Upcoming Medical Conferences in Austin

Dermatologic Procedures Course is organized by National Procedures Institute (NPI) and will be held from Jun 20 - 21, 2019 at Sheraton Austin Hotel at the Capitol, Austin, Texas, United States of America. This CME Conference has been approved for a maximum of 15.50 AMA PRA Category 1 credits™. Course Description: Patients expect primary care clinicians to care for skin problems. New techniques allow rapid assessment and treatment with less scarring. Although often neglected in residency training, various skin procedures can and should be daily in your practice. Why refer the patients out when you can diagnose and treat most of them? This dermatology CME course includes a dermatology training for common skin procedures, including skin anesthesia, skin biopsy techniques, cryosurgery, electrosurgery, nail procedures, dermoscopy, and coding. Over 1,000 actual clinical slides are used in addition to text to review treatment of lipomas, cysts, ingrown toenails, warts, skin tags, chalazions, abscesses, actinics, seborrheics, basal cell, and squamous cell cancers, malignant melanomas, and much more. The first day of the course is dedicated to the dermatologic procedures themselves. Understand the approach to the patient with a skin lesion including providing safe and effective local anesthesia. Practice performing all types of skin biopsies including punch, shave, curette/cautery, and excision. Cryosurgery reviews the use of topical refrigerants, liquid nitrogen, and hand-held cryo units. As most CME course participants say after seeing electrosurgery: “Amazing! Practical.” Used every day in the office, these techniques enable treatment of common problems you never thought you would treat; skin lesions, benign nevi, telangiectasias of the face, ingrown toenails, pyogenic granulomas, and more. The second day of the dermatology course reviews clinical surgical dermatologic problems in detail. A wealth of clinical slides of various skin lesions and procedural videos are used to reinforce the content. During this portion, dermoscopy is demonstrated and practiced, as used in the primary care office. Course Objectives: • Perform common office dermatologic procedures including skin anesthesia, skin lesion biopsy, cryosurgery, electrosurgery and Dermoscopy. • Identify various skin lesions that should be biopsied and are surgically treatable in the office. • Describe the diagnosis and treatment of various benign and malignant skin lesions. • Discuss when to refer patients for subspecialty care. • Explain coding and billing issues and pitfalls. Early Bird Discount for Austin: Register by May 21 and enter code EarlyJune to save $100 Book two courses for Austin and save $200! Enter code June2 at checkout.  Additional details will be posted as soon as they are available.

Contraceptive, Women's Health, and Vasectomy Procedures Course is organized by National Procedures Institute (NPI) and will be held from Jun 20 - 21, 2019 at Sheraton Austin Hotel at the Capitol, Austin, Texas, United States of America. This CME Conference has been approved for a maximum of 15 AMA PRA Category 1 Credits ™. Course Description: This CME course includes a didactic review of underlying disease processes, patient selection, management of complications and hands-on practice of contraception, endometrial biopsy, no-scalpel/no-needle vasectomy and office treatment of hemorrhoids. NPI provides the necessary equipment and anatomic models with the goal of preparing the learner to perform these techniques in their own practice at the completion of the course. The course is designed in such a way that the material is easily learned in the classroom setting, with topics selected specifically for the primary care setting.  Contraceptive Implant: The contraceptive implant is a long-acting reversible contraceptive. The implant contains the progestin etonogestrel and is subdermally implanted into the arm. The course will discuss the insertion and removal of the implant. Indications, contraindications, benefits and complications will be discussed. IUD: With proper patient selection, lUD’s are safe, cost-effective, and easily inserted. Studies show they prevent conception which makes them more acceptable to patient and physician alike. Reviews indicate they are often inappropriately overlooked as a contraceptive choice. The levonorgestrel-releasing IUD is also indicated to treat hypermenorrhea. IUD’s are approved for 5-10 years of continual use. Experts feel they are underused. This course will discuss insertion, removal, indications, contraindications, benefits and side effects. Vasectomy (No-scalpel and No-needle): Patients truly prefer the no-scalpel technique. This course is a comprehensive review of the entire topic of vasectomy, but will concentrate on the no-scalpel approach. We will also demonstrate a method of performing this procedure with no-needle; an air gun is used to administer the local anesthetic. History, pre-operative counseling, complications, various techniques, and follow-up are all reviewed. Vasectomy is safer, less costly, and has a lower failure rate (and the failures can be detected) when compared to tubal ligations. Start-up expenses are minimal and patients prefer having their family physician do the procedure. The VASCLIP will also be reviewed. Endometrial Biopsy/Abnormal Uterine Bleeding: Endometrial biopsy has replaced most D&C’s. Ninety-seven percent accuracy in diagnosis makes this the procedure of choice for evaluating abnormal uterine bleeding. Fine Needle Aspiration: Fine needle aspiration is a simple procedure that is used to extract cells from masses and lumps for testing and diagnosis in the paravaginal and perianal region as well as other locations. This procedure is less invasive and less traumatic than other tissue sampling techniques. Hemorrhoid Treatment: Ninety percent of symptomatic hemorrhoids can be treated in the office and the patient can return to work the same day. Office treatment of hemorrhoids using infrared coagulation (IRC) and rubber band ligation is reviewed. It’s now easier than you think. We will also discuss anal fissures and other issues of the perineal region. Course Objectives:  By the end of this activity, the participant should be better able to:  • Review current and emerging contraceptive technologies. • Discuss male sterilization and learn the technique of no-scalpel vasectomy. • Discuss subcutaneous contraceptive implants and intrauterine devices (IUDs) and their insertion & removal techniques. • Discuss indications and technique of endometrial sampling procedures. • Discuss techniques for fine-needle aspiration of masses. • Review various common diseases of the perianal region (including hemorrhoids, skin tags, anal fissures, perirectal abscess, pilonidal disease, warts, cancers, etc.) and the appropriate medical and surgical management of these conditions in the primary care office. Early Bird Discount for Austin: Register by May 21 and enter code EarlyJune to save $100 Book two courses for Austin and save $200! Enter code June2 at checkout. Additional details will be posted as soon as they are available.

Hospitalist Procedures Course is organized by National Procedures Institute (NPI) and will be held from Jun 20 - 21, 2019 at Sheraton Austin Hotel at the Capitol, Austin, Texas, United States of America. This CME Conference has been approved for a maximum of 16 AMA PRA Category 1 credits™. Course Description: In the last fifteen years, hospitalists have become much more prevalent in the care of inpatients and a hospitalist must be familar with a number of skills and procedures. Often, new hospitalists have a background in outpatient practices and they may not be as comfortable performing procedures. This course is an excellent refresher course for experienced physicians, residents, and other healthcare providers alike. In a group setting, individuals will learn about the techniques of various procedures, including the use of an ultrasound. In addition to the hands-on practice and lectures, the participants will be given examples of tools and order sets, and key articles will be provided for reference. The following procedures will be taught using a combination of lecture, video, and hands-on practice with manikins and models. The participants will also get ample time to practice with an ultrasound on models and on each other. Discussion and use of the ultrasound in the procedures is designated with an asterisk (*). Models and ultrasounds will be available for use to practice throughout both days of the course. • Procedural sedation • Procedural consent and universal precautions • Lumbar puncture * • Central line placement via subclavian, internal jugular *, and femoral approaches * • Familiarity with a Cordis, dialysis and triple lumen catheter • EZ/IO intraosseous lines • Paracentesis * • Thoracentesis * • Thoracostomy tube placement • Ultrasound diagnosis of pneumothorax* • Thoracic vent placement • Basic airway management • Intubations and adjunct airways • Basics of surgical and advanced airways including cricothyrotomy and fiberoptic intubation • Arterial line placement by radial, brachial and femoral approaches * • Ventilator management and protocols including lung protective protocols • Noninvasive ventilation management with high flow nasal oxygen therapy • Noninvasive ventilation with CPAP and BiPAP • Basics of hemodynamic support in shock states • Coding of procedures Course Objectives: • Discuss indications, contraindications, and technique of procedures commonly performed by hospitalists. • Gain experience with the use of an ultrasound machine in hospitalist procedures. • Learn pre-procedure evaluation and post-procedure management, including the Joint Commission mandates for Universal Protocol. • Discuss prevention and management of complications of hospitalist procedures. Early Bird Discount for Austin: Register by May 21 and enter code EarlyJune to save $100 Book two courses for Austin and save $200! Enter code June2 at checkout. Additional details will be posted as soon as they are available.

Allergy Testing and Immunotherapy for Primary Care Physicians Course is organized by National Procedures Institute (NPI) and will be held on Jun 21, 2019 at Sheraton Austin Hotel at the Capitol, Austin, Texas, United States of America. This CME Conference has been approved for a maximum of 8 AMA PRA Category 1 credits™. Course Description: This course is a model for primary care physicians wanting to learn to administer and interpret allergy tests using multiple allergy applicators, and, when indicated, initiate and carry out an immunotherapy program to completion. Application and interpretation of results will be by active, hands-on participation. This CME course will review and update the clinical factors regarding allergic, non-allergic, and mixed rhino-sinusitis. It will address the relationship between rhino-sinusitis and asthma and recommend when allergy testing is indicated in this situation. Screening patients using a limited number of allergens is cost effective and should be done before testing for all allergens. Immunotherapy problems and their solutions will be presented. There will be ample time for questions. Course Objectives: • Discuss the epidemiology of allergic, non-allergic and mixed rhinitis. • Discuss the evaluation and treatment of each of these disorders. • Utilize the present methods of allergy testing and the use of allergy screening. • Safely begin an immunotherapy program and identify problems and solutions associated with immunotherapy, and how and when to discontinue. Early Bird Discount for Austin: Register by May 21 and enter code EarlyJune to save $100 Book two courses for Austin and save $200! Enter code June2 at checkout. Additional details will be posted as soon as they are available.  

Headache Procedures - Where There Are No Headache Doctors: Providing 21st Century Care in the Community Course is organized by National Procedures Institute (NPI) and will be held on Jun 22, 2019 at Sheraton Austin Hotel at the Capitol, Austin, Texas, United States of America. This CME Conference has been approved for a maximum of 8 AMA PRA Category 1 credits™. Course Description: This course will provide an evidence based approach to the diagnosis, management and prevention of headache and migraine. It will include preamble on pain, identifying headache - the epidemiology and its application, “It’s Not a Tumor” - secondary headaches, what is migraine - pathophysiology, acute migraine treatment, preventive migraine treatment, in-clinic rescue migraine treatment, migraine staging - coordinating acute, preventive, and rescue plans, migraine comorbidities - identifying and addressing barriers to improvements, and procedures for migraine. Specific procedures for migraine treatment and prophylaxis will be practiced and demonstrated.  Course Objectives: • Increase awareness and interest of headaches in primary care. • Provide a clinical framework for the diagnosis, prophylaxis, and treatment of migraine. • Discuss the distinction between primary and secondary headaches. • Discuss the difference between tension, migraine, and cluster headaches. • Identify risk factors for migraine progression. • Develop a plan for headache treatment based upon migraine staging. • Perform therapeutic injections for the prevention and treatment of migraine headaches. Early Bird Discount for Austin: Register by May 21 and enter code EarlyJune to save $100 Book two courses for Austin and save $200! Enter code June2 at checkout. Additional details will be posted as soon as they are available.

Exercise Stress Testing Course is organized by National Procedures Institute (NPI) and will be held from Jun 22- 23, 2019 at Sheraton Austin Hotel at the Capitol, Austin, Texas, United States of America. This CME Conference has been approved for a maximum of 12 AMA PRA Category 1 credits™.  Course Description: Delayed diagnosis of cardiovascular disease is one of the most common causes for a malpractice suit for primary care. The patient population is aging and see their primary care provider to rule out or manage coronary artery disease on a daily basis. Utilizing patient cases and video demonstration, this CME course covers the basics for cardiac ECG exercise stress testing (EST), including indications, contraindications, limitations, alternatives, equipment, and personnel needs. Whether you have been doing exercise testing for years or are now considering it for practice, all clinicians will benefit from this course. Course Objectives: • Review the epidemiology and presentation of coronary artery disease (CAD) and discuss management options for CAD. • Review the history of ET. • Define the cardiopulmonary and ECG changes with exercise, normal and abnormal. • Review the indications and contraindications for exercise stress testing. • Discuss the various protocols for ET and learn to set up, perform and interpret ETs. • Present the guidelines for training and the experience necessary for competence. • Review ET cases and alternatives to ET for detecting CAD. • Review the components of exercise prescription. Early Bird Discount for Austin: Register by May 21 and enter code EarlyJune to save $100 Book two courses for Austin and save $200! Enter code June2 at checkout. Additional details will be posted as soon as they are available.

Joint Exam and Injections with Ultrasound Guidance Course is organized by National Procedures Institute (NPI) and will be held from Jun 22 - 23, 2019 at Sheraton Austin Hotel at the Capitol, Austin, Texas, United States of America. This CME Conference has been approved for a maximum of 14 AMA PRA Category 1 credits™. Course Description: This CME course represents an intensive, evidence-based review of examination and injection techniques for musculoskeletal problems encountered in daily practice. Numerous studies demonstrate that more than 20 percent of all visits to primary care providers deal with these complaints. The pertinent history and physical examination techniques are reviewed. The functional anatomy of the joint as well as common mechanisms of injuries is stressed. After an initial review of the basics of clinical examination, demonstration and practice of examination techniques will be completed. Additionally, the benefits of joint aspiration and orthopedic injection will be discussed, demonstrated and practiced.  To enhance the educational experience, it is recommended that participants attend this course in comfortable attire so that you will be able to get supervised practice experience in the examination techniques pertinent to every joint. More than 75 percent of the two-day course involves interactive joint injection sessions. Each session has extensive practice times with joint models to review and practice common aspiration and injection techniques. CPT codes for the different aspiration and injection techniques are reviewed, and other issues for coding and reimbursement are discussed. Injections:  • Subacromial • Intra-articular Shoulder • Acromioclavicular • Intra-articular Elbow • Tennis Elbow • Golfer’s Elbow • DeQuervain’s • Finger • Carpal Tunnel • Trochanteric Bursa • Intra-articular Knee • Illiotibial Band • Pes Anserine Bursa • Plantar Fascia • Morton’s Neuroma • Intra-articular Ankle Physical Exam Special Tests:  • Shoulder • Elbow • Knee • Lumbar Spine/Hip • Leg/Ankle/Foot Course Objectives: • Review the anatomy and function of various joints. • Learn specific clinical tests to evaluate each joint using evidence-based medicine guidelines. • Review common mechanisms of injuries and pathology that can lead to them. • Review imaging techniques used for evaluation. • Practice exam techniques in a supervised setting. • Practice joint aspirations and injections using joint models. Early Bird Discount for Austin: Register by May 21 and enter code EarlyJune to save $100 Book two courses for Austin and save $200! Enter code June2 at checkout. Additional details will be posted as soon as they are available.  

S2 - Advanced Evaluation & Manipulation of Pelvis, Lumbar & Thoracic Spine Including Thrust is organized by University of St. Augustine for Health Sciences (USAHS) and will be held from Jun 22 - 23, 2019 at Austin, Texas, United States of America. Hours: 18 or 1.8 CEUs (includes 3 online hours) or 2 graduate credits Prerequisite: S1; Intro S2 Webinar is included with S2 Who Attends: Physical Therapists Description: Anatomy and biomechanics of the lumbar spine, thoracic spine, rib cage and the pelvis are discussed. Review and modification of techniques from S1 - Spinal Evaluation and Manipulation, along with the instruction of additional techniques are provided.  An in-depth presentation on the syndromes of the lumbar spine and their treatment is instructed. The utilization of biomechanical and anatomical principles for the enhancement of patient care through manipulation and exercise is emphasized, as is the patient’s role in his/her own welfare. Learning Objectives: At the completion of this seminar, the attendee should be able to: • conduct a detailed physical examination of the lumbar, thoracic spine and pelvis • describe the mechanisms and characteristics of spinal pain and the behavior of pain patients • perform manipulation to the lumbar, thoracic spine/ribs and pelvis • discuss and present cases with spinal dysfunction • describe indications and contraindications of spinal manipulation • discuss the role of therapeutic exercise and preventative measures in the management of spinal dysfunction especially with regard to spinal stabilization

Mastering Protocols for Optimization of Hormone Replacement Therapy (HRT) Course is organized by National Procedures Institute (NPI) and will be held from Jun 22 - 23, 2019 at Sheraton Austin Hotel at the Capitol, Austin, Texas, United States of America. This CME Conference has been approved for a maximum of 16 AMA PRA Category 1 credits™. Course Description: This training course utilizes a case study approach designed to help physicians and practitioners successfully and knowledgeably treat their age management patients. This intense 2 day mini-residency teaches everything you should know about hormones, the various types of hormones, both good and bad, problematic, and life-saving, synthetic (non-human) vs. pharmaceutical bioidentical (human identical) vs. compounded (human identical but not FDA tested or approved). Learners will get the real nuts and bolts needed to prescribe hormone replacement therapy (HRT), which ones to use and which ones to avoid, how much, when, and why. Participants will learn about monitoring and adjusting HRT through literature presentations, case studies, and open discussions. Emphasis is placed on understanding the difference between normal and optimal levels of hormones based on our medical studies. Course Objectives: • Evaluate and become proficient in the medical literature that supports biologically identical hormone replacement in contrast to chemically altered hormones and realize that “all hormones are not the same” as demonstrated in the literature. • Implement therapeutic management of andropause based on studies reported in prestigious medical journals. • Identify the types, doses and methods for administering testosterone to men and women. • Discuss the prescribing of testosterone for men and women, including complications, precautions, potential side effects, and monitoring. • Discuss the utilization of Finasteride, Dutasteride, and Anastrozole as they pertain to the management of side effects with testosterone administration. • Identify the uses of melatonin including correct dosing and monitoring. • Apply strategies for the effective uses of DHEA and pregnenolone including correct dosing and monitoring. • Evaluate new evidence that contradicts the experts’ conclusions from the HERS and WHI Trials on estrogen treatment in women. • Demonstrate an understanding of the health benefits of estrogen and progesterone in contrast to the health detriments and harm of synthetic estrogen and progestin. • Describe the types, doses, and methods used to administer estrogen and progesterone. • Discuss that different formulations can affect absorption, efficacy, side effects, and complications. • Review lab tests that demonstrate that some compounded hormones are poor in quality, not micronized, and result in reduced efficacy and low serum markers. • Discuss recent literature, questions and answers that demonstrate the beneficial effects of hormones such as improved function and healing and a better quality of life. • Explain current concepts of thyroid replacement and compare and contrast different options available for thyroid replacement as supported in the medical literature. • Recognize various methods of testing for thyroid deficiencies and what labs and approaches are best. • Discuss and analyze interesting and complicated cases that involve hormone replacement therapy, which hormones are absorbed best, and when to use oral vs. transdermal HRT. • Recognize the difference between “normal levels” and “optimal levels” of hormones and the benefits or detriments as demonstrated by current medical studies. • Implement best clinical practices in diagnosing, prescribing, monitoring and adjusting of BHRT for improved function and quality of life. • Develop and apply business management principles to set up a preventive medicine practice. • Analyze and review treatment protocols in case management for both simple and complex cases as it pertains to BHRT. • Evaluate the lack of peer-reviewed studies for any compounded hormones in comparison to the standardized, pharmaceutical bioidentical hormones which are the only natural hormones utilized in the medical literature. • Describe how to write prescriptions for compounded hormones to pharmacies, and how different formulations can affect absorption, efficacy and side effects. • Correct any insufficient or inappropriately prescribed hormone therapy to conform to scientific standards as seen in medical literature. • Implement current strategies into your practice to improve the level of care and patient compliance in the treatment of adult hormone deficiencies. • Assure that prescribed hormones meet industry standards based on attaining adequate serum levels and symptom improvement. • Discuss that some compounded hormones are poor in quality, poorly absorbed, not micronized, and usually prescribed in very inadequate amounts to conform to scientific standards of maintaining therapeutic levels. • Discuss that biologic endpoints (lab tests) are the only reliable assessments to assure that the HRT prescribed is as efficacious as pharmaceutical bioidenticals utilized in the literature. • Realize that it is the responsibility of the medical practitioner to assure that their compounding pharmacy dispenses only high quality hormones from either a European or U.S. made source in order to guarantee efficacy and therapeutic endpoints. • Apply current prescribing strategies for maintaining adequate hormone levels, which serum levels to follow, which tests not to use (saliva), and the literature supporting each. • Analyze new treatment protocols to best diagnose, prescribe, monitor, and adjust BHRT for improved function and quality of life. Early Bird Discount for Austin: Register by May 21 and enter code EarlyJune to save $100 Book two courses for Austin and save $200! Enter code June2 at checkout. Additional details will be posted as soon as they are available.

Bringing Trauma-Informed Yoga into Mental Health Clinical Practice is organized by PESI HealthCare and will be held on Jun 25, 2019 at Omni Austin Hotel at Southpark, Austin, Texas, United States of America. Target Audience • Counselors • Psychotherapists • Social Workers • Psychologists • Case Managers • Marriage & Family Therapists • Addiction Counselors • Nurses • Nurse Practitioners • Clinical Nurse Specialists • Occupational Therapists & Occupational Therapy Assistants • Other Mental Health Professionals Course Description: Discover yoga-based interventions that can help regulate the autonomic nervous system and learn how to incorporate these interventions into your psychotherapy session.  Join Michele D. Ribeiro, EdD, CGP, for an in-depth training on the principles and practices of trauma-informed yoga, with a special focus on chair yoga practices, yogic breathing exercises, and yoga nidra, the yogic sleep. This workshop also incorporates techniques and theory from trauma studies, somatic psychotherapy and ayurveda. Throughout the day, you will learn the importance of nervous-system regulation to the process of psychological healing.  Learn first-hand why organizations as diverse as the U.S. Army and the U.S. prison system have embraced yoga as an evidence-based approach to treat post-traumatic stress disorder, anxiety and depression.  Through lecture, experiential exercises, video clips, and case studies, you will leave the workshop with the background and tools you need to add trauma-informed yogic interventions to whatever style of therapy you currently practice. Objectives: • Evaluate ways that autonomic nervous system dysregulation contributes to PTSD symptoms. • Ascertain symptoms of post-traumatic stress disorder which can be decreased through trauma-sensitive yoga practice. • Practice trauma-informed chair yoga postures for use in the individual or group psychotherapy session. • Determine the benefits of bringing yogi deep relaxation into the therapy session. • Specify yogic strategies to help reduce symptoms of anxiety and depression in clients. • Apply applications of chair yoga and three-part deep breathing practices into your clinical work, using scripts and practice sessions. Additional details will be posted as soon as they are available.