Conference Evaluation for CME Credit
Click below to complete your conference evaluation/attendance form.
Once your evaluation is completed, you will be able to print out your CME certificate.
BEGIN
Accreditation April 2015
Accreditation This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Foundation for Care Management (FCM) and the Age Management Medicine Group (AMMG). The Foundation for Care Management (FCM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
FCM designates this educational activity for a maximum of 27 AMA PRA Category 1 Credits TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The Foundation for Care Management is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Program # 0347-9999-15-005-L01-P *This CE activity is knowledge based.
The Foundation for Care Management is an approved provider of continuing nursing education by the Washington State Nurses Association Continuing Education Approval & Recognition Program (CEARP), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
Outcome Objectives
- Identify hormone deficiencies through clinical and laboratory criteria and recognize the current scientific data behind hormone therapies (estrogen, progesterone, testosterone, thyroid, melatonin and DHEA), and describe clear protocols to measure and correct hormone deficiencies and outcomes.
- Identify the role of nutrition in hormone activation, and describe how to measure and correct nutritional deficiencies and the data on plant-based superfoods and other nutritional programs.
- Identify the role of the pH, bowel, liver and gallbladder in hormonal and nutritional balance and describe how to measure and restore the pH of the body.
- Identify the role of mental and physical imbalances, and describe the basic interventions to correct imbalances in the mind and body.
- List the clinical protocols involved in development of individualized patient treatment plans involving women’s health and hormone issues, men’s health and hormone issues, patients with histories of heart disease, nutrient deficiencies, and the use of fitness and individual outcomes associated with these cases, through case presentations and interactive discussion.
- Describe the basic science behind the use of stem cells and the potential future use of regenerative medicine protocols in Age Management Medicine.
- Discuss the regulatory scrutiny of regenerative medicine and relate current FDA directives on the use of stem cells including their position on fat stem cells as a “bedside drug”.
- Discuss the science behind and clinical use of adult stem cells for immune dysfunction, chronic illnesses such as Parkinson’s and cardiovascular/vascular disease and orthopedics, including current and ongoing research and outcomes both in and outside the United States.
- Discuss the viability and the use of Microfat Grafting for cosmetic and reconstructive applications.
- Describe the relevance of genomics to healthcare provider practice and identify implications of genomics for professional competency, and list resources to facilitate personal and professional genomics education.
- Discuss how aging works in regard to changes in epigenetic patterns of gene expression, and explain the most effective point of clinical intervention in Alzheimer’s disease, and current plans for human trials.
- Explain how to effectively use and implement currently available genetic diagnostic testing protocols into a clinical Age Management Medicine practice and how genetic testing can enhance patient outcomes.
- Describe available genetic testing which can enhance the ability of clinicians to develop individualized nutritional programs and how to effectively use that testing.
- Explain the Functional Medicine approach to gut health and gastrointestinal and immune dysfunction and how to use current testing methods including Inflammasome Activation and Signal Transduction to provide treatment protocols and approaches to improve patient outcomes.
- Discuss the implications of microflora on gut health and express the current data on the role that gut microbes have in vitamin production, mood disorders, memory, blood sugar regulation and infection and clinical protocols that have shown effective in treatment of gut health.
- Recognize the role of heavy metals in endocrine disorders and common sources of heavy metal toxicity and describe methods of diagnostic testing to assist in the identification and treatment of toxicity.
- Indicate when to best utilize environmental toxin assessment as a tool to evaluate a patient’s status in clinical practice; identify clinical scenarios that would benefit from application of diagnostic tools that evaluate environmental toxin levels and list the different types of environmental toxins: water soluble, fat soluble and Persistent Organic Pollutants (POPS).
- Describe the two new endocrine systems and four hormones that were discussed and explain the clinical implications related to these hormones.
- Discuss the role adrenal health plays in perimenopause and menopause signs and symptoms and recognize effectiveness of laboratory testing; recognize that the transition through perimenopause and menopause can be greatly assisted by properly treating suboptimal or low adrenal function when present.
- Discuss the types of estrogen metabolites that form in the body and why some are more dangerous than others, and describe other factors (hormones, nutrients) that increase and decrease good and bad estrogen metabolites.
- Identify hypothyroidism and discuss casual factors such as environmental toxins, stress and missing nutrients and the rationale of hypothyroidism as a modern silent epidemic; discuss how to properly assess a patient, including how to review laboratory reporting to achieve sustainable healthy patient outcomes.
- Describe how peptides exert their respective effects in order to achieve a normal and youthful physiology, and outline their unwanted effects and how to monitor the patient’s responses to them.
- Compare and contrast differences between alpha and beta estrogen receptors and identify some of the nutrigenomic nutrients affecting estrogen, and the importance of receptor induction and localization of estrogen receptors in understanding the safety of bioidentical hormone replacement.
- Describe the effects of patient-centric care on patient compliance and clinical outcomes, utilization rates, and patient satisfaction and demonstrate essential patient-centric practice skills that improve effective communication, empathy, and a feeling of partnership between doctor and patient.
- Review the current literature support for hormone replacement in men, including a review of the literature for evidence-based treatment of men with Polysythemia and Aromatase inhibitors.
- Discuss the effects of hormones on pathogenesis and management of adult acne including the underlying causes and associated health disorders and effective clinical treatments to both address the underlying problem and resolve endocrine imbalances.
- Identify standard pharmacological therapies which could be integrated into an Age Management patient program and discuss specific mechanisms of action through which multiple pharmacotherapies can positively impact the aging process; identify patient populations that could benefit from standard pharmacotherapy applied for Age Management purposes.
Learning Objectives AMMG April 2014
Upon completion of this learning activity, the participant will be able to:
- Understand the prevalence of obesity and its impact on health, and learn clinical pearls for managing obesity, improving effective communication about weight and increasing awareness of available resources for managing obesity.
- Understand the impact of obesity on the development and progression of cardiovascular disease and learn about case reports of obesity, cardiomyopathy and clinical outcomes which will enable participants to understand the clinical relevance of early intervention for treatment of obesity related comorbidities.
- Review epidemic, etiology and pathogenesis of overweight and obesity and understand how hormone imbalances, systemic toxicity, nutritional deficiencies and mental, emotional and spiritual health issues contribute to overweight and obesity.
- Learn effective strategies for evaluation and management of hormone imbalance, toxicity, nutritional deficiency and mental, emotional and spiritual health in the management of overweight and obesity and understand the role of metaphysics in overcoming weight loss resistance.
- Understand how to define and understand the disease state known as Metabolic Syndrome, the parameters for defining and diagnosing as well as biopsychosocial gender differences in treatment strategies. Understand causes for diabetes and Metabolic Syndrome beyond the conventional risk factors and be able to assess the contribution of the immune system, metabolic endotoxemia, chemicals and toxins to the development of diabetes and metabolic syndrome.
- Learn about the role of hormones and psychoneuroendocrinology as it relates to gene-environment interaction and effects on fat loss resistance.
- Clarify the connection between PCOs and obesity and provide an integrative approach to the treatment of obesity in PCO patients.
- Discuss the basic concepts and evidence-based science behind Age Management Medicine and how to incorporate Nutrition, Supplements, Fitness, Hormone Modulation, Patient Assessment Protocols and the new concepts of Genetic Testing, Telomere and Stem Cells.
- Discuss and understand the use of testosterone therapy in men and the relevance, use and importance of this in modern medicine.
- Understand the role of cholesterol in preventing atherosclerosis and which patients benefit from statin treatment and what depletions are produced from statin therapy.
- Understand the different types of stem cells present in the body and what they do and their use in orthopedic injuries. Review registry data on the success rates of MSC use in various body areas and injuries and discover whether testosterone helps bone marrow stem cells and if so, how?
- Become familiar with the emerging paradigm of psychoneuroimmunology and recognize the role of neurotransmitters, cytokines, and hormones as chemical mediators of one interconnected supersystem, considering the relevance of biomarkers for neuro, endocrine, and immune function. Explore the utility of biomarker assessments to guide treatment decisions.
- Understand how Caloric Restriction (CR) can be used as an effective treatment for cancer and the Metabolic Approach to the treatment of cancer.
- Illustrate arterial plaque growth, plaque rupture, and how platelet aggregation leads to CVD events, and review cutting-edge data being submitted for publication that will highlight emerging lifestyle factors that predict arterial age and plaque burden, plus identify which lifestyle factors predict both arterial plaque growth and plaque regression.
- Discuss dietary and exercise therapies that have been shown in clinical outcome trials to prevent cardiovascular disease events and clarify what supplements can and can’t do in decreasing cardiovascular events.
- Understand the “Wellness Coaching Model” and the clinical benefits this model offers for Age Management clinicians.
- Understand the concept of Functional Neurology and how to apply its principles to improve function of the aging brain.
- Be aware of clinical treatment options for insulin resistance.
- Have familiarity with men’s sexual health and the new perspective on sex and relationships. Review the literature demonstrating that adequate progesterone opposition is required to protect against breast cancer, to increase BCRP’s, and to be apoptotic to cancer cells and discover which two medications have EBM support for breast cancer protection. Discuss the difference between randomized controlled trials and observational studies of testosterone as they pertain to breast cancer risk versus breast cancer protection. Understand that prior hysterectomy does not preclude the use of progesterone or testosterone. Utilize the studies presented to provide proof that optimal levels of progesterone and testosterone are necessary to provide an apoptotic effect on breast cancer cells.
- Know how to diagnose the presence of estrogen dominance in all ages of women, using the Millennium Equation for the EP Ratio. Know how to provide low-dose hormonal therapy with greater efficacy.
- Recognize adrenal fatigue and understand why there is increased incidence of adrenal compromise and how to clinically treat patients with adrenal insufficiency.
- Understand the etiology and pathology of gynecomastia and ways to prevent gynecomastia in males. Learn about surgical and non-surgical interventions to treat gynecomastic patients.
- Define and understand basic concepts of peptide biology and examine the physiological effects of peptides on organs and tissues. Be able to identify current peptides commonly used in Age Management Medicine and explore the latest research on peptides as it applies to AMM comparing standard BIHRT versus emerging peptide therapies in clinical outcomes in aging patients.
- Understand that the major risk of developing Alzheimer’s is a metabolic disorder: insulin resistance, and understand the insulin pathway of Phosphoinositide 3 kinase (PI3K) and Mitogen Activated Protein Kinase (MAPK) in the role of developing Alzheimer’s and the role of nitric oxide in Alzheimer’s disease.
- Identify six symptoms of testosterone deficiency in women over 40 and be able to identify, describe and compare at least four delivery methods for administering testosterone to women, along with risks and benefits of each method.
- Understand Thyroid, Adrenal and Gonadal dysfunction and clinical treatment options including HRT, nutritional and dietary interventions.
- Have awareness about how medications affect obesity and discuss alternatives to medication choices in specific cases, and the outcomes of those choices.
- Understand the concept of bone deconditioning, and the use of osteogenic loading as a clinical treatment option.
- Participate in a series of clinical case discussions where various diagnostic methods and individualized patient treatment options will be discussed.
|
 |
|