INTERNAL MEDICINE FOR PRIMARY CARE: ADDICTION/GYNECOLOGY/NEUROLOGY/PALLIATIVE
Oahu, HI – Aulani, A Disney Resort & Spa
June 15 – 19, 2025
Target Audience
This program is targeted to office-based primary care providers and other health professionals with updates in primary care medicine
Learning Objectives
Upon completion of this program, participants should be better able to:
- – Perform a neurological exam
- – Utilize history and physical examination to distinguish weakness from non-specific symptoms
- – Describe the differential diagnosis of headaches and migraines
- – Discuss evidence-based management options for Alzheimer’s disease
- – Evaluate weakness and recognize cardinal features of Parkinson’s disease as well as other movement disorders
- – List details about the Medicare hospice benefit
- – Describe the primary care approach to palliative medicine including symptom management
- – Recognize the importance of prognosis in decision making for seriously ill patients
- – Define and establish goals of care with patients and their families
- – Discuss pain management options with both nonopioid and opioid medications
- – Describe the neurobiology of addiction
- – Discuss options for patients with chronic pain addictions
- – Identify therapies, including nonpharmacological pain treatment strategies, that can reduce the dose of opioids to control pain
- – Develop a treatment plan for Alcohol Use Disorder
- – Apply evidence-based treatment strategies to chronic brain disorders affecting behavioral addictions
- – Assess and manage abnormal uterine bleeding
- – Discuss menopausal transition and the risks/benefits of treatment options
- – Describe the management of HPV infection and abnormal pap smear results
- – Identify evidence-based tools to determine best practices in incorporating all necessary elements in the annual women’s health visit
- – Discuss modern methods of fertility, natural family planning and contraception
Agenda & Learning Objectives
Time | Session Title | Topic | Description |
Sunday, June 15, 2025 | |||
2:30 pm | Registration | ||
3:00 pm – 4:00 pm | The Neurological Exam | Neurology | Characteristics and objectives of the examination; exam phases; assessing general mental status; long-term predications; examination of infants; demonstration on conducting an exam. |
4:00 pm – 5:00 pm | Evaluating Weakness | Neurology | Using the history and physical examination to distinguish weakness from non-specific symptoms; characteristics of neurological diseases that produce weakness; presentations of representative diseases of the nervous system. |
5:00 pm – 6:00 pm | Headaches & Migraines | Neurology | Basic headache mechanisms; headache history: characteristics, precipitating factors, medical conditions; migraine: common tension, classic, treatment, complicated, cluster, sinus; trigeminal neuralgia; Giant Cell Arteritis; brain tumor; subarachnoid hemorrhage; emergency room treatment. |
6:00 pm | Session Adjourns | ||
Monday, June 16, 2025 | |||
7:00 am | Registration and Hot Breakfast | ||
7:30 am – 8:30 am | Medicare Hospice Benefit | Palliative | Which patients are eligible? What is palliative care? What does the Medicare benefit provide for patients and families? |
8:30 am – 9:30 am | Symptom Management | Palliative | Symptom management; Symptom management of dyspnea and cough, pain, nausea and vomiting, constipation, and agitation, at the end of life. |
9:30 am – 9:40 am | Coffee Break | ||
9:40 am – 10:40 am | Prognostication for the PCP | Palliative | Estimating life expectancy for patients with life-limiting illnesses such as CHF, Alzheimer’s dementia, Parkinson’s disease, end stage renal disease. |
10:40 am – 11:40 am | Alzheimer’s & Other Dementias | Neurology | Definition; statistics; neurological changes of normal aging; pathology; etiological theories; vascular dementias; investigations; social issues; symptomatic treatment; research therapies. |
11:40 am – 12:40 pm | Parkinson’s Disease & Other Movement Disorders | Neurology | Epidemiology; cardinal features; secondary features; pathology; neurochemistry; differential diagnosis; treatment; complication; other movement disorders; neuroleptic- induced movement disorders; chorea. |
12:40 pm | Session Adjourns | ||
Tuesday, June 17, 2025 | |||
7:00 am | Registration and Hot Breakfast | ||
7:30 am – 8:30 am | Addiction 101 | Addiction | This module will introduce the disease model of addiction, its neurobiology, and some of the toolseasily used in the primary care setting to identify who is at risk for addiction. |
8:30 am – 9:30 am | Chronic Pain and Addiction | Addiction | Epidemiology of pain; risk factors and comorbidity; pain management concepts; patient factors affecting the analgesic response; the relationship between stress and chronic pain; the range of therapeutic options for management including non-pharmacologic approaches. |
9:30 am – 9:40 am | Coffee Break | ||
9:40 am – 10:40 am | Opioid Use Disorder | Addiction | Update on the opioid crisis; Risk for opioid misuse and addiction; FDA approved medication for treating overdose; FDA approved medication-assisted treatment (MAT) for managing opioid addiction. |
10:40 am – 11:40 am | Addressing Goals of Care | Palliative | Definition of POA, DNR, DNI, DNH, MOLST, POLST; Techniques on how to address goals of care, both in acute crisis as well as when the patient has chronic issues. |
11:40 am – 12:40 pm | Pain Management in the Palliative Care Patient | Palliative | Treatment of pain with both nonopioid and opioid medications; New guidelines related to opioid prescribing; Side effects management. |
12:40 pm | Session Adjourns | ||
Wednesday, June 18, 2025 | |||
7:00 am | Registration and Continental Breakfast | ||
7:30 am – 8:30 am | Abnormal Uterine Bleeding | Gynecology | Overview of normal/abnormal menstrual physiology/profile; Menstrual disturbances; Ovulatory and anovulatory uterine bleeding; Other menstrual abnormalities; Diagnosis and appropriate treatment options. |
8:30 am – 9:30 am | Menopause Transition and Hormone Replacement Therapy | Gynecology | Symptoms of menopause, including hot flashes, night sweats, and atrophy; Menopause syndromes, including osteoporosis, breast cancer, cardiac disease, and colon cancer; Estrogen analogs; Counseling patients in options and alternatives to hormone therapy; Designer estrogens; SERMs; HRTs; Discussion of risks and benefits, especially in breast cancer and CHD. |
9:30 am – 9:40 am | Coffee Break | ||
9:40 am – 10:40 am | Cervical Cancer Screening Including HPV Management | Gynecology | Current recommendations for cervical cancer screening; incorporating the ASCCP consensus guidelines for management of cytologic cervical abnormalities (including ASCUS, LGSIL, HGSIL and atypical glandular cells) into practice; Algorithm for the appropriate use of HPV testing and managing results; Determining appropriate candidates for the use of the HPV vaccine. |
10:40 am – 11:40 am | Alcohol & Benzodiazepines | Addiction | The scope of alcohol related problems and the societal burden of Alcohol Use Disorder; Overview of FDA-approved and more common off-label pharmacotherapies for Alcohol Use Disorder. |
11:40 am – 12:40 pm | Gaming, Gambling & Social Media | Addiction | Behavioral addictions to gaming, gambling and social media are poorly understood and thus underdiagnosed and under-treated. They are chronic brain disorders with specific risk factors and require appropriate screening, diagnosis and evidence-based treatment. |
12:40 pm | Session Adjourns | ||
Thursday, June 19, 2025 | |||
7:00 am | Registration and Continental Breakfast | ||
7:30 am – 8:30 am | Annual Exam for Women | Gynecology | Best practices in offering annual pelvic examinations in asymptomatic non-pregnant women; Determination of who should be offered a clinical breast exam as a routine part of the annual women’s health exam; The principal elements of the annual women’s health visit: screening, vaccinations, evaluation of health risks and needs, counseling; Evidence-based tools to guide components of the annual women’s health visit based on age and health needs. |
8:30 am – 9:30 am | Fertility Awareness and Management | Gynecology | Comprehensive review and strategies to apply the physiologic knowledge of the menstrual cycle to clinical situations; Analysis of information about peak fertility times; Comparison and contrast of modern methods of fertility awareness and contraception. |
9:30 am | Conference Adjourns |