Joslin/Harvard Advances in Diabetes 2012

Advances in Diabetes

2012

and Thyroid Disease

Course Directors Martin J. Abrahamson, MD Associate Professor of Medicine Harvard Medical School Medical Director Joslin Diabetes Center Boston, MA

Richard S. Beaser, MD Associate Clinical Professor of Medicine Harvard Medical School Medical Executive Director, Professional Education Joslin Diabetes Center Boston, MA

James V. Hennessey, MD Director, Clinical Endocrinology Division of Endocrinology Beth Israel Deaconess Medical Center

November 10­–12, 2012 The Fairmont Copley Plaza Hotel Boston, Massachusetts

A comprehensive Harvard Medical School CME live activity addressing practical aspects of diabetes and thyroid disease care and management, including the use of new technologies that address the growing complexity of diabetes care and the challenges of managing chronic illness in a primary care practice.

SPACE IS LIMITED. REGISTER TODAY AT:

WWW.CME.HMS.HARVARD.EDU/COURSES/JOSLIN

Register by June 21st and save $200!

Advances in Diabetes

2012

and Thyroid Disease Why You Should Attend

Learning Objectives

Because the majority of people with diabetes and thyroid disease are cared for by their primary care providers, PCPs need a comprehensive review and update on clinical management to provide optimal care. This annual CME course, initiated more than century ago by Elliott P. Joslin, MD, in conjunction with Harvard Medical School, is the longestrunning academic course in diabetes in the United States and, likely, the world. The course has evolved with diabetes practice and research as well as the changing continuing education needs of the medical profession, incorporating participant interaction in smaller breakout sessions, interactive workshops, and question-and-answer opportunities for a dynamic learning experience.

Upon completion of this activity, participants will be able to:

This year, to mark the 90th anniversary of the first use of insulin, the course will highlight both the history of and the latest developments in insulin treatment.

• List improvements in skills in caring for people with diabetes and related conditions based on participation in presentations and discussions of clinical case scenarios

• Describe recent advances in the understanding of the pathophysiology of type 1 and type 2 diabetes, as well as comorbidities of these conditions • Describe advances in research related to the treatment of diabetes and related conditions that have translated into improved glucose control, complication prevention/treatment, and quality of life for people living with this condition • Demonstrate skills in advancing therapies for glycemic control aimed at achieving recommended treatment targets • Identify specific changes that they will make in their practices regarding care of people with diabetes and comorbidities based on updated knowledge of state-of-the-art treatment approaches

• Describe the incidence, clinical impact, and morbidity of hyperthyroidism, hypothyroidism, thyroid dysfunction during pregnancy, and thyroid nodules • Discuss methods to diagnose hyperthyroidism, hypothyroidism, thyroid dysfunction affecting pregnancy, and thyroid nodules when they are encountered in primary care practice

Topics

• Thyroid and parathyroid diseases • Obesity

• Summarize approaches to treatment and/or collaborative interventions for hyperthyroidism, hypothyroidism, and thyroid nodules.

• What the PCP needs to know about

ACGME Competencies

• Lifestyle approaches • Noninsulin medications • Insulin • Diabetes complications

• Patient care

This course is designed to meet one or more of the following Accreditation Council of Graduate Medical Education competencies:

• Prevention of type 2 diabetes

• Medical knowledge

• Special populations

• Practice-based learning and improvement

• And more!

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Advances in Diabetes and Thyroid Disease 2012

Agenda*

Day 1: November 1, 2012

Day 2: November 2, 2012

7:00

Registration and Continental Breakfast

7:45

Welcome and Introduction

Abrahamson

8:00

Prevention of Cardiovascular Disease

Stanton

9:00

Hypothyroidism

7:30

Continental Breakfast

8:00

Keynote Lecture: Brown Fat: What You Need to Know

Cypess

Garber

8:45

Lifestyle Modifications

Phillips & Arathuzik

Hartzband

9:45

Break

10:00

Noninsulin Treatment of Diabetes: What the PCP Needs to Know

Abrahamson

10:45

Insulin Treatment of Diabetes: What the PCP Needs to Know

Beaser

11:30

Q&A Session

Abrahamson & Beaser

11:45

Lunch (on your own) and Fitness Walk

12:45

Simultaneous Workshops

9:45

Hyperthyroidism

10:30

Break

10:45

Thyroid Nodules

Hennessy

11:30

Primary Care Role in the Identification of Thyroid Disease in Pregnancy

Hollenberg

12:15

Panel Discussion and Q&A Session

12:45

Lunch (on your own)

1:45

Keynote Lecture: Can We Prevent T2DM?

Horton

2:30

Pediatric Lecture

Laffel

3:15

Elderly Lecture

Munshi

Problem-Solving and Clinical Pearls

Abrahamson & Beaser

Insulin and Noninsulin Medications 1:30

Cultural Considerations: Asian Patients

Hsu

Diabetes in the Latino Population

Caballero

4:00

Break

2:15

4:15

Rejuvenation Exercises

3:00

Break

4:30

Motivational Interviewing

3:15

Gibbons

5:15

Break (on your own)

Recent Advances in the Treatment of Complications: Neuropathy

5:30

Stones, Groans, and Bones: Hyperparathyroidism, Vitamin D, and a Primary Care Approach to Osteoporosis Therapies

4:00

Eye Disease

Aiello

4:30

Rejuvenation Exercises

4:45

Peripheral Vascular Disease

Campbell

Hennessey

5:15

OSA

Pogach

Primary Hyperparathyroidism: Key Considerations for the Primary Care Physician

Pallotta

5:45

Break (on your own)

6:00

Special Highlight: 90th Anniversary of the Use of Insulin

Vitamin D and Bone Health: What Do the Current, Conflicting Recommendations Mean for the Primary Care Physician?

Malabanan

5:30

Registration and Dinner

6:00

Introduction and Historical Perspective

Abrahamson & Beaser

6:15

Reflections of a Diabetologist

Younger

Osteoporosis 2012: DXA Detection, Monitoring Intervals, and the Use of the Newest Medications for the Primary Care Physician

Rosen

6:45

New Insulins

Ratner

7:15

CGM and New Insulin Products and Devices

Wolpert

7:45

Q&A Session

All Faculty

7:45

Q&A Session

All Faculty

8:00

Adjourn

Abrahamson & Beaser

8:00

Adjourn

Abrahamson & Beaser

5:30

Registration and Dinner

6:00

Welcome and Introduction

6:15

6:45

7:15

Domino

(continued)

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Agenda* (continued) Day 3: November 3, 2012 7:30

Continental Breakfast

8:00

Keynote Lecture: Insights into Liver Disease

Chopra

8:45

Inpatient Treatment of Diabetes

Hamdy

9:30

Lipids

Ganda

10:15

Break

10:30

Diabetic Foot Treatment

Giurini

11:15

Cardiovascular Disease

Cutlip

12:00

Lunch (on your own)

1:00

Simultaneous Workshops Problem-Solving and Clinical Pearls Insulin and Noninsulin Medications

Abrahamson & Beaser

1:45

Obesity Intensive Session: Nonsurgical

Hamdy

2:25

Obesity Intensive Session: Surgical

Jones

3:05

Patient Experiences (Both Scenarios)

3:45

Adjourn

*Program changes/substitutions may be made without notice

This activity has been submitted for independent commercial grant support. No support had been awarded when this brochure went to press.

Accreditation and Designation of Credit Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Faculty* Martin J. Abrahamson, MD Associate Professor of Medicine Harvard Medical School Medical Director and Senior Vice President Joslin Diabetes Center Lloyd P. Aiello, MD, PhD Associate Professor of Ophthalmology Harvard Medical School Director, Beetham Eye Institute Head, Section on Eye Research Joslin Diabetes Center Gillian Arathuzik, RD, LDN, CDE Nutrition Diabetes Educator Joslin Diabetes Center

Richard S. Beaser, MD Associate Clinical Professor of Medicine Harvard Medical School Medical Executive Director Professional Education Joslin Diabetes Center Enrique Caballero, MD Assistant Professor of Medicine Harvard Medical School Director, Medical Affairs Professional Education Director, Latino Diabetes Initiative Joslin Diabetes Center David R. Campbell, MD Associate Clinical Professor of Surgery Harvard Medical School Vascular Surgeon Beth Israel Deaconess Medical Center

Harvard Medical School designates this live activity for a maximum of XX AMA PRA Category 1 Credits.TM Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Sanjiv Chopra, MBBS, MACP Professor of Medicine Faculty Dean for Continuing Education Harvard Medical School Senior Consultant in Hepatology Beth Israel Deaconess Medical Center

Space is limited.

Register by June 21st and save $200.

Register by September 21st and save $100.

Donald E. Cutlip, MD Associate Professor of Medicine Harvard Medical School, Director Cardiac Catheterization Laboratory Beth Israel Deaconess Medical Center Executive Director Clinical Trials Harvard Clinical Research Institute

Copyright Š2012 by Joslin Diabetes center. All rights reserved.

Aaron M. Cypess, MD, PhD, MMSc Assistant Professor Harvard Medical School Assistant Investigator and Staff Physician Joslin Diabetes Center

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Advances in Diabetes and Thyroid Disease 2012

Frank Domino, MD text text text text

William C. Hsu, MD Assistant Professor of Medicine Harvard Medical School Director, Asian Clinic Joslin Diabetes Center

Harold Rosen, MD Assistant Professor of Medicine Harvard Medical School Director, Osteoporosis Prevention and Treatment Center Beth Israel Deaconess Medical Center

Om P. Ganda, MD Associate Clinical Professor of Medicine Harvard Medical School Director, Lipid Clinic Joslin Diabetes Center

Daniel B. Jones, MD, FACS Associate Professor Harvard Medical School Chief, Section of Minimally Invasive Surgery Beth Israel Deaconess Medical Center

Robert C. Stanton, MD Associate Professor of Medicine Harvard Medical School Chief of Nephrology Joslin Diabetes Center

Jeffrey R. Garber, MD, FACP, FACE Associate Professor Harvard Medical School Chief of Endocrinology Harvard Vanguard Medical Associates Immediate Past President, American Association of Clinical Endocrinologists

Lori Laffel, MD, MPH Associate Professor of Pediatrics Harvard Medical School Chief, Pediatric, Adolescent and Young Adult Section Investigator, Genetics and Epidemiology Section Joslin Diabetes Center

Howard A. Wolpert, MD Assistant Professor of Medicine Harvard Medical School Director, Insulin Pump Program Senior Physician Joslin Diabetes Center

Christopher Gibbons, MD, MMSc Instructor in Neurology Harvard Medical School Beth Israel Deaconess Medical Center Joslin Diabetes Center

John M. Giurini, DPM Associate Professor in Surgery Harvard Medical School Chief, Division of Podiatry Beth Israel Deaconess Medical Center

Osama Hamdy, MD, PhD, FACE Harvard Medical School Medical Director Obesity Clinical Program Joslin Diabetes Center

Pamela Hartzband, MD Assistant Professor of Medicine Harvard Medical School Medical Director, Thyroid Nodule Clinic Division of Endocrinology Beth Israel Deaconess Medical Center James V. Hennessey, MD Director, Clinical Endocrinology Division of Endocrinology Beth Israel Deaconess Medical Center

Anthony Hollenberg, MD Associate Professor of Medicine Harvard Medical School Chief, Thyroid Unit Beth Israel Deaconess Medical Center

Edward S. Horton, MD Professor of Medicine Harvard Medical School Senior Investigator Joslin Diabetes Center

Donna Younger, MD text text text text

Alan O. Malabanan, MD, FACE Assistant Professor of Medicine Harvard Medical School Associate Training Program Director, Endocrinology Beth Israel Deaconess Medical Center Medha Munshi, MD Assistant Professor of Medicine Harvard Medical School Director of Joslin Geriatric Diabetes Programs Beth Israel Deaconess Medical Center Johanna A. Pallotta, MD, FACP, FACE Associate Professor of Medicine Harvard Medical School Senior Physician Beth Israel Deaconess Medical Center

*Subject to change Faculty Disclosure It is the policy of Harvard Medical School to ensure fair balance, independence, objectivity, and scientific rigor in all activities. All faculty participating in CME activities sponsored by Harvard Medical School are required to present evidence-based data, identify and reference offlabel product use, and disclose all relevant financial relationships with those supporting the activity or others whose products or services are discussed.

Faculty disclosure will be provided in the activity materials.

Edward M. Phillips, MD Assistant Professor of Physical Medicine and Rehabilitation Harvard Medical School Director, Outpatient Medical Services Spaulding Rehabilitation Hospital Network Assistant Physiatrist Massachusetts General Hospital Adjunct Scientist Jean Mayer USDA Human Nutrition Research Center on Aging Tufts University Melanie Pogach, MD Instructor in Medicine Harvard Medical School Division of Pulmonary, Critical Care and Sleep Medicine Beth Israel Deaconess Medical Center Robert E. Ratner, MD, FACP, FACE Professor of Medicine Georgetown University Medical School Senior Research Scientist MedStar Health Research Institute Washington, DC

REGISTER TODAY!

WWW.CME.HMS.HARVARD.EDU/COURSES/JOSLIN

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Registration Information Inquiries By phone 617-384-8600, Monday–Friday, 10 AM to 4 PM (EST) or by email at hms-cme@hms.harvard.edu.

Online Information To register or view activity information online, visit www.cme.hms.harvard.edu/courses/joslin.

Disclosure Policy Harvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards, and Policies. It is HMS’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

Affiliated Performance Improvement CME (PI CME) through the Joslin Professional Education Continuum (JPEC) This activity is aligned with four PI CME Pathways available via JPEC at www.jpec.joslin.org.

1. Type 2 Diabetes Office Systems 2. Insulin Therapy 3. Advancing Therapies for Type 2 Diabetes 4. Cardiometabolic Risk Performance Improvement CME is a construct introduced by the AMA in 2004. Completion of PI CME stages can result in up to 20 AMA PRA Category 1 Credits.™ All four of the above pathways are approved through the American Board of Internal Medicine’s (ABIM) Approved Quality Improvement (AQI) Pathway and are eligible for 20 points towards the Self-Evaluation of Practice Performance requirement of Maintenance of Certification (MOC). For more information, go to www.abim.org/moc/.

Refund Policy A handling fee of $60 is deducted for cancellation. Refund requests must be received by postal mail, email, or fax one week prior to this activity. No refunds will be made thereafter.

Visit www.jpec.joslin.org to get started.

Course Location All sessions for this course will be held at the Fairmont Copley Plaza Hotel, 138 St. James Avenue, Boston, MA, (telephone 1-800-441-1414 or 617-267-5300).

What your colleagues are saying about Advances in Diabetes and Thyroid Disease

Accommodations/Travel

“This was one of the best conferences I have attended in my entire career. It was a realistic view of the diabetic patient as well as the thyroid patient. The speakers were very knowledgeable and able to articulate their knowledge well.”

A limited number of rooms have been reserved at the Fairmont Copley Plaza Hotel (telephone: 1-800-441-1414) until October 11, 2012. Please specify that you are enrolled in this course to receive a reduced room rate of $299 per night for Moderate and Fairmont Rooms (limited quantity) and $329 per night for Deluxe Rooms. Hotel arrangements can also be made online at http://www.fairmont.com/ copleyplaza. Please do not purchase nonrefundable airline ticket(s) until you have received an email from our office confirming your paid registration. For airline reservations contact the HMS Travel Desk toll-free 1-877-4-HARVMD (1-877-442-7863) Monday–Friday 9 AM–8 PM (EST). From outside the U.S., Canada, and Virgin Islands, please call 617-559-3764.

In compliance with the Americans with Disabilities Act, Harvard Medical School will make every reasonable effort to accommodate your needs during your attendance at this activity. For any special requests, please contact Joslin Diabetes Center at 888-567-5460.

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Advances in Diabetes and Thyroid Disease 2012

“It gave me some food for thought about a few difficult patients that I have not known how to follow. Thank you.”

“Very helpful. I look forward to using the online resources as well.”

“I love the practical approach and pearls.”

“Providers are up to date and part of ongoing research on the topic. The case-based workshops on oral meds and insulin were especially helpful.”

Advances in Diabetes and Thyroid Disease 2012

Registration Form Registration Information Tuition Fee

Through September 21

After September 21

Physicians

$595 (USD)

$695 (USD)

Residents*, Fellows in Training,* Allied Health Professionals

$495 (USD)

$595 (USD)

Non Clinical Industry

$895 (USD)

$995 (USD)

*With a letter of verification from the Department Chair; the sponsoring department should be listed along with the hospital

Attendance is limited—register early and save up to $200.

All foreign payments must be made by a draft on a United States bank or by Visa or MasterCard.

Registration by credit card (VISA or MasterCard) can be made at www.cme.hms.harvard.edu/courses/joslin. Registration by check (draft on a United States bank), please make payable to Harvard Medical School and mail with registration form to Harvard Medical School–Department of Continuing Education, PO Box 825, Boston, MA 02117-0825. Telephone or fax registration is not accepted. Registration with cash payment is not permitted. Upon receipt of your paid registration an email confirmation from the HMS-DCE office will be sent to you. Be sure to include an email address that you check frequently. Your email address is used for critical information including registration confirmation, evaluation and certificate.

Advances in Diabetes and Thyroid Disease 2012 Class ID # 3214077 November 1-3, 2012 Please print legibly or type to ensure accurate registration. All fields required.

One registrant per form, please—you may photocopy the form for others.

Please check the type of registration: Physician Resident,* Fellow in Training,* Allied Health Professional Nonclinical Professional industry *Registration must be accompanied by a letter of verification from the Department Chair to receive discount.

$________________

Name ______________________________________________________________________________ Degree ___________________ Organization/Affiliation __________________________________________________________________________________________ Address ______________________________________________________________________________________________________ City ______________________________________________________State ________ Zip/Postal Code __________________________ Country ______________________________________________________________________________________________________ Daytime Telephone ______________________________________________ Fax ____________________________________________ Please note: Your email address is used for critical information about the course, including registration confirmation, evaluation, and certificate.

Please be sure to include an email address you check daily or frequently.

Email ________________________________________________________________________________________________________ Please check if you wish to be excluded from email notices of future Harvard Medical School – Department of Continuing Education programs.

Profession _______________________________________________________ Degree ______________________________________ Primary Specialty (physicians only) _______________________________________________________ Board-Certified

Yes

No

Professional School Attended (physicians only) Harvard Medical School

U.S. medical school

International

Year of Graduation _________________________________

Mail to: HMS-DCE, P.O. Box 825, Boston, MA 02117-0825 Accompany registration form with full payment. If paying by credit card, please register online at http://www.cme.hms.harvard.edu/courses/joslin. Telephone or mail-in registration with credit card payment is not accepted.

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Joslin Diabetes Center One Joslin Place Boston, 02215

Advances In Diabetes

Presorted NONPROFIT U.S. Postage PAID Permit 160 Stoughton, MA

2012

and Thyroid Disease November 10–12, 2012

Register by June 21st and save $200!

The Fairmont Copley Plaza Hotel Boston, Massachusetts

A certified CME live activity addressing practical aspects of diabetes and thyroid disease care and management, including the use of new technologies that address the growing complexity of diabetes care and the challenges of managing chronic illness in a primary care practice.

8

Space is limited. Register today for this certified ACCME activity at Advances in Diabetes and Thyroid Disease 2012 www.cme.hms.harvard.edu/courses/joslin