This workshop prepares health care providers to communicate in basic Spanish phrases effectively. Participants will gain a primary understanding of the Spanish language, an overview of Spanish-speaking cultures and the importance of holistic patient care to Hispanic/Latino populations. It includes an introduction to proper pronunciation, grammar and vocabulary to assess patients and take them to the next steps. By the end of the seminar, participants can verbalize basic Spanish salutations, health assessments and functions with conversational medical phrases.

The Commercial Motor Vehicle Certified Medical Examiner (CME) Training course is designed to ensure that all qualified health care providers are educated on the core curriculum established by the Federal Motor Carrier Safety Administration (FMCSA). This full-day (six ½ hours) workshop training program meets all the requirements of the final FMCSA rule for the National Registry of Certified Medical Examiners (National Registry) Core Curriculum Specifications. In accordance with 49 CFR 390.105 (b), this training includes the required eight (8) mandatory topics which must be covered in the core curriculum specifications. It includes the FMCSA & NRCME CME history about the rule, physical examination skills, clinical reference guidance and test-taking strategies for a daylong session to cover all required content to prepare the NP, DO, MD and PA to take the NRCME National CME Examination. Business owners may wish to take this course to build a new product line to add to their practice. Upon completion of this training, participants will receive the proof of training certificate required to take the NRCME examination.

Managing the airway is one of the priorities in acute care. This course will begin with a 30-minute lecture outlining the assessment and evaluation of the acute airway. Then, we will proceed with hands-on skills. The skill portion will allow the students to rotate through 4 skill stations. In station 1, they will learn how to open an airway using the triple airway maneuver, practice using the bag mask valve, oral, nasal airway and review the various oxygen supplementations as well as rapid sequence intubation drugs. In station 2, they will progress with more difficult airways with the use of supraglottic devices like the King/laryngeal airway, laryngeal mask airway and comb tube. Also, in this station, they will learn how to intubate using direct laryngoscopy. In station 3, they will practice intubation using video laryngoscopy. In station 4, students will perform invasive cricothyrotomy using pig tracheas.

This is a three-hour presentation geared toward acute management of lacerations. It reviews wound assessment and management, appropriate treatment options and patient assessment skills. Then, with a supervised practice session, hands-on techniques of insulation of local anesthetic, simple interrupted stitch, vertical mattress stitch and subcutaneous running stitch are demonstrated.

This is a workshop to overview what pediatric primary care nurses may see in their clinics and how to treat them, as well as a splinting workshop.

The Urgent Care Procedures Workshop will include some of the most common minor procedures performed by Advanced Practice Providers. A didactic session will be followed with 'hands-on' practice. Topics will include digital blocks, finger/toe dislocations, nail trephination, foreign body removal, olecranon bursitis, incision and drainage of abscess, tick removal, paronychia drainage, fishhook removal, nursemaid’s elbow, eyes, ears and nose procedures. Repeat of 24.1.027.

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, speculum examination and pelvic examination. Repeat of 24.1.029.

Musculoskeletal conditions are common in primary care and specialty practice while few NP training programs address musculoskeletal injection techniques in their curriculum. This workshop combines didactic information for the diagnosis of common musculoskeletal conditions with instruction on joint and soft tissue injection. Participants will practice injection techniques on high-fidelity mannequins during this informative workshop. This program will address indications, contraindications, pharmacokinetics and potential complications of a variety of medications and associated injection techniques. Repeat of 24.1.031.

Get to know aesthetics with this introduction to the most common Botox® cosmetic injections. This workshop includes didactic anatomy and injection techniques for the 11s, forehead and crow's feet. Your instructors, Cassie and Suzanne, will present how to get started in the aesthetics field, both clinically and important business concepts to start your own practice or side gig. The workshop will include marking the anatomy of other students in the course and will utilize styrofoam heads for injections. This is a primer to learn more about the aesthetics field and Botox® injection technique and will not replace a formal introductory injection course. Repeat of 24.1.032, 24.2.008 and 24.2.068.

This workshop prepares health care providers to communicate in basic Spanish phrases effectively. Participants will gain a primary understanding of the Spanish language, an overview of Spanish-speaking cultures and the importance of holistic patient care to Hispanic/Latino populations. It includes an introduction to proper pronunciation, grammar and vocabulary to assess patients and take them to the next steps. By the end of the seminar, participants can verbalize basic Spanish salutations, health assessments and functions with conversational medical phrases.

The Commercial Motor Vehicle Certified Medical Examiner (CME) Training course is designed to ensure that all qualified health care providers are educated on the core curriculum established by the Federal Motor Carrier Safety Administration (FMCSA). This full-day (6.5 hours) workshop training program meets all the requirements of the final FMCSA rule for the National Registry of Certified Medical Examiners (National Registry) Core Curriculum Specifications. In accordance with 49 CFR 390.105 (b), this training includes the required eight (8) mandatory topics which must be covered in the core curriculum specifications. It includes the FMCSA & National Registry CME history and exam development, vital federal statutes and physical examination skills. The Commercial Motor Vehicle Certified Medical Examiner (CME) Training Course clinical reference guidance and test-taking strategies for a daylong session to cover all required content to prepare the NP, DO, MD and PA to take the FMCSA National Registry’s CME Examination. Business owners participate in this course to build a new product line to expand their practice. Upon completion of this training, participants will receive the proof of training certificate required to register for The Commercial Motor Vehicle Certified Medical Examiner (CME) Training Course and the FMCSA National Registry examination.

This hands-on workshop will review the most used procedures for treating HEENT problems. Participants will practice facial suturing techniques, dental and auricular nerve blocks, nasal tampon insertion for epistaxis, tonometry to measure intraocular pressures, manual removal of ear, corneal and nasal foreign bodies and treatment of oral/dental injuries.

This educational workshop is highly engaging and a hands-on experience designed to expand the repertoire of wound management techniques. Participants will expand their knowledge of anesthesia by reviewing and practicing digital blocks. Practitioners will then review wound management techniques and atypical wounds on parts of the human body that require skilled techniques to manage. Additional suturing techniques will be reviewed and a discussion will be held on when it is best to use them in clinical practice. Following a break, the students will be able to have ample time to review demonstrations and practice these additional suturing steps with assistance from skilled suturing assistants.

This session will review common upper and lower extremity injuries seen in primary/urgent care. A discussion of the history and physical examination findings, radiographic evaluation and initial management, including basic splinting, will be demonstrated. Participants will have hands-on practice applying upper & lower extremity splints.

The Urgent Care Procedures Workshop will include some of the most common minor procedures performed by Advanced Practice Providers. A didactic session will be followed with 'hands-on' practice. Topics will include digital blocks, finger/toe dislocations, nail trephination, foreign body removal, olecranon bursitis, incision and drainage of abscess, tick removal, paronychia drainage, fishhook removal, nursemaid’s elbow, eyes, ears and nose procedures. Repeat of 24.1.010.

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 at 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 that have been proven to impact health care for this population in underserved environments and on humanitarian missions. Upon completing the (entire) workshop, the NP will receive a CCHS-A Certification and CE hours. *Additional training available; refer to conference session: Safety: De-escalating your homeless patient.

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, speculum examination and pelvic examination. Repeat of 24.1.012.

Musculoskeletal conditions are common in primary care and specialty practice, while few NP training programs address musculoskeletal injection techniques in their curriculum. This workshop combines didactic information for the diagnosis of common musculoskeletal conditions with instruction on joint and soft tissue injection. Participants will practice injection techniques on high-fidelity mannequins during this informative workshop. This program will address indications, contraindications, pharmacokinetics and potential complications of a variety of medications and associated injection techniques. Repeat of 24.1.010

Get to know aesthetics with this introduction to the most common Botox® cosmetic injections. This workshop includes didactic on anatomy and injection techniques for the 11s, forehead and crow's feet. Your instructors, Cassie and Suzanne, will present how to get started in the aesthetics field, both clinically and important business concepts to start your own practice or side gig. The workshop will include marking the anatomy of other students in the course and will utilize styrofoam heads for injections. This is a primer to learn more about the aesthetics field and Botox® injection technique and will not replace a formal introductory injection course. Repeat of 21.1.015, 24.2.008 and 24.2.068.

The prevalence of mental health disorders is rising with the coronavirus of 2019 pandemic, and millions of Americans reside in areas with mental health professional shortages. Primary care providers are in a unique position to address a gap in mental health service availability for millions of individuals in the United States. The goal of treatment for mental health disorders is symptom response, and whenever possible, sustained remission of symptoms, also known as recovery. Using a holistic conceptualization of recovery in mental illness, this presentation provides evidence-based guidance for initiation, titration, and discontinuation of pharmacotherapy for mild to moderate depression and anxiety in the primary care setting. The use of measurement-based care, selection of appropriate class and agent for individual candidates, and patient education are addressed. Up-to-date content on individual agents' indications, potential benefits, and considerations will be included. Best practices for troubleshooting, titration, and referral are discussed.

Antibiotics are frequently reported as allergies by patients, particularly antibiotics from the penicillin family. Most of these reported allergies are benign, and the consequences of alternative therapies can be significant. This review will deliver background information on penicillin allergies and serve as a guide to penicillin allergy management. The risk classification of penicillin allergies will be discussed, along with evaluation methods for reported allergies.

Climate change and climate crisis are major headliners in the news almost daily. Many providers may not recognize the impact climate changes have on primary care. Climate change is projected to result in 250,000 deaths annually from 2030 -2050, according to the World Health Organization. Through patient education the nurse practitioner can also empower a vulnerable population and subsequently reduce and eliminate health inequities aligning with Health People 2030. Nurse practitioners in primary care need to incorporate the appropriate questions encompassing employment and working conditions, as well as food, housing and energy security. This small inquiry into the patients’ lives can provide the nurse practitioner with a better understanding of the patient and how to manage the patient’s current medical conditions more effectively. For example, a patient with hypertension and insulin dependent diabetes living in a household without air conditioning and working outside may need medication adjustment, including eliminating the use of diuretics, as well as identification of sun or heat sensitive medications. This session will provide the nurse practitioner with the tools necessary to incorporate evidenced based care for patients with chronic and acute medical conditions experiencing the impact of the current climate change which can be considered a climate crisis.

It is estimated that there are 70 million persons in the world living with hepatitis C, with 5.2 million of those cases occurring in the US. The annual rate of reported acute hepatitis C tripled from 2009 to 2018 and was highest among persons aged 20-39 years. In 2018, the largest proportion of chronic hepatitis C cases occurred among persons aged 20-39 years and 50-69 years. Only 61% of adults with hepatitis C knew that they were infected. If left untreated, there is a 15-30% risk of developing cirrhosis within 20 years. The World Health Organization (WHO) has set a goal for hepatitis C elimination by 2030, and this target would require 90% of cases to be diagnosed, 80% of those to be treated, and efforts aimed at incidence reduction. For this reason, The WHO now advises that testing, care and treatment for persons with chronic hepatitis C infection can be provided by trained non-specialist doctors and nurses. Therefore, it is of the utmost importance that APPs are knowledgeable on the diagnosis and treatment of hepatitis C. This 60-minute lecture will provide an overview of the epidemiology, diagnosis, treatment and special considerations for management for those infected with hepatitis C.

An estimated one in five Americans has a psychological disorder, with nearly 17% of individuals taking at least one medication related to mental health. The most commonly prescribed drug categories include antidepressants, anxiolytics, and antipsychotics. Antidepressant prescription use alone has increased nearly 10-fold since 1988. Regardless of who is providing the prescription, primary care nurse practitioners must be aware of both the potential acute and long term effects of such medications. Examining the pharmacodynamics and the pharmacokinetics of these medications will help identify potential treatment challenges and withdrawal effects. Given the increasing prevalence of psychotropic medication use, nurse practitioners will need to proactively address associated medication effects such as ECG changes and metabolic syndrome that impact chronic disease management. This presentation will provide an overview of recommendations for the routine assessment and monitoring of patients taking psychotropics. Common side effects, potential drug-drug interactions, and possible life-threatening effects of psychotropic medications will be reviewed. Considerations for care coordination with specialty care such as psychiatry, neuropsychology, and addiction medicine will also be discussed.

Neutropenia triggers fear in health care providers and patients because the differential diagnosis includes malignancy of the bone marrow and it can cause fatal infections during myelosuppressive treatments such as in cases of anti-cancer therapies. But many health care providers are not familiar with a type of neutropenia called benign ethnic neutropenia (BEN) which is prevalent in groups that include Africans, African Americans, Arabs, Black Ethiopians and Yemenite Jews. People with BEN often belong to underserved communities in health care and when in good health, they are asymptomatic from their neutropenia. However, the lack of familiarity with BEN leads to delays in making a diagnosis and fuels reticence to continue treatments when people with BEN become severely neutropenic during neutropenia-inducing therapies. These delays can lead to suboptimal therapeutic treatments for patients with life-threatening health conditions. Nurse practitioners (NPs) are expert clinicians at the forefront of providing population-based care and their evidence-based knowledge is crucial for this patient population. This presentation will highlight the critical role that NPs play in removing barriers that people with BEN encounter in health care settings including when they are treated with neutropenia-inducing therapies.

As organizations strive to meet the evolving challenges in healthcare, the role of empowered board members becomes increasingly critical. Serving on a board demands a unique set of knowledge and skills that extends beyond traditional leadership abilities. In this session, we delve into the multifaceted competencies required for successful board service.

Migraine affects one in five women and has up to a four-fold prevalence in women versus men after puberty. Through case studies from adolescence through menopause, this presentation will review special considerations for migraine management in women throughout their lifespan. Discussions will include stigma that can accompany migraine and considerable disability that migraine can cause during the early to middle adult years in a woman's life. Along with the importance of appropriate treatment to reduce disability and increase quality of life.

Background: HST is a highly profitable human rights violation. Survivors of sex trafficking experience serious physical and psychological health consequences. Exiting from trafficking is difficult and recidivism is high. Many survivors of trafficking lack resources as they reintegrate into society. Aim: Explore the experience of female survivors of sex trafficking as they exited trafficking and reintegrated into society utilizing the survivors’ voice. The survivors’ experience with health care providers was also explored. Methods: Descriptive qualitative study design was utilized to explore the experience of reintegration into society for survivors of HST. Data was collected through semi-structured, in-depth interviews. The data was analyzed using qualitative content analysis. Results: Survivors’ identified exiting as hard and reintegration as even more difficult. Many questioned whether they had made the right choice. Identified themes included 1). Survivors’ lack of awareness regarding being a victim 2). Exiting is a process 3). Hierarchy of needs 4). Psychological distress of trauma and 5). Survivor empowerment Conclusion: Resources for survivors of trafficking are severely limited. Current research lacks studies that explore and describe successful reintegration from the survivors’ perspective. There is a continued need for human trafficking awareness and trauma training for providers.

It is estimated that roughly 30% of outpatient pediatric primary care visits are scheduled to address a skin condition or concern. For that reason, it is crucial for primary care providers to be competent and comfortable in recognizing and treating common pediatric skin conditions. This presentation will provide an overview of the most common pediatric skin conditions seen in primary care, how to effectively recognize and treat these conditions and when referral is indicated. Conditions covered will include molluscum, common warts, acne, atopic dermatitis and hair loss.

This presentation is designed to demonstrate how T2DM and obesity intersect through pathophysiology and treatment. ADA standards of care will be reviewed with an emphasis on the role of treating obesity. Current evidence of treatment diabetes and obesity will be reviewed with an emphasis on treating with similar treatment plans including intensive lifestyle treatments and pharmacology. Case studies will be utilized to demonstrate application of the science to an individual.

This presentation will begin by reviewing breast cancer statistics and the current guidelines for breast cancer screening. Risk models will be discussed along with supporting evidence. The most recent concerns with breast density as well as additional adjunctive methods of evaluation of women with heterogeneously and extremely dense breasts on mammogram will be introduced. Genetic testing will be discussed and the benefit of panel testing for some patients with elevated risk. New information on the use of AI in mammogram interpretation will be addressed. Pointers will be given on how to determine which patients meet the criteria for genetic testing. Patient case examples will be reviewed. Chemoprevention medications such as tamoxifen and raloxifene will be discussed.

The purpose of this presentation is to familiarize pediatric primary care providers with the identification and management of common rheumatologic diseases. Providers will gain a better understanding of the initial presenting symptoms of the following diagnoses: • Juvenile Idiopathic Arthritis • Reactive Arthritis • Systemic Lupus Erythematosus • Pain Amplification Syndromes • Chronic Fatigue Syndrome • Rheumatic Fever • IgA Vasculitis (Henoch Schoenlein Purpura) • Kawasaki Disease

This presentation will outline key strategies that promote early identification of behavioral and mental health concerns among children, teens and young adults. The presentation will offer evidence-based resources that are adaptable to primary and specialty care settings and suggest innovative approaches to addressing patient/family needs in effective and efficient manner, aiming to alleviate long-term health risks such as substance use disorder, self-harm, sleep disruption, suicide. The goal is to engage and empower the audience to use readily available resources to enhance surveillance and early intervention for behavioral and mental health conditions.

Worldwide about 1 in 16 women aged 20 and older (6.2%) have coronary heart making CVD is the #1 Killer of women. Recognition of heart Dx is often delayed in women. It is complex, with many female-only risk factors impacting future CV disease. Women tend to present differently & arrive later. Up to 70% of women will have non-obstructive CAD (microvascular coronary artery disease). Non-obstructive CAD used to be thought of as benign and is now recognized as coronary endothelial dysfunction that initiates cardiac remodeling. Reduction of the coronary flow reserve (CFR) indicates an increase in myocardial metabolic demands and cellular changes with oxidative stress. Combined with natural higher sheer forces, heart rate and smaller vessels add to the CAD in women. Unique female past medical histories that increase CVD risks include preterm, Preeclampsia /HELLP, placental syndromes, Gestational Diabetes, Polycystic ovarian syndrome, and any menstrual irregularities. Women have CV disease, receive less treatment, less medications, less rehabilitation, and die sooner illustrating inequity in care despite evidence-based research clearly providing OB/GYN histories that increase risk stratification and microvascular pathophysiology. Yet women are the primary preparers of food and key to healthy habits within the home. Treating women appropriate for CVD would decrease health inequities and save women’s lives. .

Lyme disease is the most common vector-borne disease in the United States, with approximately 476,000 people diagnosed and treated each year. Advanced practice providers in both high and low-incidence areas may encounter Lyme disease, particularly with endemic areas expanding and increased patient travel. This session will review common presentations of Lyme disease as well as appropriate diagnostics and treatment plans utilizing the 2020 Lyme disease guidelines, with a focus on pediatric patients and differences in presentation and treatment. This session will also address common misconceptions in the diagnosis and treatment of Lyme disease identified from a 2022 survey of more than 600 advanced practice providers and other medical professionals.

Join national experts as they take you from your idea for a presentation, writing a successful abstract, then creating a poster presentation and PowerPoint slides for a podium presentationl. Gain insight into how to successfully package yourself when presenting to a local, state, national or international audience.

Infective endocarditis is defined by a focus on infection within the heart and is a feared disease by clinicians as the challenges posed by infection endocarditis (IE) are significant. With the increase in intravenous drug users, there is an increased incidence of infective endocarditis. Staphylococcus aureus, which has become the predominant causative organism in the developed world, leads to an aggressive form of the disease, often in vulnerable or elderly patient populations. With the rising increase in this disease, it is imperative that clinicians are able to recognize and treat these individuals. Learn about the types of and common causes of endocarditis, along with medical and surgical treatment measures and the latest relevant guidelines.

Mitral valve disease is one of the most prevalent valvular heart diseases in the world. Mitral regurgitation is the most common etiology of mitral valve disease, which affects up to 10% of the population. Nurse practitioners in a variety of clinical practice areas may encounter a patient with severe, chronic mitral regurgitation and they should be able to identify these patients. By providing evidence-based care for these patients, the quality and duration of their lives can be increased. This presentation will provide all nurse practitioners with the diagnostic skills and knowledge to successfully identify these patients. Mitral regurgitation treatment options will be reviewed, with a focus on less invasive therapy options. In addition, guideline-directed medication therapy will be discussed for those patients experiencing heart failure. Case studies will help integrate concepts into real-world scenarios and engage the audience.

By invitation only.

This presentation focused on the importance of NPs creating disruption in healthcare. Disruption is relevant to your role as State Liaison, which is to remove barriers, monitor change, and improve access to care in your states. Access to NP care is vital to creating equitable healthcare and healthy communities

Purpose: To help nurse practitioners identify common sleep disturbances affecting their patient’s essential sleep needs and overall health.

This presentation will inform the Nurse Practitioner about the current and emerging infectious diseases in the U.S. and worldwide. This session will provide information on diagnosing and treating the current infectious diseases that should be on your radar.

During this presentation, presenters will discuss the need for primary care and other non-mental Health Care providers to address their patients' growing mental health needs and provide some brief training to educate and equip the Health Care provider to better manage their patient’s mental health needs. They will be able to identify common mental health concerns, provide evidence based first line treatment that is within their scope of practice, and determine when it is necessary to refer the patient to a mental health provider. Validated screening tools are used to help identify patients who may be at risk for a mental health disorder. These screening tools are evidence-based and consider the limited amount of time health care providers have with their patients. Handouts including resources will be provided to be used in non-mental health practice settings.

According to the World Health Organization, headaches are the most common disorder of the neurological system, with half of the adult population having had a headache within the last year. Despite this frequency of presentation, headache is rarely appropriately recognized and diagnosed. This presentation will review epidemiological data, red flags requiring imaging, and diagnostic criteria. Knowledge will be tested via interactive case studies looking at numerous patient presentations and deciding the need for workup, providing a diagnosis, and next step recommendations,

Mitochondria are responsible for vital life functions, including heat production, detoxification of reactive oxidative species, and cell apoptosis. Mitochondrial diseases occur when mutations in either mitochondrial DNA or nuclear DNA lead to altered functions of the proteins or RNA function within mitochondria, causing impaired energy production. Mitochondrial diseases may present at any age with multi-systemic dysfunction. Nurse practitioners may identify patients in primary or specialty care that require further evaluation, including those exhibiting diseases involving >=3 body systems. Presenting symptoms can include developmental delays, vision and hearing loss, failure to thrive, neuromuscular weakness, cardiac impairment, and diabetes. While not considered curable, early identification and treatment of disease sequelae can enhance longevity and quality of life. This presentation will i review of the basics of cellular energy, including electron transport chain production of ATP, to explain how any break in this chain can cause cellular dysfunction. Discussion will include genetic diagnosis and treatment of several more common mitochondrial diseases (including Leigh Syndrome, Kearns-Sayre Syndrome, MELAS, and Leber’s Hereditary Optic Neuropathy).

This presentation will look at common pediatric orthopedic problems and how to distinguish which need referrals or which may just need reassurances.

Meningiomas are the most common of all primary brain tumors. They are benign growths of the covering of the brain. Management ranges from observation to surgical resection and/or focused radiation. Effective communication amongst specialties as well as understanding of the pathology and indications for treatment are vital in-patient care to ensure best patient care.

This presentation will provide an overview of planning and executing a quality, effective, and efficient experiential learning environment for NP students and preceptors. Planning is an important initial step to incorporate students in a busy clinical setting. Beginning with a self-assessment, participants will be able to determine their own benefits and barriers to working with NP students and plan accordingly. Kolb’s experiential learning theory will guide teaching and learning strategies and when they are best utilized. As time to teach is often recognized as a common barrier to working with students, the presentation will wrap up with an analysis of topics covered and their relationship to time management. The expected outcome is that clinical preceptors will build up their teaching toolkit to improve the experience for students and themselves!

Gold standard treatment protocols under an equity lens.

Background: Human trafficking is a highly profitable human rights violation. Survivors of human trafficking (HT) experience serious physical and psychological health consequences, which may begin prior to trafficking and extend beyond the period of exploitation. Vulnerabilities during childhood increase the susceptibility to grooming for HT. Adverse Childhood Experiences (ACEs) are potentially traumatic events that occur during childhood. Health Care providers (HCPs) are key to the identification, referral and treatment of victims. Purpose: To educate HCPs on HT and the intersection of ACEs. To review the Health Care response. Methods: A secondary analysis of a qualitative study which included interviews of 30 survivors of HT was completed. Findings will be reviewed to include the incidence of familial trafficking, health Implications and long-term effects related to ACEs and HT. ACEs will be discussed with a focus on the intersection of ACEs and HT. Conclusion: Findings from a CDC study (Kaiser) revealed that ACES is common and can negatively impact the child's sense of safety. A relationship between the number of ACEs reported and associated negative well-being across the life course was noted. The Health Care response and resources are needed. Improving the HCPs' awareness will help with early identification and intervention in cases of HT.

Opening night at the 2024 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 25, 5:30-7:00 p.m.

The FCCS course was developed to prepare non-intensivists to manage the care of critically ill patients for the first 24 hours until transfer or appropriate critical care consultation can be arranged. This two-day course includes a series of presentations and skill stations designed to provide knowledge, guidance for decision-making and limited practice in some clinical procedures and scenarios. Participants who successfully complete the course receive a certificate of completion.

FCCS Schedule:

Wednesday, June 26

7:30 AM - 12:45 PM - 24.2.006- Lectures - Part 1

Wednesday, June 26

2:00 PM - 5:00 PM - 24.2.07 - Skill Station - Part 1

Thursday, June 27, 2024

7:45 AM - 12:15 PM - 24.3.006 - Lectures - Part 2

Thursday, June 27, 2024

1:30 PM - 5:30 PM - 24.3.102 - Skill Stations - Part 2

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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 the time of conference registration. Once you are registered, a link from the Society of Critical Care Medicine will be sent to you.  YOU MUST COMPLETE THE PRETEST FIRST.  Upon completion, you will be able to download the e-book and all the modules.  Additionally, a letter will be sent to you from the 2 directors of the course with further details.

Learn how to apply point-of-care ultrasound in the acute care setting. Ultrasound faculty from across the country will help the learner understand its applications for the acute care provider. There will be classroom material, hands-on scanning with ultrasound machines, and a video review of actual pathology. The following topics will be included: advanced cardiac, FAST/FAFF, biliary/gallbladder, and RUSH/Shock assessments. You should have either registered for the Introduction to Point-of-Care Ultrasound course the day prior or have ultrasound experience to register for this workshop.

Get to know aesthetics with this introduction to the most common Botox® cosmetic injections. This workshop includes didactic anatomy and injection techniques for the 11s, forehead and crow's feet. Your instructors, Cassie and Suzanne, will present how to get started in the aesthetics field, both clinically and important business concepts to start your own practice or side gig. The workshop will include marking the anatomy of other students in the course and will utilize styrofoam heads for injections. This is a primer to learn more about the aesthetics field and Botox® injection technique and will not replace a formal introductory injection course. Repeat of 24.1.015, 24.1.032 and 24.2.068.

This seminar will review the pathophysiology, evaluation, and management of thyroid disorders and emergencies. Current screening guidelines and controversies and diagnostic methods will also be discussed. Using case study exemplars participants will practice developing comprehensive diagnostic workups and analyzing findings to differentially diagnose and develop appropriate treatment plans for symptomatic, asymptomatic, and life-threatening thyroid conditions.

Recent studies and nationwide polls have found that health care workers are 5x more likely to experience workplace violence than employees in all other industries. Nearly 70% of emergency nurses report being hit or kicked and nearly half of ED physicians report having been physically assaulted while at work. As the percentage of the homeless population increases, special attention and special techniques are required when de-escalating this patient population. The presenters have spent over two decades developing a system to de-escalate homeless patients in their homeless clinics. In this engaging 60-minute presentation, the NP will be trained in a three-step system to gently de-escalate a patient/s and will also participate in a standardized patient simulation to allow the NP to apply their newly learned skills in a real-world situation. *Additional training available: refer to pre-conference workshop: Homeless? New Approach to Care of the Underserved

This session will cover the basics of our court system and lawsuits, including the use of litigation as a tool for change when legislation fails to protect our rights.

Practice ownership can be a challenging path to pursue. Nurse Practitioners (NPs) often witness problems within their communities and aspire to establish a practice to address those issues. However, starting, developing, and building a practice can seem like a daunting task, as it requires more than just putting up a sign. Our panel of practice owner experts will share their journeys, outlining the challenges they faced and the lessons they learned. They will also discuss the benefits and rewards of being a practice owner. This is your chance to get all your questions answered by the experts in the field.

You may have seen Dominique Dawes breaking records as a gold-medal-winning gymnast and part of the 1996 Summer Olympics “Magnificent Seven” squad. Today, Dawes is a business owner, author and motivational speaker. The Olympian shares her experience of setbacks and success to audiences around the globe — reminding everyone that defeat should never define you.

Born in Silver Spring, Maryland, Dawes began training in gymnastics at the age of six. She started competing at nine, traveling the world and showcasing her skills on the balance beam and in floor exercise. Competing in the Olympics, Dawes made history as the first African American gymnast to win an individual medal and as the only female U.S. gymnast to be a part of three Olympic medal-winning gymnastic teams.

Along the way, she encountered her share of adversity, including the occasional difficult defeat on the gymnastics floor and having to compete with some combination of tendinitis and Osgood-Schlatter disease. In her post-Olympics career as a motivational speaker, entrepreneur, coach and advocate for healthy lifestyles and autism awareness, Dawes expands on the public victories and personal challenges she has experienced and challenges audiences to succeed on their own terms.

This presentation will provide the prescriber with the latest evidence-based strategies for anti-obesity medications. This will include an overview of FDA-approved medications and those in the pipeline. A review of obesogenic medications will be included with possible alternatives. With nearly 70% of Americans with pre-obesity or obesity, it is imperative that NPs understand the medication options for treating the chronic, progressive, relapsing neuroendocrine disease of obesity.

Vaccines have had one of the most significant impacts on protecting the health of individuals and communities. Over time, the vaccine recommendations and schedule have increased in complexity. Nurse Practitioners in all practice areas can promote vaccines to prevent disease and cancers. This presentation will provide the latest guidelines for vaccine recommendations across the lifespan. Vaccine recommendations for special populations and strategies for improving vaccine acceptance will be discussed. This session will provide the tools and knowledge to assist all NPs in determining the vaccines needed for each age of the patient.

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.

Cutaneous manifestations of systemic disease are common, can help to establish a systemic diagnosis and can serve as the initial sign of a systemic disorder. It is extremely beneficial to the patient if the Nurse Practitioner can identify an internal disease by recognizing atypical skin lesions or eruptions.

Performing an abdominal exam on a pediatric patient can be challenging as the differential diagnoses are broad and age-dependent. Clinicians who are caring for a patient with a chief complaint of abdominal pain may struggle with the decision of whether or not to obtain further diagnostic testing, refer to the emergency department, obtain a surgical referral, or discharge the patient home with reassurance. As an experienced APRN, I have been consulted for multiple abdominal complaints and have guided students and providers through the medical decision-making for this common complaint. This dynamic presentation will provide age-specific presentations of a pediatric patient with abdominal pain and guide the learner through key history-taking points, exam techniques, and common and uncommon differential diagnoses. Specific vignettes will be posed, and learners will have the opportunity to approach each one in a step-wise fashion to affect the best patient outcome. The vignettes will be offered in a manner that addresses APRNs in the outpatient, emergency department, and acute care settings.

Climate change is warming our world, causing heat waves or extreme heat and leading to heat illnesses such as heat exhaustion and heat stroke. Heat also affects the onset of new medical conditions, the progression of preexisting chronic conditions, and persons on certain medications. Some populations such as children, the elderly, and persons of low socioeconomic status are more vulnerable than others to heat illness. Nurse Practitioners can play a pivotal role in understanding how climate change can result in heat illness, in advancing practice to prevent and protect against these heat-related health impacts, and in advocating for heat-related health-protective policies and legislation, especially for vulnerable populations.

The Health Care industry contributes 8% of our nation’s carbon footprint and must employ multi-pronged strategies to reduce carbon emissions. Many APRN-led interventions that measurably improve health also reduce GHG emissions, and through employing these co-benefit strategies, APRNs can simultaneously improve health outcomes for patients, reduce environmental contributions to health inequities and improve the health of our planet. Asthma is directly impacted by air quality and disproportionately impacts low-income families, already burdened by multiple intersections of social, environmental and commercial determinants of health. Costing roughly $50 billion annually, asthma impacts 26 million Americans, results in 439,000 hospitalizations, and 1.7 million emergency department (ED) visits (Centers for Disease Control, n.d.). Optimizing asthma control improves health outcomes for individuals, lowers stress on families, and reduces Health Care costs. Switching from pressurized metered dose inhalers (pMDIs) to dry powder inhalers (DPIs) improves asthma control and reduces carbon emissions. This presentation will share evidence-based interventions for improving health outcomes for asthma and reducing the cost burdens for families and the Health Care system, as well as reducing GHG emissions associated with common treatment practices, using a case example. Clinical pearls for prescribing, patient education and monitoring, as well as policy advocacy will be discussed.

This session is for providers in primary care/family practice, women's health, endocrinology, cardiology, cardiothoracic or vascular surgery, or other clinical setting to enhance your clinical practice of patients who require primary or secondary prevention. The session will include current recommendations for Lipid screening across the life span, the importance of lifestyle modification, current guidelines for Lipid management, screening for common Lipid disorders, ruling out secondary causes, and when to refer to the Lipid clinic for advance therapies.

Substance use disorders are among the most serious chronic diseases and most often begin in the pre-teen and teen years. This session will review the neurobiological science that explains the unique vulnerability of the developing brain and discuss changes that can occur because of early substance exposure. Employing a public health approach to addiction requires removing traditional siloed thinking about individual substances and pushing back against the assumption that youth substance use is inevitable. The health standard for youth is One Choice: no use of any alcohol, nicotine, marijuana, or other drugs by youth under age 21 for reasons of health, a framework that is informed by two nationally representative surveys on youth substance use behaviors. We will discuss common risk factors for substance use, including the role of Adverse Childhood Experiences (ACEs) and Social Determinants of Health (SDH), and how One Choice fits into the recommendations of the American Academy of Pediatrics on screening, brief intervention, and referral to treatment (SBIRT). One Choice reframes youth substance use as a health issue, not a moral one. A discussion will follow about how health-focused prevention strategies can be integrated into the work of nurses with youth, families, and communities at large.

Currently, there are more than 2 million active-duty American Service Members and Reservists. Over half of them are married. These spouses and partners have guaranteed access to health care through TriCare. Due to the demands of military life and culture, military spouses/partners face challenges in each area of the social determinants of health. Although there is access to care through Tricare, that access may not provide enough or sufficient coverage for critical needs like mental health. Disparities still exist. There are several reasons for perpetuation of disparities including stigma associated with seeking some care, Defense Health Care priorities, lack of continuity with civilian health services, frequent relocation and provider turnover. Addressing these disparities and strengthening social determinants is critical. The mental health and physical well-being of spouses have been directly linked to the resilience of military children and families throughout the deployment cycle. Also, spousal well-being societal engagement are a critical component of readiness and retention – both important facets of maintaining military force. These are important constructs for Nurse Practitioners because a majority of these partners/spouses seek care outside of military facilities. All NPs need to be able to thoroughly screen for military connections and associated care needs.

The maxim, "when you hear hoofbeats, think of horses, not zebras" was coined by Dr. Theodore Woodward in the 1940s and since then continues to be commonly referenced when diagnostic mysteries present themselves in our clinics or hospitals. This presentation will provide the nurse practitioner with skills to differentiate between rare and common diagnosis through three case studies. Medical decision-making and biases will also be reviewed, providing the nurse practitioner with improved understanding of the cognitive processes that form clinical judgement. This interactive presentation will leave the participants with a new insight into their diagnostic skills, medical decision-making process, and will encourage everyone to look for zebras without losing sight of the horses!

An overview of migraine diagnosis, a brief discussion of older therapies, and an in-depth discussion on ditans, gepants, cgrp monoclonal antibodies, and Neuromodulation devices along with application of these therapies in case scenarios.

This presentation will demystify the publication process for the new author/researcher using the policies and procedures of the Journal of the American Association of Nurse Practitioners as exemplars. Participants will gain confidence in writing for publication while attaining specific knowledge of the publication process used by the JAANP

Adverse outcomes of addiction, unintentional overdose, and death resulting from inappropriate prescribing, abuse, and misuse of opioids have emerged as major public health problems. The importance of widespread and effective pain management education in combating the opioid crisis cannot be overstated. Clinicians face inconsistent pain management practices and lack of aligned pain management guidelines. It is critical that NPs are knowledgeable about the risks associated with opioid analgesics as they pertain to their patients as well as from a public health perspective.

Objective will be to define disease states, classic symptoms of each condition, pathophysiology, testing to diagnose condition, discuss differential diagnosis and offer current treatment options available.

Open to Active and Retired Military & USPHS Attendees ONLY

The opioid epidemic has persisted and worsened since 1999. In 2021, over 70,000 people died from opioids, predominantly fentanyl, in the United States. To reduce overdose deaths, the Biden-Harris administration has significantly increased funding and prioritized harm reduction as one strategy to meet the needs of people with substance use disorders. Therefore, NPs need to have the basic knowledge and set of tools to assist patients with substance use disorders at any stage of drug use and recovery. Harm reduction meets the patients where "they are at" and identifies practices to reduce harms associated with drug use. This presentation will describe the most current overdose epidemiology and its related legislation to reduce the toll of overdose deaths. We will examine innovative and effective harm-reduction practices and strategies that NPs can incorporate into their routine clinical care when engaging people who use drugs. In addition, we will discuss communication strategies to reduce the stigma of addiction. Videos and quizzes will be incorporated throughout the lecture for audience engagement. Lastly, harm reduction supplies such as naloxone, syringes, cookers, fentanyl test strips, etc., will be brought and described to further engage the audience.

Common injuries to the lower extremity include ankle and foot injuries. Assessment of these injuries includes x-ray interpretation and knowledge of common and high-risk injuries. This presentation will also highlight metatarsal injuries that are at high risk for avascular necrosis.

This presentation will frame the basic scientific principles of chronic wound care using the TIME principles of wound healing: Tissue Management, Infection prevention/control, Moisture Balance and Edge care. Within this framework, we will explore the evidence as it relates to safe methodologies to clean and prepare wounds for healing, along with identifying many cytotoxic solutions that are unfortunately used in everyday practice, both in medical offices and home remedies. Various dressing category types will be explored to assist the participant in understanding the wide selection of topical products available for use on wound types, with a basic decision-making tool provided for how to select an advanced wound dressing. Four patient case studies with wounds will be presented, and participants will be encouraged to select a starter plan of care for each unique patient situation using all of these concepts.

Increasingly, advanced practice registered nurses (APRNs) are being named as defendants in civil malpractice litigation, with the average cost per claim costing hundreds of thousands of dollars (Nurses Service Organization [NSO], 2022). The etiology for this is multifactorial, but claims involving wrongful death remain the most common malpractice claims against APRNs (NSO, 2022). Despite their increased risk, APRN education is largely devoid of topics on issues surrounding malpractice (Sweeney, LeMahieu, and Fryer, 2017). This presentation will dissect the anatomy and regulatory threshold of necessity in malpractice lawsuits, describing the essential elements required for a plaintiff to file litigation against an APRN. In addition, an overview of the most recent data regarding APRN malpractice litigation will be discussed. A variety of real malpractice cases against APRNs will be closely explored and scrutinized. Applying events and causal factor analysis (American Society for Quality, 2022), strategies will be provided that APRNs can directly apply in their clinical practice to lessen their risk for malpractice liability and negligence. Specific recommendations related to maintaining focus on scope of practice boundaries, performing and documenting pertinent physical examination findings, and developing, documenting, and evaluating plans of care in acute and critical care settings will be emphasized.

School avoidance and refusal is one of the most common reasons for parents to seek mental health assistance for their child. PNPs and other Pediatric providers are often called up to assist, but may lack the knowledge of how to evaluate, treat and monitor this tricky situation. This presentation will include a case study in which we walk through the steps for assessment, diagnosis, discuss concurrent/ complicated psychiatric disorders, and how to help children and families navigate a successful return to school. Clinical ‘PEARLS’ will be offered by the presenter, a PMHNP who is currently practicing in Child/ Adolescent Psychiatry.

This presentation will shine a light on an often-overlooked differential diagnosis. In fact, patients with advanced heart failure may present to the clinic with cardiogenic shock. Therefore, early recognition and triage are imperative to FNP and AGACNP providers alike. We will review common etiologies, physiologic derangements, candidacy for escalation to mechanical circulatory support, and how to apply this knowledge to clinical practice.

It's not just Lyme disease to worry about anymore! Ticks can transmit viruses, protozoans, and bacteria, causing more than just Lyme disease. Health Care providers are under-educated about this national issue. The need to know how to recognize and treat these infections appropriately has taken on greater significance. This session will address the common and uncommon clinical presentations of a variety of tick-borne illnesses including Lyme, Babesiosus, Anaplasmosis, Ehrlichiosis, and Rocky Spotted Mountain Fever that can cause other co-morbid and life-threatening conditions. Attendees will learn what treatments and therapies are currently used for the best patient outcomes.

This session explores vasopressor titration in detail to enrich the learner's knowledge of titration in patients with septic shock. Pathophysiology and pharmacology of vasopressors are discussed. Titration of vasopressors to achieve clinical endpoints is solidified. Updated Joint Commission Titration Guidelines and the documentation burden on nurses are also discussed. Case studies are used to enhance discussion points.

An overview of Erectile Dysfunction (ED) and Testosterone Deficiency (TD), including the risk factors, causes, quality of life impact, diagnosis and treatment. Treatment will review medical therapy and surgical option overview.

This presentation with assist all attendees in the process of evidence-based practice (EBP), be one a novice or expert NP as well as nursing faculty and students. This will be a strong opportunity for faculty to facilitate coursework in EBP or within DNP programs. We will review the initial steps of EBP: developing a spirit of inquiry, authoring a well-constructed PICOT question, and initiating the search for one's deep dive into the evidence. This will be part 1 of a 2-part series of presentations. Attendees will have the opportunity to practice the skills prior to the second session on a subsequent day. Attendance at both sessions is not required; they will stand alone; however, they will be symbiotic.

Participation in clinical trials is crucial to finding new treatments and improving patient outcomes, yet only about 1 out of every 20 American adults has ever participated in one. NPs who attend this session will get a comprehensive overview of what a clinical trial consists of and find out how they can stay informed of opportunities that may be relevant to their patients.

Explain what acupuncture is and how it works in the body by way of a review of Traditional Chinese Medicine theory. Scientific research review of outcomes of common ailments treated by acupuncture vs traditional Western treatment. Different types of acupuncture will be reviewed including microsystems, Acupressure vs Acupuncture, tools used. Risks and Safety concerns will be addressed as well as the use of " Dry Needling" in western practice. Concluding with licensing requirements and education requirements, and emphasizing that when used in conjunction with Western medicine, acupuncture is a valuable tool

This presentation delves into palliative care and end-of-life (EOL) conversations using life sustaining orders (LSO) as a template for provider-patient-family communication. This talk emphasizes a compassionate approach in discussing patient’s EOL choices from life-limiting health conditions that expands beyond traditional modalities of analgesic pain management to a wider range of comfort measures. The presentation provides examples of nontraditional settings to demonstrate the use of LSOs and covers practical steps for implementation in differing populations and theaters. The session concludes with insightful case studies, providing real-world applications of these concepts.

Exposure to trauma, especially repetitive trauma, creates identifiable changes in the brain. Earlier identification can help prevent or mitigate these changes. Differential diagnoses and common co-morbidities will be discussed. Evidence-based pharmacological and non-pharmacological interventions and current treatment guidelines will be presented.

Adverse outcomes of addiction, unintentional overdose, and death resulting from inappropriate prescribing, abuse, and misuse of opioids have emerged as major public health problems. The importance of widespread and effective pain management education in combating the opioid crisis cannot be overstated. Clinicians face inconsistent pain management practices and lack of aligned pain management guidelines. It is critical that NPs are knowledgeable about the risks associated with opioid analgesics as they pertain to their patients as well as from a public health perspective.

According to the latest statistics from the 2023 Center for Disease Control report, there are an estimated 38 million people diagnosed with diabetes. As many as 5% of these cases will have an uncommon or rare form of diabetes including latent autoimmune diabetes in adults (LADA), maturity onset diabetes in the young (MODY), cystic fibrosis related diabetes (CFRD), or drug and chemical induced diabetes. This presentation will explore how to recognize and treat these conditions as well as the screening opportunities available in the primary care setting.

Learn how to apply point-of-care ultrasound in the primary care setting. Ultrasound faculty from across the country will help the learner understand its applications for the primary care provider. There will be classroom material, hands-on scanning with ultrasound machines, and a video review of actual pathology. The following topics will be included: MSK, soft tissue, ocular, and biliary/gallbladder assessments. You should have either registered for the Introduction to Point-of-Care Ultrasound course the day prior or have ultrasound experience to register for this workshop.

Get to know aesthetics with this introduction to the most common Botox® cosmetic injections. This workshop includes didactic anatomy and injection techniques for the 11s, forehead and crow's feet. Your instructors, Cassie and Suzanne, will present how to get started in the aesthetics field, both clinically and important business concepts to start your own practice or side gig. The workshop will include marking the anatomy of other students in the course and will utilize styrofoam heads for injections. This is a primer to learn more about the aesthetics field and Botox® injection technique and will not replace a formal introductory injection course. Repeat of 24.1.015, 24.1.032 and 24.2.008.

This workshop will focus on the proper use of punch and shave biopsies and cryotherapy in a primary care setting. Mastering these skills will help ensure proper diagnosis of skin disorders as well as ensure proper referrals and treatment.

The FCCS course was developed to prepare non-intensivists to manage the care of critically ill patients for the first 24 hours until transfer or appropriate critical care consultation can be arranged. This two-day course includes a series of presentations and skill stations designed to provide knowledge, guidance for decision-making and limited practice in some clinical procedures and scenarios. Participants who successfully complete the course receive a certificate of completion.

FCCS Schedule:

Wednesday, June 26

7:30 AM - 12:45 PM - 24.2.006- Lectures - Part 1

Wednesday, June 26

2:00 PM - 5:00 PM - 24.2.07 - Skill Station - Part 1

Thursday, June 27, 2024

7:45 AM - 12:15 PM - 24.3.006 - Lectures - Part 2

Thursday, June 27, 2024

1:30 PM - 5:30 PM - 24.3.102 - Skill Stations - Part 2

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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 the time of conference registration. Once you are registered, a link from the Society of Critical Care Medicine will be sent to you.  YOU MUST COMPLETE THE PRETEST FIRST.  Upon completion, you will be able to download the e-book and all the modules.  Additionally, a letter will be sent to you from the 2 directors of the course with further details.

This presentation will discuss the pharmacologic treatment of various behavioral health issues, focusing on pertinent information about 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.

This session will focus on the benefits of the nursing model and the qualities necessary to embark on developing a successful and sustainable business. Discussion of the challenges and opportunities to create unique practices within communities will ultimately change the trajectory of healthcare delivery.

This presentation examines the most current epidemiologic data on HIV infection in the United States, including an overview of persons at highest risk, the most recent data on incidence and prevalence (including geographic, sex, ethnic, and transmission variations), and the impacts of recent advances in prevention on HIV infection rates globally. Evidence-based content will be provided regarding 1) Safe prescribing of oral and injectable FDA-approved pharmacologic agents used for pre-exposure prophylaxis (PrEP); 2) Appropriate long- and short-term PrEP treatment plans, including the 2-1-1 method for PrEP; 3) Proper implementation of CDC algorithms for preventing HIV through post-exposure prophylaxis using pharmacologic methods; 4) Clinical interpretation of CD4 counts and HIV RNA levels (viral load) and the significance of getting patients to an undetectable viral load to eliminate their risk of sexual transmission; and 5) The responsibility of nurse practitioners in leading future scholarship and clinical practice initiatives aimed at preventing HIV infection and reducing health disparities in vulnerable populations.

This presentation will cover one of the most important aspects of menopause-related to Health Care issues: The Vasomotor Symptoms of Menopause (VSM). The prevalence of menopause is about 50 million cases annually in the US and approximately 80% of those women experience some form of vasomotor symptoms. Basic concepts such as the physiology and signs and symptoms of menopause will be briefly explained. Among the various signs and symptoms of menopause, the special emphasis of this presentation will be on the vasomotor symptoms. The assessment and plan of care for vasomotor symptoms will be discussed in detail. Pharmacological management of VSM will be examined, including contraindications for the use of certain types of medications. Contemporary and non-traditional agents for the management of VSM will be outlined at length. The presentation also will touch base on the latest developments in the treatment of VSM.

This session explores the NEW updated 2023 KDIGO guidelines for acute kidney injury in detail to enrich the learner's knowledge of this disease process and treatment. Complex pathophysiology, advanced diagnosis, etiologies, treatment modalities and long-term term considerations for patients with acute kidney injury are discussed. Safe-prescribing practices regarding certain nephrotoxic pharmacological agents and prevention and management of contrast-induced nephropathy are discussed. Case studies are discussed to solidify discussion points.

This presentation will assist all attendees in the process of evidence-based practice (EBP), be they a novice or an expert NP as well as nursing faculty and students. This will be a strong opportunity for faculty to facilitate coursework in EBP or within DNP programs. We will review the appraisal step of EBP: reviewing and appraising evidence and developing succinct deliverables for evidence synthesis presentation to stakeholders (or your faculty). This will be part 2 of a 2-part series of presentations. Attendees will have been able to practice the part 1 skills before this session. Attendance at both sessions is not required; they will stand alone but will be symbiotic.

This dynamic presentation includes vignettes of patients who have searched for a reason for their symptoms and have had misdiagnoses or delayed diagnoses of lipedema. An overview of lipedema history, significance, diagnosis, and management is provided. The importance of interdisciplinary collaboration is stressed. Conservative and surgical management will be described. The presentation includes before and after photos of individuals who have had medical and surgical management.

This presentation will examine the ever-growing problem of over-use injuries in pediatric sports.

Nearly 20 people are physically abused by an intimate partner in the United States every minute. More than 10 million adults experience physical abuse annually (National Coalition Against Domestic Violence, 2020). Domestic violence is underreported. This presentation will cover the public health issue of domestic violence and its impact, including short-term and long-term consequences. It will also include a discussion of the theoretical explanation of abusive behavior, including the cycle of domestic violence and the intergenerational cycle of violence. The presentation will focus on effective ways of screening and identifying the victims of violence. The various challenges of reporting domestic violence will be discussed. A clear, easy-to-follow plan of care to address the issues associated with domestic violence will be included. Additionally, recent research findings that explore the barriers of victims in seeking support services will be integrated throughout the discussion.

Weight gain does not have to be an inevitable result of menopause. In this presentation, we will discuss what happens when we hit menopause and active strategies to improve our weight and our overall health.

This billing and coding presentation will offer additional education on how NPs performing acute and complex patient care can improve coding/documentation and increase reimbursement. The presentation will aid NPs in coding more efficiently and accurately and discuss how NPs can optimize payments.

Diagnosing tick-borne diseases (TBDs), whether known or emerging, can be confounding and complex. Are symptoms associated with a tick bite, or are they related to other causalities with similar presentations? Timely and correct diagnosis can be essential since some TBDs can quickly be fatal or have lasting sequelae if left untreated. This presentation will cover symptoms, as well as appropriate communication with patients and others. It will include the geography of tick-borne diseases, risk, incidence, bite avoidance guidance, and other relevant evidence-based information.

The red eye is a common reason for patients to seek medical attention. Conjunctival hyperemia, or redness, can be caused by various factors such as dryness, allergies, visual fatigue, contact lens overuse, and local infections. Most cases of red eyes are not severe and can be managed by primary care providers. However, it's essential to recognize instances that require ophthalmology consultation, especially those that involve ciliary injection, which is a sign of inflammation in the cornea, iris, or ciliary body. If a patient experiences severe ocular pain, significant photophobia, decreased vision, or has a history of ocular trauma, it's essential to seek immediate ophthalmological consultation. To avoid any complications that could harm the patient's vision, conducting a comprehensive assessment of red eye conditions is crucial. In this presentation, we will discuss the common causes and management of red eye conditions to help healthcare providers better understand when to treat and refer their patients for further evaluation by an ophthalmologist.

This presentation is for the NP or NP student who is interested in exploring a future career as a nurse faculty member. It will provide an overview of the different types of nursing programs, the different types of academic nursing positions available, the degree qualifications required for different faculty positions, and how to develop a professional curriculum vitae that represents the experiences required for nursing faculty, including teaching, scholarship/research, service, and practice. Additionally, this presentation will provide information on what to expect when applying to and interviewing for academic positions.

Diabetes and chronic kidney disease (CKD) are two prevalent conditions that often co-exist, and each is associated with increased cardiovascular risk. Diabetes is the leading cause of CKD. This presentation will discuss the pharmacological and lifestyle management of adults with diabetes and CKD. Approaches to improve cardio-renal outcomes beyond glycemic control will also be addressed. More specifically, this session will focus on the management of the T2DM patient with an emphasis on cardio-renal pharmacological management. After a review of the multiple complex pathophysiological abnormalities of T2DM, various cardio-renal medication options will be explored with case application. 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 cardiorenal therapy with confidence since getting to the goal can be difficult.

The Medicare program is increasingly relying on NPs to provide care to older adults in the US, especially for those living on low incomes and those with multiple comorbidities. NPs are increasing access by leading innovative models of care that meet these at-risk patients where they are (e.g., telehealth, NP-owned practices, home-based primary care, NP-led post-acute/long term care). Despite the evidence of high-quality, cost-effective NP care, restrictive regulations persist within the Medicare program. This presentation will describe the current environment of reimbursement and care models as well as highlight current scholarship on NP outcomes in the Medicare program and regulatory barriers.

This session will explore both behavioral health and primary care considerations when providing clinical care to fire and rescue professionals. Attendees will learn about behavioral health challenges and disorders most prevalent in the fire service, identify systemic barriers to healthcare utilization, and explore the fire service as a unique occupational subculture within the larger first responder community. Special attention will be given to best practices in preventative screening, common referral pathways, do's and don'ts for increasing treatment compliance, and medication considerations/restrictions for this population. If you are interested in providing culturally informed, compassionate care to your next fire and rescue patient, this session is for you.

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.

This presentation will present advanced practice registered nurses in any practice with a guide on the assessment and management of microscopic hematuria. This includes a brief overview of the anatomy and physiology of the genitourinary system, a review of the statistical data of cancer incidence for patients who present with microscopic hematuria and the incidence of bladder cancer, a review of the differential diagnosis of microscopic hematuria, describe the risk stratification of patients who present with microscopic hematuria, a review of the national guidelines on what diagnostics are recommended in the workup for microscopic hematuria, and when to refer to a urologist for cystoscopic evaluation.

Some of the most common presentations of behavioral disturbance in children and adolescents are related to three disorders: Anxiety, ADHD and Autism. It can be challenging for the primary care/ pediatric NP to differentiate these disorders as they share many salient characteristics. Making an accurate diagnosis is crucial in helping guide treatment for the child and family. This presentation will review DSM-V criteria for each disorder, showing where overlapping symptoms can confuse diagnosis. We will also learn evidence-based treatment approaches for each disorder, including behavioral and pharmacological interventions.

Irritable bowel syndrome (IBS) is the seventh most common diagnosis by primary care and the number one clinical diagnosis in gastroenterology. 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 lecture will provide tools to make an accurate diagnosis using a positive diagnostic strategy and provide a comprehensive review of the spectrum of symptoms that coincide with IBS and the current pharmacological and non-pharmacological approaches to the treatment of irritable bowel syndrome.

After attending this presentation, learners will be able to define trauma-informed care, describe health sequelae of toxic stress and ACEs, appreciate the importance of a universal application of a trauma-informed approach, and apply strategies for using a trauma-informed approach to care with a focus on providing trauma-informed pelvic care. This presentation will explore the fundamentals of trauma as it relates to health as well as components of a trauma-informed approach to care. We will examine strategies to implement a universal trauma-informed approach within APN care with a focus on providing trauma-informed pelvic care and minimizing re-traumatization. This session will be appropriate to all APNs, focused on an outpatient/clinic environment and will be especially useful for anyone providing any type of vulvo/vaginal/pelvic care.

This presentation will discuss the challenges of managing patients with comorbid diabetes and CKD, including balancing medication regimens, considerations for social determinants of health, eradicating social and structural barriers to care, and providing person-centered, evidence-based care to this population.

This podium presentation will discuss the use of mandibular and maxillary nerve blocks to manage non-traumatic dental pain. This content is applicable to both primary and acute care settings where patients present for pain management.

This is a case-based presentation that covers assessment, diagnosis, and management of the menopause transition designed for family practice and internal medicine providers. This presentation addresses evidence-based pharmacological and non-pharmacological treatment recommendations and explores the evidence around complementary therapies. This presentation addresses and highlights the continued health disparities and inequities in menopausal care. Attendees will leave this presentation with impactful clinical pearls they can apply immediately and improve the care they provide to their patients.

A.I. applications are gaining significant momentum in Health Care and advanced practice nursing, prompting a push for increased incorporation of A.I. in these fields. A.I. tools, such as clinical decision support systems (CDSS) and A.I. based health technologies (AIHT), have the potential to transform clinical practices by revolutionizing conventional methods employed by Health Care professionals. However, despite this push and the increased impact of A.I. in health care, APRNs may lack awareness of its development, use, applications, and limitations. There is a need to bridge the gap between A.I. applications and clinical practice priorities to ensure safe and optimal utilization of A.I. practices while minimizing risks and unintended consequences. APRNs must be more aware and involved with A.I. development, implementation, and evaluation strategies to help oversee and ensure safe, high-quality, equitable, and cost-effective care. This presentation will focus on an overview of A.I.'s applications in health care, including potential benefits, risks, limitations, and ethical implications to help APRNs direct the health care of the future. (Ahmad and Henkins, 2022, Arora, 2020; Borum, 2018; Buchanan et al., 2020; Buchanan, et al., 2021; Chen et al., 2022; DeGagne, 2023; Heyen and Shalloch, 2021; Paranjape et al., 2019, Petersen, et al., 2021; Raymond, Castonguay, Doyon, and Pare, 2022)

Well-appearing infants (8 to 60 days old) presenting to the Emergency Department often create a conundrum when searching for the “sick” needle in the “well” haystack. Over the last several decades, prediction models (e.g. Rochester, Mayo, PECARN) attempted to differentiate between low verses high-risk infants; however, with new evidence the emphasis now relies on identifying invasive bacterial illness (ILI). It has become evident after a certain time threshold, not all infants are likely to benefit from lumbar puncture or blood cultures. Many of these risk stratification tools developed to help guide clinical practice lack the ability to reflect the present-day changes in bacteriology, advancement of diagnostic testing and emerging technologies. The purpose of this presentation is to critically evaluate the 2021 American Academy of Pediatrics (AAP) Guidelines for the Evaluation and Management of Febrile Infants for an evidence-based approach and implementation into clinical practice. This presentation will review key action statements by the AAP, exclusions to the 2021 guidelines, and standards of care for the evaluation and management of febrile infants in the following age groups: 8 to 21-days, 22 to 28-days, and 29 to 60-days of age.

Using a case study, we will follow a patient through all stages of heart failure and the steps a primary care provider can take to assist with heart failure management.

Collaboration between the PhD and DNP prepared NP may be beneficial to the patient and health care system. This interactive presentation will explore the unique skill sets, opportunities and challenges within the PhD-DNP collaboration. Audience will be engaged to discuss applications in their practice setting.

We all have stories to tell…Our focus on patient care makes the nursing voice and experience vitally important in the rapidly-changing world of evidence-based practice and publication. You may have something that you want to share with others and have decided you want to publish an article or you have been invited to author a book chapter. There are several types of articles, ranging from case reports, to clinical practice articles to reports of empirical research, and several aspects that guide acceptance in a given Journal. This presentation will help the participant by examining the process creating a journal-ready manuscript, reviewing the basics of manuscript preparation from an editor's perspective, simplifying the process for responding to a peer review. This presentation will take you “behind the curtain” and introduce the process of writing and reviewing manuscripts- it will define ways in which NPs of all levels of experience can enter into publication.

Testosterone therapy is increasingly recognized as an important intervention for men with testosterone deficiency, which can have significant implications for their overall health and well-being. Primary care physicians play a vital role in managing testosterone therapy, ensuring appropriate patient selection, monitoring, and follow-up. This presentation aims to address the three key objectives mentioned above, providing attendees with a comprehensive understanding of the role of primary care in managing testosterone therapy in men's health. By discussing the current guidelines, evidence-based practices, potential benefits, risks, and challenges, this presentation will equip primary care providers with the necessary knowledge and tools to confidently and effectively navigate testosterone therapy in their practice.

The viewer will be able to identify GERD symptoms and understand basic pathophysiology for GERD. They will understand various medical treatment options for GERD as well as the risks of poorly treated GERD. They will be able to articulate various GERD testing options as well as pre-surgical testing requirements for anti-reflux surgery. They will be able to describe the most common surgery options for GERD treatment as well as contraindications to surgery. The viewer will also be able to discuss post-operative complications requiring re-evaluation and/or re-referral to GI and/or surgery.

Patients with ear, nose, and throat (ENT) complaints may present with a wide range of symptoms from mild to severe. Conditions such as pharyngitis, sinusitis, otitis media, and otitis externa are commonly encountered in the clinical setting. Management requires accurate identification, testing, and treatment based on the causative organism. Inaccurate diagnosis and treatment may lead to delayed care and potential harm, especially in vulnerable populations. It is important to use evidence-based guidelines to guide medical decision-making and treatment, including appropriate referral when needed to facilitate improved patient outcomes.

Understanding adverse childhood experiences (ACES) and trauma-informed care (TIC) is essential for all nurse practitioners. For those who have not experienced ACES/TIC personally, grasping a patient’s behavior is often difficult to appreciate. Learning about ACES/TIC will be presented during this session. This is “hands-on”. Participants will create Kintsugi art to understand the pain and resilience of ACES/TIC. If you enjoy creativity while understanding the implications of your patient’s actions, this is a session for you!

Sleep-disordered breathing is underrecognized and underdiagnosed, and left untreated, contributes to cardiovascular morbidity. The management of patients with sleep disordered breathing has traditionally been in the clinic setting; however, these patients are more commonly being recognized when admitted to the hospital due to being in a monitored setting with more frequent observations. This may necessitate patients with known or suspected sleep disordered breathing being managed in the hospital and transitioned to clinic follow-up and long-term outpatient care. This presentation will review an approach to evaluating patients with sleep-disordered breathing in both the hospital and clinic settings, including clinical assessment, diagnosis, and limitations. Management of patients with various types of sleep-disordered breathing with either positive airway pressure therapy or noninvasive ventilation will also be discussed. Lastly, the transition of care from hospital to clinic and long-term follow-up needs for these patients will be reviewed.

This presentation will allow participants to gain knowledge of diabetes distress and the implications of diabetes distress on patient outcomes. During the presentation, participants will work through case studies and

What happens after you send your patient with breast cancer to oncology? Focusing on the information needs of the nurse practitioner in family practice, this presentation will provide an overview of breast reconstruction and lymphedema surgery. With this information, the nurse practitioner will be able to recognize the options available to their patients and how their reconstructive surgery may impact their ongoing care.

Red-eye conditions are a common presenting complaint in family practice and urgent/emergency settings. The participant will be able to identify red eye conditions that require urgent referral to reduce impaired or loss of vision and serious bacteria/viral infections of the eye.

Advanced Practice Registered Nurses (APRNs) at all stages of their careers often fail to recognize the value of maintaining a current curriculum vitae (CV). A common perception is that a CV is only needed when seeking employment opportunities. Unlike a resume, a CV is intended to reflect one's professional experiences. As a Director of Advanced Practice and an Assistant Professor, I ask to review a student or practicing APRN's CV anytime they meet with me to discuss potential positions, conduct their annual employment review process, or seek mentorship for professional development. The CV should reflect their professional story and it enables gaps in their story to be identified. This is conducive to goal development for future accomplishments. A CV should be viewed as the foundation for an individual’s professional growth and development. How do you know where you want to go if you don’t know where you have been?

Chronic pain affects over 20 million Americans and is the single most frequent reason they seek medical care. Chronic pain often results in lost productivity and disability, costing $635 billion annually in the United States. Inadequate pain relief can lead to misuse, abuse and overdose. The use of opioids for pain management has proven to not be as effective as once believed. Chronic pain that is under treated is intricately tied to the ever-growing opioid epidemic, requires new and innovative approaches to effectively manage and reverse this trend. Nurse practitioners (NPs) are uniquely poised to help patients achieve relief, but studies show they perceive that they are not adequately prepared, and a greater understanding of chronic pain is needed. The biopsychosocial approach to chronic pain management, recommended by the Health and Human Services Task Force, is one such innovative approach that can better prepare NPs to treat chronic pain. This model explores the multifaceted nature of chronic pain; however, it will require education for NPs to leverage this framework. NPs will need to be innovative and creative in adding this critical aspect to their already very busy practices. This presentation will provide the necessary tools to deliver this model.

In a recent NP report, 6 in 10 Nurse Practitioners are burned out and close to 4 in 10 are depressed. This presentation will frame the story from the perspective of a mother, friend, provider, military officer, and nurse practitioner seeking mental health and focus on addressing the barriers to providers addressing their mental health needs. We will discuss our social determinants of health and how it impacts our ability to access the resources we have as Health Care professionals. The presentation will address the stigma and professional ramifications that are considered prior to taking the first step in seeking health. Lastly, the presentation will offer tips on stress management as a clinician and educator to restore their mind and positively impact their personal and professional life.

Glioblastoma is the most common, and most aggressive, of all primary brain cancers. Symptoms can be subtle, and the diagnosis and prognosis are devastating. Work up entails imaging, specialty evaluation and eventual pathologic diagnosis via biopsy or open surgery. Ensuring there is a broad understanding and close relationships among all involved in the care of these patients (primary care, neurosurgery, oncology, radiation oncology, rehabilitation) is crucial in order to provide these patients with the best care.

Nurse Practitioners play an essential role in improving evidence-based practice in clinical settings. This session will support nurse practitioners in developing research literacy skills by understanding how AHRQ develops evidence reviews through its Evidence-based Practice Center (EPC) Program to inform practice and policy guidelines. It will review relevant evidence reviews that assist clinicians in their efforts to improve healthcare quality. It will also highlight how the important work of AANP members could inform engagement and the uptake of reviews, especially by those caring for populations disproportionately affected by certain diseases or conditions and health disparities. Ample time will also be provided for audience members to share feedback on the NP perspective on priorities, experiences and racial equity related to evidence reviews.

Case based presentation of common anorectal STIS: gonorrhea, chlamydia, syphilis, HSV, condyloma/HPV. How to recognize, diagnose, and treat accordingly. How to recognize and treat more common anorectal disease: hemorrhoids and anal fissures. How to perform an excellent DARE (digital ano rectal exam).

This presentation provides the essentials in evidence-based care for osteomyelitis, harnessing both well-known and emerging treatment approaches that will build a strong foundation for improving patient care. Faculty will begin by providing an overview of the epidemiology, presentation, and diagnostic considerations of osteomyelitis. Treatment for osteomyelitis can include surgical and non-surgical interventions, including both oral and parenteral antibiotic therapy. Discussion will review these presentations and treatments, including pediatric presentations, diabetic foot ulcers, and when to consider bony resection.

The delivery of age-friendly care is essential for all older adults in every care setting. The key components of evidence-based care are the assessment, acting-on, and documentation of the 4Ms “What Matters, Medication, Mentation and Mobility” for patients 65 and older. The presentation will use a Grand Rounds approach to demonstrate how the Institute for Healthcare Improvement’s Age-Friendly Health Systems 4Ms are integrated into the workflow of a primary care visit for community-acquired pneumonia, hypertension, and urinary tract infection. The presentation will also highlight the implementation strategies to accompany education using a grand round approach to highlight the sustainability of age-friendly care. One implementation strategy was the use of a virtual clinic that provided the application of what was learned in the Grand Rounds sessions. Grand Round education, time to practice, and implementation strategies are key to the implementation and sustainment of evidence-based practice.

Abdominal pain in the female adolescent is a common complaint in both primary care and acute care settings. It can be a difficult complaint for providers due to the numerous potential causes spanning multiple body systems. In this presentation, we will review the needed focused assessment for this complaint along with differentiating between different etiologies.

Hypertrophic Cardiomyopathy is a disease process that can affect the patient's functional capacity and is associated with increased morbidity and mortality. It is the most common genetic cardiovascular condition and can present across the lifespan regardless of age, race, or gender. Individuals with hypertrophic cardiomyopathy may be asymptomatic. Sudden cardiac death during periods of exercise or increased physical activity is often the first symptom of this condition. Clinical decision-making for patients with hypertrophic cardiomyopathy is complex. Hypertrophic cardiomyopathy is a progressive condition and can lead to the development of heart failure. Early identification of patients with hypertrophic cardiomyopathy is important to improve symptom management and patient outcomes. Knowledge of the various types of hypertrophic cardiomyopathy will enable the NP to provide evidence-based patient care for symptom management and indication for specialist referral for advanced therapeutic treatments. This presentation will include case studies with variable clinical presentations and evidence-based management strategies.

The nurse practitioner role was created over 60 years ago, yet many practicing NPs have little knowledge of the founding of the NP movement or the battles fought for practice authority. This presentation focuses on the early decades of the NP movement within the United States while including the growing international development of the role. It includes information on the founders of the movement and an overview of changes to the role over the ensuing years. The emphasis is on the need to understand nursing history in advancing nursing’s influence in healthcare, as recognized in the 2021 AACN Essentials.

This presentation will provide attendees with information and updates on changes to the Medicare program in 2024 that will impact their practice. Every year, Medicare updates its coverage policies, conditions of participation, and adopts new billing codes. Knowledge of these new policies is essential to supporting practices and facilities caring for Medicare beneficiaries.

Military Branch Meetings: Service Specific Issues: Army

Military Branch Meetings: Service Specific Issues: Air Force

Military Branch Meetings: Service Specific Issues: Navy

Open to Active and Retired Military & USPHS Attendees ONLY

The FCCS course was developed to prepare non-intensivists to manage the care of critically ill patients for the first 24 hours until transfer or appropriate critical care consultation can be arranged. This two-day course includes a series of presentations and skill stations designed to provide knowledge, guidance for decision-making and limited practice in some clinical procedures and scenarios. Participants who successfully complete the course receive a certificate of completion.

FCCS Schedule:

Wednesday, June 26

7:30 AM - 12:45 PM - 24.2.006- Lectures - Part 1

Wednesday, June 26

2:00 PM - 5:00 PM - 24.2.07 - Skill Station - Part 1

Thursday, June 27, 2024

7:45 AM - 12:15 PM - 24.3.006 - Lectures - Part 2

Thursday, June 27, 2024

1:30 PM - 5:30 PM - 24.3.102 - Skill Stations - Part 2

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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 the time of conference registration. Once you are registered, a link from the Society of Critical Care Medicine will be sent to you.  YOU MUST COMPLETE THE PRETEST FIRST.  Upon completion, you will be able to download the e-book and all the modules.  Additionally, a letter will be sent to you from the 2 directors of the course with further details.

Learn the basics of point-of-care ultrasound from this immersive hands-on workshop. Ultrasound faculty from across the country will help the learner understand the fundamentals of POCUS. There will be classroom material, hands-on scanning with ultrasound machines, and a video review of actual pathology. The following topics will be included: knobology, cardiac, lung, renal/bladder, IVs, DVT, and, if time allows, abdominal aorta. Whether you're learning POCUS for the first time or want to hone your skills with seasoned faculty, this class is for you.  You must register for Part 1 and Part 2 of this course.

Didactic content and case studies will be used to increase participants’ knowledge and skills for interpreting 12 Lead ECGs in adult patients. During the session, participants will practice hands-on activities to increase their confidence in applying a systemic approach to interpretation.

This seminar will discuss screening and treatment guidelines across several specialties for which men are at higher risk while including conditions and concerns unique to men. Men's health affects spouses and children and the overall productivity of a community and it needs to include a discussion of the circumstances that influence men seeking care.
Many NP program curricula have little men’s health-focused content, contributing to NPs receiving 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, psychosocia 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. 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 men's health care needs and is appropriate for NPs practicing at all levels. Repeat of 25.5.089

This three-hour seminar will focus on Antibiotic Stewardship and the role of nurse practitioners. Speakers from the Centers for Disease Control and Prevention will review evidence-based frameworks for implementing stewardship practices in clinical care. Clinical cases will be reviewed to demonstrate the application of antibiotic stewardship in various clinical syndromes. Additional information on managing patients with penicillin allergies and antibiotic selection will be provided.

Establishing a cohesive model with clear clinical competency indicators and progress toward proficiency is challenging in NP education. The absence of standardization in evaluation tools that can consistently mirror a student's progression in clinical competence creates an unreliable foundation. The PRIME-NP model provides educators and clinicians with a model to evaluate pivotal milestones and progression through observable, competency-based education. Its adaptability to diverse settings is crucial for success. This presentation by a national consortium will examine the PRIME-NP model and OSCE rubric, its application to clinical education, its potential as a universal standard for assessing clinical competency and as a blueprint for consistent student progression measurement across different nursing schools, and a practice session applying the model.

This session discusses patient experiences during critical illness and traumatic injuries and their implications for requiring ongoing care post-discharge. Critical illness can result in long-lasting sequela, known as Post Intensive Care Syndrome (PICS). Nurse Practitioners who see these patients in follow-up should screen patients for PICS and facilitate appropriate referrals to enhance cognitive, psychiatric, and physical recovery. Advancements in trauma and critical care medicine have resulted in a growing population of survivors of critical illness or injury, revealing a new condition in this population. PICS is defined as new or worsening cognitive, psychiatric, or physical function after critical illness. Up to 70% of critical care survivors are at risk for PICS up to 12 months after hospital discharge. Risk factors for the development of PICS include pre-existing cognitive, psychiatric, or physiological disturbances; sepsis, delirium and need for advanced therapies past 48 hours. Specific screening tools are recommended to identify PICS, which include the Montreal Cognitive Assessment, Hospital Anxiety and Depression Scale, and the Impact of Event Scale. Nurse Practitioners should utilize these tools to screen high-risk patients and make appropriate referrals. Pharmacologic management during ICU stay is examined and discussion of pharmacological interventions to treat PICS is reviewed.

This presentation will discuss the signs and symptoms of determining a differential diagnosis of pneumonia. Chest X-rays are an appropriate diagnostic tool for pneumonia. Landmarks will be identified to determine which lobe of the lung is involved. Appropriate pharmacologic treatment of pneumonia will be discussed.

Primary care providers are often faced with patients who have mental health complaints that require treatment. Some of these complaints can be easily treated in primary care and others warrant referral. This presentation will offer guidance on assessment and diagnosis of common psychiatric complaints seen in primary care and knowing when referral is appropriate.

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).

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.

This 60-minute presentation will explore the current U.S. trends of sexually transmitted infection in the U.S. and among the vulnerable populations of LGBTQ individuals. Participants will examine evidence of antimicrobial resistance and the current pharmacologic regimens recommended for the treatment of STIs. Participants will also contribute to the presented case-study management and evaluate the care provided.

An update on potassium-competitive acid blocker (PCAB) and proton pump inhibitor (PPI) prescribing for the Advanced Practice Provider. Proton pump inhibitors (PPI) are one of the most common prescribed medications, it is estimated that that over 100 million prescriptions for PPIs are filled annually. In 2023 PCABs, a new class of therapy had been approved. Up-to-date knowledge regarding acid blocker therapy remains essential in clinical practice. As an advanced practice provider, it is imperative to understand this new class of therapy and current data about PCAB/PPI safety so as to appropriately educate our patients.

This session uses a case-based approach to provide a comprehensive look at cardiovascular issues in children. Topics that will be covered include congenital heart disease, transplantation, cardiomyopathy, myocarditis, heart failure and dysrhythmias. Innovations in the management of congenital heart disease, cardiomyopathy and the latest developments in cardiac device therapy.

Many children and adolescents with disordered eating patterns may demonstrate orthopaedic manifestations that require consultation by an orthopaedic and/or sports medicine specialist. This didactic session will discuss the most commonly seen orthopaedic conditions that children/adolescents with eating disorder present with in a busy suburban pediatric and adolescent orthopaedic/sports medicine clinic. Topics will include fractures, overuse conditions, soft tissue trauma, and the female athlete triad. Session will discuss presentation, treatment modalities, return to activity protocols, and anticipated healing/resolution scenarios.

This presentation is designed for nurse practitioners who desire to travel to a different country to serve. This program will primarily address short-term service trips. Understanding the planning, implementation and evaluation process is important for a well-done trip. This program will help explore some of the following questions: “Where should we go?” “How will we get there? “and “What will we do once we arrive?” Considering lodging, emergencies and fun activities are other topics that must be well thought out. Understanding the importance of cultural implications and social determinants of health and local illnesses must be anticipated before traveling. Knowing the supplies and medications needed while serving is another area to estimate before leaving the United States. Many aspects should be considered before traveling abroad to assure safety, meaningfulness and fun while caring for patients in countries other than our own.

It is estimated that 1.6 million in the U.S. identify as transgender. Transgender stigma limits access to resources in healthcare, persistently affecting the physical and mental health of transgender people. The goal of this lecture is to provide the tools for health care providers to better serve their transgender patients. As a foundation, the terms and concepts associated with gender will be outlined. Next, the specific risk factors that contribute to poor health outcomes in transgender patients will be explored. Common primary care and mental health care conditions in this population will be expounded. Finally, the benefits and risks of hormone therapy and gender reassignment surgery will be discussed.

Nurse practitioners will see a significant increase in geriatric patients as Baby Boomers turn 65 by 2029. Knowledge of changes in aging allows assessments of an individual's need for support as well as knowing 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 the five primary needs of geriatric patients will allow evaluations to determine appropriate treatment while helping to sustain a healthy lifestyle. Aging physiological and cognitive changes should focus on medication reductions based on health status and personal goals. Will discuss specific high-risk medications and their impact including reviewing high-risk medications in Dementia that are dangerously inappropriate that need reduced or eliminated. Geriatric tools to make medication plans will be shared. Will explain coordination and management to monitor prescription drugs to reduce polypharmacy that leads to adverse events for elderly patients.

Systemic medication may cause side effects in the eye, causing mild symptoms or vision-threatening maculopathies. This presentation will explain the ocular side effects of commonly used systemic medications and new monoclonal antibodies to treat various health conditions, including checkpoint inhibitors.

Regardless of practice setting, NPs are equipped with expert knowledge to participate as an effective team member during organizational changes. This session will provide an overview of organization models, identify potential opportunities within practice, education, advocacy, and research where NP expertise and leadership can be instrumental to effect positive change, and provide participants with strategies to be an effective leader and change agent to promote positive outcomes.

Hepatitis A and B are both vaccine-preventable illnesses. Since the addition of the hepatitis A & B vaccines to routine immunization schedules in the 1980s and 1990s, the frequency of outbreaks and incidence of infections has declined significantly and is expected to avert more than 14 million premature deaths globally by 2030. However, in recent years, progress in the prevention of hepatitis has stalled, especially in key populations, including those who inject drugs, unhoused, men who have sex with me, and among those of Asian, Pacific Island, and Black people compared with White people. This ongoing transmission of Hepatitis A and B has been, in part, attributed to suboptimal vaccination rates among adults, especially those with risk factors for infection.

This CE activity will provide NPs with the latest information on hepatitis A and B vaccine recommendations as well as evidence-based strategies for the implementation of updated CDC immunization guidelines in real-world practice.

Research shows that violence has a significant and lasting impact on mental and physical well-being. Gun violence is a serious threat to the health of many communities in the United States. Statistics show that every day 318 people are directly involved in gun-related violence and the numbers grow substantially when family and friends are added to these totals. Looking beyond the political viewpoints, this lecture will discuss the history of gun violence in the United States and globally, explore current data on gun violence, and the influence of structural violence on population health. The lecture will also investigate some of the challenges faced by the Health Care community as it strives to improve the health and well-being of the population.

NPs routinely care for newborns beginning from the first post-hospital visit, often within 48 hours of birth. Understanding the abnormal variants discovered pre- or postnatally on the newborn exam is important. Some clinical findings that may require imaging include spinal dysraphism, undescended testes, newborns at risk for developmental dysplasia of the hip, heart murmurs, or a prenatal diagnosis of hydronephrosis. Many of these findings require imaging and a significant number may require that imaging after the initial birth hospitalization. Understanding which clinical findings in the newborn are concerning and when should imaging be ordered; is it before discharge from the hospital, within the first few weeks or few months of life? The current evidence will be shared to support appropriate imaging in newborns vs watchful waiting.

The presentation will include video-assisted and poll-assisted group discussions about the increased prevalence of venous thromboembolism (VTE) during pandemics, pharmacological and nonpharmacological management of VTE, and detailed current guidelines on the management of VTE.

It is estimated that 5.6 million American women have symptoms consistent with Interstitial Cystitis/Bladder Pain Syndrome, with reported delays in diagnosis of three to seven years. The pathophysiology related to ulcerative and non-ulcerative subtypes, prevalence, symptom burden and differential diagnoses of IC/BPS will be examined. Evidence-based pharmacological therapies will be discussed, as well as the need for an interdisciplinary team approach to management.

This presentation on behalf of the elected Nominations Council of AANP presents the opportunities within the organization to participate in elected and non-elected leadership opportunities. The Nominations Council members will review the process and participate in a panel discussion to encourage members to actively participate in AANP.

It has been widely reported that healthcare professionals feel unprepared to navigate encounters with patients on the autism spectrum. Attendees will learn updated, practical strategies for the achievement of care and treatment partnerships with this vulnerable group, appraised to possess more unmet healthcare 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.

The incidence of geriatric patients with mental health disorders is increasing. Mental health conditions in the geriatric population tend to be underdiagnosed and undertreated. The nurse practitioner who assesses, diagnoses, and treats geriatric patients should be aware of differences in the assessment, diagnosis, and treatment of common mental health disorders in the geriatric population. Many mental health conditions present differently in the geriatric population, with increased somatic complaints that could be misdiagnosed as physical conditions. Common physical conditions can also change the presentation of mental health conditions. In addition, common screening tools for mental health conditions are not sensitive to the variations seen in the geriatric population. Treatment considerations also differ from the adult population due to the pharmacokinetics and pharmacodynamics of medications. Medications used to treat common mental health conditions may need different titration and target dosing, as well as additional monitoring for adverse effects. This presentation will focus on the assessment, diagnosis, screening tools, and treatment considerations for common mental health conditions seen in the geriatric population. Use of technology such as telehealth to accurately assess and treat patients will also be discussed to increase access to care for patients living in long term care and assisted living facilities.

Nurse practitioners are in a position to deliver primary palliative care throughout the lifespan. As the U.S. population ages and medical therapies advance to allow seriously ill people to live longer, it has become increasingly important to equip all nurse practitioners to deliver primary palliative care. Primary palliative care skills include assessment and management of the symptoms associated with serious chronic illness, the ability to conduct goals of care discussion and serious illness care planning, and completion of advance care planning documents. This presentation will serve as a foundation in developing essential primary palliative care skills and provide additional resources for continued professional growth in the palliative care space.

Artificial Intelligence (AI) has emerged as a transformative technology in the field of healthcare practice. It involves the use of advanced algorithms, machine learning, and processing of language to analyze vast amounts of medical data to provide valuable treatment insights, support clinical decision-making and to facilitate discovery of revolutionary healthcare treatments and services. AI applications used by NP range from improving diagnostics, treatment planning and documentation, to enhancing patient engagement and streamlining administrative tasks. By harnessing the power of AI, NPs can deliver more efficient, accurate, and personalized care, ultimately leading to improved patient outcomes and better overall healthcare system performance.

Despite the U.S. declaring measles eradicated in 2000, we continue to see sporadic cases yearly. However, in the first quarter of 2024, we have already seen more cases than we saw in all of 2023. Given the low frequency of cases in the past, many nurse practitioners have likely not previously encountered measles, making identification more challenging. Early recognition and isolation are crucial to controlling the spread of this very contagious virus and mitigating potential complications. This presentation provides a review of measles, including pathophysiology, clinical presentations, and recommended management strategies for suspected and confirmed cases.

Recognizing alarm signs and symptoms, initial diagnostic workup, when to refer to GI, initial testing. Understanding differences between Crohn’s and UC and treatment strategies with a treat-to-target approach. Health maintenance for the immunocompromised patient with IBD.

This case-based pharmacogenomic presentation for nurse practitioners will provide practical guidance on utilizing genetic testing to personalize medication management for patients. Through real-life case scenarios, attendees will learn how to identify patients who may benefit from pharmacogenomic testing, interpret test results, and apply the findings to guide drug therapy selection and dosing. The presentation will also address common challenges and considerations in implementing pharmacogenomics in clinical practice. By the end of this session, nurse practitioners will have a deeper understanding of the potential impact of pharmacogenomics on patient outcomes and be better equipped to integrate this approach into their own practice.

Oncologic emergencies can present in a wide variety of acute care settings. These emergencies can be caused from the cancer itself, a paraneoplastic syndrome, or from treatment of cancer. This session explores the etiologies and treatment of metabolic and structural oncological emergent medical conditions. Learners will apply this information to complex oncology patients with comorbid conditions across the spectrum of acute care. Discussions include a wide variety of topics that encompass multiple body systems including neurological, metabolic, cardiovascular, hematological, pulmonary and gastrointestinal. This presentation outlines evidence-based practice recommendations to maximize the quality of care. Additional information will be provided about evolving complications associated with immune checkpoint inhibitors and CAR-T cell therapy, both common immunotherapies for cancer care.

Uncontrolled hypertension is a common presenting complaint to the emergency department (ED). Hypertensive Crisis (HTN-C) is a sudden, severe increase in blood pressure which may result in acute end-organ damage. A HTN-C may be classified as an emergency or urgency based on the presence or absence of end organ damage. The Advanced Practice Provider (APP) plays a vital role in identification and management of patients presenting in HTN-C. It is essential that the APP understands the complexities of assessment and management of an acute hypertensive crisis to improve patient outcomes.

Chronic constipation is a common GI disorder comprised of multiple symptoms and pathophysiological mechanisms. As advanced practice providers, we must understand the spectrum of constipation disorders, as this will guide the development of individualized, evidence-based treatment
This session will apply a guideline-recommended approach to the diagnosis of chronic constipation, including appropriate testing. Attendees will also review recommended pharmacologic and nonpharmacologic strategies for the management of constipation.

Improving outcomes for those living with advanced illness has increasingly become a stated objective for many top research funding organizations in the United States of America, including the National Cancer Institute (NCI) and several other National Institutes of Health agencies. The Institute of Medicine’s report, Dying in America, identified an existing gap in patients clearly stating personal goals and values in advanced illness. Regardless of the clinical environment, health care providers describe difficulty in having such vulnerable conversations, and this skill is not routinely taught in educational arenas. The goal of our presentation is to furnish health care providers with tools needed to engage in vulnerable conversations with patients and families to ensure medical care that is in line with patient’s values and preferences, reduce disparities in care, and minimize suffering in illness.

This presentation will inform community providers about the unique health concerns that military Veterans have. It will also provide information and resources so that providers can actively engage in the care of veterans.

The incidence of trauma in the general population is between 55 and 90%. This means many of the patients we care for on a daily basis may have characteristics of traumatic stress. Their underlying trauma, combined with their reasons for seeking medical care, puts the nurse practitioner at high risk for exposure to traumatic situations. In some studies, as high as 22% of nurses have exhibited signs and symptoms of PTSD, with 18% reaching diagnostic criteria. This is particularly sobering as these studies were conducted prior to the COVID-19 pandemic. Because of this, it is crucial that we become educated in the signs and symptoms of secondary trauma as well as its contributing factors. Left untreated, secondary trauma can lead to emotional exhaustion, depersonalization, compassion fatigue and burnout. Trauma is treatable, but it needs to be recognized and trauma informed care needs to start with the provider’s own needs.

Over 80 million people (1 percent of the world's population) are forcibly displaced. Disasters, war, famine, violence, and economic calamities cause people to flee their homelands. Half of all refugees are children. Through the lens of the phases of the disaster management cycle and the NP, we will examine disaster and refugee needs. Recent studies on refugee health, World Health Organization recommendations and current USA policies affecting care will be discussed.

Neurobiological behavior is different depending on the underlying pathology of the presenting symptoms and condition. Most studies and treatment is focused on those with dementia but other neurological conditions have their own patterns of behavior and require different treatment and approaches. This session will discuss the pathophysiology and presentation of neurobiological behavior in Parkinson's disease, TBI, post stroke and Huntington's disease as well as treatment strategies and tailored interventions.

According to the American Diabetes Association (ADA), in 2019, 37.3 million Americans, or 11.3% of the population, had diabetes. Each year, approximately 1.4 million Americans are newly diagnosed with diabetes. The most frequent complications/co-morbid conditions associated with diabetes include hypoglycemia; acute health conditions such as stroke or myocardial infarction; and chronic diseases such as dyslipidemia, hypertension, and kidney disease. From a health care provider's standpoint, the emphasis should be on early asymptomatic identification through screening, optimization of treatment, and prevention of complications. The common barriers that could limit the provider’s/learner’s ability to implement knowledge/skills/performance into practice are listed below and this presentation will address to alleviate these barriers.1. Insufficient knowledge of current clinical practice guidelines and recommendations to treat diabetes. The clinical practice guidelines and most recent evidence-based knowledge from the literature will be discussed with learners 2. Clinician's confidence and uncertainty in how to initiate and titrate insulin. The action profile of insulin, initial insulin dose calculations, titration, and pattern management will be discussed during this presentation 3. Lack of familiarity and practical knowledge to treat diabetes in special populations Several case studies will be included in this presentation explaining different treatment strategies in special populations.

Vitiligo affects up to 2% of the population and affects all races equally. There are several other conditions that may appear similar to vitiligo but have extremely different treatments and management strategies. Some of these differentials are benign, while others may be serious and would require an interdisciplinary approach and thorough patient and family counseling. Therefore, it is imperative for clinicians to be able to differentiate between the differentials of vitiligo, and if they cannot, they should know when it is appropriate to refer. Health implications to consider when diagnosing vitiligo are also discussed. The various presentations of vitiligo, the differentials, and proper management of vitiligo patients is discussed.

Interleukin and Janus Kina's inhibitors provide new treatment modalities for dermatoses and cutaneous diseases. These medications are highly efficacious, but their management can be complex. This presentation will enhance the NPs knowledge of the key components in working with patients taking these drugs.

Beginning of buprenorphine presents significant challenges due to the risk of precipitated withdrawal. Microdosing means taking a medication in small doses.

In this presentation you will learn how starting a writing and reflection habit can provide inspiration and confidence to further your professional and scholarship goals while at the same time contributing to stress reduction and wellness.

It is estimated that 10-14% of patients in a primary care practice, with as many as 50%  remaining undetected in that setting.  Most patients with bipolar disorder will present with depressive symptoms.  The increased mortality risk with both of these disorders underscores the necessity of accurate screening and treatment by the PCP.  Differential diagnosis for these disorders is complicated by other co-occurring disorders.  This presentation will provide tools for the PCP to differentiate depression from bipolar disorder, identify common co-occurring disorders and discuss treatment options.

The presentation provides a comprehensive overview of genitourinary syndrome of menopause (GSM), formally known as vulvar atrophy. The learner will gain an understanding of the diagnostic criteria for GSM, familiarity with the indications and usage of nonprescription and prescription medications for GSM treatment, and knowledge about appropriate medication monitoring. Covering diverse menopausal topics, such as menopause demographics, GSM prevalence, reproductive aging stages, and signs and symptoms of GSM, the presentation delves into the effects of estrogen and androgens on vulvovaginal health, and various treatment modalities. It also addresses barriers to hormone therapy adoption and emphasizes the importance of reconsidering hormone therapy benefits, particularly for women with bothersome menopausal symptoms. The presentation will cover other vulvar vaginal conditions that may present as women age. The presentation will serve to enable providers to have the confidence and tools to address a common menopausal issue that can negatively affect quality of life.

Creating an inclusive and safe place for the LGBTQIA+ community is imperative for clinicians caring for the population. There are unique challenges and inherent discrimination that many LGBTQIA+ patients face in healthcare and as such tend to avoid seeking health care until absolutely necessary. Research demonstrates the positive impact of safe spaces can have on how LGBTQIA+ patients access care and how it helps to increase engagement in their health. Decreasing disparities in health care will contribute to achieving health equity for this diverse population of patients.

This presentation will review the assessment and management of urgent and emergent eye complaints seen in adults and pediatric patients. Eye conditions will be discussed within the categories of acute vision loss, red eye, and orbital and ocular trauma including sports, environmental, and occupational related injuries. For each category, we will review the specific history questions and examination techniques needed for differential diagnosis and rapid recognition and treatment of urgent and emergent conditions. The presentation will incorporate a case discussion of treatment strategies, including pharmacologic management and procedures that may be required to appropriately diagnose and manage urgent and emergent conditions to optimize visual outcomes and prevent loss of visual function. Primary prevention strategies will also be discussed.

This session will discuss the top 10 tips and tricks that will keep you out of trouble in managing pediatric patients with orthopedic conditions. The session will discuss the most common presentations and pitfalls that pediatirc patients with fractures and acute injuries present to the clinic and ER with, and methods in addressing these cases and how to safely manage this patient population.

The hand is one of the most complex orthopedic structures in the body and plays an essential role in how people live, work, and communicate. This presentation focuses on managing chronic and acute primary care conditions of the hand and wrist, including carpal tunnel, trigger finger, DeQuervain’s disease, Dupuytrens’ contracture, basilar thumb arthritis, cysts, tumors, common injuries, and fractures. Improve your assessment skills by applying simple anatomic principles to a focused hand and wrist physical exam. Determine when imaging is necessary and how to use subjective and objective patient information to increase diagnostic accuracy. Participants will also explore evidence-based treatment options using case studies applicable to primary, urgent, orthopedic, and rheumatologic care settings.

Background & epidemiology of anal HPV and anal cancer. Understanding high-risk groups for anal HPV. Understanding signs and symptoms of anal cancer, how to screen based on available tools/resources in your practice setting. Review and implementation of anal cancer screening guidelines (to be published Q1 International Journal of Cancer, developed by the International Anal Neoplasia Society).

Lung cancer remains the most deadly form of cancer. However, early-stage lung cancer remains treatable with early detection and prompt intervention. Primary Care Providers are often the first line of care for patients with lung nodules. Knowing when to refer for further imaging and surgical evaluation saves lives. Surgical resection remains the gold standard for early-stage lung cancers. Minimally invasive surgery along with lung sparing resections continue to evolve to reduce common postoperative complications. With proper staging, early-stage cancer patients may return to Primary Care Providers for surveillance. Goals for this presentation includes increased awareness for lung cancer screening, management of lung nodules and masses, identification of imaging and testing preoperatively, identification of postoperative considerations, reduction in barriers to care, review of lung cancer staging and direction for lung cancer surveillance.

The management of spinal cord injury (SCI) spans both the inpatient and outpatient settings. SCI can affect either cervical, thoracic or lumbar regions with the most common injury being incomplete tetraplegia or paraplegia. Presentation of spinal cord injury can occur as a result of a traumatic event such as a motor vehicle collision, ground level fall or a fall from heights. Conversely, presentation can arise from non-traumatic pathways such as epidural abscess, spine tumor or severe disc herniation. Regardless of the injury mechanism or setting, patients usually present with radiculopathic, myelopathic and/or neuropathic symptoms which may or may not be accompanied by multimodal pain syndromes. Quick and timely recognition of symptoms associated with spinal cord injury is essential since spine ischemia and permanent loss of function can occur with delayed intervention. Presenting symptoms of spinal cord injury may include bowel and bladder impairment, musculoskeletal weakness or complete loss of function, altered pain patterns and hemodynamic alterations. Since the onset of presentation can differ among patients depending on injury location, it is essential for providers in both inpatient and outpatient settings to familiarize themselves with symptoms associated with spinal cord injury so evaluation symptoms and appropriate interventions can be identified.

Generation Z is in a crisis like no other generation previously. Anxiety, depression, and suicidality are skyrocketing. Emerging health threats like vaping, sexting, pornography, cyberbullying, and social isolation lack evidence and resources for an effective, sustainable systems response. Pediatric care providers and parents are overwhelmingly concerned about the long-term impacts of these mental health threats and the fallout of the COVID-19 pandemic. This presentation will review current evidence on novel health threats facing today’s teens and give providers practical intervention and communication strategies for effective response in clinical settings across the care continuum from outpatient primary and specialty care to school-based health centers to acute care settings. This presentation will provide a holistic appraisal of a wide variety of teen health threats with the latest and most up-to-date practice guidelines rather than a deep-dive on a specific topic. This presentation is designed to meet clinicians at the point-of-care with guidance on assessing and prioritizing health needs with the assistance of evidence-based, practical screening tools and practical immediate interventions to equip families to support teen health.

Child physical abuse is a significant public health problem in the United States. Studies show Health Care providers do not consistently screen children for abuse due to insufficient knowledge or confidence in screening for and detecting child physical abuse. Additionally, the lack of a systematic screening protocol increases the barriers to screening. This can result in missed cases of abuse. If abuse goes undetected, the child’s risk for subsequent re-injury and death increases significantly – as much as 50%. This presentation will identify the scope of the problem, provide an overview of child physical abuse, discuss risk factors and red flags for child physical abuse, review common injuries that are suspicious for abuse, and present evidence-based methods to increase child physical abuse screening in the clinical setting. Through the use of interactive case studies, attendees will learn how to utilize the validated Escape Instrument to identify children at high risk for physical abuse. An example screening protocol will be reviewed, and documentation guidelines, screening considerations, and the role and responsibility of nurse practitioners will also be discussed.

Anxiety is the most common mental health disorder for both adolescents and adults. One-third of adolescents will experience anxiety disorder. Some anxiety and fear are a part of normal development and the human experience. When the anxiety becomes disruptive, a plethora of problems may occur. While Anxiety Disorders are very common and prevalent, the conditions are still often under recognized and under treated especially in this population. Clinical expertise is required when evaluating this population to differentiate anxiety disorders from normal psychological processes or other conditions. This evidence-based presentation will focus on the identification and diagnosis of anxiety disorders among adolescents and young adults. Differential diagnosis and comorbidity will be examined and discussed. Pharmacological and non-pharmacological modalities in the management of anxiety disorders will be explained. Adverse childhood experiences and the impact of COVID-19 on anxiety in adolescents and young adults will be examined, as well as suicide risk and prevention in this population.

The aim of this case-based presentation is to provide the audience with an overview of oncologic emergencies that can occur in both the outpatient and inpatient setting. Oncologic emergencies that will be covered are neutropenic fever, hypercalcemia, tumor lysis syndrome, superior vena cava syndrome, hyperleukocytosis, SIADH, cord compression and immune mediated adverse events.

The number of children and teens with anxiety has nearly doubled, with 20.5% of youth worldwide now struggling with anxiety symptoms. The number of teenage girls who reported “persistent feelings of sadness or hopelessness” spiked from 36% to 57% over the last decade, according to the CDC (2023). This crisis calls for a response from health care to educate all health care providers on how to identify, evaluate, and treat children and teens with anxiety. This session will provide NPs with the knowledge, tools, and confidence to safely manage these patients in their practices.

This presentation will start with a brief review of the American Academy of Pediatrics' clinical practice guideline for the evaluation and treatment of children and adolescents with overweight and obesity published in early 2023, with a focus on what has changed compared to previous standard of care. One notable key action statement receiving much attention from the guideline is consideration of weight-loss medication for patients aged 12 and older with obesity as adjunct treatment to intensive behavioral treatment. This presentation will primarily review medications with FDA approval for the indication of weight loss in adolescents, however off-label medication use will be briefly addressed as well. We will discuss the following FDA-approved medications: orlistat, phentermine/topiramate, liraglutide, and semaglutide. Discussion will include patient selection, patient education, pre-medication workup, dosing and dose escalation, ongoing monitoring, and discontinuation criteria. Providers will be equipped to safely and confidently use anti-obesity medication in their pediatric practice.

With the end of the Iraq and Afghanistan wars, the US military is shifting to focus on Large Scale Combat Operations (LSCO). Future conflicts will likely feature a "near peer" adversary, with military capabilities comparable to our own. We will define LSCO and how it compares to our recent conflicts. We will review the current literature for LSCO insights from military and healthcare leaders, as well as lessons learned from recent conflicts such as the war in Ukraine.

In 2021, 46.3 million people aged 12 or older (or 16.5 percent of the population) met the criteria for having a substance use disorder in the past year. Medication-Assisted Treatment (MAT) is the use of medications, in combination with counseling and other therapeutic techniques, to provide a comprehensive approach to the treatment of substance use disorders. This presentation will explore the demographics and terms associated with substance use disorders. It will further explore the concepts of medication-assisted treatment and the indications for its use. Finally, specific medications and therapeutic approaches will be described so providers can have the tools to better treat substance use disorders.

This 60-minute presentation will cover one of the most common endocrine disorders affecting women of childbearing age: polycystic ovarian syndrome or PCOS. The prevalence of PCOS is between 8% and 13% in the U.S. and between 4% and 20% worldwide. The complex and multifactorial pathophysiology of PCOS will be discussed. Differential diagnoses, and the clinical presentation of PCOS with special emphasis of the Rotterdam criteria for the diagnosis of PCOS will be explained. Testing and management of common comorbidities of PCOS will be explored. Treatment modalities including pharmacological, and nonpharmacological, will be discussed. Special emphasis will be placed on lifestyle recommendations for the prevention and management of PCOS.

Learn the basics of point-of-care ultrasound from this immersive hands-on workshop. Ultrasound faculty from across the country will help the learner understand the fundamentals of POCUS. There will be classroom material, hands-on scanning with ultrasound machines, and a video review of actual pathology. The following topics will be included: knobology, cardiac, lung, renal/bladder, IVs, DVT, and, if time allows, abdominal aorta. Whether you're learning POCUS for the first time or want to hone your skills with seasoned faculty, this class is for you.  You must register for Part 1 and Part 2 of this course.

The FCCS course was developed to prepare non-intensivists to manage the care of critically ill patients for the first 24 hours until transfer or appropriate critical care consultation can be arranged. This two-day course includes a series of presentations and skill stations designed to provide knowledge, guidance for decision-making and limited practice in some clinical procedures and scenarios. Participants who successfully complete the course receive a certificate of completion.

FCCS Schedule:

Wednesday, June 26

7:30 AM - 12:45 PM - 24.2.006- Lectures - Part 1

Wednesday, June 26

2:00 PM - 5:00 PM - 24.2.07 - Skill Station - Part 1

Thursday, June 27, 2024

7:45 AM - 12:15 PM - 24.3.006 - Lectures - Part 2

Thursday, June 27, 2024

1:30 PM - 5:30 PM - 24.3.102 - Skill Stations - Part 2

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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 the time of conference registration. Once you are registered, a link from the Society of Critical Care Medicine will be sent to you.  YOU MUST COMPLETE THE PRETEST FIRST.  Upon completion, you will be able to download the e-book and all the modules.  Additionally, a letter will be sent to you from the 2 directors of the course with further details.

It is every APRN's fiscal responsibility to understand the revenue stream within a practice, whether employed or owner of a practice. APRN education focuses on the clinical aspects of training and little on the business side of generating revenue for practice by correct coding and documentation for APRN services. Evaluation and management (E&M) documentation guidelines provide criteria for medical decision-making vs time to secure a billable for the APRN service. Without a thorough understanding of the utilization of E&M guidelines and documentation to support CPT and ICD-10 coding levels, the practice revenue stream can be affected. When a service is under-coded, revenue is lost. When a service is over-coded, overvaluing increases potential liability. Learn how to reduce the likelihood of denials, which affect the bottom line. Learn about value-based reimbursement and be prepared for outcome-based payment. This workshop will provide education and hands-on case scenarios. Learn the tools to enhance documentation and reduce the burden of having more time with patients and better work-life balance. APRNs who can accurately document and code their services bring value to practice and add to the evidence base for the quality and cost-effectiveness of APRN care. As an APRN, it is essential to have a good understanding of the revenue stream within a practice, whether you are employed or own the practice. APRN education mainly focuses on the clinical aspects of training, but it is equally crucial to understand the business side of generating revenue for practice by using the correct coding and documentation for APRN services.

Evaluation and management (E&M) documentation guidelines provide criteria for medical decision-making, which is essential to secure a billable for the APRN service. A lack of understanding of these guidelines and poor documentation to support CPT and ICD-10 coding levels can significantly impact the practice's revenue stream. Under-coding leads to lost revenue, while over-coding can increase potential liability.

It is essential to learn how to reduce the likelihood of denials, which can significantly affect the bottom line. Also, it is crucial to learn about value-based reimbursement and be prepared for outcome-based payment. This workshop provides education and hands-on case scenarios to help you learn the tools to enhance documentation and reduce burden, allowing you to spend more time with patients and achieve a better work-life balance.

APRNs who can accurately document and code their services bring value to practice and add to the evidence base for the quality and cost-effectiveness of APRN care.

In this session, presenters will address the critical need for children and adolescents to receive evidence-based mental health screening, assessment, and effective, brief interventions in primary care practices. The SBIRT (Screening, Brief Intervention, & Referral to Treatment) SAMHSA model will be the basis of our presentation.  We will identify evidence-based screening questionnaires and demonstrate brief, focused mental health assessment of children/ adolescents who present with anxiety, depression, and trauma/stress-related symptoms. We will also identify evidence-based screening, assessment, and intervention with children/ teens with suicidal thoughts/ behaviors and/ or thoughts of harming others.  Access to specialty mental health services is difficult for many families.  The availability of psychiatric/ mental health providers is often limited and there are wait lists of months to begin treatment.  We have developed a toolkit of brief, evidence-based mental health interventions that can be delivered by nurse practitioners in busy health care settings – while awaiting specialty treatment.  We will present interventions with the best research evidence to support effectiveness (Level 1 Evidence) for anxiety, depression, trauma/stress-related symptoms, and suicidal thoughts and behaviors.  We will share resources we use (handouts, worksheets, & information sheets for patients/ parents) in pediatric primary care practice.

Define PRP (platelet rich plasma) and A2M (Alpha 2 Macroglobulin) process. Evaluate and discuss how these treatments are providing more natural options to treat common MSK conditions with improved patient outcomes. Review articles and studies related to these treatments regarding effectiveness and efficacy.

This workshop will provide a framework to help you competently and confidently care for transgender and gender-diverse patients. It will give you the tools to create an affirming office environment with suggestions for navigating electronic health record systems. There will be an in-depth review of hormone therapy algorithms, including potential risks and benefits of treatment, lab monitoring and how to adjust medications in specific high-risk populations. The current recommendations for primary care and preventive screenings, as well as caring for patients who have had gender-affirming surgeries, will be explained. Finally, case studies will show real-world examples of how current guidelines and understanding of gender-affirming health care can be put into practice.

Considering the high mortality rate and intense suffering related to anorexia and bulimia, early detection and aggressive treatment are critical. However, these illnesses are not easy to identify because those affected often have difficulty reporting their behaviors, can present with a normal BMI, and may report symptoms that mimic other conditions. Additionally, most primary and specialty care providers do not receive adequate opportunities for training related to these complex and often overwhelming illnesses. This presentation will provide realistic strategies for recognizing and managing the physical complications of anorexia and bulimia. Screening and assessment will be addressed, including the evaluation of labs and EKGs. This presentation will also address the potentially fatal fluid and electrolyte shifts related to refeeding syndrome and pseudo-Bartter syndrome. GI complications will be emphasized because, while eating disorders profoundly affect nearly every body system, GI symptoms are particularly rampant. Full recovery is possible with appropriate treatment and long-term multidisciplinary support. Hence, the roles of vital treatment team members will be discussed, as well as the level of communication necessary to be successful in treating the patient holistically.

With many different screening recommendations, it can be confusing for patients to know how frequently they should be receiving pap smears for preventative health care. Additionally, recently updated pap management guidelines may leave some primary care providers uncertain about how to manage cytology and HPV results. This presentation is will 1) summarize the epidemiology of cervical cancer and associated health disparities, 2) discuss cervical cancer screening recommendations and vaccination guidelines, and 3) describe and apply abnormal pap management guidelines to patient care populations.

This program will focus on how to start and build an NP practice, while acknowledging the need to not only care for your patients but also your staff and yourself. Understanding that burnout is a real problem in health care today.

Your patients want to know, but are hesitant to ask. Sex drive, changes in sexual response, and changes bodies can be challenging, and yet In this lively and engaging presentation, you’ll learn evidence-based and validated techniques to elicit a sexual health history and provide your patients the information they need for enhanced sexuality. You’ll feel more comfortable normalizing and validating concerns using the PLISSIT model, which Provides Permission, Limited Information, Specific Suggestions and when necessary referral for more Intensive Therapy. Whether partnered or flying solo, your patients deserve a satisfying sex life and you’ll be better prepared to help them.

This presentation will introduce immunologic principles of solid-organ transplantation and medication regimens used for maintenance immunosuppressive therapy and to treat transplant rejection. The role of the primary care provider in preventative health care, management of chronic conditions and comorbidities, and recognition of post-transplant complications in the solid-organ transplant recipient will be discussed. Participants will develop differential diagnoses for transplant recipient presentations in the primary care setting.

As chronic kidney disease is asymptomatic until advanced disease it is often under-recognized by clinicians and patients with CKD are often unaware of their diagnosis. Medicare costs for patients with all stages of CKD in 2019 were $87.2 billion and $86,400 per patient with ESRD. Without an increase in early recognition and prevention of CKD, the number of patients with kidney failure is expected to exceed one million by 2030. This session aims to equip primary care providers with the tools needed to identify primary causes of CKD, adequately assess and diagnose CKD in early stages, and implement risk reduction techniques to prevent the progression of CKD.

Infection is an important cause of death in many individuals aged 65 years and older and is a contributor to death for many others. The most common causes of infection in long-term care facilities include urinary tract infections, pneumonia, clostridium difficile and cellulitis. This presentation will describe signs and symptoms of common infections in long-term care, highlight the current treatment modalities for these infections as well as the application of good antibiotic stewardship principles when prescribing antibiotics.

By 2034, adults over the age of 65?years will outnumber children for the first time in U.S. history. Older adults are major consumers of health care and experience high levels of contact with health systems. The fragmented system of health care in the U.S. contributes to unreliable care for older adults, which has the potential to cause personal and financial harm. Personalized, age-friendly care based on the 4Ms framework can improve clinical outcomes. The framework for implementing age-friendly care focuses on knowing and acting on What Matters Most to the older person as well as addressing key care concepts related to Mentation, Medication, and Mobility. The goal is to create health systems that ensure every older adult receives the best care possible, is not harmed by care, and is satisfied with the care they receive. The aim of this presentation is to describe an age friendly health system and provide tools to implement evidence-based elements of the 4Ms for high quality care.

Description of venous thromboembolism (VTE) from childhood to geriatrics. Discuss the risks at different points in life and in different situations. How to score each risk level. Explanation of the diagnostics of VTE.

Millions of patients are receiving chemotherapy or targeted immune therapy to control internal and cutaneous malignancies. It is important for providers to be able to anticipate, manage, or refer patients for evaluation of potential cutaneous effects of these drugs.

This presentation will explore common cognitive mistakes that are made in the diagnostic process. By helping clinicians understand how to be as objective and scientific as possible, they will increase the quality of care they provide their patients.

New coding rules introduced in January 2024 influence the way that Nurse Practitioners bill patient visits. It is essential that Nurse Practitioners are familiar with the new guidelines so that they can optimize reimbursement. "Incident to" and "Split/Shared billing rules will be reviewed as well as their impact on Nurse Practitioners' practice.

Each year, the American Diabetes Association publishes an update of their recommendations regarding the use of diabetes medications. The recommendations are based on the latest research. There have been many recent changes in the past 1-2 years. Most of the over 37 million patients with diabetes in the United States do not see an endocrinologist, and many see a Nurse Practitioner. There are now more than 100 diabetes medications and 13 diabetes drug classes on the market, making it difficult for the Nurse Practitioner to know where to start and how to adjust. This lecture will discuss how the different diabetes medication classes work and the new recommendations for initiating, titrating, and combining diabetes medication classes with a patient-centered approach to achieve glycemic targets.

May-Thurner Syndrome (MTS) affects the blood flow where the iliac artery presses the iliac vein. The compression may or may not lead to complications such as deep vein thrombosis (DVT) or chronic venous insufficiency (CVI). CVI occurs when the vein walls are weakened, and valves are damaged. Both MTS and CVI affect the return of blood flow from the lower extremities back to the heart for oxygenation. Symptoms may be mild, but over time they may interfere with quality of life. While the prevalence of MTS is 22 to 32 %, CVI affects up to 50% of the population. MTS is estimated to cause 2 – 3% of all DVT and affects 72% of females between 20 – 40 years of age. CVI is thought to be the underlying cause of 65% of chronic leg ulcers. This presentation will discuss pathology, compare, and contrast signs and symptoms, identify and explain definitive diagnostics tests, and cover the management of both conditions. Knowing similarities and differences between MTS and CVI can lead to an effective treatment plan and prevention of complications and misdiagnosis, which can affect activities of daily living, and in severe form, cause life threatening complications and disability.

Function of AANP

Nursing professionals navigate the care of patients with diverse and complex conditions every day, including cancer and neurological diseases like multiple sclerosis (MS). The underlying mechanisms of MS are poorly understood, treatment is largely based on trial-and-error, and as more medications become available it becomes increasingly difficult to balance the risk of disease progression with the risk of treatment. While moving from the bedside to bench research can be daunting, nurses are trained to view disease within the context of the whole person, their family, and their environment, which makes them well suited for contributing to epigenetic research and the precision science movement. This presentation will highlight the importance of using the nursing perspective in basic science to better understand complex diseases and improve patient outcomes by showing how one Nurse Practitioner endeavored on a cutting edge multi-omics study that helped illuminate potential drivers of sex differences in multiple sclerosis.,

Preparing military APRNs for future global and operational practice. This presentation will review current capability and future end state of clinical practice with lessons learned from previous deployments, training and duties that foster growth in advocacy for policy change for full scope practice and billet equity.

Acute thyroid and adrenal emergencies are the MOST common non-diabetes endocrinopathies encountered in acute care. They are deadly, frequently misdiagnosed, and typically present first in primary and urgent care. Failure to quickly identify and treat these disorders can lead to high mortality (and litigation). This session, led by an endocrine expert (and occasional legal consultant) will provide attendees with foundational information about the pathogenesis and risks for thyroid storm, myxedema coma, acute adrenal insufficiency, and hypercortisolism. Using actual cases, tips to help more readily identify and diagnose these conditions and initiate priority interventions (before and tandem to endocrine referrals) will be presented. Let’s save these patients—and your professional license!

The COVID-19 pandemic inserted telehealth into the daily routine of many providers; however, many had no previous experience with this care modality. What resulted were many providers scrambling trying to figure out how to assess their patients via video conferencing. Some providers, with the stress of the pandemic, simply thought physical assessment could not be performed without the patient in the exam room thus creating additional delays in necessary care. We know physical assessment is an important part of the patient visit to complement the patient's history. Therefore, the telehealth visit via video conferencing should be as close to an in person visit as possible. Expanding your physical assessment skills via video conferencing can help improve patient access to care and advance health equity by broadening the types of visits you can provide your patients and improving their outcomes and satisfaction. The purpose of this presentation is to expand your physical assessment skills via video conferencing (a telehealth visit without peripherals such as an electronic stethoscope). In this presentation, you will learn how to complete your telehealth physical assessment through Inspection, Palpation, Percussion, Auscultation (IPPA), vital signs and special maneuvers via video conferencing to optimize your diagnostic accuracy.

Predatory publishing is a growing issue in the world of research and evidence-based practice. Nurse practitioners (NPs) must be equipped with the knowledge and skills to identify and avoid falling victim to predatory publishers and inadvertently including evidence from predatory journals in their scholarship activities. Using evidence from predatory journals threatens to undermine the validity and credibility of research and evidence-based practice initiatives, ultimately putting patient care at risk. It is, therefore, essential for NPs to be able to differentiate between legitimate and predatory publications and identify the common “red flags” of predatory publishers. The purpose of this presentation is to educate NPs on predatory publishing, its implications, and how to avoid these publications in their own scholarship and clinical practice. This presentation will cover topics such as defining predatory publishing, describing the characteristics of predatory journals, identifying reputable journals, evaluating the credibility and quality of publications, and identifying strategies for avoiding predatory publishers. The presentation will also discuss the potential consequences of submitting work to predatory journals and using evidence published in predatory journals to inform research and evidence-based practice initiatives.

With the current use of novel agents in cancer care, patients are living longer and need guidance in transitioning from active cancer treatment to health maintenance and prevention. Cancer survivorship is essential to promote wellness and health maintenance mentally, physically, and emotionally among the cancer population.

21% of U.S. adults have chronic pain and 8% have high-impact chronic pain. New cases of chronic pain occur more often among U.S. adults than new cases of several other common chronic conditions. Individuals with severe pain have worse health, use more health care, and have more disability than those with less severe pain. Many chronic pain sufferers rely on opioids to manage their pain and contribute to the opioid addiction crisis. There are many pharmacologic approaches that can be used to treat chronic pain. Additionally, a growing body of evidence suggests that complementary approaches, such as acupuncture, hypnosis, massage, spinal manipulation, and yoga, may be useful to manage pain. This presentation will explore the background of chronic pain and the non-opioid pharmacological and integrative alternatives available to treat it.

This presentation will describe the prevalence of HPV in the U.S. and among older adults. The participants will review the current guidelines for screening and treatment of HPV. Participants will evaluate the extent of latent infection in older women and examine the current evidence and recommendations. Participants will gain an understanding of the recurrence of previously acquired high-risk HPV, which suggests infection from a latent state or autoinoculation from another epithelial site. Screening, risks and benefits of vaccine use in this population will be discussed.

Geriatric patients have become the most common population at trauma centers. Due to their co-morbidities, they have a higher morbidity and mortality rate. Many trauma organizations are now focusing on the importance of specialty treatment of this population and have developed guidelines for treatment. This presentation will focus on the unique characteristics of the geriatric population and the current recommendations and guidelines for this population.

BREAKING NEWS! A world-renowned stroke expert, Dr. Medulla Oblongata, has had a stroke! Can the audience of NPs unmask the mystery of the risk factors that caused her stroke? Key suspects are on the loose, including C. Gurette, H.P. Tension, Hilly Pids, Diab Etes among others. Stay tuned and join this fun, interactive, and knowledge-building session to equip NPs to knock out stroke, crush disabilities, and empower patients to live their best lives through stroke prevention.

For almost two decades, the role of NP post-graduate training has been a controversial topic in nursing. As a profession, we assert that NPs are fully prepared to practice in all settings upon graduation, yet many employers are not finding that to be true in practice. Over the last decade, the number of NP post-graduate training programs has increased significantly, largely driven by the practice community’s efforts to meet the complex needs of diverse populations. In addition, those who have completed a residency or fellowship program are more likely to come from a minority background and serve under-resourced populations. Despite the documented data, the position of academia and NP professional organizations have remained stalwart that NP post-graduate training should be the exception rather than the norm. In this presentation, we will review the impact of a new graduate NP fellowship in one of the nation’s largest primary care companies. Unique to this fellowship is an innovative academic-practice partnership that assures the program builds on, rather than repeats, graduate nursing education. The discussion that arises from this question will be a call to action for a change in the mindset and policies related to NP education and practice.

Almost 25% of Americans aged 40 and over are affected by Overactive Bladder syndrome (OAB). The annual cost of treating OAB approaches $66 billion dollars. OAB can greatly impact work productivity, quality of life, and increase other health risks such as urinary tract infections and skin integrity impairment. Understanding the proper way to assess, diagnose and treat these patients will greatly improve Health Care providers' ability to manage, mitigate and/or eradicate overactive bladder symptoms. This lecture outlines a guidelines-based stepwise approach to treating these patients through behavioral, pharmacological, and surgical treatment options along with direction of when to refer patients to a specialist.

Overview of the diagnosis and management of hypertension in children including proper measure of pediatric blood pressure, review of pediatric hypertension guidelines, criteria for diagnosis of hypertension, nonpharmacological approaches to management, when to refer, and when to start medication and when to start medications.

During this session, you will learn about the most current statistics, epidemiology and various possible causes of PCOS. Notably, you will learn about the pathophysiology/symptoms/signs of PCOS, plus the serious risks and complications/sequelae associated with PCOS. The diagnostic criteria will be explained, in addition to the increasingly complex differential diagnoses and recommended diagnostic workup. New 2023 Evidence-based management approaches will be outlined, including pharmacologic and non-pharmacologic options.

Non-alcoholic fatty liver disease is the most common liver disease. It is increasing at an alarming rate. The diagnosis is made on the basis of mildly elevated transaminases, and/or fat seen in the liver on ultrasound, CT or MRI. Prior to making a diagnosis of NAFLD, other liver diseases must be excluded. The most important consequence of NAFLD is cardiovascular risk. In this presentation, we will explore the risk factors of NAFLD and how to make the diagnosis. We will also discuss the current treatments as well as future therapies.

The presentation will describe how an APP-led bone marrow procedure team was developed at a large cancer center. We will describe the inception of the team, the development of a formalized training program for its proceduralist. We will describe the impact of formal training to standardize the procedure on patient experience as well as on the adequacy of sampling. We will also discuss the importance of the training of the APP on this procedure to improve the confidence and competency of the APP.

Learn more about the crucial aspects of providing comprehensive primary diabetes care. We will discuss the establishment of the Primary Care Council and its role in promoting evidence-based care. Learn more about fundamental themes of high-quality primary care and specific activities patients can expect from best practice providers. Gain insights into essential components of effective primary care for diabetes, equipping them with strategies to optimize patient outcomes and foster collaborative partnerships with their primary care teams.

Lewy Body Dementia (LBD) has become one of the most common causes of dementia after Alzheimer's disease (AD) and vascular dementia but is often overlooked in the clinical diagnosis. LBD often presents a diagnostic challenge given this clinical heterogeneity and overlap with other neurodegenerative diseases and pathologically difficulty identifying cortical Lewy bodies in routine histochemical stains. With the development of immunohistochemical stains for constituents of Lewy bodies combined with specialized research and patient studies, the prevalence of this disorder has since been better characterized.

However, with all the research to determine a clinical diagnosis, there is little that addresses how the disease affects the caregiver or family who care for these patients at home. Most caregivers do not have a medical background and rely on the expertise of medical professionals to guide them in decision-making and managing this disease at home. The caregivers should feel confident and trust that their medical providers are making the best decisions for their loved ones.

The medical provider needs to take the time to educate the family and identify safety risks for both the patient and the caregiver. The medical provider must continue to address factors such as fear, despair, lack of sleep, and isolation that encompass this diagnosis early on and tend to escalate throughout the progression of the disease. The progressive loss of their loved one, the erratic behavioral changes, managing a household, and the lack of caregiver support ultimately leads to caregiver burnout and further compounds the overall emotional impact. Caregiver burnout heightens the behavioral symptoms exhibited by the patient.

The purpose of this session is to provide the nurse practitioner with firsthand knowledge and testimony of the challenges in caring for a family member with LBD and a caregiver with undiagnosed caregiver burnout:
1)Provide an overview of Lewy Body Dementia, clinical symptoms, progression, and risks.2)Discuss caregiver burnout and how it affects the family unit and behaviors in the LBD patient.3)Assist the nurse practitioner in understanding how the NP can support the family unit and advocate for the caregiver.4)Review the challenges and barriers to healthcare, misdiagnoses and medication therapies for LDB patients.

Obesity is a lifelong progressive disease that should be treated upon diagnosis. When left untreated, it worsens and leads to serious complications such as diabetes, cardiovascular disease, osteoarthritis and cancer. Given the complexity of obesity, primary care NPs need to know how to identify key stages of the lifespan when a person is most at risk for weight gain and obesity-related complications and effectively intervene. This seminar will guide you step by step from diagnosis to treatment. You will learn how to manage patients at various stages of the lifecycle, from adolescence through older adulthood, with the goal of improving health outcomes. Interactive case discussions will provide you with the opportunity to formulate treatment plans with the guidance of obesity management experts.

Adequate assessment and management of acute and chronic pain continues to be a public health burden in the United States. According to the Centers for Disease Control and Prevention, 50 million adults in the United States have chronic daily pain, with 19.6 million adults experiencing high-impact chronic pain that interferes with daily life or work activities. The cost of pain to our nation is estimated at between $560 billion and $635 billion annually. At the same time, our nation is facing an opioid crisis that, over the past two decades, has resulted in an unprecedented wave of overdose deaths associated with prescription opioids, heroin and synthetic opioids. As of June 27, 2023, the Federal Medication Access and Training Expansion (MATE) Act mandates practitioners to confirm completion of a new training requirement (8 hours of education related to substance use disorder management) before renewing their DEA license. This applies to all prescribers: NPs, PAs, MDs, Dos, etc. This comprehensive pain management and substance use disorder seminar will provide the attendee with the required 8 hours of MAT continuing education required for DEA license renewal, along with 6 hours of pharmacology continuing education credit. Ultimately, the learner will leave this session with hopefully an appreciation for the state of the societal problem of poorly understood and managed chronic pain and mental health in the U.S., taking away education and tools to better manage this patient population.

Review common pathologies for shoulder, hip and knee conditions. Review orthopedic tests and differential diagnosis based on exam findings for shoulder, hip and knee conditions. 

Cardiometabolic disease is a group of common and preventable chronic diseases impacting the cardiovascular and metabolic systems. The prevalence of cardiometabolic disease has increased as the risk factors such as obesity, diabetes and hypertension have increased.
This workshop will give the attendee an opportunity to attend a session where we will define, deconstruct and learn about the intersection of this disease process. We will break down diabetes mellitus, hypertension, lipid management and obesity to approach the treatment of cardiometabolic disease. As part of this workshop, case studies will be integrated through this interactive, dynamic program.

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.