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Head for the Hills 2013

Head for the Hills

October 11 & 12, 2013

The Breaks, VA

About the Conference: Learn, dine and play with us for two days in the beautiful "Breaks Interstate Park" in Southwest Virginia while it's ablaze with fall splendor. Mornings will be dedicated to rural-health-focused medical education, and the afternoons and evenings will be spent in group activities or quiet relaxation. Families are welcome to attend. This year the conference is focused on pain management and addiction treatment in the rural primary care setting.

About the Sponsor: The Graduate Medical Education Consortium (GMEC) creates and supports medical residency preceptor sites in rural and underserved parts of Southwest Virginia. Southwest Virginia AHEC focuses on rural health care workforce development. They are non-profit agencies governed by a shared volunteer board of directors. No commercial support has been received for this conference.

Agenda: Click here

Handouts: Click here to view the handouts

Target Audience: Primary care physicians practicing in, and residents training or considering practicing in the rural communities of SW VA and Central Appalachia

Location: Breaks Interstate Park, 627 Commission Cir, Breaks, VA 24607. Click here for driving directions.

Conference Objectives:
As a result of participating in this activity, the participant will be able to......

  • Specify and discuss 3 elements of the "spirit" of Motivational Interviewing
  • Identify 5 different classes of Medications with synergistic effects to treat chronic pain
  • Identify at least three key components in applying SBIRT in their practice
  • Learn basic techniques of non-surgical management of orofacial pain
  • List some ways Prescription Drugs are obtained
  • Discuss regional legal issues for prescribers

Educational Methods:

  • Case-based presentations
  • Lecture
  • Small group discussion
  • Skills-based training

Fees and Cancellation Policy: There is no cost to attend the conference, but advance registration is required. Due to the high demand and limited seats for this conference, it is requested that any cancellations be made one week prior to the conference (by October 4th, 2013). There is no penalty for cancelling.

Accommodations and Meals: There are a number of rooms reserved for resident attendees at no cost and food is included when it is taken with the group. To arrange for accommodations, call 276-328-0289. Please note: Registration for accommodations DO NOT occur when registration for attendance is completed.

Family and Child Care: Immediate family is invited to attend with the conference participant. For those families in which both parents are attending the educational sessions, child care will be made available. Mention your need for child care at the time you make arrangements for your accommodations.

Registrations: Registration is closed, if you have any questions call (423) 439-8027.

Activity Director: Jody Bentley, DO

Course Content Description:
Using Motivational Interviewing to Elicit Quality of Life Motivators in Patients with Pain- Julie Culligan, Ph.D
Motivational Interviewing is a collaborative, person-centered form of guiding to elicit and strengthen motivation for change. It is an empathic, supportive counseling style that supports the conditions for change. Practitioners are careful to avoid arguments and confrontation, which tend to increase a person's defensiveness and resistance. Motivational interviewing is a proven and effective way to engage individuals with co-occurring disorders, develop therapeutic relationships, and determine individualized goals. Motivational interviewing is used for the treatment of many conditions. Specific strategies have been successfully applied to working with individuals with co-occurring disorders include assessing the person's perception of the problem; exploring the person's understanding of his or her condition; examining the person's desire for continued treatment; ensuring a person's attendance at initial sessions; and expanding the person's perceptions for the possibilities of successful change. Research shows that motivational interviewing techniques, including counseling, assessment, multiple sessions, and brief interventions, are associated with greater participation in treatment and positive treatment outcomes.
Medication Management of Chronic Pain- Benjamin Meeks, FNP
This presentation will cover an overview of pain transmission as well as both opioid and non-opioid options for pain management. Rational poly-pharmacy, NASIDS, antidepressants, anti-seizure medications will also be covered. In addition, Mr. Meeks will discuss topical medications, opiates, and cannabinoids.
Resident Presentation: A Case Study of Bilateral Diaphragm Paralysis due to Somatic Dysfunction- Antoinette Justice, DO OGME IV
This presentation will consist of reviewing a case concerning a patient with bilateral diaphragm paralysis that resolved after having his somatic dysfunction treated with Osteopathic Manipulative Treatment (OMT). Dr. Justice will discuss what somatic dysfunction is and how she screened for it in this patient. She will also discuss the anatomy of the diaphragm, its attachments and how musculoskeletal dysfunction (somatic dysfunction) can affect diaphragm motion because of these attachments.
SBIRT 101 Overview: Practical Application in Your Practice- Timothy A. Urbin, PhD., MBA, HSP
SBIRT (Screening-Brief Intervention-Referral for Treatment) services are an evidence-based approach to identifying and reducing substance use and abuse behaviors in patients. Designed for use in every day clinical practice, SBIRT services are focused on individuals who are at risk for harmful use or, even though not addicted or dependent, may already be engaged in use that is harmful from a health standpoint. Providing SBIRT services in the clinic adds a significant preventive service that benefits both the patient and the provider.
It's Not Always Trigeminal Neuralgia: The Differential on Head and Facial Pain- Bhavik Desai, DDS
Dr. Desai's presentation will delineate common etiologies of chronic facial pain commonly encountered in a dental or medical office. It will help the audience frame a differential diagnosis and recognize signs and symptoms of more commonly occurring facial pain conditions. It will also briefly outline treatment modalities for common pain conditions and indicate when it is time for referral to an oral medicine or oro-facial pain expert.
Resident Presentation: Osteopathic Considerations in Postpartum Pubic Diastasis- A Case Review- Teanna Moore, DO
This case-based study will cover pubic symphysis diastasis in a female patient. Anatomy of the pubic symphysis will be covered, as well as typical clinical presentation of pubic symphysis diastasis. Treatment of the case-based study patient will be reviewed and discussed.
Prescription Drugs in Southwest Virginia- Lt. Richard Stallard
Lt. Powell will provide a history of prescription drug abuse and distribution in Southwest Va. He will also discuss law enforcement's view of prescription drug abuse, including: Who are the people abusing drugs? Who are the people selling drugs? How do these people abusing and selling obtain these drugs? He will discuss what he has observed over the past 26 years in police work, more particularly his 21 years in Narcotics Investigations. He will share what he has been told by people that have been arrested, family of those and sources of information as to why and how they use prescription drugs and how they obtain them.
Prescription Drug Abuse – Practitioners Have the Most Significant Role- Randy Ramseyer
The presentation will cover the following areas: (1) the vital role that health care practitioners play in stemming the rise of prescription drug abuse; (2) examples of practitioners who were prosecuted for illegally prescribing controlled substances; (3) commonly abused prescription drugs; (4) the wisdom of healthy skepticism of messaging by pharmaceutical companies and related entities; and (5) ways practitioners can be a part of the solution."

Disclosure information and Potential Conflicts of Interest
East Tennessee State University's Quillen College of Medicine, Office of Continuing Medical Education (OCME) holds the standard that its medical education programs should be free of commercial bias and conflict of interest. It is the policy of each that presenters and planning committee members of any CME activity must disclose any significant financial interest/arrangement of affiliation with corporate organizations whose products or services are being discussed in a presentation. All commercial support of an educational activity must also be disclosed to the conference attendees.
Speakers and Planning Committee Members with No Potential Conflict of Interest: Each of the following speakers and planning committee members have completed a disclosure from indicating that they or members of their immediate family do not have a financial interest/arrangement of affiliation that could be perceived as a real or apparent conflict of interest related to the content or supporters involved with this activity:

  • Julie Culligan, PhD
  • Bhavik, Desai, DDS
  • Antoinette Justice, DO
  • Teanna Moore, DO
  • Randy Ramseyer
  • Richard Stallard
  • Tim Urbin

Participants with Potential Conflicts of Interest
Each of the following speakers and clinical planning committee members have completed a disclosure form indicating that they or members of their immediate family do have a financial interest/arrangement or affiliation that could be perceived as a real or apparent conflict of interest related to the content or supporters involved with this activity. All presentations have been peer reviewed, any potential conflicts of interest resolved, and each presentation has been found to be balanced, evidence-based, and free of commercial bias.

  • Ben Meeks, FNP- Pfizer/Endo
logo AACME Accreditation: Quillen College of Medicine, East Tennessee State University, is accredited by the Accreditation Council for Continuing Medical Education for physicians.
yolo CME Credit: Quillen College of Medicine, East Tennessee State University designates this live activity for a maximum of 8.0 AMA PRA Category 1 Credits™ . Physicians should only claim credit commensurate with the extent of their participation in the activity.
  Joint Providership: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Quillen College of Medicine at East Tennessee State University and SW VA Graduate Medical Education Consortium (GMEC). Quillen College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.
logo The Virginia Dental Association is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The Virginia Dental Association designates this activity for 8.0 continuing education credits.

This continuing education activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between The Virginia Dental Association and Quillen College of Medicine, East Tennessee State University

  Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.
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