Best Approaches to Clinical Best PracticesMonday, April 23 – Thursday, April 26, 2018Sheraton Maui Resort & Spa, Maui, Hawaii

About the CourseThis course is designed to review and present updates on practical

approaches to clinical conditions commonly encountered in the

outpatient setting. Course content focuses on the best available

evidence and key points for improving patient care. Lectures and case

presentations will provide background and take-home strategies to

help clinicians improve their daily practices.

Target AudiencePrimary Care Practitioners, PA-C, ARNP, Nursing, General Internists

and health care professional teams

Kaiser Permanente WashingtonOffice of Continuing Medical Education

Program AgendaMonday, April 23, 201812:00 p.m. Registration & Refreshments12:30 – 1:00 Introduction – Angie Sparks, MD1:00 – 2:00 Key Note: Ohana Centered Care; Healing the past and the present to ensure

wellness for the future – Maile Tauali’i, PhD, MPH2:00 – 3:00 Diabetes Prevention and Weight Management – Avantika Waring, MD3:00 – 3:15 Break3:15 – 4:15 Coronary Artery Disease Interventions – Jason Davis, MD4:15 – 5:15 The Fifteen-Minute Shoulder – Blair Becker, MD 5:15 p.m. Evaluation & Adjournment

6:30 p.m. Family Reception

Tuesday, April 24, 20186:30 a.m. Registration & Refreshments7:00 – 7:15 Introduction – Angie Sparks, MD7:15 – 8:15 Immunization Refusal – John Dunn, MD, MPH8:15 – 9:15 Shared Decision Making for Lung Cancer Screening – Andrew H. Felcher, MD9:15 – 9:30 Break9:30 – 10:30 Prescription and OTC Drugs in Pregnancy and Lactation – Annelise Gaaserud, MD, MPH10:30 – 11:30 ASCVD Primary Prevention – Angie Sparks, MD11:30 a.m. Evaluation & Adjournment

Wednesday, April 25, 201812:00 p.m. Registration & Refreshments12:30 – 12:45 Introduction – Angie Sparks, MD12:45 – 2:00 Drug and Alcohol Detox Case Studies – Ryan Caldeiro, MD, Angie Sparks, MD2:00 – 3:00 Cardiomyopathy – Jason Davis, MD3:00 – 3:15 Break3:15 – 4:15 Shared Decision Making for Breast Cancer Screening – Andrew H. Felcher, MD4:15 – 5:30 Finding Joy in the Back Pain Visit – Blair Becker, MD5:30 p.m. Evaluation & Adjournment

Thursday, April 26, 20186:30 a.m. Registration & Refreshments7:00 – 7:15 Introduction7:15 – 8:15 Menopause Cases – Annelise Gaaserud, MD, MPH8:15 – 9:15 Diabetes Cases – Avantika Waring, MD9:15 – 9:30 Break 9:30 – 10:30 Pediatric Cases – John Dunn, MD, MPH10:30 – 11:30 Marijuana: Considerations and Questions – Ryan Caldeiro, MD, Angie Sparks, MD11:30 – 11:45 Closing Remarks & Conference Reflections11:45 a.m. Evaluation & Adjournment

Best Approaches to Best Practices ~ Mon., Apr. 23 - Thur., Apr. 26, 2018

All faculty disclosed that their

presentationsinclude no promotion of any commercial

products or services. They have no relationships with commercial

entities to report and do not anticipate discussing

any off-label uses of a product.

ObjectivesAt the end of this conference, participants will be able to:• Apply best practices in diabetes prevention and discuss weight

management strategies.• Provide best practices for the management of coronary artery

disease.• Implement an evidence-based approach to shoulder pain that

accounts for both the short list of diagnoses not to miss, and the more likely chronic etiologies that are best treated with focused physical therapy and efficient follow-up.

• Discuss barriers related to immunization refusal and apply strategies to minimize those barriers.

• Identify the difference between patient decision aids and true shared decision making tools. Participants will understand how to use point of care shared decision making tools during an office visit to perform effective and efficient shared decision making around lung and breast cancer screening.

• Use best practice counseling around the use of common OTC medications in pregnancy and lactation. Apply evidence-based principles to prescribing during pregnancy and lactation, including medications for depression and anxiety, nausea, and diabetes, as well as antibiotics.

• Apply evidence-based recommendations for the evaluation and management of ASCVD.

• Evaluate and manage alcohol and drug detox.• Diagnose, evaluate, and discuss treatment options for

cardiomyopathies.• Assess the cardiovascular risk of patients with dyslipidemia

and apply treatment and lifestyle strategies to stabilize blood cholesterol and weight.

• Use appropriate rehabilitation and thoughtful counseling to eliminate the element of “crisis” from most back pain visits.

• Provide evidence-based counseling and prescriptions for symptoms of menopause, including HRT. Identify normal and concerning vulvar and perineal skin changes in menopause; apply evidence-based recommendations for their management. Understand issues surrounding recurrent UTI in post-menopausal women.

• Identify clinical presentations and perform initial workup and management of complex problems and complications of diabetes.

• Apply best practices for managing common and challenging pediatric clinical presentations.

• Describe the therapeutic uses and clinical indications for cannabis in a clinical setting.

Objectives, Faculty & DisclosureBest Approaches to Best Practices ~ M

on., Apr. 23 - Thur., Apr. 26, 2018

Blair Becker, MDCAQ Sports MedicineFaculty, Kaiser Permanente Washington Family Medicine Residency Washington Permanente Medical Group

Ryan M. Caldeiro, MDChief of Chemical Dependency Services and Consultative PsychiatryAddiction PsychiatryBehavioral Health Support Services Washington Permanente Medical Group

Jason Davis, MDCardiology, Tacoma Specialty CenterWashington Permanente Medical Group

John Dunn, MD, MPHDepartment of PediatricsMedical Director, Preventive CareWashington Permanente Medical Group

Andrew H. Felcher, MDHospital MedicinePhysician Director, Anticoagulation ClinicDirector, NWP Guidelines, Evidence-Based Medicine and Shared Decision MakingNorthwest Permanente, P.C.

Annelise Gaaserud, MD, MPHFamily Medicine, Family Health CenterDirector, Family Medicine OB ProgramWashington Permanente Medical Group

Angie Sparks, MDCourse Chair, Planning CommitteeMedical Director, Clinical Knowledge Development & SupportFamily Medicine, Burien Medical CenterWashington Permanente Medical Group

Maile Tauali’i, PhD, MPHAssistant Professor, Native Hawaiian and Indigenous HealthUniversity of Hawai’i, Manoa, Office of Public Health Studies and Hawaiinuiakea, School of Hawaiian Knowledge

Avantika Waring, MDChief, Diabetes ProgramDepartment of Endocrinology Capitol Hill Specialty ServicesWashington Permanente Medical Group

AccreditationKaiser Foundation Health Plan of Washington is accredited by the Washington State Medical Association CME Accreditation Committee to sponsor continuing medical education activities for physicians.

Kaiser Foundation Health Plan of Washington designates this educational activity for a maximum of 17.50 hours in Category 1 to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

Kaiser Foundation Health Plan of Washington designates this live activity for a maximum of 17.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Best Approaches to Clinical Best PracticesMonday, April 23 – Thursday, April 26, 2018Sheraton Maui Resort & Spa, Maui, Hawaii

Lodging and Registration

Sheraton Maui Resort & Spa, Kaanapali Coast, Maui, HawaiiLocated on 23 oceanfront acres at legendary Pi’u Keka’a (Black Rock) on Ka’anapali Beach, Sheraton Maui Resort & Spa invites travelers to experi-ence adventure and family fun on Maui.

Reservation Information1. Room rate: The resort is offering run of the ocean rooms at $245 per

night. These rooms are limited and reserved on a first-come, first-served basis. Rates are based on single or double occupancy, and donot include 13.416% tax or the daily resort charge plus tax of 4.166%per day. Additional adults (18 or older) in a room are charged $80 pernight plus tax.

2. Resort fee: The $25 per day resort fee is waived April 21–28, 2018; otherwise, the resort charge will be $10.00plus tax per day, per room.

3. Group name: You must indicate our group name as Kaiser Permanente Washington and make your reservationno later than March 23, 2018 to receive these special group rates.

4. Reservations: We encourage you to reserve your rooms using this KPWA Best Approaches to Clincial BestPractices reservation web site, so that you are eligible for the room charge benefits and to ensure that we meetour hotel obligations.Reservations office (808) 921-4645 or 1-800-782-9488. The hours of operation are Monday through Friday 7:00a.m. to 5:00 p.m., and Saturday 8:00 a.m. to 4:00 p.m., Hawaii Standard Time. The office is closed on Sundays.

5. Deposit: A deposit equal to two (2) nights’ stay is required to hold the reservation.6. Availability: The above rates are available to attendees three (3) days before and three (3) days after the confer-

ence, subject to availability of group rate and guest rooms at the time of reservation.7. Cancellation: Cancellations received at least thirty (30) days prior to arrival for which a cancellation number is

obtained will receive a full refund on room deposits.

Kaiser Permanente Washington Cancellation PolicyTo receive a refund on tuition, KPWA Continuing Medical Education must receive written notification of your cancellation at least 15 days before the first day of the activity. Cancellations received 8 to 14 days before the first day of the activity will be granted a 50% refund. No tuition refunds will be issued for cancellations less than 7 days before the first day of the activity. The Office of Continuing Medical Education exercises the right to conduct its courses based on meeting a minimum enrollment. This office reserves the right to cancel this course 30 days prior to the course date. Each registrant will be notified and given a full refund. KPWA is not responsible for any costs incurred, such as airline or hotel penalties.

Tuition: q Medical Staff: $795q Locum Tenens, ARNPs, Nursing, Resident and Others: $695

Register online using our secure registration and payment site. If you prefer to pay over the phone, please call 206-326-2084 or 206-326-2924.

For more information contact: Maria Cardenas-Ansone-mail: cardenasanson.m@ghc.orgKPWA Continuing Medical Education201 16th Ave. E, CWB-3, Seattle, WA 98112Visit https://cmetracker.net/GHC/Catalog for upcoming activities.