Session Descriptions

Friday, June 17, 2022
8 - 9 a.m.

Acupuncture Concepts for Primary Care
Sajid Surve, DO; UNTHSC TCOM
This session will discuss the Eastern and Western approaches to acupuncture, their underlying mechanisms, and conditions for which acupuncture may be effective according to the most recent evidence. Learners will also have the opportunity to locate and palpate common acupuncture points used for conditions such as migraine headache and nausea.

Upon completion of this presentation, participants will be able to:

  1. Understand the basic principles and mechanisms behind acupuncture
  2. Recall conditions for which an acupuncture referral may be appropriate
  3. Palpate common high-yield acupuncture points for migraine headache and nausea  
9 - 10 a.m. Gut Health - Probiotics, Prebiotics, and Beyond
Matthew Barker, DO; Integrative Pain and Wellness Center

Gut health dysfunction can lead to a variety of problems in and outside of the digestive tract. Patients often complain of symptoms such as abdominal bloating, pain, diarrhea, or constipation before they would have abnormal results on standard laboratory testing, imaging studies, or endoscopy procedures. Learn about simple testing options that can help direct early interventions to improve gut health and more.

Upon completion of this program, participants will be able to:

  1. Understand how gut health dysfunction can affect mental and physical health outside of the digestive tract.
  2. Learn about different testing options for a variety of common gut health problems
  3. Understand the difference between different types of probiotics, prebiotics, and other gut health supplements.
10 - 10:30 a.m.

Refreshment Break

10:30 - 11:30 a.m.

Interventional Treatments for Degenerative Joint Disease (Opioid)
Christine Vidouria, DO; UIW-SOM
This session will provide a review of the evolution of treatment of generative joint disease of the hips, knees, and spine with an overview of interventional treatments for degenerative joint disease.

Upon completion of this program, participants will be able to:

  1. Osteopathic treatments and evaluation of degenerative joints
  2. Identify those patients that may be candidates for interventional treatments of degenerative joints
  3. Understand how to incorporate a variety of treatments to address the degenerative joint without surgery or after surgery.
11:30 a.m. - 12:30 p.m.

Osteopathic Approach to the Psychiatric Patient
Jamon Blood, DO; The University of Texas Health Science Center at Tyler
This presentation will cover the current state of Mental Health in Texas and what the state is doing to expand mental health services. It will also teach how the osteopathic principles apply to treating mental health and how we can teach our patients to heal themselves.

Upon completion of this program, participants will be able to:

  1. Describe the state of mental health in Texas and how Texas is combating child and young mental health
  2. Evaluate how osteopathic principles apply to mental health treatment
  3. Implement osteopathic principles in your practice.
12:30 - 1:45 p.m.

Lunch on your own

1:45 - 2:45 p.m.

Preoperative Optimization of the Bariatric Surgical Patient
Jay Roberts, DO, FACOS, FASMBS
This session will discuss the current interventions for weight loss ranging from intragastric balloon to biliopancreatic diversion with duodenal switch. The talk also outlines the current recommendations for preoperative care regarding a potential bariatric surgical patient as it pertains to smoking cessation, glycemic control, medical clearance and screening, pre operative cardiac risk assessment, exercise and pulmonary prehabilitation, obstructive sleep apnea screening, and general medical clearance recommendations.

Upon completion of this presentation, participants will be able to:

  1. Outline and discuss current weight loss intervention procedures
  2. Outline and discuss medical screening for potential bariatric patients
  3. Outline and discuss smoking cessation and psychosocial preoperative care of the bariatric surgical patient
  4. Outline and discuss preoperative cardiac screening of the bariatric patients
  5. Discuss preoperative glycemic control of the preoperative bariatric patient.
2:45 - 3:45 p.m.

Common Compensatory Patterns in MSK Injuries
Malinda (Mindy) Hansen, DO; UNTHSC-TCOM
Arthrogenic inhibition creates very predictable muscular patterns of compensation with injuries or chronic conditions. We will be talking about and demonstrating these patterns in major joints, and how to start the process of evaluation, workup, and management of these presentations.

We will review the common exams to determine joint pathology, and from there discuss ways to differentiate conservative versus more aggressive management.

Upon completion of this presentation, participants will be able to:

  1. Recognize with physical exams how compensation patterns can present
  2. Use functional tools and assessments to determine the course of management
  3. Have a better understanding of when imaging, physical therapy, or other interventions are necessary.
3:45 - 4:15 p.m.

Refreshment Break

4:15 - 5:15 p.m.

Nonalcoholic Fatty Liver Disease in the Primary Care Setting
Dante Paredes, DO; UNTHSC-TCOM
This session will start by getting listeners up to date with the current understanding of non-alcoholic fatty liver disease both as a discrete disease process as well as a defining component of metabolic syndrome. From this foundation we will discuss several possible strategies for how to screen for it in your office, how to treat it as a primary care physician, and the role specialists play. Treatment will focus on current evidence regarding dietary and exercise interventions that seem to be particularly effective for NAFLD; screening will cover lab interpretation, the use of point-of-care ultrasound, CT, and MRI images.

Upon completion of this program, participants will be able to:

  1. Understand role of fatty liver disease as it pertains to cardiometabolic disease
  2. Develop strategies for screening for and assessing nonalcoholic fatty liver disease
  3. Develop familiarity with first line treatment strategies appropriate for implementation in a primary care setting (both pharmacologic and non-pharmacologic)
  4. Know when and how to refer to specialists
5:15 - 6:15 p.m.

CKD in Primary Care: Pre and Post SGLT2 Inhibitors
Khadija Kabani, DO; Methodist Charlton Family Medicine Residency and Richard Fuquay, MD
In this session, we will review CKD definitions and management principles.  Specific management principles discussions will include SGLT-2 inhibitors role in CKD ,  chlorthalidone’s role in CKD, using potassium binding resins, finerinone, and when it is ideal to refer to a nephrologist.  

Upon completion of this program, participants will be able to:

  1. Define CKD and understand management principles
  2. Know when to refer to a nephrologist
  3. Understand SGLT2 inhibitors
6:30 - 7:30 p.m. Networking Reception sponsored by Ultimate Bariatrics
   
Saturday, June 18, 2022 
8 - 9 a.m.

Human Trafficking in Healthcare: Recognize, Respond, Report (Human Trafficking)
Carrie Schirato, NP; Reclaim 611
This session will focus on the intersection between human trafficking and healthcare  and will focus on the three R's: Recognize, Respond, and Report. Participants will be able to define human trafficking, identify red flags, respond using trauma informed care and understand reporting laws and safety intervention.

Upon completion of this program, participants will be able to:

  1. Define human trafficking by it's 3 major concepts
  2. Identify the types of trafficking
  3. Identify red flags of sex and labor trafficking 
9 - 10 a.m.

Strength Training for General Physical Preparedness for Primary Care Physicians
Dante Paredes, DO; UNTHSC-TCOM
During this session, the lecturer will discuss the risks and benefits of using the barbell deadlift, the hardstyle kettlebell swing, and the kettlebell Turkish Get-Ups for the prevention and treatment of Metabolic Syndrome, Back Pain, Osteoporosis, and Sarcopenia. The session will include both a summary of the evidence as well as practical instruction and an introduction to these movements so that the participants can increase their comfort and familiarity allowing for application in the clinical environment.

Upon completion of this program, participants will be able to

  1. Familiarize participants with the current evidence regarding the risks and benefits of resistance training for musculoskeletal and metabolic health in the general population
  2. Discuss the practical utility of using the barbell deadlift, the one-arm kettlebell swing, and the kettlebell turkish get-up as specific exercises to teach and prescribe
  3. Develop competency in designing a simple exercise program using the American College of Sports Medicine's FITT-VP format
10 - 10:30 a.m.

Refreshment Break

10:30 - 11:30 a.m. Hands-on OMM: Update on Techniques
Jamie Eller, DO; SHSU-COM

Session description coming soon...

11:30 a.m. - 1:30 p.m.

TOMA/TXACOFP Installation/Awards Luncheon

1:30 - 2:30 p.m.

Prostate Cancer/BPH/ED/Kidney Stones - What's New?
Jack Lewis, MD; USMD Urology Mansfield & Midlothian
During this session, the speaker will provide an update on current treatment options for common urology conditions such as prostate cancer, BPH, ED and kidney stones.

Upon completion of this presentation, participants will be able to:

  1. Understand the current recommendations for the diagnosis and treatment of prostate cancer, BPH, ED and kidney stones
  2. Improve access to urology care through communication.
2:30 - 3:30 p.m. Transition from Surgical Provider to Patient
Albert Yurvati, DO, PhD; UNTHSC-TCOM

During this session, participants will obtain knowledge on the psycho-emotional transition from provider to patient. The participant will obtain knowledge on the barriers to healthcare faces as a patient. In addition, the participant will understand the importance of patient safety.

Upon completion of this program, participants will be able to:

  1. Obtain knowledge of the psycho-emotional transition from provider to patient
  2. Obtain knowledge on the barriers to healthcare faces as a patient
  3. Understand the importance of patience safety
3:30 - 3:45 p.m.

Break

3:45 - 4:45 p.m.

The Effects of Climate Change on our Health
Jessica Edwards, DO; Zara Medical Aesthetics
This session will provide an overview about climate change and a discussion regarding how it affecting the health of our patients as well as solutions to improve climate health.

Upon completion of this program, participants will be able to: 

  1. Provide an overview of climate change and why it is relevant to health
  2. Discuss Texas-specific challenges with climate health
  3. Discuss an overview of policy changes needed to improve climate health
4:45 - 5:45 p.m.

The Opioid Epidemic and Social Determinants of Health (Opioid)
Sahar Soliman, R.Ph, PhD; SHSU COM
This session provides an overview of the opioid epidemic and the reasons behind it. Between demand and supply of opioids, supply has always been emphasized. Controlling supply by tighter prescribing and dispensing policies, as well as stricter regulatory and professional guidelines was unable to decrease opioid-related overdose deaths. In this presentation, we explore social determinants of health, the primarily overlooked player in the development of the opioid epidemic, and the role they play in susceptibility to substance use, access to appropriate pain management, overdose emergency care and addiction treatment programs, as well as the success of these programs.

Upon completion of this program, participants will be able to:

  1. Identify the opioid epidemic burden, waves, and factors influencing the opioid prescribing and overdose deaths.
  2. Define social determinants of health and recognize health generators influencing individual and societal health.
  3. Characterize the effects of health inequities on the opioid epidemic.
7 - 10:30 p.m. TOMA/TXACOFP Presidents' Celebration
   
Sunday, June 19, 2022 
8 - 9 a.m. Gout - What a Pain!
Craig Boudreaux, DO; SHSU-COM

Gout is a common clinical encounter in primary care.  However, it is often challenging to get these patients under control and to comply with lifestyle modifications, abortive and prophylactic regimen.  We will review the pathophysiology of gout, common triggers and comorbidities and devise a targeted treatment plan based on the patients comorbidities.  My goal is to encourage a collaborative approach in coaching these patients and to help them achieve a better quality of life.

Upon completion of this program, participants will be able to:

  1. Differentiate gout from other musculoskeletal conditions based on clinical presentation, individual risk factors and diagnostic studies
  2. Apply knowledge of anatomy and physiology to describe the pathophysiology of gout
  3. Devise an individualized, targeted treatment plan for gout including lifestyle modification and pharmacologic intervention
9 - 10 a.m.

In the Home Stretch
Katherine Pederson, DO; MMG
As the pandemic has left many of us staying at home and not many seeking or doing Osteopathic Manipulative Treatment its our responsibility for us to teach our patient different modalities to assist with pain. One of the biggest modalities is with foam rolling and use of lacrosse balls for self myofascial release. The purpose of this lecture is to review foam rolling, efficacy, contraindications, few common stretches, and provide handouts for foam rolling and Lacrosse Ball exercises for patients.

Upon completion of this program, participants will be able to:

  1. Review different types of foam rollers
  2. Review foam rolling exercises/stretches
  3. Review lacrosse ball exercises/stretches
10 - 10:15 a.m.

Break

10:15 - 11:15 a.m.

COVID-19: Transforming Rural Healthcare with Health Literacy
Teresa Wagner, DrPH, MS, CPH, RD/LD, CPPS, CHWI, DipACLM, CHWC
This presentation demonstrates how health literacy and cultural humility build a bridge with communities from a real-world scenario. Many rural communities throughout the country experienced Covid-19 health disparities especially in minority populations who work in manual labor jobs. During the pandemic, Mount Pleasant, a rural community in Texas, became a hotspot for Covid-19 cases. Titus Regional Medical Center, the local healthcare facility, became overwhelmed with Covid-19 cases. They reached out to SaferCare Texas' Clinical Executive for Health Literacy for assistance and developed a multipronged communication renovation approach similar to the Hanover Research Model of Strategies. Interventions needed were assessed, a community health worker hired, and solutions implemented to alleviate communication barriers and help prevent similar future public health outcomes.

Upon completion of this program, participants will be able to:

  1. Understand Health Literacy & Cultural Competency roles in patient and public health communication.
  2. Examine the importance of Health Literate & Cultural Competent interpersonal relationships and communication in public health outcomes.
  3. Apply the concepts in a real world setting to improve healthcare system and provider communication to optimize public health outcomes.
11:15 a.m. - 12:15 p.m.

Non-Alcoholic Steato Hepatitis Leading to Hepatocellular Carcinoma
Shahid Aziz, DO; PPG Healthcare
New data indicates that Steatohepatitis patients can develop live and bile duct cancer without cirrhosis. During this presentation, the speaker will identify pathways that lead to cancer.

Upon completion of this program, participants will be able to: 

  1. Identify metabolic risks factors
  2. Learn about pathways that can lead to cancer formation
  3. Differentiate between Hepatocellular caner and Cholangiocarcinoma
12:15 - 1 p.m.

Box Lunch 

1 - 2 p.m.

Travel Miseries: Overview of Motion Sickness, Altitude Sickness, Traveler's Diarrhea and Jet Lag
Rob C. Allen, DO, FACEP; UIW-SOM
This presentation will provide an overview of common travel-related illnesses, such as Jet Lag, Altitude Sickness, Traveler's Diarrhea and Seasickness, with an emphasis on prevention and treatment options.

Upon completion of this program, participants will be able to:

  1. Understand the etiology of jet lag, motion sickness, altitude sickness and traveler's diarrhea
  2. Understand the prevention of jet lag, motion sickness, altitude sickness and traveler's diarrhea
  3. Know the general treatment of jet lag, motion sickness, altitude sickness and traveler's diarrhea.
2 - 3 p.m.

General Session

3 p.m. Adjourn
 

 
Accreditation

The Texas Osteopathic Medical Association is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. 

The Texas Osteopathic Medical Association designates this program for a maximum of 21 AOA Category 1A credits and will report CME credits commensurate with the extent of the physician's participation in this activity. 

The TOMA/TXACOFP 14th Annual Convention has been planned and implemented in accordance with the accreditation requirements and policies of the AOA Council on Continuing Medical Education. Attendees can earn 1 CME credit for every 60 minutes of educational time.