Mayo School of Continuous Professional Development

Psychiatry in Medical SettingsJanuary 23-25, 2014Harbor Beach Marriott Resort & Spa3030 Holiday Drive | Fort Lauderdale, FL 33316

REGISTER ONLINE NOW! http://www.mayo.edu/cme/psychiatry-and-psychology-2014r203

AAFP – This Live activity, Psychiatry In Medical Settings, with a beginning date of January 23, 2014, has been reviewed and is acceptable for up to 18.00 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

COURSE DESCRIPTIONMayo Clinic faculty, board certified in Psychosomatic Medicine or medical disciplines, will review principles of medical-psychiatric diagnosis and treatment of patients managed in medical and surgical inpatient and outpatient settings. Featured topics to be covered in depth this year are Functional Neurologic Disorders, Functional Gastrointestinal Disorders, and Treatment Resistant Depression. The target audiences are family medicine physicians, general internists, psychiatrists, and selected medical and surgical specialists and subspecialists who manage conditions with significant behavioral or psychiatric contributions.

COURSE LEARNING OBJECTIVESUpon conclusion of this program, participants should be able to:1. Describe management strategies for depression, particularly treatment resistant

depression, in patients with comorbid medical illnesses2. Outline strategies for identification and treatment of anxiety disorders in patients

with comorbid medical illnesses3. Describe evidence-based evaluation and management strategies for patients who

have psychophysiological disorders (e.g. functional gastrointestinal disorders, functional movement disorders, behavioral spells)

4. Identify evidence-based pharmacological and nonpharmacological treatments for illness anxiety

5. Identify unique elements of managing clinical psychiatric disorders in patients with chronic fatigue and fibromyalgia

6. Recognize challenges in the emerging use of medicinal marijuana and outpatient management of chronic pain

Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.

INTENDED AUDIENCEThis course has been designed for family physicians, general internists, psychiatrists, physician assistants, and advanced practice nurses.

CREDITCollege of Medicine, Mayo Clinic, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

College of Medicine, Mayo Clinic, designates this live activity for a maximum of 22.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

18.25 AMA PRA Category 1 Credits™ are designated for the general session.4 AMA PRA Category 1 Credits™ are designated for the ABFM SAM.

AAFP – This Live activity, Psychiatry In Medical Settings, with a beginning date of January 23, 2014, has been reviewed and is acceptable for up to 18.00 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABFM-Self-Assessment Module (SAM) – DepressionFacilitated by Mayo Clinic experts, this learning experience allows attendees to work together to review and discuss core competency questions and to decide as a group, the best answers. The SAM will be held Saturday, January 25, 2014 and will be using the Depression module.

DATE AND LOCATIONPsychiatry in Medical Settings will be held January 23 - 25, 2014. Course headquarters will be located at the Harbor Beach Marriott Resort & Spa; 3030 Holiday Drive; Fort Lauderdale, FL 33316.

REGISTRATIONTo register online, visit http://www.mayo.edu/cme/psychiatry-and-psychology-2014r203. The registration fee includes tuition, comprehensive electronic course syllabus, continental breakfast, and break refreshments. Although it is not Mayo School of Continuous Professional Development (CPD) policy to limit the number of registrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised. A letter of confirmation will be sent upon receipt of payment and completed registration form. Please present the confirmation letter when checking in at the meeting registration desk.

For additional information, contact: Mayo School of Continuous Professional Development Plummer 2-60 200 First Street SW Rochester, MN 55905

Website: www.mayo.edu/cme psychiatry-and-psychology E-mail: cme@mayo.edu Phone: 800-323-2688 or 507-284-2509Fax: 507-284-0532

CANCELLATION POLICYIf you cancel your participation in this course, your registration fee, less $75 administrative fee, will be refunded when written notification is received by Mayo School of CPD before January 9, 2014 (cme@mayo.edu or fax#: 507-284-0532). No refunds will be made on or after January 9, 2014. Canceled registrations are non-transferable.

Mayo School of CPD reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event Mayo School of CPD must cancel or postpone this course, Mayo School of CPD will refund the registration fee, but is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.

LODGING ACCOMMODATIONSThe Harbor Beach Marriott Resort and Spa is home to 16 acres of private beachfront property, offering gorgeous ocean views, and endless opportunities to create lifetime memories. The resort is equipped with 650 luxuriously appointed guest rooms and suites, 5 dining outlets, one quarter mile of private beach access and a 22,000 square foot spa, featuring 17 treatment rooms. Fort Lauderdale is also home to over 165 miles of navigable waterways, and houses over 42,000 resident yachts showcased at one of the largest Annual Boat Shows in the United States. This unique, yet warm property is sure to become a favorite destination for all guests who visit.

The Harbor Beach Marriott is extending a special rate of $279 for course participants. When making reservations, please identify yourself as part of the Mayo Clinic: Psychiatry Course. In order to receive the special rate, reservations must be made before the room block is filled or before the expiration date of December 28, 2013. Reservations will be taken following this date based on space and rate availability. For additional information, please contact 1-800-228-9290.

https://resweb.passkey.com/Resweb.do?mode=welcome_ei_new&eventID=10717387

Mayo School of CPD is not responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at the meeting. Costs incurred by the registrant such as airline or hotel fees or penalties are the responsibility of the registrant.

Lodging arrangements are the sole responsibility of the individual registrant.

TRAVEL

The Harbor Beach Marriott Resort and Spa is nestled in Fort Lauderdale, Florida, and located only 4 miles from Fort Lauderdale Airport.

Travel arrangements are the sole responsibility of the individual registrant.

FACULTY

Course DirectorsRobert P. Bright, M.D.Jeffrey P. Staab, M.D.

Mayo Clinic FacultyAdil E. Bharucha, MBBS, M.D.J. Michael Bostwick, M.D.Robert P. Bright, M.D.Paul E. Croarkin, D.O.Joseph F. Drazkowski, M.D.Mark A. Frye, M.D.Jay C. Goetting, P.T.Karen Grothe, Ph.D., L.P.Daniel K. Hall-Flavin, M.D.Michele A. Hanson, M.D.Sheila G. Jowsey, M.D.David J. Katzelnick, M.D.Lois E. Krahn, M.D.Timothy W. Lineberry, M.D.Katherine M. Moore, M.D.Shehzad K. Niazi, M.D.Craig N. Sawchuk, Ph.D., L.P.Richard J. Seime, Ph.D., L.P.Jeffrey P. Staab, M.D.Cynthia M. Stonnington, M.D.Kristin Vickers Douglas, Ph.D., L.P.

Guest FacultyJames R. Rundell, M.D.Chief Medical Officer, Tamber Health

FACULTY DISCLOSURE

As a provider accredited by ACCME, College of Medicine, Mayo Clinic (Mayo School of Continuous Professional Development) must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course director(s), planning committee, faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

Thursday, January 23, 2014 7:00 AM Continental Breakfast 8:00 AM Announcements

Jeffrey P. Staab, MD

8:10 AM Difficult Diagnostic Dilemmas for Depression in Medical SettingsJames R. Rundell, MD

8:30 AM Difficult Diagnostic Dilemmas for Anxiety in Medical SettingsCraig N. Sawchuk, PhD, LP

8:50 AM Somatic Symptom Disorders and Illness AnxietyJeffrey P. Staab, MD

9:10 AM Insomnia in Medically IllLois E. Krahn, MD

9:30 AM Audience Questions and DiscussionDrs. Rundell, Sawchuk, Staab, and Krahn

9:50 AM BREAK

Featured Topic #1 – Functional Neurologic Disorders10:10 AM Neurologist’s Perspective

Joseph F. Drazkowski, MD

10:50 AM Psychiatrist’s PerspectiveJeffrey P. Staab, MD

11:10 AM Clinical Pearl # 1 – Physical Therapy Interventions Jay C. Goetting, PT

11:20 AM Clinical Pearl # 2 – Behavioral AnalysisRichard J. Seime, PhD, LP

11:30 AM Case Based – Panel DiscussionCollaborative Management of Functional Neurologic DisordersRobert P. Bright, MD, moderator, Joseph F. Drazkowski, MD, Jeffrey P. Staab, MD, Jay C. Goetting, PT, Richard J. Seime, PhD, LP

12:10 PM LUNCH (On your own)

1:10 PM ADHD into AdulthoodPaul E. Croarkin, DO

1:30 PM Alcohol DetoxificationBeyond BenzodiazepinesDaniel F. Hall-Flavin, MD

1:50 PM Psychopharmacology in Pregnancy and the PostpartumKatherine M. Moore, MD

2:10 PM Audience Questions and DiscussionDrs. Croarkin, Hall-Flavin, and Moore

2:30 PM BREAK

2:50 PM Concurrent Workshops I (Choose one)

- Practical Management of Functional Neurologic DisordersJoseph F. Drazkowski, MD, Jeffrey P. Staab, MD, Jay C. Goetting, PT

- Practical Weight Management StrategiesKaren Grothe, PhD, LP

- Psychotherapy Practicum # 1 – Motivational Interviewing and Behavioral ActivationKristin Vickers Douglas, PhD, LP, James R. Rundell, MD

3:50 PM ADJOURN

Program Schedule

Program ScheduleFriday, January 24, 20147:00 AM Continental Breakfast 8:00 AM Announcements

Robert P. Bright, MD

8:10 AM Behavioral Considerations in Cardiac Disease Robert P. Bright, MD

8:30 AM Organ Failure and Transplantation ISheila G. Jowsey, MD

8:50 AM Organ Failure and Transplantation II Shehzad K. Niazi, MD

9:10 AM Risk Factors and Prevention of DeliriumJames R. Rundell, MD

9:30 AM Audience Questions and DiscussionDrs. Bright, Jowsey, Niazi, and Rundell

9:50 AM BREAK

Featured Topic #2 – Functional GI Disorders10:10 AM Gastroenterologist’s Perspective

Adil E. Bharucha, MBBS, MD

10:50 AM Psychologist’s Perspective Richard J. Seime, PhD, LP

11:10 AM Clinical Pearl # 1 – Psychotropics and the GI TractJeffrey P. Staab, MD

11:20 AM Clinical Pearl # 2 – Eating Problems in Patients with Functional GI Disorders Richard J. Seime, PhD

11:30 AM Case-Based Panel Discussion –Collaborative Management for Functional GI DisordersRobert P. Bright, MD, moderator, Adil E. Bharucha, MBBS, MD, Jeffrey P. Staab, MD, Richard J. Seime, PhD, LP

12:10 PM LUNCH (On your own)

1:10 PM Chronic Pain Management in Outpatient PracticeDaniel F. Hall-Flavin, MD

1:30 PM Medicinal Marijuana J. Michael Bostwick, MD

2:10 PM Audience Questions and DiscussionDrs. Hall-Flavin and Bostwick

2:30 PM BREAK

2:50 PM Concurrent Workshops II (Choose one) - Practical Management of Functional GI

Disorders Adil E. Bharucha, MBBS, MD , Richard J. Seime, PhD, LP, Jeffrey P. Staab, MD

- Integrated Behavioral Health for Psychiatrists and Primary Care Physicians David J. Katzelnick, MD

- Psychotherapy Practicum # 2 – MindfulnessCynthia M. Stonnington, MD, Karen Grothe, PhD, LP

3:50 PM ADJOURN

Program ScheduleSaturday, January 25, 2014 7:00 AM Continental Breakfast 8:00 AM Announcements

Jeffrey P. Staab, MD

8:10 AM Chronic Fatigue Robert P. Bright, MD

8:30 AM Fibromyalgia Robert P. Bright, MD

8:50 AM Personality Styles in Medical PatientsJ. Michael Bostwick, MD

9:10 AM Audience Questions and Discussion Drs. Bright and Bostwick

9:30 AM BREAK

Featured Topic # 3 – Treatment Resistant Depression in Psychiatry and Primary Care9:50 AM Psychiatrist’s Perspective

Mark A. Frye, MD

10:30 AM View from Primary Care David J. Katzelnick, MD

10:50 AM Practical Psychotherapy – Outside the Ivory Tower Kristin Vickers Douglas, PhD, LP

11:10 AM Suicidality in Medical Patients J. Michael Bostwick, MD

11:30 AM Case-Based Panel Discussion – Treatment Resistant Depression in Medical Settings Robert P. Bright, MD, moderator, Mark A. Frye, MD, David J. Katzelnick, MD, Kristin Vickers Douglas, PhD, LP, J. Michael Bostwick, MD

12:10 PM LUNCH (On your own)

1:10 PM Can We Treat Bipolar Depression? Mark A. Frye, MD

1:30 PM Behavioral Problems in Dementia – Antipsychotics or Not? James R. Rundell, MD

1:50 PM Post-traumatic Stress Disorder Timothy W. Lineberry, MD

2:10 PM Audience Questions and Discussion Drs. Frye, Rundell, and Lineberry

2:30 PM BREAK

2:50 PM Concurrent Workshops III (Choose one) - Practical Management of Difficult Mood Disorders

Drs. Frye, Bostwick, and Vickers Douglas - Practical Management Of Childhood Psychiatric Disorders

Paul E. Croarkin, DO - Psychotherapy Practicum # 3 – Diaphragmatic Breathing and Relaxation

Richard J. Seime, PhD, LP, Craig N. Sawchuk, PhD, LP

3:50 PM ADJOURN

1:00 – 5:00 PM Depression Management, American Academy of Family Practice

Maintenance of Certification session Michele A. Hanson, MD, David J. Katzelnick, MD, Jeffrey P. Staab, MD

Psychiatry in Medical Settings

January 23 - 25, 2014

Harbor Beach Marriott Resort & Spa • 3030 Holiday Drive, Fort Lauderdale, FL 33316

Register online at: http://www.mayo.edu/cme/psychiatry-and-psychology.html

Registration Fee:

Physicians/Scientists $650

Residents, Physician Assistants and Nurse Practitioners $550

Workshop I (Thurs 1/23, 2:50-3:50 p.m.) (Choose one) • Functional Neurologic Disorders • Weight Management • Psychotherapy Practicum #1: Motivational Interviewing and Behavioral Activation

Workshop II (Fri 1/24, 2:50-3:50 p.m.) (Choose one)

• Functional Gastrointestinal Disorders • Integrated Behavioral Health (Psychiatry in Primary Care Settings)• Psychotherapy Practicum #2: Mindfulness

Workshop III (Sat 1/25, 2:50-3:50 p.m.) (Choose one)

• Difficult Mood Disorders • Childhood Psychiatric Disorders • Psychotherapy Practicum #3: Diaphragmatic Breathing and Relaxation

SAM Workshop (Saturday, January 25, 1:00-5:00 p.m.)

Family Medicine Maintenance of Certification Session (Depression) $125

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