Session Information                  

Inside the White Coat 
Alan Schalscha, DO

In this presentation, Dr. Alan Schalscha focuses on the type of advice a mentor or caring Aunt in the field would provide with a purview into medicine. Whether entering the profession, in training or in mid-career, this information facilitates future decision making and overall wellness. This talk serves as an attempt to answer some of these questions without the awkwardness of asking uninformed questions to complete strangers.

After attending this session attendees will be able to:

1. State your true intent.
2. Understand your value to those you serve.
3. Make an active career decision.

Dr. Alan Schalscha serves as Chief Medical Officer of CommUnityCare Health Centers, a Federally Qualified Health Center that serves low income, underserved and underinsured residents of Travis County who have limited access to healthcare. Dr. Schalscha also serves as the Acting Chief Medical Officer of Central Health.

Dr. Schalscha is an associate professor in the Department of Population Health at The University of Texas at Austin Dell Medical School. He graduated from The University of Texas at Austin with two bachelor's degrees and a master's degree prior to entering medical school. He received his medical degree from Midwestern University and completed his residency in Family Medicine at St. Joseph's Hospital & Medical Center.

For the past 20 years Dr. Schalscha has volunteered for DOCARE International, an international humanitarian organization that sponsors numerous medical missions annually. As Mission Medical Director, he annually leads a team of 70-100 providers and students to Guatemala and was instrumental in the establishment of 2 permanent continuity clinics in San Andres and Tecpan.

Dr. Schalscha is the 2019 recipient of the Travis County Medical Society’s Humanitarian of the Year Award.

Implicit Bias in Healthcare 
Karolina Skrzypek, MD

In this presentation, Dr. Karolina Skrzypek will present on the science of implicit bias as well as how it effects health outcomes for our patients and ways we can overcome it.

After attending this session attendees will be able to:

Dr. Karolina Skrzypek is an Internal Medicine Physician currently working as a Medical Director in Provider Engagement at Blue Cross Blue Shield of Michigan where she is the clinical lead for several initiatives including programs to improve health care disparities through our Value Partnerships portfolio.

Dr. Skrzypek completed medical training at the Jagiellonian University Medical College in Krakow, Poland and completed Internal Medicine Residency at Henry Ford Hospital in Detroit. She  went on to become a Faculty scholar in Integrative Medicine through the University of Michigan and then completed a Fellowship in Integrative Medicine through the University of Arizona. Dr. Skrzypek is currently in the process of obtaining her MBA with a subspecialty in medical management from the University of Massachusetts at Amherst.

Health Care for All, A Moral Imperative NOW!
John Cavacece, DO
In this presentation, Dr. Cavacece will present information on the history of health insurance and our health care industry over the past 80 years. We will discuss the 3 legs of the health care system, Cost, Access, and Quality and discuss the ways our health care system has failed in all 3 areas.  We will discuss how the medical/insurance/pharmaceutical industry perpetuates misinformation about single payer health care systems and we will compare the Canadian system and how it would be an improvement in all areas of our health care system.  We will also emphasize what must be done in the future and how a single payer system is much more in line with our professional oath of service.

• After attending this session attendees will be able to:

1. Describe the evolution of our health care system over the past century.
2. Understand the three areas common to all health care systems and how they are dysfunctional in US system.
3. Discuss why a single payer, universal health insurance fulfills the 3 goals of a functional system and be able to defend/discuss why it is our professional obligation to support single payer system.

Dr. Cavacece is a Family Physician who is passionate about 3 things professionally:  Teaching students and residents the value of relationship with their patients by getting to know them as fellow human beings, his patients, and striving to achieve universal health.  Dr. Cavacece received his residency training in the Air Force where he was a physician at various bases around the world for 10 years.  He has been involved in resident education in family medicine since 1991.  He has been a member of STFM since 1994. Dr. Cavacece began getting involved with medical student education in earnest in 2008 when the Grand Rapids campus of CHM opened, mostly dealing with small group work like PBL's and humanism/ethics discussions. He became a member of Physician's for a National Health Plan (PNHP) in 2000 and began giving presentations about the topic in 2007.  Dr. Cavacece remains a firm believer in the cause regardless of the political climate.

Geriatric Dermatology
Scott Drew, DO, FAAD, FAOCD
This session is a primer and Update on Cutaneous Diseases in Geriatric Patients and therapeutic challenges in the geriatric population.

• After attending this session attendees will be able to:

1. Discuss new options in therapy for geriatric atopic dermatitis.
2. Identify non-surgical diagnostic tools in the management of melanoma and dysplastic nevi.
3. Understand new varied pathological pathways related lower extremity edema.

G. Scott Drew, DO, FAAD, FAOCD, is a medical and surgical dermatologist at Mid Ohio Dermatology Associates/Smith Clinic in Marion, Ohio since 1992. He is on the faculty of Ohio University College of Osteopathic Medicine in Athens, Ohio, and adjunct clinical faculty at Ohio State University College of Medicine in Columbus.

He practices medical, surgical, and cosmetic dermatology in Central Ohio, concentrating on cutaneous disease in children, adolescents, adults, and seniors.  He special interests include skin cancer, psoriasis, eczema/atopic dermatitis, pigmented lesions, family dermatology, and laser and aesthetic medicine.

Dr Drew received his medical degree and doctorate with honors from AT Still University in Kirksville, Missouri. He completed an internship at Normandy Osteopathic Hospitals in St. Louis, Missouri, a Family Practice Residency at the University of Medicine and Dentistry of New Jersey in Stratford, NJ and a Dermatology Residency at Deaconess Medical Centers in St. Louis, MO.

Dr Drew is an author of numerous Peer reviewed articles in dermatology. He is a member of the American the American Academy of Dermatology, the Ohio Dermatology Association, the American Osteopathic College of Dermatology, and many other professional and civic organizations. He is a consultant for several pharmaceutical companies. Dr Drew was awarded the A.T. Still University Distinguished Service Award in 2015 and the Ohio State University Outstanding Clinical Teaching Award in 2006.  He serves on the board of trustees of his alma mater medical school, AT Still University and was its chair for 3 years.  He also volunteers on his High School Board of trustees, Bishop McNamara HS in Forestville, MD.

In his spare time, Dr. Drew volunteers with overseas dermatology outreach missions with Power of a Nickel, Days for Girls, DO Care, and Passion to Heal.   He serves as the Director of Dermatology Services for Power of a Nickel and has led medical teams to Malawi, Uganda, Kenya, Vietnam, Nicaragua, Peru, Cuba, India, Philippines Turkey and Greece.

Promoting Vaccine Confidence 
P. Ann Ryan, DO, PhD

Immunization is one of the most effective preventive health interventions ever developed. Vaccines have saved countless children from death and serious disability. High vaccination rates, not only provide individual protection, but indirect protection to a community and vulnerable persons that cannot be vaccinated. Despite being recognized as one of the most successful public health and medical measures, questions about vaccines and immunization abound. Some even perceive vaccination as unsafe and unnecessary. Pediatricians report that parental vaccine hesitancy is one of the most common barriers to vaccinating patients.

• After attending this session attendees will be able to:

1. Discuss vaccine hesitancy.
2. Discuss common concerns surrounding vaccination.
3. Review communication strategies to promote vaccine confidence.

Dr. Ryan graduated from Michigan State University's Medical Scientist Training Program in 1994 with both her PhD in Microbiology and her Doctorate in Osteopathy. After completing her certification in Family Practice, Dr. Ryan practiced Family Medicine in rural Michigan while also developing a practice in Complementary Medicine. In 2011, after 16 years in rural Family Practice, Dr. Ryan returned to East Lansing and MSU. From 2011 through 2014, she provided primary care at the MSU Student Health Center. In 2013, Dr. Ryan joined the Physician Peer Education Project on Immunization, a collaborative effort among the CDC, the Michigan Department of Health and Human Services, and the MSU Extension Service. As a presenter for the project, she provides live updates on vaccine preventable diseases to medical providers throughout Michigan. She currently devotes her time to this project and to her Complementary Medicine Practice in Okemos, Ml.

COVID-19: Diagnosis, Treatment & Vaccination 
Liam Sullivan, DO
In this session, Dr. Liam Sullivan will provide an update on the diagnosis, treatment and vaccination for COVID-19. 
After attending this session attendees will be able to:

1. Describe various molecular methods for diagnosis of COVID-19.
2. List currently available treatment modalities for COVID-19.
3. Analyze currently available vaccines for COVID-19. 

Dr. Liam Sullivan graduated from MSU-COM 2007 and completed his IM residency at MetroHealth Hospital in Grand Rapids followed by ID fellowship at Cleveland Clinic. Dr. Sullivan has practiced at Spectrum Health in Grand Rapids since 2012. His special interests include infections in hematologic malignancies/bone marrow transplant patients & antimicrobial stewardship. 

Thinking Outside the Office - Finding Work-Life Balance In Modern Medicine
Saroj Misra, DO, FACOFP 
Gina Charles, DO
This 60-minute presentation will focus on the well-known and frequently discussed concept of work-life balance. Learners will have the opportunity to review and understand statistics on how work-life balance is viewed by physicians practicing today, as well as understand some of the current challenges associated with finding that elusive solution to 'having it all'. In addition, Current strategies for achieving it will be discussed, alongside with some anecdotal examples from our speakers about successful approaches to making the seemingly impossible - possible.

• After attending this session attendees will be able to:

1. Understand contemporary definitions of work-life balance.
2. Identify elements of wellness and resilience as part of the larger picture of work-life balance.
3. Identify challenges to achieving work-life balance; and reviewing successful strategies to overcome these challenges.

Saroj Misra, DO, FACOFP is the Associate Dean of Clinical Affairs for the Kirksville College of Osteopathic Medicine at AT Still University and 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 the 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.

Dr. Gina Charles is a Family physician practicing in acute care in Hershey, Pennsylvania. She is also the owner of an aesthetics practice and speaks on various wellness platforms. After almost experiencing burnout earlier in her medical career, Dr. Charles is now redefining what work life balance looks like on her own terms. Additionally, within her wellness platform, she teaches others to build a life of their own design. Dr. Charles is dedicated to carving more space in the medical and wellness industry for others to be their own greatest advocate and lead healthier lives filled with intention. She is also an advocate for women’s health, educating diverse audiences on public policy and solutions. Dr. Charles is a member of the Women’s Health & Leadership Committee of the ACOFP, and is a part of the ACOFP Future Leaders Class of 2018. Dr. Charles is married to her husband/ business partner (they own a wedding photography and makeup studio) and have 2 children, age 4 years and 9 months.

The Perfect Match
Brianna Eisaman, D.O. PGY-3 Chief resident at Ascension Macomb-Oakland Family Medicine Residency Program
Jackie Small D.O. PGY-2 at Ascension Macomb-Oakland Family Medicine Residency Program
Sarah Baribeau OMS-II at MSUCOM

This session is a resident/student round table with Q&A to discuss board studying, choosing a residency program, interview and residency application advice, and other topics.

Dr. Eisaman is a PGY-3 and Chief Resident at Ascension Macomb-Oakland Hospital Family Medicine Residency Program. She recently signed a contract where she will be practicing rural medicine on the west side of the state beginning in August 2021. She received her medical degree from MSUCOM. She received her undergraduate degree from Lyman Briggs College at Michigan State University. In her free time Dr. Eisaman enjoys hiking, biking, camping, and cooking.

Jacquelyn Small is a second year family medicine resident at Ascension Macomb-Oakland Hospital. She is originally from Saginaw, Michigan. She has a Bachelor of Science in Psychology from the University of Michigan and graduated from Michigan State University College of Osteopathic Medicine in 2019. Preventative care is what drew her to family medicine and she is particularly interested in diabetes and women's health. In her free time, she likes running, taking barre classes and playing with her cats. She is also a member of the AAFP, MAOFP and MOA.

Sarah Baribeau is an OMS-II at Michigan State University College of Osteopathic Medicine. She is the Student Director of MAOFP, and the President of MSUCOM’s chapter of ACOFP. In her free time she can be found playing soccer or volunteering at the Potter Park Zoo in Lansing.

Opioid and Controlled Substance Awareness
Susan DeVuyst-Miller, PharmD, AE-C

This presentation meets the requirement of R 338.3135 Opioids and other controlled substances awareness training standards for prescribers and dispensers of controlled substances.

• After attending this session attendees will be able to:

1. Discuss the use of opioids and other controlled substances, integration of treatment including alternative treatments for pain management The stigma of addiction Utilization of the Michigan Automated Prescription System (MAPS).
2. Explain Counseling points on the effects and risks associated with using opioids and other controlled substances State and federal laws regarding prescribing and dispensing controlled substances.
3. Explain security features and proper disposal requirements for prescriptions.

Susan DeVuyst-Miller, an associate professor and pharmacist, practices Ambulatory Care through Ferris State University at Cherry Health Services in Grand Rapids. Susan worked in mental health and specialized foster care for several years, pursued substance use disorder education, and attained her final degree of PharmD, from Ferris State University. Susan completed a PGY1 residency program with Meijer, Ferris State University and Pfizer. She currently holds a full-time faculty position with Ferris State University College of Pharmacy. Susan is a faculty advisor for Ferris pharmacy and MSU medical students in the Engaged Partners Refugee Program, and health outreach programs in underserved communities in Kent County.

Susan volunteers at the Grand Rapids Red Project, and currently serves on their Board of Directors. She serves on the Kent County Opioid Task Force, Kent County Refugee Health Workgroup, Ferris State University Rural Opioid Prevention Network, the State of Michigan DUR board, and Kent County Pharmacist Association board. She serves as the Chair of Michigan Pharmacy Foundation Board of Trustees. She collaborates with public health and pharmacy colleagues on health disparities and cultural awareness.        

Ask the Program Director
Saroj Misra D.O. - Former Program Director at Ascension Macomb-Oakland Family Medicine Residency Program, Warren, MI 
Dr. Marissa Rogers - Program Director at Ascension Genesys Family Medicine Residency Program, Grand Blanc, MI

This session is an attending/student round table with Q&A for advice on the residency interview and application process.

Saroj Misra, DO, FACOFP is the Associate Dean of Clinical Affairs for the Kirksville College of Osteopathic Medicine at AT Still University and 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 the 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.

Dr. Marissa Rogers DO has served as the Program Director at Ascension Genesys Family Medicine Program for 10 years. As one of the largest family medicine programs in Michigan, Dr. Rogers always says she has 39 kids at work and 4 children at home. While her passion for medical education fuels her work with students and residents; Dr. Rogers also serves on a national level within ACOFP and ACGME. When she is not working she enjoys reading, chocolate, spending time with her children and her residents are trying to convince her to run her first marathon in 2021!

Pain Management from an Addiction Medicine and Internal Medicine Perspective
Mark A. Weiner, MD, DFASAM

Dr. Mark Weiner will identity obstacles and areas of frustration regarding pain management in primary care and determine practical strategies to help these patients.

• After attending this session attendees will be able to:

1. Discuss changing pain management paradigms over the last few decades and address the impact of this on primary care patients.
2. Identify pain management strategy breakdown due to medication failure or addiction.
3. Identify practical strategies to manage patients who have pain, addiction or both and who are dependent on opiates and/or benzodiazepines.

Dr. Weiner received his undergraduate degree (B.S. Psychology) at the University of Michigan, Ann Arbor. He earned his medical degree at Cornell University Medical College in New York City. He completed his internship and residency in Internal Medicine at Northwestern University – McGaw Medical Campus in Chicago, Illinois.  He is board certified in Internal Medicine and Addiction Medicine.

Dr. Weiner is located in Ann Arbor, Michigan practicing full time Addiction Medicine and Pain Management.  At St Joseph Mercy Hospital – Ann Arbor, he is the Medical Director of Substance Use Disorders, the Section Head of Addiction Medicine, Program Director for the Addiction Fellowship and Medical Director of IHA Recovery Medicine. Within the American Society of Addiction Medicine, he serves on as the chair of the Maintenance of Certification Committee for the ASAM Medical Education Council and is the immediate past chair of the planning committee for the course, “Pain and Addiction: Common Threads”.  He is an author and editor for the recently published American Society of Addiction Medicine Handbook on Pain and Addiction.  Dr. Weiner is the immediate past Chair of the Board of Trustees of Dawn Farm Treatment Centers in Ann Arbor.   

Research Advice & Information for Students and Residents
Andrew Hamilton, D.O. 

In this session, Dr. Andrew Hamilton will offer attendees advice on how to successfully conduct a research project in medical school and residency.

Dr. Hamilton is a chief resident at the Ascension Macomb-Oakland family medicine residency program. He received his Doctorate of Osteopathic Medicine from MSUCOM in 2018. He previously completed his Bachelors of Science in Chemical Engineering at MSU. Dr. Hamilton likes to stay an active member in his community and has been participating at MAOFP, ACOFP, and MOA conferences as well as DO Day on Capitol Hill in Lansing. He looks forward to pursuing a career working with students and residents. He and his wife, Lizabeth, look forward to setting down after residency and owning their first home. Go Green! 

How to Effectively use Telemedicine in Practice: eCare and it’s Impact on Today’s Health
Emily Hurst, DO, FACOI

Telehealth is rapidly growing and changing. Particularly given the constraints created by the pandemic, understanding telehealth opportunities, considering implementation and reviewing service benefits to you and your patients is vital and important to consider as a potential option to provide services to our patients.

• After attending this session attendees will be able to:

1. Discuss telehealth and its scope of opportunities in the office setting.
2. Discuss engagement implementation strategies for their practice.
3. Identify technology options, documentation, and billing for telehealth services.

Dr. Hurst is the national medical director of Avel eCare ICU and a bedside intensivist at Henry Ford West Bloomfield. Prior to being an intensivist, she was a Geriatric Internist and continues to manage patients in the inpatient and outpatient settings. She is actively involved in medical politics and serves on the MOA and AOA Boards of Trustees.

Menopause 202: Beyond the Hot Flash
Barbara DePree, MD, NCMP, MMM
Menopause occurs in 100% of women, with varying impact to their quality of life. For some, there are no bothersome symptoms, for others there are a myriad of difficulties associated with menopause. We'll review some lesser known symptoms of menopause, beyond hot flashes, and treatment options to better manage their overall health and wellness. 
After attending this session, attendees will be able to:

1. Identify definitions and diagnostic tools for menopause.
2. Identify definitions and diagnostic tools for menopause.
3. List treatment options for menopause.

Barb DePree, M.D., a gynecologist in practice for over 30 years, specializes in midlife women's health. Certified through the North American Menopause Society, she was named NAMS Certified Menopause Provider of the year in 2013. That same year, Sharecare named her a Top 10 Social Healthmaker for Menopause. Dr. Barb currently serves as the Director of Women’s Health Services at Holland Hospital, Holland, Michigan.
Finding that products helpful to her patients’ sexual health were not readily available, Dr. DePree founded MiddlesexMD. The website was created to share current, practice-tested, clinically sound information and products for women, including guidance for working with partners and caregivers.
Dr. DePree publishes regularly on both MiddlesexMD and AskDrBarbDePree, providing updates on research in women’s sexual health, as well as observations and advice based on her work with women in her practice. She hosts a podcast called “The Fullness of Midlife,” for which she interviews women about topics related to health, happiness, meaning, and fulfillment. Dr. DePree’s articles have also appeared on NextAvenue, Huffington Post, RedHotMamas, and TheCovey; she’s also been published in OBG Management. She is a frequent spokesperson for women’s menopause and sexual health, quoted in Self, Everyday Health, and Huffington Post, among others, and has been interviewed for radio, television, and documentaries.   

Health Professionals in Recovery 

Carl Christensen, MD, PhD
In this session, Dr. Carl Christensen will discuss how healthcare professionals (HCP) are at the same or increased risk for addictive d/o as the public. It is critical that another healthcare professional be able to identify addictive behavior in their colleagues and be aware of how to refer for treatment/follow up. 

After attending this session attendees will be able to:

1. Be aware of the risk factors for addictive disorders in general and in healthcare professionals.
2. Be able to identify "red flags" for addiction in healthcare professional colleagues.
3. Be aware of the resources available for intervention, evaluation, and monitoring, including the HPRP.

Dr. Christensen is the current Medical Director of the Michigan Health Professionals Recovery Program (HPRP). He was previously the Chair of the oversight committee, the Michigan Health Professional Recovery Committee. He is board certified in Addiction Medicine and Obstetrics and Gynecology. He specializes in working with impaired healthcare professionals, pregnant women with chemical dependency, and medical management of chronic pain. He is currently a Clinical Associate Professor at the Wayne state University School of Medicine. He has previous board certification in Gynecologic Oncology. Dr. Christensen is also on the Advisory Board of Families Against Narcotics. He lives with his wife Cathy, a Nurse Practitioner, their therapy dog Olive, there are rescue dogs Lucky and Sid, and their rescue cats Louie, Vito and Lilly.

Adult Infectious Disease – Update
Ryan Smith, DO

This session will discuss common infectious diseases in multiple organ systems. Discussion will focus on case presentations, epidemiology, diagnosis, treatments, and prevention measures. The participant will have a thorough understanding of and recognition for infectious agents Hepatitis C, Gonorrhea/Chlamydia, UTI, MRSA/VRE, and Bacterial endocarditis with a brief overview of Hep A, Zika, Lyme, HIV, and COVID. 

After attending this session attendees will be able to:

1. Recognize updated guideline screening recommendations for Hepatitis C in adults.
2. Understand the recommended measures for detection and treatment of urethritis/cervicitis.
3. Develop recognition of the less common (but still important) infections (Hep A, Zika, Lyme, HIV, COVID)

Ryan Smith, DO is a family medicine physician at Ascension Macomb Oakland Hospital Family Medicine program. Born and raised in Michigan, he enjoys teaching osteopathic principles and practices to future family physicians.

Cannabis from an Addiction Perspective 
Carl Christensen, MD, PhD
With the current legalization of recreational and medical marijuana, the use of marijuana in vulnerable populations has dramatically increased. These vulnerable populations, with an increased risk of addictive disorder, include those with genetic predisposition, trauma, and increased exposure to cannabis. The concept that cannabis does not affect the "reward system" is under question. There are multiple consequences of regular cannabis use recognized by addiction specialist. The risk of addiction to cannabis is significant, and treatment options are limited. It is critical that the medical practitioner in Michigan be able to counsel patients on the risks and benefits of cannabis use.

• After attending this session attendees will be able to:

1. Identify the risk factors for increased likelihood of addiction to cannabis. These include genetics, trauma, and increased availability and exposure to cannabis.
2. Identify the consequences of cannabis use, including dependency, cognitive dysfunction, mental illness, and risk of accidents.
3. Understand the available treatments for cannabis dependency, including recent evidence for pharmacotherapy.

Dr. Christensen is the current Medical Director of the Michigan Health Professionals Recovery Program (HPRP). He was previously the Chair of the oversight committee, the Michigan Health Professional Recovery Committee. He is board certified in Addiction Medicine and Obstetrics and Gynecology. He specializes in working with impaired healthcare professionals, pregnant women with chemical dependency, and medical management of chronic pain. He is currently a Clinical Associate Professor at the Wayne state University School of Medicine. He has previous board certification in Gynecologic Oncology. Dr. Christensen is also on the Advisory Board of Families Against Narcotics. He lives with his wife Cathy, a Nurse Practitioner, their therapy dog Olive, there are rescue dogs Lucky and Sid, and their rescue cats Louie, Vito and Lilly.

OMM for Pain Management-Headaches and Neck Pain
Victoria Torgler, DO 

Dr. Victoria Torgler will be discussing the burden of headache and neck pain in America and discussing how OMM can be an alternative to pain medication for treatment. We will look at the evidence that exists as well as receive a refresher of techniques used to treat the head and neck.
After attending this session attendees will be able to:

1. State the evidence behind OMM for headaches and neck pain.
2. Recommend OMM treatment for management of chronic pain.
3. Practice OMM techniques for treating the head and neck. 

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.

Breast Disease for the Primary Care Physician
Jessica Hafner, DO
This session will feature an overview of common benign breast disease, also with an emphasis on when to consult specialists. 
After attending this session attendees will be able to:

1. Identify and counsel about benign diseases of the breast.
2. Identify worrisome signs of possible malignancy and when to call specialists.
3. State to date information on high risk patients, screening, and counseling.

Dr. Hafner has been working at Holland Hospital as a general surgeon since 2013. She has special interest in breast care for both benign and malignant diseases. She enjoys spending time with her family and pets, and being outdoors as much as possible.

What’s New with Flu 
Liam Sullivan, DO
In this session, Dr. Liam Sullivan will provide an update on the diagnosis, treatment, and vaccination for influzenza. 

• After attending this session attendees will be able to:

1. Discuss current status of seasonal influenza in setting of COVID-19 pandemic.
2. Distinguish influenza from COVID-19.
3. Discuss current available treatments for influenza.

Dr. Sullivan graduated from MSU-COM in 2007 and did his IM resident at MetroHealth Hospital in Grand Rapids, followed by ID fellowship at Cleveland Clinic. Since 2012 Dr. Sullivan has practiced at Spectrum Health in Grand Rapids. His special interests include infections in hematologic malignancies/bone marrow transplant patients and antimicrobial stewardship.

Telemedicine and Scope of Practice: Patient Safety and Risk Management Implications
Mark Hakim, BS, MA, MBA, CPHRM 
Covid-19 has accelerated the adoption of telemedicine across the healthcare continuum and many believe it's here to stay. Additionally, providers are balancing decreased reimbursements by increasing their patient volumes and employing allied healthcare professionals to assist in office management and frontline responsibilities. This presentation will explore the risk management considerations related to telemedicine and scope of practice. 
After attending this session attendees will be able to:

1. Recognize the benefits and risks of providing care through virtual healthcare visits.
2. Employ risk management strategies that promote patient safety and clinical diagnostics in a virtual care environment.
3. Describe the impact of understanding the scope of practice for oneself and one’s healthcare team.

Mark Hakim is the Director of Risk Management and Patient Safety Educational Strategy at Med-IQ. Prior to joining Med-IQ in 2019, Mark served as a Director of Risk Management at ProAssurance for over ten years where he designed, produced, and presented physician and provider risk management education in a variety of live and online formats. He is a graduate (Class 3) of the Patient Safety Leadership Fellowship of Health Research & Educational Trust; certified professional in healthcare risk management and is currently serving as the president-elect of the Michigan Society for Healthcare Risk Management. 

Conundrums in Dermatology in Africa
Scott Drew, DO, FAAD, FAOCD
During this session Dr. Scott Drew will share data and personal observations on dermatologic health care delivery in the third world thru medical outreach trips through DO care and Power of a Nickel. 
After attending this session attendees will be able to:

1. Discuss differences in health care delivery in the non industrialized countries of Africa
2. Understand the impact of nutritional and environmental factors on dermatologic diseases in Africa
3. Recognize atypical presentations of diseases in Africa relative to the presentation of those diseases in the industrialized world

G. Scott Drew, DO, FAAD, FAOCD, is a medical and surgical dermatologist at Mid Ohio Dermatology Associates/Smith Clinic in Marion, Ohio since 1992. He is on the faculty of Ohio University College of Osteopathic Medicine in Athens, Ohio, and adjunct clinical faculty at Ohio State University College of Medicine in Columbus.

He practices medical, surgical, and cosmetic dermatology in Central Ohio, concentrating on cutaneous disease in children, adolescents, adults, and seniors.  He special interests include skin cancer, psoriasis, eczema/atopic dermatitis, pigmented lesions, family dermatology, and laser and aesthetic medicine.

Dr Drew received his medical degree and doctorate with honors from AT Still University in Kirksville, Missouri. He completed an internship at Normandy Osteopathic Hospitals in St. Louis, Missouri, a Family Practice Residency at the University of Medicine and Dentistry of New Jersey in Stratford, NJ and a Dermatology Residency at Deaconess Medical Centers in St. Louis, MO.

Dr Drew is an author of numerous Peer reviewed articles in dermatology. He is a member of the American the American Academy of Dermatology, the Ohio Dermatology Association, the American Osteopathic College of Dermatology, and many other professional and civic organizations. He is a consultant for several pharmaceutical companies. Dr Drew was awarded the A.T. Still University Distinguished Service Award in 2015 and the Ohio State University Outstanding Clinical Teaching Award in 2006.  He serves on the board of trustees of his alma mater medical school, AT Still University and was its chair for 3 years.  He also volunteers on his High School Board of trustees, Bishop McNamara HS in Forestville, MD.

In his spare time, Dr. Drew volunteers with overseas dermatology outreach missions with Power of a Nickel, Days for Girls, DO Care, and Passion to Heal.   He serves as the Director of Dermatology Services for Power of a Nickel and has led medical teams to Malawi, Uganda, Kenya, Vietnam, Nicaragua, Peru, Cuba, India, Philippines Turkey and Greece.

MRSA Community Acquired Pneumonia in an Otherwise Healthy Adult
Mackenzie Dickinson, DO

Community Acquired Pneumonia (CAP) is a common disease in the United States with a broad range of organisms responsible for causing infection. Methicillin-resistant Staphylococcus aureus (MRSA) is a rare cause of CAP with estimated <1% of all CAP occurrences. Herein, I will discuss a case involving a young, immunocompetent individual diagnosed with CAP MRSA. The patient’s medical history was previously unremarkable prior to the hospitalization. After several days in the hospital, pt was transitioned from IV antibiotics to oral antibiotics and discharged home to later make a full recovery. For this presentation we will briefly discuss the incidence of CAP MRSA, risk factors for developing it, various diagnostic modalities available, inpatient and outpatient treatment options, and outpatient follow up.

Therapeutic Plasma Exchange as Effective Treatment for Hypertriglyceridemia-induced Acute Pancreatitis
Elizabeth Henley

This is a case of a 53-year-old female patient, who presented with hypertriglyceridemia-induced acute pancreatitis (HTAP). We are presenting a case that supports the literature for the use of therapeutic plasma exchange (TPE) in order to help normalize the triglyceride levels in a timely manner. Our patient admitted to severe alcohol intake and was an unknown diabetic with a hemoglobin A1c of 17.9. This resulted in a diagnosis of diabetic ketoacidosis in addition to the HTAP. Her presenting triglyceride level was 2,575, which had decreased to 1,883 at the time the TPE was initiated. After one round of pheresis her triglyceride level was 950 and the decision was made that a second treatment was not necessary. The patients clinical picture began to show significant improvement and her triglyceride levels continued to diminish. After her levels stabilized and her diabetes was under better control, she was discharged with extensive counseling on alcohol abuse and new diagnosis of diabetes mellitus.

Traumatic Falls, Comorbid Diseases, Hospital Stays and Discharge: Does a Disease Make the Difference?
Samuel Gregerson

Falls lead to diminished function and loss of mobility, accounting for nearly half of the traumas reported in the United States. In Macomb County, Michigan, falls make up over two-thirds of traumas reported annually. Previous investigations have studied the impact that comorbid conditions, such as hypertension and diabetes, have on posttraumatic fall prognosis. The data is largely mixed, with no consistent pattern of effect on fall prognosis observable. The current study aims to discern hospital discharge patterns in posttraumatic falls in healthy patients versus patients with comorbid diseases.

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