63rd TAFP Annual Session and Scientific Assembly Official Program

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63

rd Annual

Session

&

Scientific Assembly

contents President’s Welcome....................................................6

Saturday Schedule of Events and CME................... 14

Schedule of TAFP Committees, Commissions, and Sections.........................................7

Sunday Schedule of CME.......................................... 16

Listing of Conference Meal Functions.......................8

Conference Maps of the Hilton Austin Hotel and Austin Convention Center................................. 18

Statement of Accreditation.........................................8

Map of the Exhibit Hall and Exhibitor Listing........ 20

Wednesday Schedule of Events and CME................9

Things to do in Austin................................................ 21

Thursday Schedule of Events and CME...................10

Annual Session Faculty...............................................22

Friday Schedule of Events and CME........................ 12

TAFP Foundation and Physicians With Heart.........24

TAFP OFFICERS I. L. Balkcom IV, M.D.

63rd ANNUAL SESSION PLANNING COMMITTEE

Troy Fiesinger, M.D.

Sharon Hausman-Cohen, M.D., Program Chair

President

President-elect

Dale Ragle, M.D. Vice President

Clare Hawkins, M.D. Treasurer

Ajay Gupta, M.D. Parliamentarian

Melissa Gerdes, M.D.

Immediate Past President

Family Medicine, Private Practice Austin, Texas

Jamal Islam, M.D., M.S.

Associate Professor, Regional Vice Chair and Research Director, Department of Family and Community Medicine Texas Tech Health Science Center Permian Basin Odessa, Texas

Tony Anderson, M.D.

Family Medicine, Private Practice W. Ross Lawler, M.D. Duncanville, Texas

Clare Hawkins, M.D.

Residency Director, San Jacinto Methodist Family Medicine Residency Baytown, Texas

Dale Moquist, M.D.

Geriatric Coordinator, Memorial Hermann Family Medicine Residency Sugar Land, Texas

Sarah Samreen, M.D.

Family Medicine, Private Practice Helotes, Texas

Professor of Family and Robert Shields, D.O. Community Medicine, UT Health Family Medicine, Private Practice Science Center at San Antonio Plano, Texas San Antonio, Texas

Mark Malone, M.D.

Family Medicine, Private Practice Gilmer, Texas

The Texas Academy of Family Physicians unites the family physicians of Texas through advocacy, education, and member services, and empowers them to provide a medical home for patients of all ages. TAFP’s Official Program for the 63rd Annual Session and Scientific Assembly is published by TAFP at 12012 Technology Blvd., Suite 200, Austin, Texas 78727. © 2012 Texas Academy of Family Physicians

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63

rd Annual

Session

Welcome On behalf of the Commission on Continuing Professional Development and the Texas Academy of Family Physicians officers and staff, welcome to TAFP’s 63rd Annual Session and Scientific Assembly. We are pleased to have you at what is sure to be another successful conference.

Based on your educational needs, the planning committee has developed a quality CME program with you in mind. The Annual Session schedule is filled with the latest topics from today’s medical headlines including “Pediatrics in Pictures” with Paul Berman, M.D.; “Imaging: Choosing the Appropriate Exam” with Robert Milman, M.D.; “High Blood Sugars: What to do From Prediabetes up Until Insulin” with Thomas Blevins, M.D.; “Painful Joints: When to Treat, When to Inject” with Christopher Parker, D.O.; “Common Skin Conditions in Primary Care” with Christopher Sartori, M.D.; and “Ethics: Withdrawal of Care Issues in a Hospice Patient” with Ronald Crossno, M.D. To complement the educational experience, the Annual Session and Scientific Assembly will include an exciting array of exhibits and special events. The Exhibit Hall is open Friday and Saturday with exhibitors ready to meet your practice needs. Visit them

&

Scientific Assembly

to learn more about new services and products in the field, develop business relationships, and hear valuable information to improve your practice. While in the hall, stop by the research poster displays on Friday, and play the Treasure Hunt game to win a $100 gift certificate.

Join your colleagues from across the state for TAFP’s special events including attendee favorites like Thursday’s Town Hall Meeting on Clinically Integrated Practice Models and the Members’ Reception Saturday afternoon. We present three new events this year: the Member Assembly Luncheon Friday midday, Leadership and Legislative Training Friday afternoon, and the TAFP Foundation Night of Jazz and Art Friday night.

The star of the special events will surely be Saturday night’s President’s Party held at the Bob Bullock Texas State History Museum when we’ll welcome incoming TAFP president Troy Fiesinger, M.D., to his office.

This year’s Annual Session and Scientific Assembly is designed just for you and we hope you have a wonderful time with your family medicine “family” in Austin. Thank you for being a part of our program.

I. L. Balkcom IV, M.D. President, Texas Academy of Family Physicians

CME & Professional Development From TAFP SAM Group Study Workshop on Coronary Artery Disease Saturday, Nov. 3, 2012 The Westin Galleria, Dallas

64th Annual Session & Scientific Assembly July 31 - Aug. 4, 2013 Omni Fort Worth Hotel and Fort Worth Convention Center, Fort Worth

SAM Group Study Workshop on Cerebrovascular Disease Friday, Oct. 26, 2012 The Westin Oaks, Houston

SAM Group Study Workshop on Hypertension Saturday, Dec. 8, 2012 Sheraton Fort Worth Hotel, Fort Worth

2013 Primary Care Summit – Houston Oct. 18-20, 2013 The Westin Oaks, Houston

SAM Group Study Workshop on Coronary Artery Disease Saturday, Oct. 27, 2012 The Westin Oaks, Houston

SAM Group Study Workshop on Care of the Vulnerable Elderly Saturday, Dec. 8, 2012 The Westin at La Cantera, San Antonio

2013 Primary Care Summit – Dallas/ Fort Worth Nov. 8-10, 2013 The Westin Galleria, Dallas

2012 Primary Care Summit – Dallas/ Fort Worth Nov. 2-4, 2012 The Westin Galleria, Dallas

SAM Group Study Workshop on Mental Health in the Community Thursday, Feb. 28, 2013 Omni Austin Hotel at Southpark, Austin

SAM Group Study Workshop on Cerebrovascular Disease Friday, Nov. 2, 2012 The Westin Galleria, Dallas

2013 C. Frank Webber Lectureship Friday, March 1, 2013 Omni Austin Hotel at Southpark, Austin

2012 Primary Care Summit – Houston Oct. 26-28, 2012 The Westin Oaks, Houston

6

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TAFP 63rd ANNUAL SESSION & SCIENTIFIC ASSEMBLY

schedule

of TAFP Committees, Commissions & Sections

Wednesday, July 11, 2012

2 - 4 p.m.

6:30 a.m. - 6 p.m. Registration Open

Hilton 4th Floor Lobby

2 - 5 p.m.

TAFP Foundation Board of Trustees* Hilton Salon G (6th Floor)

6 - 9 p.m.

Executive Committee* Hilton Room 410

Thursday, July 12, 2012

2 - 4 p.m.

Commission on Public Health, Clinical Affairs, and Research Hilton Room 404

5:30 - 7 p.m.

Section on Medical Students Hilton Room 412

5:30 - 7 p.m.

Section on Resident Physicians Hilton Room 410

8 - 10 p.m.

TAFP Foundation event: A Night of Jazz and Art Hilton Salon A

Commission on Membership and Member Services Hilton Salon B

3 - 5 p.m.

Finance Committee* Hilton Salon A

4 - 5 p.m.

Section on Communications Hilton Salon B

Saturday, July 14, 2012

4 - 6 p.m.

Commission on Continuing Professional Development Hilton Room 404

6:15 a.m. - 6:15 p.m. Registration Open

ACC Exhibit Hall 1 Lobby

6 - 7 p.m.

TAFP Reception — Sponsored by the UNTHSC Faculty Development Center Hilton Room 406

8 - 11:30 a.m.

TAFP Board of Directors Meeting and Breakfast Hilton Salon D/E

8:45 a.m. - 12 p.m.

Exhibit Hall Open ACC Exhibit Hall 1

12 - 1:45 p.m.

TAFP Business and Awards Lunch ACC Ballroom B/C

7 - 11 a.m.

Registration Open Hilton 4th Floor Lobby

7:30 - 9 a.m.

Committee Breakfast* Hilton Room 406

7:30 - 9 a.m.

Section on Rural Physicians Hilton Room 401

7:30 - 9 a.m.

Section on Maternity Care Hilton Room 401

8 - 9 a.m.

Section on Leadership Development Hilton Salon A

Friday, July 13, 2012 6:15 a.m. - 6 p.m.

Registration Open ACC Exhibit Hall 1 Lobby

Commission on Academic Affairs Hilton Salon B

9 - 10 a.m.

Bylaws Committee Hilton Room 401

6:30 - 7:45 a.m.

Breakfast with Exhibitors ACC Exhibit Hall 1

9 - 11 a.m.

Nominating Committee Hilton Salon A

6:30 a.m. - 4 p.m.

Exhibit Hall Open ACC Exhibit Hall 1

9 - 11:45 a.m.

9 a.m. - 12 p.m.

Sunday, July 15, 2012

Commission on Core Delegation ACC Room 5

Commission on Health Care Services and Managed Care Hilton Room 404

11 a.m. - 12 p.m.

Task Force on Governance Hilton Room 401

10:30 - 11 a.m.

AAFP Fellowship Convocation ACC Room 4A/B

6:30 a.m.-12:15 p.m.

12 - 1 p.m.

Committee Lunch* — Sponsored by DairyMAX Hilton Room 406

11:45 - 1 p.m.

Member Assembly Luncheon ACC Ballroom B/C

1 - 5 p.m.

Leadership and Legislative Training* ACC Room 6

8 - 11 a.m.

12 - 1:30 p.m.

1 - 2 p.m.

1 - 2 p.m.

7 - 10 p.m.

Council of Past Presidents Luncheon* Hilton Room 415

Section on Special Constituencies Hilton Salon A

Section on Large Group Practices Hilton Room 404

1:30 - 3:30 p.m.

4:15 - 5:15 p.m.

Panel Discussion and Town Hall Meeting: Clinically Integrated Practice Models Hilton Salon B

CME Planning Committee Meeting* ACC Room 4C

Texas Conference of Family Medicine Residents and Students Planning Committee Meeting ACC Room 4C

5 - 6 p.m.

TAFPPAC Board Meeting ACC Room 5

2:15 - 4 p.m.

TAFP Board of Directors Meeting Hilton Salon D/E

5:30 - 6:45 p.m.

Members’ Reception Hilton Room 408

7 - 10 p.m.

TAFP President’s Party* Bob Bullock Texas State History Museum

Registration Open Hilton 4th Floor Lobby

*NOTE: Invitation to events marked with an asterisk is limited. Visit the registration staff with questions.

CME Schedule begins on page 9.

7

general information

Meals: When & Where Friday, July 13, 2012 6:30 - 7:45 a.m. Breakfast with Exhibitors in ACC Exhibit Hall 1 Buffet including maple cinnamon roll pudding, fresh scrambled eggs, bacon and sausage, oven-roasted potatoes, and fresh fruit 9:45 a.m. Exhibit Break in ACC Exhibit Hall 1 Coffee and hot tea 11:45 a.m. - 1 p.m. Member Assembly Luncheon in ACC Ballroom B/C Plated lunch including lasagna, fresh green beans, and garlic bread 1 p.m. Dessert Break in ACC Exhibit Hall 1 Assorted cookies 3:30 p.m. Exhibit Break in ACC Exhibit Hall 1 Coffee and hot tea

Saturday, July 14, 2012

6:30 - 7:30 a.m. CME Breakfast Lecture in ACC Ballroom B/C Buffet including fresh fruit, egg strata, grilled ham, roasted sweet potatoes, and sliced breakfast breads

8:45 a.m. Exhibit Break in ACC Exhibit Hall 1 Coffee and hot tea 12 - 1:45 p.m. TAFP Business and Awards Lunch in ACC Ballroom B/C Hot plated lunch including pueblo chili Caesar salad, southwest grilled chicken breast, and ginger griddled pound cake

Sunday, July 15, 2012

7 - 9:15 a.m. CME Breakfast Lecture in Hilton Salon C/D/E Buffet breakfast including scrambled eggs, bacon and sausage, hash browns, and fresh bakery items 9:15 a.m. Break in Hilton 4th Floor Lobby Coffee and hot tea

4 p.m. Break in ACC Ballroom Foyer Coffee and hot tea

One Conference, Two Locations All meetings and events held Wednesday will occur at the Hilton Austin Hotel. Thursday, all events except the CME seminars will be held at the Hilton; the seminars will be held at the Austin Convention Center, located one block south of the Hilton Austin Hotel. All CME events on Friday and Saturday will take place at the Austin Convention Center, and on Sunday, all events will be back at the Hilton Austin Hotel. Throughout the schedule printed in this year’s Official Program, “Hilton” will stand for the Hilton Austin Hotel, and “ACC” will indicate the Austin Convention Center.

Statement of Accreditation

Objectives

The Texas Academy of Family Physicians is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The Texas Academy of Family Physicians designates this live activity for a maximum of 23 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The 63rd Annual Session and Scientific Assembly will provide family physicians and other health care professionals the opportunity to update their medical knowledge of important advances in the medical field, address their unmet educational needs, enhance their clinical skills, and support professional development through a multi-faceted curriculum. Through didactic lectures, case-study discussions, and audience interaction, this activity strives to develop and promote CME with the ultimate goal of enhancing patient care.

The Texas Academy of Family Physicians adheres to the ACCME standards regarding industry support of CME and disclosure of faculty and commercial support relationships, if any, will be made known during the conference.

This Live activity, 63rd Annual Session and Scientific Assembly with a beginning date of July 11, 2012, has been reviewed and is acceptable for up to 23.0 Prescribed credits by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course has been designated by the TAFP for up to 1 hour of credit in ethics and/or professional responsibility.

8

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TAFP 63rd ANNUAL SESSION & SCIENTIFIC ASSEMBLY

Disclaimer

The material presented in all sessions is offered solely for educational purposes. TAFP disclaims any and all claims that may result from use of information presented in this activity. Material contained herein may be graphic but is intended for clinical use.

It is the policy of TAFP that all CME planning committee members, TAFP staff, and speakers disclose relationships with commercial entities. Disclosure documents are reviewed for potential conflicts of interest and, if a conflict is identified, it is resolved prior to confirmation of participation.

Only those participants who have no conflict of interest or who agree to an identified-resolution process prior to their participation were involved in this CME activity.

schedule

Wednesday, July 11 SAM Group Study Workshops

6:30 a.m. - 6 p.m. Registration Open Hilton 4th Floor Lobby

Diabetes • 7 a.m. - 12 p.m. • Hilton Room 404 Childhood Illness • 1 - 6 p.m. • Hilton Room 404

7 a.m. - 12 p.m.

SAM Workshop on Diabetes* Hilton Room 404

1 - 6 p.m.

SAM Workshop on Childhood Illness * Hilton Room 404

2 - 5 p.m.

TAFP Foundation Board of Trustees** Hilton Salon G (6th Floor)

6 - 9 p.m.

TAFP Executive Committee Meeting** Hilton Room 410

* The SAM Workshops are limited to those who registered to attend. ** These meetings are limited to the members of the board and committee, respectively.

Separate $200 registration fee required.

ABFM diplomates will earn credit for the Self-Assessment Module of their Maintenance of Certification through the SAM Group Study Workshop on Diabetes and the SAM Group Study Workshop on Childhood Illness. They will discuss and complete the 60-question Knowledge Assessment portion of the module presented by TAFP and moderated by Linda Siy, M.D., and Rebecca Hart, M.D., respectively. Attendees will be eligible to complete the Clinical Simulation online after the conference.

Participants will receive credit if they are currently eligible and enrolled in the ABFM MC-FP process, have not completed the current MC-FP stage, have paid the MC-FP fees to the ABFM prior to completing the Clinical Simulation, have completed the Clinical Simulation, and have attended and fully participated in the educational discussion for the entire session.

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NPI courses are approved for prescribed credit by the American Academy of Family Physicians.Visit the NPI website for specific course credit information.

NPI is a joint venture of the American Academy of Family Physicians, Society of Teachers of Family Medicine and the Texas Academy of Family Physicians.

NPI is a joint venture of the American Academy of Family Physicians, Society of Teachers of Family Medicine and the Texas Academy of Family Physicians.

schedule

Thursday, July 12 7 - 11 a.m.

Registration Open Hilton 4th Floor Lobby

1 - 5 p.m.

Registration Open ACC Exhibit Hall 1 Lobby

2 - 5 p.m.

Thursday Afternoon Concurrent Seminars* ACC Rooms 4, 5, and 6

* Included in Annual Session registration; no RSVP necessary.

3. Use a simple coding tool that makes seemingly complex chart documentation guidelines simple.

4. Discuss implementation goals, impact to your practice, differences between ICD-9-CM and ICD-10-CM code sets, and educational needs for ICD-10-CM. 2 - 5 p.m.

CME Schedule for Thursday 2 - 5 p.m.

Chart Documentation: Balancing Reimbursement with Audit Risk + ICD-10-CM Practice Impact and Planning David Hunt, CHBC, and Marla Dumm, CPC, CCS-P ACC Room 5

By the end of this activity, the participant should be better able to: 1. Utilize chart documentation guidelines to optimize correct coding and reimbursement.

2. Discuss how third-party auditors look at medical charts from a reimbursement perspective.

Part 1 – Nonsurgical Approaches to Obesity and Weight Loss: The Diet and Exercise Prescription Part 2 – Obesity and Weight Loss Surgery for the Primary Care Physician Bettie Forman and Nicole Basa, M.D. ACC Room 4

By the end of this activity, the participant should be better able to: 1. Discuss nonsurgical approaches to obesity and weight loss, the diet and exercise prescription.

2. Discuss various options available and evidence for their efficacy, including various diets and diet programs.

3. Discuss what to do to get patients motivated and to the point of making a permanent change in eating styles, and how to help them incorporate exercise into their lives.

4. Identify patients who are good candidates for bariatric surgery and what premorbid conditions are exacerbated by obesity and improved with surgery.

Thursday at a Glance

CME

7 8 9 10 11 NOON 1 2 Registration opens at 7 a.m. in the Hilton 4th floor lobby

7:30-9 Committee Breakfast Hilton Room 406

9-12 Commission on Health Care Services and Managed Care Hilton Room 404

7:30-9 Sections on Rural Physicians, Maternity Care Hilton Room 401

9-11 Nominating Committee Hilton Salon A

8-11 Commission on Academic Affairs Hilton Salon B 8-9 Section on Leadership Development Hilton Salon A

10

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9-10 Bylaws Committee Hilton Room 401

TAFP 63rd ANNUAL SESSION & SCIENTIFIC ASSEMBLY

11-12 Task Force on Governance Hilton Room 401

12-1 Committee Lunch Hilton Room 406

1-2 Section on Special Constituencies Hilton Salon A

12-1:30 Council of Past Presidents Lunch • Hilton Room 415

1-2 Section on Large Group Practices Hilton Room 404

Thursday Special Events 5. Decide what preoperative evaluation and/or interventions are needed before patients are scheduled for surgery.

6. Review bariatric procedures, including what is being done and how well it works.

7. Discuss postoperative care of the bariatric patient, including issues such as vitamin malabsorption, chronic need for vitamin supplements, issues with postoperative pill size, not drinking liquids with meals, and what foods can be problematic.

2 - 5 p.m.

Council of Past Presidents Luncheon 12 - 1:30 p.m. • Hilton Room 415 TAFP’s past presidents will reminisce about the past and discuss the future of family medicine. This event is complimentary and open to TAFP’s past presidents only.

TAFP reception sponsored by the UNTHSC Faculty Development Center 6 - 7 p.m. • Hilton Room 406 Join us for a reception to celebrate the opening of the University of North Texas Health Science Center Faculty Development Center in Fort Worth. This event is free and open to all members.

Pediatrics in Pictures Paul Berman, M.D. ACC Room 6

By the end of this activity, the participant should be better able to: 1. Recognize various pediatric disorders.

2. Establish the differential diagnosis for various pediatric disorders.

3. Determine the management of various pediatric disorders.

Panel Discussion and Town Hall Meeting on Clinically Integrated Practice Models 7 - 10 p.m. • Hilton Salon B Various clinically integrated practice models are being developed in communities across the state that could help sustain family medicine practices and prepare them for future health care delivery system changes. Come and hear from three of your colleagues about models with which they are involved. All participants are welcome to attend.

2-5 Concurrent CME Seminars ACC Rooms 4, 5, and 6

3 4 5 6 7 8 9 10 2-4 Commission on Public Health, Clinical Affairs, and Research Hilton Room 404

4-6 Commission on Continuing Professional Development Hilton Room 404

2-4 Commission on Membership and Member Services Hilton Salon B

4-5 Section on Communications Hilton Salon B

6-7 UNTHSC Faculty Development Center Reception Hilton Room 406

7-10 Panel Discussion and Town Hall Meeting: Clinically Integrated Practice Models Hilton Salon B

3-5 Finance Committee Hilton Salon A

11

schedule

Friday, July 13 6:15 a.m. - 6 p.m. Registration Open ACC Exhibit Hall 1 Lobby

11:45 a.m. - 1 p.m. Member Assembly Luncheon

ACC Ballroom B/C

6:30 a.m. - 4 p.m. Exhibit Hall Open ACC Exhibit Hall 1

1 - 1:30 p.m.

Exhibit Break

1:30 - 2:30 p.m.

Head Injuries in the Young Athlete: Who Plays, Who Sits?

Walter Calmbach, M.D. ACC Ballroom A

TAFP Update—Leading the Way for Family Medicine Tom Banning and I. L. Balkcom IV, M.D. ACC Ballroom A

2:30 - 3:30 p.m.

Best Practices for Improved COPD Care Hobart Lee, M.D.

3:30 - 4 p.m.

Exhibit Break

Dementia After the Diagnosis: Helping the Patient and Family Cope Dale Moquist, M.D.

4 - 5 p.m.

Abnormal Uterine Bleeding Rebecca Hart, M.D.

5 - 6 p.m.

Hypothyroidism: Treating to Optimal Levels Sharon Hausman-Cohen, M.D.

Research Poster Competition ACC Exhibit Hall 1

8 a.m. - 4 p.m.

CME Schedule for Friday 8 - 8:45 a.m.

8:45 - 9:45 a.m.

9:45 - 10:30 a.m.

Exhibit Break — Refreshments sponsored

by CardioNexus

10:30 - 11:30 a.m. Imaging: Choosing the Appropriate Exam

Robert Milman, M.D. 11:30 - 11:45 a.m.

Break

Friday at a Glance

6 7 8 9 10 11 NOON 1

Registration opens at 6:15 a.m. in the lobby of ACC Exhibit Hall 1

CME

Other Activities

12

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8-9:45 General Session ACC Ballroom A

6:30-7:45 Breakfast With Exhibitors in the Exhibit Hall ACC Exhibit Hall 1

TAFP 63rd ANNUAL SESSION & SCIENTIFIC ASSEMBLY

9:45-10:30 Exhibit Break ACC Exhibit Hall 1

10:30-11:30 General Session ACC Ballroom A

9-11:45 Commission on Core Delegation ACC Room 5

11:45-1 Member Assembly Luncheon ACC Ballroom B/C

1-1:30 Dessert Break ACC Exhibit Hall 1

Friday Special Events Breakfast with Exhibitors in the Exhibit Hall 6:30 - 7:45 a.m. • ACC Exhibit Hall 1 This is where it all begins! In the Exhibit Hall, you can learn about new products and services in the health care field, interact with professionals in all facets of health care, and receive valuable information on the latest advancements in medicine. Over 50 exhibitors from the medical industry will be on hand. The TAFP Foundation’s Board of Trustees will serve breakfast and answer your questions about the Foundation’s activities. The Exhibit Hall is located in Exhibit Hall 1 at the Austin Convention Center.

Student, Resident, and Community Physician Research Poster Competition 8 a.m. - 4 p.m. • ACC Exhibit Hall 1 Encourage family medicine research as students, residents, and community physicians display the latest in research and teaching through poster-panel displays in three categories: primary research, case report, and evidence-based review.

Awards will be given in various categories.

Treasure Hunt in the Exhibit Hall 9:45 - 10:30 a.m., 1 - 1:30 p.m., 3:30 - 4 p.m.

ACC Exhibit Hall 1 While enjoying dedicated breaks inside the Exhibit Hall, take part in our Treasure Hunt and find the booths displaying lighted guitars. Write them down on your bright blue Treasure Hunt game card and turn it in at the registration desk on Friday or Saturday. You could win a $100 gift card!

!

NEW

Member Assembly Luncheon 11:45 a.m. - 1 p.m. • ACC Ballroom B/C

Join your colleagues to hear from TAFP volunteer leaders and have an opportunity to provide your feedback. TAFP officers will give an update on what the Academy is doing for you and commission chairs will talk about the work of each of their commissions. You’ll learn more about how you can get involved and you’ll have an opportunity to tell us what you think!

Leadership and Legislative Training 1 - 5 p.m. • ACC Room 6 Attendees of the Leadership and Legislative Training will hear renowned policy experts give an overview of the primary care workforce, and present demographic, geographic, and policy challenges under consideration by our elected officials.

Receive instruction from top-notch grassroots consultants who will provide practical advice on how you can advance the cause in your home district.

TAFP Foundation Event: A Night of Jazz and Art 8 - 10 p.m. • Hilton Salon A The TAFP Foundation presents an evening of jazz and art featuring TAFP leader Tricia Elliott, M.D., accompanied by the Austin Kimble Trio. Art will be displayed for viewing and purchase, with proceeds benefiting the TAFP Foundation.

Tickets may still be available; check with staff at the TAFP registration desk.

5-6 TAFPPAC Board Meeting ACC Room 5 2 3 4 5 6 7 8 9

1:30-3:30 General Session ACC Ballroom A

3:30-4 Exhibit Break

4-6 General Session ACC Ballroom A

1-5 Leadership and Legislative Training ACC Room 6 1:30-3:30 CME Planning Committee ACC Room 4C

5:30-7 Section on Medical Students • Hilton Room 412 4:15-5:15 TXCFMRS Planning Meeting ACC Room 4C

5:30-7 Section on Resident Physicians • Hilton Room 410

8-10 TAFP Foundation Event: A Night of Jazz and Art Hilton Salon A

13

schedule

Saturday, July 14 6:15 a.m. - 6:15 p.m. Registration Open ACC Exhibit Hall 1 Lobby 8:45 a.m. - 12 p.m.

Exhibit Hall Open ACC Exhibit Hall 1

CME Schedule for Saturday

11:30 a.m. - 12 p.m. Final Exhibit Break 12 - 1:45 p.m.

TAFP Business and Awards Lunch ACC Ballroom B/C

CME Breakfast Lecture: Evaluation of the Athlete Christine Higgins, M.D. ACC Ballroom B/C

1:45 - 2 p.m.

Break

7:30 - 7:45 a.m.

Break

2 - 3 p.m.

7:45 - 8:45 a.m.

High Blood Sugars: What to do from Prediabetes up Until Insulin Thomas Blevins, M.D. ACC Ballroom A

So You’ve Ordered a Sleep Study, What Now? Ashwin Gowda, M.D. ACC Ballroom A

3 - 4 p.m.

Office Management of Wounds Jayesh Shah, M.D.

4 - 4:15 p.m.

Break

4:15 - 5:15 p.m.

Identifying and Treating Palpitations and Arrhythmias J. David Burkhardt, M.D.

5:15 - 6:15 p.m.

Sorting Out Different Types of Tremor Kameel Karkar, M.D.

6:30 - 7:30 a.m.

8:45 - 9:30 a.m.

Exhibit Break — Refreshments sponsored by CardioNexus

9:30 - 10:30 a.m. Headaches in Primary Care

Michael Ready, M.D. 10:30 - 11:30 a.m. Painful Joints: When to Treat, When to Inject

Christopher Parker, D.O.

Saturday at a Glance

6 7 8 9 10 11 NOON 1 Registration opens at 6:15 a.m.

ACC Exhibit Hall 1 lobby

CME

Other Activities

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6:30-7:30 CME Breakfast Lecture ACC Ballroom B/C

7:45-8:45 General Session ACC Ballroom A

8:45-9:30 Exhibit Break

9:30-11:30 General Session ACC Ballroom A

8-11:30 TAFP Board of Directors Meeting and Breakfast Hilton Salon D/E

TAFP 63rd ANNUAL SESSION & SCIENTIFIC ASSEMBLY

11:30-12 Exhibit Break

12-1:45 TAFP Business and Awards Lunch ACC Ballroom B/C

President’s Party 7 - 10 p.m.

Bob Bullock Texas State History Museum

Saturday Special Events Treasure Hunt in the Exhibit Hall 8:45 - 9:30 a.m., 11:30 a.m. - 12 p.m. • ACC Exhibit Hall 1 Find the booths displaying lighted guitars, write them down on your bright blue Treasure Hunt game card, and turn it in at the registration desk. You could win a $100 gift card!

TAFP Business and Awards Lunch 12 - 1:45 p.m. • ACC Ballroom B/C Join TAFP President I. L. Balkcom IV, M.D., and help him applaud this year’s honorees of the Physician of the Year, Physician Emeritus, and other awards. Also see the 2012-2013 TAFP officer installation. This event is open to all conference attendees and TAFP members.

Members’ Reception 5:30 - 6:45 p.m. • Hilton Room 408 TAFP welcomes all members—especially new physicians, special constituency physicians, students, residents, and the 2012 TAFP award recipients—to meet and mingle with the family medicine family.

Celebrate the spirit of Texas at this year’s President’s Party, held at the Bob Bullock Texas State History Museum. Enjoy a buffet dinner exploring the flavors of Texas regions, live music from Austin’s own country music singer-songwriter Kelly Willis, and tours of the first floor of the museum. Join us and extend congratulatory sentiment for outgoing president I. L. Balkcom IV, M.D., and incoming president Troy Fiesinger, M.D. Shuttle service to the Bob Bullock museum will be available beginning at 6:55 p.m. Pick up is located on the corner of 5th and Red River, near Java Jive on the lobby level of the Hilton Austin. Return transportation to the Hilton Austin will be provided through the end of the event.

Adults, children over age 13: $40 • Children (12 and under): $20 Special thanks to Texas Medical Liability Trust for their support of this year’s President’s Party.

2 3 4 5 6 7 8 9

2-4 General Session ACC Ballroom A

2:15-4 TAFP Board of Directors Meeting Hilton Salon D/E

4:15-6:15 General Session ACC Ballroom A

5:30-6:45 Members’ Reception Hilton Room 408

7-10 President’s Party Bob Bullock History Museum

15

schedule

See

TAF you next P’s 6 y 4th A ear!

S e Scie ssio ntifi n an nnual in Fo c Ass d rt W embly July orth 31-A ug. 4 www , .tafp 2013 .org

Sunday, July 15 6:30 a.m. - 12:15 p.m.

Registration Open Hilton 4th Floor Lobby

CME Schedule for Sunday

9:30 - 10:30 a.m. AAFP Update

Glen Stream, M.D., M.B.I.

CME Breakfast Lecture: Common Skin Conditions in Primary Care Christopher Sartori, M.D. Hilton Salon C/D/E

10:30 - 11:30 a.m. Strategies for Cost Effective Care

Richard Young, M.D.

9:15 - 9:30 a.m.

Break

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

7 - 9:15 a.m.

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conference maps Austin Convention Center Level 1 ENTER HERE

ACC Exhibit Hall 1

ACC Ballroom A

ACC Exhibit Hall 1 Lobby

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TAFP 63rd ANNUAL SESSION & SCIENTIFIC ASSEMBLY

Ball­ room C Ball­ room B

Hilton Austin Hotel Fourth Floor

Room 404

Room 402

EMERGENCY EXIT

Room 400 EMERGENCY EXIT

ESCALATOR TO SIXTH FLOOR AND LOBBY EMERGENCY EXIT ELEVATOR TO PARKING GARAGE

Salon B

Salon A

Room Room 403 401 Room 416A Room 417A

Lobby Salon C

Room 416B

Room 417B

EMERGENCY EXIT

Room 415 Salon D

Salon E Room 413

EMERG EXIT

Room 414 EMERGENCY EXIT

Room 406

Room 408

Room 410

Room 412

EMERGENCY EXIT

Wi-Fi: How Do I Connect?

At the Hilton Austin, you can get complimentary wireless access in the hotel lobby, and in hotel restaurants and lounges. Internet is available for purchase inside your hotel sleeping room. Access is not available in the Hilton Austin or Austin Convention Center meeting rooms.

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exhibitors 232

Austin Convention Center Exhibit Hall 1 307 MAIN ENTRANCE

229

118

132

poster competition

135

129

228

328

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AAFP.................................................................. 110

DARS - Dept of Assistive & Rehab Services....335

AAFP Foundation Highlight on Diabetes.... 232

DARS - Early Childhood Int.......................... 209

Abbott Laboratories.........................................233

DrFirst................................................................. 311

Airrosti Rehab Centers....................................430

DSHS-HIV/STD/TB/Hepatitis.....................410

API ProAssurance..............................................231

DSHS - Immunization Branch........................331

BKD, LLP........................................................... 130

E-MDs.................................................................212

CardioNexus Corporation..............................307

Gebauer Company..........................................432

Challenger Corporation...................................133

Greenway Medical Technologies..................210

Clinics of North Texas LLP.............................229

Health Directions, LLC....................................312

Clinix...................................................................118

Henry Schein MicroMD/Tech Central.........436

Concord Medical Group..................................332

Humana............................................................. 336

Cook Children’s Health Care System...........108

Ideal Protein.......................................................137

CryoProbe......................................................... 310

Med Spring Urgent Care.................................132

TAFP 63rd ANNUAL SESSION & SCIENTIFIC ASSEMBLY

Medical Protective........................................... 329 Merck USHH.................................................... 330 MetLife..............................................................230 Novartis Pharmaceuticals.............................. 334 Novo Nordisk....................................................135 Otsuka America Pharmaceutical Inc............. 113 Pamlab, LLC......................................................107 Pfizer, Inc...........................................................429 Physician Oncology Education Program......333 Profit Solutions MD......................................... 237 Prometheus Labs............................................. 126 Pulse Systems Inc............................................. 236 Savient Pharmaceuticals..................................235 Schumacher Group..........................................308 Serolab................................................................313 Sigma-Tau Pharmaceuticals...........................109 Society of Heart Attack Prevention & Eradication.............................................. 412 State Supported Living Centers....................434 TAFP Foundation Massages...........................211 National Procedures Institute (TAFP)...........213 Texas Association of Community Health Centers......................................................... 131 Texas Dept of State Health Services - WIC Breastfeeding...................................337 Texas Diabetes Council..................................207 Texas Health Resources..................................306 Texas Medicaid Wellness Program...............234 Texas Medical Association Outreach Programs.................................................... 208 Texas Medical Liability Trust.......................... 129 Texas Neurodiagnostic Assoc. Inc.................116 TMA Insurance Trust.......................................120 TMHP................................................................. 111

Things to do in Austin Surrounded by Central Texas’ rolling hills with Lady Bird Lake running through the city, Austin is a haven for outdoor enthusiasts. Enjoy a scenic stroll or cycle along the Lady Bird Lake Hike and Bike Trail, covering more than 10 miles. Try water activities on the lake by renting a kayak or paddle board. Picnic at Zilker Park and swim at Barton Springs Pool, and stay to watch the free Zilker Summer Musical production of the Sound of Music in the evening. Observe city-meets-nature as Austin’s resident bats fly from under the Congress Street Bridge at dusk.

Many Austin attractions are minutes from the hotel including the Texas State Capitol Building, the Bob Bullock Texas State History Museum, the Blanton Museum, the Austin Children’s Museum, South Congress shopping, and the up-and-coming 2nd Street District.

Questions? Ask the concierge or stop in to the Austin Convention and Visitors Bureau, located at 301 Congress Avenue, Ste. 200. Or call 800-926-2282 or go to www. austintexas.org.

Navigating downtown Unlike the rest of the city, it’s easy to get around downtown! It’s set up as a grid with numbered streets starting at Cesar Chavez/1st Street, parallel to Lady Bird Lake, increasing numerically as you travel north. As a frame of reference, the Texas Capitol sits between 11th and 15th, and forms a T with Congress Avenue, dividing the downtown east-west streets. The east-west streets are named for the Texas rivers from south to north, so if you know your Texas geography, you can start at Rio Grande Street west of downtown and work your way east past Nueces, San Antonio, Lavaca, Colorado, Brazos, San Jacinto, Trinity, and Neches to Red River Street.

If you need to venture farther from the hotel, cabs are available at the entrance of the hotel. To return, call Austin Cab Company at (512) 478-2222 (credit cards accepted and preferred) or Yellow Cab Austin at (512) 452-9999.

Work in a work out There’s no reason to take a break from your normal exercise regimen; Annual Session attendees have several options to get in a workout while in Austin. The Hilton Austin’s Tower Health Club and Spa features a 16,000 sq. ft. facility including a cardio fitness room, health club and spa, outdoor pool and hot tub, and strength training room.

Access the Lady Bird Lake Hike and Bike Trail from Congress Street, just a little more than a half-mile from the Hilton Austin. Below are the approximate roundtrip trail distances from Congress Street Bridge, traveling west (away from Interstate 35):

United Allergy Services................................... 328

To South 1st Bridge – 1.08 miles To Pfluger Bridge – 1.96 miles To MoPac Bridge – 4.94 miles

UTMB - Correctional Managed Care.......... 206

For local running tips and more information on fitness options, visit the concierge desk.

True Results......................................................228

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faculty

Sharon Hausman-Cohen, M.D. Program Chair, 63rd Annual Session & Scientific Assembly Family Physician, Balcones Family Medicine Austin, Texas Tom Banning CEO and Executive Vice President, Texas Academy of Family Physicians Austin, Texas Nicole Basa, M.D. Bariatric and General Surgeon, Cedar Park Surgeons, PA Cedar Park, Texas Paul Berman, M.D. Chief, Department of Pediatrics, St. Luke’s Baptist Hospital San Antonio, Texas Thomas Blevins, M.D. Endocrinologist, Texas Diabetes and Endocrinology Austin, Texas J. David Burkhardt, M.D. Director of Research, Texas Cardiac Arrhythmia Austin, Texas Walter Calmbach, M.D. South Texas Ambulatory Research Network (STARNet) Professor, Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio San Antonio, Texas Ronald Crossno, M.D. Senior National Medical Director, Gentiva Health Services Hospice Division Rockdale, Texas

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Marla Dumm, CPC, CCS-P Supervising Consultant, BKD, LLP Wichita, Kansas Bettie Forman Certified Personal Fitness Trainer Austin, Texas Ashwin Gowda, M.D. Medical Director, Texas Sleep Medicine Austin, Texas Rebecca Hart, M.D. Chair, TAFP Commission on Continuing Professional Development Associate Residency Director, San Jacinto Methodist Family Medicine Residency Baytown, Texas Christine Higgins, M.D. Clinical Faculty Member and Curriculum Director, CHRISTUS Santa Rosa Family Medicine Residency San Antonio, Texas David Hunt, CHBC Managing Consultant, BKD, LLP Waco, Texas Kameel Karkar, M.D. Assistant Professor of Clinical Neurology, University of Texas Health Science Center at San Antonio San Antonio, Texas

Robert Milman, M.D. Radiologist, Austin Radiological Association Austin, Texas Dale Moquist, M.D. Geriatric Coordinator, Memorial Hermann Family Medicine Residency Sugar Land, Texas Christopher Parker, D.O. Rheumatologist, Austin Diagnostic Clinic Austin, Texas Michael Ready, M.D. Director of the Headache Clinic and Headache Fellowship Program Director, Scott and White Healthcare Temple, Texas Christopher Sartori, M.D. Dermatologist, Skin Cancer and Dermatology Center of Colorado Springs Colorado Springs, Colo.

Jayesh Shah, M.D. President and Medical Director, South Texas Wound Associates San Antonio, Texas Linda Siy, M.D. Family Physician, JPS Health Center Fort Worth, Texas

Kaparaboyna Ashok Kumar, M.D., FRCS Director of Medical Student Education, University of Texas Health Science Center at San Antonio San Antonio, Texas

Glen Stream, M.D., M.B.I. President, American Academy of Family Physicians Family Physician, Rockwood Clinic Spokane, Wash.

Hobart Lee, M.D. Associate Program Director, Family Medicine Residency, Loma Linda University Loma Linda, Calif.

Richard Young, M.D. Director of Research and Co-Associate Program Director, JPS Family Medicine Residency Fort Worth, Texas

TAFP 63rd ANNUAL SESSION & SCIENTIFIC ASSEMBLY

TAFP Restaurant Guide

staff picks

To welcome you to our hometown, the TAFP staff compiled a list of our favorite downtown restaurants. From elegant to home cookin’, there’s something for everyone! You can read each staff member’s recommendation on our blog at www. tafp.org/blog, but here’s a quick list of our picks.

MG’s pick: Hut’s Hamburgers 807 West 6th Street (512) 472-0693 www.hutsfrankandangies.com Cuisine: Burgers Distance from the Hilton: 13 blocks or 1 mile Mary Guerrero, Education Coordinator

JN’s pick: Chez Nous 510 Neches www.cheznousaustin.com (512) 473-2413 Cuisine: French Distance from the Hilton: 1 block or 400 feet Jonathan Nelson, Director of Communications

KM’s pick: Violet Crown Cinema 434 West 2nd Street (on the second floor at the corner of San Antonio and 2nd Street) www.violetcrowncinema.com (512) 495-9600 Cuisine: American Distance from the Hilton: 11 blocks 0.7 miles Kathy McCarthy, Chief Operating Officer

JM’s pick: Carmelo’s 504 East 5th Street (512) 477-7497 www.carmelosrestaurant.com Cuisine: Italian Distance from the Hilton: 1 block or 285 feet Jessica Miley, Director of CME and Compliance

The other JW’s pick: Eddie V’s Restaurant 301 East 5th Street (512) 472-1860 www.eddievsrestaurants.com Cuisine: Seafood and steak Distance from the Hilton: 3 blocks or 0.2 miles Juleah Williams, Student, Resident, New Physician, and Membership Coordinator

LB’s pick: Güero’s Taco Bar 1412 South Congress (512) 447-7688 www.guerostacobar.com Cuisine: Mexican Distance from the Hilton: 1.5 miles (a short cab ride away)

303 Red River Street (512) 236-9599 www.moonshinegrill.com Cuisine: American Distance from the Hilton: 3 blocks or 0.2 miles Matt Warfield, Marketing Coordinator

AJ’s pick: Hula Hut 3825 Lake Austin Boulevard (512) 476-4852 www.hulahut.com Cuisine: Tropical Tex-Mex Distance from the Hilton: 3.7 miles (a short cab ride away)

Laurel Blue, Director of NPI Operations

Anna Jenkins, Meeting Planner

TB’s pick: Iron Works BBQ

RM’s pick: Vince Young Steakhouse

100 Red River Street (512) 478-4855 www.ironworksbbq.com Cuisine: Barbecue Distance from the Hilton: 3 blocks or 0.3 miles Tom Banning, CEO/EVP

JW’s pick: Bess Bistro on Pecan

MW’s pick: Moonshine Patio Bar and Grill

301 San Jacinto Boulevard (512) 347-8325 www.vinceyoungsteakhouse.com Cuisine: Steak Distance from the Hilton: 4 blocks or 0.2 miles Robert Montoya, Director of Accounting

KA’s pick: Green Pastures

500 West 6th Street www.bessbistro.com (512) 477-2377 Cuisine: French bistro Distance from the Hilton: 10 blocks or 0.7 miles

811 West Live Oak (512) 444-4747 Cuisine: French-inspired gourmet www.greenpasturesrestaurant.com Distance from the Hilton: 2.4 miles (a short cab ride away)

Julie Woods, NPI Registration and Product Coordinator

Kate Alfano, Associate Director of Communications

HD’s pick: Swift’s Attic 315 Congress Avenue (512) 482-8200 www.swiftsattic.com Cuisine: American, tapas Distance from the Hilton: 4 blocks or 0.2 miles Haley Dawson, Communications Intern

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tafp foundation

The three goals of the TAFP Foundation are to support family medicine research, encourage medical students to choose family medicine, and support family medicine residents. We need your help to meet our mission.

Help the TAFP Foundation by offering a tax-deductible donation. You can donate at the Annual Session registration desk.

TAFP Foundation Event: A Night of Jazz and Art Friday, July 13 • 8 - 10 p.m. • Hilton Salon A

The TAFP Foundation presents an evening of jazz and art featuring TAFP leader Tricia Elliott, M.D., accompanied by the Austin Kimble Trio. Art will be displayed for viewing and purchase, with proceeds benefiting the TAFP Foundation. Tickets may still be available; check with staff at the TAFP registration desk.

Foundation Board Breakfast in the Exhibit Hall Friday, July 13 • 6:30 - 7:45 a.m. • ACC Exhibit Hall 1

Foundation Board members will be in the Exhibit Hall Friday morning serving breakfast, answering questions, and thanking you for your support. This is an opportunity to meet your colleagues who support the TAFP Foundation.

Get a Massage and Support the Foundation The TAFP Foundation will offer 15-minute chair massages and 60-minute full-body massages during Annual Session. The chair massages will be given in Booth 213 inside TAFP’s Exhibit Hall at the Austin Convention Center and the full-body massages will be given in Room 402 at the Hilton. A 15-minute massage is $20 and a 60-minute full-body massage is $75, with 50 percent of the proceeds benefiting the TAFP Foundation. Massages are available by appointment only from 10 a.m. - 4 p.m. on Friday and from 9 a.m. 12 p.m. on Saturday. Cash only.

Interested attendees can sign up at the massage booth. They will be given a ticket confirming their time slot and payment. That ticket will then be presented to the massage therapist at the booth or the hotel at the assigned time.

TAFP Foundation VIPs Annual Session registrants were able to make a donation to upgrade their General Session seating to VIP status on the Annual Session registration form. In return for this special donation, they will receive reserved seating in the CME classroom, along with other exclusive perks. The TAFP Foundation extends a special thanks to this year’s VIP donors.

Physicians With Heart

An Opportunity to Give

The Physicians with Heart Program, an annual service project occurring in conjunction with TAFP’s Annual Session and Scientific Assembly, brings together the resources of 7,000 family physicians, family medicine residents, and medical students to benefit a designated clinic in the Annual Session host city. The program is sponsored by the Section on Special Constituencies and supported by the TAFP Foundation.

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TAFP 63rd ANNUAL SESSION & SCIENTIFIC ASSEMBLY

This year’s donations will benefit the People’s Community Clinic, a non-profit primary health care facility in Austin.

Bring your Physicians With Heart donation to the registration desk for TAFP staff to collect. All donations will be given to the People’s Community Clinic after the conference. For more information, go to www.tafp.org/membership/giving-back/ physicians-with-heart.

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