16th Annual Primary Care Conference
Monday – Thursday, March 26 – 29, 2012
Millennium Centre, Johnson City, TN
Judi East, FNP, Activity Director
This program has been approved for 28.0 AMA PRA Category 1 CreditsTM**
Determination for AAFP and ACPE credit is pending
Pre Conference Activities
7:15 AM – 7:45 AM
Breakfast
7:45 AM – 8:00 AM
Welcome and Introductions
Judi East, FNP – Activity Director
Program Manager, Women’s
Health, James H. Quillen
Veteran’s Affairs Medical Center
Learning Objectives:
“As a result of participating in
this activity, the attendee will…
Monday, March 26, 2012
8:00 AM – 8:45 AM
Dementia with Depression: A
Diagnostic Challenge
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Louis Cancellaro, M.D., PhD
Interim Chair, Professor Emeritus,
Department of Psychiatry &
Behavioral Sciences, ETSU,
Quillen College of Medicine
8:45 AM – 9:30 AM
Medical Safety Systems: OB-GYN
with Implications in Other
Practices
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Selman Welt, M.D., RDMS,
FACOG
Certified: Maternal/Fetal
Medicine
Professor, Department of
Obstetrics & Gynecology, Quillen
College of Medicine, ETSU
9:30 AM – 10:15 AM
Nerve Stimulation Therapies for
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Diagnose depression in
elderly patients
Recognize the presence of
depression in patients with
dementia
Develop an approach to
treating the elderly patient
with depression and/or
dementia
Identify organizations
involved in medical safety
systems
Implement protocols for
chemo-prophylaxis
Discuss the most complete
means by which to transfer
patient care to partners and
team members
Identify patients who might
Overactive Bladder Patients
Who Have Not Responded Well
to Medications
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R. Keith Huffaker, M.D., MBA
Chief of Urogynecology, Quillen
College of Medicine, ETSU
10:15 AM – 10:30 AM
Break
10:30 AM – 11:15 AM
Medication Management of the
Chronic Pain Patient
benefit from nerve
stimulation therapies for
bowel and bladder control
Identify alternatives to
prescription medication for
overactive bladder
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Benjamin Meeks, FNP
Pain Medicine Associates,
Johnson City, TN
11:15 AM – 12:00 PM
Burnout and Personal Health
Outline various pain
pathways
Formulate medication
regiments to address
multiple pain pathways
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S. Hughes Melton, M.D., FAAFP,
CIME
President, C-Health, PC
12:00 PM – 12:45 PM
Lunch
12:45 PM – 1:30 PM
Screening, Brief Intervention and
Referral to Treatment (SBIRT) in 
the Primary Care Setting
Sarah T. Melton, PharmD, BCACP,
BCPP, CGP, FASCP
Director of Addiction Outreach, CHealth, PC Associate Professor of 
Pharmacy Practice, Appalachian
College of Pharmacy
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Describe the steps involved
in proper screening, brief
intervention, and referral to
treatment (SBIRT) for
substance abuse in the
primary care setting
Select the appropriate tools
to screen for tobacco,
alcohol and drug abuse in
the primary care setting
Apply the principle of
motivational interviewing
and stages of change in the
SBIRT process
Examine principles of
coding, billing and
reimbursement for SBIRT in
the primary care setting
1:30 PM – 2:15 PM
How to Recognize the Many
Faces of Hypertension
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Reena Kuriacose, M.D., FACP
Staff Physician, Primary Care –
James H. Quillen Veterans Affairs
Medical Center, Mountain Home,
TN

2:15 PM – 2:30 PM
Break
2:30 PM – 4:30 PM
Recent Clinical Trials and

Implications in Everyday Practice
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L. Brian Cross, PharmD, MCACP,
CDE

Associate Professor & Vice-Chair,
Gatton College of Pharmacy
Department of Pharmacy
Practice, Associate Professor,
Quillen College of Medicine,
Department of Family Medicine,
ETSU
Recognize difficult to treat
hypertension
Identify the causes of
secondary hypertension
Work up causes of
secondary hypertension
Evaluate recent literature
published in primary care
Apply recent literature to
individual practice
Describe how recent
literature relates to
published guidelines
Chad K. Gentry, PharmD, BCACP,
CDE
Assistant Professor, Gatton
College of Pharmacy, Quillen
College of Medicine, ETSU
Tuesday, March 27, 2012
7:30 AM – 8:00 AM
Breakfast
8:00 AM – 9:00 PM
Update on Treatment of Gout
and Pseudogout
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Gerald F. Falasca, M.D.
Rheumatologist, Medical
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Effectively utilize recently
approved treatments for
acute gout
Provide effective
Specialists of Johnson City,
Johnson City, TN
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9:00 AM – 10:00 PM
Lymphedema – What is it and
how do we treat it?
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Sheree S. King, PT, CLT-LANA
Physical Therapist, Certified
Lymphedema Therapist,
Wellmont Holston Valley Sullivan
Center Rehabilitation, Kingsport,
TN

10:00 AM – 10:15 PM
Break
10:15 AM – 11:15 PM
Selected Topics in Anxiety
Management: Benzodiazepines,
Other Anxiolytic Medications,
and Meditations

Jay M. Griffith, M.D.
MHC Assistant Chief, James H.
Quillen Veterans Affairs Medical
Center, Clinical Associate
Professor, ETSU Department of
Psychiatry and Behavioral
Sciences Diplomate, ABPN
Psychiatry and Pain Medicine
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Pharmacotherapy Update for
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11:15 AM – 12:15PM
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prophylaxis against gout
attacks
Understand the risks
associated with
asymptomatic
Hyperuricemia
Counsel patients regarding
non-pharmacologic means
for reducing uric acid level
Understand the spectrum
and treatment of calcium
crystal arthropathy
(pseudogout and
pseudopseudogout)
Recognize signs and
symptoms of Lymphedema
Distinguish between
primary and secondary
Lymphedema
Understand current
treatment techniques for
Lymphedema
Describe the
pharmacokinetics and
pharmacodynamics of
frequently employed
benzodiazepines
Describe adverse effects of
long-term benzodiazepine
use especially in the elderly
Use buspirone and prazosin
effectively for specific
anxiety issues
Explain meditation’s
Anxiolytic and cognition
enhancing effects
Understand recent updates
Primary Care Providers
Benjamin Gross, PharmD, BCPS,
BCACP, CDE
Program Director, Specialty
Residency in Primary Care
Assistant Professor-Primary Care
University of Tennessee Health
Science Center, College of
Pharmacy, Holston Medical
Group, Department of Family
Practice, Kingsport, TN
12:15 PM – 1:00 PM
Lunch
1:00 PM – 3:00 PM
New Developments in
Antiplatelet and Anticoagulant
Therapy
David Stewart, PharmD, BCPS
Assistant Professor, Department
of Pharmacy Practice, ETSU
Gatton College of Pharmacy,
Johnson City, TN
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Michael A. Crouch, PharmD,
FASHP, BCPS
Professor and Associate Dean of
Academic Affairs, ETSU Gatton
College of Pharmacy, Johnson
City, TN
3:00 PM – 3:15 PM
Break
3:15 PM – 4:15 PM
On Osteoporosis


in drug therapy
management
Review new medications
that have recently come to
market
Understand recent dosing
changes and
contraindications of
common medication
therapies
Discuss recent reported
medication adverse
reactions
List the new oral
anticoagulant medications
currently approved or in
the approval process by the
United States Food and
Drug Administration
Communicate basic
principles of
pharmacokinetics to other
healthcare providers
Identify appropriate
indications for the use of
new oral anticoagulant
medications
Develop patient specific
plans utilizing newly
approved oral
anticoagulant agents for
the treatment and
prevention of venous
thromboembolic events in
various patient populations
Ronald C. Hamdy, M.D., FRCP,
FACP
Professor of Medicine, Professor,
Chairholder, Cecile Cox Quillen
Chair of Excellence in Geriatric
Medicine and Gerontology, East
Tennessee State University,
Johnson City, TN
4:15 PM – 5:15 PM
Barrett’s Syndrome

Jerry London, M.D., FACP, FACG
Gastroenterology Associates,
Kingsport, TN
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Recognize the risks of
Barrett’s esophagus
Understand medical and
endoscopic treatment of
Barrett’s esophagus
Be able to recommend
surveillance and treatment
to patients
Provide long term care for
patients with Barrett’s
esophagus
Wednesday, March 28, 2012
7:30 AM – 8:00 AM
Breakfast
8:00 AM – 9:00 AM
Improving Dental-Medical
Consultations

Randy F. Huffines, DDS
Chief Consultant, Geriatrics and
Special Care Dentistry
Office of Dentistry, James H.
Quillen Veterans Affairs Medical
Center, Johnson City (Mountain
Home), TN
9:00 AM – 10:00 AM
A Picture Quiz in Medicine

Identify interesting medical
Alan N. Peiris, M.D. (London),
MRCP (UK), PhD
Professor of Medicine, Chief of
Endocrinology, ETSU Quillen
College of Medicine and James H.
Quillen Veterans Affairs Medical
Center
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conditions
Get feedback on their
knowledge base
Evaluate some lab
abnormalities
Evaluate radiology
abnormalities
Judi East, FNP
Program Manager, Women’s
Health
James H. Quillen Veteran’s Affairs
Medical Center, Mountain Home,
TN
10:00 AM – 10:15 AM
Break
10:15 AM – 11:15 AM
Mindful Eating
Sandra Arner, RD, LDN
Clinical Dietitian, James H. Quillen
Veteran’s Affairs Medical Center,
Mountain Home, TN
11:15 AM – 12:15PM
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The Evolving Use of Estrogen
and Hormone Therapy: What do
I Prescribe in 2012?

T. Watson Jernigan, M.D., MA ,
NCMP
Associate Dean for Clinical
Affairs, Chairman and Professor,
East Tennessee State University
Department of Obstetrics and
Gynecology, Quillen College of
Medicine, Johnson City, TN
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Define mindful eating
Describe two domains
of mindful eating
explain two benefits of
mindful eating
State one way to
incorporate mindful
eating in a session with
a patient
Appreciate the impact
of the W.H.I. on the
treatment of
Menopausal Symptoms
Demonstrate an
understanding of
subsequent studies
reviewing the use of
hormonal therapy
Apply principles of
treatment based on
current practice
guidelines and position
statements to current
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12:15 PM – 1:00 PM
Lunch
1:00 PM – 2:00 PM
Nutritional Considerations After
Bariatric Surgery
2:00 PM - 3:00 PM

Michelle Lee, Ph.D., RD, LDN
Assistant Professor, East
Tennessee State University,
Department of Allied Health
Sciences, Nutrition and Foods,
Johnson City, TN

Treatment of Latent TB

Jayantilal B. Mehta, M.D., FCCP
Professor, Chief, Division of
Preventive Medicine &
Epidemiology, Quillen College of
Medicine, Johnson City, TN

3:00 PM – 3:15 PM
Break
3:15 PM – 4:15 PM
Methicillin Resistant
Staphylococcus Aureus Abscess

Lesli Taylor, M.D
Professor, Division of Pediatric
Surgery, Quillen College of
Medicine, Johnson City, TN
4:15 PM – 5:15 PM
PACT (Patient Aligned Care
Teams): VHA’s New Approach to
Practice of Primary Care

patients
Appreciate that the
modality of therapy
plays a marked role in
the treatment of
current menopausal
patients
The participant will be
able to identify shortterm nutritional
implications for
individuals undergoing
bariatric surgery
The participant will be
able to identify long-term
implications for
individuals undergoing
bariatric surgery
Understand the use of
PPD skin test
Discuss the treatment
options for Latent TB
Vinodini Krishnan, M.D.
Chief Medical Officer, Primary
Care and Community Medicine,
North Division , James H. Quillen
Veteran’s Affairs Medical Center,
Mountain Home, TN
Thursday, March 29, 2012
7:30 AM – 8:00 AM
Breakfast
8:00 AM – 9:00 AM
Current State of Minimally
Invasive General Surgery and
Perioperative Care, Including
Bariatrics


Mark H. Kadowaki, M.D., FACS
Wellmont Surgical Services,
Kingsport, TN
9:00 AM – 10:00 AM
Robotic Hysterectomy

Wesley J. Harris, M.D.
Bristol Gynecology Associates,
Bristol, TN
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Provide an update of the
least invasive procedures
available for treatment of
General Surgical issues
Be familiar with the
guidelines for Perioperative
care of patients undergoing
minimally invasive surgery,
including bariatric / weight
loss surgery
Identify four types of
hysterectomy
Discuss comparative rates
of the four types of
hysterectomy
Be familiar with the costs
of the four types of
hysterectomy
10:00 AM – 10:15 AM
Break
10:15 AM – 11:15 AM
Cancer Survivorship Issues in the
Primary Care Setting

Tracy A. Johnson, DNP, FNP-BC
(Cancer Survivor), Johnson City,
TN

Articulate the purpose
and key concepts of
cancer survivorship care
Identify cancer
treatment regimens
that present potential
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11:15 AM – 12:15 PM
Consciousness: When You Think
of You, Where Do You Think of
You?

John P. Hendrick, M.D., DFAPA
Assistant Professor of Psychiatry,
East Tennessee State University,
Department of Psychiatry, Chief
of Inpatient Psychiatric Services,
James H. Quillen Veteran’s Affairs
Medical Center, Mountain Home,
TN

12:15 PM – 1:00 PM
Lunch
1:00 PM – 2:00 PM
ECT into the 21st Century
George R. Martin, M.D. MSHA,
CPE
Staff Psychiatrist, James H.
Quillen Veteran’s Affairs Medical
Center, Mountain Home, TN
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2:00 PM – 3:00 PM
Communication to Enhance
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health risks
Perform accurate,
targeted review of
systems to screen for
potential treatmentrelated issues
Identify cancer
survivorship resources
for health care
providers and survivors
Name critical brain
structures for
maintenance of
consciousness
Describe the cortical
processing of personal
consciousness
Name subcortical
structures and their
contribution
Describe processing in
cortical networks
Understand the nature of
ECT treatments and
address common myths
about the treatment
Properly select which
patients to refer from
treatment
Give prospective patients
an understanding of the
risks and potential
benefits of ECT
Have a basic knowledge
of the neurochemical and
physiological effects of an
induced seizure
Identify the causes of
Patient Compliance
Ruth Livingston, Ph.D.
Associate Professor, Speech,
Northeast State Community
College, Blountville, TN
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3:00 PM – 3:15 PM
Break
3:15 PM – 4:15 PM
Evaluation of Snoring and SleepDisordered Breathing:
Otolaryngology Perspectives

Mark A. Howell, M.D., FACS
Ear, Nose, Throat Associates,
Johnson City, TN

Motivational Interviewing

4:15 PM – 5:15 PM
Julie Culligan, Ph.D.
Psychologist, Health Behavior
Coordinator, James H. Quillen
Veteran’s Affairs Medical Center,
Mountain Home, TN
Heather Coburn, PA-C
Health Promotion Disease,
Prevention Program Manager,
Physician Assistant, James H.
Quillen Veteran’s Affairs Medical
Center, Mountain Home, TN
5:15 PM – 5:30 PM
Evaluation & Wrap up
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patients not following
prescribed treatment
regiments
Employ communication
behaviors that will
enhance patient
compliance
Demonstrate
communication that will
lead to patient
satisfaction
Identify adults and children
at risk of obstructive apnea
Diagnose and initiate
therapy
Advise patients of the risks
of sleep apnea
Specify and discuss three
elements of the “spirit” of
Motivational Interviewing
Identify the four principles
of Motivational
Interviewing
Identify basic use of the
following core MI skills:
open-ended inquiry,
affirmation, reflective
listening, and summaries
Activity Director: Judi East, FNP, Program Manager, Women’s Health, James H. Quillen Veteran’s Affairs Medical
Center, Mountain Home, TN
Learning Objectives:
The attendee will have an increased knowledge of current and updated practices in the field of primary care, and
will therefore be able to provide better patient care. As a result of participating in this activity, the attendee
should be able to…..
 Evaluate patients of all ages using most current medical trends
 Demonstrate an increased knowledge base on up-to-date pharmacological agents available
 Determine the most appropriate treatment for patients in the primary care setting
 Apply knowledge to current panel of patients
 Demonstrate understanding of current medications available for treatment of chronic illnesses
Target Audience: Family and Internal Medicine Physicians, OB/GYN Physicians, Pediatricians, Psychiatrists,
Surgeons, Medical Residents, & Fellows, Orthopedists, APNs and PAs, Psychologists, Hospitalists, Emergency
Physicians, Nurses and Clinical Team, health care students and other health care providers who desire to update
their knowledge of the primary care field
Registration
Physician: $425; NPs / PAs and all other health care providers: $325. Registration includes breakfast, lunch,
refreshments, CME credit and access to speaker handouts. You may register by calling 423-439-8027, or by going
online at: www.etsu.edu/cme
Google Group
You are invited to participate in pre- and post-conference discussions with the presenter(s) of your
choice. The Google Group will be available from Monday, March 12 until April 12. For information on
how to connect, please visit the CME website for the 16th Annual Primary Care Conference online at:
www.etsu.edu/cme, on April 12th.
Sponsorship: The conference has been organized by the Quillen College of Medicine at East Tennessee
State University Office of Continuing Medical Education and by the James H. Quillen Veteran’s Affairs
Medical Center
**The Quillen College of Medicine, East Tennessee State University, is accredited by the
Accreditation Council for Continuing Medical Education to provide continuing medical
education for physicians.
The Quillen College of Medicine, East Tennessee State University designates this live
activity for a maximum of 28.0 AMA PRA Category 1 CreditsTM. Physicians should only
claim credit commensurate with the extent of their participation in the activity.
AAFP Prescribed Credits: Pending: Application for CME credit has been filed with the American
Academy of Family Physicians. Determination of credit is pending.