36th Annual WinterCME Conference

Physician AssistantAcademy of Vermont

Stowe Mountain Lodge • Stowe, VermontJanuary 25-28, 2018

Re g i s t R at i o n in f o R m at i o n

Registration Information:Location StoweMountainLodge Stowe,Vermont

Dates January25-28,2018

SECURE ON-LINE REGISTRATION ATWWW.PAAV.ORG

REGISTRATION FEEIncludesupto29hoursofCMEcredit,emailedPDFcopyofProgramSyllabus,breakfasts,coffeebreaksandwelcomereception.

PROGRAM SYLLABUSPleasenotethatourconferencehasgonegreenandwillnotprovideahardcopyofthesyllabusunlessonewasorderedduringtheonlineregistrationprocessbyJanuary5-nosyllabiwillbeavailableforpurchaseon-site.

The2018syllabuswillbeavailableinAdobeAcrobatPDFformattoregisteredPAAVattendees.ThePDFwillbeprovidedtoregistrantsbyemailtheweekbeforetheconference.Youmayviewordownloadandprintthesyllabusforeducationalpurposes.

GUEST FEEIncludesticketsforbreakfastsandcoffeebreaks.Pleaseincludetheirnamewhenyouregister.Additionalfeeswillapplyforsocialevents.

CONFIRMATIONAllregistrationconfirmationreceiptsaresentviaemail.Avalidemailaddressisrequired.IfyoudonotreceiveconfirmationfromthePAAVAdministrativeOfficewithinfivedaysofafaxedormailedregistration,pleasecall603-643-2325oremailtheConferenceRegistraratPAAVWinterCMEReg@conmx.net

REFUNDSThePAAVAdministrativeOfficemustreceivenoticeofyourcancellationonorbeforeDecember15,2017toensurearefund.Norefundswillbegiventhereafterforanyreason.Thereisa10%administrativechargeforallrefunds.CME CREDITS

Thisprogramhasbeenreviewedandisapprovedforamaximumof29hoursofAAPACategoryICMEcreditbythePhysicianAssistantReviewPanel.PhysicianassistantsshouldclaimonlythosehoursactuallyspentparticipatingintheCMEactivity.

ThisprogramwasplannedinaccordancewithAAPA’sCMEStandardsforLiveProgramsandforCommercialSupportofLivePrograms.

CHILDRENToensureapropersettingforlearning,childrenarenotpermittedinthemeetingroom.TheStoweMountainLodgecanassistyouwitharrangementsforbabysitting.Pleasesubmityourrequestdirectlytotheresortatleast24hoursinadvance.

For more informationPAAV Administrative Office

45LymeRoad,Suite304,Hanover,NH03755T:603-643-2325•F:603-643-1444•E:paav@conmx.net

See our website: www.paav.org

DearColleagues,

Itismypleasuretopresentthe2018PAAVWinterCMEConferenceprogram.

Wecontinuetorecruitnewtalentedfacultywhileretainingthebesteducatorsfrompreviousyears.Thismeetingattractsanexperiencedaudiencethatcreatespositiveinteractionswithourpresenterswhointurnenjoyreturningtoourmeeting.Priorattendees’suggestionsfortopicsandfocusaretakenseriouslyandthisprogramreflectsthat.

Our36thAnnualMeetingreturnstotheStoweMountainLodgeinStowe,Vermontattheheightofthewinterseason.Outdoorsports,relaxationandfinediningawaityouinthishistoricskicommunity.JoinustorechargeyourprofessionalbatteriesandenjoyamemorableweekendintheGreenMountains.

Directives, goals and philosophy of our education program:• Ouraudienceannuallyincludesexperiencedclinicians

inawiderangeofspecialtiesfrom,onaverage,18states.• Wefocusonareasofnewclinicalandtechnical

knowledge.• Speakersarechosenfortheircontentexpertiseandtheir

dynamicpresentationskills.• Clinicalissuesthataresubjecttonewdiagnostic

modalities,newtherapeuticinterventions,orchangingparadigmsdrivethecontent,creatingabroadbaseofapplicabilitytomanyspecialtyandsub-specialtypractices.

• Reviewtopicsareincludedifapresenterhasdevelopedauniqueapproachtoassistwithknowledgeretentionorwheredemandforsubjectmatterisuniversallyhigh.

• Lecture-basedcontinuingeducationneedstobeinspirationalandentertainingaswellassimplyeducationalanddeservingofbusyclinicians’timeandattention.

• Workshopsoffermorein-depth,smallgrouplearningopportunities.

OurloyalfollowingofPAsandNPscomeyearafteryear.Ifyouhavenotjoinedusinthepast,pleasereviewtheprogramweofferanddiscovertheuniqueexperiencethatisthePAAVAnnualWinterCMEConference.

WelookforwardtohavingyouwithusinStoweinJanuary.

Sincerely,

Cary J. Stratford, PA-CCaryJ.Stratford,PA-CChairman–PAAVCMECommittee

________________________COMMITTEE MEMBERS:JohnBond,PA-CMargeBower,PA-CDanCole,PA-CWillHoser,PA-C

2

PAAV ConferenCe ProgrAm 3

Thursday, January 25, 20181:30pm–2:30pmSO NOW WHAT? PRIMARY CARE INTERPRETATION OF ABNORMAL LIVER TESTS.Rick Davis, PA-C–Senior Physician Assistant, Division of Gastroenterology, University of Florida, Gainesville, FL

• Correctlyidentifyviralhepatitisserologiesforacuteandchronichepatitis• Distinguishhepatocellularvs.cholestaticabnormalliverpatternbyserologiesand

possibleetiologies• Identifyserologicmarkersandscorestoassessliverfibrosis,riskof

decompensation,andhepaticsyntheticfunction

2:30pm–3:30pmTICK DOC? LYME AND ALL ITS FRIENDS: TICK BORNE ILLNESS ILLUSTRATEDBrian Kloss, DO, JD, PA-C–Assistant Professor of Emergency Medicine, SUNY Upstate Medical University, Syracuse, NY

• Categorizevarioustickborneillnessesbasedonetiologicalagent• Recognizethesignsandsymptomsofvarioustickborneillnesses• Informpatientsonpreventativeandprophylacticmeansofavoidingtickborne

illnesses

3:30pm–4:00pm CoffeeBreak&Exhibits

4:00pm–5:00pmIT MIGHT MAKE YOU SICK: SOCIAL DETERMINANTS TO HEALTH OUTCOMESStephen Leffler, MD–Chief Medical Officer, Professor of Surgery, Division of Emergency Medicine, University of Vermont College of Medicine, Burlington, VT

• Describehowsocialdeterminantsofhealthimpacttheirpatient’shealthstatus• Discusshowproviderscanimpactthehealthstatusofpatientsbyaskingabout

andaddressingSDH’s• Evaluatethereturnoninvestmentfromaddressingsocialdeterminantsofhealth

5:00pm–6:00pmTHE GOOD THE BAD AND THE UGLY: MODIFYING BAD BEHAVIOR IN PATIENTS AND CAREGIVERSGeorge L. Higgins, III, MD, FACEP–Professor and Academic Faculty, Maine Medical Center, Portland, ME; Tufts University School of Medicine, Boston, MA

• Discussthefourstagesofbehaviorandhowtousethisknowledgetopromotebetterbehavior

• Identifythevarioustypesofnegotiationstrategiesandwhentouseaspecificstrategydependingonthespecificsofthesituationandthedesiredgoals

• Practiceusingthesetoolsduringinteractivecasestudies

6:00pm–7:00pm“NOBODY KNEW HEALTH CARE COULD BE SO COMPLICATED” ACCOUNTABLE CARE ORGANIZATIONS: A PRIMER AND AN ALL PAYER MODEL IN VERMONTStephen Leffler, MD

• DescribetheAllPayerModel• Identifythegoalsoftheprogram• Reviewhowtheprogramwillaffectpatientsandproviders

Friday, January 26, 20187:00am–12:30pm&3:30pm–6:30pm Registration7:00am–8:00am SOCIAL MEDIA WORKSHOPBreakfast8:00am–9:00amITS SIMPLE BUT IT’S NOT ALWAYS EASY: RESISTANT HYPERTENSION: KEYS TO SUCCESSFUL MANAGEMENTDenise Link, MPAS, PA-C–Nephrology Physician Assistant, University of Texas Southwestern Medical Center, Dallas, TX; National Kidney Foundation Council of Advanced Practitioners, Outreach Chair

• DiscusshowCKDcanleadtosecondaryanduncontrolledHTN• DescribehowuncontrolledBPcanworsenCKDandalbuminuriaprognosis• Demonstratetheproperdosingofthiazide,loopandpotassium-sparingdiuretics

baseduponlevelofCKDstage,albuminuriaandpatientcompliance• ReviewthelatestBPguidelinesbaseduponageandco-morbiditiessuchasCKD

andpresenceofalbuminuria• Illustratehowpatienteducationoftheirdiseases,medicationsandlifestylewill

facilitateinachievingBPmanagement

9:00am–10:00amPULL UP A STOOL… BENIGN ANORECTAL CONDITIONSPriscilla Marsicovetere, PA-C, MS, JD–Director, Franklin Pierce PA Program;Assistant Professor of Surgery, Geisel School of Medicine, Dartmouth College, Hanover, NH; General Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH

• Describebasicanorectalanatomyandhowtoperformathoroughanorectalexam• Describethephysicalexamfindingsofcommonbenignanorectalconditions• Discussthedifferenttreatmentoptionsforbenignanorectalconditions• Differentiatebetweencommonbenignanorectalsymptomsandredflagsthat

shouldpromptreferraltoacolorectalspecialist

10:00am–10:30am CoffeeBreak&Exhibits

10:30am–11:30amNIDUS NOT ITIS: TENDINOSIS CURRENT TRENDS IN PATHOPHYSIOLOGY AND MANAGEMENT IN PRIMARY CAREMatthew Gammons, MD–President, American Medical Society for Sports Medicine; Medical Director, Sports Medicine and Sports Concussion Clinic, Vermont Orthopaedic Clinic, Rutland, VT

• Describethecurrenttheoriesaboutthepathophysiologyoftendinosis• Discussthetheoryoftendonneuroplastictraining• Applyatreatmentalgorithmforthemanagementoftendinosis

11:30am–12:30pmCD4 IS NOT THE DROID YOU ARE LOOKING FOR: HIV UPDATE: EMERGING THERAPIES, AGING WITH HIV AND THE ROLE OF PrEP IN PREVENTIONCindy Noyes, MD–Assistant Professor of Medicine, University of Vermont Medical Center, Burlington, VT

• Reviewemergingadvancesinanti-retroviraltherapy• DescribespecialconsiderationsincaringforpatientswithHuman

ImmunodeficiencyVirus(HIV)• Discussindicationsandhighlightpotentialunintendedconsequenceswith

initiationofPre-exposureprophylaxis(PrEP)forthepreventionofHIVacquisition

12:30pm–3:30pm FreeTimeorWorkshops

12:30pm–3:30pmWORKSHOP 1: CRITICAL MANAGEMENT SKILLS FOR COMMON EYE CONDITIONS AND INJURIES (INCLUDING ULTRASOUND ASSISTED DIAGNOSIS)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, DCRyan Strauss, MPAS, PA-C–Associate Clinical Professor, Administrative Director of Advanced Practice Providers, Department of Emergency Medicine, George Washington Medical Faculty Associates, Washington, DCThisisacasebased,hands-onexperiencethatworksthroughcorediagnosticandmanagementskillsofeyeinjuriesforprimarycare,urgentcareandemergencymedicineprovider.Rapididentificationandmanagementofoculartraumacanminimizepotentiallong-termfunctionaldeficitsandimprovecosmesis.

• Performapropereyeexam,identifycriticaldeficits,andunderstandthesignificanceofspecificabnormalfindings

• Performacanthotomyandcantholysis• Properlyevaluateperiorbitallacerationsandrecognizeredflagsrequiring

specialistmanagement• Performadvancedwoundrepairtechniquesinthemanagementofcomplex

periocularwounds• Performavarietyofocularproceduressuchasforeignbodyremoval,tonometry,

andocularultrasound• Makeappropriateconsultationstospecialistsasindicated

12:30pm–3:30pmWORKSHOP 2: ADVANCED UPPER EXTREMITY FRACTURE MANAGEMENTMatthew Gammons, MD

• Identifyhowandwhentoperformhematomablockstoassistinfracturemanagementandreduction

• Applyreductiontechniquesforcommonupperextremityfractures• Practicesplintingtechniquesforcommonupperextremityfractures

PAAV ConferenCe ProgrAm4

1:30pm–3:30pmPANEL: DO YOU NEED A FIX?: COMPREHENSIVE OPIOID EDUCATION: A MULTI- DISCIPLINARY PANEL PRESENTATIONJessa Barnard, Esq.–General Legal Counsel and Vice President for Policy, Vermont Medical Society, Montpelier, VTHannah Hauser – Director, VPMS, Department of Health, Montpelier, VT HIV Counseling, Testing and Referral Coordinator, Vermont State Health Department, University of Vermont, Burlington, VTDavid Herlihy–Executive Director, Vermont Board of Medical Practice, Burlington, VTCharles MacLean, MD–Associate Dean for Primary Care & Professor, University of Vermont College of Medicine, Burlington, VTMichael Smith, PharmD–Clinical Pharmacist, Springfield Medical Care Systems, Springfield, VT

• ReviewVMSresourcesrelatedtoopioidprescribing,especiallythechangeseffectivein2017

• DiscussVMS’roleinadvocatingforprescribersandgatheringfeedbackrelativetoVermontOpioidPrescribingandVPMSRules

• DiscussthetrendsthathavecomeupinBoardinvestigationsandactionswithregardtoprescribingandtheBoard’sperspectiveonhowbesttoavoidviolations

• Reviewthedifferenttypesofopioidreceptormedications,andevaluatetheselectionofanagentbasedontheirMOA,PK,PD,dosageformsandformulations

• Analyzespecialconsiderationsincertainpatientpopulations• Definemorphineequivalentsanddescribethemethodofconvertingbetween

agents• Recognizeadversedrugreactions,druginteractions,andwithdrawals• Discussdiversion,abuse,anddrugscreening• Describethesafedisposalofunuseddrugs• Identifysupportfortheuseofalternativepaintreatment

3:30pm–4:00pm CoffeeBreak&Exhibits

4:00pm–5:00pmMANAGEMENT OF DIABETIC NEPHROPATHYDenise Link, MPAS, PA-C

• DiscusstheparametersthatdefineDMnephropathy• Describethecurrentrecommendationsfortreatmentofdiabetickidneydisease• RecognizethefactorsthatincreasedeathofDMnephropathypatients• Identifythemulti-riskinterventionsfortreatingdiabetickidneydiseaseand

limitingcardiovasculardeath• DebatenewpharmacologicoptionsfortreatmentofDMnephropathy

5:00pm–6:00pmLITERATURE REVIEW 2018: STUDIES YOU NEED TO KNOW ABOUTRobert 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, NYGeorge L. Higgins, III, MD, FACEP

• Discussthequalitiesofevidencethatmakearecentmedicalpublicationtrustworthyandclinicallyrelevant

• AssignanacceptedLevelofEvidencedependingontheveracityofmethodology• Summarizetakehometeachingpoints

6:00pm–7:00pmOPTIMAL TEAM PRACTICE (OTP) WHAT IT IS – AND IS NOT – AND IS IT THE RIGHT PATH? AN EXPERT MULTI-DISCIPLINARY DISCUSSIONAnn Davis, MS, PA-C–Vice President, Constituent Organization Outreach and Advocacy, AAPA, Alexandria, VAPatricia King, MD, PhD, FACP–Chair-Elect, Federation of State Medical Boards Primary Care Internal Medicine Physician, Associate Professor, University College of Medicine, Burlington, VTDavid Herlihy–Executive Director, Vermont Board of Medical Practice, Burlington, VT

• DiscussBMPpositionsonOTP• DescribehowmarketplacechangesareinfluencingphysiciansandPAs• StatethreewaysinwhichoptimalregulationofthePAprofessionbenefits

patients

7:00pm–9:00pm Welcome Reception - Stowe Mountain Lodge

Saturday, January 27, 20187:00am–6:30pm Registration7:00am–8:00am OTP FORUMBreakfast DanCole,PA-C8:00am–9:00amHACKED TO DEATH: SECURITY OF ELECTRONIC MEDICAL COMMUNICATION IN 2018Thomas Andrew, MD, FCAP, FAAP–Associate Professor of Pathology, Geisel School of Medicine, Dartmouth College, Hanover, NH; Retired Chief Medical Examiner, State of New Hampshire, Concord, NH

• Definetheterm“medjacking”• Outlinethecybersecurityrisksassociatedwithmedicaldevices• Describethecurrentgovernmentregulationsregardingsecurityofmedical

devices

9:00am–10:00amRECONSTRUCTIVE THININKG: TRENDS IN PLASTIC SURGERY… WHAT THE PCP NEEDS TO KNOWNina Naidu, MD–Plastic Surgeon, New York, NY

• RecognizethemostcommonlyperformedplasticproceduresintheUnitedStates• Performageneralassessmentofthepatient’seligibilityforasurgicalprocedure• Identifyhowtoreferpatientstoanappropriatesurgeonandguidethemintheir

research

10:30am–11:30amLITERATURE REVIEW 2018: MORE STUDIES YOU NEED TO KNOW ABOUTRobert Dachs, MD, FAAFP & George L. Higgins, III, MD, FACEP

• Discussthequalitiesofevidencethatmakearecentmedicalpublicationtrustworthyandclinicallyrelevant

• AssignanacceptedLevelofEvidencedependingontheveracityofmethodology• Summarizetakehometeachingpoints

11:30am–12:30pmBREAST ASSURED: KEEPIN UP WITH TRENDS IN BREAST CANCER MANAGEMENTMarybeth Hans, MS, PA-C–Valley Hospital Breast Surgical Division, The Daniel & Gloria Blumenthal Cancer Center, Paramus, NJ

• Reviewthecurrentbreastcancerscreeningmodalitiesincluding3Dmammo,ultrasoundandMRI

• Discusswhatconstitutes“HighRisk”andhowtobestmanagethoseindividuals• Identifyhistologicfeaturesofinvasivebreastcanceraffectingtreatmentoptions

(ER,PR,Her2,MolecularProfile)• Describecurrenttreatmentschemas(chemotherapy;neoadjuvantvs.adjuvant,

biologictherapies,endocrineapproaches,clinicaltrials)• IdentifysurveillancestrategiesinSurvivorship

12:30pm–3:30pm FreeTimeorWorkshops12:30pm–3:30pmWORKSHOP 3: MASTERING TRAUMATIC WOUND CARE; TIPS AND PEARLS Amy Keim, MS, PA-C&Ryan Strauss, MPAS, PA-CMany“complex”traumaticwoundsarereferredtospecialistseitherunnecessarilyorprematurely-orsimplyrepairedimproperly.Thiscase-basedcourseisdesignedtoincreasetheparticipant’sscope-of-practiceinmanagingcomplicatedacutetraumaticwounds.Byexploringcommon,butfrequentlyproblematic,casesfrominjuryandmanagementtopost-repairfollow-up,participantswilllearnspecializedrepairtechniquesthatwillimprovepatientoutcomes.Thisadvancedwoundmanagementcourseisdesignedforparticipantswhoarealreadycompetentinbasicwoundrepairtechniquesandseektoelevatetheirskillsettothenextlevel.

• Demonstratemultilayercosmeticwoundclosuretechniques• Applyimportantpearlsand‘tricks-of-the–trade’toimprovewoundclosure

outcomes• Properlyapplygeneralandlooseclosuretechniques• Discussanesthesiatechniquesforvarioustypesoftraumaticwounds• Applymethodsofproperanatomicboarderalignment• Demonstrateappropriatewoundexcisionanddebridementtechniques• Explainconceptsandapplicationsofdelayedprimaryrepair• Demonstratemanagementandrepairofsingleandmultipleflaplacerations• Demonstratemanagementandrepaircomplexparallellacerations• Demonstratemanagementofnailplateavulsionsandnailbedinjuries• Identifyandpreventcomplicationsassociatewithcomplexearandcheek

lacerations• Identifyandpreventcomplicationsassociatewithcomplexnasallacerations• Properlymanageearlobeandhelixlacerations

12:30pm–2:30pmWORKSHOP 4 I’M FINALLY GOING TO UNDERSTAND IT: ACID/BASE AND ELECTROLYTE DISORDERSDenise Link, MPAS, PA-C

• InterpretABGwithconfidenceafterreviewofstepwiseapproachfordiagnosisacid/basedisorders

• Discussdifferencesbetweencompensatedandnon-compensatedacid-basedisorders

• Identifycommonetiologiesofhyperkalemia• Recognizealgorithmnecessarywhenapproachinghypo/hypernatremias• Appreciateiatrogenicmedicationsthatleadtoelectrolytedisorders

2:30pm–3:30pmWORKSHOP 5: HEY YA”LL WATCH THIS! CLINICAL PRECEPTING MADE EASYGeorge Brothers, Jr, PA-C–Associate Director of Clinical Education, Franklin Pierce University Physician Assistant Program, West Lebanon Campus, Lebanon, NH

• CompareandcontrastPAstudentpreceptingexperiencesamongstcolleagues• Developaclearstrategyforintegratingastudentintotheclinicalworkflow• Takehomeasimplemethodtodeliverfeedbacktoastudent

3:30pm–4:00pm CoffeeBreak&Exhibits

4:00pm–5:00pmLEAVING SO SOON? THE PEARLS AND PITFALLS OF LEAVING AGAINST MEDICAL ADVICE (AMA)Robert Dachs, MD, FAAFP

• Recognizethereisincreasedmorbidity,mortalityandcostsassociatedwithpatientsthatleaveAMA

• Describethestepsnecessarytodetermineapatient’scapacitytodetermineifhe/shecansafelyleaveAMA

• Documentclearlytheelementsnecessaryformedical-legalprotectionwithapatientisleavingAMA

• IdentifyhowtoavoidcommonmistakesmadewhendealingwithapatientwhowantstoleaveAMA

5:00pm–5:30pmVIVISECTION VERTIGO: BEDSIDE DIFFERENTIATION BENIGN OR SERIOUS George L. Higgins, III, MD, FACEP

• Differentiatecentralfromperipheralvertigo–emphasizingkeyphysicalexamcluesincludingtheperformanceoftheHINTSexam

• Describethedifferencesbetweenthethreemajorcausesofperipheralvertigo;benignparoxysmal(otolithic);vestibularneuritis;MenieresSyndrome

• Developaspecifictherapeuticmanagementplandependingonthetypeofperipheralvertigoinplay

5:30pm–6:00pmFAST LANE/FAST CARDS: TACHYDYSRHYTHIMIAS: FAST TRACK DIAGNOSIS AND MANAGEMENT UPDATEGeorge L. Higgins, III, MD, FACEP

• RecognizeantidromicandorthodromicsupraventriculartachycardiainpatientswithWPWandtheimportanttherapeuticdifferencesbetweenthesetwoarrhythmias

• Identifymanagementoptionsinpatientspresentingwithparoxysmalatrialfibrillation/flutter

• Recognizethesimultaneous/sequentialdefibrillationinpatientswithpersistent“VentricularStorm”

6:00pm–7:00pmIT’S ALL ACES – ADVERSE CHILDHOOD EVENTS AS PREDICTORS OF FUTURE HEALTH RELATED CONSEQUENCESKimberly Pierce, PA-C–The Health Center, Plainfield, VT

• ReviewthegroundbreakingstudybyDr.FelittiandthecrucialrolethattheACES(adversechildhoodevents)haveinpredictingadulthealthoutcomes

• ExplorehowACEscreeninginaprimarycaresettingcanofferamorecompletepictureofthesocialdeterminantsofhealth

• AnalyzetheinherentbarrierstoscreeningforACESinprimarycare• Reviewtheevidence-basedsupportiveinterventionswhichcanbeaccessedinthe

communityand/orintegratedintotheprimarycaresetting

7:00pm FreeEvening

Sunday, January 28, 2018

7:00am–11:00am Registration

7:00am–8:00am ContinentalBreakfast

7:00am–8:00amGET UP EARLY ON SUNDAY, IT’S WORTH IT: UPDATE FROM NCCPAGreg P. Thomas, PA-C – Emeritus Director of External Relations NCCPA, Tierra Verde, FL

• ExplaintheprocessofdevelopingcontentforPANREandthenewpilotalternativetoPANRE

• Describethecertificationmaintenancerequirements,includingoptionalself-assessmentandperformanceimprovement

• DiscussaboutthemanywaysPAsareinvolvedwithNCCPAactivities,includingparticipatinginexamdevelopmentandcapitalizingonresourcestoinformthepublicaboutcertifiedPAs

• IdentifytherolesofNCCPA’ssupportingorganizations,PAHistorySocietyandNCCPAHealthFoundation.

8:00am–9:00amTHE “LAP” DANCE: WHAT STEPS AND WHY? THE PRE-OP EVALUATION IN PRIMARY CAREChristopher Murphy, MD–Associate Residency Director, Ellis Medicine Family Medicine Residency, Schenectady, NY

• Developasystematicandthoroughpreoperativeevaluationalgorithm• Identifythemostproblematicareasaroundthepre-opevaluationfromthe

surgeon’s/anesthesiologist’spointofview• Riskstratifypatientsbasedontheirhistoryandtheirupcomingprocedure

9:00am–10:00amHARD TO RECONCILE?: POLY-PHARMACY IN THE ELDERLY Christopher Allen, MD–Assistant Professor of Family and Community Medicine, Dartmouth Medical School, Hanover, NH; Staff Physician, Dartmouth-Hitchcock Medical Center, Lebanon, NH

• ReviewsomebasicinformationaboutmedicationuseintheUS,withfocusonelderlypatients

• Reviewspecialconcernsandconsiderationsregardingmedicationprescribingforelders• Discusssomesystematicapproachesforclinicianstoaddresspolypharmacyin

theirpractice

10:00am–11:00amDO THESE GENES MAKE MY LIVER LOOK FAT? NON-ALCOHOLIC FATTY LIVER DISEASE: AN EPIDEMIC EXPLAINED Rick Davis, PA-C

• Identifyriskfactorsforfattyliverdisease• Describenon-invasivetestingforfibrosisinfattyliverdisease• Discussfactorscontributingtometabolicsyndromeinregardstofattyliverdisease• RecognizecurrenttherapiesforNAFLD

PAAV ConferenCe ProgrAm 5

A little explanation . . .Thetwo-hourFridayafternoonpanel,Comprehensive Opioid Education,fulfillsthestate-mandatedtrainingrequirementforallPhysicianAssistantspracticinginVermont.ThissessionisopentoallPAs,whetherornottheyareregisteredforthefullconference.Thereisanominalfeeof$25fornon-PAAVmemberswhowishtoattendonlythissession.

About Our Welcome Reception–Comeandenjoythefood,themusic,andthenetworking.Ourgueststellusyearafteryearthatourreceptionsarethebest.Youwon’tleavehungry,andyoumayevendancealittle!

CANCELLED

Hotel InformAtIon6

Thissix-story,300-roomluxuryNewEnglandresortdrawsonthearchitecturaltraditionofturn-of-the-centurysummercampscreatedbythegreatfamiliesofNewEngland.Thelodge’sexteriorfeaturesapicturesquefaçadeofwoventimberandshinglesthatdrawuponthenaturalharmonyfoundinnature,aswellasstoneveneercreatedfromlocalquarries,andexpansiveglasstobringthebeautyofthelodge’soutdoorsurroundingstotheindoors.

Theinteriordesignfurtheremphasizesthefreshandcontemporarytakeonnaturalbeauty,enablinggueststoexperienceStowe,Vermontlodgingthroughamélangeofoldandnew,rusticandromantic.InterchangingnaturalVermontwoodsandstones,birchbarkcolumnsanddetailingprovidesasimplisticbackdroptolively,contemporaryfolkartpieces.Thecolorpaletteofthelocalseasons-vibrantreds,deeporanges,warmyellowsandsoothinggreens-invaryingpatternsandtexturesisfoundintheupholsteryofinvitingfurnishings.

ROOM SINGLE RATE/DOUBLE RATE

Classic Rooms $269.00Studio Rooms $309.00Junior Suites $369.00One-Bedroom Suites $409.00All room rates are subject to a 10% Vermont Lodging Tax.

For more information visit www.stowemountainlodge.com

Reservation Deadline: December 25, 2017

RESERVATIONSIMPORTANT INFORMATION

GuestsarrivingonWednesday,January24requirea4nightminimumstay.GuestsarrivingonThursday,January25requirea3nightminimumstay.

GuestsarrivingonFriday,January26requirea2nightminimumstay.

Ifyouaremakingyourreservationsonline,youmustinserttheGroupIdentificationCodeduringthereservationprocess:PAAV2018(casesensitive).Ifyouarephoninginyourreservation,pleasecall1-888-478-6938andidentifyyourselfaspartofthePAAVgrouptoqualifyforourconferenceroomrateslistedabove.Anyrequestsforspecialroomarrangementsmustbemadeatthetimeofthiscall.

Adepositoftwonights’roomrateandtaxisrequiredforeachreservation.Thedepositisrefundableifyoucancelatleast14daysbeforeyourscheduledarrival.

CHECK-IN/CHECK-OUTGuestaccommodationswillbeavailableat4:00pmonthearrivaldayandreserveduntil11:00amondepartureday.Ifyouwishspecialconsiderationforlatecheckout,pleaseinquireatthefrontdeskonthedayofdeparture.

•Valet ParkingValetparkingismandatoryanda$5.00perdayparkingfeewillbechargedtotheroom–subjectto10%tax.Valetparkingfeeswillonlyapplytowardsvehiclesbeingparkedovernight.

•Resort FeeThehotelhaswaivedthe$25perroom,perdayresortfeeforPAAVconferencehotelguests.Pleasebesurethattheresortfeeisnotchargedatcheckout.

7412MountainRoadStowe,Vermont05672

Physician Assistant Academy of Vermont’s 36th Annual Winter CME Conference • January 25-28, 2018Please use our secure on-line registration at www.paav.org

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WORKSHOP FEES Until10/18/17 After10/18/17 Onsiteasof1/4/18 Member/Non-Member Member/Non-Member Member/Non-MemberWorkshop1:OcularTrauma* c $85 c $100 c $105 c $120 c $125 c $140Workshop2:Ortho* c $85 c $100 c $105 c $120 c $125 c $140Workshop3:TraumaticWound* c $85 c $100 c $105 c $120 c $125 c $140Workshop4:Electrolyte* c $40 c $50 c $50 c $60 c $60 c $70Workshop5:ClinicalPrecepting c $0 c $0 c $0 c $0 c $0 c $0

PROGRAM SYLLABUS____HardCopy@$30.00Each

GUEST FEES (children6andunderfree):Includesticketsforthreedaysofbreakfastsandcoffeebreaks____Adults@$125.00Each ____Kids(6-12yrs)@$75.00Each

SOCIAL FEESRegistrant! Please check if you plan to attend social events. WelcomeReception-Friday,January26th ____Guests@$75.00EachrRegistrantwillattend-nocharge ____Kids(6-12yrs)@$50.00Each

BusinessMeeting-Thursday,January25th,10:30am-12:30pm____#attending

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PAYMENT OPTIONSrVisarMasterCardrAmericanExpressrCheckencloseddrawnonaUSBank(PayabletoPAAV)

Number______________________________________________________________________Exp.Date______CVV#______(PAAV tax ID number 22-2586796)

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OUR ONLINE REGISTRATION SYSTEM WILL CREATE AN INVOICE/RECEIPT.OFF-LINE REGISTRATION SUBMISSIONS:

PAAVConferenceAdministration,45LymeRoad,Suite304,Hanover,NH03755orFax:603-643-1444Questions?Tel:603-643-2325,paav@conmx.netorwww.paav.org

2018 PAAV Membership*IwishtorenewmyPAAVmembership:

c $95/Active c $25/Student

Registration Total (A):

Workshop Total (B):*Includes lunch

Dailyratesareavailableonline.

Syllabus Fee Total (C):

Opioid TrainingforVTPAsandNPs

PAAVMembers–nochargeNon-Members$25atthedoor

36THAnnuAl Winter CMe ConferenCe

StoWe MountAin reSort • StoWe, VerMont

JAnuAry 25 - 28, 2018www.paav.org

ATTENDEE COMMENTS• Well organized . . . high caliber speakers!

• Excellent group of speakers. Every topic can be used in my practice.

• My family and I love the free time to enjoy Vermont.

• Better than 95% of other PA meetings.

• This is by far the best conference I’ve been to year after year.

• Great conference – it gets better every year!

• Consistently clinically relevant, entertaining and fun.

Physician Assistant Academy of VermontAdministrative Office45 Lyme Road, Suite 304Hanover, NH 03755

Non Profit Org.U.S. Postage

PAIDAlbany, NY

Permit No. 730

DIRECTIONS TO STOWE, VT

By Air — Many airlines provide non-stop and direct jetservice from major US cities to the Burlington InternationalAirport, located 45 minutes from Stowe Mountain Lodge. Car rentals are available at the airport or shuttle arrangements can be made in advance with Stowe Mountain Lodge.

By Car — Stowe is easily reached via New England’s majorinterstate highways. From I-89, take exit 10 for Stowe-Waterbury and follow Route 100 north into Stowe Village. Turn left at the blinking light onto Route 108 north. Stowe Mountain Lodge is 9 miles up the Mountain Road on the right.