Advances in Diabetes and Thyroid Disease 2013
Course Directors Martin J. Abrahamson, MD Associate Professor of Medicine Harvard Medical School Medical Director Joslin Diabetes Center
Richard S. Beaser, MD Associate Clinical Professor of Medicine Harvard Medical School Medical Executive Director, Professional Education Joslin Diabetes Center
James V. Hennessey, MD Director, Clinical Endocrinology Division of Endocrinology Beth Israel Deaconess Medical Center
Intensive 3½-day symposium
November 6–9, 2013 Royal Sonesta Hotel Boston, Massachusetts
A comprehensive Harvard Medical School CME activity addressing practical aspects of diabetes and thyroid disease care and management, including the use of new technologies that address the growing complexity of diabetes care and the challenges of managing chronic illness in a primary care practice
Space is limited. Register today at:
www.cme.hms.harvard.edu/courses/joslin
Register by September 25 and save $100!
Advances in Diabetes and Thyroid Disease 2013 Why You Should Attend
Learning Objectives
The majority of people with diabetes and thyroid disease are cared for by their primary care providers, so PCPs need a comprehensive review and update on clinical management to provide optimal care. This annual CME course, initiated more than century ago by Elliott P. Joslin, MD in conjunction with Harvard Medical School, is the longest-running academic course in diabetes in the United States and, likely, the world. The course has evolved with diabetes practice and research as well as the changing continuing education needs of the medical profession, incorporating participant interaction in smaller breakout sessions, interactive workshops, and question-and-answer opportunities for a dynamic learning experience.
Upon completion of this activity, participants will be able to:
Who Should Attend Primary care clinicians and specialists (physicians, nurses, pharmacists), nationally and internationally, who care for significant numbers of people in their practices with diabetes, thyroid disease, and/or their related comorbidities. Residents and fellows are also invited to participate.
Topics
• Thyroid and parathyroid diseases • Obesity • What the PCP needs to know about • Lifestyle approaches • Noninsulin medications • Insulin • Diabetes complications • Prevention of type 2 diabetes • Special populations • And more!
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Advances in Diabetes and Thyroid Disease 2013
• Evaluate recent advances in the pathophysiology of type 1 and type 2 diabetes, as well as comorbidities of these conditions • Analyze advances in research related to the treatment of diabetes and related conditions that have translated into improved glucose control, complication prevention/treatment, and quality of life for people living with this condition • Demonstrate skills in advancing therapies for glycemic control aimed at achieving recommended treatment targets • Develop strategies to care for patients with diabetes and comorbidities based on updated knowledge of state-of-the-art treatment approaches • Implement treatment strategies to diagnose and treat the morbidity of hyperthyroidism, secondary hyperparathyroidism, and thyroid nodules in your primary care practice. • Summarize approaches to treatment and/or collaborative interventions for hypothyroidism, primary hyperparathyroidism, and thyroid cancers.
ACGME Competencies This course is designed to meet one or more of the following Accreditation Council of Graduate Medical Education competencies: • Patient care • Medical knowledge • Practice-based learning and improvement
Agenda*
Day 1: November 6, 2013
Day 2: November 7, 2013
7:00
Registration and Continental Breakfast
7:30
Continental Breakfast
7:45
Welcome and Introduction
Hennessey
8:00
Welcome and Introduction
8:00
Osteoporosis 2013: Screening, Evaluation and Treatment
Rosen
8:15
8:45
2째 Hyperparathyroidism and Vitamin D Metabolism
Malabanan
Keynote Lecture Implications of the LookAhead Trial. Is Weight Loss Beneficial for Patients With Diabetes?
9:30
Break
9:00
10:00
Primary Hyperparathyroidism
Pallotta
Lifestyle Medicine: Helping Patients to Adopt and Sustain Healthier Behaviors
10:45
Bone Panel
Rosen, Malabanan, & Pallotta
10:00
Break
11:30
Hyperthyroidism
Hartzband
10:15
Motivational Interviewing for Healthy Lifestyles
Domino
12:00
Lunch (on your own)
11:00
Stanton
1:00
Hypothyroidism
Garber
1:45
Thyroid Dysfunction Panel
Hartzband, Garber
Kidney Disease and Hypertension in Diabetes: Early Diagnosis and Aggressive Management Are Key
2:30
Thyroid Nodule Evaluation and Disposition
Hennessey
11:45
Lunch (on your own)
12:45
Critical Literature Highlights
Gaglia
3:00
Break
1:30
Hsu
3:30
Interactive Thyroid Cases
Hollenberg
Physiologic and Cultural Considerations for Asian American Patients
4:15
Nodule and Cases Panel
Hennessey, Hollenberg
2:15
Break
5:00
Break
2:30
Diabetes in the Latino Population
Caballero
5:30
Dinner
3:15
Management of Thyroid Nodules and Cancer in Pregnancy
Hennessey
Pediatric Diabetes: Realistic Expectations in the 21st Century
Laffel
6:00
4:00
Diabetes Mellitus in Older Adults
Munshi
6:30
Cytogenetic Evaluation of Thyroid Nodules
Hartzband
4:45
Adjourn
7:00
Medullary Thyroid Cancer Evaluation and Management
Cohen
7:30
Use of Tyrosine Kinase Inhibitors in Advanced Thyroid Cancer
Buchbinder
8:00
Q&A Session
8:30
Adjourn
Abrahamson & Beaser Horton
Phillips, Rizzotto
Register today!
www.cme.hms.harvard.edu/courses/joslin
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Agenda* (continued)
Day 3: November 8, 2013 7:30
Continental Breakfast
8:00
Keynote Lecture Non Alcoholic Fatty Liver Disease: The Burgeoning Epidemic
8:45
Consensus and Controversy in Diabetic Dyslipidemia
9:30
Break
9:45
Diabetes and Cardiovascular Disease—Risk and Management
Day 4: November 9, 2013 7:30
Continental Breakfast
8:00
Keynote Lecture Diabetes and Men’s Health: Testosterone and Sexual Dysfunction
9:10
Diagnosis and Management of Peripheral Vascular Disease
Campbell
9:40
Diabetes and Sleep
Thomas
10:20
Break
10:35
Diabetic Foot Treatment
11:20
Special Symposium Management of Obesity 2013— Nonsurgical Intensive Weight Management for Obese Patients with Diabetes
12:00
Obesity Intensive Session Surgical
Andrews
12:40
Obesity Panel Discussion
Hamdy, Andrews
1:15
Adjourn
Abrahamson & Beaser
Chopra Ganda
Cutlip
10:30
Preservation of Vision in Diabetic Retinal Disease
Silva
11:15
Recent Advances in the Treatment of Complications: Neuropathy
Tarulli
12:00
Lunch (on your own)
1:00
Keynote Lecture Brown Fat: What You Need to Know
Cypess
1:45
Non-Insulin Treatment of Diabetes: What the PCP Needs to Know
Abrahamson
2:30
Non-Insulin—Practical Case Implications
Abrahamson
3:00
Break
3:15
Insulin Treatment of Diabetes: What the PCP Needs to Know
Beaser
4:00
Insulin—Practical Case Implications
Beaser
4:30
Challenges of Managing Chronic Disease in 2013 Panel Discussion
Abrahamson, Beaser, & Murphy
5:15
Adjourn
Guay, Morgentaler
Giurini Hamdy
*Program changes/substitutions may be made without notice
This activity has been submitted for independent commercial grant support. No support had been awarded when this brochure went to press. Accreditation and Designation of Credit The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Harvard Medical School designates this live activity for a maximum of 29.25 AMA PRA Category 1 Credits.™ Physicians should claim only the credit commensurate with the extent of their participation in the activity. The Royal College of Physicians and Surgeons of Canada recognizes conferences and workshops held outside of Canada that are developed by a university, academy, hospital, specialty society or college as accredited group learning activities. AMA PRA Category 1 Credits™ claimed by physicians attending live events certified and organized in the United States for AMA PRA Category 1 Credits™ can be claimed through the agreement on mutual recognition of credits between UEMS and AMA, considered as being equal to the European Continuous Medical Education Credits (ECMEC©) granted by the UEMS. One AMA PRA Category 1 Credit™ is equivalent to one (1) hour of European EACCME Credit (ECMEC©), therefore up to 29.25 ECMEC© Credits are available. Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity. Copyright ©2013 by Joslin Diabetes center. All rights reserved.
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Advances in Diabetes and Thyroid Disease 2013
Faculty* Robert A. Andrews, MD, FACS Instructor in Surgery Harvard Medical School Department of Surgery Division of General Surgery Section of Minimally Invasive Surgery and Bariatrics Beth Israel Deaconess Medical Center Boston, MA
Om P. Ganda, MD Associate Clinical Professor of Medicine Harvard Medical School Director, Lipid Clinic Joslin Diabetes Center
Alan O. Malabanan, MD, FACE Assistant Professor of Medicine Harvard Medical School Associate Training Program Director, Endocrinology Beth Israel Deaconess Medical Center
Jeffrey R. Garber, MD, FACP, FACE Associate Professor Harvard Medical School Chief of Endocrinology Harvard Vanguard Medical Associates Immediate Past President, American Association of Clinical Endocrinologists
Abraham Morgentaler, MD, FACS Associate Clinical Professor of Surgery (Urology) Beth Israel Deaconess Medical Center Harvard Medical School Director, Men’s Health Boston Boston, MA
Martin J. Abrahamson, MD Associate Professor of Medicine Harvard Medical School Medical Director and Senior Vice President Joslin Diabetes Center
John M. Giurini, DPM Associate Professor in Surgery Harvard Medical School Chief, Division of Podiatry Beth Israel Deaconess Medical Center
Richard S. Beaser, MD Associate Clinical Professor of Medicine Harvard Medical School Medical Executive Director Professional Education Joslin Diabetes Center
Osama Hamdy, MD, PhD, FACE Harvard Medical School Medical Director Obesity Clinical Program Joslin Diabetes Center
Enrique Caballero, MD Assistant Professor of Medicine Harvard Medical School Director, Medical Affairs Professional Education Director, Latino Diabetes Initiative Joslin Diabetes Center
Andre T. Guay, MD, FACP, FACE Instructor in Medicine, Tufts University School of Medicine Director, Center for Sexual Function/Endocrinology Lahey Clinic Northshore Peabody, MA
David R. Campbell, MD Associate Clinical Professor of Surgery Harvard Medical School Vascular Surgeon Beth Israel Deaconess Medical Center
Pamela Hartzband, MD Assistant Professor of Medicine Harvard Medical School Medical Director, Thyroid Nodule Clinic Division of Endocrinology Beth Israel Deaconess Medical Center
Sanjiv Chopra, MBBS, MACP Professor of Medicine Faculty Dean for Continuing Education Harvard Medical School Senior Consultant in Hepatology Beth Israel Deaconess Medical Center
James V. Hennessey, MD Director, Clinical Endocrinology Division of Endocrinology Beth Israel Deaconess Medical Center
Donald E. Cutlip, MD Associate Professor of Medicine Harvard Medical School Director, Cardiac Catheterization Laboratory Beth Israel Deaconess Medical Center Executive Director Clinical Trials Harvard Clinical Research Institute
Anthony Hollenberg, MD Associate Professor of Medicine Harvard Medical School Chief, Thyroid Unit Beth Israel Deaconess Medical Center
Aaron M. Cypess, MD, PhD, MMSc Assistant Professor Harvard Medical School Assistant Investigator and Staff Physician Joslin Diabetes Center Frank Domino, MD Clerkship Director in Family Medicine Chair of the Clinical Years Curriculum Committee University of Massachusetts Medical School Jason L. Gaglia, MD Instructor in Medicine Harvard Medical School Staff Physician Joslin Diabetes Center
Medha Munshi, MD Assistant Professor of Medicine Harvard Medical School Director of Joslin Geriatric Diabetes Programs Beth Israel Deaconess Medical Center Johanna A. Pallotta, MD, FACP, FACE Associate Professor of Medicine Harvard Medical School Senior Physician Beth Israel Deaconess Medical Center
Edward M. Phillips, MD Assistant Professor of Physical Medicine and Rehabilitation Harvard Medical School Director, Outpatient Medical Services Spaulding Rehabilitation Hospital Network Assistant Physiatrist Massachusetts General Hospital Adjunct Scientist Jean Mayer USDA Human Nutrition Research Center on Aging Tufts University Jo-Anne M. Rizzotto, MEd, RD, LDN, CDE Director of Educational Services Joslin Clinic Boston, MA
Harold Rosen, MD Assistant Professor of Medicine Harvard Medical School Director, Osteoporosis Prevention and Treatment Center Beth Israel Deaconess Medical Center Paolo S. Silva, MD Instructor in Ophthalmology Harvard Medical School Assistant Chief, Center for Ocular Telehealth Beetham Eye Institute Joslin Diabetes Center Boston, MA
Edward S. Horton, MD Professor of Medicine Harvard Medical School Senior Investigator Joslin Diabetes Center
Robert C. Stanton, MD Associate Professor of Medicine Harvard Medical School Chief of Nephrology Joslin Diabetes Center
William C. Hsu, MD Assistant Professor of Medicine Harvard Medical School Director, Asian Clinic Joslin Diabetes Center
Robert Thomas, MD Assistant Professor of Medicine Harvard Medical School Sleep Medicine Fellowship Program Director Beth Israel Deaconess Medical Center Sleep Center Co-Director Beth Israel Deaconess Medical Center– Boston and Needham Campus Boston, MA
Lori Laffel, MD, MPH Associate Professor of Pediatrics Harvard Medical School Chief, Pediatric, Adolescent and Young Adult Section Investigator, Genetics and Epidemiology Section Joslin Diabetes Center
*Subject to change
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Registration Information Inquiries By phone 617-384-8600, Monday–Friday, 10 AM to 4 PM (EDT) or by e-mail at hms-cme@hms.harvard.edu.
Online Information To register or view activity information online, visit www.cme.hms.harvard.edu/courses/joslin.
Disclosure Policy Harvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards, and Policies. It is HMS’s policy that those who have influenced the content of a CME activity (e.g., planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.
Affiliated Performance Improvement CME (PI CME) through the Joslin Professional Education Continuum (JPEC) This activity is aligned with four PI CME Pathways available via JPEC at www.jpec.joslin.org. 1. Type 2 Diabetes Office Systems 2. Insulin Therapy 3. Advancing Therapies for Type 2 Diabetes 4. Cardiometabolic Risk Performance Improvement CME is a construct introduced by the AMA in 2004. Completion of PI CME stages can result in up to 20 AMA PRA Category 1 Credits.™ All four of the above pathways are approved through the American Board of Internal Medicine’s (ABIM) Approved Quality Improvement (AQI) Pathway and are eligible for 20 points towards the Self-Evaluation of Practice Performance requirement of Maintenance of Certification (MOC). For more information, go to www.abim.org/moc/.
Refund Policy A handling fee of $60 is deducted for cancellation. Refund requests must be received by postal mail, e-mail, or fax one week prior to this activity. No refunds will be made thereafter.
Visit www.jpec.joslin.org to get started.
Course Location All sessions for this course will be held at the Royal Sonesta Hotel Boston, 40 Edwin Land Boulevard, Cambridge, MA (Telephone: 617-806-4200).
What your colleagues are saying about Advances in Diabetes and Thyroid Disease
Accommodations/Travel
“This was one of the best conferences I have attended in my entire career. It was a realistic view of the diabetic patient as well as the thyroid patient. The speakers were very knowledgeable and able to articulate their knowledge well.”
A limited number of rooms have been reserved at the Royal Sonesta Hotel Boston, 40 Edwin Land Boulevard, Cambridge, MA (Telephone: 617-806-4200) until October 15, 2013. Please specify that you are enrolled in the Harvard Advances in Diabetes and Thyroid Disease 2013 course to receive a reduced room rate of $259 per night for single or double rooms. Please do not purchase nonrefundable airline ticket(s) until you have received an e-mail from our office confirming your paid registration. For airline reservations contact the HMS Travel Desk toll-free 1-877-4-HARVMD (1-877-442-7863) Monday–Friday 9 AM–8 PM (EDT). From outside the U.S., Canada, and Virgin Islands, please call 617-559-3764. In compliance with the Americans with Disabilities Act, Harvard Medical School will make every reasonable effort to accommodate your needs during your attendance at this activity. For any special requests, please contact Joslin Diabetes Center at 888-567-5460.
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Advances in Diabetes and Thyroid Disease 2013
“It gave me some food for thought about a few difficult patients that I have not known how to follow. Thank you.” “Very helpful. I look forward to using the online resources as well.” “I love the practical approach and pearls.” “Providers are up to date and part of ongoing research on the topic. The case-based workshops on oral meds and insulin were especially helpful.”
Advances in Diabetes
and Thyroid Disease 2013
November 6–9, 2013
Registration Form
Class #3314077
Registration Information Tuition Fee
Through September 25
After September 25
Physicians
$595 (USD)
$695 (USD)
Residents, Fellows in Training, Allied Health Professionals
$495 (USD)
$595 (USD)
Nonclinical Industry Professional
$895 (USD)
$995 (USD)
Attendance is limited—register now to save $100! Registration by credit card (VISA or MasterCard) can be made at www.cme.hms.harvard.edu/courses/joslin. Registration by check (draft on a United States bank), please make payable to Harvard Medical School and mail with this page to Harvard Medical School–Department of Continuing Education, PO Box 417476, Boston, MA 02241-7476. Telephone or fax registration is not accepted. Registration with cash payment is not permitted. Upon receipt of your paid registration an e-mail confirmation from the HMS-DCE office will be sent to you. Be sure to include an e-mail address that you check frequently. Your e-mail address is used for critical information including registration confirmation, evaluation, and certificate. One registrant per form, please—you may photocopy the form for others. Print clearly—all fields required. Please check the type of registration: Physician
Resident, Fellow in Training, Allied Health Professional
Nonclinical Industry Professional
$__________________
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Professional School Attended (Physicians only) Harvard Medical School
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Joslin Diabetes Center One Joslin Place Boston, 02215
Advances in Diabetes and Thyroid Disease 2013 Intensive 3½-day symposium
November 6–9, 2013 Royal Sonesta Hotel Boston, Massachusetts
A certified CME activity addressing practical aspects of diabetes and thyroid disease care and management, including the use of new technologies that address the growing complexity of diabetes care and the challenges of managing chronic illness in a primary care practice
Space is limited. Register today for this certified CME activity at 8
Advances in Diabetes and Thyroid Disease 2013 www.cme.hms.harvard.edu/courses/joslin
Presorted NONPROFIT U.S. Postage PAID Permit 160 Stoughton, MA