7 a.m. – 5:30 p.m.

Registration

7 – 8:00 a.m.

Breakfast(Provided)

8 – 10 a.m.

CriticalCare-Aoke: Procedural Hits to Sing-a-Line To
(Separate registration required.)

Adrijana Anderson, PA-C; Sarah Bernabe, PA-C; Liz Tetzlaff, MS, RRT, RCP; Andrew Walker, PSM, MS, PA-C

This will be a hands-on workshop for practicing common critical care procedures including central line placement, intubations, and mechanical ventilator basics.

At the conclusion of this session, participants should be able to:

• Describe and practice how to place a central venous catheter
• Describe and practice how to perform endotracheal intubations
• Review basics of mechanical ventilator management

10:30 a.m. – 12:30 p.m.

CriticalCare-Aoke: Procedural Hits to Sing-a-Line To
(Separate registration required.)

Adrijana Anderson, PA-C; Sarah Bernabe, PA-C; Liz Tetzlaff, MS, RRT, RCP; Andrew Walker, PSM, MS, PA-C

This will be a hands-on workshop for practicing common critical care procedures including central line placement, intubations, and mechanical ventilator basics.

At the conclusion of this session, participants should be able to:

• Describe and practice how to place a central venous catheter
• Describe and practice how to perform endotracheal intubations
• Review basics of mechanical ventilator management

1:30 – 5:30 p.m.

Point-of-Care Ultrasound Pre-Course: HOCUS POCUS: Point of Care Ultrasound Workshop Workshop (Separate registration required.)

Adrijana Anderson, PA-C; Sarah Bernabe, PA-C; Shiloh Danley, NP; Chandler Hurt; Andrew Walker, PSM, MS, PA-C

Point of Care Ultrasound is becoming much more prevalent in many different specialties as an important clinical tool to help assess/diagnose patients and guide resuscitation. This workshop will introduce basic concepts of how to perform point of care ultrasound and how it can be implemented into your clinical practice – with lots of hands on practice on live ultrasound models!

At the conclusion of this session, participants should be able to:

• Explain the indications for the use of bedside, point-of-care ultrasound (POCUS)
• Describe the basics of ultrasound technology, and “knobology”
• Be able to perform basic cardiac, lung, and eFAST ultrasound exams

7 a.m. – 4:15 p.m.

Registration

7 – 8 a.m.

Exhibits and Breakfast (Provided)

8 – 8:15 a.m.

Welcome From Course Directors

8:15 – 9 a.m.

Sweat the Small Stuff

Andy Herber, PA-C

The following presentation is a highly emotional story of the speakers experience after his son, just two weeks after his 4th birthday, was diagnosed with High-Risk T Cell Lymphoblastic Lymphoma. The presentation covers the ups and downs of critical illness and prolonged hospitalizations from the patient’s perspective and focuses on things providers can do to make the best of a terrible situation. After attending, participants will hopefully be moved to “sweat the small stuff” when at the bedside of their patients and help change the lives of those critically ill.

At the conclusion of this session, participants should be able to:

• Formulate strategies to assist at the bedside with patient and families suffering from critical illness
• Identify ways to make a difference for patients encountering life threatening illness
• Highlight reasons that individuals go into healthcare
• Give examples of how the small stuff can have an everlasting impact

9:05 – 10 a.m.

The Bronchi and the Breathless: Hospital Respiratory Cases

Adrijana Anderson, PA-C

Regardless of what specialty you practice in, there’s a good chance your patient has presented with some type of respiratory complication – from pneumonia to pulmonary embolism to COPD exacerbations and much much more. This talk will focus on how to best stabilize your patients from a respiratory standpoint, including best uses for high flow nasal cannula, BiPAP, and other devices.

At the conclusion of this session, participants should be able to:

• Define and classify acute respiratory failure
• Review oxygen supplementation techniques
• Discuss appropriate use of NPPV

10 – 10:30 a.m.

Exhibits/Break

10:35 – 11:25 a.m.

Hospital Neurology: Headaches, Seizures, and Intracerebral Hemorrhage

Abigail Taylor, PA-C

This interactive session will use a case-based approach to cover a variety of topics seen in hospital neurology practice including secondary headache disorders, seizures and status epilepticus, central nervous system infection, and intracerebral hemorrhage

At the conclusion of this session, participants should be able to:

• Identify headache red flag features using the SNOOP criteria and compile differential diagnosis for secondary headache disorders
• Review diagnosis, evaluation, management, and complications associated with reversible cerebral vasoconstriction syndrome (RCVS)
• Discuss initial treatment for seizures in hospital and status epilepticus, including adequate dosing of antiseizure medications
• Review indication for initiation of acyclovir for HSV with empiric antimicrobial regimen for meningitis/encephalitis
• Highlight the recently updated guidelines for evaluation and management of intracerebral hemorrhage

11:30 a.m. – 12:45 p.m.

Exhibits and Lunch (Provided)

12:45 p.m. – 1:40 p.m.

Dude, Where’s My Blood: Hospital Cases of Anemia and Sweat the Small Stuff

Andy Herber, PA-C

The following presentation is a fast paced, cased based, high-energy presentation on the multiple etiologies of anemia. Lecture reviews acute, chronic, micro, macro, and hemolytic anemias. The audience will work through cases and interpret findings to determine likely etiology of anemia and best treatment. The lecture will also discuss evidence-based guidelines regarding transfusion practices as well as the impact of hospital acquired anemia on patient outcomes.

At the conclusion of this session, participants should be able to:

• Recognize the most common causes of anemia in hospitalized patients
• Explain the rationale behind transfusion thresholds in hospitalized patients
• Describe the workup of anemia in hospitalized patients

1:45 – 2:40 p.m.

Ortho for the Hospitalist

Stephanie Jalaba, MMS, PA-C

This session will focus on non-surgical orthopedic diagnoses that the hospitalist PA may come across, either as a primary or secondary diagnosis. Through cases, we will blend the worlds of hospital medicine and orthopedics, discussing best practices for common orthopedic cases and some pearls and pitfalls to keep in mind.

At the conclusion of this session, participants should be able to:

• Discuss common orthopedic cases seen in the inpatient setting
• Describe orthopedic diagnoses that require timely recognition and intervention
• Justify treatment recommendations, including appropriate pharmacology, in various orthopedic diagnoses

2:45 – 3:15 p.m.

Exhibits/Break

3:15 p.m. – 3:45 p.m.

Chronic Abdominal Pain: What You Need to Know

Tisha Lunsford, MD, AGAF, FACG

Chronic abdominal pain has a widespread impact on the individual and society. Diagnosis and management of patients is often challenging and frustrating. Factors that contribute to this include poor sensitivity of the history and physical exam, a broad differential diagnosis that crosses several specialties, and an often-negative diagnostic workup. There are certain rare diagnoses that should be considered in the differential in the acute or hospitalized setting in certain at-risk populations. However, the vast majority of patients will not have a readily identifiable cause and their disease will need to be treated in the context of their symptoms. Identifying and explaining mechanisms of importance for the pain experience within a biopsychosocial context are central to selecting central and peripheral treatments that have a chance for symptom reduction.

At the conclusion of this session, participants should be able to:

• Discuss the differential of chronic abdominal pain
• Explain the diagnosis of disorders of gut-brain interaction (DGBI aka functional) to a patient
• Recognize patterns of presentation to predict best algorithmic diagnostic and treatment approach
• Explore a case to highlight the role of multicomponent approach to chronic abdominal pain

3:45 – 4:15 p.m.

Cyclic Nausea and Vomiting

Rosie Frazier, MD

During this session, will review how to accurately diagnose patients with cyclic vomiting syndrome and cannabinoid hyperemesis syndrome, summarize treatment options, outline pharmacologic therapy, and discuss the challenges encountered when treating these patients.

At the conclusion of this session, participants should be able to:

• Identify patients with cyclic vomiting syndrome (CVS) and cannabinoid hyperemesis syndrome (CHS) based on clinical presentation
• Recognize principles of diagnostic testing for Presumed CVS
• Implement a tailored management plan for treating acute episodes related to CVS and CHS
• Identify challenges when providing care for patients with CHS

4:30 p.m. – 5:30 p.m.

Opening Networking Pool Party

6:30 a.m. – 1 p.m.

Registration

6:30 – 7 a.m.

Exhibits and Breakfast (Provided)

7 – 7:55 a.m.

Things That Go Bump in the Night: Surviving Night Floor Calls

Jessica Chambers, MD

Night shift is one of the most dreaded phrases in medicine. The volume and acuity of pages can vary dramatically, and quiet nights can be shattered with one critical call. This session will serve as an overview to cross cover medicine, how to tackle specific issues, and when to escalate care. By defining your individual approach to overnight care, and prioritizing communication with ancillary staff, you can walk into any shift feeling prepared. Evidence-based approaches to delirium, arrhythmias, fevers, foley and IV issues, and much more will be discussed. Expect updated and new cases in this session if you’ve attended in the past. Attendees will leave the session with access to a continually updated guide to night medicine issues that was designed in conjunction with subspecialist faculty. Concise documentation of overnight events will also be emphasized.

At the conclusion of this session, participants should be able to

• Summarize the most common cross-cover calls received overnight
• Differentiate across the standard approaches to routine patient care issues overnight
• Apply triage concepts to multiple competing priorities during night shift
• Demonstrate judicious decision making in pharmacologic interventions
• Develop a consistent strategy for cross-cover documentation and communication

7 – 7:55 a.m.

Hospital Diagnostics Radiology*

Matthew Keeler, DO

Session information coming soon!

8 – 8:55 a.m.

Diabetes Management in the Hospitalized Patient and other Endocrinology Crises

Krystal Renszel, DO, MS

Learn the most current guidelines regarding diabetes management in hospitalized patients and how to apply these to manage insulin dosing yourself. Recognize and manage diabetes emergencies and other endocrinology emergencies, such as thyroid storm and adrenal crisis.

At the conclusion of this session, participants should be able to:

• Review current literature regarding glycemic targets and insulin dosing with focus on non-ICU hospitalized patients, incorporating special populations (corticosteroids, ESRD/CKD, peri-operative)
• Recognize diabetes emergencies: HHS, DKA, and hypoglycemia
• Discuss insulin dosing regimens based on patient population and nutritional status
• Describe the initial management of thyroid storm and adrenal crisis

8 – 8:55 a.m.

Documentation Savviness: Tips and Tricks from a Medical Director*

Lisa Simmon, MD, MBA, SFHM, CHCQM

Smart documentation is our key to communication with our colleagues and insurance companies. Learn tips and tricks from a medical director on how to make your notes superb!

At the conclusion of this session, participants should be able to:

• Recognize how improved clinical documentation reflects the care rendered to impact communication and clarity with billing/coding/insurances
• Examine the need for clear, concise, yet detailed progress notes
• Explain the benefits and risks associated with cut and paste in medical documentation
• Develop strategies for creating definitive disposition statements to support medical necessity

9 – 9:30 a.m.

Exhibits/Break

9:30 – 10:25 a.m.

Let’s Make Cardiology Simple

Rajkumar Sugumaran, MD

This session will review heart related conditions that cardiologists handle regularly as well as review how to interpret an electrocardiogram.

At the conclusion of this session, participants should be able to:

• Illustrate basic electrocardiogram (EKG) interpretation
• Describe basic chronic heart failure (CHF) work-up and treatment
• Discuss acute coronary syndrome (ACS)
• Explain hyperlipidemia (HLD)

9:30 – 10:25 a.m.

Insulin Dosing: An Interactive Session*

Krystal Renszel, DO, MS

During this session, the learners will apply the concepts introduced in the didactic lecture to case studies. Each case study will highlight how to calculate insulin for unique patient populations

At the conclusion of this session, participants should be able to:

• Calculate insulin dosing regimens based on patient population and nutritional status
• Discuss non-insulin alternatives
• Transition patients from their hospitalized regimen to home regimen

10:30 a.m. – 11:25 a.m.

Gut Shots: A Hospitalist’s Quick-Hit Digestive Disease Pearls

Preston Seaberg, MD, FACP

Gastrointestinal symptoms and syndromes are among the most commonly encountered problems in hospitalized patients. In this exciting session of high-yield clinical pearls, attendees will update their gastrointestinal diagnosis and management schema through engaging, case-based, evidence-backed discussion.

At the conclusion of this session, participants should be able to:

• Select appropriate initial diagnostic tests for common inpatient gastrointestinal syndromes
• Recall appropriate initial management of common inpatient gastrointestinal syndromes
• Apply findings of clinical research involving pharmacotherapy for digestive disorders encountered in the hospital

10:30 a.m. – 11:25 a.m.

Cardiology Cases*

Rajkumar Sugumaran, MD

This session will include interactive cases that will provide the attendees the opportunity to discuss chronic heart failure and acute coronary syndrome. Attendees will also have the opportunity to review and interpret an electrocardiogram.

At the conclusion of this session, participants should be able to:

• Recognize symptoms and select treatment for chronic heart failure (CHF)
• Describe electrocardiogram (EKG) results
• Compare treatment options for acute coronary syndrome (ACS)
• Discuss hyperlipidemia (HLD)

11:30 a.m. – 12:00 p.m.

Exhibits/Break

12 – 1 p.m.

Cry Me a Liver

McKenna Beemiller, PA-C

This session will include the following: an overview of causes of liver disease/cirrhosis and clinical manifestations; discussion of treatment options for patients with cirrhosis; illustratration of when to refer patients for liver transplant; review of MELD score updates; identification of who qualifies for liver transplant based on MCA guideline; review of acute liver failure guidelines and updates on donor organ options and liver disease nomenclature.

At the conclusion of this session, participants should be able to:

• Describe decompensated cirrhosis management
• Demonstrate when to refer for liver transplant
• Explain updates on liver disease nomenclature

12 – 1 p.m.

Say What? Effective Communication in Healthcare*

Hannah Farfour, DNP, APRN, AGNP-BC

The ability to communicate effectively and with empathy leads to better patient outcomes, patient satisfaction, and provider satisfaction. There are a variety of tools and approaches that can be used to enhance our communication skill set.

At the conclusion of this session, participants should be able to:

• Identify communication frameworks that facilitate shared decision making and goals of care
• Describe techniques to recognize and honor emotion within communication
• Evaluate areas for communication skills enhancement within your own practice

1 – 2 p.m.

Lunch (Not Provided)

2:30 – 6 p.m.

Hole in the Rock and Brewery Off-Site Excursion (Separate registration Required.)

7 – 3 p.m.

Registration

7 – 7:30 a.m.

Breakfast (Provided)

7:30 – 8 a.m.

Beyond the Nuts and Bolts: Discharge Planning

Viet Do, DO, FACP

Description coming soon!

At the conclusion of this session, participants should be able to:

• Recognize challenges to discharges at the moment of admission
• Tackle challenging conversations early and often
• Utilize motivational interviewing for patient-centered care

8:05 – 9 a.m.

The Hospitalist Paging the Nephrologist

Musab Hommos, MD

This session is focused on discussing initial workup for hyponatremia, applying correct management for hypervolemic hyponatremia, SIADH and severe symptomatic hyponatremia. In addition, we will review basic workup and management of acute kidney injury, including when escalation to dialysis is needed.

At the conclusion of this session, participants should be able to:

• Recognize workup for hyponatremia
• Identify correct management strategy for three common causes of hyponatremia
• Identify basic workup and management for acute kidney injury

8:05 – 9 a.m.

Medical Education Effective Feedback, Chalk Talks – Teaching on the Fly; How to Teach Rounds*

Viet Do, DO, FACP

Medical education can be challenging. By understanding how adults learn, utilizing RIME method to assess learners, and implementing SMART goals to assist their learning, these tools will provide a framework as an educator. Performing bedside rounding and providing immediate feedback on the fly will give the educator the opportunity to utilize these tools frequently and develop proficiency to develop into a skilled clinician-educator.

At the conclusion of this session, participants should be able to:

• Recognize different adult learning theories
• Utilize RIME method to assess a learner’s cognitive abilities
• Implement SMART goals to assist with learning
• Perform frequent bedside rounding
• Provide immediate “on the fly” feedback

9:05 – 10 a.m.

Detoxing and Dopesick

Sarah Tiesing, FNP-C

This presentation will serve to empower the acute care hospitalist clinician in early identification of alcohol and opioid withdrawal as well as best practice pharmacologic therapies. It will specifically focus on the role of Suboxone in acute care with recent elimination of the X-waiver and enhanced access to opioid treatment for our opioid use disorder patients.

At the conclusion of this session, participants should be able to:

• Identify the signs and symptoms of alcohol and opioid withdrawal
• Identify the risks and complications of alcohol and opioid withdrawal
• Identify best practice pharmacologic therapies for alcohol and opioid withdrawal

9:05 – 10 a.m.

ABGs and Ventilators: Let’s Talk About Gas!*

Andrew Walker, PSM, MS, PA-C

Do you experience nausea, bloating, and abdominal discomfort when asked to interpret an ABG or discuss ventilators? Join us as we air out the steps to understanding a patient’s acid-base status and airway device settings. By the session’s conclusion, you’ll have the ability to apply your knowledge to diverse clinical scenarios. Let’s talk about gas!

At the conclusion of this session, participants should be able to:

• Analyze ABGs to determine acid-base disorders
• Utilize basic high-flow, CPAP, BiPAP, and ventilator settings
• Apply ABG results clinically

10:05 – 11 a.m.

Teachings in the art of medicine: The parts of the job you may not learn in school

Erik Summers, MD

There are areas of medicine that you don’t read about in the textbooks but are critical to success in your practice and helping patients. Some of these include effective communication, establishing strong relationships, managing one’s time, doing the little things, being an effective leader, and empathy. This session will focus on these objectives

At the conclusion of this session, participants should be able to:

• Illustrate medicine is about communication
• Illustrate medicine is about relationships
• Illustrate medicine is about caring
• Illustrate medicine is about leadership
• Illustrate medicine is about the little things

10:05 – 11 a.m.

Professional Development Panel*

Adrijana Anderson, PA-C; Viet Do, DO, FACP; Amy Kole, PA-C; Jennifer Palermo, PA-C; Sarah Tiesing, FNP-C

Interactive Q&A session to discuss how to get more involved in other non-clinical areas of professional development, including education, quality, leadership and research.

At the conclusion of this session, participants should be able to:

• Discuss how to become more involved in research
• Discuss how to become more involved in leadership
• Discuss how to become more involved in quality improvement projects
• Discuss how to become more involved in education

11 – 11:15 a.m.

Break

11:15 a.m. – 12:15 p.m.

Debugging Sepsis

Andrew Walker, PSM, MS, PA-C

Approximately one third of deaths in hospitals today are due to sepsis. How can you do recognize this syndrome sooner? Which treatments have the best evidence to reduce mortality and should be prioritized? Discover novel therapies to treat an ancient illness as we debug sepsis.

At the conclusion of this session, participants should be able to:

• Describe the pathophysiology of sepsis
• Recognize and initiate appropriate therapy for sepsis quickly
• Discuss novel approaches to sepsis treatment

11:15 a.m. – 12:15 p.m.

Rapid Responses Critical Care Cases Interactive Session*

Hannelisa Callisen, PA-C

Description coming soon

At the conclusion of this session, participants should be able to:

• Recognize early signs and symptoms of critical illness
• Describe the framework for initial assessment of the acutely ill patient
• Specify how treatments and interventions should be delivered and sequenced in relation to assessment

12:15 – 1 p.m.

Lunch (Provided)

1 – 1:55 p.m.

How to Protect Your Mental Health/Wellness

Session information coming soon!

1 – 1:55 p.m.

Cracking the Code: Expert Strategies for Hospital Medicine Billing 2024*

Jennifer Barnett, DMSc, PA-C, DFAAPA, SFHM, CAQ-HM, CPHQ

Maximizing Hospital Billing Efficiency: Navigate recent changes and split/shared billing concepts. Differentiate time-based vs. medical decision-making billing, with real-life examples and group discussions guiding optimal approaches. Learn critical care billing criteria and strategies for accurately billing bedside time. Engage in interactive exercises to analyze scenarios and determine best billing methods. Encourage active participation through group discussions, case studies, and exercises, emphasizing practical billing applications in hospital medicine.

At the conclusion of this session, participants should be able to:

• Discuss recent changes in hospital medicine billing codes and regulations.
• Explain the concept of split/shared billing and its implications for hospital medicine practitioners
• Differentiate between time-based billing and medical decision-making billing in hospital medicine
• Provide guidance on documentation requirements and coding specifics for critical care billing
• Identify strategies for accurately billing time spent at the bedside, including extended discussions with patients and families

2 – 3 p.m.

Hematology Oncology Cases for the Hospitalist NP PA

Jennifer Palermo, PA-C

This presentation will discuss commonly encountered hospital admissions for patients with hematologic and oncologic conditions.

At the conclusion of this session, participants should be able to:

• Identify and develop treatment plans for hematologic and oncologic emergencies, such as tumor lysis syndrome and neutropenic fever
• Outline the management of mucositis/esophagitis
• Discuss the principles of management of malignant pain
• List pharmacologic options for opioid-induced constipation Explain the common risks confronting the perioperative patients

2 – 3 p.m.

Addressing the Elephant in the Room: Difficult Conversations and Conflict*

Lisa Simmon, MD, MBA, SFHM, CHCQM; Adrienne Jones-Adamczyk, MBE, RN, ACNP-BC, ACHPN, HEC-C

TAn engaging and interactive session to allow a better understanding of medical ethics and how to have difficult conversations with patients and families. This session will tackle “the elephant in the room” when conflict arises between family and even providers. By understanding legal and ethical principles, attendees will be better prepared to serve their patients.

At the conclusion of this session, participants should be able to:

• Define ethics and the 4 guiding principles
• Describe the difference between capacity and competency of a patient
• Demonstrate techniques for addressing conflict and facilitating difficult conversations
• Appreciate legal precedents in end-of-life care

7 a.m. – 12 p.m.

Registration

6:30 – 7 a.m.

Breakfast (Provided)

7:00 – 7:55 a.m.

Perioperative Medicine

Session information coming soon!

8 – 8:45 a.m.

A Haunted House of Infectious Diseases

Amy Kole, PA-C

Diagnosing and treating infections are a crucial component of the daily life of a hospitalist. This session will discuss infectious diseases with high mortality rates. Case studies will be utilized to illustrate common scenarios of these diseases. We will discuss both the pearls and pitfalls of these diseases along with evidence-based diagnostic and treatment approaches.

At the conclusion of this session, participants should be able to:

• Describe the current guideline recommendations for the treatment of C. difficile infections
• Discuss how to identify and treat extended-spectrum beta-lactamases (ESBLs)
• Explain the diagnosis and management of candidemia
• Discuss the manifestations and treatment of mucormycosis

8:50 – 9:45 a.m.

When the Answers Aren’t Straight Forward: LGBTQ+ Health for the Hospitalist

Keshav Khanijow, MD; Christopher Waybright, NP

Research has shown that LGBTQ+ patients have faced discrimination within the healthcare system. This presentation will shed light on how to provide affirming care for this population.

At the conclusion of this session, participants should be able to:

• Recall healthcare disparities for LGBTQ+ patients
• Describe appropriate terminology and documentation for LGBTQ+ patients
• Identify what gender affirming hormones an admitted transgender patient may be taking

9:45 – 10:15 a.m.

Break for Hotel Check-Out

10:15 – 10:45 a.m.

Nutrition in Acute Care Setting

Sara Lolley, MS, RDN, CNSC

Session description coming soon!

At the conclusion of this session, participants should be able to:

• Describe the qualifications and role of a Registered Dietitian
• Discuss indications for enteral vs. parenteral nutrition
• Discuss diagnostic criteria for protein calorie malnutrition
• Explore indications for short-term vs. long term enteral nutrition

10:50 – 11:45 a.m.

Stayin’ Alive: Updates in Critical Care Medicine

Adrijana Anderson, PA-C

Imagine your pager goes off. Your patient is hypotensive, tachypneic and tachycardic. You run to the bedside and recognize that they are mottled and minimally responsive. What do you do next? How are you feeling? In this session, we will break down how to recognize a deteriorating patient, and how to best initiate resuscitation strategies, including which IV fluids to use and when.

At the conclusion of this session, participants should be able to:

• Define what constitutes a deteriorating patient
• Enhance understanding of resuscitation strategies that can be employed in a deteriorating patient
• Review critical care cases that emphasize the importance of early recognition and resuscitative strategies for patients who are in shock
• Discuss options for IV fluids and when to use which type of fluid

11:45 a.m. – 12:00 p.m.

Closing Remarks