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2020 Summer Conference Session Descriptions

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Tuesday, July 14

EKG 101 (Lucas)
An electrocardiogram is a reflection of the heart’s electrical activity. The EKG is one of the most commonly used tests to assess electrical and muscular functions of the heart. While this is a simple test, the interpretation of EKG’s requires a significant amount of training. This presentation will teach a standardized approach to EKG interpretation. At the conclusion of the course, the attendee will be able to identify ischemia, ST-elevation myocardial infarction, and common arrhythmias.

Cardiac Arrhythmias (Greene)
Cardiac arrhythmia refers to any abnormal heart rhythm or heart rate. Approximately 14 million people in the United States have arrhythmias, accounting for 5% of the population. The rhythm of the heart is regulated by pacemakers cells located within the SA node. An arrhythmia occurs when the rhythm becomes too slow (bradycardia), too fast (tachycardia), or irregular. This presentation will review the most common arrhythmias and discuss management and treatment. We will discuss medical therapy with anti-arrhythmics as well as indications for cardioversion.

Acute Coronary Syndrome Overview – Case Studies and Panel Discussion (Walsh)
In the United States, more than 900,000 people have a sudden cardiac death or heart attack each year. Approximately 400,000 deaths each year are attributed to acute coronary syndromes (ACS). Most of these individuals have underlying coronary artery disease. While mortality has improved, coronary heart disease still causes one-third of all deaths in those older than 35. ACS is commonly associated with unstable angina (38%), STEMI (30%), or NSTEMI (25%). This presentation will review ACS in regard to clinical presentation, pathophysiology, diagnosis, treatment, and prevention. We will also review several case studies related to patients who presented with acute coronary syndromes and discuss their presentation, workup, and treatment plans.

Heart Failure and Cardiogenic Shock (Pierce/Welji)
According to the CDC, heart failure costs the nation approximately 30.7 billion dollars each year. The cost is comprised of healthcare services, medications, and missed workdays. Most heart failure patients are initially diagnosed and treated by their primary care provider. Early recognition of heart failure can decrease mortality rates and improve quality of life. If the provider is unable to recognize the progression of the disease, these patients are at an increased risk of delayed intervention, rapid disease progression, repeat hospital admissions, and ultimately cardiogenic shock.
Following the presentations, the attendees will be able to assess and manage different types of heart failure. As part of the presentation, we will have case presentations and an interactive discussion with our expert panel of Cardiac Advanced Practice Providers (APPs).

Rapid Response Cases – A Panel Discussion (Lefeber/Lucas)
What do you do when you get called to see a patient on the floor who has an acute change in clinical status? How do you approach your patient who has a sudden drop or rise in blood pressure, a change in heart rate or rhythm, acute respiratory failure, or crushing chest pain? What are your differential diagnoses? What is your patient assessment? What data can you collect at the bedside? Do you have time to manage this patient at the bedside or do they need emergent ICU transfer? This presentation will review several rapid response cases and discuss the best way to approach these patients.

Wednesday, July 15

Keynote Session

From Tragedy to Triumph: A Journey Through Games & Life (Robb Taylor, Head Coach Wheelchair Basketball, Auburn University)
“Sam was born with spina bifida, a condition affecting his spine and mobility. But that hasn’t kept him from having a promising future and being a dedicated athlete. Sam is heading into his junior year this Fall of 2020 majoring in public administration. “I’ve played a number of sports in my life but have been playing wheelchair basketball since I was in sixth grade,’ he said. “I loved it from day one and hoped to play in college one day.” Armas was recruited by several universities but he chose Auburn university’s wheelchair basketball program.

Sam will be joined by one of his term mates Mackenzie Johnson. Johnson suffered a spinal cord injury from a 35-foot fall in 2016, he has been a member of the disabled community for only a few years Sam and Mackenzie will share their stories and journeys discussing some of their experiences with the medical community and in life. Mackenzie said, “This is a community I never expected to join. I just never thought this would happen to me,”. “But my philosophy is to just move on to the next play. That’s what you do when bad things happen – in a game and in life.”

Orthopedic Track

Solutions for Hip Pain in the Young Active Patient (Deshpande)
Hip pain in the young active patient can vary from an occasional nuisance to a debilitating problem. Symptoms around the hip can present at an early age and in various forms and etiologies consisting of:

  1. Soft tissue strains
  2. Femoroacetabular impingement (FAI)
  3. Hip dysplasia
  4. Arthritis.

This lecture will focus on various solutions for treating hip pain in the young, active patient that is too young for arthroplasty but has a debilitating hip disease.

Low Energy Trauma – Management of Common Orthopaedic Injuries (Deshpande)
Trauma can occur from any injury, either high energy or low energy, resulting in enough force to cause a fracture or significant damage within the body. This lecture will discuss the evaluation and management of common low energy injury fractures, sprains, and strains that may walk into an Urgent Care clinic and /or Emergency room setting.
At the conclusion of this lecture, attendees will be proficient in recognition of common low impact orthopedic injuries.
At the conclusion of this session, attendees will be able to evaluate common low impact Orthopedic trauma injuries and manage there care appropriately.

Fractures in the Elderly – from Osteoporosis to O.R. (Deshpande)

  • Each year over 300,000 people— 65 and older—are hospitalized for hip fractures.
  • More than 95% of hip fractures are caused by falling, and the most common mechanism is usually by falling sideways.
  • Women experience over 60% of all hip fractures.
    • Women fall more often than men.
    • Women have a higher incidence of osteoporosis, making them more susceptible to fractures.
  • The chances of breaking your hip increase as your age increases

It is hard to recover from a hip fracture and the condition is often life-altering. As the U.S. population gets older, the number of hip fractures is likely to go up. This lecture will discuss geriatric hip fractures and some periprosthetic fractures. At the conclusion of this session, attendees will understand the hard facts associated with hip fractures and treatment options. Attendees will be knowledgeable in fracture treatment pharmacology and DVT prophylaxis. At the conclusion of this session, attendees will also have a better understanding of clinical treatment for osteoporosis.

Women’s Health Track

Adolescent Sexuality in the Age of Social Media (Dehn)
With the evolution of social media and easy access to a wide range of sexualized topics and images, adolescents today are exposed to many new influences to their emerging sense of identity, their exploration of sexuality and their normal developmental tasks. This lively and engaging session will discuss social comparison theory, how adolescents use social media and how it impacts their psychosocial development and identity formation. Strategies for how communicate more effectively with adolescents about sexuality will also be reviewed.

The Tip of the Endocrine Iceberg: PCOS Diagnosis and Management (Dehn)
With the evolution of social media and easy access to a wide range of sexualized topics and images, adolescents today are exposed to many new influences to their emerging sense of identity, their exploration of sexuality and their normal developmental tasks. This lively and engaging session will discuss social comparison theory, how adolescents use social media and how it impacts their psychosocial development and identity formation. Strategies for how communicate more effectively with adolescents about sexuality will also be reviewed.

Menopause Management Update (Dehn)
What every clinician caring for women at midlife needs to know about this hormonal and endocrine transition that may be wreaking havoc in every aspect of your patients’ lives from sleep and weight gain to hot flashes, night sweats, heavy, irregular bleeding and emotional instability. In this session, we’ll review evidence-based algorithms to evaluate, assess and offer treatments for the multiple urgent and chronic concerns women have at midlife. We will review treatment options that include both non-hormonal and hormonal, including updates on bio-identical pharmacologic options. Strategies to help with weight gain and mood will also be discussed with plenty of pharmacology and practice pearls.

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The Pipes are Leaking – Bleeding Disorders (Platt)
Increased bleeding and bruising are common complaints in primary care including epistaxis, menometrorrhagia, GI bleeding, and post-procedure bleeding. Preoperative assessment of the clotting system is a very common task for primary care providers. A working knowledge of the clotting system is necessary for diagnostic work-up, laboratory interpretation, and treatment of common bleeding disorders.

Stop the Clot – Hypercoagulable States (Platt)
Hypercoagulable states can cause MIs, DVTs, PEs, and Thromboembolic strokes. AFib is one of the most common reasons for anti-coagulation therapy to prevent stokes. PAs need to know the common presentations, diagnostics, prevention, and therapy for hypercoagulable states. The pharmacology and indications of antiplatelet, anticoagulation, and thrombolytic drugs will be discussed.


Thursday, July 16

Dermatology Track

Dermatology Track (Cheyney)
Info to come.

Dermatology Track (Cheyney)
Info to come.

Pediatrics Track

Pediatric Respiratory Infections (Wingrove)
Children frequently present to PAs in many settings – primary care, specialty care, ER, urgent care – with respiratory complaints. It can be challenging to differentiate among the varied respiratory infections that young children can have. It is important to recognize the different presentations of respiratory infections, whether croup, pneumonia, bronchiolitis, or a common cold. This presentation will look at these and other respiratory pathologies in children with a review of diagnostic modalities and up to date treatment strategies.

Chronic Cough in Children (Wingrove)
Cough is the most common chief complaint in the United States. A chronic cough in children is defined as a daily cough lasting for 4 weeks or longer. Diagnosing the underlying cause of a cough in children can be challenging and the differential diagnosis is extensive. A chronic cough can pose significant morbidity in children with missed days of school, interruptions in sleep, and an inability to play and engage socially. It is important to be able to recognize key elements in the history to guide PAs in treating these children, and knowing when to refer. This presentation will explore the differential for chronic cough in children, including diagnostic evaluation and management.

Diabetes Track

What Do I Do After Metformin? A Review of Pharmacologic Approaches to Glycemic Treatment in Type 2 Diabetes (Butts)
30.3 million Americans live with diabetes and 84.1 million have prediabetes. Diabetes is a growing epidemic in the United States. Despite the rates of diabetes remaining high, we have a decline in endocrinologists available in the U.S. to treat the patients. Diabetes is a primary care disease. Physician assistants will be responsible for treating many people with type 2 diabetes. Individualization to care is imperative for the patient with type 2 diabetes. This presentation will focus on the 2020 ADA Standards of Care pharmacologic approaches to glycemic treatment. It will focus on helping the physician assistant to evaluate the patient to guide their decision making for treatment management.

Insulin Initiation and Intensification (Butts)
Type 2 diabetes is a progressive disease. It has been shown that beta-cell function declines with prolonged duration of disease. All or most patients may require insulin initiation and/or intensification during the disease state. Type 1 diabetes requires intensive insulin management. The decline in endocrinologists puts physician assistants at the forefront of treating type 1 and type 2 diabetes. The presentation will review how to initiate and titrate basal insulin therapy. It will also help physician assistants in how to intensify insulin therapy with prandial insulin and alternative postprandial glucose-lowering options.


Friday, July 17

Urgent Care Track

Urgent Care in A Nutshell – Part 1 & 2 (Gaylor)
Urgent care is shaking up the landscape of traditional medicine. By the year 2020, there will be nearly 10,000 urgent care centers in the United States, many of which are staffed with physician assistants and nurse practitioners. Interest in the on-demand, affordable option of urgent care continues to grow. Health care providers in this trend need the skills, tools, and strategies to make urgent care shifts as fun, safe, and productive as possible. Whether you are a newbie or a seasoned crustacean, this rapid-fire, two-hour workshop will include a wide-ranging variety of information, including the approach to the urgent care patient and why it’s such a fun, but intense specialty, and how to make it as safe as possible for you and your patients, regardless of your level of experience. We will cover hoofbeats and zebras and what that expression means in the urgent care setting, the importance of disposition and follow up and how this guides your decision making, what constitutes an emergency vs an urgency, bread, butter, and jam, how to deal with overwhelm and multitasking, and your ownership of patients, for better and for worse. We will discuss topics including the skin and its contents, we will take you back to the basics, we will address the antibiotic dance, we will remind you that sometimes a headache is a brain tumor, we will cover coughing and sneezing and buggers (oh my), heartaches, belly aches, waterworks, bones, and groans, and then there’s the fun stuff, including kids (more fun stuff), procedures, and drugs, as well as what to do when you don’t know what to do. After attending this workshop, you will leave with a toolbox full of skills and a much better understanding of the nuances and joys of urgent care medicine.

Emergency Medicine Track

What Could Go Wrong? A Differential of Right Lower Quadrant Pain (Sparkes)
Info to come.

I’m Feeling A Little Short of Breath – A Differential of Pulmonary Disease. Men as Minimizers and Why We Need to Interview the Wife (Sparkes)
Info to come.

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GAPA Legislative and Advocacy Update
Up-to-date information on GAPA’s efforts to improve and implement legislation and advocate for the PA profession in Georgia


Workshop Descriptions

Monday, July 13

Basic Suturing (Gordon)
This workshop is designed for the practitioner who has limited training or experience in wound care and suture wound closure. Detailed discussion in basic wound care, tetanus immunization, medical glue wound closure, simple interrupted and corner stitch suture technique will begin the workshop. Participants will be provided with a basic suture instrument set to practice the suture techniques on pig feet. The instrument set will leave with the participant. Individual attention for each participant is the goal of the workshop. Participants are encouraged to join in the discussion, “there is no such thing as a stupid question.” T-shirts and shorts are suggested.

Abdominal Ultrasound (Treworgy)
Point-of-care ultrasound (POCUS) is becoming an increasingly essential component of patient care.  GAPA has partnered with SonoSite, and would like to invite you to join us for a workshop dedicated to understanding and improving diagnostic ultrasound skills. With several applications, such as aiding in local anesthetic placement, and helping determine and prevent post-operative complications, perioperativists will find POCUS to be an invaluable tool in helping provide better patient outcomes. Common perioperative ultrasound applications include hemodynamic monitoring & volume status management, identification of pericardial effusion or tamponade, detection of cardiopulmonary pathology including pneumothorax, ET Tube Placement/airway management, focused assessment of transthoracic echocardiography (FATE exam), assessment of gastric contents, evaluation of hemodynamic instability (FAST exam), and ultrasound-guided nerve blocks. Through hands-on practice sessions and question-and-answer opportunities with onsite experts, you’ll learn how the integration of point-of-care ultrasound into your practice can benefit you and your patients.

Board Review (Gilboy) (Rx=0.5)
This program, by Mike Sharma, PA-C, is an 8-hour, “smart study” approach to help give you the confidence and knowledge you need to pass your certification exam. You’ll learn how to use a technique called “selective negligence” to focus on high yield topics when studying for the PANCE/ PANRE. We will focus on high yield topics and effective study tactics.

Advanced Suturing (Gordon)
This workshop is designed for the practitioner who has some experience in basic wound care and suture wound closure. Detailed discussion in techniques to include vertical mattress, horizontal mattress, buried simple suture, continuous running suture, locking running suture, staple closure, “dog ear” correction, and various defect repair techniques will begin the workshop. A special discussion on lip laceration repair will end the discussion part of the workshop. Participants will be provided with a basic suture instrument set to practice various suture techniques on pig feet. Defect repair techniques cannot be practiced on the pigskin. The instrument set will leave with the participant. Individual attention for each participant is the goal of the workshop. Participants are encouraged to join in the discussion, “there is no such thing as a stupid question.” T-shirts and shorts are suggested.

ACLS/BLS (Fullard)
Advanced cardiac life support (ACLS) refers to a set of clinical interventions for the urgent treatment of cardiac arrest, stroke and other life-threatening medical emergencies, this course covers the key changes in advanced cardiovascular life support, reflecting the 2018 American Heart Association Guidelines. Basic life support skills, including effective chest compressions, use of a bag-mask device and early management of respiratory and cardiac arrest Recognition and early management of per-arrest conditions such as symptomatic bradycardia BLS with ALS has the availability of improving survival outcomes in cardiac arrest. This course will be reviewing changes in 1 &2 rescuer CPR, adult, child, and infant. As well as use of the AED and FBOA.

Clinical Skills In the Acute Care Setting: Includes HEENT, Dental (Gordon)
This workshop is designed for the practitioner who has limited experience in the various skills to diagnose and treat conditions in the acute care setting. Detailed discussion to include instruments and techniques to address these conditions will begin the workshop. Conditions such as foreign body in the ear, otitis media, bullous myringitis, cerumen impaction, Bell’s Palsy, epistaxis, nasal packing, septal hematoma, peritonsillar abscess, Ludwig’s Angina, dental abscess, various nerve blocks, local anesthesia issues, abscess treatment, ring removal, auricular hematoma drainage, indirect inguinal hernia reduction, ingrown toenail treatment, fish hook removal, paronychia drainage, wrist ganglia aspiration and injection, Bartholin gland abscess, reduction of rectal prolapsed, penis foreskin in zipper treatment, are all part of the agenda. Hands-on practice will be included for specific conditions. Participants are encouraged to join in the discussion, “there is no such thing as a stupid question”

Ortho Exams: Knee, Ankle & Upper Extremities (Vacala) (Rx=0.25)
It is essential to perform an accurate Orthopedic exam and formulate a comprehensive differential diagnosis. Clinicians must be able to evaluate, assess and formulate a differential diagnosis efficiently and effectively in order to expedite management options and treatment plans. This workshop will be a hands-on workshop demonstrating and explaining basic evaluation techniques for the knee, ankle, and shoulder joints. Participants will be proficient in their ability to accurately diagnose the most common orthopedic injuries upon completion of this workshop. Please wear shorts and tank tops to allow for hands-on partner exams.


Tuesday, July 14

Learning EKGs, Ultrasound and the Unstable Patient (Greene/Lefeber/Musille)
Many providers are incorporating point of care ultrasound, or POCUS, into their daily practice to diagnose certain disease processes, to assess the progression of pathologic or physiologic changes, to guide management, and to assess response to therapy. During this session, we will teach a FAST exam, while focusing specifically on cardiac ultrasound. This workshop will also include an introduction to EKG’s. At the conclusion of the workshop, the participants will be able to identify a normal 12-lead EKG, calculate rates and the QTc, identify heart blocks, and recognize STEMI and signs of ischemia. We will also spend a portion of the workshop discussing management of the unstable patient. The participants will be presented with several case studies for which they will provide an initial assessment, discuss differential diagnoses, determine the additional information needed (labs, imaging, etc), and establish a bedside management plan for their patient.

Joint Injections (Vacala)
Basic injection and aspiration techniques are a MUST for clinicians. Patients routinely present with effusions, hemarthrosis, and unknown causes of swollen tender joints. Clinicians have to be confident and capable of aspirating joints to ensure that the effusion is not a septic joint or a more ominous diagnosis.
This workshop will discuss at length the indications and contraindications for joint injections and aspirations. Various techniques for shoulder, knee, elbow, ankle and foot will be presented in detail. Clinicians will be confident and proficient in these techniques at the conclusion of this hands-on workshop.
Anatomical models will be provided for hands-on practice sessions.


Wednesday, July 14

Basic Fractures & Splinting in the Acute Care Setting (Vacala)
“This Basic Course is designed to provide the participant with a fundamental knowledge of clinical treatment of fractures. Fracture management can be divided into nonoperative and operative techniques. The nonoperative approach consists of a closed reduction if required, followed by a period of immobilization with casting or splinting. Closed reduction is needed if the fracture is significantly displaced or angulated. Pediatric fractures are generally much more tolerant of nonoperative management, owing to their significant remodeling potential. Nondisplaced fractures all require a period of healing that may or may not involve cast care. In this time of aggressive operative treatment, only simple nondisplaced fractures of long bones or joints may be treated with nonoperative cast care; the rest are treated with emergency operative care so as to allow for early motion to prevent stiffness of adjacent joints. This course will cover basic Non-operative fracture x-ray management utilizing X-rays and casting/splinting. Attendees will have an opportunity to practice putting on splints and one cast each.


Thursday, July 16

PALS/BCLS (Fullard)
The PALS Course is for healthcare providers who respond to emergencies in infants and children. PALS covers 1- and 2-rescuer child CPR and AED use 1- and 2-rescuer infant CPR Cardiac, respiratory and shock case discussions and simulations Key changes in pediatric advanced life support, reflecting the new science from the 2018 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Management of respiratory emergencies Resuscitation team concept Rhythm disturbances and electrical therapy Systematic Approach to Pediatric Assessment Vascular access. BLS provided in the field increases the time available for higher medical responders to arrive and provide ALS care. An important advance in providing BLS is the availability of the automated external defibrillator or AED. This improves survival outcomes in cardiac arrest. This course will be reviewing changes in 1 &2 rescuer CPR, adult, child, and infant. As well as use of the AED and FBOA.

Night Shift In The ED: Case-Based Radiology
This workshop is designed to discuss various cases requiring x-rays encountered in the ED or acute care setting. A brief discussion on normal anatomy will begin the workshop. Cases will be presented, participants encouraged to suggest x-rays necessary for diagnosis then results discussed. Cases presented will include chest, abdomen, face, neck, shoulder, pelvis, femur, knee, tibia/fibula, ankle, foot, elbow, radius/ulna, wrist, hand. Films presented will include “perfect” to “suboptimal” such as encountered in the real world. Discussion on how to present the findings found will encourage the participants to polish their skills when consulting with their peers.

MSK Ultrasound (Treworgy)
GAPA has partnered with SonoSite, and would like to invite you to join us for a workshop dedicated to understanding and improving diagnostic ultrasound skills. This course is designed for the novice wishing to focus on diagnostic, rather than guided injection ultrasound techniques. Diagnostic ultrasound is noninvasive and offers real-time imaging, allowing for examinations of structures at rest and in motion. This ability to capture the movement of musculoskeletal components differentiates it from other imaging modalities and can permit diagnoses that are more accurate. Other advantages for your patient include its portability, which allows for point-of-care application and interpretation. Through hands-on practice sessions and question-and-answer opportunities with onsite experts, you’ll learn how the integration of point-of-care ultrasound into your practice can benefit you and your patients.

 

 

REGISTRATION WILL OPEN IN NOVEMBER 2019

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