Session Descriptions

Friday, June 11, 2021 
8 - 9 a.m. Review of ACC/AHA Hypertension Guidelines
Craig Boudreaux, DO; SHSU COM

This presentation will provide a review of the ACC/AHA 2017 Hypertension Guidelines presented with a bit of historical reference to JNC guidelines and a rationale for embracing a more comprehensive approach to the management of hypertension.

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

  1. Review the epidemiology of hypertension
  2. Identify considerations for secondary causes of hypertension
  3. Provide a brief history of JNC Hypertension guidelines and the rationale for alternative guidelines
  4. Present an evidence-based rationale for ACC/AHA guidelines

9 - 10 a.m. Emergency Contraception for Primary Care Providers
Ghazal Moayedi, DO; Pegasus Health Justice Center, PLLC

Although modern emergency contraception was first introduced to the US market more than 20 years ago, many physicians still feel uncomfortable incorporating EC provision into their routine care of reproductively aged people. In this session Dr. Ghazaleh Moayedi, a Board Certified OB/GYN and Complex Family Planning Subspecialist, will review evidence-based guidelines for the provision of emergency contraception and empower physicians to incorporate emergency contraception provision into their primary care practices.

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

  1. Understand what emergency contraception is and why it is used
  2. Review different types of EC and their mechanisms of action
  3. Discuss timing, use, and contraindications to EC
  4. Recommend strategies for contraception initiation after EC and incorporating EC provision into a primary care practice
10 - 10:30 a.m. Refreshment Break
10:30 - 11:30 a.m.

Juvenile Arthritis and Mimics
Lorien Nassi, MD; UT Southwestern
This session will provide participants with the tools to recognize Juvenile Idiopathic Arthritis (as well as it's subtypes), and develop preliminary evaluation and management strategies. Participants will also be taught to recognize warning signs when primary arthritis is not the diagnosis. Emphasis will also be placed upon which conditions require urgent evaluation.

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

  1. Recognize the clinical presentation of juvenile arthritis and appropriate preliminary evaluation and treatment
  2. Recognize the limitation of laboratory studies with respect to juvenile arthritis
  3. Recognize the clinical presentation of common mimics of juvenile arthritis
11:30 a.m. - 12:30 p.m.

Current Topics in Weight Loss Surgery
Jay Roberts, DO, FACOS, FASMBS

This presentation provides updates on standard weight loss surgery as well as discusses new weight loss procedures. Participants will be educated on the management of GERD in the obese patient. Finally, the speaker will discuss the diagnosis and management of vitamin deficiencies.

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

  1. Outline current procedures and discuss the different types of weight loss surgery
  2. Discuss new surgical and non-surgical interventions for weight loss
  3. Discuss the management of GERD in the obese patient
  4. Discuss diagnosis and treatment of metabolic disorders and vitamin deficiencies following weight loss surgery
12:30 - 1:45 p.m. Lunch on you own
1:45 - 2:45 p.m. Updates in Diabetes Management
Lindsey VanDyke, DO; Advanced Institute for Diabetes & Endocrinology

This session will provide a review of advances in medications, sensors and devices including insulin pumps and smart pens. 

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

  1. Familiarize with options for glycemic monitoring
  2. Familiarize with insulin pumps, including patch pump
  3. Familiarize with smart pens  
2:45 - 3:45 p.m.

When It's Time to Say Goodbye to our Patients: Who Takes Care of Us?
Martha Danhof, DO, FACP; THPG - THR HEB
How do we decide when hospice or palliative care is appropriate for our patients? In this presentation, the speaker will provide information on where healthcare providers can find support in the loss of patients. In addition, the speaker will address ways physicians can avoid feelings of inadequacy or failure when a patient dies.

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

  1. Determine when hospice vs. palliative care is appropriate for patients
  2. Provide suggestions on how physicians can cope with the loss of a patient
  3. Understand who can assist the healthcare provider in dealing with the loss of a patient. 
3:45 - 4:15 p.m. Refreshment Break
4:15 - 5:15 p.m.

Age is But a Number - Strategies for Healthy Ageing and Functionality
Ashley Classen, DO; Trinity Pain Medicine Associates
This presentation grew out of a previous presentation by Dr. Ashley Classen, "When Should a Physician Retire?"  Extensive (perhaps somewhat exhaustive) research in the U.S. and world literature references some 135+ peer-review journal articles from nearly every major country on earth, supporting what Osteopathic Physicians have been advocating for decades, and in some cases since the days of A.T. Still. The literature data becomes a vindication of the Osteopathic holistic approach to wellness albeit a topic of which the big Pharma industry is not fond. Examples of how nutritional supplements work is presented from a practical basic science viewpoint and will further vindicate those clinicians who were formerly shouted out of the public square and labeled as charletains.

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

  1. Become familiar with the molecular basis for supplementing a healthy diet with nutriceuticals
  2. Become familiar with use of nutriceutical supplements supported by basic science research and studied throughout the world
  3. Review of the most common classes of supplements, their origin and use in prevention of acute/chronic disease processes
5:15 - 6:15 p.m.

Addressing Sickle Cell Disease Across the Age Spectrum: Current Therapies and Future Directions
Kemi Olaiya, DO; SHSU COM
During this presentation, the speaker will review the clinical manifestations of sickle cell disease (SCD) and discuss the current therapies available for adult and pediatric patients with SCD.

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

  1. Describe the clinical presentation and complications of Sickle Cell Disease
  2. Summarize the current therapies for patients with Sickle Cell Disease
  3. Briefly discuss the future therapies for Sickle Cell Disease
6:30 - 7:30 p.m. Networking Reception sponsored by Ultimate Bariatrics
   
Saturday, June 12, 2021 
8 - 9 a.m.

Let's Get the Day Started with an Opioid Talk (Opioid credit)
Jennifer Fix, PharmD, MBA; UNTHSC - College of Pharmacy
Dr. Jennifer Fix, Associate Professor of Pharmacotherapy will facilitate a robust discussion about the benefits of the Texas PMP and best strategies for communicating with patients. In addition, the speaker will review a recently published systematic review on the effects of rescheduling hydrocodone on opioid use outcomes. Finally, the speaker will provide a conversational refresher on the benefits and use of Naloxone.

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

  1. Consider aspects of prescribing and monitoring of controlled substances
  2. Understand how to effectively communicate with patients the prescribing of opioids or other controlled substances
  3. Refresh knowledge on the use of Naloxone
  4. Review the effects of rescheduling hydrocodone on opioid use outcomes
9 - 10 a.m.

Maximizing Telemedicine in Your Practice
Jessica Edwards, DO; Zara Medical Aesthetics
This session will provide an overview of telemedicine, potential uses in your practice and how to maximize patient health monitoring.

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

  1. Provide an overview of telemedicine and it's regulatory history
  2. Discuss uses of telemedicine within your practice beyond the pandemic
  3. Review remote monitoring
10 - 10:30 a.m. Refreshment Break
10:30 - 11:30 a.m. Identifying and Responding to Victims of Human Trafficking in a Clinical Setting (Human Trafficking credit)
Thomas J. "TJ" Webb, MD; Waco Family Medicine

Unbound was founded in Waco in 2012 and now works to fight human trafficking and modern slavery around the world through community-based prevention, professional training, and survivor advocacy. Dr. TJ Webb will share an overview of human trafficking in Texas and internationally, and train Physicians to recognize human trafficking in clinical situations and provide trauma-informed care, patient-centered intervention, and resources for survivor aftercare and support.

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

  1. Understand different types of human trafficking and their local, statewide, and international prevalence
  2. Recognize human trafficking indicators and red flags in a clinical setting
  3. Discover immediate healthcare needs of identified victims
  4. Develop ability for trauma-informed response
  5. Learn about available resources for survivor services and aftercare
11:30 a.m. - 1:30 p.m. TOMA/TXACOFP Installation/Awards Luncheon
1:30 - 2:30 p.m. The Ministry of Funny Walks
Col. Raul Marin, MD; UIW SOM

This presentation will begin with discussion about gait nomenclature, phases, the six determinants of gait, and cane ambulation biomechanics. Subsequently, the presenter will proceed to demonstrate various types of abnormal gait in a Socratic question and answer style to elucidate the pathological determinants and the diagnoses of each gait abnormality.

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

  1. Understand the biomechanics of gait
  2. Become familiar with the clinical significance of the 6 determinants of gait
  3. Assess abnormal gait patterns based on the 6 determinants of gait
2:30 - 3:30 p.m. Rang My Bell
Laurel Mueller, DO

In 2008, I fell 20 feet while hiking on Bell Rock in Sedona, AZ. I suffered a left trimalleolar fracture, right wrist scaphoid fracture, and a concussion. I was flown out by helicopter to Flagstaff Medical Center, where I underwent surgery and stayed for 10 days. I spent 2 weeks in a rehab facility and 4 months in a wheelchair. My injuries present a perfect opportunity to learn about diagnosis, treatment and therapy of 3 common injuries. During the presentation, the speaker will also discuss the key role of Osteopathic Manipulative Therapy (OMT) in her rehabilitation and some hiking safety tips. Following this presentation, participants will have an increased awareness of these emergencies, convey standard of care treatment, and familiarize the participants with after-care needed should a patient present to their practice after having suffered one of these incidents.

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

  1. Learn to diagnose and treat three injuries (trimalleolar ankle fracture, scaphoid (wrist) fracture and concussion)
  2. Review and understand hiking safety tips and injury prevention
  3. Learn and review OMT techniques for physical rehabilitation and therapy for these injuries
3:30 - 3:45 p.m. Break
3:45 - 4:45 p.m.

LGBTQ Health Disparities (Ethics credit)
Damon Schranz, DO; UNTHSC TCOM
This presentation will discuss LGBTQ healthcare disparities in in men, women and the latino population for the primary care physician. The speaker will provide a thoughtful approach to identify and help correct disparities.

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

  1. Define health disparity
  2. Discuss healthcare disparities of LGBTQ minority men and women
  3. Discuss healthcare disparities of LGBTQ women, men and elderly
4:45 - 5:45 p.m.

Food as Medicine: the Evidence of Various Effects of Food on the Body
Shannon Ramsey Jimenez, DO; SHSU COM
This presentation will discuss how to recommend foods to our patients to help with prevention and treatment of various diseases.

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

  1. Analyze evidence based data on effects of various food products on the body
  2. Relate how to use food as preventative medicine
  3. Relate potential "side effects" or toxicity of various foods
7 - 10:30 p.m. TOMA/TXACOFP Presidents' Celebration
   
Sunday, June 13, 2021 
8 - 9 a.m. Perspectives on Healthcare Decisions and Total Joint Arthroplasty from the Southside of San Antonio, a Majority Minority Region (Ethics credit)
Roberto Fajardo, PhD; UIW - SOM

This presentation will discuss the results of a survey of individuals from a low to moderate income, majority Hispanic region of San Antonio, TX. The survey queried the subjects for cultural, social, and socioeconomic factors that could influence decisions to seek healthcare from providers, especially those with osteoarthritis. Results will be stratified by sex and ethnicity.

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

  1. Identify cultural, social and socioeconomic factors that influence a person's decision to pursue medical attention and undergo a surgical joint replacement procedure
  2. Understand patient perspectives on their own healthcare and decisions regarding osteoarthritis treatment
  3. Understand sex-based differences on healthcare decision making
9 - 10 a.m.

Mitigating Migraine: Addressing Patients' Unmet Needs and Optimizing Treatment Plans
Kerry Knievel, DO
Upon completion of this program, participants will be able to:

  1. Identify patients with migraine who need acute therapy
  2. Formulate plans to treat acute migraine based on MOA, efficacy, and safety concerns
  3. Assess safety, efficacy, and patient-reported outcomes data for new and emerging acute migraine therapies

10 - 10:15 a.m. Break
10:15 - 11:15 a.m.

Why I Love Osteopathic Medicine as an MD
Lesca Hadley, MBA, MD, FAAFP, AGSF; UNTHSC TCOM
Using the Tenets of Osteopathic Medicine as a foundation, this session will then review the evidence for the consistent use of a holistic approach to patient care. A review of current literature for the use of Osteopathic Manipulative Treatments in common medical conditions in primary care will then be presented. Throughout the presentation attendees will be provided an opportunity to share their love of Osteopathic Medicine.

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

  1. Review the Tenets of Osteopathic Medicine
  2. Evaluate the evidence for the use of a holistic approach to patient care
  3. Review the evidence for the use of Osteopathic Manipulative Treatment in common medical conditions
11:15 a.m. - 12:15 p.m.

Dodging Diagnostic Errors (Ethics credit)
David Garza, DO; UIW SOM
During this session we will review common types of cognitive errors and biases that can lead to diagnostic and therapeutic errors in healthcare.  We will also review methods for mitigating the risk of making these errors.

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

  1. Understand and discuss factors that contribute to diagnostic error stemming from cognitive bias
  2. Describe strategies that can be used to avoid these types of errors
  3. Reflect on personal experiences where cognitive bias may have resulted in diagnostic errors
12:15 - 1 p.m. Box Lunch 
1 - 2 p.m.

Baby Got Back - Recognizing and Treating the Lower Crossed Syndrome
Mindy Hansen, DO; UNTHSC TCOM
The pervasive lower crossed syndrome is easily pushed off to NSAIDS, stretching and therapy. While these are all viable options for LBP, recognizing the somatic dynamics at play is essential in the diagnosis and management of the lower crossed syndrome. This presentation will address this and give extremely practical tips for managing this complaint.

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

  • Recognize the lower crossed syndrome clinical presentation
  • Understand the MSK physiology behind the LCS
  • Understand functional diagnosis and treatment of the LCSW
2 - 3 p.m. Got Milk: An Osteopathic Approach to the Breastfeeding Dyad
Meaghan Nelsen, DO; UNTHSC TCOM

In this dynamic session, the speaker will explore the well-orchestrated series of events required to establish and maintain a successful breastfeeding relationship. The speaker will then examine each half of the dyad separately and discuss opportunities for improvement by way of OMT. Finally, the speaker will highlight commonly occurring pathology and provide a comprehensive treatment plan for the osteopathic physician supporting mom and baby.

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

  1. Outline the events necessary to establish a breastfeeding relationship
  2. List the requirements to maintain a breastfeeding relationship
  3. Identify and describe opportunities to support both mom and baby with OMT
  4. Identify and describe common pathology found in the breastfeeding dyad and create an individualized treatment plan to support mom's breastfeeding goals and baby's needs.
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.