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   Program at a Glance                  

The Program at a Glance is continually updated. All times are list in Eastern Standard Time.

Thursday, July 29, 2021
2:00 - 6:00 PM Registration
2:45 - 3:00 PM Welcome
3:00 - 4:00 PM

ENT

Joseph VanderMeer, MD

4:00 - 5:00 PM

The Heart of the Matter: Decreasing Cardiovascular Risk in Diabetes

Kim Pfotenhauer, DO

5:00 - 5:15 PM

Break

5:15 - 6:15 PM

Nonalcoholic Fatty Liver Disease

Kim Pfotenhauer, DO

6:15 - 7:15 PM

Breastfeeding Medicine for the Family Physician

Kathryn Lankton, DO, CLC


Friday, July 30, 2021
7:00 AM - 5:00 PM Registration
7:30 - 8:00 AM

Breakfast with Exhibitors

Sponsored by Abbvie

8:00 - 9:00 AM

Oral Contraceptives

Steven Lown, DO

9:00 - 10:00 AM

Return to Activity Post COVID-19

Nathan Fitton, DO, CAQ Sports Medicine

10:00 - 10:30 AM

Break with Exhibitors

10:30 - 11:30 AM

The Evolving Hepatitis C Epidemic

Elaine Engelsman, DNP, FNP-BC

11:30 AM - 12:30 PM

Pediatric Dermatology

Katherine Foster, DO

12:30 - 1:15 PM

Lunch with Exhibitors

1:15 - 2:15 PM

End of Life Palliative Care

Shikha Rani Kalra, DO

2:15 - 3:15 PM

Evaluating and Treating Cognitive Decline - There is Hope!

Michael Zielinski, DO

3:15 - 3:45 PM

Break with Exhibitors

3:45 - 4:45 PM

Direct Primary Care - Rediscovering Whole Patient Care

Michael Eggebrecht, DO

4:45 - 5:45 PM

Update in Management of Migraine Disorders

Amanda S. Nies, DO

6:30 - 7:30 PM

MAOFP Summer Fest

Attendees, guests and exhibitors are invited!


Saturday, July 31, 2021
7:00 AM - 4:30 PM Registration
7:00 - 8:00 AM

All Membership Meeting & Breakfast with Exhibitors

Sponsored Allstate Medical

8:00 - 9:00 AM

Geriatric Assessments for the Family Physician

Stacey Ruff, DO

9:00 - 10:00 AM

Elder Mistreatment (Abuse)

Stacey Ruff, DO

10:00 - 10:30 AM

Break with Exhibitors

10:30 - 11:30 AM

Cultural Considerations of Vaccine Hesitancy

Victoria Torgler, DO

11:30 AM - 12:30 PM

PACE: The Gold Standard of Care for the Frail Elderly

Luke Reynolds, LMSW

12:30 - 1:15 PM

Lunch with Exhibitors

Sponsored by Horizon Therapeutics

1:15 - 2:15 PM

General Dermatology

Katherine Foster, DO

2:15 - 2:45 PM

Break with Exhibitors

2:45 - 3:45 PM

OMT Without the Table

Saroj Misra, DO, FACOFP

3:45 - 4:45 PM

OMT Without the Table

Marissa Rogers, DO

6:30 - 8:00 PM

President's Reception

Sponsored by MSUCOM


Sunday, August 1, 2021
7:00 - 10:00 AM
Registration
7:00 - 7:45 AM

Breakfast

7:45 - 8:45 AM

Wellness and Resilience

J'Aimee Lippert, DO

8:45 - 9:45 AM

Risk Management in the Family Practice Setting

Nicholas Nahrski, JD

9:45 - 10:45 AM

The Case for Compassion in Improving the Patient's Experience

Lee Begrow, DO, FAAFP

10:45 - 11:00 AM

Closing Remarks


 Session Information

The Heart of the Matter: Decreasing Cardiovascular Risk in Diabetes

Kim Pfotenhauer, DO

This session will focus on lifestyle and medications that can be used in type 2 diabetes to decrease cardiovascular risk.

After attending this session, attendees will be able to:

  1. Discuss the diabetes medications that reduce cardiovascular events in patients with diabetes and cardiovascular disease
  2. Describe lifestyle changes to reduce cardiovascular risk in patients with diabetes
  3. Explore recommendations for use of diabetes medications to reduce the risk of cardiovascular events in patients with diabetes and cardiovascular disease.

Dr. Kim Pfotenhauer is a Board Certified Osteopathic Family Physician and a Fellowship trained Diabetologist. She is currently the Director of Clerkship Curriculum and an Assistant Professor at Michigan State University College of Osteopathic Medicine. She serves on the American Diabetes Association Women’s Interprofessional Network Advisory Group and as an Associate Editor for the Journal of Osteopathic Medicine. She also serves as National Faculty for the NBOME and as an examiner for the AOBFP. Speaking regionally and nationally on diabetes, nonalcoholic fatty liver disease and vitamin D, she focuses on empowering primary care physicians to improve patient metabolic health. Dr. Kim Pfotenhauer is a Board Certified Osteopathic Family Physician and a Fellowship trained Diabetologist. She is currently the Director of Clerkship Curriculum and an Assistant Professor at Michigan State University College of Osteopathic Medicine. She serves on the American Diabetes Association Women’s Interprofessional Network Advisory Group and as an Associate Editor for the Journal of Osteopathic Medicine. She also serves as National Faculty for the NBOME and as an examiner for the AOBFP. Speaking regionally and nationally on diabetes, nonalcoholic fatty liver disease and vitamin D, she focuses on empowering primary care physicians to improve patient metabolic health.

Nonalcoholic Fatty Liver Disease

Kim Pfotenhauer, DO

This session will review the pathogenesis and spectrum of nonalcoholic fatty liver disease. It will discuss who to screen, how to diagnose and how to treat and prevent NAFLD.

After attending this session, attendees will be able to:

  1. Discuss the epidemiology and pathogenesis of the spectrum nonalcoholic fatty liver disease
  2. Describe a strategy to screen patients at high risk
  3. Define parameters for diagnosis of NAFLD
  4. Discuss treatment and prevention of NAFLD
Dr. Kim Pfotenhauer is a Board Certified Osteopathic Family Physician and a Fellowship trained Diabetologist. She is currently the Director of Clerkship Curriculum and an Assistant Professor at Michigan State University College of Osteopathic Medicine. She serves on the American Diabetes Association Women’s Interprofessional Network Advisory Group and as an Associate Editor for the Journal of Osteopathic Medicine. She also serves as National Faculty for the NBOME and as an examiner for the AOBFP. Speaking regionally and nationally on diabetes, nonalcoholic fatty liver disease and vitamin D, she focuses on empowering primary care physicians to improve patient metabolic health.   

Breastfeeding Medicine for the Family Physician

Kathryn Lankton, DO, CLC

In this session, we will discuss basics of breastfeeding medicine for the family physician and discuss how to support the breastfeeding dyad.

After attending this session, attendees will be able to:

  1. Review anatomy of the breast and physiology of lactogenesis.
  2. Discuss composition of human milk
  3. Describe how to support breastfeeding and answer common questions

Kathryn Lankton is a Michigan native who graduated from the University of Pikeville Kentucky College of Osteopathic Medicine in 2016. Kathryn completed her Family Medicine Residency from St. Joseph Mercy Livingston in 2019 and joined at faculty for the residency after graduation. Kathryn's current outpatient practice consists of breastfeeding medicine along with teaching faculty in both inpatient and outpatient settings.

ENT

Joe Vandermeer, MD

This session will review several common problems presenting to Otolaryngology and their causes

After attending this session, attendees will be able to:

  1. Identify common cases of ear fullness
  2. Identify the difference between dizziness and vertigo
  3. Understand the function of the voice box in producing sound
Dr. Vandermeer is an otolaryngologist with Holland Hospital Ear Nose and Throat.

Oral Contraceptives

Steven Lown, DO

This session will discuss a thoughtful approach to prescribing oral contraceptives by tailoring it to the patient.

After attending this session, attendees will be able to:

  1. Describe the effects of estrogen and progestins in contraception
  2. Describe androgenic effects of progestins
  3. Discuss tailoring oral contraceptives to the patient
Dr. Lown is a board certified OB/Gyn. He received his Bachelor’s degree in Biology from Aquinas College and attended medical school at Kansas City University of Medicine and Biosciences - College of Osteopathic Medicine, class of 1989. He completed his internship and residency in Obstetrics and Gynecology at Metro Health - University of Michigan Health Hospital (formerly Metro Health Hospital). Since completing his residency in 1994, Dr. Lown has been in practice in Grand Rapids, Michigan and has been active in residency training. He is a clinical professor in Dept of Surgery at MSUCOM, and works as a general OB/Gyn at Metro Health UM. He is Medical Director of Women's Health Services at Metro Health-University of Michigan Health Hospital. He has a special interest in minimally invasive surgery.

Returning to Activity Post COVID-19

Nathan Fitton, DO, CAQ Sports Medicine

This session will review return to activity and screening recommendations for youth, high school/college athletes, elite athletes and weekend warriors.

After attending this session, attendees will be able to:

  1. Describe return to activity recommendations
  2. List current screening guidelines
  3. Discuss the pathophysiology of COVID and the cardiovascular system
Dr. Fitton is an Associate Professor at Michigan State University College of Osteopathic Medicine, Primary Care Sports Medicine Physician with MSU Health Care Department of Orthopedics, MSU Team physician, Sparrow Concussion Clinic Co-Director, and Associate Chief Medical Information Officer MSU Health Care.

The Evolving Hepatitis C Epidemic

Elaine Engelsman, DNP, FNP-BC

In this session Elaine Engelsman will discuss the Hepatitis C Epidemic.

After attending this session, attendees will be able to:

  1. Identify risk factors for the transmission of hepatitis C and populations at risk
  2. Describe historical and current prevalence rates of hepatitis C
  3. Identify accelerators of hepatitis C disease progression and long term complications related to HCV
Elaine Engelsman graduated from Grand Valley State University with and Masters of Nursing and Doctor of Nursing Practice. She is currently employed by Mercy Health Muskegon treating Hepatitis and HIV patients. Elaine has worked with hepatitis C patients since 1998 and implemented a dedicated multidisciplinary hepatitis C treatment clinic in 2012 now treating over 1,000 patients.

Pediatric Dermatology

Katherine Foster, DO, FAAD, FAOCD

This lecture will focus on common conditions seen in the pediatric population and treatments (and treatment pearls) in the primary care setting. Conditions such as atopic dermatitis, psoriasis, molluscum, and warts will be discussed. We will also review birthmarks and when to refer to a specialist.

After attending this session, attendees will be able to:

  1. Recognize the difference between psoriasis and eczema and how to treat each.
  2. Identify treatment pearls for in office and OTC management of warts and molluscum.
  3. Identify when a "birthmark" needs further work up and/or treatment.
Kate Foster is board certified in both dermatology and pediatric dermatology. She graduated from the University of Iowa and Kirksville College of Osteopathic Medicine and completed her post-graduate training in the Detroit area. Her internship and dermatology residency was through Michigan State University College of Osteopathic Medicine/Botsford Hospital (2014). She then completed a fellowship in pediatric dermatology through Henry Ford Hospital (2015). She practiced in Metro Detroit and Seattle, WA before settling in Grand Rapids. She is currently in a dermatology group private practice primarily caring for pediatric patients, as she is one of only two pediatric dermatologists serving West Michigan.


Pain & Symptom Management at the End of Life

Shikha Rani Kalra, DO

This session will discuss how to adequately treat symptoms at the end of life.

After attending this session, attendees will be able to:

  1. Identify different types of pain and treatment modalities for them
  2. Describe how to does and titrate opioids and other medications to comfort
  3. Identify different routes of medication administration for common symptoms at the end of life
Shikha Kalra is an osteopathic trained physician boarded in Family Medicine and Hospice and Palliative Medicine. She is a part of the faculty at Oakland University Williams Beaumont Medical school and an attending physician at Beaumont Hospital Royal Oak.

Evaluating and Treating Cognitive Decline - There is Hope!

Michael Zielinski, DO

This lecture will focus on the Bredesen approach to halt and even reverse cognitive decline in Alzheimer's disease.

After attending this session, attendees will be able to:

  1. Understand the functional medicine approach to cognitive issues based on the Bredesen protocol.
  2. Develop a diagnostic approach to determine the possible underlying causes for cognitive decline.
  3. Develop a treatment approach to address the contributing factors to cognitive decline.

Dr. Michael Zielinski has been a board-certified primary care physician for decades, and in 2015 realized that his patients knew more about diet and supplements than he did. Michael decided at that time to enroll in the Integrative Medicine Fellowship at the University of Arizona under the direction of Dr. Andrew Weil. He completed the Fellowship in 2017 and has incorporated Integrative and Functional Medicine approaches into his practice ever since. It has been career changing!  

Direct Primary Care - Rediscovering Whole Patient Care
Michael Eggebrecht, DO

In this education session, Dr. Eggebrecht will give an overview of direct primary care and how his traditional family practice went through this transition in 2017. He will review the basic tenets of direct primary care and how it can be a win-win for the patient and the physician.

After attending this session, attendees will be able to:

  1. Compare the differences between direct primary care and concierge medicine.
  2. Describe the basic structure of a direct primary care office.
  3. Discuss the benefits of direct primary care to the patient and the physician.

Dr. Mike Eggebrecht is a 1990 graduate of MSU-COM and is a board certified family physicians with Family Physicians of St. Joseph, P.C. in St. Joseph, Michigan. He has been a partner in this independent family practice since 1993. His practice was a traditional independent family practice until transitioning to the Direct Primary Care Model in 2017. He and his partners have been able to successfully navigate this transition while bringing cost effective primary care to their community.

Update in Management of Migraine Disorders
Amanda S. Nies, DO

In this session, we will revisit the diagnosis and treatment of migraine with plans to explore the new abortive and preventative options available.

After attending this session, attendees will be able to:

  1. Describe the pathophysiology of migraine.
  2. List traditional oral therapies.
  3. Analyze the new CGRP class.
  4. Discuss the role of injectable options and non-pharmaceutical interventions.

Dr. Amanda Nies is a graduate of Michigan State University College of Osteopathic Medicine. Dr. Neis trained and practiced in East Michigan before re-locating to Holland, Michigan where she practices both out and in patient general neurology.

Geriatric Assessments for the Family Physician
Stacey Ruff, DO

This session will be a review of how to do a Geriatric Assessment in a timely manner, geared towards busy Family Physicians. it will include an overview of Medicare Wellness exams, cognitive testing and practice pearls.

After attending this session, attendees will be able to:

  1. State the components of a Geriatric Assessment, and how it is compared to a Medicare Wellness Exam.
  2. Identify basic cognitive screening tests.
  3. Discuss the importance of functional assessments in our Geriatric patient population, including some OMM recommendations.

Dr. Ruff graduated from MSUCOM and went on to complete her Family Medicine Residency at Ascension Macomb-Oakland before pursuing a Geriatric Fellowship at Beaumont Royal Oak. She is a practicing Geriatrician at the Beaumont Geriatric Assessment Center in Berkley, and has experience as a Hospice Medical Director. She is the current Assistant Program Director for the Geriatric Fellowship, and is involved at both MSU and OUWB as Clinical Faculty.

Elder Mistreatment (Abuse)
Stacey Ruff, DO

This session will be an overview of identifying elder mistreatment, some short case examples, and what our role is as Family Physicians in reporting/how to report in MI.

After attending this session, attendees will be able to:

  1. Identify signs of Elder Abuse in our patients.
  2. Discuss what our roles are as Family Physicians.
  3. Articulate how to report cases of suspected abuse in MI.

Dr. Ruff graduated from MSUCOM and went on to complete her Family Medicine Residency at Ascension Macomb-Oakland before pursuing a Geriatric Fellowship at Beaumont Royal Oak. She is a practicing Geriatrician at the Beaumont Geriatric Assessment Center in Berkley, and has experience as a Hospice Medical Director. She is the current Assistant Program Director for the Geriatric Fellowship, and is involved at both MSU and OUWB as Clinical Faculty.

Cultural Considerations of Vaccine Hesitancy
Victoria Torgler, DO

In this session, we will be discussing the history of vaccine development and recommendations, as well as vaccine safety through the lens of the various cultures found in Michigan. Understanding the cultural background of your patients and how they relate to trust in the healthcare, specifically lack of trust in vaccines.

After attending this session, attendees will be able to:

  1. Understand the history of vaccine development and recommendations to be able to educate your patients.
  2. Understand the Vaccine Adverse Event Reporting System (VAERS)
  3. Start to develop an understanding of how various cultures and religions think about vaccines and the American Health Care System

Dr. Torgler is an ATSU-KCOM and St. Joseph Mercy-Livingston Family Medicine Residency graduate. After fulfilling her NHSC scholarship requirement, she was able to transition to continuing clinical care while focusing on her passion for teaching, which includes mission trips teaching at the medical schools in Northern Macedonia. Currently she is doing telemedicine from home and is an Assistant Clinical Professor for the MSU-COM Macomb Campus.

PACE: The Gold Standard of Care for the Frail Elderly
Luke Reynolds, LMSW

Program of All Inclusive Care for the Elderly PACE is a national model that fully integrates Medicare and Medicaid service to support nursing home eligible older adults who desire to remain living in their homes. The model uses an 11 member interdisciplinary team and combines adult day health services with comprehensive home care.

After attending this session, attendees will be able to:

  1. Define the criteria for enrollement in PACE
  2. Describe the PACE Interdisciplinary Team
  3. Describe PACE services and benefits

Luke Reynolds is the Executive Director for LifeCircles PACE with locations in Muskegon and Holland Michigan. Luke has a bachelor’s degree from Eastern Michigan University and a master’s in social work from Wayne State University. In 2016 he completed a national fellowship in the Leading Age Larry Minnix Leadership Academy. Luke started his career as clinical social worker within the Veteran’s Administration Medical Center in Detroit, Michigan. It was during this time as a home based primary care social worker and later as a social worker in both inpatient and outpatient settings that he developed a fondness for working with older adults. In addition to his early health care experiences with veterans, Luke has served in a variety of direct service and leadership positions in the areas of behavioral health, managed care, not for profit human services, and a county operated community mental health agency, where he oversaw and directed the community’s plan for deinstitutionalization of adults with developmental disabilities. Luke joined LifeCircles PACE in 2012 as the Center Operations Manager and was named Executive Director in 2014. Under his leadership, LifeCircles has grown from a one-site PACE with a capacity of 225 participants, to a 3-county, two campus PACE organization with a capacity for serving 525 participants. Luke currently serves as the board chair for PACE Association of Michigan. He also served on NPA’s Technical Expert Panel for the Development, Implementation, and Maintenance of Quality Measures for PACE.

General Dermatology

Katherine Foster, DO, FAAD, FAOCD

This lecture will focus on management of cutaneous concerns in the adult population. We will review what to look for while evaluating your patient's skin during their annual wellness exam, what needs biopsied, and when to refer to dermatology. We will also discuss cutaneous findings of COVID.

After attending this session, attendees will be able to:

  1. Review the appearance of basal cell, squamous cell, and melanoma skin cancers.
  2. Review when a patient needs a skin cancer evaluation by a dermatologist.
  3. Compare the variety of skin findings that are associated with COVID.
Kate Foster is board certified in both dermatology and pediatric dermatology. She graduated from the University of Iowa and Kirksville College of Osteopathic Medicine and completed her post-graduate training in the Detroit area. Her internship and dermatology residency was through Michigan State University College of Osteopathic Medicine/Botsford Hospital (2014). She then completed a fellowship in pediatric dermatology through Henry Ford Hospital (2015). She practiced in Metro Detroit and Seattle, WA before settling in Grand Rapids. She is currently in a dermatology group private practice primarily caring for pediatric patients, as she is one of only two pediatric dermatologists serving West Michigan.

OMT Without the Table
Saroj Misra, DO, FACOFP

This session will be focused on identifying and demonstrating techniques for OMT which are possible when either a table is not present or not feasible to use. Learners will be reacquainted with the basic laws of articular motion and then led through a number of techniques for the spine at different levels. Additional techniques related to extremities and viscerosomatic issues will be demonstrated as well.

After attending this session, attendees will be able to:

  1. Recall Fryette's Principles of Spinal Motion
  2. Review Indirect and Direct technique mechanisms
  3. Discuss and perform techniques related to the cervical, thoracic and lumbar spines.

Saroj Misra, DO, FACOFP is the Associate Dean of Clinical Affairs for the Kirksville College of Osteopathic Medicine at AT Still University; he also serves as Core Faculty and Chief of the Department of Family Medicine at Ascension Macomb-Oakland Hospital in Michigan. Nationally, he serves on the Board of Governors for the ACOFP. His leadership roles align closely with his passion for osteopathic medical education in both the undergraduate and graduate arenas. He wishes to get programs to ‘think different’ when it comes to teaching and learning. He has received numerous awards including being named the 2018 Family Physician of the Year and receiving the 2019 Master Preceptor Award from the ACOFP as well as being named to the AOA Osteopathic Mentor Hall of Fame twice. Dr. Misra has two daughters, Asha & Nisha who simultaneously manage to astound, outwit and embarrass him with startling frequency.

Wellness and Resilience
J'Aimee Lippert, DO

Physician wellness and resilience is directly related to the health of patients and communities. In an effort to shift the focus from high levels of burnout, career dissatisfaction, and negative perception, this interactive session will explore the topic of physician wellness in the context of the Osteopathic tenets, and provide space for creatively sharing wellness not only with our patients, but with one another and ourselves.

After attending this session, attendees will be able to:

  1. Discuss wellness in the context of Osteopathic tenets.
  2. Identify the signs, symptoms, and consequences of burnout.
  3. Explore elements of wellness and set three monthly goals for creatively engaging in wellness activities.
  4. Discuss resilience as a trainable skill set.
  5. Develop a strategy for recognizing negative thoughts and reactions and reframing using realistic optimism.

J’Aimee Lippert, D.O., is a 2000 graduate of Michigan State University College of Osteopathic Medicine and completed an integrated residency in Family Medicine and Neuromusculoskeletal Medicine at Metro Health in Grand Rapids, Michigan, in 2004. She was a residency program director at Metro Health for several years prior to moving to Green Bay, Wisconsin, where she served as an integrated family medicine and neuromusculoskeletal medicine physician with Prevea Health from 2010-2020. Throughout her career, she continued as an assistant clinical faculty member of MSUCOM, teaching family medicine residents through the Statewide Campus System and also teaching in the Department of Continuing Medical Education’s Manual Medicine series. In January 2020, she returned to her home state of Michigan and is now the Associate Chair of the Department of Osteopathic Manipulative Medicine at MSUCOM, as well as the Director of Preclerkship OPP/OMM. She enjoys working with the first- and second-year students, precepting students and residents in the clinical setting, and sharing Osteopathic medicine with her community through lectures, workshops, and service. Dr. Lippert’s passion is sharing Osteopathic medicine with others.

Risk Management in the Family Practice Setting
Nicholas Nahorski, J.D.

In this session, we will discuss risk management for family practitioners and their staff.

After attending this session, attendees will be able to:

  1. Identify common pitfalls
  2. Describe strategies to avoid common pitfalls
  3. Discuss "Real world" examples of risk management in practice

Nick is a seasoned attorney who brings many years of medical malpractice experience to Smith Haughey. He has represented clients in diverse areas of medicine, from general and family practitioners to orthopedic and vascular surgeons. As appropriate for each situation and case, he works closely with the client to develop an understanding of the underlying medicine and to conduct a detailed case assessment to determine whether settlement or trial is best for the client. Nick also defends pharmacies and pharmacists in state licensure matters and commonly advises pharmacists as to compliance with state and federal rules and regulations. In addition, he brings significant appellate experience to the Ann Arbor office. He is active in the community and serves in various charitable volunteer and nonprofit advisory roles, including his church congregation, which supports the work of charities that provide free medical care, dental care, and meals to families in need throughout the Ann Arbor area.

The Case for Compassion in Improving the Patient's Experience
Lee Begrow, DO, FAAFP

In this session, we will explore the important role of empathic communication and compassion in patient interactions and it's impact on clinical excellence and reducing physician burnout.

After attending this session, attendees will be able to:

  1. Explain the CGCAHPS measure.
  2. Define empathic communication.
  3. Describe the impact of compassion on healthcare.

After graduating from Midwestern University and the Genesis Regional Medical Center Family Medicine Residency, Dr. Begrow started Solo, then a small group and finally large group practice with Spectrum Health in Grand Rapids. He is primarily in direct patient care with a part time role as a member of the Patient Experience department with the Spectrum Health Medical Group.


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