Chronic pain affects about 100 million American adults—more than the total affected by heart disease, cancer, and diabetes combined. Pain also costs the nation up to $635 billion each year in medical treatment and lost productivity. As with all aspects of health care, the practice of pain management is ever evolving. Regulatory concerns over medication and opioid prescribing, new technologies, understandings in multidisciplinary and multimodal care call for ongoing education to the health care provider. This timely seminar will focus on the importance of accurate assessment and multimodal management of both acute and chronic pain, through understanding of pain pathophysiology and mechanisms. Pain affects all aspects of health care, it is political, fear provoking and in many ways mysterious. Over the course of this well-defined, seminar the audience will learn how to differentiate between types of pain, offer the best evidence based treatments and be exposed to new innovative treatment approaches available today. Additional content will be presented on new, evolving technologies, including neuromodulation for pain management, auricular acupuncture and a broad exposure to behavioral and complementary treatments for pain management.

The Fundamental Critical Care Support (FCCS) course provides health care professionals, including non-intensivists, with the training to manage critically ill patients for the first 24 hours or until appropriate critical care consultation can be arranged.

--------------------

FCCS Schedule:

Tuesday, June 20

7:30 AM - 12:45 PM - 23.1.006 - Lectures - Part 1

Tuesday, June 20

2:00 PM - 5:00 PM - 23.1.034 - Skill Stations - Part 1

Wednesday, June 21

7:45 AM - 12:15 PM - 23.2.006 - Lectures - Part 2

Wednesday, June 21

1:30 PM - 5:30 PM - 23.2.062 - Skill Stations - Part 2 & Post-Test

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Important Notes: There will be a lunch break each day (on your own and not in the workshop). A course textbook is required for each participant and is included in the $225.00 fee. Payment is due at time of conference registration. Once you have received the textbook and other materials in early May, no refund is available for the course if canceled by the registrant. You will receive a completion certificate in this course only if you attend and complete the entire course and pass the post-test. The certificates will be mailed from SCCM.

Clinical competency validation is essential for advanced practice education. The PRIME-NP Model is an easily understood validated assessment of clinical performance with objective performance criteria that is level and progressive specific performance. The model and assessment instruments are scalable and translatable to other institutions and clinical settings. The PRIME-NP model will be presented along with a practice application opportunity (Simulation-based OSCE).

Many urgent care complaints require a "hands on" procedure with which some clinicians may not have previous experience. Learn the important components in the performance of minor procedures including reduction of nursemaid's elbow, finger/toe dislocation reduction, subungual hematoma nail trephination, drainage of paronychia, ingrown toenail management, digital blocks, olecranon bursitis drainage, incision and drainage of abscesses and foreign body removal. There will be a didactic presentation followed by "hands on" practice time. Repeated in 23.1.023 and 23.2.064.

This class is designed for practitioners who have never sutured a laceration or those who need a refresher course. At the end of the class the participant will be able to: 1. Accurately describe the condition of a laceration; 2. Demonstrate infiltration of a local anesthetic; 3. Demonstrate suture closure of a laceration with simple and mattress sutures; and, if mastered, 4. Demonstrate closure with a running subcuticular stitch.

OUTLINE

1. Lecture Wound evaluation Wound healing Local anesthesia selection and delivery Instrument selection Suture selection Wound field preparation.

2. Demonstration Local anesthesia delivery Knot tying Simple interrupted suture closure Vertical mattress suture closure Subcuticular closure.

3. Hands-on Experience Knot tying Wound closure with simple, vertical mattress and subcuticular suture patterns.

4. Q & A.

Repeated in 23.3.008.

The purpose of this presentation is to provide the primary care provider with an overview of the screening, assessment, diagnosis and management of common pediatric mental health conditions. This "hands on" seminar will allow the learner to practice scoring and interpreting mental health assessments available in the public domain. Focus is on anxiety, depression and attention-deficit/hyperactivity disorder.

As clinicians, we are generally not comfortable asking patients about their sexuality, and, they are not comfortable asking us, BUT they want us to ask! The National Women's Health Resource Center and Association of Reproductive Health Professionals commissioned a survey, "Sex and a Healthier You", to help health care providers address this issue with patients. Respondents were asked how important sexual health was to overall health; 81% stated it was important. Issues caused negative impacts on romantic relationships (44%), self-esteem (43%), mental health (42%), stress/anxiety (66%) and affected sleep (28%) and weight (25%). However, only 1:5 said they sought help from health care providers for sexual health concerns. These results indicate the need to address the prevalence of and manage sexual dysfunction in the primary care setting. We are presenting this workshop to help clinicians understand the importance of discussing sexual health concerns and how to integrate sexual health care into their practice.

 Registrants must attend both Part 1 and Part 2. Part 2 continued in 23.1.027.

The Commercial Motor Vehicle (CMV) Medical Examiner Training course is designed to ensure that all health care providers are educated on the core curriculum established by the Federal Motor Carrier Safety Administration (FMCSA) in preparation to sit for the National Registry of Certified Medical Examiners (NRCME) Exam. Continuation of 23.1.012.

This bedside ultrasound workshop will provide focused lectures and extensive hands-on scanning practice for the eFAST trauma exam, ultrasound-guided procedures, ocular pathology and basics of musculoskeletal ultrasound. The basic FAST exam evaluates for free intraperitoneal fluid (e.g., abdominal bleeding) and pericardial bleeding/tamponade. Adding on evaluation of the thoracic cavity with the extended FAST exam allows diagnosis of hemothorax and pneumothorax. The FAST exam is useful not only for trauma cases, but also bleeding or fluid from many other causes, such as ruptured ectopic pregnancy, ascites, tuberculosis, etc. Procedural guidance will focus on both central and peripheral venous IV access, but the principles are also applicable to a wide range of procedures (i.e., nerve blocks, thoracentesis, paracentesis, arthrocentesis, foreign body removal, etc). Musculoskeletal topics include normal anatomy, bony fracture, tendon injury, foreign body, nerve block introduction and differentiation of abscess versus cellulitis. Ocular ultrasound identifies normal anatomy and numerous pathologic findings, with a particular focus on retinal detachment, vitreous detachment, and increased intracranial pressure. At the end of this session, participants will have a firm appreciation for the clinical utility of provider-performed bedside ultrasound in a wide range of settings, as well as foundational skills for introduction into their clinical practice.

Important Note: Active sportswear clothing recommended. Diagnostic skills and treatment recommendations for most musculoskeletal conditions are well within the nurse practitioners’ scope of practice. Despite the prevalence of musculoskeletal disease and its impact on comorbidities, many NPs lack confidence in treating common conditions. Degenerative arthritis, back pain, tendonitis and bursitis of the shoulder, hip and knee are among the most common conditions in primary care and specialty settings. This workshop will help prepare clinicians to achieve greater diagnostic acumen for musculoskeletal conditions frequently encountered in a wide variety of practice settings. Repeated in 23.1.029. This course is recommended to be taken prior taking the COURSE 23.3.009 or 23.4.065 Become an Injection Pro with this Essential Toolkit: Musculoskeletal Injections in Primary Care.

This is Part 1 of 2. Please enroll in Part 2 as well for the complete class**. Learn the best practice injection techniques to treat the 11s, forehead and crow's feet with Botox (TM). This workshop will cover pertinent facial anatomy, medication overview and comparison of FDA approved neurotoxins on the market of action and how to mark and inject neurotoxin for cosmetic services. This intro course includes injecting maps and information about common complications with treatment. Hands-on injecting practice focuses on the most commonly treated areas of the face.

This workshop for Spanish for health care professionals will help you effectively communicate in basic Spanish phrases. Participants will gain a primary understanding of the Spanish language, an overview of Spanish speaking cultures and an introduction to basic pronunciation, the alphabet, grammar, and vocabulary for conversational Spanish. Participants will be able to verbalize basic Spanish salutations, perform a basic health assessment, and function with conversational medical phrases.

In this workshop, participants will be introduced to a systematic assessment tool adapted for the homeless population and currently taught at the University of Arizona. This approach begins with an understanding of the sociological issues involved in the care of the homeless and is coupled with the use of systematic reviews, validated tools and field-tested techniques. Through case scenarios and hands-on practice, we will discuss how the barriers to care affect treatment and outcomes. Participants will learn how nurse practitioners can be on the forefront of addressing health care disparities through community collaboration and lead the improvement of health outcomes by utilizing a set of validated skills and tools which have been proven to impact health care for this population, in underserved environments and on humanitarian missions.

Many urgent care complaints require a "hands on" procedure with which some clinicians may not have previous experience. Learn the important components in the performance of minor procedures, including reduction of nursemaid's elbow, finger/toe dislocation reduction, subungual hematoma nail trephination, drainage of paronychia, ingrown toenail management, digital blocks, olecranon bursitis drainage, incision and drainage of abscesses and foreign body removal. There will be a didactic presentation followed by "hands on" practice time. Repeated in 23.1.008 and 23.2.064.

is workshop will build upon your basic suturing skills. The workshop will address complex wounds and surface areas of the face, ear, lips and joints, suturing techniques (running simple, buried, half-buried, horizontal and corner), and digital blocks. The first half of the workshop will be in presentation format with the second half of the class incorporating practice and hands-on techniques. Prerequisite: Participants must have taken a basic suturing workshop prior to attendance, or regularly use basic suturing in practice.

The goal of this presentation is for participants to understand the difference between the punch and shave biopsy and choose the correct procedure for rashes and skin lesions. It will also include instruction on cryotherapy and when this is appropriate for treatment of skin lesions. All participants will have the ability to practice punch, shave biopsy techniques and cryotherapy during this class.

The Commercial Motor Vehicle (CMV) Medical Examiner Training course is designed to ensure that all health care providers are educated on the core curriculum established by the Federal Motor Carrier Safety Administration (FMCSA) in preparation to sit for the National Registry of Certified Medical Examiners (NRCME) Exam.

As clinicians we are generally not comfortable asking patients about their sexuality, and, they are not comfortable asking us, BUT they want us to ask! The National Women's Health Resource Center and Association of Reproductive Health Professionals commissioned a survey, "Sex and a Healthier You", to help health care providers address this issue with patients. Respondents were asked how important sexual health was to overall health; 81% stated it was important. Issues caused negative impacts on romantic relationships (44%), self-esteem (43%), mental health (42%), stress/anxiety (66%), and affected sleep (28%) and weight (25%). However, only 1:5 said they sought help from health care providers for sexual health concerns. These results indicate the need to address the prevalence of and manage sexual dysfunction in the primary care setting. We are presenting this workshop to help clinicians understand the importance of discussing sexual health concerns and how to integrate sexual health care into their practice.

The boundaries of men’s health lack a concise definition, but this seminar will provide a discussion of screening and treatment guidelines across several specialties for which men have a higher risk, while including conditions and concerns that are unique to the male gender. The health of men affects spouses and children, and affects the overall productivity of a community, and needs to include discussion of the circumstances that influence men seeking care. The absence of dedicated men’s health-related content, or little of this content, in many NP program curricula contributes to a workforce of NPs that receive little pre-licensure training in the unique health care needs of men. This lack of preparation for addressing male-specific health care needs, especially in the context of the epidemiologic, psychosocial, and sociologic aspects of men’s health care, contributes to existing disparities for men accessing routine, preventative health care. Men take less advantage of preventive care and continue to die about 5 years earlier than women, despite apparent social and economic advantages. These circumstances create scenarios where NPs must identify male-specific concerns that are more advanced and more potentially complicated to manage. Common issues surrounding preventive health care are often magnified with men, and this seminar aligns with the Health People 2030 goal for improving the health and well-being of men by offering participants additional specific education and content. This focused seminar begins to address a gap in training and knowledge about the health care needs of men and is appropriate of NPs practicing at all levels.

Important Note: Active sportswear clothing recommended. Diagnostic skills and treatment recommendations for most musculoskeletal conditions are well within the nurse practitioners’ scope of practice. Despite the prevalence of musculoskeletal disease and its impact on comorbidities, many NPs lack confidence in treating common conditions. Degenerative arthritis, back pain, tendonitis and bursitis of the shoulder, hip and knee are among the most common conditions in primary care and specialty settings. This workshop will help prepare clinicians to achieve greater diagnostic acumen for musculoskeletal conditions frequently encountered in a wide variety of practice settings. Repeated in 23.1.014. This course is recommended to be taken prior taking the COURSE 23.3.009 or 23.4.065 Become an Injection Pro with this Essential Toolkit: Musculoskeletal Injections in Primary Care.

Participants will be educated about the evidence-based steps required to perform the following office gynecology procedures: endometrial biopsy, vulvar biopsy, endocervical polypectomy, incision and drainage of a Bartholin gland abscess with wound packing and Word catheter placement, and speculum examination. For participants desiring to add these skills to their nurse practitioner license, a certificate of completion will be provided.

Critically ill patients are frequently too unstable for movement to radiology or other consultant areas for diagnostic testing; the provider resuscitating the patient must perform diagnostic and therapeutic procedures at the bedside. This ultrasound workshop will provide focused lectures and hands-on scanning practice for integration of bedside (provider-performed) ultrasound in emergency and critical care settings. By the end of the workshop, participants will have an organized approach to evaluate the patient with undifferentiated hypotension and/or undifferentiated dyspnea using bedside ultrasound. Participants will recognize normal and abnormal images to diagnose cardiac tamponade, tension pneumothorax, hypovolemia, deep venous thrombosis, hemodynamically significant pulmonary embolism, pulmonary edema, acute decompensated congestive heart failure and acute myocardial infarction. Vascular access approaches for internal jugular, subclavian, femoral and peripheral intravenous access will also be reviewed with lecture and hands-on practice with phantoms/simulators. At the end of this session, participants will have a firm appreciation for the clinical utility of provider-performed bedside ultrasound in the acutely decompensated patient to identify the most likely cause of shock and/or dyspnea, as well as foundational hands-on skills for introduction into their clinical practice.

In this program, learn to increase your assessment and diagnostic skills in commonly encountered abnormal heart sounds and murmurs. Through case studies from teens to older adults, program highlights include critical "can't miss" scenarios.

Chronic pain affects about 100 million American adults — more than the total affected by heart disease, cancer and diabetes combined. Pain also costs the nation up to $635 billion each year in medical treatment and lost productivity. As with all aspects of health care, the practice of pain management is ever evolving. Regulatory concerns over medication and opioid prescribing, new technologies, understandings in multidisciplinary and multimodal care call for ongoing education to the health care provider. This timely seminar will focus on the importance of accurate assessment and multimodal management of both acute and chronic pain, through understanding of pain pathophysiology and mechanisms. Pain affects all aspects of health care, it is political, fear provoking and in many ways mysterious. Over the course of this well-defined seminar the audience will learn how to differentiate between types of pain, offer the best evidenced-based treatments, and be exposed to new innovative treatment approaches available today. Additional content will be presented on new, evolving technologies, including neuromodulation for pain management, auricular acupuncture and a broad exposure to behavioral and complementary treatments for pain management.

The Fundamental Critical Care Support (FCCS) course provides health care professionals, including non-intensivists, with the training to manage critically ill patients for the first 24 hours or until appropriate critical care consultation can be arranged.

 

--------------------

FCCS Schedule:

Tuesday, June 20

7:30 AM - 12:45 PM - 23.1.006 - Lectures - Part 1

Tuesday, June 20

2:00 PM - 5:00 PM - 23.1.034 - Skill Stations - Part 1

Wednesday, June 21

7:45 AM - 12:15 PM - 23.2.006 - Lectures - Part 2

Wednesday, June 21

1:30 PM - 5:30 PM - 23.2.062 - Skill Stations - Part 2 & Post-Test

--------------------

Important Notes: There will be a lunch break each day (on your own and not in the workshop). A course textbook is required for each participant and is included in the $225.00 fee. Payment is due at time of conference registration. Once you have received the textbook and other materials in early May, no refund is available for the course if canceled by the registrant. You will receive a completion certificate in this course only if you attend and complete the entire course and pass the post-test. The certificates will be mailed from SCCM.

This session will review the current climate of leadership in health care and opportunities that may be available. Strategies for recognizing opportunities and capitalizing on those opportunities will be discussed. Responsibilities and duties of board and committee positions will be explored.

The purpose of preoperative evaluation is not simply to give medical clearance, rather it provides an evaluation of the patient's current medical status. Recommendations concerning the evaluation, management and risk of cardiac problems over the entire perioperative period are offered. Evaluation also provides a clinical risk profile that the patient, practitioner, anesthesiologist and surgeon can use in making treatment decisions that may influence cardiac outcomes. Focus on the current ACC/AHA guidelines and research that assists clinicians to effectively complete a preoperative evaluation are addressed.

Climate change will impact the health of all citizens, especially vulnerable older adults. Climate change is causing extreme weather events, such as heat waves, cold spells, storms, floods and droughts, all adversely affecting the health of older adults. These health effects include respiratory, cardiovascular and renal problems. Interest in climate change research is beginning, but more needs to be done. NPs must have knowledge about climate change to manage and prepare patients for the health effects of disasters. Older adults are disproportionately harmed by extreme temperature because they have more chronic diseases such as diabetes, cardiovascular and respiratory ailments.  Also, they have diminished capacity to adapt to fluctuations in ambient temperature, especially heatwaves. Many older adults are lower income and unable to evacuate in the event of disasters. This presentation will inform NPs how to evaluate the older adult for hyperthermia and heat stress and how to treat accordingly during extreme temperatures. This presentation will also discuss NPs need to advocate for policy changes locally and nationally to reduce the effects of climate change and the need for NP faculty to include climate change in curriculums, as well as advocate for research on climate change in nursing programs.

This course is designed to help nurse practitioners be able to speak key phrases in medical settings to complete a physical exam and discuss treatments with Spanish-speaking patients.

This interactive presentation will review the steps for successfully writing a manuscript. Participants will be asked to identify their content expertise areas and provide ideas about what they would like to write about, related to their nurse practitioner work. They will then write a beginning draft purpose statement that will be used to anchor a manuscript. Information will be provided for reviewing different types of manuscript writing formats. How to assemble a writing team, delegate writing tasks, and determine the order and timing of writing will be reviewed. Strategies including having regular meetings and using different resources will be discussed. A brief overview of how to carefully determine which journal to submit to will be provided, including how to respond to reviewer remarks, as well as a possible submission to another journal if needed. Finally, the presentation will cover how to disseminate the publication.

It is essential that advance practice providers are knowledgeable of the documentation and coding guidelines and have the skills to document patient visits in a manner that optimizes reimbursement. This presentation will use case studies to identify areas where documentation can be enhanced in order to increase revenue capture.

This session will review the latest clinical updates in infectious diseases relevant for advanced practice clinicians. Topics will include the most relevant information on the diagnosis, management and prevention of emerging and re-emerging infections such as mpox, COVID, HIV, RSV and more.

LGBTQIA+ care has evolved and each population represented under that acronym requires specialized care. Pediatric patients are identifying as something other than the gender binary. PCPs need to understand how to help pediatric patients begin transitioning but also need to have solid knowledge on prescribing life-saving hormone therapy for this population of patients.

The United States is experiencing a pain epidemic. Current research demonstrates that over 50 - 79% of people experience moderate to severe pain daily. Chronic pain continues to be the second leading cause of suicide. The advanced practice nurse is challenged to treat and manage acute and chronic pain. Increasingly, providers promote pain management options that have inadequate evidence to support their use including NSAIDS, steroids and complimentary therapies. Few studies demonstrate a significant improvement in pain utilizing many of the current recommendations. In contrast, many studies demonstrate adverse effects of non-opioid medications including increased incidence of myyocardial infarction (MI), bleeding and sepsis. Providers describe “fear” in prescribing narcotics, however, an American Nurses Association statement on pain management highlights our ethical responsibility to relieve pain utilizing pain management modalities informed by evidence. Lastly, it is impossible to manage pain without an evolved understanding of addiction. We will consider an expanded model of addiction and mitigation strategies. We will: Review the pathophysiology of pain; Review the evidence on non-pharmacological and non-opioid pain management strategies; Offer evidence-based recommendations for opioid and non-opioid pain medications; Present an expanded model of addiction, the risks of opioid medications and mitigation strategies.

For some COVID-19 patients, there are reports of incomplete recovery and persistent symptoms beyond the acute illness, commonly referred to as “long COVID” or post-acute sequalae of COVID-19 (PASC). PASC is defined by persistent symptoms four weeks after recovery from COVID-19. In the U.S., it has been reported that up to 16–53% COVID-19 patients have PASC. Although COVID-19 primarily affects the respiratory system, mounting evidence suggests that COVID-19 can cause a wide range of clinical manifestations by affecting multiple systems, including the cardiovascular system. The most common persistent cardiovascular symptoms among patients with PASC include chest pain, dyspnea, fatigue and palpitations. Cardiovascular conditions commonly implicated with PASC include myocarditis, pericarditis, thrombotic events and Postural Orthostatic Tachycardia Syndrome. The emergence of post-acute COVID-19 cardiovascular manifestations is expected to impose further detrimental effect on the incidence, prevalence and economic projections of heart disease. The purpose of this presentation is to discuss PASC focusing on cardiovascular manifestations. This presentation will focus on the evaluation and treatment of patients with cardiovascular manifestations of PASC. The presentation will review current guideline-directed medical decision-making and treatment to improve patient outcomes.

Considering transitioning from the clinic to the classroom? Thinking about an adjunct or part-time faculty role to balance with practice or perhaps a full-time academic position with a faculty practice? This session will give you practical career advice, comparing both clinical and scholastic tracks, giving you a survival guide for academia from an experienced faculty member.

Adrenal crisis is a rare and potentially life-threatening emergency. Session enriches the learner's knowledge of adrenal crisis. Complex pathophysiology, diagnostics, etiologies, treatment modalities, prescribing methodologies, pharmacokinetics and drug-specific information for intravenous and enteral corticosteroids are discussed. Chronic adrenal insufficiency and critical illness-related corticosteroid insufficiency are analyzed. Select case studies are presented to solidify discussion points.

Anemia can be a major disease or be a clue to a major disease. This presentation walks the learner through an organized and methodical approach to evaluating a patient who presents with anemia.

The lifespan of youth with pediatric-onset chronic conditions has advanced dramatically in recent decades. Gaps in care during transition to adult health care are common and lead to higher use of urgent and emergent care and increased morbidity and mortality for this vulnerable population. While some youth with chronic conditions have straightforward health needs and full cognitive capacity, others have complex conditions with intellectual disability and require care coordination between primary care and multiple specialties. Nurse practitioners in pediatric settings will gain knowledge of barriers to successful care transition/transfer and interventions that support transition readiness as patients’ age out of pediatrics. Those in adult primary or specialty adult care will learn unique strategies to safely integrate this population into their practice and work within systems to reduce gaps in care and avoid worsening health outcomes and/or life-threatening disease complications. Learners at all levels of practice will benefit from this presentation through improved knowledge of national resources to support patients and families and health care providers and teams.

Does publishing sound intimidating? The purpose of this presentation is to simplify the process and describe it step by step- from proposal to publication. Strategies for effectiveness and clarity will be discussed to empower the nurse practitioner to bring their scholarship, anecdotes, and opinions to the literature.

Building upon the revised diagnostic framework of the DSM-5, this presentation defines somatic symptom disorders, reducing the focus upon lacking medical explanations for physical symptoms in order to make the diagnosis of “medically unexplained symptoms.” With the renewed goal of increasing patient access to appropriate treatment, symptoms that are substantially more severe than expected in association with distress and impairment are emphasized. The presentation explores conditions with no medical explanation and conditions where there is some underlying pathology but an exaggerated response. These concepts are operationalized to enhance the nurse practitioner’s skill in assessing, diagnosing and managing these challenging disorders in a variety of settings.

Dr. Dilks will discuss the common psychotropic medications used in primary care with an emphasis on treating disorders within the FNP scope of practice. Utilization of antidepressants, anxiolytics and add on medications for incomplete response in depression will be addressed.

This is a power point presentation that begins with the cellular pathology of myocyte necrosis from hypertension and proceeds to understanding the rational of hypertensive medication, then to stacking multiple medications for the treatment of complex hypertension. A simple (author-designed) graphic is used to aid understanding and allow effective teaching for patients and families.

Nurse practitioners in both clinical practice and academic roles may want to (or need to) publish at some point in their career. The career benefits of publishing are many, and these will be pointed out. This presentation will detail types of publications, outline essential content for each type, and list strengths and benefits associated with the publications. The three authors are highly experienced at publishing clinical and research articles as well as specialized column and editorial papers. Together they have served as guest editors for several themed journal issues. The presentation will include tips and tricks for incorporating writing and publication in very busy lives, all gleaned from their many years of publishing experience.  

Cervical cancer prevention has changed significantly in recent years with less frequent screening and with the addition of HPV testing as a stand-alone test along with the previous option for co-testing with both a Pap and HPV test. This session will review the appropriate use of Pap testing, the rationale for HPV testing along with the Pap (co-testing) in women 30 and older and the use of HPV testing as a primary screen (stand-alone test) in women 25 and older by two of the FDA approved HPV tests. There will be a discussion of the new American Cancer Society Guidelines for screening and a review of the new 2019 ASCCP Risk-Based Management Consensus Guidelines for management of abnormal screening and subsequent follow-up with case studies. These guidelines are a shift from results-based to risk-based management relative to the risk of an existing CIN 3 (pre-cancer).

This presentation will review the significance and morbidity of eating disorders (ED). DSM V criteria for the various ED will be reviewed. The COVID-19 effect on ED will be discussed. Signs and symptoms as well as screening tools will be discussed. Various treatment options will be described. The Female Athlete Triad Syndrome will be reviewed as well as return to play protocols.

COVID-19 has infected millions of our fellow Americans, many of whom continue to suffer with long-term sequelae months and years after the infection. This lecture will focus on current recommendations regarding the diagnosis of post-covid syndrome and the treatment options for this condition.

Resistant hypertension (RN) is commonly encountered in primary care, cardiology and nephrology clinics. It is important to exclude pseudoresistant hypertension or secondary causes of hypertension. With the latest BP goals, RN now approaches 16-20% of adults with treated hypertension. The aging population and increases in obesity further increase the incidence of RN. Clinicians need to understand the identification and management of RH to prevent increased risk for cardiovascular disease. The various forms of hypertension along with the latest hypertension guidelines and complex management of these patients are discussed.

This session enhances the learner’s knowledge of anticoagulation therapy in the critical setting. The presentation outlines commonly used agents such as vitamin K antagonists, heparin and its derivatives, factor Xa inhibitors, direct acting oral anticoagulants and direct thrombin inhibitors. Special emphasis is placed on reversal agents for each anticoagulant with the application of clinical practice guidelines. The presentation will culminate in an algorithm for the administration of reversal agents in the bleeding anticoagulated patient. Select case studies are presented to solidify discussion points.

Sleep architecture changes are seen in aging. Medical co-morbidities also impact sleep quality and quantity. This session will review biological changes in sleep with aging, explore change in sleep with common medical conditions seen in aging and explore evidenced-based therapies to treat sleep conditions. Case studies will be used as exemplars.

As the use of medical marijuana becomes more widely accessible, NPs in primary care and pain management should have a thorough understanding of the risks and benefits of its use as a therapeutic agent. Understanding how to code and bill these types of visits will add value to the NPs practice.Cannabis is becoming more widely accepted as an alternative to other pain medications that can have addictive as well as negative physical effects on a variety of medical conditions. This session is intended to help understand the effects of medical cannabis on the brain as well as the variety of medical condition it may help treat. The therapeutic benefits of marijuana continue to grow. NPs in most states are allowed to certify patients to obtain medical marijuana legally. 

The older male population is increasing and have special health & screening needs. It is important for NPs and NP faculty to know what to look for in older male patients & know the latest screening guidelines. This presentation will cover common chronic conditions in the older male population, discuss current and updated U.S. Preventive Services Task Force (USPSTF) and other Advisory Committee recommendations. The latest Immunization recommendations including COVID-19 vaccine, will be covered. USPSTF screenings updated in 2021 include hypertension, vitamin D deficiency, pre-diabetes and Type 2 Diabetes, prostate screening, hearing loss, aspirin for primary prevention of coronary artery disease, lung cancer in smokers and colorectal cancer. Screening for abdominal aortic aneurysm, cognitive impairment, osteoporosis (increasing in men), benign prostatic hyperplasia and using the Beers criteria to deprescribe unnecessary medications in older male patients will be discussed. Current recommendations for healthy lifestyle behaviors will be discussed including exercise, diet and mental health recommendations that APRNs should discuss with all older male patients.

Advancements in treatment for diabetes mellitus are exciting. With nine classes of diabetes medications now available, there are a lot of options, but it can also be confusing to choose which medications are best to treat your patient with diabetes. Devising an individualized plan of care for each patient requires that your practice is up-to-date and based on the current evidence-based guidelines. This course will present an overview of current medications used for management of diabetes mellitus.

This presentation will highlight the systematic approach to evaluating a noncontrast Head CT image. The targeted audience focuses on empowering novice NPs to successfully diagnose common neurologic emergencies based on image acquisition. With additional developed skillsets, novice NPs will gain a deeper understanding and recognition of common neurological conditions diagnosed with basic neuroimaging. This will enhance the novice nurse practitioners ability to optimally deliver evidence-based care to patients with acute neurological manifestations. The goal of this presentation is to empower the novice NP on basic neuroimaging recognition to optimally care for neurologically compromised patients.    

Opening night at the 2023 AANP National Conference wouldn’t be complete without the welcome reception. AANP is developing a fun, interactive event and details will be shared shortly. You will want to be sure to mark your calendar and attend this event on Tuesday, June 20, 5:30-7:00 p.m.

General Session

The Fundamental Critical Care Support (FCCS) course provides health care professionals, including non-intensivists, with the training to manage critically ill patients for the first 24 hours or until appropriate critical care consultation can be arranged.

--------------------

FCCS Schedule:

Tuesday, June 20

7:30 AM - 12:45 PM - 23.1.006 - Lectures - Part 1

Tuesday, June 20

2:00 PM - 5:00 PM - 23.1.034 - Skill Stations - Part 1

Wednesday, June 21

7:45 AM - 12:15 PM - 23.2.006 - Lectures - Part 2

Wednesday, June 21

1:30 PM - 5:30 PM - 23.2.062 - Skill Stations - Part 2 & Post-Test

--------------------

Important Notes: There will be a lunch break each day (on your own and not in the workshop). A course textbook is required for each participant and is included in the $225.00 fee. Payment is due at time of conference registration. Once you have received the textbook and other materials in early May, no refund is available for the course if canceled by the registrant. You will receive a completion certificate in this course only if you attend and complete the entire course and pass the post-test. The certificates will be mailed from SCCM.

Abnormal uterine bleeding (AUB) presents due to both structural and non-structural reasons and AUB is a symptom and not a diagnosis. This session will review a systematic approach to the identification and classification of AUB, leading to a diagnosis using the Palm-Coein classification system. This system allows the clinician to assess structural diagnoses including polyps, adenomyosis, leiomyoma and malignancy. Non-structural diagnoses include coagulopathy, ovulatory dysfunction, endometrial, iatrogenic and not yet classified. There will be a review of the appropriate workup and the subsequent options for management of AUB, including both medical and surgical interventions. This will include symptom management and use of newer GnRh antagonists for heavy menstrual bleeding due to fibroids. These agents expand the options for management by the NP in practice before referral to gynecology for possible surgical options including myomectomy, endometrial ablation and hysterectomy.

Stress has increased in our lives due to a myriad of reasons. The NP is often overworked and overwhelmed and does not find the time to practice some self-care. This session is intended to understand the pathophysiology of the brain and how stress impacts our lives. Manageable strategies on how to incorporate self-care are discussed. This session will discuss stress, wellness, burnout, the differences between these three terms, how to recognize it and address it in your own lives. There are all different ways that stress manifests itself on the body as well as the mind. Attendees will come away with a better understanding of the pathophysiology of stress and how to recognize stress in themselves and their patients as well as how to effectively manage it in an effort to avoid burnout and job dissatisfaction.

This is a p\PowerPoint presentation that begins with a reminder on endothelial dysfunction and microvascular cardiac disease, then proceeds to specific data concerning women and CV disease, a review of women in the health care system and barriers. The unique aspect of being women: menstrual cycles, pregnancy, and metabolic syndrome with lifestyle are explored. Pre-test and post-test data and non-obstructive CAD is discussed in detailed.

Parasomnias are unpleasant or undesirable behaviors that happen during sleep. It is difficult to estimate the number or frequency of these behaviors as many are mild and non-intrusive and therefore not reported. There are primary parasomnias which can occur both in rapid eye movement (REM) sleep as well as non-rapid eye movement sleep (NREM), and secondary parasomnias which are usually classified by organ system involvement (Principals and Practices of Sleep Medicine). This presentation will review the diagnostic criteria, causes and treatment of parasomnias. Case studies will be reviewed.

With the increasing ethnic and cultural diversity and immigration in the United States, clinical practitioners encounter tropical diseases that used to only be seen internationally. This presentation will identify three common diseases and their treatments (GI parasites, Chikungunya and malaria).

An interactive, informative and immersive journey equipping APRNs in primary care with positive coaching modalities and a pharmacology update to connect, empower and inspire patients to strive and thrive, live their healthiest life and knock-out diabetes.

Hand and wrist injuries are some of the most common complaints in primary care. Some injuries are high risk for complications, such as avascular necrosis. A high index of suspicion is needed to identify those injuries.

This interactive class focuses on how busy NPs can use limited time to identify, prioritize, locate, and engage with emerging evidence. Triage, skimming, and critically reading will be included for various forms of knowledge dissemination including journals, preprints, podcasts, social media, grey literature, apps, and mainstream media. We will discuss the importance of anticipating patient, student, and layperson questions about health topics in the media. We will collaboratively discuss effective methods of staying updated in a variety of clinical and educational settings, and we will practice evaluating content for accuracy.

Nurse practitioners (NPs) frequently assume formal and informal leadership roles in practices of all sizes. As trusted clinicians, NPs are well-positioned to advocate for both their organizations and their patients. To lead effectively, NPs must understand basic business tenets, including the differences between strategy and operations, as well as change management and when to employ it. They must study their communication skills and emotional intelligence to optimize their success when influencing others. This talk will be a primer for driving change within care delivery systems. We will discuss how to identify stakeholders and barriers, obtain resources, and sway opinion and bias when needed. Ultimately, leaders in the medical field should remain focused on providing high-quality, high-value health care to all. Nurse practitioners are perfectly positioned to be successful as leaders in this work.

Nurse practitioners practicing in acute and critical care environments frequently encounter adult patients with complex diagnoses that require a rapid and strategic approach to pharmacological prescribing. The purpose of this two-part session is to provide nurse practitioners working in hospital settings with current standards of practice and updates in evidence-based prescribing guidelines. This presentation will focus on common diagnoses and issues in acute care environments and provide practical resources on navigating the challenges associated with evaluating and managing acutely ill patients.

Every day, more than 90 Americans die after overdosing on opioids. The misuse of opioids is a serious national crisis that affects public health as well as social and economic welfare. The Centers for Disease Control and Prevention estimates that the total economic burden of prescription opioid misuse in the United States exceeds $78.5 billion annually, including the costs of health care, lost productivity, addiction treatment, and criminal justice involvement. The knowledge and application of pharmacogenomics to the treatment of pain operationalizes one of the major priorities of the Department of Health and Human Services to address the opioid crisis.

We live in an interconnected world where an outbreak of infectious disease is just a plane ride away or already percolating in our backyard. Nurse practitioners play vital roles in preventing, detecting, and treating these diseases. This talk will provide an overview of emerging infectious diseases, including clinical presentation, laboratory testing, prevention, and treatment modalities.

A panel of experts will discuss management of patients with cardiac, endocrine and obesity diagnoses and how to manage patients with multiple problems successfully.

This presentation will review a quality improvement project completed in an occupational health clinic that implemented the PHQ-9 screening tool to screen all patients for depression. Many non-mental health providers are reluctant to screen for depression outside of the mental health setting. This presentation will review the details of implementing a depression-screening program in a non-mental health setting and provide information how to safely address patients who report severe depression and suicidal ideations. By the end of this presentation, nurse practitioners will feel confident that they can add a depression-screening program to their clinic.

AANP has been conducting annual workforce surveys for nearly a decade to assess changes in the workforce related to NP practice, prescribing, and compensation. This session will review key results from AANPs 2022 National NP Workforce Survey also known as the NP Sample Survey. Presenters will deliver an overview of the survey methodology, summarize and share demographic shifts across the primary care NP workforce force, provide updates on the acute care NP workforce and examine the growth of the specialty care NP workforce with an emphasis on the psych/mental health NP. Additionally, information related to NP independence such as having a patient panel, billing under the NPs NPI, and practice ownership will also be discussed.

Obesity is a chronic, progressive, relapsing disease that is treatable. Effective treatment improves outcomes by preventing, reducing or resolving complications, and improving quality of life. Pharmacotherapy is one of the four pillars of comprehensive obesity treatment and may increase adherence to the other three pillars of nutritional therapy, physical activity, and behavior modification. Despite their safety and efficacy, only 1.3% of those eligible receive a prescription for FDA-approved anti-obesity medications. This presentation will help you unlearn any outdated or biased beliefs about these medications and learn the latest science on how you can use them safely and effectively. Real-life clinical scenarios will help you learn how to select, initiate, titrate and monitor these medications. Tips and strategies for personalized medication selection based on complications, co-existing conditions, symptoms, patient preference, cost and insurance coverage will be provided.

The fishbone is a commonly used diagram used to organize laboratory data. However, the complete blood count can provide so much more information than the commonly reviewed values of leukocytes, hemoglobin, hematocrit and platelet count. Part I of this presentation will discuss how to approach laboratory data and break down the CBC beyond the fishbone. This breakdown will include discussion of values on the CBC without differential and with the differential and how those values may be used in diagnosing anemias, malignancies, and infections. The second part of this presentation will discuss how to interpret microbiology cultures, particularly in conjunction with CBC findings. Application of the CBC and culture data will be included within case studies that include a brief discussion of antibiotic selection to conclude the presentation. This presentation is part of a two-part series; ideally, should follow "Beyond the Fishbone: BMP and ABG."

The presentation will use case-based format to explain the use of current FDA approved anti-obesity medications. The future for AOM's will be reviewed.

Pain management in pregnancy is uniquely challenging because clinical decision-making must account for the female and the developing fetus. There are many treatment approaches/considerations available, but there continues to be a lack of urgency placed on education when it comes to the management of pain in pregnancy. Pain during pregnancy generally involves musculoskeletal conditions, fibromyalgia, neuropathic pain or chronic headache including migraine. For a woman with chronic pain, adequate use of analgesics may be necessary during pregnancy. It is important to understand the impact the use of analgesic drugs has on the developing fetus. For women with opioid-use disorder, many are often untreated or undertreated. This may stem from a fear and misunderstanding of which analgesics are safe. This lecture will explore the effects of unmanaged pain on the pregnant female as well as fetus, it will also provide the audience with a sound, evidenced-based approach to safely manage chronic pain in the pregnant female with and without an opioid-abuse disorder.

This presentation will discuss in detail one of the most common vaccination preventable infections in the US: Human Papillomavirus (HPV). Comprehensive information on the incidence and prevalence of HPV infection and the most affected population will be provided. The audience will be provided with information on all types of HPV-related cancers. The racial and ethnic disparities in HPV-associated cancers will be analyzed. Furthermore, a clear picture on the recommended schedule, the effectiveness and the side effects of the vaccine will be presented. The barriers to HPV vaccination uptake in the U.S. and globally will be examined. In addition, a brief description on how some nations became more successful in improving their vaccination rates will be provided. Evidence-based strategies to promote HPV vaccination in clinical settings will be recommended.

The project recognized that racial and ethnic minorities with low household incomes and education had increased vulnerability to hospital readmission. The project used a patient activation measure (PAM)-10 survey questionnaires and a 25-item checklist. PAM-10 was used before and after the intervention implementation to compare the degree of patients’ knowledge, skills and willingness for self-care. The checklist evaluated patients’ care capacities concerning medication adherence, having caregivers at home, recognizing anticipated problems and an ability to eat and exercise. The project aimed to decrease the 30-day readmissions; The readmission rate dropped from 19% to 4% during the 16-weeks. The project also aimed to determine the effectiveness of using a 25-item checklist. The intervention increased the PAM 10 scores and levels, supporting that the intervention effectively improved patients’ self-management knowledge, skill, and willingness for self-care. The project’s success came from patients and caregivers fully understanding the survey questionnaires. Based on the accurate responses, discharge planners could determine the items from the 25 checklists they had to focus on to effectively augment patients’ health knowledge and skills and provide appropriate care coordination. The time spent learning and teaching patients contributed to decreasing readmissions by preparing patients for anticipated problems after discharge.

Using a case-based approach, this presentation will review common finger complaints encountered in emergency care settings including flexor tenosynovitis, felon, paronychia, subungual hematoma, and herpetic whitlow. Some of these are minor and some can have significant complications if not managed appropriately. Assessment findings and management options will be reviewed during this presentation.

Diabetes is associated with a high prevalence of microvascular and macrovascular conditions and depression, leading to absenteeism and decreased work productivity. The current American Diabetes Association guidelines recommend that an A1C of less than seven percent reduces the microvascular and macrovascular complications associated with diabetes. In this learning activity, the presenters will explore the pharmacological treatments for diabetes. The presenters will discuss the several technologies available for diabetes management. Technologies such as continuous glucose monitoring, remote patient monitoring, telehealth, continuous subcutaneous insulin infusion and artificial pancreas are discussed in detail. The presenters will discuss case studies for knowledge application at the end of the presentation.

This presentation will define the difference between sexual orientation and gender identity, identify ways LGBTQ older adults are marginalized within long-term care settings, offer best practice recommendations for LGBTQ older adults, and review implications for advance practice nurses.

This presentation will included: 1.) An overview of the diagnosis of primary and secondary hypertension. 2.) Details about the nonpharmacological and pharmacological management of hypertension with associated co-morbidities. A brief review of pathophysiology and pharmacology will be presented.

This 60-minute case-based lecture will provide an overview on the evaluation of patients with abnormal liver chemistries while identifying and describing common causes. Given non-alcoholic fatty liver disease is one of the most common causes of elevated liver enzymes, the diagnosis of non-alcoholic fatty liver disease and identification of patients at risk for disease progression will be reviewed. The objectives include: Define the difference between liver injury and liver function tests; Describe the characteristics of hepatocellular, cholestatic, and mixed patterns of liver injury tests; Recognize common etiologies of hepatocellular and cholestatic injury and well as the approach to evaluation; Define nonalcoholic fatty liver disease (NAFLD) and its two subtypes: isolated steatosis and nonalcoholic steatohepatitis (NASH); Explain how to diagnose NAFLD and NASH; Identify patients who are at risk for NASH or advanced fibrosis.

The dizzy patient often presents diagnostic and treatment challenges for the nurse practitioner. The differentials are broad, ranging from bothersome conditions to life threatening ones. Care must be taken to arrive at the best diagnosis in order to solve the problem. Often the plan will include a collaboration of the interprofessional team including the diagnosing clinician, physical therapy, lab, pharmacy, diagnostic cardiology, neurology, psychiatry and otolaryngology. This talk will provide pearls for the NP to seek to understand the patient’s experience, sift through each differential for treating the dizzy patient, and ultimately to employ the best practices for a positive outcome.

Skin and soft tissue infections caused by hospital acquired methicillin-resistant staphylococcus aureus (HA-MRSA) continue to be a problem. In recent years, however, infections caused by newer isolate termed community-acquired MRSA (CA-MRSA) have been increasing in incidence. Outbreaks of CA-MRSA have been identified in other settings, including athletic teams and prisons. CA-MRSA infections are often incorrectly identified in emergency departments as spider bites, which often leads to readmissions and severe infections. Learn the identification of and differences in treatment of CA-MRSA versus HA-MRSA.

This interesting and dynamic session will review the most common etiology and type of hyperthyroid disease and thyroid nodules so that you may feel comfortable with diagnosis, assessment, and work with endocrinology to support your patient population.  Our discussion will include case study presentation to apply the concepts presented.  

The science is clear - early introduction of peanuts by around four to six months of age, and very likely the early introduction of other top food allergens, dramatically reduces the likelihood of acquiring a food allergy by age five. For infants at high risk, research shows an 80% reduction on likelihood of acquiring a peanut allergy. But adoption of current guidelines, developed by the National Institute of Allergy and Infectious Diseases in 2017, has been slow and inconsistent. We all need to do better! After completing this session, participants will:  1) Understand current early introduction guidelines; 2) Learn how to apply the guidelines effectively into practice; and 3) Discuss barriers to adoption along with potential strategies to overcome barriers at both the clinician and patient level.

Open to Active and Retired Military & USPHS Attendees ONLY

This workshop for Spanish for health care professionals will help you effectively communicate in basic Spanish phrases. Participants will gain a primary understanding of the Spanish language, an overview of Spanish speaking cultures and an introduction to basic pronunciation, the alphabet, grammar and vocabulary for conversational Spanish. Participants will be able to verbalize basic Spanish salutations, perform a basic health assessment and function with conversational medical phrases.

This presentation is designed for providers in both the primary and acute care settings. A five-step approach to 12-lead ECG analysis is presented and utilized to evaluate atrial abnormalities, valvular dysfunction, conduction abnormalities, right and left ventricular hypertrophy, and a variety of other acute and chronic phenomena. Case studies are used to illustrate the presented concepts.

The Fundamental Critical Care Support (FCCS) course provides health care professionals, including non-intensivists, with the training to manage critically ill patients for the first 24 hours or until appropriate critical care consultation can be arranged.

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FCCS Schedule:

Tuesday, June 20

7:30 AM - 12:45 PM - 23.1.006 - Lectures - Part 1

Tuesday, June 20

2:00 PM - 5:00 PM - 23.1.034 - Skill Stations - Part 1

Wednesday, June 21

7:45 AM - 12:15 PM - 23.2.006 - Lectures - Part 2

Wednesday, June 21

1:30 PM - 5:30 PM - 23.2.062 - Skill Stations - Part 2 & Post-Test

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Important Notes: There will be a lunch break each day (on your own and not in the workshop). A course textbook is required for each participant and is included in the $225.00 fee. Payment is due at time of conference registration. Once you have received the textbook and other materials in early May, no refund is available for the course if canceled by the registrant. You will receive a completion certificate in this course only if you attend and complete the entire course and pass the post-test. The certificates will be mailed from SCCM.

Must enroll in Part 1 to be eligible for this workshop**. Learn the best practice injection techniques to treat the 11s, forehead and crow's feet with Botox (TM). This workshop will cover pertinent facial anatomy, medication overview and comparison of FDA approved neurotoxins on the market. of action and how to mark and inject neurotoxin for cosmetic services. This intro course includes injecting maps and information about common complications with treatment. Hands-on injecting practice focuses on the most commonly treated areas of the face.

Many urgent care complaints require a "hands on" procedure with which some clinicians may not have previous experience. Learn the important components in the performance of minor procedures including reduction of nursemaid's elbow, finger/toe dislocation reduction, subungual hematoma nail trephination, drainage of paronychia, ingrown toenail management, digital blocks, olecranon bursitis drainage, incision and drainage of abscesses, and foreign body removal. There will be a didactic presentation followed by "hands on" practice time. Repeated in 23.1.008 and 23.1.023.

This program focuses on appropriate antimicrobial prescribing, with an emphasis on when and what to prescribe, as well as when best evidence favors not treating with an antibiotic. Antimicrobial stewardship and intervention in resistant pathogens are highlighted, using current best practices.

The data on incidence, risk factors, epidemiology and treatments of post-covid syndromes, including pain management, is currently dynamic and changing. Educating NPs on the most up to date findings and recommendations is imperative to good patient outcomes. The past two years have seen health care move from 0 to 60 within a matter of weeks to continue to deliver evidenced-based, best practice and safe treatments to our patients. Nowhere has this been truer than in the care of patients with both acute and chronic pain. The challenges of assessment, diagnosis and treatment of pain found new struggles in the era of telehealth. As both clinicians and patients have adapted and found benefits of health care delivery in this new era of telehealth and distant care we have now been faced with the emergence of a set of symptoms, and potentially a new diagnosis, “post-covid pain syndrome”. This lecture will focus on what is known about post-covid pain syndromes, the effects on those with preexisting chronic pain and some of the proposed treatment strategies.

This presentation will discuss: 1.) Early exposure to the medical field including the nurse practitioner profession, 2.) Student clinical rotations and precepting, 3.) Developing a NP Residency or Fellowship program, 4.) Orientation of new hires, 5.) Building a formal onboarding program, and 6.) Creating retention and career development opportunities.

This presentation will address the stigma associated with adult ADHD, how to diagnose ADHD using valid and reliable screening tools, associated co-morbidities and the management of patients with adult ADHD using both pharmacological and nonpharmacological treatment modalities.

Many NPs recognize the importance of discussing obesity with their patients yet feel unprepared to do so. Out of concern that they will make their patients uncomfortable, many avoid the topic. Research shows that patients want their clinicians to raise the topic and engage in productive discussions. They are reluctant to raise the topic out of fear that they will be blamed and shamed or offered simplistic solutions that don’t address the complexities they face. Given that obesity is a chronic, progressive, relapsing disease and that treatment improves outcomes, it is imperative that NPs are skilled at discussing evidence-based obesity treatments with knowledge and sensitivity. Avoidance of the topic has a negative impact on the health of those with obesity and pre-obesity. Role plays of real-life clinical scenarios will demonstrate effective strategies for initiating and continuing productive conversations about obesity that can be incorporated into any practice setting.

The opioid epidemic is a significant public health problem and overdose deaths have significantly increased since the COVID-19 pandemic. Harm reduction strategies have gained traction due to heroin, prescription and synthetic opioids becoming a leading cause of mortality in the United States. Safe Syringe Programs (SSPs) have been found to significantly decrease intravenous drug use infections, decrease hospitalizations and improve opioid education. Even though studies show that SSPs significantly reduce risks associated with drug use, there are many barriers that prevent these services from being implemented. Rural contexts, legislation and stigma all create barriers to implementing SSPs. Therefore, education on the barriers and ways to increase implementation of SSPs will be presented.

Emergency and acute care nurse practitioners often manage patients with a variety of exposures and ingestions. These can be accidental or intentional overdoses, resulting in challenging and sometimes unique treatment plans. During this presentation, the typical toxidromes as well as a wide range of toxins, medications, and substances will be discussed. Classic clinical manifestations, management plans and any needed monitoring will be reviewed. New strategies including high dose naloxone, high dose insulin and intralipid therapy administration will also be discussed.

Workplace violence is an increasingly serious concern in the US. It occurs in all types of health care settings. This presentation will outline behaviors and personalities traits that may escalate situations to pose a risk to health care workers, patients and bystanders. The presentation will identify strategies to mitigate the risk, de-escalate situations and minimize bodily harm.

Exanthems or rashes are accountable for more than 12 million office visits in children. From drug rashes to roseola to measles and meningitis, it is crucial for clinicians to recognize the key features that can help distinguish different types of rashes. A systematic approach needs to be followed for accurate assessment, evaluation and management. This presentation will discuss common rashes in children and the etiology and management of those rashes. In pediatric patients, common exanthems include eruptions of varicella, measles, rubella, erythema infectiosum, roseola, hand-foot-and-mouth disease (HFMD), infectious mononucleosis and scarlet fever. One of the major findings in some infectious diseases is the presence of a skin rash. Furthermore, there are some critical infectious diseases which present with prominent skin manifestations. It is crucial to identify these cutaneous manifestations for implementation of effective therapies to reduce morbidity and mortality associated with these critical illnesses.

This talk will review many orthopedic issues that primary care providers may see. Tips will be given for diagnosis and appropriate studies that should be done when indicated.

Pituitary adenomas affect approximately one in five people making them relatively common. The adenomas may be found incidentally or due to symptoms associated with endocrine and/or visual disturbances. Pituitary adenomas vary in size and symptomatic manifestations. These patients require extensive work up to determine whether the adenoma is functioning or non-functioning as well as whether there is associated visual disturbance due to proximity of the optic chiasm to the pituitary gland. This diagnostic work up and management requires a multidisciplinary approach that includes primary care, endocrinology, neurosurgery, ophthalmology and rhinology. Understanding the initial steps of the diagnostic phase will improve efficiency in the work up of these patients, often beginning in the primary care setting. Treatment ranges between observation to surgical resection, and/or focused radiation. Regardless of the treatment algorithm, these patients will require lifelong monitoring.

This presentation will focus on controversies surrounding awake prone positioning (APP) in COVID-induced hypoxemia. Learners will be introduced to the basis and challenges of APP in this patient population and current guidelines for patient management.

It has been widely reported that health care professionals feel unprepared to navigate encounters with patients on the autism spectrum. Attendees will learn updated, practical strategies for achievement of care partnerships with this vulnerable group, appraised to possess more unmet health care needs than any other special needs population. Actions learned may be applied to clinical practice with the goal of improving care outcomes for patients with autism spectrum disorder across the lifespan.

Congress passed Public Law 115-1821, known as the Maintaining Internal Systems and Strengthening Integrated Outside Network (MISSION) Act, in 2018. The law expands Veteran access to primary and behavioral health care in community settings. Therefore, nurse practitioners and other providers who work within community settings must understand the unique health care needs of veterans. Veterans' demographic characteristics and disease burden is different than the general population. It is projected that within the next ten years there will be an increase in mental health conditions among veterans that served in Iraq and Afghanistan. Suicide is a concern in the veteran population who has a suicide rate that is about 1.9 times the rate of nonveteran adults. Suicide is a multifaceted issue that necessitates unified efforts aimed at prevention across health care settings. The Veterans Health Administration has developed clinical resources centered on veteran suicide prevention that are available to providers within community settings.

Having prepared a poster or presentation for a professional meeting such as the AANP Annual Conference, you are well on your way to developing a manuscript to disseminate your expertise more widely. This presentation will guide you on how to move your poster or presentation to publication, scholarly writing, journal selection, and response to reviewers.

Nurse practitioner (NP) research has been a focus of the American Association of Nurse Practitioners® (AANP) since its inception in the 1980s, and the inaugural AANP National Nurse Practitioner Survey was conducted by Dr. Jan Towers in 1987. Since then, AANP has been a contributor, collaborator, funder, and curator of research studies on NP quality of care, utilization, and cost-effectiveness. In the fall of 2020, the AANP Research Committee began the work of creating a new research agenda that tied directly to the advancement of the organization’s strategic plan. Concurrently, a group of researchers at the Center for Healthcare Delivery and Innovations at Columbia University’s School of Nursing sought and received funding from the Agency for Healthcare Research and Quality to convene a group of nurse experts and develop a domestic and international primary care NP research agenda. This session will review the purpose of research agendas and describe in detail the creation of two distinct yet complementary NP Research Agendas to advance and disseminate studies about, by, and for NPs.

The presentation will cover the officer's expertise in Indian Health Service as well as US immigration and Custom Enforcement as it pertains to APRNs. The Presentation will discuss Public Health Services officers in Government agencies as it pertains to APRNs in clinical and nonclinical capacities. The presentation will provide APRNs an enlightened knowledge of the USPHS and government agencies in regards to career options, progression and deployment opportunities.

Nurse practitioners are clinical leaders in a key role to recognize the need as well as strategize for clinical practice changes to improve practice, outcomes, and safety. The steps of EBP are key to creating a clinical workforce capable of narrowing the gap between what is known through research and clinical practice. This presentation will cover the importance of EBP as well as the unique vantage point of the NP. Our role in the translation of critically appraised evidence through implementation includes planning for barriers, harnessing facilitators, and creating sustainment. Content covered will include: an overview of true EBP and why it is not a new term for an old practice, the seven steps of EBP, its role in the Quadruple Aim, the importance of evidence-based decision-making in patients and populations as well as NP-specific opportunities related to clinical practice changes in our sites and populations.

Bronchiolitis is one of the most common lower respiratory tract infections in infants and toddlers, yet diagnosis and management of this condition are highly variable. This presentation will cover the spectrum from presentation, diagnostic evaluation and management, with particular emphasis on the integration of pediatric physiology, pathophysiology and practice guidelines. Emphasis will be placed on outpatient and non-emergent presentations, though referral and admission criteria will be reviewed. Immunoprophylaxis indications and administration will also be reviewed.

Start your engines, buckle up and get ready to roll! Audience members will be taken on an informative, high-octane ride jam packed with practical, affordable tools to launch, land and sustain a successful shared medical appointment program for patients with diabetes. Working as the "pit crew" APRNs will learn how to use shared medical appointments to "tune patients up" to improve six key diabetes metrics (hemoglobin A1C, systolic blood pressure, low-density lipoproteins, body mass index, depression screening scores and patient satisfaction) empowering them to win the race against diabetes!

The presentation will focus on a quality improvement (QI) project applying a procalcitonin-driven algorithm in a pediatric intensive care unit (ICU) to decrease the length of antibiotic treatment for bacterial tracheitis from seven to five days. Antibiotic overuse is prominent in pediatrics and can lead to antimicrobial resistance, increased mortality rate, adverse events and drug toxicity. Tracheitis is a common lower respiratory tract infection (LRTI) seen in the pediatric population, with the majority of patients admitted to the ICU. Prompt recognition and treatment of bacterial tracheitis is essential to preventing acute respiratory distress syndrome and sepsis. However, differentiating between a self-limiting respiratory tract infection or a more severe disease remains difficult. Clinicians typically err on the side of prescribing a longer course of antibiotics to avoid potentially life-threatening complications. Standard treatment for tracheitis is generally seven to ten days, with a cost anywhere from $2,319 to $5,840 per patient. Traditional inflammatory markers are non-specific and can lag. Procalcitonin (PCT) has been shown to be a sensitive biomarker for bacterial infections with a 94% negative predictive value. Literature has demonstrated that PCT-guided care resulted in two to three-day reduction in total antibiotic days in LRTIs and decreased length of stay.

Heart disease continues to be the leading cause of death for women world-wide and in the United States. Screening women for heart disease in primary care is essential for prevention, timely diagnosis, and management. Still, current health care literature reports a significant lack of confidence from providers regarding the screening of heart disease in women, consistent use of a valid screening tool and what factors to screen for in patients. This talk will provide context regarding women in health care, offer a guided review of traditional risk factors and how they affect women more significantly when compared to men, and lastly discuss the role of sex and gender-related risk factors that uniquely put women at a higher risk for developing heart disease.

This presentation will discuss the criteria for diagnosis and management of SIRS, Sepsis and SARS-CoV-2 and the mechanisms that contribute to Multi Organ Failure. The critical care guidelines for Sepsis associated with SARS-COV2 will include the recommended fluids, inotropes and ventilation strategies. Secondary consequences of SARS-CoV-2 will also be discussed to identify in the outpatient population.

Continuous glucose monitoring (CGM) provides a 24-hour profile, assisting the patient and provider in making adjustments in lifestyle and diabetes medications to improve time in range. This presentation will discuss how to interpret a CGM report and how to adjust therapeutic lifestyle and diabetes medications to improve time in range and reduce hypoglycemia. This lecture will also discuss the current professional CGM products on the United States market and how to bill for training and interpretation of the reports.

Nurse practitioners practicing in acute and critical care environments frequently encounter adult patients with complex diagnoses that require a rapid and strategic approach to pharmacological prescribing. The purpose of this two-part session is to provide nurse practitioners working in hospital settings with current standards of practice and updates in evidence-based prescribing guidelines. This presentation will focus on common diagnoses and issues in acute care environments and provide practical resources on navigating the challenges associated with evaluating and managing acutely ill patients.

Epigenetics is the study of how behaviors and environment can cause changes that affect the way genes work. In this session, concepts of neuroplasticity and epigenetics are defined and operationalized. An enriched understanding of current research findings regarding neuroplasticity informs multimodal interventions and improved outcomes for mental health.

The last few years have been tough on those of us in nursing. Whether working in primary care, hospitals or other settings we have had to cope with unprecedented stress relating to care of our patients. Often times nurses neglect themselves and their needs. Dr. Dilks will discuss strategies to provide for taking care of ourselves in order to be present for our patients and families.

More than 150 million Americans have hypertension; of those, 12-17% are classified as resistant. Those with resistant hypertension are at an increased risk for CAD and CVD. This session will focus on the latest evidence-based guidelines on the diagnosis and treatment of resistant hypertension.

Rashes are one of the most common reasons patients present to a health care provider. Rashes can be troubling and disabling for patients. Lost hours at work and school may result. During this presentation, discussion will focus on common and challenging rashes encountered in the primary, urgent, emergency, pediatric, dermatology and other specialty areas. Rashes can be challenging as many have similar presentation. Presentation, signs, symptoms and clues will be discussed that will aid the provider in making the correct diagnosis. Differential diagnosis and appropriate work up when need will be reviewed. Pharmacologic and non-pharmacologic treatments be discussed. Case studies will be included in the presentation.

The United States Preventive Services Task Force (USPSTF) works to improve the health of all Americans by making evidence-based recommendations about preventive services that include screening, preventive medications and behavioral counseling. The Task Force is an independent, volunteer body of national experts in primary care and preventive medicine, with scientific support provided by the Agency for Health care Research and Quality (AHRQ). This session will discuss how AHRQ develops systematic reviews through its Evidence-Based Practice Center (EPC) Program to inform USPSTF recommendations and other practice and policy guidelines. Task Force decisions and grading of recommendations, including the engagement of partners like AANP, as well as others will be reviewed. Recent actions taken by the Task Force to address structural racism and health inequities will also be discussed. Notable recommendations that include new topics and changes in grade will be examined. The important work of nurse practitioners to increase the uptake of preventive services will be highlighted, especially for populations disproportionately affected by certain diseases or conditions.

Microdosing means taking a medication in small doses. Microdosing with buprenorphine can be viewed as a way of taking buprenorphine safely even if someone is still taking illicit drugs.

The population is aging. According to the U.S. Census Bureau, more than 56 million adults ages 65 and older live in the United States, accounting for about 16.9% of the nation's population. By 2030, when the last of the baby boomer generation ages into older adulthood, it is projected that there will be more than 73.1 million older adults. This session will review the pharmacodynamics, tools and considerations in prescribing for your older patients safely and effectively. 

This presentation will briefly introduce how conditions are vetted for newborn screening panel inclusion and state differences. It will highlight several of the more recent conditions included in newborn screening such as lysosomal storage disorders, X-linked adrenoleukodystrophy and spinal muscular atrophy. Additionally, it will explore the benefits, limitations and controversies that surround screening for some of the newly recommended and not-recommended conditions for which newborns are being screened.

This presentation will discuss the pathophysiology of the various types of atrial fibrillation and the associated pharmacological and non-pharmacological treatments based on current ACC/AHA/HRS/EHRA guidelines. We will also evaluate the complications of A-fib in the presence of acute coronary syndrome and cryptogenic strokes.

As hospitals and organizations expand their care through the use of nurse practitioners and other advanced practice providers (APPs), it is integral to create an appropriate structure and welcoming culture for this group. APPs are a necessary component but can often face role ambiguity, whether hired as hospital staff or through academic appointments. At a freestanding pediatric hospital in the Southeast, the number of APPs tripled in under two years, requiring prompt action. This presentation will focus on that hospital’s work to bring needed structure for the APP group through the formation of an APP Shared Governance Council, the creation of an APP-specific onboarding pathway and a formal APP mentoring program for new hires and current practitioners. Not only does such programming demonstrate organizational support of the APP role, but it increases APP satisfaction, retention rates, and perceived improved quality of care provided.

Diabetes and cancer are diagnosed in the same individual more frequently than would be expected by chance, even when adjusted by age. This lecture will discuss the relationship between cancer and diabetes, cancer medications that cause hyperglycemia and diabetes, and the treatment of hyperglycemia and diabetes in the patient with cancer.

This presentation will cover one of the most overlooked topics in primary care for women in their menopausal age: health issues related to perimenopause and menopause. Precise discussion about the factors leading to perimenopause and menopause will be offered. The signs and symptoms and clinical course of menopause will be discussed in detail. Additionally, the increase in certain chronic illnesses directly related to menopause will be examined. The importance of early screening and management of menopause related chronic illnesses will be briefly reviewed. The correlation between menopause and overall sexual health of women will be analyzed. A well-defined, individualized and easy to follow plan of care and medical management of menopausal sexual health issues will be outlined. Furthermore, the complexities of prescribing hormone therapy will be succinctly examined.

The primary care provider is in a prime position to capture patients with autosomal dominant polycystic kidney disease (ADPKD) and have a positive impact on the trajectory of their condition. This presentation will aid the PCP in diagnosing and managing patients with ADPKD in the outpatient setting by describing the pathophysiology of ADPKD, outlining the incidence and prevalence in the United States, describing the diagnosis and assessment of ADPKD and discussing the role of genetic testing outside of specialty care. Strategies for managing patients with ADPKD will be discussed including genetic counseling and family planning, determining risk of CKD progression, non-pharmacological and pharmacological interventions and principles of patient education and management in primary care.

Cancer as a medical diagnosis is one of the most dreaded six-letter words. Cancers are life-threatening diseases with feared prognoses that disrupt lives and are very costly to treat. A cancer diagnosis is viewed by most people as a death sentence, and acute leukemias, specifically, are more worrisome because they are fast-progressing malignancies of blood cells. To increase positive outcomes, researchers and scientists have been able to develop cancer screenings for some cancers, but that is not the case for acute leukemias. Prognosis of acute leukemias is enhanced by early treatment therefore early diagnosis is paramount. Nurse practitioners (NPs) of all specialties are expert clinicians who have always made great impact in early detection of diseases. This presentation will highlight how NPs can help in the fight against cancer by playing a vital role in the early diagnosis of acute leukemias.

The term “sexually transmitted infection” (STI) refers to a pathogen that causes infection through sexual contact, whereas the term “sexually transmitted disease” (STD) refers to a recognizable disease state that has developed from an infection. Nurse practitioners have a crucial role in preventing and treating STIs. Primary prevention of STIs includes assessment of behavioral and biologic risk. As part of the clinical encounter, health care providers should routinely obtain sexual histories from their patients and address risk reduction. Effective interviewing and counseling skills, characterized by respect, compassion and a nonjudgmental attitude toward all patients are essential to obtaining a thorough sexual history and delivering effective prevention messages. The CDC has published updated treatment guidelines to treat STIs and this presentation will discuss them.

This session will provide information regarding the identification of women and men at risk for fracture based on bone densitometry and their 10-year fracture risk using the FRAX calculation. Pharmacologic therapies will be reviewed including patient selection for first line therapies and therapies for patients at extremely high risk and drug risks and benefits. Current controversies will be discussed including long-term use of bisphosphonates, adverse events including osteonecrosis of the jaw (ONJ) and atypical subtrochanteric femur fractures and drug holidays. New concerns about discontinuation of rank ligand inhibitors and the rapid increase in vertebral fractures will be discussed. Treatment of patients at high risk due to therapy such as aromatase inhibitors and androgen deprivation therapy will be presented. Case studies will be used to provide real clinical scenarios.

The fishbone is a common illustrative structure used to organize laboratory findings. However, does the fishbone keep the basic metabolic panel too basic in its interpretation? This presentation aims to break down the basic metabolic panel and go beyond the fishbone and discuss the complex diagnostic data available. The pathophysiology of common BMP findings will be reviewed and applied to patient presentation and clinical findings, improving providers' diagnostic reasoning and management skills of conditions including electrolyte abnormalities and renal impairment. Additionally, this presentation will review the BMP's role in calculations and ratios, including the anion gap. Continuing to move beyond the fishbone, the nurse practitioner will learn to assess the BMP in the context of the arterial blood gas (ABG). Basic interpretation of ABG findings, including metabolic, respiratory and mixed acidotic and alkalotic states will be reviewed.

This presentation will address common questions with the rise in numbers and use if biosimilars in the biologic therapeutic medication arena used for various inflammatory conditions including inflammatory bowel disease (Crohn's disease and ulcerative colitis), rheumatologic conditions (rheumatoid arthritis) and dermatologic conditions (psoriasis). Questions regarding equivalency, safety, efficacy, as well as how to communicate biosimilars to patients will be included.

This presentation will explore core competencies for advanced nursing professionals who may encounter potential victims of child trafficking. Learners will be equipped with evidence-based knowledge to implement a clinical protocol in their organizational setting to ensure best current practices, moving the nurse on a continuum from an individual response level to a trauma-informed, evidence-based, person-centered, comprehensive care approach. Learners will be given the most up-to-date statistics, research and initiatives currently ongoing in the fight against human trafficking. Instruction will be given on ethical responses individually and collectively as an organization.

Motivational interviewing (MI) is a technique used in shared decision-making with patients. It provides a framework for discussing treatment plans and incorporating the patient's feelings, needs and willingness to participate in the treatment. Dr. Dilks will discuss the basic skills and how this technique might be incorporated into your practice.

The population in the United States is aging. One in every five adults is over the age of 65. Individuals are also living longer with chronic illnesses requiring the use of multiple medications. This session will focus on ways in which the older adult is different pharmacokinetically from the younger adults and will provide tips for safe prescribing.

Across the lifespan, there are lesions or rashes that are considered normal or benign. This presentation will present those lesions and rashes. Discussion will include pathophysiology, epidemiology and prognosis. Appropriate work up when indicated and differential diagnosis will be discussed. "RED FLAGS" to indicate a more serious lesion or rash will be presented. Treatment options when desired will be reviewed. Case studies will be included.

This presentation helps the learner develop an evidence-based plan to treat patients who have common bacterial infections. Evaluation of efficacy of antibiotics and vaccines (where appropriate) will be included.

Some primary care providers lack confidence screening adults for ADHD. Adults with untreated ADHD are at higher risk for developing comorbid mental health conditions, such as anxiety, depression, persistent suicidal ideation and post-traumatic stress disorder. This EBP process improvement implemented an educational intervention on adult ADHD clinical presentations; military implications of untreated ADHD; and use, scoring and documentation of the Adult Self Report Scale (ASRS) v1.1 screening tool. A retrospective chart review was performed comparing pre- and post-implementation ASRS v1.1 screening rates. A knowledge check was used to assess provider confidence in screening and managing adults with ADHD. At the conclusion of the post-intervention period both screening rates and provider confidence increased.

Obesity is the most common chronic disease in the U.S. and is at the root of over 236 complications and 22 types of cancer. In this presentation, you will learn how excess adiposity contributes to numerous obesity-related adverse health consequences and how treatment improves outcomes. A 5-10% weight reduction improves health and may prevent, reduce and improve adiposity-related complications. Participants will learn how to diagnose pre-obesity/obesity and identify adiposity-related complications. The components of comprehensive treatment will be reviewed, as well as how to make appropriate referrals. Real-life clinical scenarios will demonstrate how to effectively address obesity, whether you are in a primary or specialty care setting.

This presentation is relevant to our diverse NP audience because it will enhance an area of their clinical practice not often or deeply covered in NP education or in practice. The numbers of patients with cerebrovascular disease and traumatic injury are increasing. Thus, providers in acute and primary care should be armed with the foundational knowledge of appropriate neurological imaging and evaluation. This interactive presentation will engage attendees in a scintillating review of the main types of imaging used for a neurological work-up. This will include a review of plain X-rays, CT imaging (including CT angiography), MRI (functional, navigational for planning, spectrography), MR angiogram, MR venogram and conventional diagnostic angiograms. In addition, I will use a case-based approach to illustrate a review of the indications for when to order such imaging, and a review of imaging findings. Attendees will be engaged via audience participation software for immediate feedback and an enhanced learning environment.

This class is designed for practitioners who have never sutured a laceration or those who need a refresher course. At the end of the class the participant will be able to: 1. Accurately describe the condition of a laceration; 2. Demonstrate infiltration of a local anesthetic; 3. Demonstrate suture closure of a laceration with simple and mattress sutures; and, if mastered, 4. Demonstrate closure with a Running Subcuticular stitch.

OUTLINE

1. Lecture Wound evaluation Wound healing Local anesthesia selection and delivery Instrument selection Suture selection Wound field preparation.

2. Demonstration Local anesthesia delivery Knot tying Simple interrupted suture closure Vertical mattress suture closure Subcuticular closure.

3. Hands-on Experience Knot tying Wound closure with simple, vertical mattress and subcuticular suture patterns.

4. Q & A.

Repeated in 23.1.009.

Musculoskeletal pain is one of most common issues seen in primary care, and the use of injections for these disorders allows for comprehensive treatment options. Join us for an engaging workshop that will review orthopedic exam techniques in addition to procedure technique and patient considerations for musculoskeletal injections in primary care. Content includes injections for shoulder and knee joints, common tendonitis injections, trigger point injections and nerve blocks for headache. Attendees will alternate between observation of procedure technique demonstration and practice in small groups.This course is recommended to be taken after the COURSE # 23.1.014 or 23.1.029 “Musculoskeletal assessment in the diagnosis of common orthopedic conditions. Repeated in 23.4.065.

This presentation will discuss the pharmacologic treatment of various behavioral health issues, focusing on pertinent information for the medications. Key information will include potential adverse effects, contraindications, warnings and drug-drug interactions. Any newly approved medications or dosage forms will be highlighted throughout the presentation.

Nurse practitioners have understood the importance of discussing end-of-life wishes with patients during critical health transitions throughout the aging process. The components of a thorough, well-developed, advance care planning conversation will be discussed for each of the five stages of the health-illness continuum, from healthy and independent to nearing death. Components of the conversation that will be explored include uncertainty for the future, likes and dislikes regarding health care interventions and outcomes, goal setting, designation of health care proxy, previous experience with end of life with family and friends, and the components of the POLST (practitioner orders for life-sustaining treatment) form, documentation and billing for the visit. In addition, woven through this discussion will be the utilization of the geriatric 5 Ms (mind, mobility, medications, medical complexity and what matters most), plus cultural influences to guide the interaction and help with decision-making.

The purpose of this presentation is to provide a systematic methodical approach to the 12-lead ECG interpretation. This presentation will help NPs to identify acute changes on a 12-lead ECG, such as those found in acute coronary syndrome (ACS) and acute myocardial infarction (AMI).

While the reimbursement landscape continues to shift from a fee-for-service to value-based revenue model, practitioners need to be equipped to appropriately report care gap closure. HEDIS is the universal standard used to identify provider performance and benchmarking for quality care delivery. This course will focus on outpatient reporting using appropriate codes on claims to report gap measures and closure. To streamline the course for the allotted session time, common measures for acute and chronic conditions in outpatient encounters will be reviewed and participants will be provided documentation and coding strategies for success. The course will try to encompass several specialty areas in addition to primary care but will not be able to include all HEDIS measures or all areas of specialty.

Neuromodulation is an effective, nonpharmacologic treatment for multiple conditions including painful diabetic neuropathy, pain of the trunk and limbs and non-surgical low back pain. This modality is particularly important as patients and providers alike are looking for non-opioid options for the treatment of persistent pain. Understanding neuromodulation and its effect on pain and opioid use can lead to increased patient selection, improved patient education, establishment of realistic patient expectations and overall improved outcomes. The field of neuromodulation has grown over the last 30 years, and patients are having significant greater improvements in pain, function and quality of life. The neuromodulation of 1989 is not the same neuromodulation of 2023 and what used to be kept as a last resort has moved its way up in the treatment algorithm. It’s the one option for your patient that you may not even know you have.

Our current U.S. health care system is teetering on collapse evidenced by spiraling costs, poor outcomes, a lack of transparency and predominant focus on profit. System values are misaligned with the values of providers. This creates a tremendous gap between the care we want to deliver and the care we provide. Nurse-led clinics are the first step toward redesigning a structure based on wellness and disease prevention. Four different variations of nurse-led clinics will be presented. Imagine nurse-led clinics working closely with local public health departments to determine the actual needs of a community, identifying socioeconomic obstacles to health, then creating and implementing unique infrastructures to address these needs. Providers work as a team with each discipline contributing their expertise and value. Job satisfaction escalates since providers are performing innovative healthc are delivery work they were trained for in an integrative, collaborative environment where each discipline and professional is highly valued and respected. The time is now to transform health care to a model based on wellness and disease prevention with a focus on socioeconomic determinants of health that is sustainable and accessible to an entire community. Nurse practitioners are key to lead such a model with our inherent holistic training and values of caring.

The goal of this presentation will be to familiarize primary care providers with the evaluation and management of amplified pain syndromes in patients aged 4 years to 21 years. Providers will gain a better understanding of complex regional pain syndrome, juvenile fibromyalgia and hypermobility syndrome. The lecture will review classification criteria for each diagnosis, as well as the utility of X-ray and laboratory analysis in the initial evaluation of pediatric patients presenting with amplified pain. Primary care concerns related to health promotion including physical activity, school attendance, sleep hygiene, identification of associated mood disorders, and first line medication therapies will be discussed. Clinical pearls using case-based scenarios will aid in reinforcing the content presented.

The Centers for Disease Control and Prevention report approximately 6.2 million Americans have heart failure, contributing to over 13% of deaths in 2018, and costing $30.7 billion in 2012. Heart failure remains one of the leading causes of admission and readmissions to the hospital. The 2022 American Heart Association (AHA)/American College of Cardiology (ACC)/Heart Failure Society of America (HFSA) Guideline for the Management of Heart Failure indicates key changes to the identification and diagnosis of heart failure, as well as goal directed medical therapy and management of comorbidities. This presentation aims to update nurse practitioners across the health care spectrum in the prevention and management of heart failure patients.

An evidence-based improvement initiative identified DNP scholarship standards within the current literature base and through use of exemplars. Potential outcomes will be presented through a novice to expert framework to establish DNP faculty scholarship foundation with the goal of increased DNP scholarly activity effectiveness, ultimately impacting national health transformation. Guidelines for the evaluation of scholarship caliber will be discussed within the context of NP faculty specialty and include educational and research implications. Participants in academia and clinical practice who are DNP-prepared or plan to seek the DNP degree may use this knowledge to elevate their personal programs of scholarship, clarify role parameters and guide appropriate individualized next steps.

A review of prostate health issues in the adult and aging male includes benign prostatic, prostate cancer screening and detection and management of various prostate issues. This will include a review of today's prostate screening environment and recommendations. We will focus on evaluating, screening, managing and referring men with prostate issues including BPH and prostate cancer.

Social media can feel complex and overwhelming to use as a professional tool. The purpose of this presentation is to review the merits and strategies for nurse practitioners in using social media to network, advocate and continue education. Ethical best practices and common pitfalls will be reviewed to empower learners to use social media to further their professional objectives.

This session is aimed at the novice or potential NP faculty. The goal of the program is to help NP clinicians and teachefs examine the unique needs of the NP and APRN learner, with a focus on the application of sound learning principles and theory.

We live in an interconnected world where an outbreak of infectious disease is just a plane ride away or already percolating in our backyard. Nurse practitioners play vital roles in preventing, detecting, and treating these diseases. This talk will provide an overview of emerging infectious diseases, including clinical presentation, laboratory testing, prevention and treatment modalities.

Liver disease is one of the fastest-growing chronic diseases in the U.S. It is estimated that about 24% of U.S. adults have NAFLD, and about 1.5% to 6.5% of U.S. adults have NASH. Many individuals with NAFLD are unaware that they are at risk. In this session, you will learn about the risk factors, prevention, diagnosis, testing and treatment of NAFLD and NASH.

Do you want to be more involved in your professional organization? This session will discuss the opportunities and process in running for elected office in the American Association of Nurse Practitioners®.

Hypothyroid disease is commonly diagnosed and treated in primary care settings without intervention by specialty care. This presentation will guide the learner through the assessment, diagnosis and treatment for patients with various types of hypothyroid disease. We will discuss pearls for practice and review common considerations for this population of patients. Plan for a great learning experience!

Panel Disucssion by the lead FNP consultants of each service branch, Army, Air Force, Navy, and Public Health Service. Discuss the capabilities and locations of FNPs in the military services. 

This session will discuss a unique inpatient service specializing in diabetes management, exclusively lea by advanced practitioners. The presentation will highlight the utilization of cutting edge diabetes technology in the acute inpatient setting for medical, surgical and behavioral patients; providing a smoother transition for patients and their familiess; Reducing overall insulin adverse drug events within our institution; Operating within our full scope of practice as advanced practitioners; empowering and educating nursing staff to optimize diabetes care.

This presentation will provide a review of common and newer medications used in emergency medicine. Using case studies, clinical vignettes and a body system approach, common cardiovascular, respiratory, gastrointestinal, genitourinary and central nervous system medications will be reviewed. This review will discuss the mechanisms of action, side effects, interactions, considerations and monitoring, and related guidelines and supporting evidence. At the end of this review, the emergency nurse practitioner will have a renewed knowledge of common and emerging emergency medicine medications.

PCOS impacts women's health over a life-time. In the reproductive years the focus is often on menstrual management and fertility care. The content of this lecture will focus on the impact of PCOS on the health and wellness of women across the life-span with emphasis on cardiovascular and metabolic health as well as cancer prevention.

This presentation will provide an overview of migraine diagnosis and treatment.

The U.S. health care system is changing the way it pays for health care, rewarding value rather than volume. The transition to value-based payment is accelerating. It is projected that 100% of Medicare and 50% of commercial and Medicaid payments will be tied to value by 2030. There are multiple barriers to this type of reimbursement for nurse practitioners, including incident-to billing, relatively low participation in quality performance initiatives, lack of primary care provider designation and a  general lack of knowledge about how NP services are billed and how quality is tracked. This presentation will highlight the upcoming transition to value-based payment and the alignment of the nursing model with value-based payment. We will cover the range of value-based payment models, describing the associated financial risk or reward of each model, as well as describe actions NPs can take within their organizations to pave the way for optimal participation in value-based payment in the near future.

Peripheral arterial disease (PAD) is a severe and progressive disorder that involves stenosis and/or occlusion of the large and medium-sized arteries. PAD affects the lower extremities more often than the upper extremities and may lead to mild, moderate or severe symptoms that may or may not affect the ability to perform activities of daily living. PAD is associated with a decrease in functional capacity, an increase in cardiovascular morbidity and mortality and reduced quality of life. PAD remains underdiagnosed and undertreated. Professional and public awareness of PAD is low in comparison to the awareness of diseases such as stroke, coronary heart disease and heart failure. This presentation will include identification of risk factors, pathology, signs and symptoms, diagnostic tests and management of PAD. Early identification of signs and symptoms is imperative to prevent the development of PAD complications.

This presentation will focus on celiac disease (CeD) in the adult population. The presentation will provide a comprehensive review of background and statistics, signs and symptoms, co-morbid conditions, complications, diagnostic testing and barriers to management in celiac disease. Barriers to management of CeD will focus on access to health care and limited financial resources. There are three case studies that will explore diagnostic testing and support decision making in common examples of CeD. We will preview the website celiacpeg.org, which is a free, nonprofit website that will support providers in the management of CeD in adults. This site is now being used across North America to assist providers in the management of CeD in adults. This presentation will provide necessary information and tools to allow providers an increase in confidence when treating and managing care of adult patients with CeD. Lastly, the presentation will also include an overview of current COVID-19 related studies, implications and vaccination recommendations related to CeD.

Neurotrauma can have a significant impact on those affected by it and the consequences can be long-lasting. From classification of traumatic injuries to critical care management of the neurotrauma patient and long term follow up, this course will guide the provider through both cranial and spinal trauma. Learning will be reinforced through imaging review and case studies throughout the presentation.

This presentation will describe the development of a street medicine team in California. Topics covered will include: the unique challenges of health-care for homeless, NP practice in California and delivery of care in a mixed rural and urban environment.  Five elements of program development will also be discussed, including developing relationships with community partners, hiring and training staff, meeting grant reporting metrics, incorporating learners and collaborative leadership. The presentation will include stories that illustrate barriers overcome during program development and approaches to improving health equity.

This presentation covers the diagnosis and management of migraine headaches. The bulk of the lecture is on migraine medications, therapeutic indications, side effects, etc.

Vaccines are one of the best preventive measures for reducing vaccine-preventable diseases and cancers. This session will provide the NP with an understanding of how vaccines provide protection. In addition, we will discuss the most current vaccine recommendations across the lifespan, prevention of missed opportunities and increasing the vaccine rates in your practice, and current vaccines that are under development.

The earth’s climate has warmed over the past few decades as a result of greenhouse gas emissions from human activities. A major public health threat, climate impacts present the most daunting justice issues of our time, disproportionately impacting vulnerable populations who have likely contributed the least to global carbon emissions--primarily communities of color in the United States and persons living in low and middle-income countries in the global south. Direct trauma from extreme weather events, heat-related illnesses, exacerbations of chronic disease (predominantly cardiac and respiratory illnesses) as well as mental health impacts are a few of the most pressing health implications that nurses must be prepared to address in their practices. However, most schools of nursing and medicine do not include information about health impacts of climate change in their curricula. Targeted toward primary care providers, this presentation will share key strategies for nurses to assess individuals and communities risk for climate-related health impacts and offer strategies to optimize health and target advocacy to maximize health spans in the face of impending climate change.

Breast, lung, and other cancers are widely discussed in media and in the classroom. Many times, the female reproductive cancers are only referred to in whispers. In this presentation, we will discuss the presentation of ovarian and uterine cancer, the options, and prognosis. We will address how to counsel the patient about the disease state the treatment options and how effective these options are on the cancer.

There are a multitude of different clinical presentations of pigmented lesions. The clinical appearance of moles varies depending on the age and skin color of the patient, as well as on the body site. While challenging, it is essential for nurse practitioners to recognize features that may indicate that a lesion may be dysplastic or malignant. This presentation will enhance the clinician’s confidence in identifying worrisome features of pigmented lesions. This presentation will review the common features of normal congenital and acquired moles and variants of normal. The signs, symptoms and syndromes of dysplastic nevi will also be presented. The clinical presentation, subtypes and staging of melanoma will be reviewed in detail.

The presentation will provide key information to health-care providers on the role of shared decision-making in patient care management, specifically in neuro-cardiology, and provide recommendations on its use and integration in clinical practice.

Members of the CMS Open Payments team will join AANP to provide updates on the Open Payments program, including the upcoming data publication and host an interactive conversation with attendees about the program.

Peripheral neuropathy is one of the most challenging symptoms to manage across the disease continuum. This lecture will discuss clinical disease states that can cause peripheral neuropathy, diagnosis, pharmacologic and nonpharmacologic treatments and multimodal management for this challenging patient population.

Grief, depression, anxiety and PTSD are conditions that many patients never get over, but with the help of APRNs, they can get through it. Audience members will be taken on an informative and compelling journey equipping them with pharmacological and psychosocial modalities that can be used to empower patients to embrace hope, overcome loss, restore joy and live their best life.

Attention deficit hyperactivity disorder (ADHD) is one of the most common neurodevelopmental disorders in childhood according to the CDC and affects approximately 8% of school age children. This means that primary care nurse practitioners will see this in practice and should feel comfortable diagnosing and managing uncomplicated cases. Undiagnosed or undertreated ADHD can affect school performance, self-confidence and relationships. This presentation will equip primary care providers with the necessary skills to competently diagnose, manage and counsel patients and families who are affected.

There have been great advancements in the field of structural cardiology over the last decade, including less-invasive treatment options for valvular heart disease. Nurse practitioners in multiple practice settings benefit from learning to identify and treat these patients, which may also include a referral to a valve center. This presentation will review diagnostic criteria and key physical exam findings for severe aortic stenosis and mitral regurgitation, identify patients that would be candidates for transcatheter treatment options and discuss shared decision-making. Case studies and audience participation will provide an engaging learning environment for the nurse practitioner.

This dynamic presentation will provide the essentials in evidence-based best practices in the world of wound care, harnessing both well-known and emerging treatment approaches, which will build a strong foundation for improving patient care for those with acute and chronic wounds. Faculty will begin by providing an overview of the wound healing process, how this process becomes disrupted in chronic wounds, and what providers can do to change chronic wounds back onto a healing trajectory.

In a case study format, the latest research evidence will be presented to include prescribing psychoactives in the older adult population experiencing anxiety, depression, bipolar disorder and dementia with challenging behaviors. The importance of pharmacokinetic and pharmacodynamic issues will be addressed in addition to the pretherapy assessment, medication administration concerns, surveillance and education. The concepts of collaboration--when and how often--between primary care and psych NPs will be discussed.

In 2018, MinuteClinic® began an academic-practice partnership to implement the Age-Friendly Health Systems 4Ms framework into clinical practice in over 1100 clinics in 36 states and D.C. Training over 3,300 NPs in the evidence-based framework was the first step in the implementation process to reliably assess and act-on “What Matters, Medication, Mentation and Mobility” for patients 65 and older in the context of eligible visits. The partnership used Implementation science and quality improvement methods to strategically embed the 4Ms in clinical practice and in the EHR and facilitated reporting to support data-driven steps to increase the uptake of the 4Ms. Transformational leadership was critical to influence the NPs in identifying the ideal approach to care for older adults, to inspire and motivate the use of the 4Ms, to stimulate intellectual understanding of the principles of the 4Ms and to approach the project with consideration of the individual provider and patient.

Knowledge of the microbiome continues to expand at an astounding rate; clinicians are gaining a better understanding of the complex interactions of the microbiome in preventing disease and restoring health. As advanced practice providers we need to remain informed on this rapidly growing field as to appropriately educate our patients on the importance of maintaining a healthy microbiome and further understand the intricate relationship of the microbiome and several common clinical conditions.

The rate of non-melanoma skin cancers continues to increase. Patients may complain of a non-healing, bleeding or tender lesions, but unfortunately once lesions become symptomatic, they are often more advanced. Other less common skin cancers can mimic benign eruptions such as eczema. The morbidity of skin cancer is significantly reduced when caught early by the astute nurse practitioner. This presentation will enhance the nurse practitioner’s ability to identify cutaneous malignancies and to thereby reduce patient morbidity through early detection. This presentation will review the features of common and uncommon skin cancers. The signs, symptoms, diagnosis and management of common skin cancers will be reviewed. The risk factors, clinical presentation and prognosis of uncommon cutaneous malignancies will be also presented.

The United States Public Health Service Commissioned Corps, an organization of more than 5500 officers, including nurses and nurse practitioners, deployed more officers to more sites for COVID19, Unaccompanied Children at the border, and other missions between 2020-2022. In total, more than 1000 officers were deployed to dozens of sites to support medical operations. To manage unprecedented increases in demand, major changes in data management for personnel and mission detail was needed. This talk shares these experiences of meeting that challenge. Specifically, safely managing legacy data and reporting systems, creating new data management systems to support higher workflow and faster pace, and improving and automating reports to leadership will be discussed. Additionally, specific data regarding the number of USPHS Commissioned Corps nurse officers, nurse practitioner officers, and their deployments during this time period, will be shared.

As a MedSpa owner herself, Cassie knows firsthand how difficult it is to break into this competitive industry and wants to help you with the core insight you need to get started in aesthetics. We will dive into the business aspects of starting your own practice with neurotoxins such as Botox^TM. We will address the steps an NP needs to take to open her doors, addressing both mobile and in-office services.

This dynamic session will review the latest information and treatment about thyroid cancer and thyroid nodules. We will review the most recent guidelines and literature to manage and treat patients with thyroid cancer and thyroid nodules. Each topic will present interesting case studies to apply the evidence and management of this patient population. Don't miss the session everyone will be attending!

The uptake of psychological health research into practice is essential to the mission of the Defense Health Agency. The systematic translation process utilized by the Psychological Center of Excellence to evaluate the utilization of evidence-based and evidence-informed practices seeks to ensure access to high-quality care for service members and their families and reduce systematic barriers to treatment.

Veterans may have been exposed to a range of chemical, physical and environmental hazards during military service. This presentation will focus on educating community providers about the unique health concerns that military Veterans have due to toxic exposures.

This presentation will begin with an overview of the current status of the APN role internationally. The AANP Ambassador program will be introduced. Then each Ambassador attending the 2023 conference will present their country's progress in a specific frame including regulation, policy, barriers, facilitators, and current actions. Subsequently a conclusion with inspiring NP to expand their horizons and look internationally.

During this presentation we will discuss the pathophysiology and management concerns regarding allergic reactions and its most severe form, anaphylaxis. The common causes and triggers of allergic reactions will be discussed, along with the inflammatory response that occurs and which leads to the physiological signs and symptoms that patients exhibit. Lastly, the different treatment options and medications will be discussed along with the rationale and benefits of their use.

Erectile dysfunction (ED) is a common condition addressed in the primary care office setting. With the increase in chronic disease, more men and younger men are presenting to their primary care settings with this concern. Interestingly, the male veteran population has a greater incidence of ED at a younger age (21-40) than their civilian peers (33% vs. 8%). Veterans of different eras and conflicts have had military-specific exposures that may change their initial work up and treatment options from the primary care nurse practitioner. This presentation will help the primary care nurse practitioner best identify the source of the ED condition to best individualize a treatment program for the veteran-patient. Additionally, this presentation will discuss the role nurse practitioners play in educating and empowering their veteran patients to adopt lifestyle changes that can reverse or prevent ED.

This presentation provides the essentials in evidence-based best practices in the world of diabetic limb preservation and wound care, harnessing both well-known and emerging treatment approaches, which will build a strong foundation for improving patient care for those with diabetes. Faculty will begin by providing an overview of diabetic foot assessment, the wound healing process, how the wound healing process becomes disrupted in diabetes and what providers can do to positively impact the trajectory of diabetic limb preservation.

Disorders of the penis are often not addressed during primary care visits, leading many to suffer in silence. The audience will be taken on a fun and informative journey through the “forest” of penis disorders and a male genitourinary pharmacology update, equipping APRNs with heightened and expanded knowledge to empower patients with a penis to live their best life.

Nearly two million Americans have Type 1 diabetes (T1D) and approximately 64,000 new cases are diagnosed annually. Treatment of T1D can be challenging. This lecture will discuss screening, diagnosis, and the current treatments for T1D including Stage 2 T1D, diabetes medications and technology.

Precepting for nurse practitioner students is facing nationwide challenges. Fewer and fewer nurse practitioners are volunteering for the opportunity to mentor students. Multiple barriers have been uncovered, and understanding these barriers to precepting is important. These barriers may include time, space, patient satisfaction, productivity and more. Although not all barriers can be eliminated, some barriers can be mitigated with creative precepting ideas. Various models have been implemented and will be discussed during this presentation. One model working well for preceptors is the dyad model. Implementation of the dyad model at Virginia Commonwealth University offers  promise. During this presentation, the dyad model will be introduced as a valuable option for precepting dilemmas.

With the new laws impacting women' s health, it is vital that the nurse practitioner stays ahead of unwanted pregnancies. It is more important than ever to understand the contraceptives that are new, out of style or on the frontier to give our patients the best available counseling and treatment plan. In this presentation, we will look back and see what is out of style, look at current medical options and how they work and discuss new medical breakthroughs for family planning. We will present contraceptive options for the woman as well as the male.

Building habits to ensure a heathy psyche requires acknowledgement. Burnout is caused by the lack of control with dynamics at work or home. This can be physical or emotional. How to survive burnout requires you to take the time to think about yourself and your body. Surviving burnout requires you to understand yourself so you recognize it. There are steps you can take to lower your risk of burnout occurring. You can heal from burnout by establishing therapeutic and/or healthy habits. Having rockstar dreams may be unrealistic so let’s survive burnout like a rockstar.

Over the past few decades, the interest in complementary and alternative medicine (CAM) has continued to show growth among patients, with a notable growth among cancer patients. The use of CAM can present a challenging frustration for both the patient and health care professionals, ultimately resulting in a gap in communication negatively affecting the patient-professional relationship. The objectives of this presentation are to: 1. Define complementary and alternative medicine and provide reasons for their use; 2. Identify five categories of CAM with examples of each; 3. Discuss the role of the health care provider in CAM therapy; and 4. Discuss the efficacy of CAM therapy. Patients and families continue to search for ways to enhance cancer treatment and increasingly have turned to nontraditional approaches. It is imperative for healthvcare providers to open that door to discussion about CAM therapy, offer comprehensive support and remain current with the research, availability, and types of CAM. Nurses caring for patients with cancer can support the use of complementary therapies that have been shown to provide both physical and psychological benefits to these patients. Nurses can be a reliable source of information and support for patients who want to include CAMs in their treatment and ongoing care plans.

We only have so many tools in our pain pharmacology tool-box. Often, developing a patient care regimen can be challenging and requires not only creativity but extensive patient education. This brings up the question, do we really remember how each drug works, what the pros and cons of each drug are and what the appropriate expectations for therapy are? Once we are confident in this, how do we explain it to the patients in a way that will support their decision-making and success? This presentation is a deep dive into the non-opioid medications available for pain management and practical tips for patient conversations.

Obesity is a chronic, progressive, relapsing disease. If left untreated, it worsens and leads to serious complications such as diabetes, cardiovascular disease, osteoarthritis and cancer. NPs in primary care settings encounter patients with obesity on a daily basis. Given the complexity of obesity, and the complications that need to be managed, many primary care NPs are unsure about where to begin. In this seminar, participants will be given an overview of the disease of obesity and the components of comprehensive treatment, followed by the opportunity to build a treatment plan for a patient case. Participants will learn what can be accomplished in primary care settings given the inherent time limitations, as well as how and when to make appropriate referrals.

This presentation will provide the tools needed to make an accurate and detailed diagnosis of chest pain. We will discuss important points for subjective and objective data collection and tips in clarifying your differential diagnosis. A review of physical exam findings and heart sounds, 12-Lead ECG, radiology and laboratory testing will be considered. During the presented cases we will discuss treatment methods and management of each chest pain diagnosis.

This will discuss therapeutic management of allergic disorders in adults. These include asthma with the new updated GINA guidelines, allergic rhinitis, and atopic dermatitis. 

Menopause is a unique time in an individual’s life, affording her an opportunity for collaboration with her health care provider (HCP). Discussions can center around physiologic changes, menopause-related symptoms/treatment options, and health-promotion/risk-reduction strategies to lead her toward healthy aging outcomes. A normal physiological event, defined as the final menstrual period, recognized retrospectively after 12 months of amenorrhea without any pathological cause, occurs at ~51 years. Some may transition through menopause without bothersome symptoms. The International Menopause Society, however, states that 1 of 3 women experiencing symptoms described as moderate to severe are not provided counselling or support or given evidence-based therapy choices. HCPs providing care to women during these life periods have more options available than ever before. However, they must be highly individualized and may present additional challenges of overcoming patient misconceptions and concerns. Options should be evidenced-based, focused on underlying health, risk factors and symptoms. Recommendations should be made using shared decision-making based upon her goals and preferences and unbiased, factual, comprehensive presentation regarding the risks and benefits of any therapeutic initiatives. This presentation presents evidence for personalized support, health promotion messages and the importance of developing a plan of care in partnership with the individual.

There is increased focus on competency-based education in nurse practitioner education. This presentation will review important information about competency-based clinical assessments that will help preceptors better understand their role and how they can facilitate student progression and success. Preceptors will gain a better understanding of some underpinnings of competency-based

Pneumococcal disease is the second most common cause of vaccine-preventable disease. Pneumococcal vaccination recommendations have been updated frequently over the years, and it is imperative that nurse practitioners stay updated on the new guidelines. Join NP experts Ruth Carrico and Mary Koslap-Petraco as they provide an overview of pneumococcal disease, discuss recommendations for pneumococcal vaccination and identify strategies for overcoming barriers to vaccination. Note: This activity is supported by an independent educational grant from Merck & Co., Inc.

Attended NP Invited Posters: Group 1 Posters exhibit for Thursday only

Chronic kidney disease (CKD) is a common condition addressed in primary care. This presentation will review the normal role and function of the kidneys, methods of screening for chronic kidney disease and steps to take in assessing the causes and impact of the kidney disease. Next, we will move on to how to manage CKD in primary care. We will cover non-pharmacologic management methods, as well as discuss medications to help manage CKD and associated conditions. Finally, we will address when to refer patients to urology or nephrology.

This session will guide the nurse practitioner in providing high-quality care to patients with acute and chronic burns or wounds in the acute care setting. Information and evidence-based practice protocols will be presented focusing on wound management. Pathophysiology, diagnostics, and management of burns and wounds to provide optimal outcomes will be discussed. Most importantly, we will give the nurse practitioner practical information to care for the patient with burns or wounds.

Providers spend a significant amount of time in between visits managing their most complicated, chronically ill patients without reimbursement. All that changed in 2015, when Medicare began paying for chronic care management (CCM) service (CMS, 2019). However, many providers still choose not to participate in CCM due to multiple layers of complicated requirements. According to the Centers for Medicare and Medicaid Services (CMS), it is estimated that only 9% of Medicare fee-for-service beneficiaries received the CCM, transitional care management and advance care planning services. CMS acknowledged that those codes are being underutilized and encourages providers to get more involved with them (2019). This presentation will demystify the complexity of the process. We will discuss each required element for CCM billing and will showcase how CCM applies to the quadruple aim by increasing patients and provider satisfaction, reducing cost of care and increasing quality of care.

Drug induced liver injury is the most common cause of acute liver failure in the United States. Among the thousands of prescribed medications available today, several hundred have been linked to liver injury, but the clinical pattern of liver injury is diverse and can mimic almost any form of liver disease, making drug induced liver injury one of the most challenging diagnoses encountered in clinical practice. As nurse practitioners, it is imperative that we are able to recognize risk factors, common medications and clinical presentation of drug induced liver injury. This one-hour lecture will provide a comprehensive overview of drug induced liver injury incorporating clinical guidelines to facilitate accurate diagnosis. This discussion will also include a pharmacological review of the most common medications associated with drug induced liver injury and conclude with tools to develop individualized treatment plans.

Anorexia and bulimia hide in plain sight in most primary and specialty care settings. These illnesses affect nearly every body system and are associated with a very high mortality rate, particularly among patients with anorexia. Individuals with eating disorders may present with abdominal pain, headaches, chest pain, neuropathic pain, fractures or urinary tract infections, among many other conditions. This presentation introduces primary and specialty care providers to common initial complaints among patients with anorexia and bulimia. Case studies will demonstrate assessment strategies, screening tools and common lab values. The risk factors, assessment and treatment of refeeding syndrome and pseudo Bartter syndrome will also be addressed. The presentation will then outline important findings that necessitate a higher level of care.

Even though COPD is a leading cause of morbidity and mortality, there is a need to improve the use of diagnostic tools and treatment plans to improve the lives of patients with COPD. Managing complex cases in the fast primary care setting can be challenging. Hear updates on the latest treatment options, based on 2023 GOLD COPD guidelines. Case studies will be utilized to differentiate between COPD and asthma COPD overlap (ACO) and other chronic lung conditions. Pharmacologic and non-pharmacologic individualized treatment plans will be presented.

Pulmonary hypertension is a disease process that can affect the patient's functional capacity and is associated with high morbidity and mortality. Clinical decision-making for patients with pulmonary hypertension is complex. Early identification of patients at risk for pulmonary hypertension and diagnosis is important to improve symptom management and patient outcomes. Knowledge of the various types of pulmonary hypertension will enable the NP to provide evidence-based patient care for symptom management and indication for pulmonary hypertension specialist referral for advanced therapeutic treatments. This presentation will review the five groups and etiologies of pulmonary hypertension as defined by the World Health Organization (WHO), clinical presentations, diagnosis and current evidence-based treatment strategies.

This presentation will help you understand why your patients might be taking supplements and what you should know about them. How do you counsel patients about supplement use without learning more about them?

Environmental emergencies can include many types of bites and stings, including Hymenoptera, ticks, spiders, snakes, aquatic species and mammals. Some of these presentations are commonly encountered. However, some emergency care nurse practitioners manage some of these patients infrequently. This presentation will review some common and less common presentations, reviewing their clinical manifestations as well as management options. Lastly, available clinical practice guidelines will be reviewed as they relate to these topics.

There are many different etiologies, patterns, clinical presentations and sequela of allergic drug eruptions and adverse cutaneous reactions to medications. As prescribers, nurse practitioners must be familiar with the possible presentations of allergic and adverse cutaneous reactions to medications and to the potential dermatologic emergencies that can result. This presentation will review common culprits, presentations and diagnostics, which provide nurse practitioners with a systematic approach to the diagnosis of these challenging rashes. It will review common and uncommon drug reaction patterns, drug-induced dermatoses with potential for systemic morbidity and cutaneous effects of oncology drugs.

Nurse practitioners are uniquely positioned to lead interdisciplinary teams in the transition from fee-for-service to value-based reimbursement as they are trained in the nursing model with a focus on the perspective of patients and families as well as social determinants of health. To capitalize on this opportunity to better serve our patients and contribute to the financial viability of our organizations, NPs need an understanding of the value they deliver and a commitment to continuous quality improvement. In this presentation, I will define value and value-based care. I will share a history of value-based care, discussing CMS’s value-based programs and associated legislation. I will review the current and likely future fiscal importance of delivering high-value care and documenting it. I will explain the importance of capturing patient-reported outcomes (PROs) and discuss how NPs can lead in this process, sharing my own experiences with clinical implementation of PROs. I will discuss ways that NPs can quantify and increase the value they deliver and the importance of doing so in the current financially strained health care climate. Finally, I will discuss strategies to become a leader in value-based care and opportunities to learn more.

Given the chronic nature of obesity, a comprehensive, long-term treatment approach is needed. In this presentation you will learn how to incorporate the four pillars of evidence-based obesity treatment--nutrition, physical activity, behavioral counseling, and pharmacotherap--into a comprehensive treatment plan that may also include bariatric surgery. Real-life clinical scenarios will demonstrate how to apply your knowledge in a stepwise manner that improves the current and future health of your patients with obesity.

The presentation will introduce the audience to care of lesbian women. Topics discussed will include U.S. demographics, health disparities and the social determinants of health for this population, which differ greatly from the general population of women. Attendees will be introduced to the concept of sexual minority stress and the effects on physical and mental health and avoidance of health care. Common barriers to health care in this population will be identified. Attendees will learn how to provide an affirmative and inclusive clinical environment for lesbian women. Health conditions and risk factors in relation to lesbians will be discussed as well as assessment, screening recommendations and management options.

Chronic pain is a problem that affects millions of patients. Despite its ubiquity, solutions for treatment of chronic pain are few and far between. Helping patients address the root cause of pain, rather than simple pharmacological suppression, is the goal of providing long-lasting relief. Evidence demonstrates that all pain is created in the brain and is a signal of perceived danger rather than a direct reflection of tissue damage. By understanding how pain works, patients can be supported to explore the mind body connection and resolve their persistent pain. This presentation will provide an overview of the new science of pain and how to provide pain neuroscience education to your patients so that they can move towards a life free of chronic pain.

This session will review the use of evidence-based resources to assist APRN providers in leading the response to the epidemic of mental health crises in our youth. We will present and discuss evidence-based mental health interventions for anxiety, trauma and stress related symptoms, and depression in children and adolescents. Presenters will identify and discuss tools for addressing suicidal thoughts and behaviors in youth, including the American Academy of Pediatrics (AAP) / American Foundation for Suicide Prevention (AFSP) 2022 "Blueprint for Youth Suicide Prevention" to identify, support and treat children and adolescents at risk for suicide in any practice setting. Participation in this session will help increase the practitioner’s confidence in addressing these issues in daily practice.

Urban populations demonstrate some of the world's most prominent health disparities and are key targets for health disparities research. The creation of solutions to improve health and address health disparities in these complex, concentrated, and diverse urban environments is essential. People living in the same ZIP code can have a difference in life expectancy of more than 20 years due to factors such as economic stability, education preparation, employability, race and health care insurance access. Poor health outcomes for urban underserved patients related to these health disparities are well documented. HRSA and SAMHSA, and other organizations have spent billions of dollars supporting clinical practicum internships and incentivized employment opportunities across all health specialties with the hope of luring new providers into underserved areas to help improve poor health outcomes. Unfortunately, there exist fundamental gaps in comprehension and application of practical knowledge when preparing the student to actively engage urban patients. Urban providers need to recognize how social determinants of health, policy, perceptions, disparities and lack of resources impact health outcomes of underserved populations. In acknowledging the lived experience of urban patients and how disparities impact their daily lives, we can begin to build more effective patient-provider relationships.

This presentation will cover topics related to the transgender population and their health care. Topics covered will include U.S. demographics, terminology, health disparities, barriers to health care and providing affirmative and inclusive clinical environments for transgender people. Disparities of care in trans youth and older adults will also be examined. Various health risks that the transgender population face will be discussed in detail, along with screening guidelines and recommendations. The concepts of gender identity and the process of transition and affirmation will be explored. An overview of the medical and surgical management of the transgender patient and the guidelines for these therapies will also be examined. A list of local, state and national resources will be provided for the transgender population as well as for the providers.

Opioid use disorder treatment IS part of primary care, and NPs are primed to be the penultimate providers of this care. Learn the ins and outs of diagnosis and treatment of this chronic illness with recommendations for treatment and initiation of medications made easy. No specialist referral required!

Genitourinary syndrome of menopause (GSM) is a chronic, progressive condition affecting 57- 84% of postmenopausal women. Women experience bothersome symptoms such as vaginal dryness, irritation and dyspareunia. Other common quality of life issues may be affected, including sleep, general enjoyment of life, partner relationships and interference with everyday activities. Additionally, urinary symptoms-dysuria, urgency, and recurrent urinary tract infections, may occur due to changes in the vaginal microbiome caused by postmenopausal changes of estrogen. Yet in manuscripts published in The Journal for Nurse Practitioners (Pace et al., 2019; Chism et al., 2022), reporting on survey results, 72% of NP respondents were unfamiliar with the term of GSM. Evaluation results following a 2021 AANP presentation on GSM also demonstrated that in general, attendees desired more information on the diagnosis and management of GSM. These results demonstrate an opportunity exists to improve NP knowledge about the disorder and safety and efficacy of associated treatment options.

This engaging presentation will explore the need for the integration of mental health in HIV primary care by using a variety of interactive means. First, it will explore the premise for HIV care in primary care settings and the mental health/substance use comorbidities that exist in the HIV-infected population. It will also delve into the importance of providing mental health care to HIV-infected patients to improve patient and community outcomes. Furthermore, it will explain the integrated HIV care model that incorporates mental health care in HIV primary care settings. Finally, it will highlight the benefits, successes and opportunities of a project from a community health clinic that provides greater integration of HIV and mental health care.

Irritable bowel syndrome (IBS) is the number one clinical diagnosis in gastroenterology and remains the seventh most common diagnosis in primary care. The underlying pathophysiology of IBS is complex and multifactorial. As providers, it is imperative to understand the complex nature of this very common condition. This session will provide tools to make an accurate diagnosis of IBS and will  discuss both pharmacological and non-pharmacological management plans for the spectrum of symptoms that coincide with IBS.

This presentation is designed for advanced practice nurses and APRN educators who are looking to refresh their assessment skills. Despite the lack of evidence supporting the use of many assessment techniques, many APRNs and APRN educators continue to practice and teach these methods. This presentation will discuss how an evidence-based approach lays the groundwork for the integration of wellness, health promotion, and disease prevention into clinical practice, thereby ensuring patient safety and high-quality, cost-effective care. APRNs will review their advanced physical examination skills and be provided with the body of evidence on exam techniques that continue to be valid and reliable and those techniques, such as auscultation of bowel sounds and the primary care fundoscopic exam, that lack validity and reliability. The integration and appropriate use of labs and imaging will also be reviewed. Assessments that are evidence-based and integral to each patient encounter will be discussed.

Thoughts of the board of nursing calling often leave the practitioner feeling very anxious, when in fact the call may actually be an opportunity for professional growth. In this session we will cover: • General regulatory authority of boards of nursing including protection of the state’s citizens. • Opportunities within boards of nursing: resource, expert reviewer, expert opinion, consultant, member. • When would you want to call the board-Questions about practice, reference to and interpretation of state law and rule, public opinion on rule changes, filing a complaint. • Regulatory compliance reviews-Audits: what is included and what to have prepared. • Complaints-What may be filed as a compliant with the state, what is the typical process for reviewing a complaint. • Licensee response to a complaint inquiry-Professional response and crafting your message. • Most common types of cases and investigations, the board’s role in investigation and due process, the licensee’s response in an investigation and what to expect in the process. • Types of discipline-Letters of concern, reprimand, probation, suspension, and how and what is reported to the National Practitioner Data Bank.

NPs will see a significant increase in the number of geriatric patients as all baby boomers turn 65 years old over this current decade. The geriatric population will exceed younger populations for the first time in America. This surge of older people requires preparation of NPs in all specialties to assess the older population based on comorbidity guidelines, life goals and health status. The enormous high-level impact on health care organizations because of this population growth can be reduced if APRNs are aware of leading causes of hospitalizations and the importance of early interventions to reduce hospitalizations. This presentation will provide an explanation to coordinate and improve management and monitoring of the older population to reduce risk of hospitalizations and adverse events for geriatric patients. Goals for older Americans are to maintain functional abilities and promote life goals based on advance directive discussions. Suggestions addressing health care issues will be provided.

Medical marijuana is a current topic of conversations for prescribers, nurses, health care, and the community. The goal of this presentation is to provide non-biased knowledge of cannabinoids and the benefits and risks of using marijuana. We will review therapeutic indications, contraindications, adverse reactions, pharmacokinetics and we will touch upon social, legal, economic, political, financial, and health related implications to its use.

Drs. Schneiderman and Rapsilber embody both sides of the NP-MD dyad. We discuss the conflicts that plague cooperative medical care. In doing so we revisit Bates's classic papers, parse her insights and apply them to the much-altered health care landscape of 2023. Specific measures to enhance the cooperative nature of practice will be offered through interactive discussion with attendees.

Since the rapid emergence of the novel coronavirus in December 2019 and the subsequent development of a global pandemic, clinicians around the world have struggled to understand and respond effectively in health care systems already strained before this latest viral outbreak. Nurse practitioners are ideally situated as a trusted source of health information for children. This presentation summarizes the latest evidence on holistic health impacts of COVID-19 on children and their families.

In this course, you will learn the appropriate use of laboratory testing when evaluating common and less common anemias. Dr. Margaret Fitzgerald covers the clinical utility of common hematologic laboratory parameters that comprise part of the anemia workup, including evaluating combination anemias.

MaryAnne Sapio, AANP Vice President of Federal Government Affairs, and Dr. Tay Kopanos, AANP Vice President of State Government Affairs, will cover current state and federal policy issues and provide an update on active legislation at the state and national levels.

Long-term health implications for survivors of preterm birth extend beyond the confines of neonatal and pediatric health care. During childhood, preterm birth survivors experience increased rates of common conditions affecting physical and neurodevelopmental health. Long-term outcome studies reveal an increased incidence of comorbid non-communicable conditions, which compromise adolescent and adult health. Prematurity affects approximately 10% of all births in the US, with survival rates exceeding 90%. Consequently, all providers, regardless of specialty, treat preterm birth survivors. Despite the prevalence of preterm birth, health care providers report limited knowledge and education related to the significance of preterm birth’s effect on long-term health. Consistent with the 2015 the National Institutes of Health call for increased education and awareness regarding risks to the long-term health for those with a history of preterm birth, this presentation will address the implications of preterm birth in the adolescent and adult patient.

We will discuss current treatment guidelines for patients with symptomatic heart failure with reduced EF. We will focus on initiation and titration of therapy, specific patient populations and complex cases.

Many providers aren't sure about the biologic impact on libido, sexual response and risk of pain when recommending or prescribing contraceptive options to women. This evidence-based presentation will provide the plausible biologic influences of hormones as well as population-based data on outcomes.

Nurse practitioners will see a significant increase in geriatric patients as baby boomers turn 65 over the next decade. Knowledge of changes in aging allows assessments of an individual's need for medications based on comorbidity guidelines, life goals and health status. Principles provided guide NPs to evaluate patients with age-related changes when prescribing. Problems related to prescribing medications, barriers to reducing medications and assessing functional abilities of geriatric patients will allow evaluations to determine appropriate treatment. Aging physiological and cognitive changes should focus on medication reductions based on health status and personal goals. I will discuss specific high-risk medications and their impact, including reviewing high-risk medications in dementia that are dangerous and inappropriate and that should be eliminated to reduce morbidity and mortality. Tools to make the best individual medication plans will be shared. I will explain coordination and management to monitor prescription drugs and to reduce polypharmacy and adverse events for elderly patients.

This presentation will provide an overview of osteoporosis, a very common condition, especially in older adults. The presenters will review the definition, prevalence, risk factors and etiology of osteoporosis. They will also discuss in detail the screening and diagnostic tests, including radiologic and metabolic lab testing. They will review the pharmacological and non-pharmacological management of this condition and will include a discussion about the indications, contraindications and side effects of medications commonly used to treat this condition. New developments in osteoporosis diagnosis and management, as well as guidelines recommended by various organizations, will be discussed in detail. Prevention of osteoporosis and patient education will also be examined.

This presentation provides those thinking about precepting--or with minimal precepting experience--with information about how to precept. Information presented will include adult learning concepts, an overview of current nurse practitioner clinical coursework and how it relates to precepted clinical experiences, and ways to develop clinical reasoning in an NP student. Practical aspects of precepting, like finding a school for which to precept, negotiating with your practice, and strategies for maintaining NP productivity while precepting will also be discussed. Finally, goal setting, communication, feedback and evaluation of students will be examined.

To date, there are more than 355,000 nursepPractitioners (NPs) in the United States (AANP, 2022). There are many ways NPs can become more involved in their profession and stand out in their career. This presentation will describe NP statistics in the United States, characterize professional organizations and how being involved (volunteer groups, advocacy, media, mentorship and running for office) can help people stand out, recognize how professional presentations and publications can assist in NP success, distinguish awards and Fellowships available to assist in advancing NPs and identify steps NPs can take to be successful in their career.

CMS has implemented changes to reduce the administrative burden for providers in caring for patients. The overhaul of the 1997 CMS guidelines aids in streamlining clinical documentation requirements. This course will focus on what practitioners need to know regarding key changes for documenting outpatient encounters as well as changes to the current reimbursement structure for evaluation and management codes. This course will be a more advanced course, identifying key changes and the implications for reimbursement and clinical practice, and will not include basic documentation and coding instruction. Most of the key changes impact outpatient encounters, and the primary focus of this course will be the changes across primary care and select key specialty areas, including recent changes for telehealth reimbursement.

Lynch syndrome is a heredity form of colorectal cancer. It is an autosomal dominant genetic disease which includes DNA replication errors, and is associated with other cancers. Ethical issues surrounding testing family members can arise. Knowledge of cancer guidelines and careful history taking can enable the prevention, diagnosis and treatment of a potentially life threating cancer. Exploring ethical issues surrounding testing, treatments and emerging therapies will be discussed.

This presentation will begin by reviewing statistics regarding discrimination and implicit bias towards the LGBTQIA+ population that results in their reduced utilization of health care resources compared to other populations. Next, the presentation will review key sexual and reproductive health interventions to provide quality care to these individuals. Specific topics that will be included are how to ask about gender identity at well-child visits, providing exposure-specific STI screening and care, and initiation of PrEP and HIV management. We will also review evidence-based cancer screening recommendations. Finally, the presentation will review the conception, design and implementation of a clinic specifically designed for a particularly at-risk group of uninsured LGBTQIA+ individuals related to social determinants of health.

Keeping up with new medications, particularly given the recent trend towards direct-to-consumer advertising, is one of the true challenges of primary care. Dr. Wright will focus on the top new, widely used medications, including their appropriate uses, adverse effects and drug interactions.

This presentation assesses medications for appropriateness in older adults and helps the learner develop strategies to prescribe and discontinue medications.

Women at high risk for breast cancer may have risk factors such as genetic mutation carrier status, family history of breast cancer or history of breast atypia lesions. These previvors have fears and anxieties associated with cancer discovery. Addressing evidence-based plan of care, utilizing shared decision-making, and exploring ways in which they may manage these emotions will be reviewed.

Nurse practitioners often play a major role in the management of patients with Type 2 diabetes mellitus (T2DM) across the lifespan and in various settings. Based on the most recent data in the 2014 National Diabetes Statistics report ~ 30.5 million, or 10.5%, of Americans were living with T2DM (ADA, 2014). Diabetes has become financially burdensome, with the American Diabetes Association estimating associated cost to be $245 billion in 2012, along with $69 billion of reduced productivity (ADA, 2013). The management of T2DM requires a battery of resources including behavior modification strategies, medical nutrition therapy, and pharmaceutical therapies. Diabetes is prevalent and costly. Nurse practitioners and their patients face many challenges together in the management of diabetes. For diabetes to be managed successfully, it is imperative to incorporate an individualized patient-centric approach that requires patients to adopt numerous diabetes self-management strategies to help them reach their glycemic goals. Utilizing the chronic care model, nurse practitioners partner with their patients to develop a tailored management plan. This session will focus on management of the Type 2 diabetic patient with an emphasis on pharmacological management for patients with cardiometabolic needs. After a review of the multiple complex pathophysiological abnormalities of T2DM, the various medication options will be explored with regard to action and side effects, and then applied to cases with cardiometabolic comorbidities. The value of this presentation will be to explore the “sea of options” and to determine the best therapeutic approach for individual patients. The goal of this presentation is to advance T2DM therapy within the context of cardiometabolic burden with confidence since getting to goal can be difficult.

Vaginal infections and complaints are common problems for women across the life-span. In today's fast paced clinical setting, the vaginal exam and diagnoses can become draining. Many women may postpone coming in for an office visit until the problem has escalated. In this presentation, we will breakdown each vaginal problem in a simple way to understand the why and what treatment is needed for each issue. The participants will understand what is causing these infections, how to approach the issue, how to treat and how to counsel the patients.

Attended NP Invited Posters: Group 2 Posters exhibit for Friday only

APRN education focuses on the clinical aspects of training and little on the business side of generating revenue for a practice by correct coding and documentation for APRN services.  APRNs who are proficient in documentation and coding will be invaluable to a practice, whether their own or as an employee in an organization. APRNs need an understanding of CPT, ICD and documentation of MDM vs. time.  Social determinants of health (SDOH) are now valued.  Learn the tools to enhance documentation and reduce burden to have more time with patients and better work life balance. Learn how to reduce the likelihood of denials that affect the bottom line. Lastly, APRNs must understand how to translate the value they bring to care into risk taking opportunities in the value-based payment space.

The mental health needs of children, adolescents and families are great. There is often a long wait list for specialty child psychiatry initial referral appointments. This interactive seminar will provide a toolkit for health care professionals to take back to their practice to address the mental health needs of children, adolescents and families even within the time constraints of brief visits in busy practices. Valid and reliable screening tools for common mental health concerns in children and teens will be identified and the presenters will review current evidence-based assessment and management guidelines for child and adolescent psychiatric symptoms. The presenters have developed a set of evidence-based brief mental health interventions for 20- to 30-minute visits and will demonstrate how to implement these into practice. We will share the worksheets we keep in the clinic to promote mental health in children and adolescents of different ages and demonstrate how we use the worksheets to introduce MH concepts and schedule follow up visits to continue to monitor, assess and support that child or teen--even as referrals are made to specialty psychiatric services. Parent and patient education handouts that provide a variety of resources for children, teens, and parents or caregivers will also be identified.

This dynamic session will focus on current evidence that defines risk for cardiometabolic disease.  We will discuss and apply case studies that illuminate both the treatment and prevention of cardiovascular disease. We will discuss cardiovascular disease, diabetes and hyperlipidemia as they intersect in the pathophysiology and disease progression. This engaging session will include pharmacology relevant to the primary care provider.

Musculoskeletal pain is one of most common issues seen in primary care, and the use of injections for these disorders allows for comprehensive treatment options. Join us for an engaging workshop that will review orthopedic exam techniques in addition to procedure technique and patient considerations for musculoskeletal injections in primary care. Content includes injections for shoulder and knee joints, common tendonitis injections, trigger point injections and nerve blocks for headache. Attendees will alternate between observation of procedure technique demonstration and practice in small groups. This course is recommended to be taken after the COURSE #23.1.014 or 23.1.029 Musculoskeletal assessment in the diagnosis of common orthopedic conditions. Repeated in 23.4.065.