2018 National Convention Program

RENEW YOUR MIND

“Do not be conformed to this world, but be transformed by the renewal of your mind, that by testing you may discern what is the will of God, what is good and acceptable and perfect.”

—Romans 12:2, ESV

GENERAL

WELCOME TO TRANSFORM Dear friends, Welcome! I’m excited about this year’s National Convention, and I hope you are too. I’m looking forward to great fellowship, worshiping together, being challenged and growing in my faith.

Our theme this year is TRANSFORM: RENEW YOUR MIND. If you are like me, you may feel your mind is cluttered with an extremely busy life, plus the constant bombardment of the media and the issues you are facing in your family, work or community. I pray this weekend will be a time of drawing closer to God as you renew your commitment to His foundational truths and apply them anew to every aspect of your life.

I have to renew my phone battery every evening as I plug it in to be charged. Sometimes it is almost dead, while other times it just needs to be topped off because it hasn’t be drained that much. The same is true of our spiritual and emotional batteries. You may have arrived drained and needing a deep charge or just needing topped off as you are inspired, informed and encouraged.

This year’s program has been designed to do all these things with a stellar line up of plenary and workshops speakers, but just as important will be the conversations you have around meals, the new relationships you start and the relationships you deepen. Add to that getting some extra rest, taking a walk on the mountain, spending time in prayer and meditation, and it all sums up to renewal and restoration. I trust you will be ready to return to your busy life fully recharged.

That is what the staff and leadership of CMDA have been asking God to do in your life during our time together. We are here to joyfully help you in any way we can. Don’t hesitate to let us know how we can serve you.

I’m anticipating what God is going to do. I hope you are too!

Thank you for coming,

David Stevens, MD, MA (Ethics) Chief Executive Officer

2 │ 2018 CMDA National Convention

Al Weir, MD President

TABLE OF CONTENTS 3

General Conference Information

Daily Schedule.....................................................................................................................................4 Campus Maps......................................................................................................................................5 Breakout Sessions................................................................................................................................7 Devotions & Worship.........................................................................................................................10 Special Events...................................................................................................................................11 14

Thursday

Daily Schedule ..................................................................................................................................15 Plenary Session 1...............................................................................................................................16

Friday

Daily Schedule...................................................................................................................................19 Plenary Session 2...............................................................................................................................20 Breakout Sessions..............................................................................................................................22 Plenary Session 3...............................................................................................................................26 28

Saturday

Daily Schedule...................................................................................................................................29 Plenary Session 4...............................................................................................................................30 Breakout Sessions..............................................................................................................................32 40

Sunday

Daily Schedule...................................................................................................................................41 42

Connections

Our Sponsors.....................................................................................................................................43 Exhibitor Map....................................................................................................................................44 Exhibitor Booth Locations.................................................................................................................45 Exhibitor Information.........................................................................................................................46 Exhibitor Advertisements..................................................................................................................54 Convention Attendees......................................................................................................................62 VIE Poster Session.............................................................................................................................77 Continuing Education Information..................................................................................................103 Session Evaluation...........................................................................................................................107 2019 Registration Form...................................................................................................................111

2018 CMDA National Convention │ 3

GENERAL

18

GENERAL

DAILY SCHEDULE Thursday, April 26 4 - 7 p.m.

Registration Check-in / Welcome Reception

Spilman Lobby

5:30 - 6:30 p.m.

Dinner

Rhododendron

7 - 9 p.m.

PLENARY SESSION 1 - ELLIE LOFARO

Spilman Auditorium

9:30 - 10:30 p.m.

Singles’ Reception

Spilman Deck

7:15 - 8:15 a.m.

Breakfast

Rhododendron

7:15 - 7:45 a.m.

Regional Breakfasts

Johnson Spring

7:45 - 8:45 a.m.

Regional Meetings

Johnson Spring

9 - 10:15 a.m.

DEVOTIONS - REV. JOHN BARNETT

Spilman Auditorium

10:15 - 11 a.m.

Coffee Break / Exhibit Hall / Heart to Heart Fellowship

Spilman Deck / Spilman 2

11 a.m. - 12:30 p.m.

PLENARY SESSION 2 - DAVID STEVENS, MD, MA (ETHICS)

Spilman Auditorium

12:30 - 1:15 p.m.

Lunch

Rhododendron

12:30 - 2:30 p.m.

Estate Planning Luncheon/Seminar

Johnson Spring 1 ABEF

1:30 - 5 p.m.

Breakout Sessions

Various Locations

1:30 - 3:45 p.m.

National Student Community (All Students Welcome)

Johnson Spring 1 DH

1:30 - 3:45 p.m.

National Resident & Fellow Council (All Residents/Fellows Welcome)

Johnson Spring 1 CG

3 - 4 p.m.

American Academy of Medical Ethics State Director Meeting

Johnson Spring 3

3 - 5 p.m.

Christian Physical Therapists International Meet and Greet

Johnson Spring 1 ABEF

4 - 5:30 p.m.

Student, Resident and Fellow Ultimate Frisbee Challenge

Ball Field

5:30 - 6:30 p.m.

Dinner

Rhododendron

7 - 9 p.m.

PLENARY SESSION 3 - DR. LEE

Spilman Auditorium

9 - 10 p.m.

Past Presidents / Trustees Dessert Reception

Spilman 2

9:15 - 11 p.m.

Women Physicians in Christ Game Night

Mt. Laurel Lobby

9:30 - 10:30 p.m.

Medical Education International Reception

Johnson Spring 1 ABEF

9:30 - 10:30 p.m.

Student, Resident and Fellow Bonfire

Ivy Fire Ring

7:15 - 8:15 a.m.

Breakfast

Rhododendron

7:15 - 8:45 a.m.

Women Physicians in Christ Breakfast

Johnson Spring 1 ABEF

7:15 - 8:45 a.m.

Past Presidents Breakfast

Johnson Spring 1 DH

7:30 - 8:45 a.m.

Fellowship of Christian Optometrists, International Council Breakfast

Johnson Spring 1 CG

8 - 9 a.m.

Fellowship of Christian Physician Assistants and Coalition of Christian Nurse Practitioners Meet and Greet

Johnson Spring 2C

9 - 10:15 a.m.

DEVOTIONS - REV. JOHN BARNETT

Spilman Auditorium

10:15 - 11 a.m.

VIE Poster Session

Pritchell 1

Friday, April 27

Saturday, April 28

4 │ 2018 CMDA National Convention

SCHEDULE AND MAP 10:15 - 11 a.m.

Coffee Break / Exhibit Hall / Heart to Heart Fellowship

Spilman Deck / Spilman 2

11 a.m. - 12:30 p.m.

PLENARY SESSION 4 - HON. JOE PITTS

Spilman Auditorium

12:30 - 1:15 p.m.

Lunch

Rhododendron

1:30 - 5:30 p.m.

Breakout Sessions and Life Skills Institute

Various Locations

5:30 - 6:30 p.m.

Dinner

Rhododendron

5:30 - 6:30 p.m.

Dental Dinner

Rhododendron

7 - 8 p.m.

EVENING ENTERTAINMENT - MATT FORE

Spilman Auditorium

8 - 9 p.m.

Global Health Outreach Reception

Spilman 2

8:30 - 10:30 p.m.

Women Physicians in Christ Bonfire

Ivy Fire Ring

7:15 - 8:15 a.m.

Breakfast

Rhododendron

9 - 10:30 a.m.

WORSHIP SERVICE - REV. JOHN BARNETT

Spilman Auditorium

Sunday, April 29

GENERAL

2018 CMDA National Convention │ 5

CAMPUS MAPS

GENERAL

If you’ve attended the National Convention in the past, you will notice that we’ve relocated several of our normal programming to new areas within the Ridgecrest Conference Center. If you have questions about the new locations, please visit the Convention Office on the first floor of Johnson Spring.

6 │ 2018 CMDA National Convention

BREAKOUT SESSIONS We encourage you to design your day to meet your unique needs. We’ve packed a great deal of information into the convention, so feel free to move in and out of the breakout sessions. Complete session descriptions are available for your use throughout the rest of the program.

Medical Track

Ethics Track

Johnson Spring 2A

Johnson Spring 3

FRIDAY

FRIDAY

1:30 - 2:30 p.m.

Physician-assisted Suicide: Update for 2018 Allen Roberts, MD, and Dennis Sullivan, MD, MA (Ethics) 1 Hour CME SATURDAY

SATURDAY 1:30 - 2:30 p.m.

Project Lazarus: Reaching, Teaching, Training Communities Addressing the Opioid Crisis, Part 1

Fred Brason, II 1 Hour CME 2:45 - 3:45 p.m.

Project Lazarus: Reaching, Teaching, Training Communities Addressing the Opioid Crisis, Part 2

Fred Brason, II 1 Hour CME 4:30 - 5:30 p.m.

Slimming Down the Idols of Our Days: Obesity and Women’s Health John Pierce, Jr., MD 1 Hour CME

1:30 - 2:30 p.m.

When Embryos are Research Subjects D. Joy Riley, MD 1 Hour CME 2:45 - 3:45 p.m.

Rights of Conscience: Where Are We? We Are Here Moderator: D. Joy Riley, MD 1 Hour CME

4:30 - 5:30 p.m.

Gene Editing: Reinventing Humanity?

Dennis Sullivan, MD, MA (Ethics) 1 Hour CME

2018 CMDA National Convention │ 7

GENERAL

1:30 - 2:30 p.m.

Encore: A Command Performance for an Audience of One Gene Rudd, MD 1 Hour CME and CDE

GENERAL

BREAKOUT SESSIONS We encourage you to design your day to meet your unique needs. We’ve packed a great deal of information into the convention, so feel free to move in and out of the breakout sessions. Complete session descriptions are available for your use throughout the rest of the program.

Spiritual Life/Family Track Johnson Spring 2C

Fellowship of Christian Optometrists (FCO) Track Johnson Spring 4

FRIDAY

FRIDAY 1:30 - 2:30 p.m.

Leaving a Lasting Legacy: What Do These Stones Mean? (Joshua 4) Ellie Lofaro SATURDAY 1:30 - 2:30 p.m.

How to Transform Our Minds Toward Our Spouses, Children and Grandchildren John Norris, MD, and Laurie Norris

1:30 - 2:30 p.m. and 2:45 - 3:45 p.m.

Posterior Segment Disorders Update, Parts 1 and 2 Kyle Cheatham, OD, FAAO 2 Hours COE 4 - 5 p.m.

Herpes Simplex Keratitis Update Kyle Cheatham, OD, FAAO 1 Hour COE SATURDAY

2:45 - 3:45 p.m.

It’s Going to Happen to You Grat Correll, MD, FAAFP

1:30 - 2:30 p.m. and 2:45 - 3:45 p.m.

Glaucoma Management and Surgical Update, Parts 1 and 2 Kyle Cheatham, OD, FAAO 2 Hours COE

4:30 - 5:30 p.m.

4 Keys About Millennials That You May Not Have Known Bill Reichart, MDiv

4:30 - 5:30 p.m.

Pharmacology Kyle Cheatham, OD, FAAO 1 Hour COE

8 │ 2018 CMDA National Convention

BREAKOUT SESSIONS We encourage you to design your day to meet your unique needs. We’ve packed a great deal of information into the convention, so feel free to move in and out of the breakout sessions. Complete session descriptions are available for your use throughout the rest of the program.

Psychiatry Section Track

Dental Track

Johnson Spring 2B

FRIDAY

Johnson Spring 2B

SATURDAY 1:30 - 2:30 p.m.

The “Successful” Life Enigma Peter Dawson, DDS 1 Hour CDE

2:45 - 3:45 p.m.

Building Our Resilience as Healthcare Professionals Sam Thielman, MD, PhD 1 Hour CME and CDE

2:45 - 3:45 p.m.

Integrative Dental Medicine...

Dentistry’s Next Frontier DeWitt Wilkerson, DMD 1 Hour CDE

4 - 5 p.m.

Gender Dysphoria in Children: Science, Ideology and Ethics Paul Hruz, MD, PhD 1 Hour CME

4:30 - 5:30 p.m.

Legality and Ethics in Contemporary Dentistry Jon R. Ewig, DDS 1 Hour CDE

MEI Session

Johnson Spring 5

FRIDAY

Follow Along on Your Mobile Device

1:30 - 2:30 p.m.

What God is Doing in Cuba Dr. Víctor Samuel González Grillo

Visit www.cmda.org/conventionprogram to access the electronic version of the program.

2018 CMDA National Convention │ 9

GENERAL

1:30 - 2:30 p.m.

Burnout in Healthcare: Restoring the Soul of the Clinician Steve Sartori, MD 1 Hour CME and CDE

GENERAL

DEVOTIONS & WORSHIP Devotions - Rev. John Barnett

SPEAKING SCHEDULE Friday Morning Devotions Saturday Morning Devotions Sunday Morning Worship Service

Rev. Barnett has been teaching the Word of God for 30+ years. Born and raised in Michigan, John has studied at Michigan State University, Bob Jones University (BS, BA, MA, MDiv), The Master’s Seminary (faculty and ThM work), Dallas Theological Seminary (Dr. of Biblical Ministry) and with Francis Schaeffer at L’Abri Fellowship. John shares his life with Bonnie, his beloved wife, and their eight wonderful children. As a home educating family, John and Bonnie teach children and teens with enthusiasm and love. In the last 30 years of uninterrupted ministry, John has served congregations in Michigan, Georgia, Rhode Island, California, Oklahoma and Michigan. Since 1978, John has led dozens of study tours, retreats, travels and pilgrimages, and he has taught on site in 21 countries and on five continents.

John’s messages reflect the background of the Scripture from the ancient biblical world, the history of the church and the daily life in far corners of the planet. His Discover the Book Ministry provides electronic copies of John’s audio, video and text studies free of charge to pastors, missionaries and other believers.

Worship - Ryan Kennedy Ryan is an artist and writer based in Houston, Texas. Ryan was involved in musical theatre from an early age and wrote a Broadway musical by the age of 17. However, his promising career as a Broadway composer came to a halt after a life-changing encounter with Christ. Realizing God was calling Him to write and record music that spoke about his faith in Jesus, he left his musical career behind to follow the Holy Spirit. Since then, he has toured both nationally and internationally and opened for acts such as MercyMe, Crowder, Brandon Heath, Jonathan Thulin and more. After spending more than four years as the full-time Director of Worship & Creative Arts at his home church in Texas, Ryan now, when not on tour, leads worship for the 18,000-member congregation at Woodlands Church. He was the recipient of the 2016 GMA Immerse award for Songwriter of the Year and then signed with People & Songs. He is currently working on his major label debut record that is slated for a fall 2018 release.

10 │ 2018 CMDA National Convention

SPECIAL EVENTS CMDA Bookstore - Spilman Auditorium Thursday, April 26 4 - 7 p.m.

SPECIAL BOOKSTORE DISCOUNTS

Conference Check-in

9:30 - 10:30 p.m.

Friday, April 27 8:30 - 9 a.m.

10:15 - 11 a.m.

Coffee Break

1 - 7 p.m.

9 - 10 p.m.

8:30 - 9 a.m.

Coffee Break

1 - 7 p.m.

8 - 9 p.m.

Sunday, April 29 8 - 9 a.m.

Last Chance to Purchase Materials

Take advantage of FREE embossing for Leadership Proverbs, Servant Leadership and The Doctor’s Bible.

Shop early, quanities are limited.

Estate Planning Luncheon and Seminar Friday, April 27 • 12:30 - 2:30 p.m.

Johnson Spring 1 ABEF Please register at the Information Desk in Spilman Lobby or in the Convention Office on the first floor of Johnson Spring.

Guest Speaker - Russ Crosson Beyond Estate Planning Beyond Estate Planning is more than an estate planning “how to” talk. Rather it is a “why” talk on the thorny issues of how much, when and in what form to transfer your assets to your children and why charity should be a key part of every estate plan.

2018 CMDA National Convention │ 11

GENERAL

Get both Leadership Proverbs and Servant Leadership by Dr. David Stevens and Bert Jones for only $25.

Saturday, April 28 10:15 a.m. - 11 a.m.

Get 10% off your order when you show your CMDA Member ribbon.

GENERAL

SPECIAL EVENTS Regional Breakfasts and Meetings Friday, April 27 7:15 - 7:45 a.m. — Regional Breakfasts 7:45 - 8:45 a.m. — Regional Meetings Join your regional director for fellowship and time to discuss plans for the upcoming year. If you want to become more active in your region, please be sure to attend. A breakfast buffet will be set up in the hallway of Johnson Spring 1 for the rooms on the first floor, and a separate buffet will be set up inside of Johnson Spring 2C for the Northeast Region.

REGION Midwest Northeast Southern Western

REGIONAL DIRECTOR LOCATION Allan Harmer, ThM, DMin Johnson Spring 1 CG Scott Boyles, MDiv Johnson Spring 2 C Grant Hewitt, MDiv Johnson Spring 1 ABEF Michael McLaughlin, MDiv Johnson Spring 1 DH

WPC Activities

Heart to Heart Fellowship Fellowship for Women

Friday, April 27 WPC Game Night 9:15 - 11 p.m.

Mt. Laurel Lobby Saturday, April 28 WPC Breakfast 7:15 - 8:45 a.m.

Johnson Spring 1 ABEF WPC Bonfire 8:30 - 10:30 p.m.

Ivy Fire Ring

Friday and Saturday Mornings 10:15 - 11 a.m.

Spilman 2 All women attending the convention are invited to join us for coffee and a time of fellowship before the next plenary session begins.

We hope you will join us!

Specialty Section Meet and Greets Friday, April 27

Saturday, April 28

Christian Physical Therapists International 3 p.m. - 5 p.m.

Johnson Spring 1 ABEF

Fellowship of Christian Physician Assistants and Coalition of Christian Nurse Practitioners 8 - 9 a.m.

Johnson Spring 2C

12 │ 2018 CMDA National Convention

STUDENT & RESIDENT EVENTS In addition to the robust schedule of encouraging, challenging and stimulating sessions, there are also a mixture of events focused specifically for students, residents and fellows. These special events are designed to help you grow as a Christian healthcare student.

Special Events

Just for Students, Residents and Fellows

Life Skills Institute Johnson Spring 5

SATURDAY

FRIDAY

1:30 - 3:45 p.m.

National Resident & Fellow Council All Residents and Fellows Welcome Johnson Spring 1 CG

4 - 5:30 p.m.

Ultimate Frisbee Challenge Ball Field - First on Left

1:30 - 2:30 p.m.

Burnout Prevention: Will Medical Training Quench Your Fire?

Steve Sartori, MD

2:45 - 3:45 p.m.

Finding and Fighting for Happiness from Medical School and Beyond Emily Shupert, PhD, LPC, DCC

4:30 - 5:30 p.m.

Hot Button Issues for Healthcare Students Panel Discussion

9:30 - 10:30 p.m.

Bonfire Ivy Fire Ring SATURDAY 1:30 - 5:30 p.m.

Life Skills Institute Johnson Spring 5

2018 CMDA National Convention │ 13

GENERAL

1:30 - 3:45 p.m.

National Student Community All Students Welcome Johnson Spring 1 DH

RENEW YOUR MIND

“Do not be conformed to this world, but be transformed by the renewal of your mind, that by testing you may discern what is the will of God, what is good and acceptable and perfect.”

—Romans 12:2, ESV

14 │ 2018 CMDA National Convention

DAILY SCHEDULE Thursday, April 26 4 - 7 p.m.

Registration Check-in / Welcome Reception

Spilman Lobby

5:30 - 6:30 p.m.

Dinner

Rhododendron

7 - 9 p.m.

PLENARY SESSION 1 - ELLIE LOFARO

Spilman Auditorium

9:30 - 10:30 p.m.

Singles’ Reception

Spilman Deck

THURSDAY

Take Time to Pray While you are at Ridgecrest Conference Center, be sure to spend time in prayer throughout the National Convention. If you need someone to pray with you about specific concerns, please visit the Johnson Spring Boardroom on the third floor of Johnson Spring on Friday and Saturday mornings from 7 - 9 a.m. There will be individuals there to share your burden as you go before the throne.

Whether you are praying alone or with newfound friends, you will definitely leave feeling renewed and refreshed after spending some quiet time with the Lord.

“What am I to do? I will pray with my spirit, but I will pray with my mind also; I will sing praise with my spirit, but I will sing with my mind also.”

—1 Corinthians 14:16, ESV

2018 CMDA National Convention │ 15

RY A N N1 E L P O .

I S SESm. to 9 p.m .

7p

Speaker Information ELLIE LOFARO

THURSDAY

Founder, Heart Mind & Soul Ministries

SPEAKING SCHEDULE Thursday Evening Plenary Friday Afternoon Breakout

Ellie Lofaro is a respected Bible teacher, inspirational speaker and humorist. Completely convinced of God’s love and His mandate to “go and tell,” Ellie has committed her life to sharing the Great News. She speaks internationally, has authored five books, has been published in numerous magazines and taught a weekly nondenominational Bible Study for 15 years. She has taught in prisons across the globe.

On two occasions, she has been honored by Focus on the Family as being “The Best of the Best.” Ellie’s message is a wonderful blend of plainspoken truth, common sense practicality and disarming humor.

A serious student of Scripture and a keen observer of the culture, she has developed a unique teaching style that touches the heart, stimulates the mind and nourishes the soul—thus inspiring her to establish Heart Mind & Soul Ministries. Ellie and her husband Frank (CEO of Prison Fellowship International) are native New Yorkers. They reside near the nation’s capital where they raised three children who turned into very likable adults. She loves travel, photography, long dinners, large masses of water and all things Italian.

Session Information LOSE ANYTHING LATELY? THE STORY OF THE LOST AXE HEAD (2 KINGS 6:1-7)

Lost keys, lost phone, lost purses. Lost coins, lost sheep, lost loved ones. And even a lost axe head. Loss often results in a sudden, deeply felt need. People tend to call out to God with increased passion, expectation and abandon—and at times—in discouragement and desperation. God is in control of the “lost and found” department! Be encouraged about what to do when you experience a loss and how to be best prepared as you respond and exercise your faith.

16 │ 2018 CMDA National Convention

PLE SES NARY SIO N Not

es

THURSDAY 2018 CMDA National Convention │ 17

RENEW YOUR MIND

“This Book of the Law shall not depart from your mouth, but you shall meditate on it day and night, so that you may be careful to do according to all that is written in it. For then you will make your way prosperous, and then you will have good success. Have I not commanded you? Be strong and courageous. Do not be frightened, and do not be dismayed, for the Lord your God is with you wherever you go.”

—Joshua 1:8-9, ESV

18 │ 2018 CMDA National Convention

DAILY SCHEDULE Friday, April 27 Breakfast

Rhododendron

7:15 - 7:45 a.m.

Regional Breakfasts

Johnson Spring

7:45 - 8:45 a.m.

Regional Meetings

Johnson Spring

9 - 10:15 a.m.

DEVOTIONS - REV. JOHN BARNETT

Spilman Auditorium

10:15 - 11 a.m.

Coffee Break / Exhibit Hall / Heart to Heart Fellowship

Spilman Deck / Spilman 2

11 a.m. - 12:30 p.m.

PLENARY SESSION 2 - DAVID STEVENS, MD, MA (ETHICS)

Spilman Auditorium

12:30 - 1:15 p.m.

Lunch

Rhododendron

12:30 - 2:30 p.m.

Estate Planning Luncheon/Seminar

Johnson Spring 1 ABEF

1:30 - 5 p.m.

Breakout Sessions

Various Locations

1:30 - 3:45 p.m.

National Student Community (All Students Welcome)

Johnson Spring 1 DH

1:30 - 3:45 p.m.

National Resident & Fellow Council (All Residents/Fellows Welcome)

Johnson Spring 1 CG

3 - 4 p.m.

American Academy of Medical Ethics State Director Meeting

Johnson Spring 3

3 - 5 p.m.

Christian Physical Therapists International Meet and Greet

Johnson Spring 1 ABEF

4 - 5:30 p.m.

Student, Resident and Fellow Ultimate Frisbee Challenge

Ball Field

5:30 - 6:30 p.m.

Dinner

Rhododendron

7 - 9 p.m.

PLENARY SESSION 3 - DR. LEE

Spilman Auditorium

9 - 10 p.m.

Past Presidents / Trustees Dessert Reception

Spilman 2

9:15 - 11 p.m.

Women Physicians in Christ Game Night

Mt. Laurel Lobby

9:30 - 10:30 p.m.

Medical Education International Reception

Johnson Spring 1 ABEF

9:30 - 10:30 p.m.

Student, Resident and Fellow Bonfire

Ivy Fire Ring

FRIDAY

7:15 - 8:15 a.m.

Morning Devotions with Rev. John Barnett Transformed: How God Renews Our Minds (Romans 12)

I appeal to you therefore, brothers, by the mercies of God, to present your bodies as a living sacrifice, holy and acceptable to God, which is your spiritual worship. 2Do not be conformed to this world, but be transformed by the renewal of your mind, that by testing you may discern what is the will of God, what is good and acceptable and perfect. 3For by the grace given to me I say to everyone among you not to think of himself more highly than he ought to think, but to think with sober judgment, each according to the measure of faith that God has assigned. 4For as in one body we have many members, and the members do not all have the same function, 5so we, though many, are one body in Christ, and individually members one of another. 6Having gifts that differ according to the grace given to us, let us use them: if prophecy, in proportion to our faith; 7if service, in our serving; the one who teaches, in his teaching; 8the one who exhorts, in his exhortation; the one who contributes, in generosity; the one who leads, with zeal; the one who does acts of mercy, with cheerfulness. 9Let love be genuine. Abhor what is evil; hold fast to what is good. 10Love one another with brotherly affection.

Outdo one another in showing honor. 11Do not be slothful in zeal, be fervent in spirit, serve the Lord. 12Rejoice in hope, be patient in tribulation, be constant in prayer. 13Contribute to the needs of the saints and seek to show hospitality. 14Bless those who persecute you; bless and do not curse them. 15Rejoice with those who rejoice, weep with those who weep. 16Live in harmony with one another. Do not be haughty, but associate with the lowly. Never be wise in your own sight. 17Repay no one evil for evil, but give thought to do what is honorable in the sight of all. 18If possible, so far as it depends on you, live peaceably with all. 19Beloved, never avenge yourselves, but leave it to the wrath of God, for it is written, “Vengeance is mine, I will repay, says the Lord.” 20To the contrary, “if your enemy is hungry, feed him; if he is thirsty, give him something to drink; for by so doing you will heap burning coals on his head.” 21Do not be overcome by evil, but overcome evil with good.

1

2018 2018 CMDA CMDA National National Convention Convention │ 19│ 19

RY A N N2 E L P O p.m.

I S SES.m. - 12:30 11 a

Speaker Information DAVID STEVENS, MD, MA (ETHICS)

Chief Executive Officer, Christian Medical & Dental Associations

FRIDAY

Dr. David Stevens serves as the Chief Executive Officer for the Christian Medical & Dental Associations. He is the author of Jesus, MD, and Beyond Medicine, and he is the co-author of Leadership Proverbs and Servant Leadership. From 1981 to 1991, Dr. Stevens served as a missionary doctor in Kenya helping to transform Tenwek Hospital into one of the premier mission healthcare facilities in the world.

Subsequently, he served as the Director of World Medical Mission, the medical arm of Samaritan’s Purse, assisting mission hospitals and leading medical relief teams into war and disaster zones. As a leading spokesman for Christian healthcare professionals in America, Dr. Stevens has conducted hundreds of television, radio and print media interviews. Dr. Stevens holds degrees from Asbury University and is an AOA graduate University of Louisville School of Medicine and is board certified in family practice. He earned a master’s degree in bioethics from Trinity International University in 2002.

Session Information UNCONDITIONAL SURRENDER

Am I in control of my life or is God? For Adam and Eve, for Jonah, for you and for me, how we each deal with this issue affects our relationship with God and our fruitfulness in ministry. What is unconditional surrender? How do we live in that state?

20 │ 2018 CMDA National Convention

PLE SES NARY SIO N Not

es

FRIDAY 2018 CMDA National Convention │ 21

FRIDAY

BREAKOUT SESSIONS 1:30 - 2:30 p.m.

Medical Track — Johnson Spring 2A Encore: A Command Performance for an Audience of One 1 Hour CME and CDE Gene Rudd, MD Senior Vice President, CMDA Surveys show that physicians and dentists experience career dissatisfaction, stress/ anxiety, depression and suicide. As a result, their careers are often cut short. We will explore the causes, the “cures” and our obligation to serve.

At the conclusion of this program, participants should be able to: • Identify factors that lead to career dissatisfaction for the healthcare professional.

• Describe how career dissatisfaction in the healthcare professional has a negative impact on patient care.

• List steps healthcare professionals can use to remedy career dissatisfaction.

• Discuss the transcendent and social obligations to healing services.

Ethics Track — Johnson Spring 3 Physician-assisted Suicide: Update for 2018 1 Hour CME Allen Roberts, MD Professor of Clinical Medicine & Associate Medical Director, Georgetown University Hospital Dennis Sullivan, MD, MA (Ethics) Director, Center for Bioethics School of Pharmacy, Cedarville University; Cedarville, Ohio In this session, we will review the current status of physician-assisted suicide in five states, the U.S. capital and Canada. Our presentation will review some of the major arguments that inform the debate and will conclude with the ways that Christian healthcare professionals can weigh in.

At the conclusion of this program, participants should be able to: • Describe the current trajectory of physician-assisted suicide in our culture.

• Identify the potential implications for physician-assisted suicide and euthanasia as they relate to organ procurement.

• Enroll in local church and seminary bioethical training courses related to physician-assisted suicide.

22 │ 2018 CMDA National Convention

The Robert Orr Lecture Series in Bioethics

BREAKOUT SESSIONS 1:30 - 2:30 p.m.

Spiritual Life and Family Track — Johnson Spring 2C Leaving a Lasting Legacy: What Do These Stones Mean? (Joshua 4) Ellie Lofaro Founder, Heart Mind & Soul Ministries

Psychiatry Section Track — Johnson Spring 2B Burnout in Healthcare: Restoring the Soul of the Clinician 1 Hour CME and CDE Steve Sartori, MD Director, CMDA Life & Executive Coaching; Corbin, Kentucky Burnout has been described as “an erosion of the soul,” and it is now recognized as a national epidemic, posing a serious threat to the wellbeing of doctors, patients and the healthcare system. While awareness of the problem has increased, effective responses remain elusive. This presentation will help attendees deepen their understanding of burnout and examine responses to help themselves, their loved ones or their colleagues.

At the conclusion of this program, participants should be able to: • Define burnout.

• Identify the causes of burnout.

• Discuss remedies for burnout.

MEI Session — Johnson Spring 5 What God is Doing in Cuba Dr. Víctor Samuel González Grillo Session description not available at time of program printing.

2018 CMDA National Convention │ 23

FRIDAY

Question: What will others remember about you after you’re gone? Answer: Not what you may think! Beware of cultural counterfeits. We all hear about making this world a better place. What does that look like for a follower of Jesus Christ? What truly matters when it comes to our vocation/avocation/marriage/family/ministry? We know it’s not the cars, the house or the cash. It’s not even our salaries, degrees or our 401K that matter most. Those things may earn us a few kudos and some measure of comfort—but they don’t ensure a lasting legacy. Consider your own story. You have the ability and the great privilege to write (or rewrite) the ending. Discover the keys to passing on what really matters.

FRIDAY

BREAKOUT SESSIONS 1:30 - 2:30 p.m.

2:45 - 3:45 p.m.

FCO Track — Johnson Spring 4 Posterior Segment Disorders Update, Parts 1 and 2 2 Hours COE — 1:30 - 2:30 p.m. and 2:45 - 3:45 p.m.

Kyle Cheatham, OD, FAAO Chairman, Fellowship of Christian Optometrists, International Specialty Section of CMDA; CEO, KMK Educational Services It can be confusing trying to simplify the key posterior segment conditions that you encounter frequently in clinical practice. This course will categorize these conditions into a format that is easy to remember and apply in your exam room. This lecture will be interactive with technology that allows you to use your smartphone to answer live polling questions.

At the conclusion of this program, participants should be able to: • Classify posterior segment conditions.

• Utilize posterior segment knowledge in patient care.

4 - 5 p.m.

FCO Track — Johnson Spring 4 Herpes Simplex Keratitis Update 1 Hour COE Kyle Cheatham, OD, FAAO Chairman, Fellowship of Christian Optometrists, International Specialty Section of CMDA; CEO, KMK Educational Services This course will provide practical clinical pearls for herpes simplex keratitis in an interactive format. Various presentations of herpes simplex keratitis will be presented efficiently, in case-based form, and multiple-choice questions will follow each case. The clinical cases, questions and explanations in this course will emphasize evidence-based pearls that are clinically relevant and immediately useful to the practitioner. This lecture will be interactive with technology that allows you to use your smartphone to answer live polling questions.

At the conclusion of this program, participants should be able to: • Discuss herpes simplex keratitis presentations.

• Employ useful diagnosis and management strategies for HSK keratitis in clinical practice.

24 │ 2018 CMDA National Convention

BREAKOUT SESSIONS 2:45 - 3:45 p.m.

Psychiatry Section Track — Johnson Spring 2B Building Our Resilience as Healthcare Professionals 1 Hour CME and CDE Sam Thielman, MD, PhD Psychiatrist; Director, Still Waters Global LLC The very factors that make altruistic individuals attractive—passion, dedication and empathy—can sometimes make them more vulnerable to psychological distress. Understanding and building resilience can counter the effects of compassion fatigue. This presentation presents insights from the growing literature on resilience and describes five resilience factors most likely to be protective against vicarious traumatization and burnout. It will offer ways that healthcare professionals can make use of these concepts to protect their psychological health and wellbeing.

4 - 5 p.m.

Psychiatry Section Track — Johnson Spring 2B Gender Dysphoria in Children: Science, Ideology and Ethics 1 Hour CME Paul Hruz, MD, PhD Associate Professor, Washington University Children who identify as a gender that does not correspond to their biological sex frequently experience significant dysphoria and psychosocial morbidity. Over the last decade, increased clinical and societal recognition of this condition has led to the development of new clinical practice guidelines that include pubertal suppression and hormonal therapy directed toward inducing physical changes corresponding to an individual’s identified gender. This is accompanied by efforts to mandate societal acceptance and accommodation of patient gender preferences. Widely divergent ideologies regarding human sexuality among physicians and advocacy groups have generated ongoing controversy over approaches to the care of children with gender dysphoria. Current understanding of the etiology of gender dysphoria, risks and benefits of the new treatment paradigm and available outcome data will be presented. Ethical considerations and societal implications of gender dysphoria treatment in children will also be discussed.

At the conclusion of this program, participants should be able to: • Discuss the DSM-V criteria for the diagnosis of gender dysphoria (GD) and associated controversies.

• Describe past and current approaches to treating GD in children and adolescents.

• Identify the potential benefits and risks of the WPATH/Endocrine Society GD treatment guidelines.

2018 CMDA National Convention │ 25

FRIDAY

At the conclusion of this program, participants should be able to: • Describe the origin and principal characteristics of the concept of vicarious traumatization.

• Define the concept of resilience as it relates to psychological wellbeing.

• Discuss the concept of resilience as it relates to psychological wellbeing.

• List five modifiable resilience factors.

RY A N N3 E L P O .

I S SES . to 9 p.m .m

7p

Speaker Information

FRIDAY

DR. LEE

Session Information WHAT’S ON YOUR MIND? TRANSFORMED THOUGHT, TRANSFORMED IDENTITY AND TRANSFORMED PURPOSE

In Philippians 4:8, God commands us to think about/dwell on whatever is true, noble, right, pure, lovely, admirable, excellent or praiseworthy. Obedience to this command will radically transform a Christian’s thought, identity and purpose.

26 │ 2018 CMDA National Convention

PLE SES NARY SIO N Not

es

FRIDAY 2018 CMDA National Convention │ 27

RENEW YOUR MIND

“So we do not lose heart.

Though our outer self is wasting away, our inner self is being renewed day by day.”

—2 Corinthians 4:16, ESV

28 │ 2018 CMDA National Convention

DAILY SCHEDULE Saturday, April 28 Breakfast

Rhododendron

7:15 - 8:45 a.m.

Women Physicians in Christ Breakfast

Johnson Spring 1 ABEF

7:15 - 8:45 a.m.

Past Presidents Breakfast

Johnson Spring 1 DH

7:30 - 8:45 a.m.

Fellowship of Christian Optometrists, International Council Breakfast

Johnson Spring 1 CG

8 - 9 a.m.

Fellowship of Christian Physician Assistants and Coalition of Christian Nurse Practitioners Meet and Greet

Johnson Spring 2C

9 - 10:15 a.m.

DEVOTIONS - REV. JOHN BARNETT

Spilman Auditorium

10:15 - 11 a.m.

VIE Poster Session

Pritchell 1

10:15 - 11 a.m.

Coffee Break / Exhibit Hall / Heart to Heart Fellowship

Spilman Deck / Spilman 2

11 a.m. - 12:30 p.m.

PLENARY SESSION 4 - HON. JOE PITTS

Spilman Auditorium

12:30 - 1:15 p.m.

Lunch

Rhododendron

1:30 - 5:30 p.m.

Breakout Sessions and Life Skills Institute

Various Locations

5:30 - 6:30 p.m.

Dinner

Rhododendron

5:30 - 6:30 p.m.

Dental Dinner

Rhododendron

7 - 8 p.m.

EVENING ENTERTAINMENT - MATT FORE

Spilman Auditorium

8 - 9 p.m.

Global Health Outreach Reception

Spilman 2

8:30 - 10:30 p.m.

Women Physicians in Christ Bonfire

Ivy Fire Ring

SATURDAY

7:15 - 8:15 a.m.

Morning Devotions with Rev. John Barnett Renewed Living: How God Keeps Us Transformed (Ephesians 4)

I therefore, a prisoner for the Lord, urge you to walk in a manner worthy of the calling to which you have been called, 2with all humility and gentleness, with patience, bearing with one another in love, 3eager to maintain the unity of the Spirit in the bond of peace. 4There is one body and one Spirit—just as you were called to the one hope that belongs to your call—5one Lord, one faith, one baptism, 6one God and Father of all, who is over all and through all and in all. 7But grace was given to each one of us according to the measure of Christ’s gift.

8 Therefore it says, “When he ascended on high he led a host of captives, and he gave gifts to men.” 9(In saying, “He ascended,” what does it mean but that he had also descended into the lower regions, the earth? 10He who descended is the one who also ascended far above all the heavens, that he might fill all things.) 11And he gave the apostles, the prophets, the evangelists, the shepherds and teachers, 12to equip the saints for the work of ministry, for building up the body of Christ, 13until we all attain to the unity of the faith and of the knowledge of the Son of God, to mature manhood, to the measure of the stature of the fullness of Christ, 14so that we may no longer be children, tossed to and fro by the waves and carried about by every wind of doctrine, by human cunning, by craftiness in deceitful schemes. 15Rather, speaking the truth in love, we are to grow up in every way into him who is the head, into Christ, 16from whom the whole body, joined and held together by every joint with which it is equipped, when each part is working properly, makes the body grow so that it builds itself up in love. 17Now this I say and testify in the Lord, that you must no longer walk as the Gentiles do, in the futility of their minds. 18They are darkened in their understanding, alienated from the life of God because of the ignorance that is in them, due to their hardness of heart. 19They have become callous and have given themselves up to sensuality, greedy to practice every kind of impurity. 20But that is not the way you learned Christ!—21assuming that you have heard about him and were taught in him, as the truth is in Jesus, 22to put off your old self, which belongs to your former manner of life and is corrupt through deceitful desires, 23and to be renewed in the spirit of your minds, 24and to put on the new self, created after the likeness of God in true righteousness and holiness. 25Therefore, having put away falsehood, let each one of you speak the truth with his neighbor, for we are members one of another. 26Be angry and do not sin; do not let the sun go down on your anger, 27and give no opportunity to the devil. 28Let the thief no longer steal, but rather let him labor, doing honest work with his own hands, so that he may have something to share with anyone in need. 29Let no corrupting talk come out of your mouths, but only such as is good for building up, as fits the occasion, that it may give grace to those who hear. 30And do not grieve the Holy Spirit of God, by whom you were sealed for the day of redemption. 31Let all bitterness and wrath and anger and clamor and slander be put away from you, along with all malice. 32Be kind to one another, tenderhearted, forgiving one another, as God in Christ forgave you.

1

2018 CMDA CMDA National National Convention Convention │ │ 29 29 2018

RY A N N4 E L P O p.m.

I S 0 SES.m. - 12:3 11 a

Speaker Information HON. JOE PITTS U.S. Congressman, Retired

SATURDAY

U.S. Representative Joe Pitts served in Congress for 20 years, retiring in 2017 as a respected statesman known for his strong Christian faith and his commitment to advancing Judeo-Christian values in government and society. He was raised by missionary parents in the Philippines before returning to the U.S. to attend Asbury University, where he met Ginny, his wife of more than 50 years. After several years of teaching middle and high school math and science, he joined the U.S. Air Force and served three tours of duty in Vietnam. He was elected to the Pennsylvania State House of Representatives in 1972.

Then he was elected to Congress in 1996. He chaired the Values Action Team for 19 years and he also chaired the House Subcommittee on Health, advocating for pro-life, pro-family legislation and religious freedom for all Americans. Having served on the frontlines of the culture and legislative wars for the last 40 years, Joe has a unique insight into the proper role of Christians in public life and government and how to effectively advocate for our religious freedoms and values.

Session Information CONSCIENCE PROTECTION AND THE NEED FOR PUBLIC ENGAGEMENT

Mr. Pitts will address the need for conscience protection FOR the medical community and the importance of public engagement BY the medical community.

30 │ 2018 CMDA National Convention

PLE SES NARY SIO N Not

es

SATURDAY

Saturday Evening Entertainment Matt Fore Saturday, April 28 • 7 - 8 p.m.

Spilman Auditorium Matt currently lives in East Tennessee and spends much of his time on the road as the featured entertainer for many corporate functions, churchwide events, sports evangelism celebrations, banquets and conventions. He has performed throughout the Carribean on Carnival Cruise Lines and was an opening act for Crystal Gayle. He has appeared in a music video with Taylor Swift and has performed on several national TV shows including the Crook & Chase show on TNN, Fox Sports and The Dennis Swanburg Show. He has also performed numerous times at the famed Magic Castle in Hollywood, California.

2018 CMDA National Convention │ 31

BREAKOUT SESSIONS 1:30 - 2:30 p.m.

2:45 - 3:45 p.m.

Medical Track — Johnson Spring 2A Project Lazarus: Reaching, Teaching, Training Communities Addressing the Opioid Crisis, Parts 1 and 2 2 Hours CME — 1:30 - 2:30 p.m. and 2:45 - 3:45 p.m.

Fred Brason, II President/CEO, Project Lazarus

SATURDAY

Mr. Brason will take two hours to help participants understand the opioid crises and what tools are needed to combat it.

At the conclusion of this program, participants should be able to: • Define the components of a successful community-based prescription opioid overdose prevention program.

• Describe the roles clinicians can play in overdose prevention and supporting patients with chronic pain beyond the traditional clinical setting.

• Describe the Project Lazarus model.

• Identify ways in which the Project Lazarus model can be adapted for replication in your practice or community.

4:30 - 5:30 p.m.

Medical Track — Johnson Spring 2A Slimming Down the Idols of Our Days: Obesity and Women’s Health 1 Hour CME John Pierce, Jr., MD Associate Professor in OB/Gyn and Internal Medicine; Chair of Medical Specialties, LUCOM Obesity has become an overwhelming topic to address in healthcare. The scope of the problem covers care for adolescents, reproductive-aged women and postmenopausal women. This talk focuses on understanding complications for patients, communication with women and families and the solutions from a medical, a surgical and a spiritual perspective.

At the conclusion of this program, participants should be able to: • Define the scope of the obesity epidemic and list the consequences for women of all ages.

• Counsel patients on the medical, surgical and spiritual treatments for obesity.

• Design patient encounters that lead to improvements in weight loss.

32 │ 2018 CMDA National Convention

BREAKOUT SESSIONS 1:30 - 2:30 p.m.

2:45 - 3:45 p.m.

FCO Track — Johnson Spring 4 Glaucoma Management and Surgical Update, Parts 1 and 2 2 Hours COE — 1:30 - 2:30 p.m. and 2:45 - 3:45 p.m.

Kyle Cheatham, OD, FAAO Chairman, Fellowship of Christian Optometrists, International Specialty Section of CMDA; CEO, KMK Educational Services

At the conclusion of this program, participants should be able to: • Discuss evidence-based glaucoma management.

• Employ useful management strategies for glaucoma in clinical practice.

4:30 - 5:30 p.m.

FCO Track — Johnson Spring 4

SATURDAY

Every month there are constantly new studies out on glaucoma management. It can be exhausting trying to organize this information and determine how to apply it to your patients. This course will get straight to the point of what matters in these studies and will provide information that will be immediately useful in your exam room.

This lecture will be interactive with technology that allows you to use your smartphone to answer live polling questions.

Pharmacology 1 Hour COE Kyle Cheatham, OD, FAAO Chairman, Fellowship of Christian Optometrists, International Specialty Section of CMDA; CEO, KMK Educational Services There are new medications that hit the market each week. It can be overwhelming trying to organize and simplify the drugs that actually impact the lives of our patients, in our exam room. This course will simplify that process and provide an update on the most important systemic drugs that result in ocular side effects. This lecture will be interactive with technology that allows you to use your smartphone to answer live polling questions.

At the conclusion of this program, participants should be able to: • Discuss new systemic medications with ocular side effects.

2018 CMDA National Convention │ 33

BREAKOUT SESSIONS 1:30 - 2:30 p.m.

Ethics Track — Johnson Spring 3

The Robert Orr Lecture Series in Bioethics

SATURDAY

When Embryos are Research Subjects 1 Hour CME D. Joy Riley, MD Executive Director, The Tennessee Center for Bioethics & Culture After the 1978 birth of the world’s first test-tube baby, governing bodies sought advice regarding embryo research. Enter the 14-day rule, which in some countries is a law, and in others, a guidance. Forty years later, some scientists are seeking to change the 14-day rule: now, embryos can be grown in labs for longer periods, and some lab-generated embryo-like entities resemble embryos that are developmentally beyond 14-days gestation. What should be done? Some suggest abolishing the 14-day rule; others, extending it. The talk comprises a synopsis of the 14-day rule—how it came to be, its current status and some ideas about a way forward that promotes human dignity.

At the conclusion of this program, participants should be able to: • Describe the 14-day rule for embryo research.

• Summarize the human benefits and costs of embryo research.

• State reasons for and against abolishing or extending the rule.

Ethics Track — Johnson Spring 3

2:45 - 3:45 p.m.

The Robert Orr Lecture Series in Bioethics

Rights of Conscience: Where Are We? We Are Here 1 Hour CME Moderator: D. Joy Riley, MD Panelists: John Pierce, Jr., MD; Janet Liljestrand, MD; and Robert Cranston, MD, MA, MSHA Every physician will face ethical decisions in the practice of medicine. As societal attitudes change, physicians will be asked to participate in treatments for conditions not even considered only a few years ago. An example would be a physician being asked to participate in hormonal therapy when no physical or hormonal abnormality exits. If the physician practices in a group setting, the physician may want to proactively determine how ethical issues are to be addressed.

At the conclusion of this program, participants should be able to: • Identify current ethical issues in private practice.

• Specify who you can discuss ethical issues with if you do not have ultimate decision-making authority in the practice.

34 │ 2018 CMDA National Convention

BREAKOUT SESSIONS 4:30 - 5:30 p.m.

Ethics Track — Johnson Spring 3

The Robert Orr Lecture Series in Bioethics

Gene Editing: Reinventing Humanity?

1 Hour CME Dennis Sullivan, MD, MA (Ethics) Director, Center for Bioethics School of Pharmacy, Cedarville University; Cedarville, Ohio

At the conclusion of this program, participants should be able to: • Describe the new technologies for gene editing.

• Describe the difference between somatic and germline genetic treatments.

• Discuss the major ethical concerns these gene technologies raise.

SATURDAY

The Human Genome Project, completed in April 2003, has provided the complete sequence of the human genetic code, the blueprint of life. These new insights, which geneticist Francis Collins calls “the language of God,” have led to a genetics revolution. A new technique called CRISPR may eliminate certain genetic diseases or even provide a cure for cancer. For the first time, “gene slicing” will allow the direct editing of specific genes. But this has led to some troubling questions. Should we even meddle with human nature at such a basic level? What are the unintended consequences of all this? This presentation will explore the ethical concerns over gene editing.

The Robert Orr Lecture Series in Bioethics Dr. Robert Orr received his MD,CM from McGill University in 1966, did residency training in family medicine and practiced in Vermont for 18 years. He was named Vermont Family Doctor of the Year in 1989. Since completing a fellowship in clinical ethics at the University of Chicago in 1990, he has held professorships at Loma Linda University School of Medicine (California), University of Vermont College of Medicine, Trinity International University (Ilinois) and the Graduate College of Union University (New York). He continues to teach in two other graduate programs. He has lectured widely and has authored, co-authored or co-edited five books, 16 book chapters and more than 150 articles on ethics, ethics consultation and end-of-life care.

His most recent book is Medical Ethics and the Faith Factor. He has been an active CMDA member for nearly 50 years and currently serves on the Board of Trustees.

2018 CMDA National Convention │ 35

BREAKOUT SESSIONS 1:30 - 2:30 p.m.

Dental Track — Johnson Spring 2B The “Successful” Life Enigma 1 Hour CDE Peter Dawson, DDS Dentist, Founder, The Dawson Academy; St. Petersburg, Florida

SATURDAY

A misconception of what constitutes true “success” can be the reason for an unsatisfying practice that leads to burnout. But it also can be a major reason for serious work/life imbalance. Dentists are particularly prone to miscalculate the effects of striving for the wrong kind of success. Some definitive methods for evaluating and correcting for a truly successful practice and life will be explained.

At the conclusion of this program, participants should be able to: • Identify a specific format for determining where change is needed in your life.

• Use a step-by-step process for directing how to choose the best solutions for burnout.

2:45 - 3:45 p.m.

Dental Track — Johnson Spring 2B Integrative Dental Medicine...Dentistry’s Next Frontier 1 Hour CDE DeWitt Wilkerson, DMD Dentist; St. Petersburg, Florida Integrative Dental Medicine emphasizes the golden opportunity for dental teams to learn the knowledge and skills to begin addressing the dental patient’s complete health. For example, the most immediate essential of complete health is an open airway, proper breathing and oxygen delivery to every cell. It has become apparent in recent years that this is a very important subject in dentistry. Not only is it possible to evaluate for breathing dysfunction that affects systemic health but also understand the key relationship between breathing dysfunction and dental malocclusion, tongue thrusting habits, clenching and bruxism, abrasion and erosion dental wear, gastric reflux, TMD symptoms including sore muscles and joints, headaches and cervical neck discomfort. This covers many of the common issues confronted by every dentist. It is imperative to be well versed in airway and breathing to excel as a problem solver in dentistry and to produce predictably stable results in restorative dentistry. This program is focused on helping dentists identify the major risk factors of complete health and utilize a practical clinical model for evaluation, diagnosis and treatment.

A comprehensive “Integrative Dental Medicine Checklist” will be provided to simplify the learning of this subject and guide the clinical implementation on an individual patient basis. The checklist will allow the whole dental team to feel confident in incorporating this new information into the patient evaluation process. This promises to be the most interesting and personal lecture you will ever experience, presented by the recognized authority in the Integrative Dental Medicine Model.

At the conclusion of this program, participants should be able to: • Use an Integrative Dental Medicine Checklist for the dental team to incorporate new information into the patient evaluation process.

• Describe the three-fold focus of integrative dental medicine model.

• Implement the integrative dental model into your clinical practice.

36 │ 2018 CMDA National Convention

BREAKOUT SESSIONS 4:30 - 5:30 p.m.

Dental Track — Johnson Spring 2B Legality and Ethics in Contemporary Dentistry 1 Hour CDE Jon R. Ewig, DDS Private Practice, Oral/Maxillofacial Surgery In the delivery of healthcare, what is legally allowed may not always be ethical. For the Christian doctor, what is ethical must be consistent with a biblical worldview. We will examine some disturbing trends in contemporary dentistry that illustrate the potential conflict between what we may do versus what we ought to do.

SATURDAY

At the conclusion of this program, participants should be able to: • Define and explain legality vs. ethics in dental practice.

• Describe contemporary examples of conflict between legal permission and biblical ethical constraint in dentistry.

Don’t Miss a Session Did you miss a session? Or did you enjoy a breakout session so much that you want to experience it again? Here is your chance! This is also a great opportunity to share the information with your colleagues and friends.

Throughout the convention, Christian Audio Tapes will be recording each session. CDs and mp3s will be available for purchase immediately after each session. Visit their booth located in the Exhibit Hall to purchase your copies of this year’s series of plenary and breakout sessions. You can also visit www.catapes. com to purchase recordings after you return home.

2018 CMDA National Convention │ 37

BREAKOUT SESSIONS 1:30 - 2:30 p.m.

Spiritual Life and Family Track — Johnson Spring 2C How to Transform Our Minds Toward Our Spouses, Children and Grandchildren John Norris, MD, and Laurie Norris Cardiac Electrophysiologist, Pinellas Arrhythmia Associates Marriage helps foster transformation of our minds by the power of the Holy Spirit. Nurturing love, parenting and grandparenting provide rich opportunities for growth with God’s help and to His glory.

SATURDAY

2:45 - 3:45 p.m.

Spiritual Life and Family Track — Johnson Spring 2C It’s Going to Happen to You Grat Correll, MD, FAAFP Family physician; Bristol, Tennessee At some point in life, our age will catch up with us. When we hit that point where we are forced to accept our irreversible aging and eventual demise, people usually respond in one of three ways. Some people have a narcissistic crisis and get a trophy wife and red sports car. Others spiral into terminal despondency, complaining of how they are eminently on death’s doorstep for the next 35 years. But some figure out how to finish well. Just like a coach wants his team to play as hard in the last two minutes of a game they can’t win as they did in the first two minutes, so does God want us to play out the last years of our life well, even though we will lose the battle with our health. Join us as we look at strategies for finishing life well—strategies that are not defined by illness or disability, but by the ability to live the Christian life faithfully despite all those things.

4:30 - 5:30 p.m.

Spiritual Life and Family Track — Johnson Spring 2C 4 Keys About Millennials That You May Not Have Known Bill Reichart, MDiv Vice President of Campus & Community Ministries, CMDA Think you understand millennials? Think again. Millennials are now the largest generation in the workforce, and they are giving leadership and shaping our culture. We will look at and examine four key trends that have shaped millennials and how millennials provide tremendous opportunities (and challenges) for the church and within medicine heading into the future.

38 │ 2018 CMDA National Convention

LIFE SKILLS INSTITUTE 1:30 - 2:30 p.m.

Life Skills Institute — Johnson Spring 5 Burnout Prevention: Will Medical Training Quench Your Fire?

Steve Sartori, MD Director, CMDA Life & Executive Coaching; Corbin, Kentucky Burnout among physicians is prevalent, impacting not only graduate physicians, but also medical students and residents. This has prompted the ACGME to require residency programs and their sponsoring institutions to cultivate a culture of physician wellbeing. This presentation will help attendees deepen their understanding of burnout and identify resources and skills to help them thrive in their medical career.

Life Skills Institute — Johnson Spring 5 Finding and Fighting for Happiness from Medical School and Beyond Emily Shupert, PhD, LPC, DCC Simplify Life Counseling + Coaching; Atlanta, Georgia The road to happiness is simple but it isn’t easy. And in a world that is obsessed with success, competition and self-promotion, it’s easy to forget that happiness isn’t found in these elusive targets. In the healthcare profession, there will always be challenges ahead but there are tools that can help bless attendees with a spirit of contentment and happiness, regardless of what’s around them.

SATURDAY

2:45 - 3:45 p.m.

4:30 - 5:30 p.m.

Life Skills Institute — Johnson Spring 5 Hot Button Issues for Healthcare Students Moderator: Katie Howe, MD, 2015-2017 Southern Region Student Rep; Resident Virginia Tech Panelists: Cameron MacInnis, 2017-2018 Western Region Student Rep, NSC President; Kyle Baumann, 20172019 Northeast Region Student Rep, NSC President-Elect; Chase Westra, 2017-2019 Midwest Region Student Rep; and Krystal Donaldson, 2017-2018 Student Trustee Join us for a panel discussion that will address five of the biggest hot button issues that you’re facing. Although the panel will address the issues and questions before them, this will be a time that will welcome and invite discussion and interaction from the audience.

2018 CMDA National Convention │ 39

RENEW YOUR MIND

“Let the word of Christ dwell in you richly, teaching and admonishing one another in all wisdom, singing psalms and hymns and spiritual songs, with thankfulness in your hearts to God.” —Colossians 3:16, ESV

40 │ 2016 2018CMDA CMDANational National Convention 40 │ Convention

DAILY SCHEDULE Sunday, April 29 7:15 - 8:15 a.m.

Breakfast

Rhododendron

9 - 10:30 a.m.

WORSHIP SERVICE - REV. JOHN BARNETT

Spilman Auditorium

SUNDAY

Worship Service with Rev. John Barnett Renewed Minds: Avoiding Distractions (Titus 2)

But as for you, teach what accords with sound doctrine. 2Older men are to be sober-minded, dignified, self-controlled, sound in faith, in love, and in steadfastness. 3Older women likewise are to be reverent in behavior, not slanderers or slaves to much wine. They are to teach what is good, 4and so train the young women to love their husbands and children, 5to be self-controlled, pure, working at home, kind, and submissive to their own husbands, that the word of God may not be reviled. 6Likewise, urge the younger men to be selfcontrolled. 7Show yourself in all respects to be a model of good works, and in your teaching show integrity, dignity, 8and sound speech that cannot be condemned, so that an opponent may be put to shame, having nothing evil to say about us. 9Bondservants are to be submissive to their own masters in everything; they are to be well-pleasing, not argumentative, 10not pilfering, but showing all good faith, so that in everything they may adorn the doctrine of God our Savior. 11For the grace of God has appeared, bringing salvation for all people, 12training us to renounce ungodliness and worldly passions, and to live self-controlled, upright, and godly lives in the present age, 13waiting for our blessed hope, the appearing of the glory of our great God and Savior Jesus Christ, 14who gave himself for us to redeem us from all lawlessness and to purify for himself a people for his own possession who are zealous for good works. 15Declare these things; exhort and rebuke with all authority. Let no one disregard you.

1

2018 CMDA National Convention 2018 CMDA National Convention │ 41│ 41

RENEW YOUR MIND

“But they who wait for the Lord shall renew their strength; they shall mount up with wings like eagles; they shall run and not be weary; they shall walk and not faint.”

—Isaiah 40:31, ESV

42 │ 2016 2018CMDA CMDANational National Convention 42 │ Convention

OUR SPONSORS Thank You to Our Sponsors

Silver Sponsor

2018 CMDA National Convention │ 43

CONNECTIONS

Bronze Sponsor

EXHIBITOR MAP

CONNECTIONS

Located in Spilman Auditorium

44 │ 2018 CMDA National Convention

EXHIBITOR BOOTHS We encourage you to visit our wide variety of exhibitors throughout the National Convention.

CMDA does not necessarily endorse the views, products or services provided by our exhibitors.

Lobby Christian Medical & Dental Associations Lobby CA Tapes

21

Alliance Defending Freedom

22

Global Health Outreach

Ronald Blue Trust

CMDA Bookstore

9

23

Christian Healthcare Ministries

CMDA Bookstore

10

24

World Medical Mission / Samaritan’s Purse

CMDA Bookstore

11

25

National Embryo Donation Center

SAT-7

12

26

Trinity International University

In His Image Family Medicine Residency

13

27

Medical Education International

Fellowship of Christian Physician Assistants

14

28

CMDA Placement Services

CMDA Campus & Community Ministries

15

29

CMDA Marriage Commission

CMDA Psychiatry Section

16

30

Baptist Global Response

MedSend

17

31

Women Physicians in Christ

Asia Growth Solutions

18

32

CMDA Bookstore

19

33

CMDA Bookstore

American Association of Pro-Life Obstetricians & Gynecologists

20

CMDA Bookstore

34

Equip International

35

Parsec Financial

Exhibit Hall Schedule Thursday, April 26

Friday, April 27

Saturday, April 28

Sunday, April 29

4 p.m. - 7 p.m.

10:15 a.m. - 11 a.m.

10:15 a.m. - 11 a.m.

10:30 a.m. - 11 a.m.

9 p.m. - 10 p.m.

9 p.m. - 10 p.m.

8 - 9 p.m.

2018 CMDA National Convention │ 45

CONNECTIONS

6

EXHIBITOR INFORMATION 21

Alliance Defending Freedom www.ADFlegal.org

15100 N 90th Street Scottsdale, AZ 85260 Kevin Theriot, Senior Counsel, VP of the Center for Life 480-444-0020

CONNECTIONS

Alliance Defending Freedom (ADF) is a legal organization that advocates for your right to freely live out your faith. ADF legally defends religious freedom, the sanctity of life, and marriage and family. To learn more about ADF and our work, visit www.ADFlegal.org.

33

American Association of Pro-Life Obstetricians & Gynecologists www.aaplog.org

P.O. Box 395 Eau Claire, MI 49111 202-230-0997 The American Association of Pro-Life Obstetricians and Gynecologists (AAPLOG) is the largest medical professional organization of pro-life medical practitioners in the world. We offer professional guidance and support to our members as well as various constituencies. To realize shortterm and long-term objectives, we manage the Watson Bowes Research Institute, offer Continuing Medical Education (CME) modules, distribute informative brochures to physicians and their patients on adverse health outcomes related to abortion, publish peer-reviewed articles in professional journals, submit amicus filings with state and federal courts and appear as medical expert witnesses, sponsor the annual Matthew Bulfin Educational Conference, and mentor pro-life medical students and residents. Check us out at www.aaplog.org and www.members.aaplog.org.

32

Asia Growth Solutions www.chinahealthcarejobs.com East Ocean Center East Tower, Suite 24F 588 Yan’an East Road Shanghai, China 200001 David Mitchell, Partner +86 13701781449 Chinahealthcarejobs.com provides marketplace ministry opportunities for U.S. physicians to practice medicine in one of the highest growth, highest impact locations in the world. China’s expanding number of world-class, international standard hospitals require physicians and physician leaders from a range of backgrounds who are attracted by an opportunity to serve, mentor and heal.

46 │ 2018 CMDA National Convention

EXHIBITOR INFORMATION 16

Baptist Global Response www.gobgr.org

2728 Manorwood Trail Fort Worth, TX 76109 Rebekah Naylor, MD, Global Healthcare Consultant 817-922-9211 Baptist Global Response (BGR) is the Southern Baptist international relief and development entity.

BGR meets human needs, both acute and chronic, demonstrating the love of Jesus. Working with field partners, BGR oversees 300 to 400 projects annually. The goal is transformation of individuals and communities.

Christian Healthcare Ministries – SILVER SPONSOR www.chministries.org

127 Hazelwood Avenue Barberton, OH 44203 800-791-6225 Christian Healthcare Ministries (CHM) has empowered believers to serve one another by sharing each other’s medical bills since 1981—using a definable, accountable and dependable framework.

CHM is health cost sharing and eligible under the national healthcare law.

Lobby

Christian Medical & Dental Associations (CMDA) www.cmda.org

P.O. Box 7500 Bristol, TN 37621 423-844-1000 Founded in 1931, Christian Medical & Dental Associations is the largest faith-based organization for healthcare professionals in the nation. Called to serve Christ through healthcare, CMDA addresses policies on healthcare issues; schedules foreign and domestic mission trips; sponsors student ministries; offers educational and inspirational resources; conducts marriage and family conferences; provides continuing education; and facilitates academic exchange programs. With more than 40 ministries, Christian Medical & Dental Associations is changing the face of healthcare by changing hearts in healthcare.

2018 CMDA National Convention │ 47

CONNECTIONS

9

EXHIBITOR INFORMATION 29

CMDA Campus & Community Ministries www.cmda.org

P.O. Box 7500 Bristol, TN 37621 Pam Smythe, CCM Administrative Assistant 423-844-1062

CONNECTIONS

Campus & Community Ministries, as part of CMDA, encourages students in more than 290 campus ministries to integrate their faith into their healthcare profession and also stands alongside graduates by motivating, training and equipping them for the challenges they face every day.

15

CMDA Marriage Commission www.cmda.org/marriage

P.O. Box 7500 Bristol, TN 37621 Melinda Mitchell, Meetings Manager 423-844-1013 The goal of the CMDA Marriage Commission is to stimulate an ongoing process of marital growth by teaching healthcare couples from a biblical perspective the skills to refocus, rekindle and recommit to each other as marriage partners and to Jesus Christ as their common bond and Lord.

14

CMDA Placement Services www.cmda.org/placement P.O. Box 7500 Bristol, TN 37621 Allen Vicars, Director 888-690-9054 CMDA Placement Services exists to glorify God by placing healthcare professionals and assisting them to find God’s will for their careers. We desire to place individuals in environments that will encourage ministry. We make connections across the U.S. for physicians, dentists, physician assistants, nurse practitioners and practices. For more information, please contact 888-690-9054 or www.cmda.org/placement.

48 │ 2018 CMDA National Convention

EXHIBITOR INFORMATION 30

CMDA Psychiatry Section www.cmda.org/psychiatry

P.O. Box 7500 Bristol, TN 37621 Marshall Williams, Administrative Assistant 470-755-0495 The mission of the CMDA Psychiatry Section is to stimulate Christians in the practice of psychiatry; investigate and discuss the relationship between faith and professional practice; incorporate examined beliefs into daily practice; promote in the Christian community an understanding and use of valid psychiatric principles consistent with Christian beliefs; and, contribute to the national and local ministry of CMDA.

Equip International www.equipinternational.org

267 Tast Drive Wendell, NC 27591 Larry Litke, PhD, Director of Training 828-527-0654 Equip International is a Christian organization that offers practical training in medicine and other appropriate technologies for those seeking to minister in the resource-poor environments of developing countries. Equip International’s two medical training courses offer continuing education credit for physicians, nurses and mid-level medical professionals. More details can be found on the website www.equipinternational.org.

28

Fellowship of Christian Physician Assistants (FCPA) www.cmda.org/fcpa

P.O. Box 7500 Bristol, TN 37620 Jack Pike, PA-C, Chair of PA Section 860-316-7928 Fellowship of Christian Physician Assistants (FCPA) is a specialty section of CMDA whose mission is serve the needs of Christian physician assistants through offering the services and ministries of CMDA to equip each of us for service to the Great Physician.

2018 CMDA National Convention │ 49

CONNECTIONS

34

EXHIBITOR INFORMATION 22

Global Health Outreach (GHO) www.cmda.org/gho

CONNECTIONS

P.O. Box 7500 Bristol, TN 37621 Patricia Burgess, MD, Director, Global Health Outreach 423-844-1000 For more than 30 years, volunteers have reached out to the poor of developing countries through Christian Medical & Dental Associations. The Global Health Outreach mission program features training in cross-cultural ministry, the Handbook of Medicine in Developing Countries, grand rounds, evangelistic outreach to build and plant churches, and follow-up to disciple new believers in the national church. Whether you are a physician, dentist, physician assistant, nurse practitioner, physical therapist, nurse, pharmacist, student or layperson, consider how you could give of yourself and your God-given talents to make a lasting difference in the lives of others.

27

In His Image Family Medicine Residency www.inhisimage.org

P.O. Box 1191 Tulsa, OK 74101 Kinsey McMillan, Recruitment Coordinator 918-710-4234 In His Image is a Christ-centered residency that focuses on academics while promoting the spiritual and personal growth of our residents through ongoing fellowship, Bible study and mentoring by Christian family medicine faculty. We are especially strong in obstetrics, internal medicine, human behavior, medical informatics, rural/underserved/urban populations and international medical missions.

13

Medical Education International (MEI) www.cmda.org/mei

P.O. Box 7500 Bristol, TN 37621 Misty Carter, Administrative Assistant Dr. Shari Falkenheimer, Director 423-844-1049 Medical Education International (MEI) is a short-term missions program with teams teaching healthcare professionals in academic or clinical settings to bring transformation by advancing medical, dental, bioethical and educational knowledge while modeling and sharing Christ with them.

50 │ 2018 CMDA National Convention

EXHIBITOR INFORMATION 31

MedSend

www.medsend.org 999 Oronoque Lane Stratford, CT 06614 Ilona Palomba, Donor Relations Coordinator 203-891-8223 MedSend strategically funds qualified and committed American Christian healthcare professionals serving around the globe. We also help national Christ-followers obtain the advanced medical and biblical training they need to serve the underserved in their home countries. Together they care for the medical and spiritual needs of people throughout the world who live in poverty and oppression.

National Embryo Donation Center www.embryodonation.org

11126 Kingston Pike Knoxville, TN 37934 Mark Mellinger, Marketing/Development Director 865-777-2013 ext. 4 The National Embryo Donation Center (NEDC) is the country’s leading comprehensive non-profit embryo donation program. Our mission is to protect the lives and dignity of human embryos. We do that by promoting, facilitating and educating about embryo donation and adoption (ED/EA).

35

Parsec Financial – BRONZE SPONSOR www.ParsecFinancial.com

4400 Silas Creek parkway, #104 Winston Salem, NC 27104 Daniel Johnson, III, Sr. Financial Advisor 336-659-0050 Parsec is a fee-only financial planning firm founded in 1980. With decades of experience in working with medical and dental professionals, we are uniquely positioned to help you and your family.

We have no account minimums and have service offerings for residents to retirees.

2018 CMDA National Convention │ 51

CONNECTIONS

11

EXHIBITOR INFORMATION 6

Ronald Blue Trust www.ronblue.com

300 Colonial Center Parkway, Ste. 300 Roswell, GA 30076 Ryan Anderson, Private Wealth Advisor 713-465-2900

CONNECTIONS

With nationwide trust capabilities, Ronald Blue Trust provides wealth management strategies and trust services based on biblical principles to help clients make wise financial decisions, live generously and leave a lasting legacy. With over $8 billion of assets under management and advisement and a network of 13 branch offices, we serve over 8,000 clients in all 50 states.

26

SAT-7

www.sat7usa.org P.O. Box 2770 Easton, MD 21601 Ray Heinen, Director 714-335-8932 SAT-7 is a family of five Christian TV channels in the Middle East and North Africa since 1996 – broadcasting God’s love in three languages (Arabic, Farsi and Turkish) with over 22 million viewers, over 10 million kids have programs for health to kids and marginalized groups (women and children).

12

Trinity International University www.tiu.edu

2065 Half Day Road Deerfield, IL 60015 Dallise Goodson, Senior Enrollment Counselor 800-345-8337 Trinity International University’s Master of Arts in Bioethics degree offers cutting-edge bioethical training where and how you want it. Earn your degree in our full-time residential program, our modular program of weekend seminars, our online classes or any combination of these formats for a program that truly fits your schedule.

52 │ 2018 CMDA National Convention

EXHIBITOR INFORMATION 17

Women Physicians in Christ (WPC) www.cmda.org/wpc

P.O. Box 7500 Bristol, TN 37621 Debbie McAlear, Administrator 423-844-1022 The mission of Women Physician in Christ (WPC) is to encourage and support Christian women physicians and dentists as we share the unique challenges of our multiple roles 1) through authentic relationships; 2) through personal growth; 3) through discipleship and mentoring; and 4) through professional development.

World Medical Mission / Samaritan’s Purse www.samaritanspurse.org

P.O. Box 3000 Boone, NC 28607 Cathy Burleson/Trisha Martin, Placement & Logistics Manager 828-278-1371 World Medical Missions places volunteer Christian physicians, dentists and other medical personnel in mission hospitals around the world. We also have a Post-Residency Program, which is for Christian physicians who have been called to a career in medical missions, and a biomedical department/warehouse that provides medical equipment and supplies.

2018 CMDA National Convention │ 53

CONNECTIONS

10

Great healthcare is affordable.

An eligible option under the national healthcare law, CHM is the biblical solution to your healthcare costs and has shared more than $2.5 billion in members’ medical bills.



chministries.org

Christian Healthcare Ministries

800.791.6225 The biblical solution 330.848.1511 to healthcare costs

SINCE 

the original biblical solution to healthcare costs

leading-edge

bioethical training

where and how you want it 1 Online

Connect with students from all over the world without leaving your home.

Complete the entire MA/Bioethics degree online, with only two trips to Deerfield, Illinois, for The Center for Bioethics & Human Dignity Summer Conference, one of the largest Christian national/international gatherings in its field.

2 Modular

Gather with students from dozens of career backgrounds for face-to-face weekend seminars in Deerfield. Travel to campus once or twice during the fall and spring semesters, and for the summer CBHD conference. You can also take online versions in place of some of the modular courses.

3 Full-time Residential

Immerse yourself in a community of students and faculty on our Deerfield campus. Discuss bioethical challenges through exposure to real-world contexts like the Lawndale Christian Health Center (offering reduced-cost health care in a high poverty, high crime Chicago neighborhood).

Combine any of these formats for an MA in Bioethics that truly fits your schedule

tiu.edu/bioethics 800.345.8337

WPC invites you to our 2018 Annual Conference

Psalm 51:12

SEPTEMBER 20-23, 2018 THE ESSEX CULINARY RESORT & SPA BURLINGTON, VERMONT Four days of connecting, fellowship, plenary sessions, workshops, devotions, laughter, times of worship. The WPC conference is designed to benefit female healthcare professionals by offering outstanding medical teaching and professional, personal and spiritual development with 12 hours of CME (approval pending).

Register at the WPC Booth or online at www.cmda.org/wpc Student scholarship applications available on our website.

A ministry of Christian Medical & Dental Associations • P.O. Box 7500 • Bristol, TN 37621 • 888-230-2637

PLENARY SPEAKERS Christina Bieber Lake, PhD Wheaton College

BIOETHICS & BEING HUMAN Conference June 21–23, 2018 on the campus of Trinity International University Deerfield, IL USA

Dennis Hollinger, PhD Gordon-Conwell Theological Seminary

C. Christopher Hook, MD Mayo Clinic

Warren Kinghorn, MD, ThD Duke Divinity School Duke University Medical School

Paul Scherz, PhD, PhD Catholic University of America

Read Mercer Schuchardt, PhD Wheaton College

Michael Sleasman, PhD The Center for Bioethics & Human Dignity

Pia de Solenni, SThD Roman Catholic Diocese of Orange

Morse Tan, JD NIU College of Law

Stephen Williams, PhD Queen’s University Belfast

In Partnership with: American Association of ProLife OB|GYNS

Christian Legal Society

American College of Pediatricians

Christian Medical & Dental Associations

Americans United for Life

Nurses Christian Fellowship

LEARN MORE www.cbhd.org/conf2018

CONVENTION ATTENDEES

CONNECTIONS

We encourage you to use this list to stay in contact with convention attendees you meet. Space is left for you to write in individual contact information. List of attendees is current as of program printing date.

Last Name

First Name

Degree

City

State

Abraham

Brenda

MD

Roseville

MN

Abraham

Mark

Roseville

MN

Acquah

Karen

Trenton

NJ

Agamah

Edem

MD

Springfield

IL

Agamah

June

MPH

Springfield

IL

Agnew

Debbie

Fargo

ND

Agnew

Robert

MD

Fargo

ND

Ainsley

Margaret

RN

Sanford

NC

Ainsley

T. Rupert

MD

Sanford

NC

Ali

Natalie

MSN

Cartersville

GA

Allen

Ann

Decatur

AL

Allen

Dan

Carthage

IL

Allen

Jennifer

MD

Carthage

IL

Allen

Robert

MD

Decatur

AL

Alley

Jonathan

DO

Angola

IN

Alley

Michelle

Angola

IN

Amnott

Craig

DO

New Windsor

NY

Amstutz

Jeffrey

DDS, MBA

Memphis

TN

Anderson

Doris

Midlothian

VA

Anderson

James

MD

Midlothian

VA

Anderson

Jeff

JD LLM

Johnson City

TN

Anderson

Randal

MD

Carmichael

CA

Anderson

Ryan

Roswell

GA

Angus

Cindy

RN

Midothian

VA

Angus

William

DDS

Midothian

VA

Archer

Angie

OD

Bloomington

IN

Archer

James

MD

Bloomington

IN

Ardill

Dorothy

MT

San Diego

CA

Ardill

William

MD

San Diego

CA

Armstrong

Kenneth

DDS

Albuquerque

NM

Armstrong

Margaret

MD

Albuquerque

NM

62 │ 2018 CMDA National Convention

Contact Information

CONVENTION ATTENDEES We encourage you to use this list to stay in contact with convention attendees you meet. Space is left for you to write in individual contact information. List of attendees is current as of program printing date.

Last Name

First Name

Asantey

Degree

State

Kojo

Auburn Hills

MI

Ba Mendoza

Caleb

Humble

TX

Bailey

Hayden

Asheville

NC

Baldwin

Nicole

Minneapolis

MN

Balikowski

John

Lakeland

FL

Barnett

Bonnie

Kalamazoo

MI

Barnett

John

Kalamazoo

MI

Baumann

Kyle

Roanoke

VA

Beaver

Harry

Gainesville

VA

Beaver

Pat

Gainesville

VA

Bergeson

Kelley

Saint Paul

MN

Bergeson

Steven

MD

Saint Paul

MN

Bishop

MJ

MD

Lake Mary

FL

Boardman

Morgan

Stratford

CT

Bolton

Ruth

Madison Lake

MN

Bomgaars

Diva

Cheektowaga

NY

Bonnell

Bev

Grand Rapids

MI

Bonnell

Bruce

MD

Grand Rapids

MI

Boyles

Scott

MDiv

Bluff City

TN

Brady

Michael

MD

Baltimore

MD

Brason

Fred

Moravian Falls

NC

Braun

Andrea

MD

Houston

TX

Brooks

Clifford

OD

Bloomington

IN

Brooks

Vickie

Bloomington

IN

Brown

Becky

Bristol

TN

Brown

Becky

Nashville

TN

Brown

Cara

MD

Johnstown

CO

Brown

John

MD

Johnstown

CO

Brown

Ron

Bristol

TN

Bruerd

Charles

DO

Pulaski

TN

Bruerd

Yvonne

RN

Pulaski

TN

DDS

BS, MD

MD

Contact Information

2018 CMDA National Convention │ 63

CONNECTIONS

City

CONVENTION ATTENDEES

CONNECTIONS

We encourage you to use this list to stay in contact with convention attendees you meet. Space is left for you to write in individual contact information. List of attendees is current as of program printing date.

Last Name

First Name

Degree

City

State

Brunner

Mark

DDS

Augusta

GA

Brunner

Stephanie

Augusta

GA

Brusenback

Joy-Marie

Clovis

CA

Bryce

Lydia

Red Oak

TX

Bryce

Ronald

Red Oak

TX

Burdette

Gregory

Pittsburgh

PA

Burgess

Erika

Bristol

TN

Burgess

Patricia

Bristol

TN

Burgess

Scott

Bristol

TN

Burleson

Cathy

Boone

NC

Buschman

Jason

Alton

IL

Busquet

Gabriela

Humble

TX

Bychkov

Yuri

Manlius

NY

Callan

Cara

Midland

MI

Cameron

Nicholas

Middletown

NY

Carl

Amanda

DO

Mercer

PA

Carl

David

DO

Mercer

PA

Carter

Anne

RN

Lookout Mountain

TN

Carter

Louis

MD

Lookout Mountain

TN

Carter

Misty

Bristol

TN

Cheatham

Kyle

Omaha

NE

Chetta

Kathryn

Troy

MI

Chetta

Matthew

Troy

MI

Christiansen

Marie

Mankato

MN

Christiansen

Sandy

MD

Frederick

MD

Christiansen

Timothy

MD

Mankato

MN

Chupp

Michael

MD

Bristol

TN

Chupp

Pam

Bristol

TN

Clement

Andrew

Roswell

GA

Cloutier

Dean

Guilford

CT

Cloutier

Linda

Guilford

CT

64 │ 2018 CMDA National Convention

MD

MD

DDS

PA

OD MD

DDS

Contact Information

CONVENTION ATTENDEES We encourage you to use this list to stay in contact with convention attendees you meet. Space is left for you to write in individual contact information. List of attendees is current as of program printing date.

First Name

Degree

City

State

Cobel

Karen

BSN

Paoli

IN

Cobel

Scott

MD

Paoli

IN

Conley

Scott

MD

Mount Joy

PA

Connolly

Irene

PT, MS

Philadelphia

PA

Conrotto

Mary Jane

East Point

KY

Conrotto

Steven

East Point

KY

Coppes

Joann

Bristol

TN

Coppes

John

MD

Bristol

TN

Correll

Geoffrey

MD

Blountville

TN

Courtney

Rose

Bristol

TN

Cranston

Robert

MD, MA, MHSA

Urbana

IL

Crook

Sheryl Anne

RN, MSN

Bellevue

WA

Crosson

Julie

Roswell

GA

Crosson

Russ

Roswell

GA

Crouch

Jan

Tulsa

OK

Crouch

John

Tulsa

OK

Croyle

Bethany

Lillington

NC

Davis

Barney

MD

Phoenix

AZ

Dawson

Peter

DDS

Saint Petersburg

FL

Deming

Donna

MD

Grants

NM

DiSanto

Rachel

MD

Newport

VT

Dowell

Barbara

MT-ASCP

Waco

TX

Dowell

Keith

MD

Waco

TX

Duncan

Keena

Memphis

TN

Duncan

Ulric

Memphis

TN

Dunn

Bobbie

Nashville

TN

Dunn

George

MD

Nashville

TN

Earley

J. Wesley

MD, MBA

Grimesland

NC

Earley

Lori

Grimesland

NC

Earley

Noah

Grimesland

NC

Ebling

Jennifer

Mechanicsburg

PA

MD

MD

MD

Contact Information

2018 CMDA National Convention │ 65

CONNECTIONS

Last Name

CONVENTION ATTENDEES

CONNECTIONS

We encourage you to use this list to stay in contact with convention attendees you meet. Space is left for you to write in individual contact information. List of attendees is current as of program printing date.

Last Name

First Name

Degree

City

State

Ebling

Matthew

MD

Mechanicsburg

PA

Eiwen

Rebecca

MD

Tallmadge

OH

Ellis

Josh

Chapel Hill

NC

Ettinger

Jeffrey

MD

Vernon

CT

EuDaly

Lon

OD

Centerville

KS

EuDaly

Rebecca

Centerville

KS

Evans

Joshua

MD

Carleton

MI

Ewig

Jon

DDS

Xenia

OH

Fair

Leo

Trenton

NC

Fair

Lisa

MD

Trenton

NC

Falkenheimer

Shari

MD

Bristol

TN

Featherstone

Carol

MD

New Hope

MN

Fedora

Rissa

Durant

OK

Feliz

Fanny

Charlotte

NC

Fitch

Christina

West Suffield

CT

Flower

David

Tomball

TX

Flower

Linda

Tomball

TX

Fong

Judi

Honolulu

HI

Fong

William

Honolulu

HI

Fore

Matt

Johnson City

TN

Forester

Thomas

Fresno

CA

Franck

Jack

Asheville

NC

Franck

Marilyn

Asheville

NC

Freeman

Kayla

Bristol

VA

Frost

Regina

MD

Saint Clair Shores

MI

Geddes

David

AuD

Minneapolis

MN

Geddes

Lori

OD

Minneapolis

MN

Gerbrand

Katrina

Buies Creek

NC

Gill

Hilary

Waco

TX

Gill

Jeanne

MD

Fleming Island

FL

Gill

John

MD

Waco

TX

66 │ 2018 CMDA National Convention

DO, MPH MD MD DDS

Contact Information

CONVENTION ATTENDEES We encourage you to use this list to stay in contact with convention attendees you meet. Space is left for you to write in individual contact information. List of attendees is current as of program printing date.

First Name

Degree

City

State

Gill

Stephen

MD

Fleming Island

FL

Givler

Amy

MD

Monroe

LA

Givler

John

Monroe

LA

Goen

Michael

OD

Pensacola

FL

Goen

Sandra

RN

Pensacola

FL

Goforth

Gary

MD

Fort Myers

FL

Goglia

James

DDS

Minneapolis

MN

Goglia

Katelyn

Minneapolis

MN

Gonzalez

Deborah

Austin

TX

Gonzalez

George

MD

Fresno

CA

Gonzalez

Victor

MD

Austin

TX

Goodart

Betty

Bridgeport

IL

Goodart

Paul

Bridgeport

IL

Goodson

Dallise

Deerfield

IL

Gore

McKenna

Asheville

NC

Gore

Michelle

Asheville

NC

Grahame

Jason

MPA

Chesapeake

VA

Gratton

Laura

DO

Morganton

NC

Graziano

Anthony

MD

Oconomowoc

WI

Graziano

Sharon

Oconomowoc

WI

Griffin

Kyle

Springfield

MO

Griffin

Mary

Springfield

MO

Grimsley

Christina

Johnson City

TN

Grosh

Tom

Hanover

PA

Guthmann

Lanette

Omaha

NE

Hafer

Bobbie

Dayton

MT

Hafer

David

Dayton

MT

Hall

Christopher

Peoria

IL

Hall

Sarah

DO

Peoria

IL

Halverson

Gloria

MD

Brookfield

WI

Halverson

Paul

MD

Brookfield

WI

MD BA MD DDS, MS

Contact Information

CONNECTIONS

Last Name

2018 CMDA National Convention │ 67

CONVENTION ATTENDEES

CONNECTIONS

We encourage you to use this list to stay in contact with convention attendees you meet. Space is left for you to write in individual contact information. List of attendees is current as of program printing date.

Last Name

First Name

Hanna

Andrew

Hanson

Nona

Hardwicke

Beth

Hardwicke

Fred

Harmer

Allan

Harmer

City

State

Roanoke

VA

Anacortes

WA

Lubbock

TX

MD

Lubbock

TX

ThM, DMin

Indianapolis

IN

Karen

Indianapolis

IN

Haroun

Andrew

Monmouth Junction

NJ

Harris

Kevin

OD

Trenton

MO

Harrison

Donna

MD

Eau Claire

MI

Hastings

Cassandra

Oak Park

MI

Hastings

Dwight

Hickory

NC

Hastings

Ruth

Hickory

NC

Hawkins

Joy

Comfort

TX

Hawkins

Theron

MD

Comfort

TX

Hayward

Daniel

MD

Baroda

MI

Hayward

Suzanne

MD

Baroda

MI

Heinen

Ray

Los Angeles

CA

Henin

Sandy

Knoxville

TN

Herman

David

Waukegan

IL

Herman

Lindsay

Waukegan

IL

Herrero-Szostak

Ileen

MD

Oldsmar

FL

Hewitt

Grant

MDiv

Fort Worth

TX

Hewitt

Kelsi

Fort Worth

TX

Hickman

Lynn

Gardner

KS

Hiles

Ethan

Christiansburg

VA

Hines

James

MD

Saginaw

MI

Hines

Martah Ann

RN

Saginaw

MI

Hixson

Carolyn

MD

Powell

OH

Hixson

John

Powell

OH

Hodge

Kim

Elizabethton

TN

Hoelzer

Karen

Springfield

IL

68 │ 2018 CMDA National Convention

Degree MD

DDS

MD

MD

MD

Contact Information

CONVENTION ATTENDEES We encourage you to use this list to stay in contact with convention attendees you meet. Space is left for you to write in individual contact information. List of attendees is current as of program printing date.

First Name

Degree

City

State

Honea

Glenda

OT

Danville

VA

Honea

Phillip

DO

Norton Shores

MI

Honea

Robert

MD

Danville

VA

Honea

Samantha

NP

Norton Shores

MI

Hopkins

Joi

Christiansburg

VA

Hopkins

Ty

MD

Christiansburg

VA

Hoppe

Bill

MD

Portland

OR

Hoppe

Lea

Portland

OR

Hopper

David

MD

Greensboro

NC

Hopper

Liza

BSN

Greensboro

NC

Horner

Charles

MD

Prairie Village

KS

Horner

Susie

Prairie Village

KS

Hountras

Peter

MD

Forest Park

IL

House

Steven

MD

Glasgow

KY

House

Susan

Glasgow

KY

Howard

Lem

Charlottesville

VA

Howard

Linda

Charlottesville

VA

Howe

Kate

MD, MPH

Roanoke

VA

Hruz

Paul

MD, PhD

Manchester

MO

Hsieh

Samantha

Saint Louis

MO

Hunter

Glenn

MD

Scottsdale

AZ

Hunter

Susan

BSN

Scottsdale

AZ

Imes

David

OD

Granger

IN

Imes

Victoria

Granger

IN

Jackson

Theresa

MD

Suffolk

VA

Jackson

William

MD

Suffolk

VA

James

Naren

MD

Stanford

KY

Jangha

Stephanie

Middletown

NY

Jere

Thandiwe

Omaha

NE

Johnikutty

Josh

New Hyde Park

NY

Johnson

Daniel

Winston Salem

NC

MDiv

MBBS

Contact Information

CONNECTIONS

Last Name

2018 CMDA National Convention │ 69

CONVENTION ATTENDEES

CONNECTIONS

We encourage you to use this list to stay in contact with convention attendees you meet. Space is left for you to write in individual contact information. List of attendees is current as of program printing date.

Last Name

First Name

Degree

City

State

Johnson

Kristen

RN, MA

Dunbarton

NH

Johnson

Richard

MD

Dunbarton

NH

Jones

Ken

Palo Cedro

CA

Jones

Randee

Palo Cedro

CA

Josephson

Allan

Prospect

KY

Josephson

Jeri

Prospect

KY

Kedrow

Charlotte

RN, BSN

Pleasant Prairie

WI

Kedrow

James

PA-C, MMS

Pleasant Prairie

WI

Keegan

Lawrence

DDS

Augusta

GA

Keegan

Mary

Augusta

GA

Keiser

Kristine

Dunn

NC

Keiser

Thomas

Dunn

NC

Kelling

Albert

Raleigh

NC

Kelling

Lindy

Raleigh

NC

Kelly

Judith

Springfield

IL

Kennedy

Ryan

La Porte

IN

Kessling

Liza

DO

Tulsa

OK

Khan

Aruna

MD

Jacksonville

FL

Kilpatrick

Brian

MD

West Pawlet

VT

Kilpatrick

Joan

BSN/RN

West Pawlet

VT

Kim

David

MD

Staten Island

NY

Kim

Janet

MD, MPH, MA

Staten Island

NY

King

Jessica

Bristol

VA

Kopriva

Christina

MD

Santa Rosa

CA

Kuryllo

George

DMD

Morris Plains

NJ

Kuryllo

Larysa

RDH

Morris Plains

NJ

Lafontant

Hendrix

Auburn

AL

Lafontant

Victoria

Auburn

AL

Lantz

Brick

MD

Eugene

OR

Larsson

Kathryn

OD

Lodi

CA

Lee

Burton

MD

Pittsburgh

PA

70 │ 2018 CMDA National Convention

MD

RN DDS MD

Contact Information

CONVENTION ATTENDEES We encourage you to use this list to stay in contact with convention attendees you meet. Space is left for you to write in individual contact information. List of attendees is current as of program printing date.

First Name

Degree

City

State

Lee

Leanna

MD

Riverside

CA

Lee

Sandy

Pittsburgh

PA

Lerer

Robert

MD

Fairfield

OH

Leyda

Ethan

OD

Louisville

OH

Leyda

Megan

OD

Louisville

OH

Liljestrand

Janet

MD

Scott Depot

WV

Liljestrand

Robert

Scott Depot

WV

Litke

Larry

Wendell

NC

Litke

Robbie

Wendell

NC

Lofaro

Ellie

Reston

VA

Lofaro

Frank

Reston

VA

Lottmann

Judy

Warrens

WI

Loutrel

Katherine

Mahomet

IL

Loutrel

Lou

Mahomet

IL

Lucashu

Amanda

Tulsa

OK

Lucashu

Mark

Tulsa

OK

MacFadyen

Bruce

Houston

TX

MacFadyen

Rosemary

Houston

TX

Mainini

Rita

Cody

WY

Mainini

Stephen

Cody

WY

Mancari

Carasella

Barberton

OH

Mantooth

John

JD

Purcell

OK

Mantooth

Robin

MD

Purcell

OK

Mattox

Matthew

Clinton

MD

McAlear

Debbie

Bristol

TN

McCutcheon

Lorne

Scottsdale

AZ

McDonald

Benjamin

DDS

Roanoke

VA

McDonald

Kate

DDS

Roanoke

VA

McFarland

Carol

MNRN, CNE

Bellevue

WA

McFarland

David

MD

Bellevue

WA

McGann

Joseph

Washingtonville

NY

MD DO MD

MD

Contact Information

CONNECTIONS

Last Name

2018 CMDA National Convention │ 71

CONVENTION ATTENDEES

CONNECTIONS

We encourage you to use this list to stay in contact with convention attendees you meet. Space is left for you to write in individual contact information. List of attendees is current as of program printing date.

Last Name

First Name

Degree

City

State

McLaughlin

Michael

MDiv

Clackamas

OR

McLeod

Julian

PA

Rocky Mount

NC

McLeod

Yvonne

Rocky Mount

NC

McMurray

Alicia

RN

Kingsport

TN

McMurray

John

MD

Kingsport

TN

Mellinger

Mark

Knoxville

TN

Mikesell

Philip

DDS, MS

Lima

OH

Miller

Hersey

MD

Statesville

NC

Mirzadeh

Angela

Arlington

TX

Mitchell

David

Shanghai

Mitchell

Melinda

Mechanicsville

VA

Mitchell

Richard

Mechanicsville

VA

Moghalu

Odinachi

Middletown

NY

Montgomery

Matthew

Hanover

PA

Montgomery

Shelby

New Orleans

LA

Moon

Deborah

Rancho Palos Verdes

CA

Morgan

Courtney

Shreveport

LA

Morgan

Ron

Shreveport

LA

Morgan

Sandy

Roswell

GA

Morgenthaler

Robin

Rochester

MN

Morris

Genae

Trussville

AL

Morris

Jacob

MD

Trussville

AL

Myers

Bryan

MD

Winchester

TN

Myers

Jane

Winchester

TN

Naylor

Rebekah

MD

Nashville

TN

Neuman

Jane

MD

Oakhurst

NJ

Nippert

Ken

MDiv

Germantown

TN

Norris

John

MD

Seminole

FL

Norris

Laurie

Seminole

FL

Oates

Ruth

Harrisonburg

VA

Oates

Thomas

Harrisonburg

VA

72 │ 2018 CMDA National Convention

DMin, DCC MD

MD

MD

Contact Information

CONVENTION ATTENDEES We encourage you to use this list to stay in contact with convention attendees you meet. Space is left for you to write in individual contact information. List of attendees is current as of program printing date.

Last Name

First Name

Oldham

Degree

State

Mike

Bristol

TN

Oldham

Pam

Bristol

TN

Oliver

Malcolm

Greenfield

MO

Oliver

Mary

Greenfield

MO

Orr

Robert

Burlington

VT

Osorio

Reyna

Lillington

NC

Owens

Robert

Johnstown

OH

Owens

Tiffany

MD

Johnstown

OH

Paolini

Charlotte

DO

Dunn

NC

Pendergraft

Cheri

Cypress

TX

Pendergraft

Roy

Cypress

TX

Penland

Sherry

Asheville

NC

Penland

Tom

Asheville

NC

Penniman

Amy

Knoxville

TN

Penniman

Eric

DO

Knoxville

TN

Peterson

Stacy

MD

Wichita

KS

Pierce

John

MD

Lynchburg

VA

Piercy

Mitch

Bridgeport

IL

Pike

Jack

BS, PA

Middletown

CT

Pilgrim

Caroline

PA

Cumming

GA

Pitts

Joe

Washington

DC

Pond

Blakely

Murfreesboro

TN

Potter

Keith

Warrens

WI

Powell

Clydette

Arlington

VA

Propp

Nicholas

Salt Lake City

UT

Puleo

Robert

DDS

Pittstown

NJ

Puleo

Sally

RN

Pittstown

NJ

Radbill

Lance

DO

Birmingham

AL

Randolph

Christina

Athens

OH

Read

Debby

RN

Mineral

VA

Read

Ed

MD

Mineral

VA

MD MD, CM

MD

MD, MPH

Contact Information

CONNECTIONS

City

2018 CMDA National Convention │ 73

CONVENTION ATTENDEES

CONNECTIONS

We encourage you to use this list to stay in contact with convention attendees you meet. Space is left for you to write in individual contact information. List of attendees is current as of program printing date.

Last Name

First Name

Reddy

Myti

Reddy

Vimala

Reichart

William

Resha

City

State

Irvine

CA

MD

Irvine

CA

MDiv

Johnson City

TN

Judy

Bristol

TN

Rice

Carly

Montgomery

NY

Richards

James

Lincoln

MI

Richards

Judith

Lincoln

MI

Riley

D. Joy

Brentwood

TN

Rimell

Scott

Jonesborough

TN

Roberts

Allen

Washington

DC

Rohrer

Annelise

Hilliard

OH

Rose

Dan

Asheville

NC

Rudd

Eugene

MD

Bristol

TN

Rylander

Edward

MD

Tulsa

OK

Sartori

Christine

Corbin

KY

Sartori

Steven

Corbin

KY

Sasser

Susalee

Mount Pleasant

SC

Sasser

William

Mount Pleasant

SC

Sawhney

Harman

Miami

FL

Segree

Alma

Campbellsville

KY

Segree

Joseph

Campbellsville

KY

Sharpe

Sheena

East Orange

NJ

Shaw

Bill

Richmond

VA

Shealy

Margie

Bristol

TN

Shnaydruk

Alex

Chaska

MN

Simhachalam

Marissa

Gulf Breeze

FL

Simhachalam

Morris

Gulf Breeze

FL

Simontacchi

John

Stratford

CT

Skakalski

Tonia

Sharpsville

PA

Skskalski

Scott

Sharpsville

PA

Sluder

Rusty

Johnson City

TN

74 │ 2018 CMDA National Convention

Degree

MD MD MD

MD DMD

OD MD

DO DO

Contact Information

CONVENTION ATTENDEES We encourage you to use this list to stay in contact with convention attendees you meet. Space is left for you to write in individual contact information. List of attendees is current as of program printing date.

Last Name

First Name

Smythe

Degree

State

Pam

Bristol

TN

Snapp

Barbara

Bristol

TN

Southard

Mendy

Gardnerville

NV

Southard

Scott

MD

Gardnerville

NV

Spenn

Jonathan

DMD

Dunnellon

FL

Stevens

David

MD, MA (Ethics)

Bristol

TN

Stevens

Margaret

Bristol

TN

Stewart

George

MD

Anchorage

AK

Sullivan

Dennis

MD, FACS

Beavercreek

OH

Swartz

Daniel

MD

Forest

VA

Szostak

Michael

MD

Oldsmar

FL

Thielman

Samuel

MD

Asheville

NC

Todd

Julia

Madison

AL

Trantham

Pamela

Gray

TN

Trantham

Tim

Gray

TN

Turlington

Daryl

Wilmington

NC

Valbracht

Lisa

Woodstock

GA

Valbracht

Louis

DO, MPH

Woodstock

GA

Van Houweling

Bruce

MD

Solon

IA

Van Houweling

Laura

Solon

IA

Vaught

Jacob

Blacksburg

VA

Veenstra

Jeri

Cleveland

TN

Veenstra

Jim

Cleveland

TN

Vicars

Allen

Bristol

TN

Voelz

Judi

MD

Las Cruces

NM

Wai

Andrew

MD

Loma Linda

CA

Waldecker

Janie

Bristol

TN

Waycaster

Tonya

Elizabethton

TN

Weir

Alva

Germantown

TN

Weir

Becky

Germantown

TN

Westra

Blake

Mattoon

IL

FNP PA-C

DDS, PhD

MD DMD

Contact Information

2018 CMDA National Convention │ 75

CONNECTIONS

City

CONVENTION ATTENDEES

CONNECTIONS

We encourage you to use this list to stay in contact with convention attendees you meet. Space is left for you to write in individual contact information. List of attendees is current as of program printing date.

Last Name

First Name

Wetzel

Lindsay

Wetzel

Ryan

White

City

State

Lexington

SC

MD

Lexington

SC

Victoria

MD

Washington

DC

Whitener

James

DDS

Kennesaw

GA

Whitman

Lauren

Bristol

TN

Whitman

T. Lisle

Bristol

TN

Whitmer

Jim

Louisville

KY

Whitmer

Sharon

EdD

Louisville

KY

Wilkerson

DeWitt

DMD

Saint Petersburg

FL

Williams

Becky

Boone

NC

Williams

Brent

Glencoe

MN

Williams

Ed

Boone

NC

Williams

Marshall

Decatur

GA

Willingham

Eric

Bristol

TN

Windsor

Chris

Breckenridge

TX

Windsor

Kelli

DO

Breckenridge

TX

Wood

Donald

MD, FACS

Western Springs

IL

Wood

Judy

Atlanta

GA

Wood

Linda

Western Springs

IL

Wood

William

MD

Atlanta

GA

Young-Shaw

Sharon

MD

Richmond

VA

Zawodniak

Mark

MD

Morehead City

NC

Zawodniak

Susan

NP

Morehead City

NC

76 │ 2018 CMDA National Convention

Degree

MD

MD

Contact Information

VIE POSTER SESSION VIE is a French word for “life” and represents the acronym for “Vignettes, Initiatives, Innovations and Education” as well as our recognition of and commitment to stirring godly passions and life throughout CMDA and His kingdom through presentation of salient scholarly work.

CMDA VIE Poster Session Post-Event Evaluation Thank you for participating in our second annual VIE Poster Session. Please take a moment to complete this evaluation to help us improve for next year. Please email nrfc@cmda.org with any questions or concerns.

I participated as a:

☐ Poster Presenter

☐ Poster Judge

Not at all

Somewhat

☐ Conference Attendee

Moderately so

Very much so

Did the description of the poster session match the actual event?

Was the session executed in a professional manner?

Did the logistical aspects of the session run smoothly?

Was the length of time allotted for the poster presentations appropriate?

Is the poster session a valuable addition to the CMDA National Convention?

What could have been done differently?

Comments

FOR PRESENTERS How did you hear about the poster session?

Did your university give you time off or financial support to attend the poster session? How much financial support (optional)?

Would you have attended the CMDA National Convention were it not for the poster session?

2018 CMDA National Convention │ 77

VIE POSTER 1 Correlation of Lyme Disease with Immune Dysfunction

VIE POSTERS

Harman Sawhney;1 Harpal S. Mangat, MD;2 Harminder Kaur, MD;2 Pallavi Billa, MBBS;3 and Colleen Seipp3 1 St. George’s University School of Medicine, 2Howard College of Medicine, 3Medical Health Center Maryland Background Lyme disease is caused by the bacterium Borrelia burgdorferi, transmitted to humans through the bite of infected blacklegged ticks. CD4/CD8 ratios in healthy adults vary across populations; in the U.S., a CD4/CD8 ratio ranging from 0.9 to 1.9 is considered to be normal in non-immunocompromised individuals. Lyme disease is diagnosed based on symptoms, physical findings (eg. Rash) and the possibility of exposure to infected ticks. Laboratory testing is helpful if used correctly and performed with validated methods. The U.S. Center for Disease Control (CDC) diagnostic criteria requires the identification of five Western blot IgG bands for a positive diagnosis, although patients with less than five positive bands have been subsequently diagnosed with Lyme Disease through urine PCR in Nanotrap testing.

Methods 183 patients at two medical centers were evaluated in Lyme endemic communities in Maryland, U.S. Further investigation of 148 of these patients correlated their CD4/CD8 ratio with their Ig41 band, using one and two tail testing.

Results The mean CD4/CD8 ratio in the 148 patients was 2.41 with a variance of 1.05 and a standard deviation of 1.025. Assuming a normal CD4/CD8 ratio of less than 2, with a 5% confidence interval, the p value on both a one tailed and two tailed test was shown to be 0.00001. Two patients with an initial CD4/CD8 ratio of 2.7 and 2.8 who were IgG 41 positive were subsequently tested with the Nanotrap Urine PCR and found to be positive for Lyme.

Conclusions Increased CD4/CD8 ratio with a positive IgG 41 band appears to be a strong predictor of a subsequent diagnosis of Lyme disease despite current diagnostic guidelines. Further research should not only be directed towards investigating how Borrellia Burgdoferi disrupts immune function, but also towards improving diagnostic guidelines in light of validated diagnostic methods.

78 │ 2018 CMDA National Convention

VIE POSTER 2 When You Hear Hooves, Do Not Ignore the Zebra: Malignancy Disguised as Recurrent Pneumonia Block C. Ba Mendoza;1 M. Sherman;2 and S. Fidahussein3 1 MS-3, Philadelphia College of Osteopathic Medicine - Georgia Campus, Suwanee, Georgia, United States, 2Physician Assistant, Wichita State University, College of Health Professions, Wichita, Kansas, United States, 3Pulmonary and Critical Care, WellStar West Georgia Medical Center, La Grange, Georgia, United States.

Discussion BAC is grouped with other non-small cell lung carcinomas (NSCLC). Read et al. illustrated that although the incidence of BAC has increased over the past two decades, BAC represented less than 4% of all NSCLC (1). Moreover, since the parenchyma is largely preserved, chest radiograph findings and symptoms often make BAC clinically indistinguishable from pneumonia (2). A key diagnostic suspicion for this disease is the duration of bronchorrhea (> 100 cc/day) with failed antibiotic treatment. Given the similarities with BAC and an infectious process, it is imperative for clinicians to maintain a high index of suspicion as to make an early diagnosis. Expediting the time between symptom onset and diagnosis will aid in beginning treatment earlier, as patients with BAC are less likely to develop brain metastases and have longer expected survival than patients with other types of NSCLC (3). While pneumonia is a common diagnosis in elderly patients, maintaining a high suspicion of rare diagnoses can be of great benefit for patients presenting with recurrent common symptoms.

2018 CMDA National Convention │ 79

VIE POSTERS

Case A malignancy is misdiagnosed as a pneumonia and treated with antibiotics over a span of three months before a diagnosis of bronchoalveolar carcinoma (adenocarcinoma in situ) was made.

A 71-year-old male was admitted for dyspnea and bronchorrhea following initial treatment for bilateral pneumonia at different facilities for three months. Upon admission, he was afebrile but complained of dyspnea and a significant productive cough. He was given broad-spectrum antibiotics, high dose steroids and a nebulizer treatment. Laboratory values showed WBC 5.5 (4.4- 11), band neutrophils 28 % (1-5%) and ABG pH 7.48, pCO2 33mmHg, pO2 56mmHg. CT of the chest showed bilateral pulmonary opacities and infiltrates with progression as compared to previous imaging studies. He subsequently underwent bronchoscopy and transbronchial biopsy was consistent with extensive bronchoalveolar carcinoma (BAC) not amenable to surgery.

VIE POSTER 3 Clinical and Ultrasonographic Factors Associated with Cerclage Success for the Treatment of Cervical Insufficiency Joshua Ellis; Ashley N. Battarbee, MD; and Tracy A. Manuck, MD UNC Chapel Hill School of Medicine

VIE POSTERS

Background Women with a cervical cerclage are at high risk for preterm birth (PTB). Though a short cervix is traditionally associated with a risk of PTB, the value of other transvaginal ultrasound (TVUS) parameters post-cerclage is unknown.

Methods Retrospective cohort from UNC, 2013-2016. Women with a cerclage in situ and ≥1 TVUS 16.025.9 weeks post-cerclage were included. We reviewed TVUS images and measured the angle between the anterior uterine wall and cervical canal, cervical canal length above and below the stitch, width of the cervix at the level of the cerclage, and stitch distance from the cervical canal.

TVUS parameters were compared between women with PTB <37 weeks and those with term birth. A risk score for PTB was generated from regression models.

Results 102 women met inclusion criteria; 58% had history-indicated, 20% TVUS-indicated, and 23% exam-indicated cerclage. 47% delivered <37 weeks. Rates of PTB did not vary by race, maternal age, smoking, or gestational age of any prior PTB. Several TVUS parameters differed between women with PTB compared to term birth. Exam-indicated cerclage and TVUS findings of a straight canal, intra-amniotic sludge, and stitch in the innermost third of the cervical stroma were associated with PTB. These factors were used to generate a PTB-risk score: exam-indicated cerclage +1, straight canal +1, cerclage in inner third +2, intra-amniotic sludge +2; max score/ woman=6. A total risk score ≥1 was 75% sensitive and 61% specific for PTB. 100% of those with a risk score ≥4 had PTB. Conclusion Rates of PTB are high post-cerclage. On post-cerclage TVUS, those with intra-amniotic sludge, the stitch located in the inner third of the cervical stroma, and a straight canal have the highest risk of PTB. Our risk scoring system may serve to identify women at highest risk for PTB and guide management.

80 │ 2018 CMDA National Convention

VIE POSTER 4 Communicating Prognosis in Pediatrics: CF as a Model Danielle Jamesion; Elisabeth Dellon, MD; and Mary Beth Prieur, PhD University of North Carolina School of Medicine Background Cystic Fibrosis (CF) is an inherited, progressive, life-limiting disease that, with advances in treatment, patients now live with into their 40s. Adults with CF report dissatisfaction in two key components of their treatment: 1) initial provider communication about prognosis and 2) follow-up support to cope with the uncertainty of CF and its progression. Although communicating about prognosis is a milestone in disease management, there is no current guideline or recommendation for it.

Results Revisions to parent and provider guides were made following feedback from two parents of children with CF and two young adults with CF. All reviewers felt that the guides could successfully facilitate conversations about prognosis. Cognitive interviews underway with ten parents are exploring 1) timing, including appropriate age range and clinical setting (i.e., a routine clinic visit vs. an inpatient stay), 2) delivery, specifically the face-to-face conversation that surveyed patients prefer, and 3) content, including specific evidence-based structure and verbiage to facilitate discussions about prognosis.

Conclusions Initial feedback from parents, patients, and CF care providers suggests that communication guides will facilitate discussions about prognosis. Future plans include developing a provider training module, and disseminating the guides for use by CF care teams to promote quality patient-centered care. The ultimate goal is to generalize this model to other life-threatening and life-limiting serious childhood illnesses, promoting early and effective palliative discussions regarding prognosis between providers, pediatric patients, and their families.

2018 CMDA National Convention â&#x201D;&#x201A; 81

VIE POSTERS

Methods Synthesizing input from developmental psychology, research on provider-patient communication, and evidence-based tools used in serious illness care, we developed communication guides for both CF care providers and parents of children with CF detailing when, how, and what to communicate with children about prognosis. We are currently conducting cognitive interviews with parents and providers for more intensive revision.

VIE POSTER 5 Caffeine Levels and Bronchopulmonary Dysplasia in Very Low Birth Weight Newborns

VIE POSTERS

Esther Kisseih, MD; Sandra Bugariu, BS; Mirjana Lulic-Butica, PharmD; Ashna Jain, BS; Saraswati Keeni, MD; and Nitin S Chouthai, MD Children’s Hospital of Michigan Background Caffeine is routinely used in the management of apnea of prematurity. Caffeine is a relatively safe drug. Therapeutic serum concentrations of caffeine vary widely from 8 to 40 mg/L, with some overlap with sub therapeutic concentrations. Previous studies demonstrated that caffeine levels in preterm newborns did neither correlate with the efficacy of caffeine in treating apnea of prematurity and desaturation episodes, nor with adverse effects such as tachycardia. Despite the availability of several studies of caffeine pharmacokinetics, there have been no studies evaluating effect of caffeine levels on Bronchopulmonary Dysplasia (BPD) outcomes in VLBW newborns.

Methods A cohort of 81 very low birth weight (VLBW) newborns born at less than 32 weeks gestation who had caffeine levels obtained for clinical purposes was studied for the presence or absence of BPD using retrospective chart analysis.

Results Caffeine levels in newborns with BPD (9.5 ± 3 mg/L, Mean ± SD, n=23) were significantly lower as compared to those without BPD (11.2 ± 3.9 mg/L, n=58) (p = 0.047). Caffeine levels were significantly higher in newborns without BPD (15.7 ± 1.4 mg/L, n= 8) as compared to those with BPD (11.2 ± 4.7 mg/L, n= 3) during first week of life (p=0.03). The caffeine levels remained higher in newborns without BPD beyond the first week of life without statistically significant difference. The caffeine levels were significantly higher (p= during first week of life (15.7 ± 1.5, n=8) in newborns without BPD as compared to those during the second week of life (11.55 ± 3.5, n=22) and >2 weeks of life (9.6 ± 3.5, n=28).

Conclusion VLBW newborns without BPD had significantly higher caffeine levels during the first week of life.

A comprehensive study is warranted to further evaluate influence of caffeine metabolism on BPD outcomes.

82 │ 2018 CMDA National Convention

VIE POSTER 6 Modern Myxedema Coma: A Case Report Aruna Shardah Khan, MD; Colin Vokes, DO; and George G.A. Pujalte, MD Mayo Clinic Jacksonville Introduction Myxedema Coma (MC) is an acute, life-threatening medical condition that is caused by chronic, undertreated hypothyroidism, resulting in severe physiological and metabolic derangements. The following case report involves a patient who presented with neurological symptoms and hyponatremia, and who was ultimately diagnosed with hypothyroidism.

Discussion MC has become a relatively rare condition in modern times because of the wide availability and affordability of thyroid studies and thyroid replacement medications. While MC is much less prevalent today, it is a deadly condition that can arise from hypothyroidism, one of the most commonly treated conditions by primary care physicians. Our patient presented with neurological symptoms and hyponatremia. Further studies revealed hypothyroidism as the etiology of his hyponatremia; once it was corrected, his condition improved.

2018 CMDA National Convention â&#x201D;&#x201A; 83

VIE POSTERS

Case Presentation A 68-year-old Caucasian male presented to the Emergency Department with a week-long history of altered mental status, frequent falls, dizziness, nausea, weakness, fatigue, and slurred speech. Past medical history included grade 3 diastolic dysfunction, ventricular tachycardia, atrial fibrillation, hypothyroidism, depression, and alcohol abuse. Medications included citalopram, bupropion, carvedilol, atorvastatin, and levothyroxine. Patient had recently lost his wife, became depressed, ate poorly, and binged on alcohol. He was ill-appearing, disheveled, and drowsy, with 2+ edema to both knees. Bilateral dysmetria with finger-nose-finger test noted. No tremors were apparent. Vitals were stable, and labs revealed a sodium of 117 mmol/L. Isotonic normal saline was started, but he required multiple hypertonic saline boluses. On day two, he became more encephalopathic, tremulous, and rigid. Re-examination revealed cogwheel rigidity, hyperreflexia, and worsening disorientation. Additional labs revealed a thyroid stimulating hormone level of 43 mIU/L. Patient was diagnosed with MC, adrenal crisis, and refractory hyponatremia. He was treated with levothyroxine and hydrocortisone, which improved his sodium and neurological symptoms.

VIE POSTER 7 Antinociceptive Effect of Resolvin D1 on Bone Cancer Pain Alex V Shnaydruk, MS; Sergey Hasabov, MD; Donald Simone, PhD; and Catherine Harding-Rose, BS University of Minnesota

VIE POSTERS

Background Resolvin D1 (RvD1) is an endogenous lipid mediator synthesized from ω-3-polyunsaturated fatty acid. RvD1 acts on the peripheral and central nervous system inducing antinociception. In this project we explored systemic and intrathecal (i.t.) anti-hyperalgesic effects of RvD1 during bone cancer pain and the involvement of prostaglandin signaling in this effect.

Methods Fibrosarcoma cells were injected in the calcaneus bone of mice to induce tumor development and mechanical and heat hyperalgesia. RvD1 was administered subcutaneously (s.c.) (80, 100, and 200ng / 50µl) or i.t (0.0001 - 3 ng / 5µl). Mechanical and heat hyperalgesia were determined by measuring the frequency of withdrawal evoked by a 3.9 mN von Frey monofilament and the withdrawal latency to radiant heat delivered to the plantar surface of the paw 1,2,3,4 and 24 hours following injections. Activity of cyclooxygenase-2 (COX-2) in the spinal cord and dorsal root ganglia (DRG) was evaluated calorimetrically.

Results Systemic and i.t. administration of RvD1 reduced mechanical and heat hyperalgesia. I.t. delivery reduced mechanical and heat hyperalgesia with similar potencies (ED50 values for pain inhibition were 0.04 pmol and 0.02 pmol, respectively). I.t. injection of RvD1 (0.03 pmol) and morphine (50 pmol) showed comparable anti-hyperalgesia suggesting that RvD1 is ~1700 times more potent than morphine. Administration of RvD1 reduced activity of COX-2 in the spinal cord and DRG, suggesting that RvD1 decreases pronociceptive effects of prostaglandins.

Conclusions We demonstrated that RvD1 induces robust antinociception in a model of bone cancer pain following both systemic and i.t. administration. One underlying mechanism is the inhibition of enzymes that synthetize prostaglandins. These studies can potentially lead to a new and effective way of treating severe bone cancer pain.

84 │ 2018 CMDA National Convention

VIE POSTER 8 Possible Tumor-suppressive Role of BATF2 in Ovarian Cancer Rissa Fedora; Andrew Wey, PhD; J.B. Nation, PhD; and Gordon Okimoto, PhD University of Hawaii

Methods Global gene expression, microRNA, and DNA methylation data from 291 stage III serous ovarian cancer patients were downloaded from The Cancer Genome Atlas (TCGA). Quantile normalization standardized the raw data matrix of 16,020 genes. Next, we performed JAMMIT singular value algorithm and clustering that identified a set of 217 genes. Cox proportional hazards model estimated the association of the 217 genes with survival while adjusting for age. The 136 patients who were still alive at the end of the observation period were right-censored.

Discussion Out of the 217 selected genes, 28 were associated with survival (p<0.05). Out of the 28 genes, higher expression for seven genes was associated with mortality and the rest were associated with better survival. After adjusting for multiple comparisons with the false discovery rate, BATF2 was the only gene significantly associated with better survival. BATF2 has established tumor-suppressive roles in non-ovarian cancers and, therefore, deserve further research on its role in ovarian cancer.

2018 CMDA National Convention â&#x201D;&#x201A; 85

VIE POSTERS

Introduction Ovarian cancer is the fifth leading cause of death among American women in 2015. The stages of ovarian cancer denote the severity of the diagnosis, where stage I indicates localized tumor and stage IV indicates most lethal advancement with visceral metastases. Surgical removal of stage I ovarian cancer leads to a five-year survival rate above 90%, while surgical and adjuvant treatment of stage IV ovarian cancer yields a survival rate of 25%. Unfortunately, 75% of ovarian cancer cases are diagnosed beyond stage I. The overall five-year survival of patients with ovarian cancer is less than 45%. Thus, improving the rate of early detection through proactive genetic testing is critical for improving the clinical outcome of ovarian cancer. This study investigates the correlation of gene-to-gene expressions with hypothesized associations with ovarian cancer. The objective of this study was to identify genes associated with survival.

VIE POSTER 9 Micro-RNA Expression and Disease Correlation in a Hispanic Lupus Cohort Thandiwe W. Jere, MBBS; Yangsheng Yu, PhD; and Kailhong Su, PhD University of Nebraska Medical Center

VIE POSTERS

Background Systemic Lupus Erythematosus (SLE) is a complex chronic autoimmune disease hallmarked by the production of autoantibodies and excessive inflammatory responses affecting multiple organs.

Recent studies indicate that microRNAs are involved in SLE pathogenesis due to their regulation of gene expression, and their direct role in modulating the immune system. Altered expressions of miRNAs have been observed in SLE in Caucasian and Asian populations. However, there is no comprehensive study that has examined miRNAs expression in Hispanic SLE patients.

Methods This cross-sectional study of a Hispanic cohort of SLE patients (100) and age and sex-matched healthy controls (HC) (100) from the Dominican Republic aimed to determine the expression levels of 10 selected miRNAs. Our second aim was to study the correlation of these miRNAs with serum markers of inflammation (panel of 13 cytokines) and autoantibodies (anti-dsDNA, anti-Sm, anti-U1RNP, anti-Ro/SSA, anti-La/SSB) in SLE. Results The relative expression levels of miR-16-5p, miR-146a-5p, and miR-451a were significantly higher in SLE patients than in HC. The levels of miR-125a-3p and miR-155-5p were significantly lower in SLE while miR-21-5p, miR-126-5p, miR-142-3p, miR-148a-3p, and miR-223-5p showed no significant difference between SLE and HC. Of the five differentially expressed miRNAs, miR-146a-5p inversely correlated with anti-SSB/La antibody and miR-451a inversely correlated with anti-Sm antibody. Furthermore, there was significant correlation between miR-16-5p and IFN-gamma; miR-451a and IL-10. Also, miR-125a inversely correlated with IL-6, IL-8, and IL-17A. Conclusions The circulating serum levels of miR-16-5p, miR-125a-3p, miR-146a-3p, miR-155-5p and miR-451a are differentially expressed in SLE patients in this cohort. The correlation with autoantibodies and cytokines points to their role in modulating the production of autoantibodies and inflammatory cytokines. This sets an important premise for further study on their mechanism in SLE inflammation.

86 â&#x201D;&#x201A; 2018 CMDA National Convention

VIE POSTER 10 Prevalence of Hypothyroidism in Patients with Plantar Heel Pain Lindsey Hjelm, BS; and Ellen Barton, BS Des Moines University Background A lesser-known manifestation of hypothyroidism is the presence of musculoskeletal complications. Plantar fasciitis or plantar heel pain (PHP) is a prevalent and costly medical condition. Although no previous research has described a connection between plantar fasciitis and hypothyroidism, the relationship between hypothyroidism and other musculoskeletal disorders has been well documented. We hypothesize that an increased prevalence of hypothyroidism will be found in patients with plantar fasciitis.

Results There is a statistically significant difference between study population prevalence (14.9%) and the highest reported prevalence is the average population (1.2%) (p<0.001), and also, the highest reported prevalence in the older, female population (1.3%) (p<0.001).

Conclusions Further research into the relationship between PHP and hypothyroidism could develop new treatment regimens, as hypothyroidism is a treatable disease.

2018 CMDA National Convention â&#x201D;&#x201A; 87

VIE POSTERS

Methods De-identified self-reported past medical history was obtained from surveys of patients enrolled in a randomized clinical trial comparing the outcomes of usual podiatric care versus early physical therapy intervention for PHP. All enrolled patients were clinically diagnosed with plantar fasciitis by a DPM before enrolling in study. We chose to compare the prevalence of hypothyroidism in our study to the highest reported population prevalence of 12 per 1000 women and to the prevalence reported in elderly women of 13.0 per 1000. Prevalences were compared using a chisquare test.

VIE POSTER 11 Are Self-Swabs as Effective for Screening for Vaginal STIs as Swabs Collected During a Speculum Exam?

Amanda Lucashu, MD; and Sarah Killian, MD In His Image Family Medicine; Tulsa, Oklahoma

VIE POSTERS

Background The incidence of sexually transmitted infections (STIs) continues to rise and the complication of pelvic inflammatory disorder creates an even larger public health concern. Gonorrhea and chlamydia are two of the most common causes, but, unfortunately, the traditional detection method of a physician-obtained endocervical swab during a speculum exam has become a barrier to diagnosis and treatment.

Methods In order to explore alternative methods, a literature review was performed using the PICO and PubMed databases with terms such as “self,” “chlamydia,” “gonorrhea,” and “vaginal.” A 2015 meta-analysis was identified which included 21 studies but only four studies evaluating chlamydia (N=994) and one study evaluating gonorrhea (N=309) were selected because they compared the use of self-collected vaginal swabs (SOVS) versus the gold standard of clinician-collected cervical specimens. The average age of participants ranged from 21 to 32. The women did vary, however, in whether or not they were symptomatic at the time of collection.

Results The chlamydia cross-sectional observational studies (4 trials, N=994, prevalence 6.8-12.6%) resulted in a pooled sensitivity of 0.89 (95% CI, 0.82-0.94) and specificity of 0.98 (95% CI, 0.970.99). For gonorrhea, the cross-sectional observational study comparing SOVS versus cliniciancollected cervical swabs (1 trial, N=309, prevalence 14.2%) showed a sensitivity of 0.98 (95% CI, 0.88-1.00) and specificity of 0.97 (95% CI 0.94-0.99).

Discussion After determining the sensitivity and specificity of SOVS are equivalent to clinician-obtained cervical specimen, the CDC has concluded that they are adequate for the detection of chlamydia and gonorrhea. In fact, vaginal swabs are now the CDC’s preferred collection method for detection of genital chlamydia and gonorrhea even when compared against all other current methods.

While more studies are needed to create guidelines regarding sample handling for communitybased programs, one study did show that women were two times as likely to complete STI screening when home-based testing was offered.

88 │ 2018 CMDA National Convention

VIE POSTER 12 Back Pain: To B? Or Not to B? Christina Lee and David Macdonald, MD University of Minnesota School of Medicine Introduction The majority of patients with low back pain improve without interventions within six weeks. However, low back pain can be a harbinger of serious underlying pathology in the setting of nighttime pain or unresponsiveness to multiple therapies.

Discussion Non-Hodgkin lymphomas (NHL) are malignant neoplasms of lymphoid cells, and DLBCL makes up the majority. Primary bone lymphoma (PBL), like our patientâ&#x20AC;&#x2122;s case, accounts for less than 1% of all NHLs. DLBCL accounts for majority of cases of PBLs. Diagnosis of PBL remains challenging, because radiologically, findings range from a normal appearing bone to an infiltrative lesion.

Diagnosis of PBL requires the help of histopathology and immuno-histochemical markers.

2018 CMDA National Convention â&#x201D;&#x201A; 89

VIE POSTERS

Case Presentation A 70-year-old man presented to the hospital with progressively worsening lower back pain for two months, which radiated to the buttocks and bilateral ankles. He had no loss of strength, sensation, and no changes in bowel or bladder function. The pain was keeping him awake at night. He had not obtained relief with oxycodone, ibuprofen, and cyclobenzaprine. He denied any weight loss, night sweats, fevers, or trauma. He had no history of IV drug use. On physical examination, he had severe pain to palpation of the lumbar spine, and reduced range of motion.

The remainder of the exam, including neurology exam, was unremarkable. A CBC with differential was unremarkable. A lumbar spine MRI demonstrated complete infiltration/replacement of the L3 vertebrae. Due to concern for malignancy, a CT chest/abdomen/pelvis was obtained, which revealed no evidence of primary malignancy. He then underwent biopsy of the L3 epidural mass and vertebral body, which demonstrated infiltrative large pleomorphic neoplastic lymphoid cells with sclerotic background, consistent with diffuse large B-cell lymphoma (DLBCL), confirmed with immunohistochemistry. A PET/CT revealed abnormal signal enhancement in the L3 vertebral body. A brain MRI and C1/C2 lumbar puncture did not show evidence of intracranial disease.

VIE POSTER 13 The Apelin-APJ Receptor Axis Stimulates Cholangiocyte Proliferation in Mouse Models of Extrahepatic Cholestasis

VIE POSTERS

Marinda Scrushy, BS; April O’Brien, BS; Laurent Ehrlich, BS; Chad Hall, MD; Tori White; Gianfranco Alpini, PhD; and Shannon Glaser, PhD Texas A&M College of Medicine Background Cholestatic diseases, such as primary biliary cirrhosis, are characterized by proliferation/loss of bile ducts. This can lead to hepatic fibrosis for which the current treatment option is transplant.

Proliferating cholangiocytes display neuroendocrine phenotypes, secreting and responding to a number of neuropeptides and hormones. Studies have indicated that apelin may play a key role in the progression of hepatic fibrosis. Apelin (APLN) is the ligand of the G protein coupled receptor APJ. The role of APLN/APJ signaling axis in cholangiocyte proliferation during cholestasis has not been evaluated. The AIM of our study was to evaluate the expression of and effects on proliferation of the APLN/AJP axis in cholangiocytes during cholestasis induced by bile duct ligation (BDL).

Methods Our studies were performed in normal and BDL wild-type (WT) mice and a SV-40 transformed mouse cholangiocyte cell line (MCC). APLN levels were evaluated in serum and isolated cholangiocytes. APJ expression was evaluated by IHC in liver sections and by gene expression. APLN and APJ expression was also evaluated by real-time PCR in MCC. Apelin’s effect on proliferation was evaluated by MTS proliferation assay in MCC. WT and BDL mice were treated for 1 week with the APJ antagonist ML221 following BDL. Biliary proliferation was evaluated by PCNA gene expression in cholangiocytes from normal and BDL WT mice treated with ML221. Fibrosis was evaluated by Sirius red and hydroxyproline staining.

Results Expression of apelin and APJ was increased in cholangiocytes and liver sections from BDL mice compared to WT. APLN was also elevated in serum of BDL mice. MCC cell line expressed APJ and increased proliferation in response to apelin. Administration of APJ antagonist ML221 inhibited biliary proliferation and hepatic fibrosis in BDL WT compared to normal WT. Conclusions The APLN/APJ axis plays a key role in the regulation of biliary proliferation and hepatic fibrosis during cholestasis.

90 │ 2018 CMDA National Convention

VIE POSTER 14 Barriers and Limitations to Telemedicine Implementation Sandy Henin, MD UT Medical Center Background Telemedicine is continuing to emerge as a promising leader in innovation to improve patient care as well as access to healthcare. With the growing population and increased demand on health care, telemedicine can extend outreach to patients, particularly those in underserved areas, while reducing costs. The objective of this study is to identify barriers and concerns that limit use of telemedicine so that it can be more successfully implemented.

Results/Conclusions 211 surveys were collected and analyzed. Non-significant differences were found between the demographic variables of age, gender, race, and distance from MD (p > 0.05). Higher levels of education, income and internet usage, however, were significantly associated with knowing telemedicine, being interested in using telemedicine, having used telemedicine before, and having access to technology (OR ranged between 1.2 - 16.19). Significant main effects were found with ANOVA when comparing age, education, income, and internet access on questions related to face-to-face interaction, ease of use of telemedicine, and not being familiar with telemedicine (p < 0.05). This reinforces the idea that one of the greatest barriers is familiarity with telemedicine but also access to telemedicine. If resources are made more widely available, specifically targeting this patient population, these limitations can be better overcome and allow for the spread of telemedicine use.

2018 CMDA National Convention â&#x201D;&#x201A; 91

VIE POSTERS

Methods A written survey was administered to UFP clinic patients to evaluate a series of questions about telemedicine to identify barriers and concerns for use. Anonymous demographic data was also collected and analyzed for any significant correlation. The assumption of normality for continuous variables was assessed using skewness and kurtosis statistics. Frequency and cross-tabulation statistics were used to describe categorical variables and check for coding errors. Unadjusted odds ratios with 95% confidence intervals were calculated to determine the association between categorical demographic variables and categorical response sets. One-way ANOVA was used to compare demographic groups on Likert-type survey items. Significant main effects were explained with Tukeyâ&#x20AC;&#x2122;s test in a post hoc fashion. Statistical significance was assumed at an alpha value of 0.05 and all analyses were conducted using SPSS Version 22 (Armonk, NY: IBM Corp.)

VIE POSTER 15 Reclaiming Identity and Wholeness: A Case of Body Integrity Identity Disorder and Gender Dysphoria Nicole Baldwin, BA; and Patricia Dickmann, MD University of Minnesota Medical School - Twin Cities

VIE POSTERS

Introduction Body integrity identity disorder (BIID) is a rare condition in which one desires to acquire a disability, such as amputation, in order to achieve a body type idealized as one’s “true self.” Non-surgical treatment options have been limited in efficacy, while amputation presents significant ethical challenges.

Case Presentation A 66-year-old man presented to a psychiatry clinic for depression. He revealed a strong desire to amputate his leg since he was three, feeling he would be his “true self” if he did so. Due to the constant distress of this desire, he is exploring ideas of how to achieve amputation. He initially tried simulating life as an amputee, but found this frustrating. A few years later, he suffered a heart attack. At this point, he decided that after years of cross-dressing, he did identify as a woman and began anti-androgen hormones. Most recently, the individual has begun processing how an upbringing with verbal and physical abuse has shaped who “she” is as an adult.

Discussion BIID can cause significant distress for those who experience it and for their healthcare providers.

In search for an acceptable means of relief, researchers have proposed a number of psychological and neurological theories for the etiology of BIID. Following the lead of the subject of this case study, the relationship between identity dysphoria and adverse childhood experiences is explored here. In light of these studies, a therapeutic approach that allows individuals to reclaim the development of their identity is hypothesized to help restore a lasting sense of wholeness in cases such as this one.

92 │ 2018 CMDA National Convention

VIE POSTER 16 Moyamoya Disease Presenting as Subarachnoid Hemorrhage without Cerebral Aneurysm Angela Mirzadeh UNTHSC Texas College of Osteopathic Medicine

Case Presentation In this report, we describe the case of a 52-year-old male who suddenly developed severe headache and loss of consciousness after sexual intercourse. CT scan revealed SAH over the left frontal and temporal cortex. Cerebral angiogram demonstrated no aneurysm, but high grade narrowing of the left middle cerebral artery (MCA) and collateral blood flow from surrounding cerebral arteries consistent with moyamoya disease. The patient was managed medically throughout his hospital course and remained neurologically intact with no further hemorrhagic events. He was referred to neurosurgery outpatient for evaluation of revascularization surgery.

Discussion Non-aneurysmal SAH in moyamoya disease is extremely rare. The evidence from this case, as well as the literature, supports the hypothesis that it is due to rupture of fragile transdural anastomotic vessels on the brain surface as they traverse through the subarachnoid space. An understanding of this unique mechanism of disease is valuable not only for tailored management, but also for considerations in surgical approach to revascularization.

2018 CMDA National Convention â&#x201D;&#x201A; 93

VIE POSTERS

Introduction Moyamoya Disease (MMD) is a rare cerebrovascular disease caused by progressive stenosis or occlusion of the distal portion of the internal carotid arteries and/or the major cerebral arteries that arise from it. The stenosis triggers the development of an abnormal network of compensatory vessels to maintain cerebral blood flow. Subarachnoid hemorrhage (SAH) is a rare presentation of MMD, and non-aneurysmal subarachnoid hemorrhage is extremely rare, with only six previously documented cases worldwide. Our case report is an example of this extremely rare case presentation.

VIE POSTER 17 An Unusual Case of Cryptococcal Meningoencephalitis with Brainstem Strokes in a patient with Myasthenia Gravis Sarah E Hall, DO; Rone Lin, MD; and Mary Stapel, MD University of Illinois College of Medicine-Peoria

VIE POSTERS

Introduction Cryptococcal Neoformans is an ubiquitous, encapsulated yeast most commonly seen in immunocompromised patients, particularly HIV/AIDs. Meningitis cases are treated by induction with IV Amphotericin B and oral flucytosine, followed by consolidation and maintenance therapy with oral fluconazole. Poor prognostic features in cryptococcal meningitis include: high CSF WBC count and antigen titers, altered sensorium, ongoing underlying immune dysfunction, and failure to address elevated intracranial pressure.

Case Presentation A 59-year-old Caucasian female presented with acute worsening of a chronic headache radiating to her neck and fevers for four days. Her history includes: antibody positive Myasthenia Gravis (MG) on Mestinon and Prednisone, Hodgkinâ&#x20AC;&#x2122;s Lymphoma in remission and a history of Rheumatic fever with MVP. Her CSF showed mildly elevated protein, neutrophilic pleocytosis, hypoglycorrhachia and Cryptococcal antigen titer of > 1:1024. Both CSF and blood cultures grew cryptococcal neoformans. Interestingly, her serum Cryptococcal antigen and fungal blood culture were negative. A brain MRI showed multiple acute infarcts in the right thalamus and right putamen. She underwent induction therapy with IV Ambisome, but was readmitted for acute renal failure. She was successfully switched to a lower dose of Amphotericin combined with oral fluconazole, and completed her induction treatment with clinical improvement.

Discussion This patient had many potential risk factors with the greatest being the MG and steroid use. A PubMed search revealed only four cases of cryptococcal infections connected with myasthenia gravis. Two of the cases were in MG patients suspected to be immunocompromised from thymectomies, one had a patient misdiagnosed with MG due to cryptococcal meningitis, and the last MG patient developed cryptococcal cellulitis while on chronic steroids. So, the fact that this patient had not undergone a thymectomy may demonstrate that an immunocompromised state can still result without a thymectomy, and low dose steroids can predispose MG patients to opportunistic pathogen infections.

94 â&#x201D;&#x201A; 2018 CMDA National Convention

VIE POSTER 18 Tension Pneumothorax Complicated by Massive Subcutaneous Emphysema Christina Grimsley and Stephen Blankenship, MD Quillen College of Medicine, East Tennessee State University Introduction Tension pneumothorax is a condition with frequent fatal complications. This condition is caused by a disruption in the lung - that creates a one-way valve allowing air to accumulate in the pleural space. The fatal complication is the prevention of blood returning to the right side of the heart - due intrathoracic pressure compressing the right atrium. The patient can exhibit symptoms of dyspnea, tachypnea, tracheal deviation, jugular venous distention, subcutaneous emphysema, and shock that can lead to rapid deterioration and death.

Discussion Many providers do not have the proper equipment or training to treat patients in this extreme condition. CT images demonstrate the anatomical distortions in this case and the increase in size required for invasive life-saving devices. Images demonstrate where many commercial 14 gauge angiocaths and cricothyrotomy kits will not suffice (due to distortion in the anatomy), and these should not be relied on solely.

Conclusions While trauma carts frequently maintain (1.75 - 2 inch) 14 gauge angiocaths, they should also have military grade angiocaths that are 3.25â&#x20AC;? in length which will work in most cases. Some, but not all, military grade cricothyrotomy kits, or individually assembled kits, have 6.0 endotracheal tubes and come with a bougie and cricothyrotomy hook which would have been sufficient in this patient. Prehospital and hospital healthcare personnel should be prepared for similar patient encounters.

2018 CMDA National Convention â&#x201D;&#x201A; 95

VIE POSTERS

Case Report We report a case of massive subcutaneous emphysema complicating tension pneumothorax management. The patient is a 20-year-old male who presented to the emergency department with chest trauma and was in extremis with diffuse severe subcutaneous emphysema. Due to the distorted anatomy, airway management and chest decompression were performed with nonstandard techniques / equipment resulting in rapid patient stabilization. After four days in the hospital, he was discharged home with no deficits.

VIE POSTER 19 Human Trafficking Education in Medicine Hendrix Lafontant; Victoria Lafontant; Steven Presley, MD; and Mayra Rodriguez, PhD, MPH Edward Via College of Osteopathic Medicine-Auburn

VIE POSTERS

Background Human trafficking in the U.S. has increased by 37% in just one year, up from 5,575 cases in 2015 to 7,621 cases in 2016. Data shows that nearly 90% of human trafficking victims seek medical care while being trafficked, yet physicians are not receiving a proportional amount of training to identify these victims when they present as patients. Our goal was to provide education and training to medical students, raising awareness and increasing the number of students that consider themselves confident in identifying human trafficking victims.

Methods Using constructs from the Health Belief Model, we surveyed 38 medical students before and after a three-hour education course to determine their perceived attitudes, knowledge, and ability regarding human trafficking. Wilcoxon signed-ranked test was used to analyze the data.

Results Results showed statistically significant change in attitudes toward the role physicians play in the cycle of human trafficking (Z= -4.624, p=<0.001); increase in knowledge of human trafficking (Z= -4.475, p=<0.001); and ability to take action when presented with a victim as a patient (Z= -2.887, p=0.004). Students were able to significantly identify many key traits of a victim posteducation, however, were not significantly able to identify all signs and symptoms that apply to human trafficking victims, such as malnourishment (Z= -0.302, p=0.762), drug abuse (Z= -0.816, p=0.414), and lack of eye contact (Z= -1.414, p =0.157). After training, 86.1% of students indicated that they would recommend the course be a part of medical school curriculum.

Conclusions Results indicate that training future healthcare providers on their role in human trafficking makes a significant difference in their attitudes, knowledge, and ability to take action. However, it will be important to have an increased focus on specific victim presentations in the future. Additional research is needed on how best to improve training outcomes.

96 â&#x201D;&#x201A; 2018 CMDA National Convention

VIE POSTER 20 Patterns of Stress in Medical Education John Suchland, MD, MPH, MBMS; and Eric Matthews, PhD College of Graduate Health Studies, A.T. Still University Background Physician burnout remains a serious public health concern as physicians experiencing burnout provide lower quality of care to patients. Burnout is present at every level of medicine from practicing physicians to residents and among medical students. Burnout during medical training is associated with lower empathy and poor mental health.

Results A statistical correlation was found between depression scores and overall life stressors (p-value <0.05). Highly statistically significant negative correlations were found between the depression scores and academic workload, financial difficulties, the use of tutoring services and GPA (p-value 0.01). Significant positive correlations were found between depression scores and poor study environment, personal medical problems, previous use of time management support and study skills support services (p-value <0.05). A highly significant positive correlation was also found between scores on the BRS scores and FHS scores (p-value <0.01).

Conclusions Identifying markers of depression and burnout exist. It is hoped that this pilot study will guide researchers to develop tools that will help in the identification of these markers and tools to help identify of students, residents and physicians suffering from depression and burnout.

2018 CMDA National Convention â&#x201D;&#x201A; 97

VIE POSTERS

Methods Medical students enrolled in the Doctorate of Osteopathic Medicine (DO) program at A.T. Still University in Meza, Arizona were surveyed using a combination of validated survey instruments, including the Patient Health Questionnaire (PHQ-9: depression measurement), the Perceived Stress Scale (PSS: life stressors), the Brief Resilience Scale (BRS: resilience), the Future Hope Scale (FHS: hope), self-assessments and ancillary questions related to physical, academic, spiritual, social and financial health. Self-reported mental health scores were inversely correlated with depression scores.

VIE POSTER 21 Restoring Wholeness to Healthcare: An International, Qualitative Study of the Value, Use, and Impact of Whole Person Medicine Training Sharon Ann Falkenheimer, MD, MPH, MA (Bioethics), PhD Albany Medical College

VIE POSTERS

Background Whole person medicine (WPM) considers all facets of the person and has the potential to improve physician-patient interaction and satisfaction.

Methods This qualitative, interview study of 24 healthcare professionals in 15 nations explored what makes PRIME: Partnerships in International Medical Education’s WPM training valued and applied by healthcare professionals and what impacts resulted. The study addressed two major areas: (1) the educational methods used to train healthcare professionals and (2) the high level of dissatisfaction of healthcare professionals and patients.

Results The results substantiated the benefits of WPM and whole person teaching in improving clinical care, healthcare professional and patient communication and satisfaction, healthcare professional education, and healthcare leadership and administration. It confirmed the continued predominance of teacher-centered instruction for the training of healthcare professionals in many locations. Students in multiple countries and cultures enthusiastically accepted interactive, student centered instruction and appreciated the more relational, open, caring teacher – student relationships of whole person teaching.

Conclusion Healthcare professionals who experience transformation through and develop a passion for the whole person approach to healthcare and education tend to model and practice it in their professional lives and to seek to pass it on to others.

98 │ 2018 CMDA National Convention

VIE POSTER 22 Reliability of Preoperative MRI Prediction of Hamstring ACL Autograft Size and Comparison of Radiologist and Orthopaedic Surgeon Predictions Andrew Hanna, MS; Kevin K. Lee, MS; Christopher K. John, MD; Brent M. Johnson, MD; Kelley K. Whitmer, MD; Jonathan A. Godin, MD; and Thomas K. Miller, MD Virginia Tech Carilion School of Medicine

Methods Patients were recruited if they were evaluated by the three orthopaedic surgeons for suspected ACL injuries. We used routine internal derangement of the knee MRIs. After an ACL reconstruction was scheduled, but before the procedure, these three orthopaedic surgeons and an MSK radiologist used the Sectra PACS workstation measurement function to determine hamstring tendon size. Cross-sectional area of the semitendinosus and gracilis tendons was calculated at the levels of the widest point of the medial femoral condyle and at the joint line. Control measurements were performed intraoperatively using a graft sizing block containing sizing holes of 0.5 mm increments.

Results The distribution of the data for 18 patients shows a positive correlation between MRI measurement and graft size. Multiple linear regression demonstrates similarity between radiologist and surgeon predictions of autograft size.

Conclusions The data collected suggests that there is a correlation between semitendinosus and gracilis crosssectional area and autograft diameter. Comparison of the radiologist and surgeonsâ&#x20AC;&#x2122; predictions showed that all participants were able to reliably predict autograft size.

2018 CMDA National Convention â&#x201D;&#x201A; 99

VIE POSTERS

Background The Anterior Cruciate Ligament (ACL) is the most commonly injured ligament of the knee. In ACL reconstructions, soft tissue autografts with cross sectional diameters less than 8 mm have been associated with increased failure rates. Recent retrospective analysis has found strong correlations between hamstring tendon size as measured on routine MRI and intraoperative measurement of autograft size. To date, there has been no prospective analysis of the use of routine MRI to predict ACL autograft size. There is also no previous literature comparing the ability of orthopaedic surgeons to that of radiologists in predicting autograft size with MRI. Since many clinics do not have a trained MSK radiologist on hand, it is important to evaluate whether orthopaedic surgeons can independently use MRI to predict autograft size.

VIE POSTER 23 Medical Students as Point-of-Care Ultrasound Instructors: Learners as Successful Teachers

VIE POSTERS

Mariam Asper; Alycia Lee, RDCS; Abigail Wheeler; Mariam Asper; Emily Rawlings; Joshua Albert; Camden Towne; Sarah Elrod; Kathleen Bogacz, MD; and David McLario, DO, MS Liberty University College of Osteopathic Medicine Background Point-of-care ultrasound has become increasingly recognized as a patient-centered, time- and cost-efficient diagnostic modality useful for a wide variety of patient conditions. There has been increasing enthusiasm for the inclusion of ultrasound within medical school anatomy and clinical examination curricula. The relative undersupply of instructors is considered to be the major impediment to the dissemination of practitioner skill. Various strategies have been utilized to enhance the transmission of ultrasound skill to novice sonographers in an attempt to expedite competency and increase clinical use. This report describes our institutionâ&#x20AC;&#x2122;s experience in utilizing specially-trained student-sonographers for the teaching of core point-of-care ultrasound skills to host-institution senior medical students during an international medical mission trip.

Methods Six first-year medical students participated in a 20-hour intensive educational program focusing on bedside echocardiography, abdominal ultrasound, and first- and second-trimester pregnancy.

A two-hour session emphasizing ultrasound teaching strategy was included immediately prior to travel to the host medical school. Approximately 60 host-country senior medical students attended four two-hour instructional sessions. All host-country students were provided the opportunity for supervised practice of all ultrasound applications.

Results Positive results included host-country senior medical student satisfaction with the learning experience, greater understanding of sonographic anatomy, an appreciation of the clinical benefits of point-of-care ultrasound, and success in obtaining desired sonographic images. Host-country students communicated the need for ultrasound in resource-limited settings and a desire for additional training by visiting-country student-physician sonographers. Various cine-loop and stillimages of representative instructional sonograms will be presented.

Conclusions There was an appreciation of the need for creative methods to disseminate point-of-care ultrasound skill to practitioners who are likely to practice in austere environments. Trained first-year medical students taught core point-of-care ultrasound applications to more experienced hostcountry students with positive feedback, success in achieving sonographic images, and an expressed desire for additional future instruction.

100 â&#x201D;&#x201A; 2018 CMDA National Convention

VIE POSTER 24 SOAR to Recovery: Development of Clinical Instrument to Assess Opioid Addiction Recovery Diva Bomgaars, BA, BS; David Holmes, MD; and Nikhil Satchidanand, PhD Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo Background The American Society of Addiction Medicine reported in 2016 that drug overdose is the leading cause of accidental death in the United States[1], the majority involving an opioid[2, 3]. Mitigating this problem requires identifying factors and interventions which correlate to long-term remission.

We saw the need to develop a new comprehensive clinical instrument to assess opioid recovery interventions in the setting of various psychosocial and recovery factors.

Results Pilot group participants were mostly white, heterosexual, non-Hispanics/non-Latinos ages 26 to 46. About one-third had at least a high school degree/GED; about one-third had some college education. Most reported having a mental health diagnosis (n = 78, 54.2%). Less than one-half were currently seeing a psychiatrist (n = 35, 24.3%); > one-third had never seen a psychiatrist (n = 53, 36.8%). Less than one-half had recently participated in any form of counseling. The highest percentage of patients reported having contact with people who use marijuana, and more admitted to marijuana use (11.1%) than to other drugs queried. Seventeen (11.8%) admitted to episodes of dishonesty/deception with their BMT provider; staff-reported perceptions were higher (n = 39, 27.1%).

Conclusions Our findings suggest that comorbid mental health issues, other drug use, contact with substance users, community/spiritual involvement, and honesty affect recovery. Most participants were not receiving formal counseling or psychiatric care. Minimizing relapse temptations may require severing ties with other substance users. Patients admitted dishonesty when asked about it generally, which may be beneficial in maintaining the physician-patient relationship.

2018 CMDA National Convention â&#x201D;&#x201A; 101

VIE POSTERS

Methods Stage 1 of 3 of the SOAR Score development resulted in a self-administered, 57-item questionnaire. This was pilot-tested with patients receiving buprenorphine maintenance treatment (BMT) at UBMD Family Medicine Special Services Clinic in Buffalo, New York (n = 144). Responses and retrospective chart reviews were used for data collection. Quantitative data were de-identified, coded, and analyzed using SPSS.

VIE POSTER 25 Emergency Medicine Needs Assessment in an Urban Caribbean Hospital

VIE POSTERS

Chase Westra University of Illinois College of Medicine in Chicago Background New estimates show that the top 15 causes of death and disability-adjusted life years are due to emergent conditions defined as conditions with common decompensations leading to disability or death, or conditions that themselves need to be addressed in hours to days to avoid disability or death.1 Yet, emergency medicine has just recently been recognized as a medical specialty, especially in Low- and Middle-Income Countries (LMICs). While emergencies disproportionately affect LMICs, statistics show that these citizens are less likely to seek emergency services.1-2 As such, opportunity exists to improve death and disability from emergent medical conditions through improving emergency care.2 Methods Our study assessed Emergency Medicine (EM) capacities at an urban hospital in Santo Domingo, Dominican Republic. Data collection consisted of a hospital survey assessing human and physical resources, and key informant interviews with EM stakeholders. Observational data was analyzed to identify opportunities for improvement identified by the researcher and local staff.

Results The emergency department (ED) was staffed by four attending physicians with formal EM training and 25 EM residents. Residents participate in a formal curriculum with weekly didactic sessions and are required to complete ACLS, ATLS, and PALS. The department served about 24 patients/ day with a range of 7 to 38 patients/day over a 30-day period. The demographic consists entirely of self-pay or publicly insured Dominicans. Lack of resources, informal pre-hospital systems, hospital throughput, consultations, and utilization of space were identified as themes for improvement.

Conclusions Staff universally identified a lack of resources as the biggest weakness of the ED. Being that the hospital is governmentally funded and supplied, recommendations will pull from ED overcrowding literature to focus on efficiency of use of current resources, as well as lobbying for increased resources. Other recommendations will address pre-hospital communication, in-hospital consults, and utilization of current space and space currently under renovation.

102 â&#x201D;&#x201A; 2018 CMDA National Convention

CONTINUING EDUCATION To obtain your CE certificate, you must complete the online evaluation at https://www.surveymonkey.com/r/2018NatlConv.

Use the above link to access the survey. If you have any problems opening this survey or completing it, please contact your Course Director or email the Department of Continuing Education Office at ce@cmda.org.

Accreditation The Christian Medical & Dental Associations is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Physician Credit The Christian Medical & Dental Associations designates this educational activity for a maximum of 6 AMA PRA Category 1 Credit(s)™.

Physicians should only claim credit commensurate with the extent of their participation in the activity.

Dental Credit CMDA is an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 1/1/2015 to 12/31/2018. Provider ID#218742. 5 Lecture Hours Available. No prior level of skill, knowledge, or experience is required (or suggested).

Optometric Credit The Christian Medical & Dental Associations is registered as an Administrator for COPE (Council on Optometric Practitioner Education). The Optometry CE Track, COPE Activity #115162, is accredited by COPE for continuing education for optometrists. Optometrists may receive up to 6 hours of CE credit by completing this activity. COPE accreditation does not imply acceptance by a state or provincial board of optometry. This CE track is provided by the Fellowship of Christian Optometrists, a specialty section of CMDA. NP The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME. Individuals are responsible for checking with the AANPCP for further guidelines. Nurse practitioners may receive up to 6 credits for completing this activity.

PA AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit(s)™ by an organization accredited by the ACCME or a recognized state medical society. Physician assistants may receive up to 6 credits for completing this activity.

Medical Objectives • Identify factors that lead to career dissatisfaction for the healthcare professional.

• Describe how career dissatisfaction in the healthcare professional has a negative impact on patient care.

• List steps healthcare professionals can use to remedy career dissatisfaction.

• Discuss the transcendent and social obligations to healing services.

• Define burnout.

• Identify the causes of burnout.

• Discuss remedies for burnout.

• Describe the current trajectory of physician-assisted suicide in our culture.

• Identify the potential implications for physician-assisted suicide and euthanasia as they relate to organ procurement.

• Enroll in local church and seminary bioethical training courses related to physician-assisted suicide.

• Describe the origin and principal characteristics of the concept of vicarious traumatization.

• Define the concept of resilience as it relates to psychological wellbeing.

• Discuss the concept of resilience as it relates to psychological wellbeing.

• List five modifiable resilience factors.

• Discuss the DSM-V criteria for the diagnosis of gender dysphoria (GD) and associated controversies.

• Describe past and current approaches to treating GD in children and adolescents.

• Identify the potential benefits and risks of the WPATH/Endocrine Society GD treatment guidelines.

• Define the components of a successful community-based prescription opioid overdose prevention program.

• Describe the roles clinicians can play in overdose prevention and supporting patients with chronic pain beyond the traditional clinical setting.

• Describe the 14-day rule for embryo research.

• Summarize the human benefits and costs of embryo research.

• State reasons for and against abolishing or extending the rule.

• Describe the Project Lazarus model.

• Identify ways in which the Project Lazarus model can be adapted for replication in your practice or community.

• Identify current ethical issues in private practice.

• Specify who you can discuss ethical issues with if you do not have ultimate decision-making authority in the practice.

• Define the scope of the obesity epidemic and list the consequences for women of all ages.

• Counsel patients on the medical, surgical and spiritual treatments for obesity.

• Design patient encounters that lead to improvements in weight loss.

• Describe the new technologies for gene editing.

• Describe the difference between somatic and germline genetic treatments.

• Discuss the major ethical concerns these gene technologies raise.

2018 CMDA National Convention │ 103

CONTINUING EDUCATION Dental Objectives • Identify factors that lead to career dissatisfaction for the healthcare professional.

• Describe how career dissatisfaction in the healthcare professional has a negative impact on patient care.

• List steps healthcare professionals can use to remedy career dissatisfaction.

• Discuss the transcendent and social obligations to healing services.

• Define burnout.

• Identify the causes of burnout.

• Discuss remedies to burnout.

• Describe the origin and principal characteristics of the concept of vicarious traumatization.

• Define the concept of resilience as it relates to psychological wellbeing.

• Discuss the concept of resilience as it relates to psychological wellbeing.

• List five modifiable resilience factors.

• Identify a specific format for determining where change is needed in your life.

• Use a step-by-step process for directing how to choose the best solutions for burnout.

• Use an Integrative Dental Medicine Checklist for the dental team to incorporate new information into the patient evaluation process.

• Describe the three-fold focus of integrative dental medicine model.

• Implement the integrative dental medicine model into your clinical practice.

• Define and explain legality vs. ethics in dental practice.

• Describe contemporary examples of conflict between legal permission and biblical ethical constraint in dentistry.

Optometry Objectives • Classify posterior segment conditions.

• Utilize posterior segment knowledge in patient care.

• Discuss herpes simplex keratitis presentations.

• Employ useful diagnosis and management strategies for HSK keratitis in clinical practice.

• Discuss evidence-based glaucoma management.

• Employ useful management strategies for glaucoma in clinical practice.

• Discuss new systemic medications with ocular side effects.

Agenda Time

Topic Title

April 26: 4 - 7 p.m.

Registration

April 26: 7 - 9 p.m.

Plenary Session

Ellie Lofaro

April 27: 9 - 10:15 a.m.

Devotions

Rev. John Barnett

April 27: 11 a.m. - 12:30 p.m.

Plenary Session

David Stevens, MD, MA (Ethics)

April 27: 1:30 - 2:30 p.m.

Encore: A Command Performance for an Audience of One 1 HR CME and CDE

Gene Rudd, MD

Burnout in Healthcare: Restoring the Soul of the Clinician 1 HR CME and CDE

Steve Sartori, MD

Physician-assisted Suicide: Update for 2018 1 HR CME

Allen Roberts, MD, and Dennis Sullivan, MD, MA (Ethics)

Posterior Segment Disorders Update, Part 1 1 HR COE

Kyle Cheatham, OD, FAAO

Building Our Resilience as Healthcare Professionals 1 HR CME and CDE

Sam Thielman, MD, PhD

Posterior Segment Disorders Update, Part 2 1 HR COE

Kyle Cheatham, OD, FAAO

Gender Dysphoria in Children: Science, Ideology and Ethics 1 HR CME

Paul Hruz, MD, PhD

Herpes Simplex Keratitis Update 1 HR COE

Kyle Cheatham, OD, FAAO

April 27: 7 - 9 p.m.

Plenary Session

Dr. Lee

April 28: 9 - 10:15 a.m.

Devotions

Rev. John Barnett

April 28: 11 a.m. - 12:30 p.m.

Plenary Session

Hon. Joe Pitts

April 28: 1:30 - 2:30 p.m.

Project Lazarus: Reaching, Teaching, Training Communities Addressing the Opioid Crisis, Part 1 1 HR CME

Fred Brason, II

When Embryos Are Research Subjects 1 HR CME

D. Joy Riley, MD

The “Successful” Life Enigma 1 HR CDE

Peter Dawson, DDS

Glaucoma Management and Surgical Update, Part 1 1 HR COE

Kyle Cheatham, OD, FAAO

April 27: 2:45 - 3:45 p.m.

April 27: 4 - 5 p.m.

104 │ 2018 CMDA National Convention

Faculty Name

CONTINUING EDUCATION April 28: 2:45 - 3:45 p.m.

Project Lazarus: Reaching, Teaching, Training Communities Addressing the Opioid Crisis, Part 2 1 HR CME

Fred Brason, II

Rights of Conscience: Where Are We? We Are Here 1 HR CME

Moderator: D. Joy Riley, MD Panelists: John Pierce, Jr., MD; Janet Liljestrand, MD; and Robert Cranston, MD, MA, MSHA

Integrative Dental Medicine...Dentistry’s Next Frontier 1 HR CDE

DeWitt Wilkerson, DMD

Glaucoma Management and Surgical Update, Part 2 1 HR COE

Kyle Cheatham, OD, FAAO

Slimming Down the Idols of Our Days: Obesity and Women’s Health 1 HR CME

John Pierce, Jr., MD

Gene Editing: Reinventing Humanity?

1 HR CME

Dennis Sullivan, MD, MA (Ethics)

Legality and Ethics in Contemporary Dentistry 1 HR CDE

Jon R. Ewig, DDS

Pharmacology 1 HR COE

Kyle Cheatham, OD, FAAO

April 28: 7 - 8 p.m.

Evening Entertainment

Matt Fore

April 29: 9 - 10:30 a.m.

Service

Rev. John Barnett

April 28: 4:30 - 5:30 p.m.

Disclosure As a sponsor accredited by the ACCME, the Department of Continuing Education of Christian Medical & Dental Associations, must insure balance, independence, objectivity, and scientific rigor in all its sponsored educational activities. All faculty and planning committee members participating in this CME Symposium were asked to disclose the following: 1. The names of proprietary entities producing health care goods or services, with the exemption of non-profit or government organizations and nonhealth related companies with which they or their spouse/partner have, or have had, a relevant financial relationship within the past 12 months. For this purpose, we consider the relevant financial relationships of your spouse/partner that they are aware to be theirs; 2. To describe what they or their spouse/partner received (ex: salary, honorarium etc.); 3. To describe their role; 4. To disclose that there was no relevant or financial relationships.

Course Director, Speaker Names, CMDA staff, CMDA/CME Committee and Planning Committee Members

Name of the Commercial Interest

The Nature of the Relationship the Person has With Each Commercial Interest (speaker, stocks, speakers’ bureau, clinical trials)

I do not have any relevant financial relationships with any commercial interests

Conflict Resolved

I intend to discuss off-labeled investigation use(s) of drug(s) or device(s) in my presentation

Jeffrey Amstutz, DDS

NONE

NONE

NO

NA

NA

Brian Briscoe, MD Psych Section Dean

NONE

NONE

NO

NA

NA

Kyle Cheatham, OD, FAAO

NONE

NONE

NO

NA

NA

Mike Chupp, MD Activity Director

NONE

NONE

NO

NA

NA

Peter Dawson, DDS

NONE

NONE

NO

NA

NA

Kelly Frantz, OD

NONE

NONE

NO

NA

NA

Melinda Mitchell Activity Coordinator

NONE

NONE

NO

NA

NA

John Pierce, MD Medical Track Dean

NONE

NONE

NO

NA

NA

D. Joy Riley, MD, MA (Ethics) Ethics Track Dean

NONE

NONE

NO

NA

NA

Barbara Snapp CE Administrator

NONE

NONE

NO

NA

NA

Sharon Whitmer, EdD, MFT Accreditation Officer

NONE

NONE

NO

NA

NA

CE Committee Members

NONE

NONE

NONE

NONE

NA

Fred Brason, II

NONE

NONE

NO

NA

NO

Kyle Cheatham, OD, FAAO

NONE

NONE

NO

NA

NO

Robert Cranston, MD, MA, MSHA

NONE

NONE

NO

NA

NO

Peter Dawson, DDS

NONE

NONE

NO

NA

NO

Jon R. Ewig, DDS

NONE

NONE

NO

NA

NO

PLANNERS

FACULTY

2018 CMDA National Convention │ 105

CONTINUING EDUCATION Paul Hruz, MD, PhD

NONE

NONE

NO

NA

NO

Janet Liljestrand, MD

NONE

NONE

NO

NA

NO

John Pierce, Jr., MD

NONE

NONE

NO

NA

NO

D. Joy Riley, MD, MA (Ethics)

NONE

NONE

NO

NA

NO

Allen Roberts, II, MD

NONE

NONE

NO

NA

NO

Gene Rudd, MD

NONE

NONE

NO

NA

NO

Steve Sartori, MD

NONE

NONE

NO

NA

NO

Dennis Sullivan, MD, MA (Ethics)

NONE

NONE

NO

NA

NO

Samuel Thielman, MD, PhD

NONE

NONE

NO

NA

NO

DeWitt Wilkerson, DMD

NONE

NONE

NO

NA

NO

The CMDA CE Review Committee of John Pierce, MD (recused), Chair; Jeff Amstutz, DDS (recused); Mike Chupp, MD (recused); Lindsey Clarke, MD; Stan Cobb, DDS; Gary Goforth, MD; Elizabeth Heredia, MD; Curtis High, DDS; Bruce MacFadyen, MD; Dale Michels, MD; Shawn Morehead, MD; Michael O’Callaghan, DDS; Jonathan Spenn, DMD; and Richard Voet, MD do not have any relevant financial relationships with any commercial interests.

THERE IS NO IN-KIND OR COMMERCIAL SUPPORT FOR THIS ACTIVITY

106 │ 2018 CMDA National Convention

EVALUATION TRANSFORM: CMDA’s 2018 National Convention

N/A = Not applicable

Indicate the appropriate rating using the following scale: 1 = Poor 2 = Fair 3 = Average 4 = Above Average

Session Evaluations

Quality of Speaker’s Delivery

Quality of Material Presented

5 = Outstanding Quality of Visual Aids & Documents

Usefulness to Your Practice of Life

Thursday, April 26, 2018 — 7 p.m.

Lose Anything Lately? The Story of the Lost Axe Head Ellie Lofaro

Friday, April 27, 2018 — 9 a.m.

Transformed: How God Renews Our Minds Rev. John Barnett

Friday, April 27, 2018 — 11 a.m.

Unconditional Surrender David Stevens, MD, MA (Ethics)

Friday, April 27, 2018 — 12:30 p.m.

Beyond Estate Planning Russ Crosson

Friday, April 27, 2018 — 1:30 p.m.

Encore: A Command Performance for an Audience of One Gene Rudd, MD Physician-assisted Suicide: Update for 2018 Allen Roberts, MD, and Dennis Sullivan, MD, MA (Ethics) Burnout in Healthcare: Restoring the Soul of the Clinician Steve Sartori, MD Leaving a Lasting Legacy: What Do These Stones Mean?

Ellie Lofaro Posterior Segment Disorders Update, Part 1 Kyle Cheatham, OD, FAAO What God is Doing in Cuba Dr. Víctor Samuel González Grillo

Friday, April 27, 2018 — 2:45 p.m.

Building Our Resilience as Healthcare Professionals Sam Thielman, MD, PhD Posterior Segment Disorders Update, Part 2 Kyle Cheatham, OD, FAAO

Friday, April 27, 2018 — 4 p.m.

Gender Dysphoria in Children: Science, Ideology and Ethics Paul Hruz, MD, PhD Herpes Simplex Keratitis Update Kyle Cheatham, OD, FAAO

Friday, April 27, 2018 — 7 p.m.

What’s On Your Mind? Transformed Thought, Transformed Identity and Transformed Purpose Dr. Lee

2018 CMDA National Convention │ 107

Saturday, April 28, 2018 — 9 a.m.

Renewed Living: How God Keeps Us Transformed Rev. John Barnett

Saturday, April 28, 2018 — 11 a.m.

Consience Protection and the Need for Public Engagement Hon. Joe Pitts

Saturday, April 28, 2018 — 1:30 p.m.

Project Lazarus: Reaching, Teaching, Training Communities Addressing the Opioid Crisis, Part 1 Fred Brason, II The “Successful” Life Enigma Peter Dawson, DDS How to Transform Our Minds Toward Our Spouses, Children and Grandchildren

John Norris, MD, and Laurie Norris When Embryos are Research Subjects D. Joy Riley, MD Glaucoma Management and Surgical Update, Part 1 Kyle Cheatham, OD, FAAO Life Skills: Burnout Prevention: Will Medical Training Quench Your Fire?

Steve Sartori, MD

Saturday, April 28, 2018 — 2:45 p.m.

Project Lazarus: Reaching, Teaching, Training Communities Addressing the Opioid Crisis, Part 2 Fred Brason, II Integrative Dental Medicine...Dentistry’s Next Frontier DeWitt Wilkerson, DMD It’s Going to Happen to You Grat Correll, MD, FAAFP Rights of Conscience: Where Are We? We Are Here Moderator: D. Joy Riley, MD; Panelists: John Pierce, Jr., MD; Janet Liljestrand, MD; and Robert Cranston, MD, MA, MSHA Glaucoma Management and Surgical Update, Part 2 Kyle Cheatham, OD, FAAO Finding and Fighting for Happiness from Medical School and Beyond Emily Shupert, PhD, LPC, DCC

Saturday, April 28, 2018 — 4:30 p.m.

Slimming Down the Idols of Our Days: Obesity and Women’s Health John Pierce, Jr., MD Legality and Ethics in Contemporary Dentistry Jon R. Ewig, DDS 4 Keys About Millennials That You May Not Have Known Bill Reichart, MDiv Gene Editing: Reinventing Humanity?

Dennis Sullivan, MD, MA (Ethics) Pharmacology Kyle Cheatham, OD, FAAO Life Skills: Hot Button Issues for Healthcare Students

Saturday, April 28, 2018 — 7 p.m.

Evening Entertainment Matt Fore

Sunday, April 29, 2018 — 9 a.m.

Renewed Minds: Avoiding Distractions Rev. John Barnett

108 │ 2018 CMDA National Convention

Overall Conference Evaluation N/A = Not applicable

Indicate the appropriate rating using the following scale: 1 = Poor 2 = Fair 3 = Average 4 = Above Average

5 = Outstanding

Overall organization of the conference Conference registration procedures Lodging Food quality and service Meeting rooms

How did you learn about the convention? (Check all that apply.)

☐☐ ☐☐ ☐☐ ☐☐ ☐☐ ☐☐ ☐☐

Today’s Christian Doctor Brochure Email Word of Mouth Social Media — Which form?

Website ­— Which site?

Other

Please list additional topics you would like to see incorporated into future conferences.

Please share any additional comments.

Please share a testimonial about the convention (for possible use in future promotional materials).

Thank you for attending TRANSFORM: CMDA’s 2018 National Convention!

Please leave your completed evaluation form at the convention office before you leave, or you can email it to meetings@cmda.org. This evaluation is also available online at https://www.surveymonkey.com/r/ConvEval2018.

2018 CMDA National Convention │ 109

Join us at Ridgecrest in 2019!

TRANSFORM: 2019 CMDA National Convention May 2-5, 2019 Ridgecrest Conference Center Ridgecrest, North Carolina Early Bird Registration - Convention Special Deadline: April 29, 2018 Name Healthcare Degree Preferred Mailing Address

☐ Home

☐ Office

Street Address City State

ZIP Code

Office Phone

Home Phone

Cell Phone

Email Address

Spouse’s Name Healthcare Degree Select Registration Status: ☐ $300.00

Graduate (Practicing / Academia)

☐ $100.00

Spouse of Graduate

☐ $200.00

Missionary / Resident / Retired

☐ $75.00

Spouse of Missionary / Resident / Retired

☐ $200.00

Associate Healthcare Professional

☐ $75.00

Spouse of Associate Healthcare Professional

☐ FREE

Student

☐ $50.00

Spouse of Student

Payment Options ☐ Check - made payable to Christian Medical & Dental Associations

Payment Total

☐ Charge my credit card: ☐ MasterCard

Payment Total

☐ VISA

☐ American Express

Name on Card Billing Address Card Number Exp. Date

CVV

Signature Please leave your completed registration form at the convention office.

2018 CMDA National Convention │ 111