2007 Hot Topics Agenda

Following this presentation, the participants will be able to: 1) Describe recent risk assessment for transient ischemic attacks. 2) Identify patients with ischemic stroke for possible interventions. 3) List emerging potential stroke therapies (Huff)

Journal Club Rodeo Round-Up: A Literature Update – 9:00AM – 10:00 AM

Following this presentation, the participant will: 1) Identify clinically relevant articles that have impacted practice patterns in Emergency Medicine. 2) Understand the rules of critical appraisal that should be applied when reviewing articles in medical literature. 3) Identify trends in current Emergency Medicine research. (Graffeo)

Clinical Guidelines: How They Will Change Your Practice – 10:15 AM – 11:15 AM

Following this presentation, the participant will be able to: 1) Distinguish between terms such as clinical guidelines, clinical policies and best practice initiatives. 2) Describe key elements when reviewing published clinical guidelines and policies. 3) Identify reputable sources for evidenced-based guidelines. (Huff)

Medical Informatics & Knowledge Translation: The Need to Know – 11:15 AM – 12:15 PM

Following this presentation, the participant will be able to: 1) Identify emerging technologies in medical care. 2) Understand the impact of Knowledge Translation in emergency medicine. 3) Acquire skills that assist in staying current through medical informatics. (Graffeo)

Dancing with the Devil – A Guide to Negotiating with Managed Care Companies – 2:30 PM – 4:30 PM

This course will take the participant through the entire negotiations process from start to finish. Each participant will learn how to complete the following parts of the negotiations process: 1) Position Evaluation 2) Goal Setting 3) Development of Strategies & Tactics 4) Negotiations 5) Closure and post contract evaluation

By the end of the session, each participant will be equipped with a road map for conducting successful negotiations as well as a list of tactics and strategies that have proven successful. Throughout the session, real examples will be given to illustrate each of the topics. These examples will be specific to physician contract negotiations and will focus on the unique environment for Emergency Physicians in the Virginia market place. (Howrigon)

Fast & Efficient Practice: The Emergency Department Autobahn – 8:00AM – 9:00 AM

Following this presentation, the participant will be able to: 1) Discuss the importance of time management in the ED. 2) Discuss common operational problems that negatively impact individual emergency physician efficiency. 3) Identify common “time-robbers” in the ED. 4) Discuss how to incorporate successful time efficiency strategies into emergency medical practice (Mayer)

At the conclusion of this lecture, the participant will be able to describe common diagnostic and treatment misconceptions, and in turn, the current evidence-based approach to the following common issues in pediatric medicine: 1) Gastroenteritis 2) Limping Child 3) Strep Pharyngitis 4) Asthma 5) Appendicitis 6) Febrile Illness 7) Analgesia 8) Seizures

Error Reductions: Tools & Techniques for the Pit Doctor – 10:30 AM – 11:30 AM

Following the presentation, the participant will be able to: 1) Identify common sources of error in clinical decision making. 2) Demonstrate practical methods to reduce errors.

Pediatric Emergency Medicine Literature Update– 11:30 AM – 12:30 PM

At the conclusion of this lecture, the participant will be able to use the current medical literature to describe controversies and state-of-the-art diagnostic and treatment options for the following pediatric emergency medicine presentations: 1) Diabetic ketoacidosis 2) Acute febrile 3) Asthma 4) Closed head injury 5) Procedural sedations illness 6) Otitis media

Lunch – with ACEP President, Brian F. Keaton, MD, FACEP – 12:45 PM – 2:15 PM “Longevity in EM”

Following this presentation, the participant will: 1) Understand the physiological and psychological risks associated with long term high stress work combined with circadian rhythm disruption. 2) Identify three ways to mitigate these risks in their personal and professional lives. 3) Develop a strategy to improve satisfaction with both personal and professional activities. (Keaton)

The ED of the Future is Closer Than You Think – 2:30 PM – 3:30 PM

Following this presentation, the participant will: 1) Identify current challenges to ED operations and those that will likely become important in the future. 2) Identify approaches that are being used in medicine and other areas (i.e. computer sciences, architecture, process design, etc) to mitigate these challenges. 3) Provide real-world examples of how these challenges are being addressed in the ER One Project. (Keaton)

Question & Answers with Brian F. Keaton, MD, FACEP & Thom A. Mayer, MD, FACEP – 3:30 PM – 4:30 PM

Following the presentations of Dr. Keaton and Dr. Mayer, participants will be afforded an hour for further discussion of the future of the ED . (Keaton & Mayer)

The participants of this presentation will: 1) Recognize key electrocardiograph findings associated with a variety of diseases, including but not restricted to acute coronary syndrome. 2) Differential diagnosis of ST segment elevation and ST segment depression. 3) Differential diagnosis of narrow complex tachycardias. 4) Develop an understanding of the electrocardiographic mimics of acute coronary syndrome 5) Recognize the key clues to electrocardiographic electrode misconnection. 6) Develop an understanding of the electrocardiographic confounders of acute coronary syndrome. (Harrigan & Brady)

Challenging ECG Diagnoses – Electrocardiograph Patterns that you Can’t Miss! – 9:00 AM – 10:00 AM

The participants of this presentation will: 1) Review challenging ECG presentations. 2) Discuss strategies in the recognition of difficult morphologic and rhythm ECG diagnoses.

3) Review high-risk patterns and stress ED-based management issues. (Harrigan & Brady)

Emergency Department Management of Acute Coronary Syndrome Patients – 10:15 AM – 11:15 AM

At the end of this presentation, participants will be able to: 1) Review evidence-based therapies for the entire spectrum of patients with acute coronary syndromes, including unstable angina, non-ST-elevation MI (NSTEMI), and ST-elevations MI (STEMI). 2) Apply the ACC/AHA guidelines to manage ACS patients in clinical practice. 3) Interpret findings from recent and ongoing trials in the use of fibrinolysis, percutaneous coronary intervention (PCI) and adjunctive therapy for STEMI patients.(Ornato)

At the end of this presentation, participants will be able to: 1) Describe the importance and use of uninterrupted chest compression during CPR. 2) Explain when to use “CPR first” vs. “shock first” during resuscitation. 3) Explain the need to avoid hyperventilation during resuscitation. 4) Describe the use of circumferential chest compression during resuscitation.

5) Describe the new changes in the American Heart Association guidelines for the use of defibrillation and ACLS drug therapy during resuscitation. 6) Explain when hypothermia should be applied to cardiac arrest survivors. (Ornato)

The participants will gain an understanding of the current issues and accomplishments of the ACEP organization at the national and Virginia Chapter levels. Attendees will gain insight on the important role of physicians in developing health care policy at the state level and effectively participating in the political process. (Braithwaite & Keaton)

As a result of attending the Board Orientation, members will become knowledgeable concerning Chapter operation, including past activities as well as future policies and procedures. Board members will become assertive, responsible members. The Workshop will familiarize members with Committee/Liaison roles in addition to learning the budget and financial management process. (Eljaiek)

This activity has been planned and implemented in accordance with the Essential Areas and Policies for the Accreditation Council of Continuing Medical Education through joint sponsorship of ACEP and the Virginia College of Emergency Physicians. The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American College of Emergency Physicians designates this educational activity for a maximum of 21.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in this activity.

Approved by the American College of Emergency Physicians for 21.5 hours of ACEP Category I credit.

Approved by the American Osteopathic Association for 21.5 hours AOA Category 2-A credits.

This activity has been reviewed and is acceptable for up to 21.5 Prescribed Credits by the American Academy of Family Physicians

Professor of Emergency Medicine, University of Virginia, Charlottesville, Virginia

President VACEP; Assistant Professor of Emergency Medicine, University Hospital of Virginia, Charlottesville, Virginia

President-Elect VACEP; Chairman Emergency Medicine, Potomac Hospital, Woodbridge, Virginia

Professor and Assistant Residency Director, Department of Emergency Medicine, Eastern Virginia Medical School, Norfolk, Virginia

Associate Professor of Emergency Medicine, Temple University Hospital & School of Medicine, Philadelphia, Pennsylvania

President Fulcrum Strategies, Garner, North Carolina – a Provider Advocacy Company

Associate Professor of Emergency Medicine and Neurology at University of Virginia, Charlottesville, VA

Founder & CEO , Best Practices, Inc.; Attending Emergency Physician, Fairfax Hospital, Falls Church, Virginia

Chairman Emergency Medicine, Virginia Commonwealth University, Richmond, Virginia; Medical Director of Virginia Ambulance Authority

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