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CME = CME Session  •  CME+ = Offers state-mandated CME  •  $ = Requires pre-registration and an additional fee  •  T2P = Offers AAFP Translation 2 Practice CME
Please note: Schedule subject to change

Thursday, August 1  |  Friday, August 2  |  Saturday, August 3  |  Sunday, August 4


Thursday. AUGUST 1


11:30 am - 6 pm 
Conference Registration & Information Desk Open
 
8:30 - 10 am
Family Medicine Foundation of Michigan Board of Trustees Meeting
 
10:30 am - 12 pm
Michigan Academy of Family Physicians Board of Directors Meeting
 
12 - 3 pm  CME+  $ 
OPTIONAL PRE-CONFERENCE
America's Controlled Substance Epidemic: The Duty to Inform, Monitor & Document ... Real Solutions for Your Practice!
 [ lunch included ] 
[ Sponsored by Quest Diagnostics ] 
With a background in treatment and medicine, Jodi Switalski—former judge, now lawyer, national speaker, and consultant—astonishes audiences with evidence-based, multi-disciplinary, comprehensive facts combined with emotional, anecdotal experiences from the field to present one of the most compelling cases for action to mitigate liability resulting from the worst drug epidemic our country has ever seen. She artfully presents the reality of the epidemic, its impact on all demographics, and the paradigm shift of liability focused on the medical profession. Jodi closes in a style that may shock you, inspire you, and certainly empower you with the simple solutions to protect yourself, your practice, and your community from this epidemic and wave of litigation. |  Jodi Switalski, JD, Founder & Chief Consultant, Switalski Law & Consulting PLLC/The Stutman Switalski Group LLC, Huntington Woods, MI
(Additional pain and symptom management CME sessions are being offered on Friday, August 2 and Saturday, August 3)
 
1 - 2 pm  CME  
What's New at the ABFM
In light of rapid changes in medicine and healthcare delivery, the American Board of Family Medicine (ABFM) is evolving its processes for Family Medicine Certification. Get your questions answered about the new components of certification designed to increase relevance and flexibility and reduce burden while maintaining high standards. Discussion during this session will also focus on updates related to physician engagement and communication, the new longitudinal assessment alternative to the 10-year exam, the self-directed performance improvement platform designed to meet the needs of Family Physicians engaged in quality improvement activities, and more! | Wendy Biggs, MD, Director, American Board of Family Medicine, Lexington, KY
 
2:05 - 3:05 pm  CME T2P
Medically-managed Weight Loss: A Discussion of Metabolically-directed Nutritional Approaches
As the prevalence of obesity continues to increase, Family Physicians are well-suited to help patients lose weight and prevent or reverse co-morbidities such as atherosclerotic cardiovascular disease and diabetes by choosing a healthier diet. Leave this session with an understanding of the risks and benefits of low-fat, low-carbohydrate, and low-calorie diets in treating obesity, and arm yourself with strategies for incorporating medically-managed weight loss into your Family Medicine practice. | Wesley Eichorn, DO, Assistant Professor; Susan Jevert-Eichorn, DO, Assistant Professor, Department of Family & Community Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI
 
3 - 5 pm 
Exhibitor Move-in
 
3:10 - 4:10 pm  CME+ T2P
Identifying & Assisting Victims of Human Trafficking  
Michigan is taking legal action to thwart activities that support human trafficking—one of the fastest growing crimes in the U.S. Over the past several years, jurisdictions across the country have been implementing strategies to hold traffickers accountable for their crimes while seeking to rescue and restore their victims. During this session, in the context of new laws concerning human trafficking, you will gain knowledge and learn strategies to effectively identify and assist victims of human trafficking. | Kelly A. Carter, Assistant Attorney General, Michigan Department of Attorney General, Criminal Division, Ann Arbor, MI
 
5:15 - 5:45 pm
New Member & First-time Conference Attendee Orientation
Meet other attendees and learn how to navigate the conference and earn and report CME.
 
6 - 8 pm
Reacquaint yourself with colleagues, meet new friends, and introduce yourself to supporters of Family Medicine while enjoying complimentary hors d’oeuvres and beverages.
 
 

Friday. AUGUST 2


6:45 am - 5:30 pm
Conference Registration & Information Desk Open
 
6:45 - 7:45 am  EARLY-BIRD CME  T2P   
Answers to Loaded Questions: Gun Safety & Violence Prevention
Although gun safety and the prevention of gun violence may not be current topics of discussion with your patients, perhaps they could be—or even should be. Increase your understanding of comparative data on gun safety, gun violence prevalence, costs, and prevention. Learn practical clinical approaches to improving patient/family safety, and better understand the positions of our national medical societies on public health advocacy roles for physicians relative to gun violence prevention. | Cheryl Farmer, MD, Board Member, Physicians for the Prevention of Gun Violence and Internist (retired), Department of Internal Medicine, St. Joseph Mercy Hospital, Ann Arbor, MI; William Wadland, MD, Professor Emeritus, Michigan State University College of Human Medicine, Charlevoix, MI
 
7:45 - 8:30 am
 
8:35 - 9:35 am  CME  
Welcome & AAFP Updates
Hear about your Academy’s strategic priorities and latest efforts around advocacy, payment reform, practice transformation, administrative burden, and physician well-being. | John S. Cullen, MD, FAAFP, President, American Academy of Family Physicians, Valdez, AK
 
9:40 - 10:55 am  
BREAKOUT SESSIONS  Choose One
A: Embark on LARC with Certainty  CME   
While the three available LARC methods are over 99.9% effective, uncertainty about their use and concern about insertion difficulties and possible side effects may discourage physicians from offering them. During this hands-on session, gather suggestions for counseling patients prior to starting a LARC method, review and practice insertion steps while identifying potential procedure difficulties and how to overcome them, and learn how to recognize and troubleshoot the most common side effects post-insertion. | Erin Hendriks, MD, Assistant Professor; Allison Ursu, MD, Assistant Professor; and Julie Prussack, MD, Clinical Lecturer, Department of Family Medicine, University of Michigan Medical School, Ann Arbor MI

B: Ultrasound Evaluation of Chronic Tendinopathy  CME  
Ultrasonography can quickly diagnose chronic tendinopathy and differentiate it from associated injuries. It allows for assessing structures dynamically as well as using real-time information and side-to-side comparisons, while being more cost-effective and involving less radiation exposure than MRI. During this session, learn the basics of ultrasound physics/knobology and improve your scanning techniques for evaluating suspected upper and lower extremity chronic tendinopathy. Wear a short-sleeve/sleeveless shirt (paper shorts will be available) to participate in this hands-on session. | Nicholas Moore, MD, Faculty, Detroit Medical Center - Sports Medicine, Detroit, MI

C: Our Future of Patient Care: Staying Ahead of the Telemedicine Curve  CME  
Telemedicine—today’s hottest healthcare trend that’s predicted to hit a total market value of $36 billion by 2020—is driven by three concepts: real-time, home health, and store and forward virtual medicine. Gain insight and practical guidance to stay ahead of the curve and learn how technology will inevitably impact your practice as a Family Physician. Engage with a panel of experts for an open discussion on developments, implementation, and opportunities, as well as potential barriers of virtual primary care. | Srikar Reddy, MD, FAAFP, Medical Director, Ascension South Lyon Family Medicine, South Lyon, MI; Scott Eathorne, MD, President & CEO, Together Health Network, Southfield, MI; and Amy McKenzie, MD, MBA, Medical Director, Value Partnerships, Blue Cross Blue Shield of Michigan, Detroit, MI

D: Risky Business for the Opioid Prescriber: Tools for Success & the “How To”  CME+   [ Sponsored by Quest Diagnostics ]
[ Follow-up to the pre-conference, “America’s Controlled Substance Epidemic: The Duty to Inform, Monitor & Document ... Real Solutions for Your Practice!” presented August 1, 12 - 3 pm ]
Physicians must have proper protocols in place to effectively mitigate liability as it relates to prescribing opioids, benzodiazepines, stimulants, and gabinoids. Learn how to incorporate best practices to not only mitigate liability but also survive a DEA or administrative audit. Gain access to tools that effectively work to inform patients of the risk of addiction (PA 246 and more), create treatment systems for your practice (PA 247 and 248), and meet and exceed current regulatory and legislative mandates. | Jodi Switalski, JD, Founder & Chief Consultant, Switalski Law & Consulting PLLC/The Stutman Switalski Group LLC, Huntington Woods, MI
 
10:55 - 11:30 am
 
11:30 am - 12:30 pm    
Getting to the Root of the Solution: A Call to Action  CME  T2P
Over the past several years, the Michigan legislature has passed legislation that directly affects the practice of Family Medicine, including prescribing controlled substances and obtaining consent to prevent sexual abuse. While some Family Physicians may view these new laws as invasive, consideration of the flip side suggests we could be worse off had it not been for the vigorous advocacy efforts of multiple healthcare organizations, including MAFP. The role of Family Physicians in communities ideally position us to influence the legislative process. Gain a better understanding of why it’s important to be engaged and how we may collectively influence the legislative process through local, grassroots advocacy. | Glenn Dregansky, DO, FAAFP, Assistant Professor, Department of Family & Community Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI
 
12:30 - 1:45 pm
 
1:45 - 2:45 pm   
Pre-operative Evaluation of Patients Undergoing Major Non-cardiac Surgery  CME
Patient-specific and surgery-specific characteristics help delineate risk for an adverse cardiovascular event when undergoing major non-cardiac surgery. Identification and possible quantification of a patient’s individual risk may lead to necessary interventions prior to surgery, as well as better evaluation of the benefit-to-risk ratio associated with major non-cardiac surgery. Leave this session with an understanding of the guidelines and screening tools for determining low and elevated risk and a patient’s functional capacity. | Elizabeth Pionk, DO, Hospitalist/Family Medicine Physician, McLaren Bay Region, Bay City, MI
 
2:45 - 3:40 pm
 
3:40 - 4:40 pm    
Legislative Town Hall  CME
Engage with a panel of state lawmakers on legislative and policy issues impacting Family Medicine in Michigan. Access to primary care, prescription drug and opioid abuse, and administrative burden are among the topics to be discussed. Learn how to leverage resources while anticipating long-term changes in healthcare policy and law. | Moderator: Glenn Dregansky, DO, FAAFP, Chair, MAFP Advocacy Committee, Kalamazoo, MI
 
5 - 6:30 pm  $
Family Medicine PAC Mix & Mingle
Mix and mingle with Family Medicine colleagues and FMPAC supporters in Michigan’s great outdoors as you discuss the latest state legislative happenings, play yard games, and enjoy hors d’oeuvres and beverages. You may even walk away with a prize or two! All proceeds from this annual fundraiser support the Family Medicine PAC—a voluntary political action committee that, through MAFP member contributions, strengthens the voice of Family Medicine in the Michigan legislature and MAFP’s work to ensure state policies and laws protect patients and are in the best interest of the specialty. 
 

Saturday. AUGUST 3


6:45 am - 5:30 pm
Conference Registration & Information Desk Open

6:45 -7:45 am  EARLY-BIRD CME+  T2P    
Beyond the Morphine Drip: Comfort Measures in the Last 72 Hours
Prepare for this practical primer on using opioids to confidently and safely manage end-of-life pain for terminally ill patients. With a particular emphasis on the last 72 hours of life, these principles are applicable to the management of any pain crisis requiring opioids. Discussion will focus on the pharmacology of commonly used opioids—including routes of administration, indications and contraindications, risks, and side effects—as well as dose stacking and interventions necessary to address other frequently encountered symptoms. Preparation for this in-depth session will greatly facilitate learning; therefore, a list of suggested readings will be provided in advance. | Fred Van Alstine, MD, MBA, Associate Medical Director, Hospice & Palliative Care, Munson Home Health, Traverse City, MI

7:50 - 8:50 am  CME  
Out of Bounds: Previous Claims Under Further Review [ breakfast included ]
Whether you are competing for a championship sports title or practicing medicine, there are consequences for crossing the line. Learn about professional liability considerations associated with personally and professionally stepping out of bounds. The information and examples presented will help you stay in the game. | Mark Hakim, MA, MBA, CPHRM, Director, Strategic Partnerships, Risk Resource, ProAssurance, Okemos, MI

8:55 - 9:55 am    
Transgender Healthcare Delivery for the PCP  CME  T2P
Navigating the healthcare system to obtain quality care can be challenging for transgender patients. As Family Physicians, we are distinctively positioned to address the unique needs of this diverse and important population. Learn your role in providing culturally- responsive care—including gender-affirming treatment and preventive screening considerations—for transgender patients. | Jessica Heselschwerdt, MD, Assistant Professor, Michigan State University College of Osteopathic Medicine, East Lansing, MI

10 - 11 am  CME+   
Medical Ethics: A Pragmatic Approach 
As a patient nears the end of life, conflicts commonly arise when the family’s expectations exceed what is medically possible. Physicians may also experience moral distress when they recognize that aggressive treatment is no longer beneficial. Utilizing recognized ethical tenants, this session will explore a structured framework for analyzing ethical dilemmas and provide suggested techniques for managing conflict and aligning end-of-life goals through effective communication. | Fred Van Alstine, MD, MBA, Associate Medical Director, Hospice & Palliative Care, Munson Home Health, Traverse City, MI

11 - 11:10 am
Break

11:10 am - 12 pm    
Avoid the Pitfalls of a Break  CME
Preventing falls for those at risk for osteopenia and osteoporosis, as well as diagnosing and treating these conditions, requires a multi-modal approach. There are a myriad of guidelines and clinical recommendations for integrating fall and fracture risk assessment, screening, and treatment of osteopenia and osteoporosis in community-based and long-term care. Knowing what to recommend, and what to recommend against, are equally important. This session will guide you in developing an evidence-based, collaborative prevention and treatment plan with patients at risk of falls, osteopenia, and osteoporosis. | David Walsworth, MD, FAAFP, Associate Chair for Clinical Affairs and Associate Professor, Michigan State University College of Human Medicine, East Lansing, MI

12 - 2 pm
Annual Meeting & Lunch
Help shape the future of your profession and have your voice heard! Lunch will be served while bylaws changes are voted on, resolutions and the state of the Academy are discussed, new officers and directors are elected, and AAFP President John Cullen, MD, FAAFP confers Michigan’s newest AAFP Fellows. Click here for a “how-to” on submitting a resolution for discussion at the Annual Meeting. All  MAFP members in good standing are eligible to submit resolutions and vote during the meeting. Resolution submissions are due by June 27.

2 - 2:15 pm
Break

2:15 - 3:15 pm  CME   [ Sponsored by North Carolina Academy of Family Physicians & Spire Learning ]
What’s New in Eczema Management: Practice Pearls for the FP
Diagnosis and long-term management of mild to moderate atopic dermatitis (AD) is a crucial clinical care gap among many primary care physicians that has broad implications for patient outcomes. Based on an understanding of the pathogenesis of AD, this session will focus on how to accurately assess disease severity and implement individualized management regimens—linchpins of developing an effective treatment plan with the highest likelihood of achieving treatment response, disease remission, and improving quality of life factors such as itching and sleep. |

3:20 - 4:20 pm    
The Valued-based Care Alphabet Soup: TCM, CCM & HCC  CME 
As payers look toward value-based contracting, such as through the Medicare Shared Savings Program, Family Physicians have come to grasp the evolving patient care paradigms of Transitional Care Management (TCM) and Chronic Care Management (CCM). We must also understand and become better adept at identifying the severity and complexity of a patient’s condition through Hierarchical Condition Category (HCC) coding. With a main focus on HCC coding, this session will review the common opportunities in primary care. | Jennifer Aloff, MD, FAAFP, Medical Director, Great Lakes Physicians Aledade ACO, Midland, MI

5 - 6 pm  
Cocktail Hour
Conference registrants receive one beverage ticket; cash bar will be open.

6 - 8 pm  $  
Michigan Family Medicine Celebration Dinner
Enjoy a special dinner as we recognize the 2019 ‘Academy’ Award winners and other member achievements. We will also thank outgoing MAFP President Mary Marshall, MD, RN and FMFM President Tim Tobolic, MD for their leadership, and welcome newly installed Keerthy Krishnamani, MD, MBA and Robert Jackson, MD, MMM, FAAFP as they step into the MAFP and FMFM presidential seats, respectively.

8 - 10 pm    Minimum donation of $250 per ticket entry
Family Medicine Foundation of Michigan VIP Afterglow
This exclusive event is a “thank you” to supporters for donations they have made between August 1, 2018, and July 31, 2019, to help advance Family Medicine in Michigan. Cocktails and hors d’oeuvres will be served in the Presidential Suite overlooking scenic “Pure Michigan” views. Click here to donate today.


Sunday. AUGUST 4


6:30 am - 12:45 pm
Conference Registration & Information Desk Open

7:15 - 8:30 am 
Leadership Breakfast [ by invitation only ]
This serves as the formal orientation for MAFP’s, FMFM’s, and FMPAC’s boards and committees. Get acquainted with your leadership role and the members with whom you are serving.

8:35 - 9:35 am  CME   [ Sponsored by AstraZeneca ]
Diabetes & Heart Failure: Truth and Consequences  [ breakfast included ]
Cardiovascular health is a growing concern in the treatment of diabetes, as type 2 diabetes and heart failure commonly co-exist. In fact, up to 40% of patients with heart failure have diabetes; conversely, having type 2 diabetes more than doubles the risk of heart failure. While the vast majority of patients with type 2 diabetes receive their diabetes care from a primary care provider, it is essential that Family Physicians assess these patients for cardiovascular risk. Leave this session with an understanding of the glucose-lowering medication shown to be beneficial in patients with type 2 diabetes who are risk of heart failure. | Michael E. Cobble, MD, Director and Family Physician, Canyons Medical Center, Sandy, UT

8:45 am - 12:45 pm  CME  $
OPTIONAL Knowledge Self-Assessment: Care of the Vulnerable Elderly
Complete the 60-question KSA with colleagues in a distraction-free, facilitated group discussion and earn up to 8 AAFP Prescribe Live CME credits. Upon completion of part A, you will be able to demonstrate knowledge in the following as they relate to the vulnerable elderly: medical conditions, geriatric emergencies, neurology and geropsychiatry, preservation of function, pharmacology, palliative care, and medical management, health systems, policies, and issues. | Moderator: David Walsworth, MD, FAAFP, Associate Chair for Clinical Affairs & Associate Professor, Department of Family Medicine, Michigan State University College of Human Medicine (East Lansing, MI) 

9:40 - 10:40 am  CME  [ Sponsored by North Carolina Academy of Family Physicians & Spire Learning ]
Let’s Start a Conversation: Vaginal & Sexual Health at Midlife  [ part II follows at 11:45 am ] 
It is increasingly recognized that sexual health and well-being is an integral component of women’s health. Although 80% of women in the U.S. believe that sex is a necessary component of a fulfilling life, most patients think physicians can do little to help their sexual problems. Persistent stigmatization of women’s sexual health further hampers patient-physician communication. Family Physicians are, however, poised to affect meaningful change in the lives of women with sexual dysfunction, such as genitourinary syndrome of menopause (GSM). Learn about the prevalence of GSM and its impact on quality of life, and gather effective tools for communicating with, and developing individualized treatment strategies for, postmenopausal women with GSM. | Andrea J. Singer, MD, FACP, CCD, Director, Women’s Primary Care, Department of Obstetrics & Gynecology, MedStar Georgetown University Hospital, Washington, DC

10:45 - 11:45 am  CME  T2P  [ Sponsored by Amgen ]
Non-statin Therapies for Lowering LDL-C to Manage ASCVD Risk
While statins have become the cornerstone of drug therapy for managing hypercholesterolemia, not all patients are able to achieve optimal CVD risk reduction with statins alone. Non-statin therapies—including the newest lipid-lowering drug class, PCSK9 inhibitors—provide relative benefits for a more aggressive approach to lowering lipids. Discussion during this session focuses on evidence-based strategies for managing hypercholesterolemia with an emphasis on understanding the role of non-statin therapies, particularly PCSK9i. Case scenarios will highlight practical applications of non-statin treatment and strategies for improving patient access. | Michael E. Cobble, MD, Director and Family Physician, Canyons Medical Center, Sandy, UT

11:45 am - 12:45 pm  CME  T2P   [ Sponsored by North Carolina Academy of Family Physicians & Spire Learning ]
Let’s Start a Conversation: Low Sexual Desire in Women
As a continuation of the previous discussion at 9:40 am, this session explores hypoactive sexual desire disorder (HSDD) among menopausal and postmenopausal women. Learn about its prevalence and impact on quality of life, common causes and co-morbidities that should be addressed before initiating targeted treatment, and communication strategies and screening tools effective for increasing the identification and diagnosis of patients with HSDD. Discussion will also focus on the efficacy and safety of approved, emerging, and off-label HSDD treatments. | Andrea J. Singer, MD, FACP, CCD, Director, Women’s Primary Care, Department of Obstetrics & Gynecology, MedStar Georgetown University Hospital, Washington DC