Session Descriptions

Friday, February 2, 2024

8 - 9 a.m.

On the Acquisition and Maintenance of Lean Mass
Dante Paredes, DO; UNTHSC-TCOM
This session will cover the minimum necessary requirements to grow and maintain muscle and bone across a lifetime. Attention will be given to the base rate of degradation, when and why it occurs, when it is of clinical consequence, and what we can do as clinicians to prevent and undo these negative changes.

Objectives:

• Know the typical pathogenesis for sarcopenia and immobility
• Know the nutritional/training stimuli necessary to grow lean mass
• Know the relevant pharmacologic options to support the lifestyle stimuli.

9 - 10 a.m.

Cultural Sensitivity and Inclusion ^{(ETHICS/RISK)}
Linda Solis, PhD; UIW-SOM

We are often reminded that the practice of medicine is an art as well as a science. The "art" side of the equation includes skills related to building patient and supporter relationships, communication, and generally creating an environment where patients can feel seen and heard.

Objectives: 

• Discuss the importance of cultural humility in the physician-patient relationship and relationships with colleagues.
• Describe what it means for a physician to practice inclusion.

10 - 10:30 a.m.

Break

10:30 - 11:30 a.m.

Consent and Capacity
Daniel Pearson, MD; Methodist Dallas Medical Center
During this session, the speaker will define and describe consent and capacity in hospitalized patients and their ability to actively take part in their own medical decisions.

Objectives:

• Understand the principles of informed consent
• Understand how capacity determines ability to consent
• Understand the function of surrogates in consent/capacity.

11:30 a.m. - 12:30 p.m.

Cardiac Implantation Devices and Management
Scott Ewing, DO; UNTHSC-TCOM
This session will provide an update on the indications, contraindications, follow up, and management of implanted cardiac devices. Hundreds of thousands of patients receive implanted cardiac rhythm devices each year for brachycardia, heart block, and heart failure. The number of people who may benefit from an implantable cardioverter defibrillator and/or cardiac resynchronization device continues to increase each year. The management of patients with implanted devices remains a major part of the daily practice for cardiologists and primary care physicians.

Objectives:

• Describe the indications and contraindications for implantation of pacemakers, bi-ventricular pacemakers, leadless pacemakers, implantable cardioverter defibrillators, and loop recorders.
• Discuss common issues such as management of device patients having MRI, radiation, infection, battery depletion, and the extraction of implanted devices.
• Identify the current capabilities and roles of remote monitoring to manage patients with cardiovascular risk and disease.

12:30 - 1:45 p.m.

Lunch on your Own

1:45 - 2:45 p.m.

Nutrition as Medicine for Hypertension
Rob Slater, III, MD; UIW-SOM
Although cardiovascular disease remains the leading cause of mortality in the United States, the risk can be dramatically decreased with nutrition as medicine. In this session, Dr. Slater will discuss dietary patterns, macro- and micro-nutrients, and specific foods and botanicals to improve blood pressure and cardiovascular health.

Objectives:

• Describe the benefits of the Mediterranean diet (including olive oil, cocoa, red wine, whole grains, fish, nuts, and seeds) and DASH diet for cardiovascular health.
• Describe the cardiovascular benefits of specific macronutrients (fiber, omega-3 fats) and micronutrients (vitamins, magnesium, and inorganic nitrates).
• Identify the cardiovascular benefits of specific botanicals (garlic, hawthorn, plant sterols, red yeast rice) and supplements (coenzyme Q10).

2:45 - 3:45 p.m.

Caring for Geriatric Patients in Rural Setting
Hina Budhwani, MD, MPH, CPE; Well Med Medical Management
In this evidence-based presentation, the speaker will focus on unique health challenges faced by geriatric patients living in rural settings including lack of access to care, which in turn affects management of chronic medical conditions.

Objectives:

• Understand the unique challenges faced by geriatric patients living in rural settings
• Become familiar with important considerations when treating geriatric patients
• Learn about opportunities to improve care of geriatric patients in rural settings.

3:45 - 4:15 p.m.

4:15 - 5:15 p.m.

Travel Safety in a Post-Pandemic World
Brent Sanderlin, DO, FACOFP; SHSU-COM
In a post pandemic world people are traveling more than ever before. With this travel comes risks to our health, both from emerging and infectious diseases, as well as from non-medical sources. As physicians, we are often called upon to provide advice and our recommendations to our patients regarding travel safety and wellness. The goal of this presentation is to provide physicians with a basic framework for assessing risks of travel and providing reliable travel safety information and prophylaxis for their patients.

Objectives:

• Learn the fundamentals of national and international travel safety.
• Discuss the health risks of different modes of public and commercial transportation.
• Review basic travel immunizations and travel medication prophylaxis.
• Learn about reliable resources for physicians to use to find information regarding travel hazards and prevention.

5:15 - 6:15 p.m.

Common Mistakes Made by Texas DO's in Billing
Don Self, CPC; Don Self & Associates, Inc.
This session will discuss not only the common errors in billing and coding made by Texas osteopathic physicians, but will also identify the services that Medicare and commercial plans expect to pay for, which are not presently being billed by the majority of physicians. In addition, this session will identify why Medicare Part B patients are the most profitable for any primary care physicians/practices as well as show the average payments for the services most often suggested by Medicare. Finally, the speaker will discuss how it is illegal most of the time for commercial insurance companies to recoup or demand refunds from clinics and physicians.

Objectives:

• Identify the billable services most physicians are performing - but neglecting to bill
• Pinpoint the areas where most physicians are intimidated by insurance companies, but shouldn't be
• Clear up confusion about how profitable the Medicare patients truly are and identify increased income.

Saturday, February 3, 2024

8 - 9 a.m.

Update on Sport-Related Concussion
Townes Leigh, Jr., DO, CAQSM; SHSU-COM
This lecture will discuss the current state of knowledge related to sport-related concussion (SRC) diagnosis, assessment, and treatment goals based on the latest Consensus Statement on Concussion in Sport from the 6th International Conference on Concussion in Sport (Amsterdam 2022). The aim is to increase awareness of the symptoms of SRC and cause changes in practice that will have a positive impact on patients affected by SRC.

Objectives: 

• Define concussion including the pathophysiological changes that occur
• Describe parts of the new Sport Concussion Assessment Tool, 6th Edition (SCAT6) and the new Sport Concussion Office Assessment Tool 6 (SCOAT6) from the 6th International Conference on Concussion in Sport (Amsterdam 2022)
• Compare/contrast Adult and Pediatric concussion assessment tools
• Define a safe return to play (and learn) protocol for an athlete after a concussion

9 - 10 a.m.

Sex After Menopause
Celeste Holbrook, PhD; Sexual Health Consulting, LLC
In this interactive session, participants will learn and discuss the impact of menopause on their patients and how to help manage the transition in regards to their sex life. Dr. Holbrook will discuss the sexual hierarchy of needs and give participants a four-step approach to managing sex issues that can arise in the period before, during, and after menopause.

Objectives:

• Identify the five (5) stages of the sexual hierarchy of needs
• Demonstrate shared decision making with a patient regarding their sexual needs
• Understand three (3) impacts menopause commonly has on patient's sex life.

10 - 10:30 a.m.

10:30 - 11:30 a.m.

Venomous Insect Bites and Stings
Rob C. Allen, DO, FACEP

Overview of venomous insect bites and stings, including spider, scorpions, wasps, bees and mites.

 Objectives:

• Understand envenomation apparatus of various insects
• Understand treatment for venomous insect bites/stings
• Understand prevention of venomous bites/stings

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

1 - 2 p.m.

Cancer Prevention in Primary Care: A Review
Shiney Koshy, DO; UTMB
In this session we will focus on the most current cancer screening guidelines. Since the guidelines are amended for certain cancers as research is ever changing. We will focus on USPSTF and American Cancer Society's recommendations.

Objectives: 

• Identify current guidelines for screening
• Recall which patient populations fit the need for screening
• Apply current screening guidelines into practice with special focus on:
• Colorectal cancer
• Breast cancer
• Lung cancer
• Ovarian cancer
• Cervical cancer
• Prostate cancer

2 - 3 p.m.

Sugar Shack
Malinda (Mindy) Hansen, DO; UNTHSC-TCOM
The complex endocrine dysregulation known as type I diabetes is a challenge to manage and advise for safe activity, when to increase carbs, when to adjust insulin pumps, and what to expect with high versus moderate versus low intensity exercise.  After this presentation, if a sedentary individual presents to your office on questions to start an exercise program, you will have the knowledge of exercise prescription and nutritional management to avoid hyper/hypoglycemic episodes after activity.

Objectives:

• Understand the endocrine/physiology of healthy versus Type I diabetes dysregulation
• Be able to advise the level and type of exercise that will curb post-exercise hypoglycemia
• Be able to advise carbohydrate intake during and after high/moderate/low intensity exercise and resistance training

3 - 3:15 p.m.

3:15 - 4:15 p.m.

Shotgun Techniques: OMT Without a Table
Sajid Surve, DO; UNTHSC-TCOM
In this session, participants will have the opportunity to try out techniques to treat the axial skeleton that can be done from either a seated or standing position, and do not require extensive time making a segmental diagnosis beforehand. These techniques may be used in any situation, but are ideal for cases where time or environment are not conducive to traditional treatment.

Objectives:

• Perform osteopathic techniques from a seated or standing position for the axial skeleton
• Identify relevant indications and contraindications for these osteopathic techniques
• Compare and contrast shotgun techniques with traditional techniques for the axial skeleton.

4:15 - 5:15 p.m.

When to Say "No:" Working with Patients on Scheduled Substances ^(OPIOID)
Kathleen Farrell, DO; Veterans Affairs, San Antonio
The CDC tells us that guidelines aren't meant to be policy or followed strictly. We need to treat our patients individually. What do we do when our patients don't fit the guidelines, or the study evidence-based medicine doesn't cover them? This session will question evidence-based medicine guidelines. The speaker will review possible alternative scenarios and will look at barriera and boundaries in healthcare. This session is meant to be an exploration of practice so that physicians can define their own boundaries when working with patients on substances for pain or other reasons.

Objectives:

• Explore critical thinking
• Understand the limitations on evidence-base medicine
• Provide tool on how to still practice good medicine when patients don't fit the studies or guidelines.

Sunday, February 4, 2024

8 - 9 a.m.

Nutrition Bites - Practical Dietary Education for Weight Loss in Primary Care
Megan Woolford, MD; SHSU-COM
Nutritional education is often difficult for patients to access and fraught with false or misleading information. This session is geared toward primary care physicians and will offer practical advice and evidence based tools to counsel patients on nutrition for weight loss.

Objectives:

• Understand the challenges of nutritional education in primary care settings.
• Review evidence-based recommendations for nutrition aimed at weight loss.
• Utilize practical tools such as 24-hour dietary recall, calorie tracking and BMR estimation.

9 - 10 a.m.

Newborn Rashes
Alexis Wilson, DO; UIW-SOM
By the end of this presentation, participants should be able to recognize and distinguish between common newborn rashes, such as erythema toxicum neonatorum, neonatal acne, milia, and diaper dermatitis. In addition, participants will have a comprehensive understanding of the clinical significance of various newborn rashes, including potential underlying conditions or risk factors. They will also become familiar with evidence-based management strategies for these rashes, including when to observe, when to intervene, and when to refer to a specialist. Finally, participants will be equipped with communications skills to effectively counsel and educate parents about newborn rashes, including explaining the benign nature of common rashes, offering reassurance, providing guidance on at-home care, and addressing parental concerns.

Objectives:

• Identify and differentiate common newborn rashes
• Understand the clinical significance and management of newborn rashes
• Promote effective communication with parents.

10 - 10:15 a.m.

10:15 - 11:15 a.m.

The Blueprint for Cash Practice Success
James Mahoney, DO; DrJ Regenerative Medicine
This session will present a compelling case for transition away from corporate medicine and dependence on third-party payers into the freedom of independent practice. The barriers to effective Osteopathic treatment created by restrictive reimbursement policies will be exposed as the primary cause for the year-over-year decline in the use of OMT. The popularity of practices that provide OMT and their subsequent financial success will be demonstrated. The session will present data on improvements in quality of care and patient satisfaction in independent practice, focusing on these benefits in the absence of third-party interference. The pressing need for a return to independent cash practice will be supported by real-life vignettes, statistical data and physician surveys. Multiple viable pathways for a transition to cash practice will be presented to attendees for practical application and proven success.

Objectives: 

• Reveal the existential crisis facing osteopathic treatment due to third-party interference
• Review the pros and cons of DPC, Concierge, and Fee-for-Service practices
• Present step-by-step instructions for building an osteopathic cash practice
• Share best business practices for enhanced cash flow and patient retention
• Provide an ethical framework for the transition from third-party dependence to independence.

11:15 a.m. - 12:15 p.m.

An Osteopathic Approach to Lymphatic Treatment
Carol Browne, DO, FACOFP; UIW-SOM
This session will be a review of the osteopathic approach to effectively treating the lymphatic system. The session will emphasize the rationale for the treatment sequencing and offer practical, time-efficient techniques for the busy osteopathic physician to offer their patients to improve lymphatic circulation to improve health and homeostasis. 

Objectives:

• Explain the rationale for the sequencing of osteopathic lymphatic treatment.
• Learn to perform thoracic inlet/outlet release techniques to "open the drain" to facilitate all lymphatic approaches.
• Know the indications, contraindications, the principles, and steps of effective osteopathic lymphatic treatment.

12:15 - 1 p.m.

1 - 2 p.m.

Integrative Approaches to Sleep
Khadija Kabani, DO and Theresa Murphy, LCSW; Methodist Health System
In this integrative medicine session, attendees will learn more about the importance of sleep, the restorative properties of sleep, and the health effects of sleep disorders. We will discuss potential solutions and integrative approaches to sleep disorders, including behavioral, mindfulness and botanicals/supplements.

Objectives:

• Identify why sleep is important
• Categorize the phases and physiology of sleep
• Determine the health effects of sleep disorders.
• Be able to employ Integrative Medicine approaches to sleep

2 - 3 p.m.

Update, the Latest Rule Changes by the Texas Medical Board ^{(ETHICS/RISK)}
Jeff McDonald, JD and Jon Porter, JD; McDonald, Mackay, Porter & Weitz, LLP
In this session, the speakers will discuss the latest administrative rule changes affecting physician practice, including supervision of mid-levels, documentation, standard of care and reporting requirements.

Objectives:

• Supervision of mid-levels
• Documentation
• Reporting and verification requirements

3 p.m.