EXPLORE Healthcare Summit 2023

See More Patients Make More Money: Taking Advantage of the New Evaluation and Management Rules

2021 brought new rules re: evaluation and management (E/M) CPT code services. Physicians have the opportunity to implement changes in their documentation practices to benefit from these changes. Learn strategies that will allow you to spend more time with your patients as you lighten the administrative burden of documentation and coding while also protecting yourself from billing audits. Additionally, a snapshot of 2023 changes will also be presented.

Renee M. Brown, CMIS, ACS-EM, CHA

Quality: The Diamond in the Rough in Helping Us to Save Health Care

As revenues get smaller at the same time the costs associated with errors and how health care operates just keep growing, there has never been a more important time to look at shifting the industry's approach to quality management away from the very costly and resource-consumptive game of minimal compliance that it plays with its regulators and surveyors to a more business-oriented model with a focus on getting a lot more right the first time in the most business-smart, defect-free, workforce supportive and customer-driven ways possible - getting control of what is now estimated to create more than a trillion dollars in avoidable costs, losses and expenses for the hospital industry alone every year. In this session, we will discuss what that transition looks like, how to get started and the experiences of one hospital CEO in using it to save a financially failing hospital.

Darlene Bainbridge, MS

2:00pm-3:15pm

Rapid Cycle Quality Improvement: Getting to Results Faster While Pulling our Workforce Out of the Valley of Despair

As the stress and chaos in the current environment builds for everyone, but especially our people on the front lines of patient care, how we manage quality improvement has taken on a whole new level of importance for multiple reasons. First, because we have to get better at making measurable improvements happen faster so to benefit from the financial, operational and reputational impact they can have. Secondly, it is important because we have to get our workforce out of the Valley of Despair where productivity and employee satisfaction goes to die when change management lasts for too long and puts too many avoidable burdens on the very people responsible for the direct care of our patients. In this session, we will discuss the benefits of effective rapid cycle quality improvement, what it looks like, the dangers that live in the Valley of Despair and how good rapid cycle quality improvement can help to control for the negativity that hides there.

Darlene Bainbridge, MS

Motivational Interviewing in Family & Preventive Medicine

Motivational Interviewing (MI) is an evidence-based framework for discussing behavioral changes with patients. Patients often struggle with problematic behaviors that complicate their health and limit the efficacy of medical interventions. In this workshop we will review the basic process of conducting a brief and effective MI interview in the context of family and preventative medicine.

Jon Kratz, MSW, LCSW

12:30pm-1:15pm

Pediatric ENT Issues and Vascular Anomalies

This presentation will give providers valuable tools to diagnose vascular anomalies of various kinds including hemangiomas and lymphatic, venous and arteriovenous malformations. These lesions, while similar, are distinct with varying levels of concern or urgency for primary care providers. Most of these lesions are most common in children but can also occur in adults.

Colin Fuller, MD, MS

2:00pm-3:15pm

Essential Tremors

MR-guided focused ultrasound thalamotomy is a new procedure that is utilized to treat patients with medically refractory essential tremor. This presentation will discuss the patient selection criteria, procedure, and outcomes.

Andrew Conner, MD

Physician Wellness Resources

Physician mental health has been increasingly discussed, largely due to the reports of physician suicides being at approximately 300 annually. Despite these numbers and the attention that this topic receives within our circles, physicians remain hesitant to engage in treatment due to fears of retaliation by their employers, hospital systems, and the medical board. Furthermore, most physicians are unaware of the resources available to them. This session will discuss common myths surrounding resources available in the state of Oklahoma as well as how to access these resources.

Nicole Washington, DO, MPH

John Kuhn, MD

Michael Leake, JD

Paul Tobin, PhD, PC

Lowell Robertson, MD

Creativity as an Outlet for Improving Physician Satisfaction

Physicians continue to experience working long hours, often bringing work duties home that replace time that could be spent on relaxation, recharging, self-development, and growth. While we often consider vacations and spa days as key parts of a thriving self-care plan, they don't always lead to sustained fulfillment. This session challenges participants to consider creative outlets as part of their self-care plan as we strive to improve physician quality of life. The session will cover tips for initiating and maintaining these activities as well as the potential roadblocks that may be encountered. It will also provide tips on the development of an individualized self-care plan.

Nicole Washington, DO, MPH

Lisa Mulligan, MD, FACOG

Rachel Franklin, MD, FAAFP

Swapna Deshpande, MD, DFAACAP

2:00pm-3:15pm

Nourishing for Strength and Resilience

What and how we eat not only sets the foundation for our personal health and wellbeing, it’s a serious health advantage for our patients and clients. Life’s stressors, time constraints, basic food and nutrition know-how, unsettled science, and challenging food environments can discourage even the most motivated. The health of our planet is also driving new, often overwhelming, conversations about healthy diets and resilient food systems. In this session, we will get back to the basics, address common misperceptions about optimal diets for personal and planetary health, and highlight key evidence-based opportunities for nourishing ourselves, and our patients/clients for strength and resilience.

Shalene McNeill, PhD, RD, LD

Office-based Opioid Treatment After the X-Waiver

This lecture will guide physicians through the essential aspects of diagnosing Opioid Use Disorder (OUD), initiating treatment with buprenorphine, and managing the complexities of recovery and potential medication discontinuation. Beginning with a comprehensive overview of the diagnostic criteria for OUD, the session will delve into the evidence-based benefits of buprenorphine in reducing mortality and enhancing patient well-being. Attendees will receive practical insights into buprenorphine administration, including dosing, monitoring, and coordination with other therapeutic modalities. The lecture concludes with a balanced discussion on recovery and the contentious issue of discontinuing medication, emphasizing a patient-centered approach that considers the risk of relapse and mortality. Drawing from the latest research and ethical considerations, this lecture will empower physicians to make informed, compassionate decisions in managing OUD, striking a delicate balance between clinical efficacy and individual patient needs.

Layne Subera, DO, MA, FACOFP

Nurturing Hope Oklahoma’s Journey to Build Hope and Support for Families Affected by Substance Use

Providing Family Care Plans (FCPs) to pregnant, postpartum, and parenting people is a vital component of Oklahoma’s SAFER Project, which seeks to increase support to pre-pregnancy, pregnant, and parenting individuals with a substance use disorder (SUD) by strengthening the continuum of care, improving access to services, building community support, and destigmatizing treatment through multi-systemic partnerships and collaboration at the state and local levels. This talk will review the need for family care plans in Oklahoma and explore state initiatives to address substance use disorders in women and families.

Sara Coffey, DO

2:00-3:15pm

The Impact of Soft Skills on the Prevention of MPL

Historically, there has been a lot of emphasis on the ‘hard skills’ necessary to prevent malpractice such as technical competence and knowledge. Patient satisfaction, patient engagement, and collaborative care have, in many ways, shifted the focus solely from clinicians’ knowledge and technical acumen to a broader range of desirable skills — including many soft skills. The number of soft skills is vast, and examples include empathy, humility, active listening, communication, teamwork, critical thinking, honesty, integrity, leadership, and respect. Emerging evidence also shows that enhancing soft skills can benefit physicians by cultivating better doctor–patient relationships, alleviating burnout, and reducing professional liability exposure. This presentation will focus on effective ways to communicate, build relationships, solve problems, and maintain professionalism, while improving patient safety and outcomes and reducing burnout and the risk of medical malpractice.

Graham Billingham, MD, FACEP, FAAEM

Christine Hoskin, EdD, RN, CPHRM, NPD-BC

Social Media Risks

Social media is ubiquitous, highly divisive, and most importantly, it can be dangerous for healthcare and dental professionals without the appropriate controls in place. This program examines social media devices, formats, and target audiences. The regulatory impact on healthcare and dental professionals is described, and strategies to mitigate risks associated with social media are explored.

Traci Espenship, MS, BSN, RN, CPHQ, CPPS, CPHRM

Advanced Practice Providers: Risk Strategies for Supervision

The presentation will examine the claims data of Advanced Practice Providers in order to understand the contributing factors of medical malpractice claims. There is pressure on both the frequency and severity of claims because of the expanding scope of practice of APPs, the volume of patients they are seeing and the increasing complexity of patients. By evaluating, the common allegations asserted in medical malpractice cases that include Advanced Practice Providers we can develop best practices to mitigate the risks of supervising these professionals.

Graham Billingham, MD, FACEP, FAAEM

2:00-3:15pm

Understanding Audit Logs and Trails: Risk Strategies for Monitoring Metadata

Electronic footprints surround us with every click of the keyboard. The amount of metadata available can be overwhelming and sometimes difficult to navigate. This program explores the metadata sources within a healthcare facility, provides risk mitigation strategies for monitoring the metadata, and how to handle legal requests for metadata.

Theresa Jones, RN, BSN, CPHRM

Melissa Jackson, MBA, RN, BSN, CPHRM

Keynotes
OAFP Business Meeting and Legislative Update
Game Changers
OAFP Scientific Assembly
Winning at Wellness
Clinical Update
The Game of Risk
Resident's Quiz Bowl

8:30am-9:30am

The Science of Happiness

The Science of Happiness will take healthcare professionals on a journey through the latest scientific understanding of happiness and its profound impacts on health and well-being. This keynote aims to illuminate the neurobiological, psychological, and sociological aspects of happiness, weaving them into a cohesive narrative with practical applications for healthcare settings. The evidence-driven exploration will delve into the role of positive emotions in health, resilience in the face of adversity, and how cultivating happiness can enhance patient care. By merging scientific findings with actionable strategies, healthcare professionals will be equipped with a fresh lens to view their practice, potentially leading to a transformative change in their approach to patient care.

Jonathan Fisher, MD, FACC

11:45am-1:00pm

Licensure Portability and Telemedicine: Navigating the Road Ahead

While telemedicine has been around for many years, its utilization increased only recently, during the COVID-19 pandemic, when both physicians and patients utilized technology in record numbers, at a scary moment in history when patients were afraid to catch the SARS-Cov2 virus and avoided in-person care of any type, even in an emergency. Now that the pandemic is largely over, how can physicians and physician assistants continue to practice medicine across state lines, in person or by telemedicine? The Interstate Medical Licensure Compact (IMLC), launched three years before the pandemic, may be one way forward, offering an opportunity for interested and eligible physicians to rapidly and lawfully gain the privilege to practice medicine in multiple jurisdictions. The nation’s state medical and osteopathic boards, which exist to license qualified physicians and physician assistants and to protect the public while supporting quality health care, have actually supported a number of thoughtful and innovative advances in health care delivery over the last few decades. Easing the processing of medical licenses with FCVS (Federation Credentials Verification Service), the USMLE and COMLEX examinations, and the IMLC – adopted into law thus far by 40 jurisdictions – are just some of the examples of state medical and osteopathic boards cautiously moving forward to expand access to care. Artificial intelligence, especially generative artificial intelligence, appears to offer significant value in quality healthcare delivery, but will need to be balanced against strong ethical, privacy and patient safety concerns. We will all need to navigate the road ahead thoughtfully and safely, to use the right technology at the right time for the right reason. Dr. Chaudhry will provide an overview of state medical and osteopathic boards and their activities in recent years to support licensure portability and telemedicine, and talk about the role of the FSMB in pushing the ball forward.

Humayun Chaudhry, DO, MACP

4:00pm-5:00pm

The Transformative Power of Wonder in Leadership

In this innovative talk, Harris III will help you reimagine everything you know about leadership. What if everything you’ve been taught about leadership is true and helpful, but there was one single secret that the world’s best leaders knew that could take everything you know to a new level you’ve yet to imagine is possible. Harris III has the unique ability to reawaken wonder in others through his communication and his craft, and will help you discover that the ultimate role of a great leader is to awaken the wonder within and stir the imagination of the organization and people you lead.

Harris III

7:00am-8:30am

Join us at 7:45am at the conclusion of the OAFP Business meeting for the Legislative Update 2023. The 2023 OAFP legislative session will be an overview of the Oklahoma legislative session and what it meant for Family Medicine. It will discuss vaccine bills, changes to Oklahoma Medicaid and other pertinent issues. Attendees will learn of issues we may face in the 2023 legislative session and be able to ask questions of OAFP Legislative consultant. This session will discuss the importance of getting involved locally in advocacy to protect your patients, practice and Family Medicine.

Paying it Forward: The Vital Role of Physician Leadership in Quality Improvement

The role of the physician in leading the charge toward improving the quality of healthcare is ever evolving. Always known to be leaders in the clinical settings, physicians are assuming a greater role in developing methodologies, processes and programs designed to improve patient safety and outcomes. Until recently, traditional medical school education did not spend much time focusing on the quality management aspects of patient care, choosing instead to center on evidence-based care delivery and patient outcomes. One unfortunate consequence has led to less beneficial experiences with accrediting agencies and quality management staff. By engaging physicians in the totality of quality management, we obtain better outcomes and attitudes toward patient safety along with dedicated leadership in efficiency, equity, and patient-responsiveness. Physicians are scientists by nature and look to concrete fundamentals when treating patients. Exposing them to the more scientific side of patient safety and promoting leadership in the quality realm could eventually increase the numbers of actively engaged physician leaders in quality. However, it is difficult to measure engagement and willingness in quality, which explains why there is limited literature and research into the topic of physician involvement in this area. Various incentives (financial, professional, etc.) may be deployed in order to spark interest and motivation for physicians to work with teams toward achieving top tier quality outcomes. Developing innovative programs that allow physicians to serve as invested leaders in quality management can be an important strategy in promoting patient safety for this and future generations.

Sharon Smallwood, MD

MPL 101

Medical liability insurance is a vital tool for any successful career in medicine, but many physicians don’t take the time to understand the coverage they have and the importance of knowing the options available to them. A specialized type of professional liability insurance, medical malpractice insurance provides coverage to physicians for liability arising from care that allegedly results in a patient’s injury or death. A majority of American doctors face at least one medical malpractice lawsuit in the course of their career. This presentation will discuss the three pillars of Medical Professional Liability Insurance: Coverage; Risk Support; and Claims Defense, and the different types of policies available to you as a physician.

Kelly Kimberling, MJ, CPHRM

The Enneagram Advantage: Unlocking the Power of Rapid Meaningful Connections

This presentation offers valuable insights into unique methods for quickly discerning different personality types. By applying these methods during real-time interactions with patients, physicians and healthcare professionals can personalize their approach and enhance patient outcomes. In the fast-paced realm of healthcare, promptly identifying diverse personality types can significantly improve patient care and communication. Stevenson's presentation provides practical strategies for healthcare professionals to identify and comprehend the Enneagram types of their patients, enabling them to tailor treatment approaches that are more personalized and effective.

Hilary Stevenson, MHR, LPC

Beyond the Scale: Obesity Management in the Primary Care Setting

The presentation aims to arm primary care physicians with the necessary tools and knowledge to confidently address obesity medicine within their clinics. By enhancing their diagnostic acumen, broadening their understanding of pharmacotherapy, and providing an introduction to surgical interventions, the talk seeks to elevate the level of care these physicians can offer to patients struggling with obesity, ultimately improving overall health outcomes in their communities.

Raghuveer Vedala, MD, FAAFP

Hepatitis C in Primary Care

Hepatitis C is increasing in the population, especially among younger persons given the opioid epidemic. It will continue to be important for Family Medicine and other primary care physicians to be comfortable with the available resources for treating this condition to prevent the potential long-term morbidity and mortality that is associated with Hepatitis C infection. This presentation will help guide the PCP in the work-up of hepatitis C, make them aware of available treatments with fewer side effects than traditional treatment, and when to refer for more complicated cases. We will also discuss strategies to prevent Hepatitis C by treating underlying substance use disorders. There are also now available treatments for HIV prophylaxis. Primary care physicians should be aware of and comfortable prescribing this important medication. The presentation will discuss which patients are appropriate for this treatment and what work up should be done prior to prescribing as well as for monitoring while on PREP. They will also be introduced to available program in the state for consulting with specialists for necessary patients with hepatitis C or in need of HIV pre-exposure prophylaxis.

Calin Watt Kirk, MD

The Opioid Epidemic

Participants will understand the current opioid epidemic. Individuals will be exposed to basic terminology regarding opioids. They will understand statistics and epidemiology regarding the epidemic, as well as put overdose numbers in perspective in the State of Oklahoma by providing information on overdoses by the specific opioids (heroin, methadone, oxytocin, hydrocodone, fentanyl) and other lethal abused substances including alcohol, methamphetamine, and alprazolam. Individuals will understand the evolution of the opioid epidemics nationally and in the State of Oklahoma. Individuals will understand the role of the pharmaceutical industry in starting the epidemic through the myth that pain and addiction were unrelated phenomena. Participants will review the 2016 CDC guidelines for Opioid Prescribing, including understanding starting with a non-pharmacologic approach to acute pain, measuring function with pain management, the role of medications for Opioid Use Disorder and naloxone, and the need to avoid benzodiazepines. Finally, participants will understand Oklahoma laws regarding opioid prescribing.

Jason Beaman, DO, MS, MPH, FAPA

Introduction to Mindfulness for Stress Mastery and Peak Performance

This session aims to introduce healthcare professionals to the science and practice of mindfulness. Despite extensive evidence supporting mindfulness's role in stress reduction and performance enhancement, a knowledge gap exists in healthcare circles about its efficacy, applications, and practice. This program intends to bridge this gap, enabling clinicians to understand and incorporate mindfulness into their patient care approach effectively. The course will begin by discussing the scientific underpinnings of mindfulness, demonstrating how it reduces stress and enhances performance. It will address the cultural barriers that may hinder the integration of mindfulness into Western medicine and propose strategies to overcome them. Learners will be guided through basic mindfulness exercises, helping them develop personal skills that they can employ in their professional settings.

Jonathan Fisher, MD, FACC

Mastering the Art of Empathic Communication in Healthcare

Healthcare professionals will be invited to explore the crucial role of communication in improving patient outcomes and satisfaction. Recognizing that time is often a scarce commodity in healthcare, this program is designed to provide a concise yet comprehensive overview of effective communication strategies and their impact on patient care. Participants will discuss the significant barriers often encountered in patient-provider communication and present practical strategies for overcoming these challenges. Emphasis will be placed on patient-centered communication techniques, such as motivational interviewing and shared decision-making. These methods encourage a collaborative healthcare environment where patients feel heard, understood, and more likely to adhere to their treatment plans. The program will further illustrate how effective communication can enhance both patient satisfaction and health outcomes. Participants will discover that patients who are actively involved in their healthcare journey often demonstrate improved adherence to treatments and overall better health outcomes.

Jonathan Fisher, MD, FACC

The Enneagram Advantage: Unlocking the Power of Rapid Meaningful Connections

Hilary Stevenson, MHR, LPC

Strategic Use of Antibiotics for Improved Patient Outcomes

Join Dr. Bell as she presents case studies re: the appropriate use of antibiotics and the importance of proper selection to maximize effectiveness and improve patient outcomes. These cases will encompass all classes of antimicrobials and serve as a refresher and update as well as highlighting the pitfalls of certain antibiotic choices in particular patient populations.

Heather Bell, DO, CIC, BS, RT(T)

Where Has All the Adderall Gone? Psychostimulants for the Non-Psychiatrist

Characterized by impulsivity, inattention, and hyperactivity, ADHD is thought to affect 8.4% of children and 2.5% of adults in the United States. Branded and generic formulations of stimulants such as boost levels of the neurotransmitters dopamine and norepinephrine in patients with ADHD, improving focus and motivation and reducing certain negative behavioral traits. The number of ADHD diagnoses grew by 31% from 2010 to 2017. Between 2019 and 2020, prescriptions for ADHD rose by 7.4% among adults aged 22 to 44 years, more than doubling the increase seen between 2020 and 2021. Today, practicing clinicians recognize the heritability of ADHD and the wide variability in clinical presentation of adult ADHD. As many as 80% of adults with ADHD have at least one coexisting psychiatric disorder, including mood and anxiety disorders, substance use disorders (SUD), and personality disorders. This can complicate the recognition and diagnosis of ADHD in adults, and despite ongoing clinical controversy, the bulk of evidence suggests that ADHD remains under-recognized and under-treated in the adult population.

Jason Beaman, DO, MS, MPH, FAPA

The Opioid Epidemic

Jason Beaman, DO, MS, MPH, FAPA

Legal Update 2023

Join us for an overview of valuable information regarding current legal issues facing physicians and other healthcare providers. Experienced defense attorneys, Chad Moody, Esq and Gene Stanley, Esq will present topics important to the practice of medicine and discuss strategies to manage both ongoing and newly identified risks faced by providers in this evolving healthcare environment. They will explore strategies to address potential risk points and mitigate these to improve patient outcomes and experience as well as protect the provider from litigation.

Chad Moody, Esq

R. Gene Stanley, Esq

OKSHINE and HIPAA Update 2023

The business of medicine becomes more complicated with each passing year. Faced with new challenges in the evolving healthcare environment, office managers and hospital administrators must be prepared to respond in a timely fashion or risk financial loss or penalties. Join us as we address issues including OKSHINE, records retention, and records requests. A discussion of new developments pertaining to HIPAA, protection, and security as well as risk strategies to minimize your HIPAA liability will also be included.

Cori Loomis, Esq

The Opioid Epidemic

Jason Beaman, DO, MS, MPH, FAPA

5:00pm-6:00pm

Resident's Quiz Bowl

The 2023 OKAFP Residents Quiz Bowl will test resident’s knowledge regarding the history of family medicine, patient care standards and important new research findings. This event is designed to foster a spirit of competition and pride as they go head-to-head in an ultimate battle of the brains. Attendees will have the opportunity to watch the competition and learn cutting-edge information in the practice of family medicine. Join us and cheer on those who are working diligently in their quest to become the future of medicine.

Misty Bogle, MD

Tomás Owens, MD

Big Hat Breakfast
Residents' Program
Breakout A
Breakout B

7am-8am

OAFP Past Presidents please join us for a special breakfast where we can reflect on the past and look towards the future of healthcare in Oklahoma.

8:00am-9:00am

Our Newest Teammate - Integrating Artificial Intelligence into Family Medicine

Beginning with a brief history of the adoption of technological advances within medicine, the presentation will focus on providing an introductory understanding of the basics of Artificial Intelligence and how this technology might be leveraged appropriately in healthcare through discussion of its strengths, weaknesses, and potential applicability within primary care.

Russell Kohl, MD, FAAFP

9:15am-12:15pm

Evidence-Based Mindfulness Practices for Stress Mastery, Optimal Well-Being, and Peak Performance for Busy Medical Residents

Research has shown that levels of empathy begin to decline early during medical training, often after the first year of medical school. This negatively impacts provider well-being, patient experience, and patient safety and outcomes. The culture of medicine includes many powerful obstacles to individual self-care and organizational change. Many trainees are already skeptical and hopeless that meaningful change is possible. Ending burnout and ensuring well-being among residents requires a multi-faceted, multi-disciplinary approach that includes initiatives over both short and long-term time horizons, which can be challenging to initiate.

Jonathan Fisher, MD, FACC

8:00am-9:00am

Working Together: Improving Early Diagnosis and Management of Alzheimer’s Disease in Primary Care

Participants will learn about the symptoms and diagnosis of Alzheimer’s Disease and differentiation from other types of dementia and mild cognitive impairment. I will review some screening tools that can facilitate diagnosis. Next, I will discuss AD management including patient and family education and how to utilize a team-based approach. The session will conclude with a case to test your learning.

Mary Masterman, MD

9:00am-10:00am

Overuse Injuries in Pediatric Patients

Thomas Lewis, MD

10:15am-11:15am

Treating Asthma in Primary Care

Asthma is a chronic respiratory disease that affects more than 339 million people globally. This presentation will focus on the diagnosis and treatment recommendations for exercise-induced bronchospasm, vocal cord dysfunction and asthma severity/control.

Claire Atkinson, MD

11:15pm-12:15pm

Prostate Men's Health Update

Daniel Parker, MD

12:30pm-1:30pm

Choose Your Own Adventure: The Future of Family Medicine

Russell Kohl, MD, FAAFP

1:30pm-2:30pm

Protecting Emotional Health During Menopause

Menopause is no longer taboo, nor is it a disease in search of a cure. Over half of the world experiences this sudden change in their hormonal regulation and the symptoms that accompany it, and in the years that have followed the Women’s Health Initiative, many now seek medical recommendations that are more nuanced and reflective of individual needs. This presentation is designed to provide learners with the tools to provide such care.

Rachel Franklin, MD, FAAFP

A Narrow Window of Opportunity: Diagnosis and Management of Rheumatoid Arthritis in Underserved Populations

This presentation will help learners get a basic understanding of signs and symptoms suggestive of RA, risk factors for RA, understanding the process for diagnosis RA, determine when to refer patients with RA to a rheumatologist, help patients understand their disease and engage in shared decision making, develop a comfort level in prescribing DMARDs, expand knowledge of conservative treatment for RA, use motivational interviewing to recognize patients' concerns, and recognize and mitigate implicit bias to build a culture of equity in their practice. There will be a case-study at the end to apply the knowledge gained throughout the presentation.

Matt Haney, DO

8:00am-9:00am

Recognizing and Diagnosing Common GI Issues in Children

The presentation will review literature based on guidelines from NASPGHAN (North American Society for Pediatric Gastroenterology, Hepatology & Nutrition) about various common Pediatric Gastroenterology topics commonly seen in Primacy Care practice including abdominal pain, gastroesophageal reflux and constipation. It will evaluate various differential diagnosis and preliminary work-up and initial management options

Adnan Altaf, MD, FAAP

10:15am-11:15am

Top Dermatologic Issues in Primary Care

This presentation will cover the top dermatologic issues in primary care. Primary care providers are often in a prime position to take care of patients with dermatologic issues, prior to referral to a dermatologist. While it is important to know when to refer patients to dermatology, it is also important to recognize that primary care providers can diagnose and treat many dermatologic conditions. If the diagnosis is unknown, but providers have the rights tools and preparation, procedures such as shave biopsies and punch biopsies can be performed to obtain a diagnosis in the primary care setting. These procedures will be briefly reviewed. Additionally, partnering with dermatopathologists to provide accurate and timely diagnosis with modern techniques and immunohistochemistry, immunofluorescence, or molecular testing is important. This presentation will cover top dermatologic inflammatory conditions that can be managed by primary care providers, including common entities like atopic dermatitis/eczematous conditions and psoriasis, but also seemingly more complex entities such as bullous (blistering) diseases. Additionally, this presentation will cover top dermatologic neoplasms encountered in primary care, including benign and malignant entities ranging from seborrheic keratosis, angiomas, acrochordons, cysts, and nevi, to basal cell carcinomas, squamous cell carcinomas, melanoma and others. This presentation will emphasize that primary care providers can counsel patients on self-skin care, protection from sun damage, and regular self-skin exams. Finally, this presentation will review some of the challenges in referral and access to specialty dermatologic care.

Jeff McBride, MD, PhD

11:15am-12:15pm

Risk Factors and Health Consequences of Youth and Adult Vaping: Resources for Patient Care

This presentation will provide an overview of the vaping epidemic among youth (ages 12-17) and young adults (ages 18-34) in the US, including the key psychosocial risk factors associated with youth and young adult vaping, the range of products that youth and young adults may use to vape nicotine, vaping as it co-occurs with the use of other tobacco products or substances (e.g., alcohol, cannabis), the health risks of vaping among youth and adults, the harm reduction benefits of vaping for adults who smoke cigarettes, and ways to promote discussion surrounding vaping, including vaping cessation among patients.

Erin Vogel, PhD

Katelyn Romm, PhD

1:30pm-2:30pm

System-Level Care Improvement Projects in Community Practices and Chronic Pain Management & Cancer Screening

Lung cancer screening (LCS) with low-dose computed tomography is a grade-B USPSTF recommendation and reduces mortality by 20%. Implementation of LCS has never been studied in American Indian and Alaska Native (AI/AN) communities, many of which are at increased risk of lung cancer. For this reason, we initiated the Tribally Engaged Approaches to Lung Screening (TEALS) study in 2019 to co-design and test a tribal community-engaged LCS implementation program. The goals of TEALS are to understand LCS decision-making processes, barriers, and facilitators to guide the implementation of a systematic LCS program within the Choctaw Nation of Oklahoma. TEALS has 4 aims: Aim 1: Identify individual, community, cultural, health system barriers & facilitators that affect LCS implementation in the Choctaw Nation; Aim 2: Use community-engagement processes to co-design a tailored TEALS intervention, which features LCS care coordinators embedded within the CNHSA healthcare delivery system; Aim 3: Measure the impact of the LCS program in a clinical trial, assessing process outcomes at the individual and care delivery system level; Aim 4: Disseminate the LCS program to other health systems. This presentation will describe the TEALS study and its most recent findings and it will also explore successful clinical and care delivery practices that have been able to move the needle on lung cancer screening in a rurally located tribal health community in Oklahoma.

Juell Homco, PhD

Zsolt Nagykaldi, PhD, BTh