Practice Management Pre-Sessions 

9:00 AM – 9:45 AM Evaluation & Management Notes in 2023 - Returning to the Basics 
Jill M. Young, CDC, CEDC, CIMC 
In this session, you'll learn how to:

• Discuss the changes that occurred to Evaluation and Management services in 2021 and how those are related to the changes being made for 2023.
• Identify areas that have been clarified or re-defined in the 2023 AMA changes to alert physicians to the need for updating their knowledge base.
• Compare notes done in current Electronic Health System for Hospital services and show how they should look in 2023.

9:45 AM – 10:45 AM Remote Monitoring and Enhanced Patient Care 
Anthony Wehbe, DO, FACOI, MBA
In this session, you'll learn how to:

• Understand how RPM devices work in clinical settings.
• Recognize the importance of a cybersecurity strategy in an RPM program.
• Understand data utilization in an RPM program.

10:45 AM – 11:15 AM Physician Wellness Committee  
Physician Burnout – Panel Discussion 
Jeff Krepps, PhD, Moderator, Joanne K. Baker, DO, FACOI, Christine M. Samsa, DO, FACOI and David L. Tolentino, DO, FACOI

11:00 AM – 12:00 PM New Member and First-Time Attendee Orientation 
Q&A with ACOI Board of Directors 
Robert L. DiGiovanni, DO, FACOI, President, Moderator 

11:15 AM – 12:15 PM COPD In the Internists Setting: Optimizing Patient Outcomes 
Eligible for MOC Points
Carol R. Ash, DO, FACOI 
In this session, you'll learn how to:

• Recognize and implement evidence-based screening strategies for better identifying COPD patient and associated comorbidities.
• Select appropriate treatments to manage both COPD and comorbid conditions.
• Employ strategies for implementing GOLD guidelines in clinical practice.
   

12:15 PM – 1:00 PM Lunch on Your Own

1:00 PM - 1:45 PM New Agents in Lipid Management 
Eligible for MOC Points
Robert J. Chilton, DO, MACOI
In this session, you'll learn how to:

• Understand translational biology of lipid management
• Understanding the treatment of lipid trials
• Discuss guideline recommendations.

1:45 PM - 2:45 PM Update in Chronic Heart Failure: Bridging the Gap to GDMT 
Eligible for MOC Points
Chad A. Link, DO, FACOI
In this session, you'll learn how to:

• Streamline care to support the best possible patient outcomes with heart failure (HF).
• Increase use and awareness of drugs originally developed for treating Type 2 Diabetes but now approved for reducing cardiovascular events and mortality in patients with HF, with or without Type 2 Diabetes.
• Better Individualize HF care while continuing to increase the number of patients receiving guideline-directed medical therapy (GDMT).

2:45 PM – 3:00 PM BREAK 

3:00 PM – 3:45 PM Structural Update    
Eligible for MOC Points
Troy L. Randle, DO, FACOI  
In this session, you'll learn more about:

• Overview of aortic stenosis and discuss ACC/AHA guideline for patient selection and evaluation for transcatheter aortic valve replacement (TAVR).
• Overview of mitral valve disease and discuss ACC/AHA guideline for patient selection and evaluation for transcatheter edge-to-edge repair of mitral valve (TEER).
• Overview of atrial fibrillation and discuss indications for left atrial appendage occlusion.

3:45 PM – 4:30 PM  A Fib Ablation and New Procedures   
Eligible for MOC Points
Ali H. Sheikh, DO     
In this session, you'll learn to:

• Define atrial fibrillation and review AF mechanism.
• Review AF health and economic burden.
• Discuss rhythm management strategies with focus on Afib ablation.                    

4:30 PM – 6:00 PM Tests I Wish You'd Never Ordered 
Gerald W. Blackburn, DO, MACOI  
Annette T. Carron, DO, FACOI 
Pedro A. Espat, DO, FACOI  
Roberta S. Rose, DO, FACON 
In this session, you'll learn how to:

• Be aware of the impact of polypharmacy on patient health and well-being
• Recognize that pill burden is a real issue for the elderly
• Understand the supplements and herbal remedies that can have side effects too

6:30 PM - 8:00 PM Welcome Reception at the National Aquarium 

7:00 AM - 8:00 AM SUNRISE SESSION: ICU vs Non-ICU: Considering the Level of Care Decisions Through Common Clinical Scenarios 
Eligible for MOC Points
John R. Dahdah, DO
In this session, you'll learn how to:

• Consider advantages and limitations of ICU and NON-ICU settings in common clinical scenarios
• Approach level of care decisions from a shared decision making perspective among providers
• Ensure patients and families understand motivations for level of care decisions

8:00 AM – 8:05 AM WELCOME/OPENING REMARKS  
Robert L. DiGiovanni, DO, FACOI, President 
Susan M. Enright, DO, FACOI, Program Chair 

8:05 AM - 9:30 AM KEYNOTE: The Science of Succeeding with People 
Vanessa Van Edwards, Author 
In this session, you'll learn how to: 

• Start a conversation with anyone and build immediate rapport using the conversation blueprint. 
• Start a conversation that breaks down barriers and social scripts, encouraging openness and trust. 
• Understand the powerful psychological concept “The Swan Effect” and how it helps stimulate connectedness through openness and vulnerability. 

9:00 AM - 1:00 PM - #ACOI2022 Cuddle Corner - Stop by the Last Chance Animal Rescue Puppy Booth in the Exhibit Hall

9:30 AM – 10:00 AM EXHIBIT BREAK 

10:00 AM – 10:40 AM IBD: New Therapies and Management 
Eligible for MOC Points
Susan Kais, MD        
In this session, you'll learn how to: 

• Discuss the new biologics and small molecule agents that have been FDA approved in the use of IBD over the past 2 years.
• Discuss their respective mechanisms of action.
• Discuss appropriate setting of when to use these new agents.            

10:40 AM – 11:20 AM Updates in Gastroenterology and Hepatology 
Eligible for MOC Points
Michael Raphael, DO      
In this session, you'll learn how to:

• Discuss the advances in medical treatment of Hepatitis C.
• Discuss the advances in endoscopy.
• Discuss the advances in IBD treatment.

11:20 AM – 11:55 AM How to Master Diagnosis and Treatment of the Most Common Outpatient GI Disorders 
Eligible for MOC Points
Charlene A. LePane, DO, FACOI         
In this session, you'll learn how to:

• Diagnose and treat GERD, nausea, and vomiting.
• Understand Pathophysiology of peptic ulcer disease and H Pylori, bloating and gallstone disease.
• Diagnose and manage abdominal pain and understand the relationship to IBS - constipation or diarrhea predominance.       
                               

11:55 AM - 12:00 PM Q&A with Panel 

12:00 PM - 1:00 PM LUNCHEON SYMPOSIUM  
SGLT2 Inhibitors: GLP Receptor Agonists in the Treatment of Diabetes 
Robert J. Chilton, DO, MACOI     
In this session, you'll learn how to:

• Diagnose pre-symptomatic Heart Failure (HF) at-risk patients.
• Distinguish HFeEF vs HFpEF; Characterize the impact of SGLT2 inhibitors on HF risk among patients with Type 2 Diabetes.
• Discuss the putative mechanisms for cardio=protection associated with SGLT2 inhibitors. 

1:00 PM – 1:40 PM Osteoporosis: Navigating Treatment Options, Screening, and Prevention 
Eligible for MOC Points
Mark Vercel, DO
In this session, you'll learn how to: 

• Identify patients at risk for fracture and develop a comfort for interpreting diagnostic tools
• Identify effective treatment strategies based on the mechanisms of action of the FDA approved medications for Osteoporosis
• Develop an approach for long term care, including frequency of monitoring, considerations of drug holidays, and counselling regarding conservative measures to help decrease fracture risk  

1:40 PM – 2:20 PM Vasculitis and its Mimickers 
Eligible for MOC Points
Anisha Dua, MD 
In this session, you'll learn how to:

• Develop a rational approach to the diagnosis and evaluation of vasculitides and their mimics.
• Differentiate potential vasculitis mimics based on the size of the blood vessel involved.
• Identify the appropriate laboratory and radiographic evaluation in assessing for vasculitides and their common mimics.

2:20 PM – 3:00 PM Update in Psoriatic Arthritis 
Eligible for MOC Points
Arthur M. Mandelin, MD, PhD 
In this session, you'll learn how to:

• Review the CASPAR criteria for psoriatic arthritis.
• Describe the features of a typical psoriatic arthritis presentation.
• Briefly discuss some of the most commonly used treatment options for psoriatic arthritis.
   

3:00 PM – 3:15 PM BREAK 

3:15 PM – 4:15 PM Unconscious Bias: Implicit Bias 
Kellee L. Randle, DO, FACOI 
In this session, you'll learn how to:

• Define and understand the causes of implicit bias
• Discuss the influence of stereotypes on implicit bias
• Explore the real world and health care implications of implicit bias
• Define and explore the terms belonging, breaking, bridging, and othering
• Explore how bias leads to health care disparities
• Discuss ways to address implicit bias and health care disparities
   

4:15 PM – 5:00 PM Nonglycemic Effects of  Diabetes Agents: The Benefit to Patients 
Eligible for MOC Points
Jeffrey S. Freeman, DO, FACOI                    
In this session, you'll learn more about: 

• Pharmacologic approach to improve glycemic control in Type 2 diabetes
• Comparative data to improve glucose control with GLP receptors agonists and SGLT2 inhibitors.
• Discuss supporting data on cardiovascular risk reduction with both GLP receptor agonists and SGLT2 inhibitors.
• Review data on the effectiveness of GLP receptor agonists and SGLT2 inhibitors on reducing obesity.
• Learn new data on SGLT2 inhibitors and GLP receptor agonists pertaining to recusing renal end points.
• Review data on the American Diabetes Association 2022 Guidelines and other organization’s statements pertaining to reducing cardiovascular and renal end points.           
             

5:00 PM – 5:45 PM My Thyroid Tests Are Normal. Could it Still be My Thyroid? 
Eligible for MOC Points
Jack L. Snitzer, DO, FACOI 
In this session, you'll learn how to: 

• Discuss and understand symptoms that must be investigated in patients who have symptoms despite "well treated" hypothyroidism.
• Discuss and understand alternative treatments of hypothyroidism or hypothyroid symptoms.
• Discuss and understand what can effect the thyroid blood tests and appropriate interpretation of the tests.

5:00 PM - 6:00 PM Women Physicians Discussion Group   
Joanne Kaiser-Smith, DO, FACOI, Susan M. Enright, DO, FACOI; Amita Vasoya, DO, FACOI, Laura M. Rosch, DO, FACOI and Charlene A. LePane, DO, FACOI Co-Moderators 

5:30 PM - 7:30 PM Alumni Receptions 
Beaumont Hospital 
Kansas City University  
LMU-DCOM 
Midwestern University - CCOM/AZCOM
MSUCOM 
NYITCOM 
PCOM
Rowan University/SOM 

6:30 AM Fun Run/Walk with Drs. Charlene A. LePane and Mia A. Taormina 

7:30 AM Yoga with Laura M. Rosch, DO, FACOI  

7:00 AM - 8:00 AM SUNRISE SESSION 
Implicit Bias: Are We Hindering Our Own Progress in Healthcare? 
Nicola A. McLean, DO, FACOI & Panel 
In this session, you'll learn how to:

• Expand our knowledge about implicit bias observed in the LGBTQ+ community in Healthcare.
• Examine solutions and strategies to help physicians reduce implicit bias and ultimately improve overall outcomes in healthcare.
• Acknowledge and learn about Heuristics and how they affect our decisions.

 
8:00 AM – 8:40 AM Oxygen Therapy in Lung Disease 
Eligible for MOC Points
Mary R. Suchyta, DO, FACOI       
In this session, you'll learn how to:

• Understand the data backing oxygen therapy in chronic lung disease.
• Understand the basics of home oxygen therapy.
• Understand the uses for portable versus stationary oxygen concentrators.                                 

8:40 AM – 9:40 AM Interstitial Lung Disease: Post-Pandemic Challenges and Opportunities 
David H. Lindner, DO, FACOI      
In this session, you'll learn how to:

• Understand the epidemiology and anatomy of Interstitial Pneumonitis variants and the initial diagnostics and basics of diagnosis.
• Provide an overview of the 8 types of Interstitial Pneumonitis and understand treatment options of these variants.
• Introduce COVID-19 ILD.                                    

9:40 AM - 9:45 AM - Q&A with Panel

9:45 AM – 10:00 AM EXHIBIT BREAK 

10:00 AM – 11:00 AM  The Patient was Admitted, Now What? Incorporating Care Management and Clinical Documentation Integrity in Hospitalists Workflows 
Eligible for MOC Points
Ariana L. Peters, DO, FACOI, FHM, CMPC 
In this session, you'll learn how to:

• Define and discuss the impact of inpatient providers on Utilization Management.
• Define and discuss the impact of inpatient providers on CDI metrics, discharges, readmissions, and length of stay.
• Define the partnership between Care Management and inpatient providers.

11:00 AM – 12:00 PM KEYNOTE - Medical Patent Reform System  
Priti Krishtel, JD 
In this session, you'll learn how to:

• Discuss the role of patents in the medicines system and tactics to block or delay competition which keep drug prices higher for longer periods of time.
• Discuss how through increased public participation in the patent system by affected stakeholders, including patient and healthcare professional, critical reforms are possible.
• Discuss possible reforms to update the outdated patent system.

12:00 PM - 1:00 PM LUNCHEON SYMPOSIUM - A New Era in Chronic Weight Management 
U. Inge Ferguson, DO, FACOI
In this session, you'll learn how to:

• Define Obesity in modern terms.
• Learn options to treat obesity including medication, but also nutrition, movement, behavioral & surgical.
• Mention of myths & misconceptions about management of obesity.
   

1:00 PM – 1:45 PM COVID-19 Vaccine Update: What You Need to Know 
Eligible for MOC Points
John A. Frith, DO
In this session, you'll learn how to:

• Understand current COVID-19 primary series and booster schedules. 
• Discuss strategies to overcome hurdles faced with COVID-19 Vaccines.
• Gain a deeper understanding of current COVID-19 vaccine options to dispel COVID vaccine myths.

1:45 PM – 2:45 PM Biologic Therapies for Asthma and Nasal Polyposis 
Bryan L. Martin, DO, MACOI             
In this session, you'll learn how to:

• Discuss the role of biologic medications in the armamentarium of the practicing allergist. 
• Identify key patient and disease characteristics to assist in individualizing therapy recommendations. 
• Characterize key differences between biologics based on their targets pathways and mechanisms of action.            

2:45 PM – 3:00 PM BREAK 

3:00 PM – 3:45 PM The Ever-Changing Epidemiology During COVID-19
Eligible for MOC Points
MarkAlain Dery, DO, MPH, FACOI   
In this session, you'll learn how to:

• Recognize that in 2021, there were steeper life expectancy drops across race and ethnicity, with COVID-19 being a major driver. 
• Understand that the poorest counties in the US correspond with the highest mortality rates from COVID-19. 
• Appreciate that the US is not poised to respond successfully to future pandemics.          
                               

3:45 PM – 4:25 PM Shorter is Better: The Changing Paradigm on Duration of Antibiotic Therapy
Eligible for MOC Points
Liam R. Sullivan, DO              
In this session, you'll learn how to:

• Discuss the current CDC COVID-19 vaccine recommendations.
• Review the most up to date available real-world effectiveness & safety data on real-world use of SARS CoV-2 vaccines.
• Discuss current/future SARS CoV-2 vaccine formulation and potential future vaccine approaches.   

4:25 PM – 5:00 PM 2022 Hot Topics in ID Therapeutics and Prophylaxis
Eligible for MOC Points
Mia A. Taormina, DO, FACOI        
In this session, you'll learn how to:  

• Review and discuss updates on the treatment for first and recurrent episodes of clostridium difficile.
• Discuss and review diagnosis and treatment guidelines for Lyme disease.
• Review updates on the diagnosis and treatment of sexually transmitted infections including new HIV and PrEP therapeutics.      
                     

5:00 PM – 5:30 PM 2022 Monkeypox: That's What's Now!
Eligible for MOC Points
Patrick J. Kenney, DO, FACOI
In this session, you'll learn how to:

• Discuss the epidemiology, clinical manifestations, and treatment of monkeypox.
• Define the risks and benefits of vaccination and/or treatment.
• Discuss the current outbreak and to avoid spread of stigma surrounding this infection.

5:30 PM Convocation of Fellows

7:00 AM - 8:00 AM IM and ALL Subspecialties - OCC Update    
J. Rico Blanco, AOBIM Executive Director
In this session, you'll learn how to: 

• Define the Osteopathic Continuous Certification process.
• Discuss the American Board of Internal Medicine Subspecialties.

7:00 AM - 8:00 AM SUNRISE SESSION 
Dermatology for the Hospitalist 
Heather Layher, DO
In this session, you'll learn how to: 

• Identify dermatologic conditions that may manifest in hospitalized patients.
• Layout a diagnostic and management approach to these dermatologic conditions.
• Provide appropriate treatment options to be used while the patient is hospitalized.
   

8:00 AM – 9:00 AM KEYNOTE - The Agony and Ecstasy of 21st Century Medicine 
Mark McLaughlin, MD 
In this session, you'll learn how to: 

• Experience his journey as a physician through a career of challenges and obstacles
• Accept and internalize the ambiguities, challenges, and opportunities for personal growth while pursuing a flourishing medical career

9:00 AM – 9:45 AM Climate Change: Ticks, Food Allergies - What’s the Connection and Why Should I Care? 
Eligible for MOC Points
Gerald W. Blackburn, DO, MACOI & Bryan L Martin, DO, MACOI 
In this session, you'll learn how to:

• Increase awareness of tickborne illnesses and to understand the impact of climate change on the ever expanding habitats where these vectors can be found.

9:45 AM- 10:00 AM BREAK 

10:00 AM - 12:00 PM Ethics   
Mitchell D. Forman, DO, FACOI and Weldon (Don) Havens, MD, JD , LLM        
In this session, you'll learn how to:

• Understand and justify the importance of healthcare providers as patient advocates.
• Understand the responsibility of healthcare providers in identifying and reporting the unprofessional, unethical and illegal behaviors of their colleagues.
• Understand the legal responsibility of healthcare providers in reporting elder abuse.             

10:00 AM - 10:45 AM COVID Related End-of-Life Care 
Annette T. Carron, DO, FACOI      
In this session, you'll:

• Acknowledge the importance of determining goal of care for patients with COVID and facing End-of-Life.
• Learn symptoms of COVID at End-of-Life and how to treat it.
• Become competent in recognizing moral distress.

10:45 AM – 11:30 AM Ethical Dilemmas in End-of-Life   Care 
Karen J. Nichols, DO, MS, MACOI
In this session, you'll learn how to:

• Understand why caring for patients at end of life is so difficult.
• List two reasons that complicate the resolution of the medically futile situation.
• Describe the ethical difference of the end result of choosing to withhold versus withdraw treatment.

11:30 AM – 12:10 PM Burdensome Transitions of Care: How Can you Help? 
Eligible for MOC Points
Maryanne M. Holler, DO, FACOI     
In this session, you'll learn how to:

• Understand the issues surrounding medically fragile patients receiving home care    
• Learn to help patients and families make decisions about treatment based on goals of care
• Understand the transition to hospice and what level of care is appropriate when 

12:10 PM – 12:15 PM Q&A with Panel  

7:00 AM – 8:00 AM 2022 AIDS/HIV Update: PrEP’ing Patients Against HIV 
MarkAlain Dery, DO, MPH, FACOI  
In this session, you'll learn how to:

• Increase the number of patients informed about pre-exposure prophylaxis (PrEP). 
• Better identify patients who would benefit from PrEP.
• Reconnect patients with PrEP whose therapy was interrupted during the COVID-19 pandemic.

8:00 AM – 10:00 AM Medical Errors 
Robert T. Hasty, DO, FACOI 
In this session, you'll learn how to:

• Create a culture of safety in a healthcare organization.
• Discuss selected strategies for improving patient safety.
• Integrate a systematic approach for reducing medication errors, surgical errors, diagnostic inaccuracies, and system failures.

10:00 AM – 10:15 AM BREAK  

10:15 AM – 12:15 PM Prescribing Controlled Substances 
Joshua D. Lenchus, DO 
In this session, you'll learn how to:

• Discuss the basic pharmacology of controlled substances, and opioids in particular.
• Describe the underlying epidemiology and incidence of the opioid epidemic.
• List some alternative approaches to pain management, aside from the prescribing of controlled substances.
   

12:15 PM – 1:00 PM Lunch Break  

1:00 PM – 2:00 PM FL Laws & Rules with Ethics 
Jason Winn, Esq.
In this session, you'll learn more about:

• Applicable Laws & Rules for licensed Osteopathic Physicians.
• Learning of rights afforded to physicians in licensure disciplinary cases.
• What constitutes medical ethics.

2:00 PM - 2:15PM BREAK

2:15 PM – 4:15 PM Domestic Violence 
Melanie Afanador and Matt Tyler
In this session, you'll learn how to:

• Increase understanding of dynamics of Domestic Violence.
• Understand the intersection of Domestic Violence and Healthcare.
• Improve practices to recognize and respond to victims/survivors.
   

4:15 PM – 5:15 PM Human Trafficking 
Melanie Afanador and Matt Tyler 
In this session, you'll learn how to:

• Define sex trafficking and labor trafficking.
• Identify individuals who may be victims of human trafficking.
• Describe how to report cases of human trafficking and resources for victims.

12:15 PM - 1:15 PM LUNCHEON SYMPOSIUM: A Fib: Available Tools Need Broader Use to Fight this Global Epidemic         
Chad A. Link, DO, FACOI                 
In this session, you'll learn how to:

• Improve the care of patients with atrial fibrillation (AF) by more aggressively targeting modifiable risk factors that contribute to AF and AF burden.
• Better individualize patient when considering the use of rate or rhythm control strategies, as well as the indications for ablation. 
• Increase patient access to guideline-directed first-line use of direct-acting oral anticoagulants (DOACs) as first-line therapies to prevent stroke or systemic embolism associated with atrial fibrillation. 

1:15 PM – 2:15 PM APOL-1 at 15 Years: What Do We Know? 
Eligible for MOC Points
John E. Prior, DO, FACOI 
In this session, you'll learn more about:

• The populations affected by variants of APOL1
• Inheritance of APOL1 variants
• Effect of APOL1 on kidney disease
   

2:15 PM – 2:45 PM Nephrology in the Roaring 2020s 
Eligible for MOC Points
Steven Sozio, MD

2:45 PM – 3:15 PM Dialysis Access and Complications for the Internist 
Viktoriya Yanchuk, DO
In this session, you'll learn how to:

• Review dialysis access types, including the uncommon and last resort types.
• Review dialysis access related complications including thrombosis and infections.
• Review dialysis related complications including mortality rates.
   

3:15 PM – 3:20 PM Q&A with Panel 

3:20 PM - 3:40 PM BREAK 

3:40 PM – 4:10 PM Individualized Patient Care Strategies for Myelodysplastic Syndromes 
Eligible for MOC Points
Gregory Harris, DO, FACOI     
In this session, you'll learn how to:

• Discuss the staging and stratification of patients with myelodysplastic syndrome.
• Discuss current standards of care for treating myelodysplastic syndrome and both low risk and high risk patients.
• Discuss future potential targeted therapies for high risk myelodysplastic syndrome patients.

4:10 PM – 4:40 PM Missed Conversations, Missed Opportunities 
Kevin P. Hubbard, DO, MACOI           
In this session, you'll learn how to:

• Describe the services offered by a palliative care team as it relates to patients with cancer.
• Understand crazy cycles and how they can influence decision-making and goals.
• Recognize challenges that may impede implementation of supportive aspects of cancer care.                             

4:40 PM – 5:10 PM Myeloproliferative Syndromes 
Mary Jo Voelpel, DO, FACOI         
In this session, you'll learn how to:

• Define myeloproliferative disorders.
• Know diseases included in the category.
• Recognize clinical signs and symptoms.
   

5:10 PM – 5:15 PM Q&A with Panel   

5:15 PM – 5:45 PM Annual Member Meeting 

5:45 PM Convention Concludes