ACOI 2024 Internal Medicine Comprehensive Update Agenda

Monday, April 8

Hematology

7:00-7:45 AM  Benign Hematology
Cheryl D. Kovalski, DO, FACOI
In this session you'll learn:

  • The differentials of hemolytic anemias
  • To appropriately work-up and treat iron, B12, and folate deficiencies
  • The differentials between microcytic, normocytic and macrocytic anemias and appropriate work-up

7:50-8:20 AM  Hemostasis, Thrombosis & Platelet Disorders
Cheryl D. Kovalski, DO, FACOI
In this session you'll learn:

  • The differential of thrombocytopenia
  • The appropriate treatment of thrombotic events
  • To differentiate between von Willebrands and Hemophilia

8:25-9:15 AM  Lymphoma & Leukemias
Cheryl D. Kovalski, DO, FACOI  
In this session you'll learn:

  • The difference between Non-Hodgkin's lymphoma and Hodgkin's lymphoma
  • The staging of lymphoma
  • The differences between the 3 grades of Non-Hodgkin's lymphoma

9:20-9:50 AM  Other Bone Marrow Disorders
Cheryl D. Kovalski, DO, FACOI
In this session you'll learn:

  • The differential in myeloproliferative disorders
  • The difference between MGUS and multiple myeloma
  • To appropriately place myelodysplastic syndrome as a differential in patients being worked up for anemia and pancytopenia 

9:55-10:25 AM  Clinical Oncology, Physical Diagnosis, Systemic Manifestations, Chemotherapy
Kevin P. Hubbard, DO, MACOI
In this session you'll:

  • Refresh your knowledge of clinical oncologic concepts.
  • Review current information regarding anti-cancer therapies, and their toxicities.
  • Discuss concepts in the evaluation of patients with suspected malignancies.

Oncology

10:30-11:00 AM  Oncology Palliative Care Session
Kevin P. Hubbard, DO, MACOI 
In this session you'll:

  • Review current information regarding anti-cancer therapies, and their toxicities.
  • Refresh your knowledge of clinical oncologic concepts.
  • Discuss concepts in the evaluation of patients with suspected malignancies.

11:05-11:35 AM  Basic Oncology, Markers, Genes
Kevin P. Hubbard, DO, MACOI
In this session you'll:

  • Review current information regarding anti-cancer therapies, and their toxicities.
  • Discuss concepts in the evaluation of patients with suspected malignancies.
  • Refresh your knowledge of clinical oncologic concepts.

11:40 AM-12:10 PM  Cancer in Men-Prostate, Testes, and Kidney
 Kevin P. Hubbard, DO, MACOI
In this session you'll:

  • Review current information regarding relevant anti-cancer therapies, and their toxicities
  • Discuss concepts in the management of patients with these malignancies.
  • Refresh your knowledge of common male cancers.

12:15-12:45 PM  Cancer in Women - Breast, Uterus and Ovary
Kevin P. Hubbard, DO, MACOI
In this session you'll:

  • Review current information regarding relevant anti-cancer therapies, and their toxicities.
  • Refresh the attendee’s knowledge of common female cancers.
  • Discuss concepts in the management of patients with these malignancies.

Gastroenterology

12:50-1:20 PM  Update in Esophageal Diseases
Catherine A. Kerschen, DO, FACOI
In this session you'll learn:

  • Basic information concerning esophageal diseases
  • Diagnostic evaluation for esophageal diseases
  • Treatment options for esophageal disease

1:25-1:50 PM Update in Small Bowel Disease
Catherine A. Kerschen, DO, FACOI
In this session you'll learn:

  • Basic information concerning small bowel diseases
  • Diagnostic evaluation for small bowel diseases
  • Treatment options for small bowel disease

1:55-2:30 PM  Update in Liver Diseases
Catherine A. Kerschen, DO, FACOI
In this session you'll learn:

  • Basic information concerning liver diseases
  • Diagnostic evaluation for liver diseases
  • Treatment options for liver disease

2:35-3:05 PM  Cancer of the GI Tract, Liver and Pancreas
Lindsey Negash, DO, FACOI
In this session you'll learn:

  • The various malignancies that can arise in the GI tract
  • The best methods of diagnosis of cancer in the GI tract
  • The risk factors for the various malignancies of the GI tract

3:10-3:50 PM  Disease of the Pancreas, Stomach, and Colon
Lindsey Negash, DO, FACOI
In this session you'll learn:

  • The connection between the pancreas and other organs and the inner functioning of the other organs
  • The diseases normally affecting the pancreas
  • To differentiate diseases in the pancreas from one another and prescribe specific treatment for them

"The faculty are superior lecturers and keep abreast of pertinent information in internal medicine."

Tuesday, April 9

Rheumatology

7:00-7:25 AM  Rheumatoid Arthritis and Osteoarthritis
Robert L. DiGiovanni, DO, MACOI

7:30-7:55 AM  Gout and Pseudogout-Crystal Arthropathies
Howard L. Feinberg, DO, MACOI
In this session you'll learn:

  • How to identify CPPD
  • The causes of hyperuricemia
  • The cause of gout

8:00-8:30 AM  Spondyloarthropathies and Reactive Arthritis
Robert L. DiGiovanni, DO, MACOI

8:35-9:05 AM  Scleroderma, Lupus and Dermatomyositis
Howard L. Feinberg, DO, MACOI
In this session you will learn:

  • The approach to idiopathic inflammatory myopathies
  • The diagnostic criteria for PSS
  • The current diagnostic criteria for SLE

9:10-9:40 AM  Vasculitis
Robert L. DiGiovanni, DO, MACOI

9:45-10:05 AM  Osteomyelitis, Septic Arthritis, Lyme Arthritis, Rheumatic Fever & AID Arthritis
Howard L. Feinberg, DO, MACOI
In this session you will:

  • Develop a basic understanding of lyme disease
  • Learn the common causes and routes of transmission of joint infections
  • Under the diagnosis of rheumatic fever

10:10-10:20 AM  Joint Fluid Analysis
Drs. Feinberg and DiGiovanni
In this session you will learn:

  • The appearance of different inclusions found in synovial fluid
  • The group types of synovial fluid
  • The types of disease seen in the different types of synovial fluid

Infectious Diseases

10:25-10:55 AM  Clinical Microbiology
Gerald W. Blackburn, DO, MACOI
In this session you will learn:

  • The optimal utilization and interpretation of microbiologic data with which the internist must work

11:00-11:30 AM  Hemorrhagic Fevers and Fevers of Unknown Origin
MarkAlain Dery DO, FACOI
In this session you will learn:

  • About the nonspecific symptoms and signs that persons with Ebola virus disease usually have an abrupt onset of
  • The main methods for diagnosis of either acute or remote infection by hantaviruses
  • The minimum diagnostic evaluation for fevers of unknown origin

11:35-12:00 PM  CNS Infections
MarkAlain Dery, DO, FACOI
In this session you will learn:

  • The major causes of community-acquired bacterial meningitis in adults in developed countries
  • Why the diagnosis of a patient with aseptic meningitis may be difficult to make
  • Risk factors for spinal epidural abscesses 

12:05-12:40 PM  Endocarditis & Prophylaxis; Infectious GI Diseases  
Gerald W. Blackburn, DO, MACOI
In this session you will learn:

  • Tips on the care of patients with various infectious disease concerns related to the cardiovascular system
  • Tips useful to the internist in the care of patients with various infectious disease concerns related to the gastrointestinal tract

12:45-1:25 PM  Acute Bronchitis, Pneumonia & TB
MarkAlain Dery DO, FACOI
In this session you will learn:

  • The common clinical features of community acquired pneumonia
  • The epidemiologic and clinical clues that should be considered when selecting an empiric treatment regimen for community-acquired pneumonia
  • The pulmonary complications of TB

1:30-2:00 PM  HIV/AIDS
Gerald W. Blackburn, DO, MACOI

 Allergy/Immunology

2:05-2:35 PM  Clinical Basis of the Immune Response and the Compliment Cascade
Bryan L. Martin, DO, MACOI
In this session you'll learn:

  • A framework for the evaluation of primary immune deficieinces that may affect adults
  • The elements of the innate immune response and what disease states may occur secondary to defects in the innate immune response
  • How adaptive immunity differs from innate immunity understand how to clinically evaluate the adaptive immune response

2:40-3:10 PM  Systemic Allergic Disorders, Immunodeficiency and Immunoglobulin Disorders
Bryan L. Martin, DO, MACOI
In this session you'll learn:

  • To recognize and differentiate anaphylaxis from vasovagal reactions
  • To utilize the new guidelines for the treatment for anaphylaxis
  • The mechanisms and treatments of both anaphylactic and anaphylactoid reactions

3:15-3:45 PM  Allergic Skin Disorders and HAE
Bryan L. Martin, DO, MACOI   
In this session you'll learn:

  • To recognize and treat atopic dermatitis and allergic contact dermatitis
  • To recognize and treat Hereditary angioedema
  • To recognize and treat urticaria and angioedema

3:50-4:30 PM  Asthma Update
Jonathan M. Horbal, DO, FACOI
In this session you will learn:

  • The asthma guidelines EPR 3 vs EPR 4
  • To classify asthma severity and be able to determine asthma control
  • To successfully treat asthma and be able to improve patient outcomes

4:35-5:05 PM  Sinusitis & Rhinitis
Jonathan M. Horbal, DO, FACOI
In this session you will learn:

  • How to classify rhinitis
  • The difference between allergic and non-allergic rhinitis
  • The current guidelines for treating sinusitis

5:10-5:50 PM  Food Allergies
Jonathan M. Horbal, DO, FACOI
In this session you will learn:

  • Common food reactions
  • Paradigm shift in food allergy thoughts
  • The proper testing modalities for food testing

5:55-6:25 PM  Antibiotic Hypersensitivity Diagnosis & Management Strategies
Jonathan M. Horbal, DO, FACOI
In this session you will:

  • Review hypersensitivity reactions
  • Review common cases for each hypersensitivity class
  • Understand basic pathophysiology of drug reactions

Wednesday, April 10

Pulmonary Diseases

7:00-7:35 AM  Respiratory Failure, Ventilator Therapy and PFT
Neveen Malik, DO
In this session you'll learn:

  • Causes of hypercapnia
  • Hypoxemia mechanisms
  • How to treat acute respiratory failure

7:40-8:15 AM  Chronic Obstructive Lung Disease
Amita Vasoya, DO, FACOI
In this session you will learn:

  • The approach to treatment of COPD and asthma
  • The pathophysiology of COPD and asthma
  • The clinical presentation of patients with obstructive lung disease

8:20-8:45 AM Restrictive Lung Disease
Neveen Malik, DO
In this session you will learn:

  • Common ILD patterns for sarcoidosis
  • Common ILD patterns for IPF
  • Common ILD patterns for chronic eosinophilic pneumonia

8:50-9:15 AM  Lung Cancer and Paraneoplastic Syndromes
Amita Vasoya, DO, FACOI
In this session you will learn:

  • The clinical presentation, treatment, and prognosis for the different types of lung cancer
  • The classification of lung cancer
  • The most common paraneoplastic syndromes

9:20-9:50 AM  Pulmonary Thromboembolism
Neveen Malik, DO
In this session you'll learn about :

  • Risk factors for pulmonary thromboembolism
  • Pathophysiology of pulmonary thromboembolism
  • Diagnosing pulmonary thromboembolism

9:55-10:20 AM  Unknown PFTs, Chest X-rays
Amita Vasoya, DO, FACOI
In this session you will learn:

  • To identify common chest imaging abnormalities
  • The basic approach to reading common chest images
  • To form a differential diagnosis when evaluating a chest xray

10:25-11:35 AM  Sleep Medicine Case Studies
Timothy J. Barreiro, DO, FACOI  
In this session you will learn:

  • The normal and physiologic changes that occur during sleep
  • The risk, diagnosis, and consequences of sleep related disorders such as sleep apnea, insomnia, narcolepsy, and RLS
  • Potential treatment options for sleep related disorders

11:40-12:35 AM  Critical Care Case Studies
Timothy J. Barreiro, DO, FACOI
In this session you will:

  • Review what's new in the sepsis guidelines
  • Discuss clinical protocols related to the intensive care unit
  • Determine the appropriate mechanical ventilation strategies for intensive care patients
  • Review key studies used to make ICU decisions

Endocrinology

12:40 AM-1:15 PM  Parathyroid Disease; Calcium Metabolism; Osteoporosis
Jack L. Snitzer, DO, FACOI
In this session you'll learn:

  • Causes and treatment of hypercalcemia
  • Diagnosis and management of loss of bone density
  • Causes and treatment of hypocalcemia

1:20-1:45 PM  Pituitary and Related Disorders
Jack L. Snitzer, DO, FACOI
In this session you'll learn:

  • Diagnosis and treatment of adrenal insufficiency, pituitary tumors, and Cushing disease

1:50-2:35 PM  Endocrine Pancreas; Diabetes Mellitus; Metabolic Syndrome  
Jack L. Snitzer, DO, FACOI
In this session you'll learn:

  • Appropriate usage and adjustment of MDI (multiple daily injections) of insulin in patients with diabetes
  • Appropriate screening and diagnosis of diabetes mellitus
  • Appropriate consideration of insulin pump therapy and continuous glucose monitors (CGM) in patients with diabetes

2:40-3:15 PM  Disease of the Adrenals and Gonads
John R. Sutton, DO, MACOI
In this session you will learn to:

  • Understand lab presentation of male hypogonadism
  • Understand electrolyte patterns in adrenal insufficiency 
  • Understand dexamethasone use in the evaluation of Cushing syndrome

3:20-4:00 PM  Disease of the Thyroid
John R. Sutton, DO, MACOI
In this session you will learn to:

  • Understand management of thyroid nodules
  • Understand lab testing in thyroid disease
  • Understand diagnosis and management of hyperthyroidism

4:05-4:45 PM  Interactive Identification Optic Fundi and Endocrine Physical Findings  
John R. Sutton, DO, MACOI
In this session you will learn to:

  • Understand common images in diabetic eye disease
  • Understand the physical presentation of Cushing syndrome
  • Understand nuclear image findings in hyperthyroidism

4:50-5:20 PM  Office Medicine for the Boards
Scott Spradlin, DO, FACOI
In this session you'll review:

  • Common Labs and Procedures and Surgical Risk
  • USPTF/Choosing Wisely Guidelines
  • Clinical case study examples

"It covered a broad amount of material [and] hit the most important parts for practice!"

Thursday, April 11

Cardiology

7:00-7:30 AM  Acute Coronary Syndromes
Chad A. Link, DO, FACOI
In this session you'll learn:

  • To understand initial assessment and triage of patients presenting with suspected acute coronary syndrome
  • The treatment options for patients with acute coronary syndrome
  • To understand the complications that may develop in patients with acute coronary syndrome

7:35-8:10 AM  Valvular and Congenital Heart Disease
Chad A. Link, DO, FACOI
In this session you'll learn:

  • The importance of the clinical exam in the diagnosis of peripheral arterial disease
  • The basic approach to medical care of patients with peripheral arterial disease
  • When to refer patients with peripheral arterial disease for advanced / non-medical therapy

8:15-8:40 AM  Diagnosis of Peripheral Arterial Diseases
Chad A. Link, DO, FACOI
In this session you'll learn:

  • The classic clinical findings in patient with critical valve disease
  • The indications for recommending intervention for a patient with critical valve disease
  • The basic anatomical pathology of the common congenital heart lesions

8:45-9:15 AM  Arrhythmias and Conduction Disorders
Robert J. Chilton, DO, MACOI  

9:20-9:50 AM  Management of Chronic Coronary Syndromes
Robert J. Chilton, DO, MACOI 

9:55-10:35 AM  Congestive Heart Failure
Christopher J. Sciamanna, DO, FACOI
In this session you'll learn:

  • To define, classify and stage heart failure and guideline-directed medical therapy (GDMT) for heart failure with reduced ejection fraction (HFrEF)
  • Treatment for heart failure with preserved ejection fraction (HFpEF)
  • Management of hospitalized patients and recognizing Stage D (advanced) heart failure

10:40-11:25 AM  Cardiomyopathies
Christopher J. Sciamanna, DO, FACOI  
In this session you'll learn:

  • The pathophysiology and clinical features of specific etiologies causing cardiomyopathy (focus on HCM, cardiac amyloid, myocarditis, stress CMP)
  • The classification of cardiomyopathy
  • Treatment of specific cardiomyopathies

Nephrology

11:30 AM-12:00 PM  Acute Kidney Injury and Chronic Kidney Disease
Mark D. Baldwin, DO, FACOI
In this session you'll learn:

  • How to differentiate the categories and subcategories of AKI
  • How to differentiate the features acute vs. chronic kidney disease
  • Treatments for AKI including fluid management and indications for dialysis

12:05-12:35 PM  Tubulointerstitial Disease
Mark D. Baldwin, DO, FACOI
In this session you'll learn:

  • The key clinical and diagnostic features of glomerular vs tubulointerstitial diseases
  • The renal manifestations of multiple myeloma
  • The pathophysiology and treatment of hypercalcemia of malignancy

12:40-1:10 PM  Glomerulonephritis-Diagnosis and Management
John E. Prior, DO, FACOI
In this session you'll learn:

  • The clinical approach to proliferative glomerulonephritis
  • The value of renal biopsy
  • The workup for hematuria

1:15-1:50 PM  Nephrology Late Breakers
Drs. Baldwin and Prior
In this session you will learn:

  • The new breaking trials in the treatment of IgA nephropathy and focal segmental glomerulosclerosis
  • The unique dual action of sparsenten
  • The unique pharmacological mechanism of action features of TRF-Budesonide

1:55-2:25 PM  Case Studies of Electrolyte Disorders
Mark D. Baldwin, DO, FACOI
In this session you'll learn:

  • The key diagnostic features of Syndrome of inappropriate ADH secretion and appropriate treatments
  • The key diagnostic features of central and nephrogenic diabetes insipidus and appropriate treatments
  • The key diagnostic features of Gitelman's and Bartter's syndromes

2:30-3:00 PM  Case Studies of Acid/Base Disorders
John E. Prior, DO, FACOI
In this session you'll learn:

  • The approach to gapped metabolic acidosis
  • The use of the urine anion gap
  • The diagnosis and treatment approach to metabolic alkalosis

3:05-3:35 PM  Hypertension
John E. Prior, DO, FACOI
In this session you'll learn:

  • Guideline-based treatment for hypertension
  • The place of the SPRINT Trial in relation to hypertension treatment goals
  • The workup for hypertension

Friday, April 12

General Medicine

7:00-7:30 AM  Acute and Chronic Neuropathies:  Diagnosis and Management
Scott L. Spradlin, DO, FACOI
In this session you'll learn:

  • How to work up and diagnose a Polyneuropathy
  • How to work up an Acute Neuropathy
  • How to recognize and diagnose a mononeuropathy multiplex

7:35-8:05 AM  The Role of Genetic Testing and Counseling for the General Internist
Robert Hasty, DO, FACOI
In this session you'll learn how to:

  • Anticipate selected conditions based upon patients’ genetics disorders.
  • Correlate genetic inheritance with selected conditions.
  • Diagnose selected genetic conditions.

8:10-8:40 AM  Headache, Motor Disorders and Amyotrophias
Scott L. Spradlin, DO, FACOI
In this session you'll review:

  • Myopathies and treatments
  • Parkinson's, seizures, and motor disorders
  • Headaches and treatments

8:45-9:15 AM  Nutritional Disorders and Their Management
Robert Hasty, DO, FACOI
In this session you'll learn how:

  • To improve patients' health outcomes by choosing selected diets.
  • To prevent exacerbations of selected conditions by prescribing appropriate diets.
  • To educate patients on appropriate diets tailored to their comorbid conditions.

9:20-10:20 AM  Cutaneous Manifestations of Systemic Disease - Part 1 & 2
Molly Menser, DO
In this session you'll learn to identify:

  • Common skin manifestations of gastrointestinal disease
  • Findings and symptoms of cutaneous disease in renal disorders
  • Common symptoms of endocrine disorders

10:25-11:05 AM  Diagnosis of Stroke & Multiple Sclerosis  
Scott L. Spradlin, DO, FACOI
In this session you'll:

  • Discuss clinical stratification for neurological cases
  • Discuss a general overview of multiple sclerosis
  • Discuss a general overviw of types of strokes

11:10AM -12:30 PM  Urology Update
Joel Abbott, DO
In this session you will learn:

  • Physiology of bladder function and common pathology
  • Pharmocology and medication management of the lower urinary tract
  • Primary care management of PSA screening for male patients

12:35 PM  Final Questions and Wrap Up
Dr. Hubbard and Spradlin