
 - To modify sleep components to improve patient outcomes in hospitalized settings
 - About medications for sleep
 
1:40-2:15 PM  Approaching the Apnea Patient: Obstructive to Central  
Lisa Whims-Squires, DO, FACOI
2:20-3:05 PM  Updates in the Management of Acute and Chronic Hypertension with Review of CVA Risk
John R. Dahdah, DO
In this session you'll learn:
- To distinguish hypertensive crises from essential hypertension
 - Management strategies for inpatient and outpatient hypertension management
 - The pertinence of hypertension management to stroke risk reduction and management
 
3:10-3:35 PM  Use of Biosimilars in Inflammatory and Immunological Diseases
Brinda Joshi, DO
In this session you'll learn to:
- Define biosimilars in inflammatory diseases
 - Describe issues of concern in the use of biosimilars in clinical practice
 - Summarize team strategies for improving care coordination and communication to advance the use of biosimilars in treating patients with inflammatory diseases
 
"Very informative and well-presented material by clinicians"
Friday, April 12
8:00 - 8:45 AM  2024 Hospital Coding Updates
Jill M. Young, CPC, CIMC, CEDC
In this session you'll learn:
- The differences for split shared visits in 2024
 - Physician rules for supervision in 2024
 - The new Hospital and Observation Services codes and guidelines
 
8:50 - 9:40 AM  Inpatient Goals of Care: Discussion Strategies for Transition to Palliative Care/Hospice
Annette T. Carron, DO, MACOI
In this session you'll learn:
- Scripting options to counsel patients/families facing serious illness
 - What assistance is available to have difficult conversations
 - Preemptive and management strategies for each conversation
 
9:45-10:35 AM  Transitions Between Inpatient and Outpatient Management of Patients with Chronic Pain
Jean Storm, DO, FACOI
In this session you'll learn:
- The key challenges and factors influencing the transition from inpatient to outpatient management in chronic pain patients
 - Best practices for developing personalized care plans to facilitate seamless transitions and improve patient outcomes
 - Challenges associated with transitions and solutions to overcome barriers for more effective chronic pain management
 
10:40-11:30 AM  Meeting Hospital Metric Goals
Ariana Peters, DO, FACOI
In this session you'll learn:
- The metrics commonly used in an acute care setting
 - The importance of these metrics to a hospital provider, and how they can impact them
 - The financial metrics important to the C-suite and hospital finance/revenue cycle teams
 
11:35 AM - 12:20 PM  Update in the Large Vessel Vasculidities: Diagnosis and Treatment in Giant Cell Arteritis and Polymyalgia Rheumatica
Linda S. Brecher, DO, FACOI
In this session you'll learn to:
- Identify the clinical signs and symptoms supporting the diagnosis of polymyalgia rheumatica and giant cell arteritis
 - Recognize the potential morbidity associated with untreated giant cell arteritis
 - Define the treatment options for polymyalgia rheumatica and giant cell arteritis including strengths and limitations of medication choices
 
12:25 - 12:40 PM  2024 Licensing & Certifying Board Update: OCC
J. Rico Blanco, AOBIM Executive Director
In this session you'll learn to:
- Understand and maintain the Osteopathic Continuous Certification (OCC) process
 - Gather information necessary to encourage osteopathic board certification
 - Understand AOBIM board initiatives and opportunities
 
12:45 PM Closing Comments
Rick A. Greco, DO, MACOI & Mia A. Taormina, DO, FACOI