Events

Many have experienced loss, grief, overwhelm, distress, and confusion in recent months. This session will present ideas on how to manage your own mental well-being and offer tools for your patients. Topics include how to best interrupt destructive thinking cascades, how to practice self-leadership, mental agility and extreme self-care, no matter your circumstances.

Eileen O’Grady, PhD, RN, ANP-BC; Nurse Practitioner and Wellness Coach, Eileen O’Grady Wellness Coaching, LLC; McLean VA and Founder, The School of Wellness; McLean VA

Antibiotics are one of the most common modern modalities used to treat patients, and when utilized correctly are effective and life-saving. Unfortunately, clinicians may struggle with appropriate antibiotic selection, antibiotic bacterial coverage, and indications for antibiotic use. Focus on a review of the most common drug classes, spectrum of activity, and prescribing indications to improve patient and system outcomes and to aid with antibiotic resistance.

E. Monee’ Reed, DNP, RN, ACNP-BC; Associate Chair, Advanced Practice Nursing and Assistant Professor, AG-ACNP and DNP Programs, College of Nursing and Health Innovation, University of Texas at Arlington; Arlington TX and Acute Care Nurse Practitioner, Pulmonary Critical Care/Intensivist-Inpatient, Dallas Pulmonary & Critical Care PA, Methodist Hospital System; Dallas TX

Frailty is not based on the age of person, but on physical and functional ability. Hear about the current research and best practices for identifying and treating reversible causes of frailty. As people age, they can lose their resilience and ability to adapt in the face of multiple disease processes, decreased physical strength, and/or cognitive decline. NPs play an important role in identification of frailty so that appropriate interventions can be put in place to decrease the likelihood or slow the consequences through the use of simple screening tools, rapid geriatric assessments and evidence-based interventions.

Michal Boyd; NP, ND, FAANP, FCNA; Associate Professor and Nurse Practitioner, School of Nursing, University of Auckland; Auckland, New Zealand

This newly updated session addresses: nature and pathophysiology of pain; assessing patients in pain and creating a treatment plan; non-pharmacologic pain treatment strategies; initiating and managing patients on opioid therapy; educating patients and caregivers; and understanding opioid use disorder. Fully compliant with the September 2018 FDA Blueprint for Opioid REMS Education, this session meets many states’ requirements for controlled substances CE.

This session is supported by the Nurse Practitioner Healthcare Foundation, with curriculum developed by the Collaborative for REMS Education (CO*RE) www.core-rems.org.

Theresa Mallick-Searle, RN, MS, ANP-BC; Nurse Practitioner, Pain Management, Stanford Health Care; Stanford CA and Independent Contractor, Medical Expert Witness on Pain Management and Treatment;
Stanford CA

COPD is the 3rd leading cause of death and the #1 reason for hospitalization in the world. Improve your expertise in the management of COPD, by utilizing case studies and the application of the GOLD 2020 guidelines. Community Acquired Pneumonia remains one of the leading causes of death, and differentiating how to balance antibiotic stewardship with appropriate microscopic samples can be challenging. Utilize case studies and the application of ATS/IDSA 2019 guidelines to learn about management of CAP in primary care setting. Be better equipped with the evidenced based tools necessary to manage complex pulmonary patients.

Steven E. Lommatzsch, MD; Physician Clinic Manager and Assistant Professor of Medicine, Division of Pulmonary and Critical Care Medicine; National Jewish Health; Denver CO and Assistant Professor, Pulmonary/Critical Care, School of Medicine, University of Colorado Anschutz
Medical Campus; Aurora CO

Hear the current evidence-based practice in the management of anxiety disorders across the lifespan within the primary care setting. Focus will include pharmacologic and non-pharmacologic management strategies used for the treatment of anxiety in the child and adolescent population, adult population including pregnancy and breastfeeding considerations for women of child-bearing age, and the geriatric population. Additionally, current trends and concerns related to prescribing practices of benzodiazepines, benzodiazepine withdrawal, and titration and tapering recommendations for this class of medications will be discussed.

Margaret Emerson, DNP, APRN, PMHNP-BC; Assistant Professor, Graduate Psychiatric and Mental Health, College of Nursing, University of Nebraska Medical Center; Omaha NE

Salicylate and acetaminophen are found in many over-the-counter medications, alternative medication products, as well as numerous prescription medications. Acute and chronic toxicity of each of these “drugs” can easily be missed. Understand the clinical cues that can be found with each of these toxicities, and design a clinical and therapeutic approach to managing these patients.

Nancy Denke, DNP, ACNP-BC, FNP-BC, FAEN; Nurse Practitioner, Toxicology Consultants of Arizona; Scottsdale AZ and Associate Faculty, DNP Program, College of Nursing and Health Innovation, Arizona State University; Phoenix AZ

As many as 6–8% of children and up to 10.8% of adults report having a food allergy, making food allergy prevention an important public health issue. Food allergies have significant impacts on physical health, quality of life, increased financial burden, and lost opportunities for the allergic individual and family. However, the latest guidelines for early introduction of peanut and other potential allergens has the potential to reduce future cases of food allergies and their associated burden significantly. Gain an update on the latest science, review of the newest guidelines, and tools to help parents confidently feed infants with an eye toward food allergy prevention.

This session is supported by the National Peanut Board.

Sherry Coleman Collins; MS, RDN, LD; President and Registered Dietitian Nutritionist, Southern Fried Nutrition Services, LLC; Atlanta GA

Diabetes care is not just in the hands of Endocrinologists, as more and more care for patients with diabetes is left to the family practice provider, especially in more rural settings. Diabetic patients are looking for ways to manage their diabetes more efficiently, as well as ways that take some of the burden of care from them. Learn practical information about the basics of blood glucose meters, continuous glucose monitoring, and insulin pumps, including reports and insurance coverage in order to advise your patients more effectively.

Lora Page; FNP-BC, CDE; Family Nurse Practitioner, Family Physicians of Western Colorado; Grand Junction CO

Patients may present with skin lesions, which they believe were caused by external agents, such as insects, mites, fungus, or other living organisms — whether real or imagined. Gain a better understanding of psychodermatoses, caused by perceived insects and other living organisms, as well as those self-induced conditions, such a trichotillomania and body dysmorphic disorder. Treatment strategies and appropriate referral will be discussed, along with how to avoid provider schedule delays for the rest of the day.

Peggy Vernon, RN, MA, C-PNP, DCNP, FAANP; Owner/Dermatology Nurse Practitioner, Creekside Skin Care; Greenwood Village CO

Allergic, irritant and systemic contact dermatitis are some of the most difficult cases to diagnosis and manage. Over use of prednisone is rampant and riddled with untended consequences that can put patient and providers at undue risk. Misdiagnosis and contact dermatitis mimickers often leave patient and providers equally frustrated. Learn the basic Sherlock Holmes techniques to better understand and manage contact dermatitis.

Melodie S. Young, MSN A/GNP-c; Investigator, Modern Research Associates, PLLC; Dallas TX, Nurse Practitioner, Mindful Dermatology, PLLC; Dallas TX and Adjunct Clinical Instructor, School of Nursing, University of Texas at Arlington; Arlington TX

Sleep apnea (officially now known as sleep disordered breathing) and narcolepsy can be challenging to identify. Each child does not manifest the same signs and symptoms. Common symptoms can be vague, such as uncontrolled asthma, hyperactivity, or falling asleep in class. With untreated sleep apnea, medical conditions can become aggravated and difficult to control. With narcolepsy, this condition often manifests in teenage years and is commonly shuffled off to poor sleep habits. Left untreated, narcolepsy leads to poor grades and unemployment due to the child’s inability to stay awake to be successful. Learn how to recognize and treatment options for these under-diagnosed medical conditions.

Stacy Whitehead, DNP, APRN, FNP-C; Family Nurse Practitioner, Cardiology Center of Dalton; Dalton GA

A NP who understands the risks and responsibilities of precepting students will be more comfortable taking on the job of preceptor, and will be less likely to make a privacy or billing mistakes. Learn what you need to know about HIPAA to balance a student’s need for information about a patient and the patient’s need for privacy, and how FERPA controls a preceptor’s discussion of a student’s performance.

Carolyn Buppert, MSN, JD; Attorney, Private Practice; Portland, OR

The Centers for Disease Control (CDC) has released the latest version of the STI Treatment Guidelines. Review the major changes made since 2015, with a focus on differences needed for special populations and how to help patients understand how to prevent the transmission of STIs. The differences in management for special populations, including pregnant women, incarcerated persons, and LGBTQ+ persons will be discussed.

Alison Marshall, RN, MSN, FNP-C; Faculty, Sylvie Ratele STD/HIV Prevention Training Center of New England, Massachusetts Department of Health; Jamaica Plain MA and Assistant Director and Clinical Instructor, FNP Program, William F. Connell School of Nursing, Boston College; Chestnut Hill MA

Cancer and cardiovascular disease are the leading causes of morbidity and mortality in the U.S., and they share common risk factors which predispose patients to both cancer and cardiac disease. The last decade has seen an explosion of effective cancer treatments with 17,000,000 Americans currently living as cancer survivors. However, many cancer treatments have a deleterious effect on cardiac health and clinicians need to be able to recognize and manage the cardiovascular complications of their patients current or prior cancer therapy.

Laura Zitella; MS, RN, ACNP-BC, AOCN; Nurse Practitioner and Associate Clinical Professor, Hematology/Oncology, University of California San Francisco; San Francisco CA

Whether you are working with adults, children, or families, conversations around nutrition and weight concerns are likely a daily occurrence. Learn to navigate the tough conversations around nutritional trends and dieting strategies, while arming yourself with tools to support lasting behavior changes. Our patients are swimming through a sea of nutritional misinformation, but with the knowledge of these simple, family-oriented, and evidence-based strategies, we can empower them to make changes that can positively impact their health and wellbeing for a lifetime.

This session is supported by the Colorado Beef Council.

Leslie P. Schilling; MA, RDN, CSSD, CEDRD-S, CSCS; Owner and Nutrition Therapist, Schilling Nutrition, LLC; Henderson NV

Nurse Practitioners (NPs) need to be able to understand and apply fundamental genetic and genomic knowledge to comprehend and implement treatment regimens, as well as providing education to patients and their caregivers. Review the basics of genetics and genomics in a non-threating and fun style, incorporating all five senses. Basic cell biology, inheritance patterns, genetic testing, and informed consent will be discussed. Learn more about how the human genome can assist to diagnose, treat, and prevent common and rare diseases, along with strategies and resources to share with staff and patients. No prior genetic or genomic knowledge is required.

Georgie Cusack, MS, RN, AOCNS®; Director, Education and Patient Safety, NHLBI, National Institutes of Health; Bethesda, MD

Sharon Flynn; MS, RN, ANP-BC, AOCNS®, BMTCN; Nurse Practitioner, Nursing Research and Translational Science, National Institutes of Health, Clinical Center; Bethesda MD

Standup comedian and former Registered Nurse, Nancy Norton brings her hilarious, educational, and memorable presentation about the many benefits of humor to you. Laugh and Learn — explore the concept that humor is a basic human need that helps us stay healthy, de-stress, cope with trauma, and enhances creative problem solving. Hear Nancy’s insight on how humor has been proven to benefit businesses, families, relationships, and individuals by reducing stress and trauma triggers, while simultaneously increasing creative problem solving, team building, bonding, conflict resolution, resilience, job retention, overall joy, immunity, and good health. One of her passions is helping people remember the joy and empowerment one gets from being in the present moment. Key points in this Keynote presentation are:

• How many laughs per day are needed to maintain health
• How humor reduces anxiety, fear, triggers, stress and stress hormones and boosts the immune system and overall health
• How to recognize signs of stress when humor is most needed
• What role humor plays on moods
• The memory, mental acuity and problem solving benefits of humor
• How humor impacts social needs and facilitates bonding
• The role humor plays in leadership, resilience and job retention.

Nancy Norton, BSN, is the winner of the 2018 Boston Comedy Festival. She has appeared in Evening at the Improve on A & E, as well as Amazon Prime Video and PBS, plus has been featured on Nickmom Out on Nickelodeon. In addition to her comedian background, Nancy has held healthcare related positions at Professional Pediatric Home Care, Personal Assistance Services of Colorado (PASCO), Queen’s Medical Center, and Mercy Hospital.

Nancy Norton, BSN; Standup Comedian and former Registered Nurse; Lafayette CO

Using case studies, explore and define illegal workplace behaviors including harassment and discrimination from other health care team members or administrators. Learn a triage system to help identify the type of difficult person one is confronting, and evidence-based strategies to mitigate the stress effect. Remedies to both prevent and stop toxic workplace behavior will be discussed, along with an outline of the evidence needed if there is a legal remedy. Accurately identifying the type of difficult others is a key initial step in knowing how to best handle these challenges, so that the workers are protected and the toxic interaction is de-escalated.

Eileen O’Grady, PhD, RN, NP, PCC; Nurse Practitioner and Wellness Coach, Eileen O’Grady Wellness Coaching, LLC; McLean VA and Founder, The School of Wellness; McLean VA

Carolyn Buppert, MSN, JD; Attorney, Private Practice; Portland OR

In the Global Burden of Disease study, chronic kidney disease (CKD)
incidence, prevalence, mortality, and disability-adjusted life years have each risen by at least 20% from 2007 to 2017. Despite clinical guidelines created by global kidney organizations, adherence to recommendations remains suboptimal. In a recent United States crosssectional study of adults with CKD, high prevalence of uncontrolled hypertension and diabetes and low use of statins were observed, and there was little improvement in the quality of CKD care over time — despite clear guidelines. Learn early detection and intervention strategies for CKD with considerations of patient factors, health economics, and resource availability.

Barbara Malone, DNP, C-FNP, FNKF; Assistant Professor, College of Nursing, University of Colorado Anschutz Medical Campus; Aurora CO

Pregnancy induced cardiomyopathy or post-partum cardiomyopathy (PPC) is a rare occurrence; however, it has a high risk for adverse maternal outcomes. Gain a better understanding of the statics for PPC, diagnostic testing, and treatment plans for women in their child bearing years, which could have life-long implications. A case study of a woman diagnosed with PPC and treatment over the last 20 years will be presented. Post Partum Cardiomyopathy needs to be included in differential diagnosis of any pregnant female, who presents with complaints of shortness of breath, chest pain, or palpitations.

Teresa B. Durden, MSN, RN, APRN-BC, ACNP; Acute Care Nurse Practitioner, Palmetto Heart – Palmetto Health USC Medical Group; Lexington SC

As increasing numbers of patients seek an integrative approach to their health care, clinicians need training in integrative therapies in order to provide evidence-based counseling to those patients. Hear an in depth review of common chronic diseases, and compare and contrast integrative medicine approaches with traditional western medical approaches. The underlying pathophysiology and clinical presentations of common chronic diseases will be discussed, as patient case scenarios are presented and integrative self-management plans are developed.

Paula Marchionda, MD, MPH, BSN; Medical Director, Marchionda Imaginative Medicine Institute; Grand Junction CO

Kathleen Hall, PhD, APRN, GNP-BC, AGPCNP-BC; Assistant Professor, Health Sciences, Colorado Mesa University; Grand Junction CO

National studies and published reports indicate that the abuse of over-the-counter (OTC) drugs to get high is a growing concern—particularly among teens. Each and every gas station in the U.S. sells the same arsenal of exotic and occasionally, life-threatening drugs. Many of these drugs are vague in their instructions, ingredients, and mortality rate. Teens view abusing OTC and prescription drugs as safer than using street drugs. Understand how to identify some of the pharmacologic and toxicologic properties of some of the common drugs that can be purchased at your local gas station, along with steps in the management of the common toxicities seen with these medications.

Nancy Denke, DNP, ACNP-BC, FNP-BC, FAEN; Nurse Practitioner, Toxicology Consultants of Arizona; Scottsdale AZ and Associate Faculty, DNP Program, College of Nursing and Health Innovation, Arizona State University; Phoenix AZ

Each year in the U.S., nearly 500,000 patients seek medical treatment for burn injuries and 40,000 need inpatient hospitalization. To leave blisters or not leave blisters, that is the question. Gain the tools and knowledge needed to manage minor burns in the outpatient setting through a presentation with vivid photos and case studies. The initial evaluation of the burn, including determination of wound depth, proper wound care and scarring, will be discussed. Examine the various causes of burns and the identification of non-accidental burns in children.

Debbie Harrell, RN, MSN, NE-BC; Director, Professional Relations, Shriners Hospital for Children; Cincinnati OH

Infections in the acute care setting today are becoming more complicated to recognize, diagnose and treat. Bacterial, viral and fungal infections have become challenging to treat due to increasing resistance to standard treatment. Understand the categories of infections that have distinguishing features, which can help in developing a diagnosis. A synthesis of information needed to recognize and differentiate between the various types of infections in the immunocompromised patient will be presented.

Nancy Munro, RN, MN, CCRN, ACNP-BC, FAANP; Senior Acute Care Nurse Practitioner, Critical Care Medicine Department and Pulmonary Consult Service, National Institutes of Health; Bethesda MD and Faculty Associate, Graduate School of Nursing, Georgetown University; Washington DC

Discussing advance directives is one of the most important conversations that clinicians will ever have with their patients. It is a myth that advance directive discussions are only for the elderly. Quality advance directive discussions can benefit all patients, but particularly those in long term care or with multiple and complex illnesses. However, the discussion is often avoided because of barriers to broaching the subject. Clinicians should also be sensitive to diverse cultural values that influence patients’ decisions and feelings about this subject. When given the opportunity, many patients will choose having care provided at the right place at the right time for them. Learn about the many tools available to help facilitate these discussions with patients.

Martha Moneypenny, MS, FNP, ANP, GNP, HPNA-C; Clinical Educator, Complex Care Management, Optum; Phoenix AZ

Learn about identification and management strategies for the most common side effects associated with long acting reversible contraception (LARC). Discussion will include women in special contraceptive populations: women with migraine, women with fertility differences, and women with cardiovascular disease. How to differentiate between “red flag” side effects and more benign side effects will be presented, along with ways to effectively manage common and frequent side effects of LARC.

Alison Marshall, RN, MSN, FNP-C; Faculty, Sylvie Ratele STD/HIV Prevention Training Center of New England, Massachusetts Department of Health; Jamaica Plain MA and Assistant Director and Clinical Instructor, FNP Program, William F. Connell School of Nursing, Boston College; Chestnut Hill MA

Experience first-hand the joy of being in the present moment. Learn skills to help you stay connected to yourself and others, how to be an active listener and invite humor forward. Remember how to be playful, trust your humor instincts, and have more fun and overall joy in life.

Nancy Norton, BSN; Standup Comedian and former Registered Nurse; Lafayette CO

There continues to be a lack of education on headaches in primary clinical training and an under appreciation for the difference between primary and secondary headaches. This under appreciation and lack of appropriate management of primary headaches, results in years of suffering for the patients and a burden to the healthcare system. Focus on distinguishing between primary and secondary headaches, along with updates on diagnostic guidelines and the latest in current treatments.

Theresa Mallick-Searle, RN, MS, ANP-BC; Nurse Practitioner, Pain Management, Stanford Health Care; Stanford CA and Independent Contractor, Medical Expert Witness on Pain Management and Treatment; Stanford CA

Suboxone, methadone, and other such medications allow patients to remain clean from substances of abuse. However, patients have found ways to abuse all of these medications. Hear how they are abused, and how to decrease the risk of such abuse. Naloxone, especially nasal naloxone, is another tool to potentially prevent death in these patients, while they become clean. Providers must be aware of what patients already know; this will help in the battle against addiction.

Nancy Balch, PharmD, BCCCP; Emergency Medicine Pharmacist, In-patient Pharmacy, Massachusetts General Hospital; Boston MA

Hematology complaints are not common in pediatric primary care; however, when they do occur, it is important to be aware of what can be managed in the primary care setting and what needs to be referred to a Hematologist. Hear about common issues: lymphadenopathy, Idiopathic Transient Purpura and Iron Deficiency Anemia, which can be managed in primary care. Normal and abnormal hematology laboratory values will be discussed, along with when to refer to hematology.

Paige Johnson, RN, DNP, MPH, APRN; Pediatric Nurse Practitioner, Hematology/ Oncology Department, Children’s Mercy Hospital; Kansas City MO

Atrial fibrillation (AF) remains the most common heart arrhythmia in the general population and is associated with significant morbidity and mortality. Appropriate identification and treatment is critical to prevent potential devastating short- and long-term outcomes. NPs in all areas of practice will encounter patients with various stages of AF, and therefore must be able to identify, classify and treat this common arrhythmia. Focus on risk factors associated with AF, the classification of AF, along with various treatment options and guideline updates.

Kristine Scordo, PhD, RN, ACNP-BC, FAANP; Director and Professor, Acute Care Nurse Practitioner Program, College of Nursing & Health, Wright State University – Miami Valley; Dayton OH and Acute Care Nurse Practitioner, Schuster and Associates Cardiology; Dayton OH

It is important to understand practice management, whether you are a hospital/clinic employee or someone who owns/wants to own a business. Clinicians are expected to comply with changes in scope of practice and new federal/state regulations governing clinical practice, along with assuring that their billing information is used appropriately. Civil penalties, fines, criminal prosecution, or loss of license can be the consequences of not keeping informed. Gain practical and legal advice from an attorney/NP on information related to risk management, malpractice, billing/coding, and financial management.

Carolyn Buppert, MSN, JD; Attorney, Private Practice; Portland OR

Pharmacogenomic testing is now standard of care in the community, yet many clinicians struggle to interpret the results, know when and how to adjust medication doses, and answer patient questions. Gain an overview of pharmacogenomic laboratory findings, strategies for prescribing medications, and resources for patient, caregiver and staff education. Topics covered will include metabolizer phenotypes, gender and race considerations for safe prescribing, and a review of the cytochrome P450 genes. Case-based scenarios will highlight prescribing strategies for common primary care diagnoses such as hypertension, upper respiratory tract infections, diabetes, depression, and back pain. Basic genetic or genomic knowledge is required.

Georgie Cusack, MS, RN, AOCNS®; Director, Education and Patient Safety, NHLBI, National Institutes of Health; Bethesda, MD

Sharon Flynn; MS, RN, ANP-BC, AOCNS®, BMTCN; Nurse Practitioner, Nursing Research and Translational Science, National Institutes of Health, Clinical Center; Bethesda MD

Research advances and national clinical trials in pediatric oncology have resulted in dramatic improvements in the outcomes for these children with the overall long-term survival rate now exceeding 80%. Proper assessment, diagnosis, and referral for these patients requires accurate knowledge at the primary care entry point and collaboration with care providers at tertiary care regional centers. Focus on the most common diagnostic categories, initial presentations, as well as history, assessment, and diagnostic procedures. General treatment modalities, new developments in targeted and individualized therapies, and complications of treatment will be discussed, as well as long-term follow-up requirements and potential sequalae.

Patricia Cullen, PhD, CPNP-PC; Assistant Dean, Graduate Programs, Loretto Heights School of Nursing, Rueckert-Hartman College for Health Professions, Regis University; Denver CO

Herpes continues to be a sexually transmitted infection that is easily missed or misdiagnosed by even seasoned practitioners. Learn the most up to date research, diagnostic tools, treatment regimens, and prevention messages to deliver the best evidenced-based care. Diagnostic tools for discovering herpes simplex virus 1 (HSV1) and herpes simplex virus 2 (HSV2) will be discussed, along with how to accurately identify atypical physical presentations of HSV1 and HSV2.

Alison Marshall, RN, MSN, FNP-C; Faculty, Sylvie Ratele STD/HIV Prevention Training Center of New England, Massachusetts Department of Health; Jamaica Plain MA and Assistant Director and Clinical Instructor, FNP Program, William F. Connell School of Nursing, Boston College; Chestnut Hill MA

Targeted immunology discovery and therapeutic advancements are coming to the dermatology market at a breakneck speed. There is natural educational delay that occurs with the time it takes to bring text books and other teaching platforms in alignment with scientific discovery and therapeutic approval. The gap increases risk for a decrease in utilization with more complex therapies, even when warranted. Hear how to bridge this gap with reviewing drug and biologic package inserts, post marketing data, basic immunology, appropriate use, and management of adverse events. The basics of this lecture can applied to any specialty.

Melodie S. Young, MSN A/GNP-c; Investigator, Modern Research Associates, PLLC; Dallas TX, Nurse Practitioner, Mindful Dermatology, PLLC; Dallas TX and Adjunct Clinical Instructor, School of Nursing, University of Texas at Arlington; Arlington TX

Diabetes continues to be a growing U.S. and global health threat, as well as the greatest contributor to cardiovascular disease, earning the nickname—CARDIOBETES. There have been significant changes in terms of treatment focus and drug options leading to patient and provider confusion. Yet, there is great optimism as newer antidiabetes drugs have been shown to positively impact diabetes-related cardiovascular disease and kidney disease. Utilizing real patient case studies and providing endocrinology expertise, the speaker will offer clarity to the topic with useful tips on how to individualize and effectively prescribe current diabetes medications to reduce both hyperglycemia and cardiac dysmetabolism.

Christine Kessler, MN, CNS, ANP, BC-ADM, CDTC, FAANP; Founder and Nurse Practitioner, Metabolic Medicine Associates; King George VA

Care of transgender patients with additional issues, such as the need for contraception, bipolar disorder, clotting issues, cardiovascular disease, and liver problems, makes safely prescribing hormones more difficult for the primary care provider. With more people feeling comfortable seeking help with their gender transition, we are finding that provider resources are lacking for this more complex set of patients. Understand how to address these issues and how to manage care for these complex transgender patients.

Deborah Tuffield, DNP, APRN, FNP-C; Lead NP and Family NP, UCCS Health Circle Primary Care; Colorado Springs CO and Assistant Professor, Helen and Arthur E. Johnson Beth-El College of Nursing and Health Sciences, University of Colorado Colorado Springs; Colorado Springs CO

Patricia Bursnall, MA, MSN, FNP-C; Family Nurse Practitioner, UCCS, Health Circle, Primary Care Clinic; Colorado Springs CO and Family Nurse Practitioner, Peak Vista Community Health Center; Colorado Springs CO and Family Nurse Practitioner, Pueblo Community Health Center; Pueblo CO

For clinicians who have experience with providing colposcopy, gain a higher level understanding of colposcopic examination of the lower genital track. Approaches to completing challenging colposcopies will be presented, including difficulty with visualization or working with patients who are anticoagulated, have anxiety, or are pregnant. Appropriate use of endocervical curettage techniques will be covered. Learn how to create a systematic approach to vaginal and vulvar colposcopy.

Kristina M. Tocce, MD, MPH; Vice President and Medical Director, Planned Parenthood of the Rocky Mountains; CO, NM, NV, WY and Volunteer Clinical Faculty Member, Department of OB/GYN, School of Medicine, University of Colorado Anschutz Medical Campus; Aurora CO

Immune checkpoint inhibitors are a new class of cancer treatments that help the body’s own immune system recognize and destroy cancer cells. However, activating the immune system may cause a form of autoimmune reaction that can affect any organ or tissue. Most immune-related adverse events (irAE) are mild to moderate and reversible, if detected early and addressed appropriately. These irAE most commonly affect the skin, colon, lungs, liver and endocrine organs, and some can be permanent (hypothyroidism) or life threatening (myocarditis). Non-oncology NPs play an integral role in the care of cancer patients and survivors and NPs in specialties such as dermatology, GI, and endocrinology may be consulted regarding the management of an immune-related adverse event. Equip yourself with knowledge about immunotherapy and immune-related adverse events, so you can communicate with the oncology team and work together to address all the patient’s medical needs.

Laura Zitella MS, RN, ACNP-BC, AOCN; Nurse Practitioner and Associate Clinical Professor, Hematology/Oncology, University of California San Francisco; San Francisco CA

Telehealth is a value-based electronic solution that brings costeffective,high-quality care to the masses, improves access to specialists, expedites the coordination of care, and improves outcomes. Programs have been implemented nationwide, but many of these initiatives are discarded due to poor planning and improper deployment. Gain a clear understanding of what can be accomplished with telehealth for both the providers and the patients. Learn how to utilize sound practices to develop programs that deliver patientcentered care, while factoring in the challenges that are unique to this mode of practice. Leveraging the expertise of NPs to care for patients in this new and improved manner will widen our reach and serve more patients in need.

Pamela Ograbisz, DNP, FNP-BC; Director of Telehealth, Locumtenens.com: Alpharetta, GA

Nurse practitioners often encounter children and adolescents, who present with signs of an autistic spectrum disorder. Is there a brief screening tool, what further assessments and services are needed, and should the medication regime/management be initiated? These questions and more are reviewed to expand the provider’s competence in making sound clinical judgements for youth who present with neuroatypical features. NPs are in a strategic position to make the diagnosis of “rule out autism.” Delays in proper diagnosis and initiation of a treatment plan should be minimized in this potentially disabling developmental disorder.

Sonya Montgomery, FNP-BC, PMHCS-BC; Pediatric Psychiatric Nurse Practitioner, Focus Behavioral Health; Asheville NC

Healthcare education does not prepare providers to educate patients about the benefits of adequate and complete nutrition in relation to disease states. Improve your knowledge surrounding basic nutrition, nutrition’s role in the disease process, the provision of nutrition counseling, and specific nutritional deficiencies related to common dietary practices in the U.S diet. Understand what deficits might be encountered with dieting and/or bariatric surgery patients, which diets are best for specific disease states, and how best to screen/assess nutritional status.

Melissa Davis, DNP, CNM, FNP; Clinical Director, Nurse-Midwifery & Primary Care Faculty Practice, School of Nursing, Vanderbilt University; Nashville TN and Assistant Professor, School of Nursing, Vanderbilt University; Nashville TN

Skin and soft tissue infections caused by hospital acquired methicillinresistant Staphylococcus aureus (HA-MRSA) continue to be a problem. In recent years, however, infections caused by a newer isolate termed community-acquired MRSA (CA-MRSA) have been increasing in incidence. Outbreaks of CA-MRSA have been identified in other settings, including athletic teams and prisons. CA-MRSA infections are often incorrectly identified in emergency departments as spider bites, which often leads to readmissions and severe infections. Learn the identification of and differences in treatment of CA-MRSA versus HA-MRSA.

Kristine Scordo, PhD, RN, ACNP-BC, FAANP; Director and Professor, Acute Care Nurse Practitioner Program, College of Nursing & Health, Wright State University – Miami Valley; Dayton OH and Acute Care Nurse Practitioner, Schuster and Associates Cardiology; Dayton OH

Health care providers are aware of abuse of illicit substances, but little information is provided regarding what the illicits are cut with, to increase profit. For this reason, potential harm from these substances is not thought about when patients present for care. Learn about additional risk to patients, what substances are used, why they are used, and what happens to patients when they use illicits with fillers in them.

Nancy Balch, PharmD, BCCCP; Emergency Medicine Pharmacist, In-patient Pharmacy, Massachusetts General Hospital; Boston MA

Have you ever experienced conflict with an individual, team, or group? Review the mechanics of crucial conversations, along with team and partnership building. Have you wanted to advocate for your patients, your clinic, or your profession to achieve a noble goal? Learn the key steps to building equity, credibility, and influence within your network of stakeholders. Have you had a great solution to a major problem, but struggle to be heard? Understand the give and take of negotiations to create mutual solutions and strong partnerships.

April Kapu, DNP, APRN, ACNP-BC; Associate Chief Nursing Officer and Director for Advanced Practice, Center for Nursing Excellence, Vanderbilt University Medical Center; Nashville TN, Assistant in Critical Care, Department of Anesthesiology, School of Medicine and Associate Professor, School of Nursing, Vanderbilt University; Nashville TN

Pam Jones, DNP, RN, NEA-BC; Senior Associate Dean, Clinical and Community Partnerships, School of Nursing, Vanderbilt University; Nashville TN

The Medicare Access and CHIP Reauthorization Act of 2015 created the Quality Payment Program which includes numerous changes to clinician practice. The Sustainable Growth Rate (SGR) formula was repealed and Medicare now rewards clinicians for value over volume. Multiple quality programs were streamlined under the new Merit Based Incentive Payments System (MIPS). Clinicians can receive bonus payments for participation in eligible alternative payment models (APMs). Measures for consideration include: patient reported outcome and functional status measures, patient experience measures, care coordination measures, and measures of appropriate use of services. Find out what this all means to you, your practice, your patients, and building a value-based healthcare system.

Ashby Wolfe, MD, MPP, MPH, Chief Medical Officer, Centers for Medicare & Medicaid Services; San Francisco CA

Not all that itches is yeast. Causes of vaginal irritation, pain and itching are many. While most advanced practice providers are familiar with common vaginal dermatoses such as yeast, bacterial vaginosis, and common STIs, many are unfamiliar with less known causes of vaginal complaints. Understand how to diagnose and treat lichen sclerosus, lichen simplex chronicus, erosive lichen planus, vuvlar dermatitis, genitourinary syndrome of menopause/vulvovaginal atrophy, and vulvar graft versus host disease, and when to refer.

Jessica Pettigrew, RN, MSN, CNM; Co-director Women’s Sexual Health Consultation Service, Lead Advanced Practice Provider, University Women’s Care and Senior Instructor, Department of OB GYN, School of Medicine, University of Colorado Anschutz Medical Campus; Aurora CO

Recognize the needs for effective pain management, while limiting and identifying risks of opioid misuse. Hear about an integrated primary care model for holistic chronic pain management, which has been used in an urban, underserved primary care clinic. Methods for using a comprehensive care approach and best practices in medication management for chronic pain will be discussed. Prescribed, complementary and alternative practices will be presented, as well as behavioral health services, which can improve outcomes for your clients.

Tanya R. Sorrell, PhD, PMHNP-BC; Associate Professor, College of Nursing, University of Colorado Anschutz Medical Campus; Aurora CO

Mary Weber, PhD, PMHNP, BC; Professor, College of Nursing, University of Colorado Anschutz Medical Campus; Aurora CO

Evidence suggests that housing instability and lack of access to primary and mental health services lead to high utilization of emergency departments and hospitalization. Chronic conditions such as cancer and heart disease fueled by tobacco use in approximately three-quarters of the homeless population represent significant causes of death. Infections, injuries, and other acute conditions fester, and communicable diseases such as tuberculosis, AIDS, and viral hepatitis readily spread. Patient-centered and community health models can mitigate poor health outcomes for this population. Learn about a nurse practitioner-led health model utilizing evidence-based practices for curbside care to provide access to primary care, mental health, and social services.

Michael Sanchez, DNP, CRNP, FNP-BC, AAHIVS; Assistant Professor, School of Nursing, Johns Hopkins University; Baltimore MD

Adrian Mesa, DNP, APRN, FNP-BC, PMHNP-BC; Lecturer, School of Nursing and Health Studies, University of Miami; Coral Gables FL

Hear how repeated childhood stress of abuse, neglect, poverty, parents with mental health or substance abuse issues has a biological, tangible effect on early brain development. The ACE study (Adverse Childhood Events) uncovered a stunning link between childhood trauma and the chronic disease/disability people develop as adults, in addition to high risks for psychiatric and substance abuse disorders. In an era of tightening budgets and bottom-line focus, it is imperative to not only be informed on why our patients behave as they do, but understand the far reaching implications for organizations, environments, and a culture that are trauma engendered.

Sonya Montgomery, FNP-BC, PMHCS-BC; Pediatric Psychiatric Nurse Practitioner, Focus Behavioral Health; Asheville NC

The Perioperative Surgical Home Model is a novel approach which provides an opportunity to help patients “optimize” their chronic medical conditions and “prehabilitate” by making meaningful lifestyle changes prior to elective surgery. By identifying high risk individuals, and helping them optimize chronic medical conditions, increase physical activity, and improve nutrition, we can decrease the rate of adverse outcomes. Review the most up to date recommendations for pre-op diagnostics and management, along with a discussion of the planning, design, and implementation of an NP driven pre-op clinic.

Laura Hildebrand, ANP-C, Nurse Practitioner, Preprocedure Services, Impact Clinic, UCHealth Poudre Valley Hospital; Fort Collins CO

Julie Deters, RN, MSN, FNP-BC; Family Nurse Practitioner, PeriOperative Services, UCHealth – North; Loveland CO

Menopausal Hormone Therapy (MHT) is the most effective way to manage symptoms of menopause, but many patients and their clinicians have concerns about its safety. Awareness of current evidence on the risks and benefits of hormone therapy can increase comfort with helping patients make informed decisions about MHT. For those women who can’t or choose not to take hormone therapy, it is also important to be knowledgeable about non-hormonal options that can help alleviate menopausal symptoms. Hear about pharmacologic and non-pharmacologic modalities for treating menopausal symptoms.

Jan Shepherd, MD, FACOG; Medical Director, Women’s Wellness Connection, Colorado Department of Public Health & Environment; Denver CO, Consultant, Boulder Valley Women’s Health Center; Boulder, CO, and Clinical Associate Professor, Obstetrics & Gynecology, School of Medicine, University of Colorado Anschutz Medical Campus; Aurora CO

After more than a decade, there is renewed interest in Metabolic Syndrome — a disastrous clustering of abnormalities that may include obesity, hyperglycemia, visceral adiposity, high blood pressure, and atherogenic dyslipidemia. New insights have emerged with regard to risk, pathology and related biomarkers, as well as new management strategies. Gain insights into the cause of this deadly metabolic disruption, evidence-based and novel interventions, risk assessment, and diagnostic pearls.

Christine Kessler, MN, CNS, ANP, BC-ADM, CDTC, FAANP; Founder and Nurse Practitioner, Metabolic Medicine Associates; King George VA

Pulmonary hypertension is a chronic and progressive disease of the pulmonary vasculature, which is under-recognized, underdiagnosed and undertreated. Due to the non-specific presenting symptoms of the disease, referral of patients by primary care providers for formal evaluation and subsequent treatment is often delayed, which greatly increases both the morbidity and mortality of the disease. Hear about treatment options, which are dependent on the etiology of the underlying disease process, and how to find experts to manage this challenging disease to obtain optimal results for the patient.

Keith Volk, ACNPC-AG; Acute Care Nurse Practitioner, Cardiology, Banner Health-Cardiovascular Institute of Northern Colorado; Greeley CO

Carla Hall, RN, MSN, FNP-C; Nurse Practitioner, CardioVascular Institute, Banner Health; Greeley CO

Maternal influence on fetal development and health outcomes of her offspring is widely accepted – but, how about the fathers? Little emphasis has been placed on the crucial role of preconception health counseling for expecting fathers in primary care practice or family planning clinics. There is an increasing body of evidence that paternal preconception diet, stress, fitness, chemical and environmental exposure, and his overall health, contributes to the infant’s health outcome and plays a role in the prevention of non-communicable disease in adulthood. There is a need to shift the paradigm from solely focusing on maternal preconception exposures and embrace the paternal influence of fetal programming and infant health outcomes. Focus on modifiable lifestyle factors and risk reduction strategies that can be incorporated into preconception health counseling at primary care or family planning clinics.

Sylvia Metzger, MPH, MSN, FNP-C; Family Nurse Practitioner, El Paso Health County Family Planning Clinic; Monument CO

There has been an influx of patients seeking mental health care from primary care practices across the country. Individuals with low socioeconomic status are associated with increased risk factors for complex medical and psychiatric co-morbidities, and often have limited access to the healthcare system. Collaborative care, a form of integrated care, is considered an evidence-based approach to better identify, engage, and treat patients with multiple mental health and substance issues in primary care. The collaborative model is patient centered, multidisciplinary, and offers access in integrated care settings to improve overall health outcomes. Hear how the ACE program improved patient outcomes, and the steps for implementing this model in your own practice setting.

Sarah Stalder MSN, PMHNP-BC; Psychiatric Nurse Practitioner, Behavioral Health Department, Sheridan Health Services; Denver CO and Instructor, College of Nursing, University of Colorado Anschutz Medical Campus; Aurora CO

Mary Weber, PhD, PMHNP, BC; Professor, College of Nursing, University of Colorado Anschutz Medical Campus; Aurora CO

In the U.S., skin cancer is the most prevalent form of cancer. The primary care provider is often the first to recognize and diagnose skin cancers. Gain an overview of the clinical presentation of Basal Cell Carcinomas (BCC), Squamous Cell Carcinoma (SCC) and cutaneous melanoma skin cancers. Clinical guidelines for management and treatment of skin cancers will also be covered, according to the updated guidelines from the American Academy of Dermatology. Learn about treatment guidelines to educate and prepare your patients for treatment, and know when to refer.

Emily Reynolds, RN, MSN, FNP-BC, DCNP; Dermatology Nurse Practitioner, Vanguard Skin Specialists; Colorado Springs CO

Despite the large body of research discussing nutrition management and diabetes, there is still remaining confusion surrounding the impact of dairy in the diet and its impact on inflammation and disease management. Gain an awareness on the role of dairy foods in improving lifelong cardiovascular risk of insulin resistance and hyperlipidemia. A NIH funded study looking at metabolic pathways of increased cardiovascular risk in type 2 diabetes will be discussed, along with another trial looking at the effect of consumption of dairy products on body weight and cardiovascular risk factors in patients with type 2 diabetes. Explore the use of Medical Nutrition Therapy for diabetes management and prevention.

This session is supported by Dairy MAX.

Joanna Mitri, MD, MS; Staff Physician/Research Associate, Joslin Diabetes Center and Clinical Instructor, Harvard Medical School; Boston MA

Endometriosis, Hypothyroidism and Polycystic Ovarian Syndrome commonly present in adult women. Learn how to diagnose patients sooner and therefore minimize long term issues including, but not limited to, infertility, depression, insulin resistance, obesity, and hyperlipidemia. Diagnostic criteria for each condition will be reviewed through a case-study approach, along with a look at the latest evidence for early management to improve the long-term outcomes.

Kristin Demmert, RN, MSN, WHNP, Nurse Practitioner, Heidi Oster, MD, PC; Lone Tree CO

Laura Thomas, DNP, APRN-BC, WHNP-BC, Nurse Practitioner, Heidi Oster, MD, PC; Lone Tree, CO

More than any time in history, currently there are 30 million people entrapped in human trafficking — 27% of victims are children, with the average age of entry at 14 years old. Potential victims may present in any clinical setting, but 87% of trafficking victims have encountered a healthcare professional up to nine times during their captivity without being identified. As the most trusted health care providers, APRNs should be equipped to identify and treat victims, and implement organizational protocols to maximize health outcomes. Hear about the APRN role in prevention, treatment, advocacy, and aftercare.

Jessica Peck, DNP, APRN, CPNP-PC, CNE, CNL, FAANP; Associate Professor, College of Nursing and Health Sciences, Texas A&M University – Corpus Christi; Corpus Christi TX and Professor, Louise Herrington School of Nursing, Baylor University; Friendswood TX

Workplace violence is an increasing situation affecting over 2 million American workers yearly. Healthcare workers are at an increased risk of falling victim to workplace violence because of the nature of the profession. Hear about the definition and prevalence of workplace violence, along with different de-escalation techniques to use when faced with violence in the workplace. The Emergency Nurses Association (ENA) position statements on violence in the workplace will be reviewed, but content can be applied to outpatient clinic and inpatient hospital situations.

Nycole Oliver, DNP, APRN, RN, FNP-C, ACNPC-AG, CEN; Nurse Practitioner, Sparks Plaza Family Practice, Sparks Health System; Fort Smith AR and Advanced Practice Registered Nurse, Emergency Department, Sparks Health System; Van Buren AR

Interstitial lung disease (ILD) seems to be a black box for many health practitioners as it is a heterogeneous group of disorders. It is characterized by inflammation and/or fibrosis of the lungs. It may be caused by exposure to hazardous chemicals or smoking, medications or other medical therapies, occupational/environmental exposures, autoimmune diseases, and in some cases the cause is never found. Learn more about ILD, how it is diagnosed, evaluated, and treated to slow the progression of the disease.

Amen Sergew, MD; Assistant Professor, Division of Pulmonary and Critical Care Medicine, National Jewish Health; Denver CO

Telehealth is a value-based electronic solution that brings costeffective,high-quality care to the masses, improves access to specialists, expedites the coordination of care, and improves outcomes. Programs have been implemented nationwide, but many of these initiatives are discarded due to poor planning and improper deployment. Gain a clear understanding of what can be accomplished with telehealth for both the providers and the patients. Learn how to utilize sound practices to develop programs that deliver patientcentered care, while factoring in the challenges that are unique to this mode of practice. Leveraging the expertise of NPs to care for patients in this new and improved manner will widen our reach and serve more patients in need.

Pamela Ograbisz, DNP, FNP-BC; Director of Telehealth, Locumtenens.com: Alpharetta, GA

Advances in critical-care medicine have led to increased survival in critically-ill patients. However, survivors often suffer from a host of issues related to their physical and cognitive functioning well after completion of ICU treatment, a syndrome which is now recognized as post intensive care syndrome (PICS). Learn about ICU Delirium as a highly prevalent and major risk factor associated with development of PICS. Signs and symptoms of PICS will be explained, along with recommended treatment approaches. Early interventions targeted at prevention of PICS will be discussed, as well as the long term impact of PICS on survivor’s quality of life, their families and caregivers.

Kasey Bowden, MSN, FNP, AG-ACNP; Director, Extended Recovery Service, Assistant Director of Clinical Operations and Lead APP, Division of Hospital Medicine, University of Colorado Hospital; Aurora CO and Assistant Professor, School of Medicine, University of Colorado Anschutz Medical Campus; Aurora CO

Robin Saiki, DNP, ACNP; Assistant Professor, Department of Neurosurgery, School of Medicine, University of Colorado Anschutz Medical Campus; Aurora CO and Assistant Professor, Loretto Heights School of Nursing, Rueckert-Hartman College for Health Professions, Regis University; Denver CO

Hyperthyroidism and Hypothyroidism are common disorders in the general population, but many providers do not have a clear understanding of the best diagnostic tests and most appropriate treatment approaches and goals. Hyperthyroidism causes include Graves’ disease, toxic multinodular goiter and toxic thyroid adenomas, various forms of thyroiditis, iodine excess, medication effects, and exogenous thyroid hormone use. Thyrotoxicosis can vary in severity from thyroid storm, a life-threatening form of extreme decompensated thyrotoxicosis, to a mild, asymptomatic form that shows up only as a laboratory abnormality. Hypothyroidism can result from diseases of the thyroid gland itself (primary hypothyroidism) or it can result from disorders of the hypothalamus and pituitary gland (secondary or central hypothyroidism). Learn about the use of testing options for the differential diagnosis of thyroid dysfunction, treatment of hyperthyroidism and hypothyroidism, with additional attention to special circumstances in the elderly.

Michael T. McDermott, MD; Director, Endocrinology and Diabetes Practice, University of Colorado Hospital and Professor of Medicine and Clinical Pharmacy, Division of Endocrinology, Metabolism and Diabetes, School of Medicine, University of Colorado Anschutz Medical Campus; Aurora CO

Vaping was proposed as a possible transition strategy to help smokers discontinue smoking, but lately it has been heavily marketed as a smoking alternative. It is an industry that has been completely unregulated as far as additives and nicotine content. Several deaths have been reported related to use of vaping devices. Review the nature of vaping devices, the various potential harmful components, and current knowledge of types and mechanisms. Little is known about the epidemiology to pathophysiology of vaping related lung injury, and there likely remains under-recognition of this entity from the primary care office to the intensive care unit.

Ronald Balkissoon, MD, MSc, DIH, FRCPC; Pulmonologist, Division of Pulmonary, Critical Care and Sleep Medicine, National Jewish Health; Denver CO

While social media can be a useful tool for connecting people and maintaining friendships, it can take advantage of children and teens’ youth, inexperience and developmental thinking abilities to potentially put them in dangerous situations. Learn about social media as a health issue by exploring through a developmental lens, considering cognitive development of abstract thinking and its relation to readiness for social media use. The latest technology and digital trends will be reviewed, including privacy settings for safety, cyberbullying, mental and physical health impacts, sexting, pornography access, and recruiting into trafficking. Apps considered to be potentially dangerous will be discussed, along with basic safety measures enabling pediatric providers, parents, guardians and mentors to be equipped to discuss these with patients and their families.

Jessica Peck, DNP, APRN, CPNP-PC, CNE, CNL, FAANP; Associate Professor, College of Nursing and Health Sciences, Texas A&M University – Corpus Christi; Corpus Christi TX and Professor, Louise Herrington School of Nursing, Baylor University; Friendswood TX

Diagnosing patients with neurological conditions requires both an understanding how the nervous system works, and having a meaningful and easily performed neurological exam. The examination becomes an optimally powerful tool, when a logical and easily performed examination is combined with an understanding of nervous system functioning and how the examination itself works. Gain an intellectual understanding of the nervous system, and instruction on the examination through a hands-on, step-by step practical training on the exam, which you will practice in the audience.

Bruce Morgenstern, MD; Neurologist, Blue Sky Neurology; Lone Tree CO

Perinatal depression includes depression during pregnancy and up to 12 months postpartum. Rates of perinatal depression range from 12-15% of women, and incidence is known to be higher for vulnerable populations. Women with untreated depression during pregnancy are at risk of developing postpartum depression and suicidality. Postpartum depression interfers with infant attachment and bonding, and can lead to developmental disorders that last into adolescence. Additionally, important caregiving activities such as breastfeeding, sleep, keeping up with well-child visits and vaccine schedules can be compromised in depressed mothers. Understand which women are at risk for postpartum depression, screening methods, and treatment options to optimize outcomes for moms and babies.

Jennifer S. Hyer, MD; Physician, Department of Obstetrics and Gynecology, Denver Health Medical Center; Denver CO and Assistant Professor, Department of OB/GYN, School of Medicine, University of Colorado Anschutz Medical Campus; Aurora CO

Pediatric case studies will be presented to encourage attendees to critically think about how to evaluate and/or treat an assortment of patient presentations. Review and discuss actual clinical cases to include current and pertinent clinical recommendations and guidelines in this highly interactive session. Learn when and how to best use a combination of history taking, physical exam, laboratory, and imaging information, through comparing and contrasting clinical approaches to the question: What would you do?

James Harrington, MD; Pediatrician, Greenwood Pediatrics; Littleton CO

Interpretation of a 12 Lead ECG is challenging. While most nurse practitioners have a general understanding of 12 Lead ECG interpretation, very few patients present with only one problem. Focus on avoiding “satisfaction of search” with a better understanding of how to integrate complex findings and consider more than one problem to develop a more appropriate plan of care.

Joan King, PhD, ACNP-BC, ANP-BC, FAANP; Acute Care NP, Pre-anesthesia Evaluation Clinic, Vanderbilt University Medical Center; Nashville TN and Professor Emeritus, School of Nursing, Vanderbilt University; Nashville TN

Because it is the most common female endocrinopathy, clinicians who care for women are bound to encounter PCOS. As a multisystem disorder, it involves issues from cosmetic concerns and infertility to cardiovascular health and cancer prevention. Review the pathophysiology of the condition, as a springboard to understanding current management options for all aspects of this complex syndrome. Practical advice on managing hirsutism, oligomenorrhea, infertility, insulin resistance, and general health risks will then be presented.

Jan Shepherd, MD, FACOG; Medical Director, Women’s Wellness Connection, Colorado Department of Public Health & Environment; Denver CO, Consultant, Boulder Valley Women’s Health Center; Boulder, CO, and Clinical Associate Professor, Obstetrics & Gynecology, School of Medicine, University of Colorado Anschutz Medical Campus; Aurora CO

For many advanced practice providers, there was little opportunity during training to receive in-depth, focused teaching on dermatology, however dermatology related complaints can make up a significant portion of patient visits. Hear a review of the management of ultracommon dermatology topics, including acne, perioral dermatitis, rosacea, eczema, psoriasis, and tinea. It is also important be able to recognize and manage effectively less common disorders, such as venous stasis dermatitis, hidradenitis suppurativa, lichen sclerosus et atrophicus, cutaneous lupus, and bullous pemphigoid. Learn timesaving, evidence-based, and practical information for dermatology conditions.

Emily Reynolds, RN, MSN, FNP-BC, DCNP; Dermatology Nurse Practitioner, Vanguard Skin Specialists; Colorado Springs CO

Diagnosing and treating neurological conditions can be challenging. The first step to success is a logical approach. Gain practical and common sense approaches to the diagnosis and management of five neurological conditions commonly encountered in primary care practices. Conditions discussed will include Seizures, Headaches, Dementias, Parkinson’s Disease, and Neuropathies. Learn how to treat your patients with these conditions and when a referral to a specialist is needed.

Bruce Morgenstern, MD; Neurologist, Blue Sky Neurology; Lone Tree CO

Providers need to have knowledge regarding evaluation and management of common and sometimes life-threatening pituitary disorders. The most common causes of hypopituitarism, defined as deficient secretion of one or more pituitary hormones, are medications, such as steroids, opioids, and sex hormones, and conditions such as sleep apnea, depression, and traumatic brain injury. Pituitary tumors can secrete excess pituitary hormones and/or cause mass-effects with compression of surrounding structures, such as the nerves that control vision and eye movement. Because pituitary disorders can be life-threatening and/or significantly impact quality of life, it is critical for providers to recognize the typical situations, signs and symptoms. Hear about the most appropriate tests to accurately assess pituitary function, and the medical and/or surgical management of these disorders.

Michael T. McDermott, MD; Director, Endocrinology and Diabetes Practice, University of Colorado Hospital and Professor of Medicine and Clinical Pharmacy, Division of Endocrinology, Metabolism and Diabetes, School of Medicine, University of Colorado Anschutz Medical Campus; Aurora CO

As the COVID-19 pandemic spread across the world, there was a barrage of news stories and sometimes conflicting information, leading to further confusion and anxiety. Hear the most recent updates from the National Institutes of Health (NIH) and a discussion of the recently updated guidelines from the U.S. Department of Health and Human Services (HHS). Learn about the actions implemented to contain the spread of the virus, develop therapeutics and vaccines, and make proper protective equipment and medical supplies available. Gain a better understanding of the progress made and barriers yet to be overcome in the response to the COVID-19 pandemic.

Henry Masur MD; Chief, Critical Care Medicine Department, National Institutes of Health; Bethesda MD

Do terms like “coagulopathy,” “bleeding diathesis,” and “disseminated intravascular coagulation” make your blood boil? Hear a case study of Severus S, a 38-year-old chemist, whose friends joke that he is “half-blooded” because of his tendency to bleed. After a review of the normal mechanisms of hemostasis, we will apply our understanding to identify the pathophysiology underlying acquired and inherited bleeding diathesis, while evaluating his complaints. We will order labs and diagnostic studies; formulate a diagnosis; and develop a management plan for Mr. S. By the end of our lesson, you too will be a wizard with coagulopathies.

Pol-Andre Senecal, MSN, NP, CNS, ACNP, CCNS; Nurse Practitioner and Clinical Nurse Specialist, Pulmonary Vascular Medicine, University of Colorado Hospital; Aurora CO

Many women experience sexual problems, which can negatively impact their interpersonal relationships and quality of life. They expect their clinicians to be comfortable talking about these issues and able to provide accurate information and advice. Learn how to counsel patients on specific sexual concerns, and when and how to employ medical modalities to help them enjoy a healthy sex life.

Jan Shepherd, MD, FACOG; Medical Director, Women’s Wellness Connection, Colorado Department of Public Health & Environment; Denver CO, Consultant, Boulder Valley Women’s Health Center; Boulder, CO, and Clinical Associate Professor, Obstetrics & Gynecology, School of Medicine, University of Colorado Anschutz Medical Campus; Aurora CO

There is increasing awareness and interest in the use of cannabis for therapeutic purposes, but clinicians may lack the education needed to engage in informed discussions with patients. Current legislation both at the federal and state level make it highly confusing for patients and clinicians regarding the medical utility and legality of even having these discussions. With more states passing legislation for recreational cannabis use, the development of new cannabis based pharmaceutical products, and a commercial market flooded with other CBD products, more patients are self-medicating without the proper professional counseling. Gain direction on how to safely and legally address these issues, and how to best help patients in decision making.

Theresa Mallick-Searle, RN, MS, ANP-BC; Nurse Practitioner, Pain Management, Stanford Health Care; Stanford CA and Independent Contractor, Medical Expert Witness on Pain Management and Treatment; Palo Alto CA

Children are exposed more frequently to potentially toxic substances than any other age group. According to data compiled by the American Association of Poison Control Centers (AAPCC), there are more than 1.3 million exposures involving children age 12 and younger. Learn about the epidemiology of pediatric poisonings, along with common ingestions seen in the pediatric population. An overview of a focused toxicological physical examination, discussion of the common toxidromes, and treatment/management recommendations will be presented.

Nancy Denke, DNP, ACNP-BC, FNP-BC, FAEN; Nurse Practitioner, Toxicology Consultants of Arizona; Scottsdale AZ and Associate Faculty, DNP Program, College of Nursing and Health Innovation, Arizona State University; Phoenix AZ

Diagnosing patients with neurological conditions requires both an understanding how the nervous system works, and having a meaningful and easily performed neurological exam. The examination becomes an optimally powerful tool, when a logical and easily performed examination is combined with an understanding of nervous system functioning and how the examination itself works. Gain an intellectual understanding of the nervous system, and instruction on the examination through a hands-on, step-by step practical training on the exam, which you will practice in the audience.

Bruce Morgenstern, MD; Neurologist, Blue Sky Neurology; Lone Tree CO

Approximately 6.5 million Americans have heart failure, there are 960,000 new cases annually, and 1/3 of the U.S. population is at risk for developing heart failure. Because of this high incidence and prevalence, NPs are faced with the management of complex heart failure patients in the outpatient setting. Learn strategies for optimization of guideline directed medical therapy for both Heart Failure with Reduced Ejection Fraction and Heart Failure with Preserved Ejection Fraction. Key considerations for medication management of varying patient volume states in the outpatient setting will be discussed, as well as crucial aspects of transitioning patients from hospital to home.

K. Melissa Smith Hayes, DNP, ANP-BC, CHFN; Adult Nurse Practitioner, Heart and Vascular Center at Meharry, Nashville General Hospital; Nashville TN and Assistant Professor, School of Nursing, Vanderbilt University; Nashville, TN

Nicole Dellise, DNP, FNP-BC, CHFN; Heart Failure Nurse Practitioner, Advanced Hearth Failure Program, Vanderbilt Heart and Vascular Institute; Nashville TN and Instructor, School of Nursing, Vanderbilt University; Nashville, TN

Become more familiar with imaging options to gain a better understanding of what to order when, before referring to an orthopedic surgeon for total and partial joint replacements and surgical sports medicine. Learn what the appropriate imaging is related to preliminary diagnoses. In order to protect patients and healthcare resources, also review when there may be overuse in diagnostic testing, where the test may be redundant or inappropriate, and may also generate falsepositive results, which prompt further needless investigation or cause adverse effects.

Kareem Sobky, MD; Orthopedic Surgeon, Orthopedic Surgery, HealthONE/HCA; Denver CO

The high rate of maternal mortality in the United States continues to make headlines and pose questions about the quality of care provided to women and families. Differences between the mortality rates of women in various ethnic groups raise questions about healthcare disparities within the system. Maternal mortality reviews serve as a means of identifying underlying causes of maternal death and disparity to inform prevention strategies. Hear about the drivers of maternal mortality and how to engage in the national effort to improve maternal mortality. The maternal mortality review process will be discussed, including operationalizing a maternal mortality review committee, identifying and abstracting maternal mortality cases, and engaging with the public about maternal mortality from the perspective of a provider. Understand how to translate maternal mortality data into solutions through clinical and public health activities.

E. Brie Thumm, PhD, CNM, RN, MBA; Maternal Health Clinical Consultant, Colorado Department of Public Health and Environment; Denver CO

Infestations, bites, and stings can be minor inconveniences, but may also lead to serious sequelae. Hear about common, and not-socommon, dermatological lesions caused by insects, mammals, sea life, and more. Description of lesions and treatment options will be discussed, as well as risk of spread to family and other contacts, along with return to play requirements for high school and college athletes.

Peggy Vernon, RN, MA, C-PNP, DCNP, FAANP; Owner/Dermatology Nurse Practitioner, Creekside Skin Care; Greenwood Village CO

As a result of the Medicare Access and CHIP Reauthorization Act 2015 (MACRA) implementation, Medicare reimbursement has markedly changed. It is important to keep current on reimbursement issues and make sure that billing practices are compliant with regulations in a constantly changing environment. Hear updates for the acute care setting about changes in reimbursement, issues with shared visits, and use of critical care codes.

Nancy Munro, RN, MN, CCRN, ACNP-BC, FAANP; Senior Acute Care Nurse Practitioner, Critical Care Medicine Department and Pulmonary Consult Service, National Institutes of Health; Bethesda MD and Faculty Associate, Graduate School of Nursing, Georgetown University; Washington DC