Shame is a ubiquitous human emotion that there are not many conversations about.  Shame is a corrosive emotion that can inhibit our growth in medicine.  In medical learners, shame was associated with disengagement with learning, impaired empathy, diminished psychological and physical wellness, reduced self-regulation, and unprofessional behavior.  Since medicine is ever evolving, PAs continue to learn throughout their career along with interacting with students.  Understanding shame vs guilt can help us navigate our own careers as well as help our colleagues navigate successfully through the landscape of medicine.  

By the end of this session, attendees will be able to: 

1. Define and contrast shame and guilt.
2. Understand why we have shame and why is it important.
3. Identify what a shame reaction encompasses. 
4. Tips to help with the growth of ourselves and learners in medicine by understanding and navigating shame.

Continuous Glucose Monitoring is making a big impact on diabetes care – and patient outcomes. Learn more about the practicalities of bringing CGM into your practice and making it work for your staff, your colleagues, and your patients. At the end of the presentation, participants will be able to:

1. Prepare the clinical practice for CGM. 
2. 2Understand options available to the practice for professional and personal CGM. 
3. Locate and interpret CGM data, using the Ambulatory Glucose Profile (AGP) to assess if the patient is achieving targets established by the International Consensus on Time in Range. 
4. Modify the treatment plan based on CGM data to improve patient outcomes.

Obesity is a complex, multifactorial chronic condition. Forty percent of US adults are living with obesity. It has been correlated with 6 of the 10 top causes of death in industrialized nations and impacts the lives of 2 of every 3 patients a PA will see. Stigma against fat individuals impacts health outcomes and must be addressed to successfully care for all our patients.  At the end of this activity, participants will be able to:  

1. Discuss prevailing evidence about the clinical treatment of obesity 
2. Define obesity stigma and discuss its impact on health outcomes for fat patients
   1. Identify evidence-based best practices for treating obesity while destigmatizing care

Restless Legs Syndrome (RLS) is easy to miss and easier to misdiagnose. This can lead to years of misery and frustration for both the patient and their healthcare team. Why aren't they better since treating their sleep apnea? Why aren't the sleep pills or stimulants helping? Why can't we catch a break in helping this person feel better? In this lecture you'll learn ways to keep RLS from sneaking past you in clinic, while increasing your management confidence for this twitchy sleep disorder.  At the end of this lecture, attendees will be able to: 

1. State how Restless Legs Syndrome is different from Periodic Limb Movement Disorder (PLMD).
2. Discuss testing recommendations in the setting of suspected or confirmed RLS/PLMD.
3. Use patient-centered factors to assist in choosing a pharmacologic agent for treatment of RLS/PLMD.
4. List nonpharmacologic strategies which may benefit the patient with RLS/PLMD.

This lecture will include how to correct common coding misnomers, a review of how to appropriately chart and document.  Information on Coding Challenges that have been published for Evidence-Based Urgent Care online journal and the Journal of Urgent Care Medicine will also be shared.  At the end of this lecture, attendees will be able to:

1. Correct common coding errors.
2. Appropriately chart and document you office notes.  
3. Identify what is Modifier 25 and when to use it. 
4. Document Laceration Repairs. 

Nephrotic vs nephritic is every PA student’s nightmare. And most PA-Cs do not like it either! And yet, nephrotic syndrome is out there and very often missed in primary care. When it is easy to catch, it should be on every differential and is the number 3 cause of kidney failure after diabetes and HTN. Using a series of real-life cases makes the trip through GN a fun ...and funny trip. Join us as we travel through the wilds of nephrotic, nephritic and glomerulonephritis.  At the end of this session, learners will be able to: 

1. Identify and explain nephrotic vs nephritic.
2. Review and identify incidence of glomerulonephritis diseases including how to diagnose.
3. Using cases, identify and review each type of GN. 

This lecture will consider the physiology of menopause, indications and contraindications for pharmacologic management, and treatment modalities. At the conclusion of this presentation, the attendee will be able to:

1. Discuss the significance of the Women's Health Initiative on the approach to management of menopausal symptoms.
2. List contraindications to hormonal treatment of menopausal symptoms.
3. Describe hormonal and non-hormonal methods of management of menopausal symptoms.

This lecture serves as an introduction to aid learners in differentiating hyponatremia in both the inpatient and outpatient setting based on history, exam, and lab work up. Afterwards, we will discuss guideline directed treatment options for different types of hyponatremia and common pitfalls.  At the end of this session attendees will be able to:

1. Differentiate hyponatremia based off history, exam, and lab work up.
2. Understand the role of ADH in maintaining fluid and electrolyte homeostasis.
3. Discuss common treatment options for hyponatremia.
   1. Understand how to prevent osmotic demyelination syndrome while treating hyponatremia. 

Isolated neutropenia is a common laboratory finding encountered on a patient's CBC across all ages.  The causes vary from transient or benign to serious systemic diseases.  The extent of the work up and ultimately the need for intervention requires a systematic approach to patients with findings of isolated neutropenia.  In this session we will review some of the various etiologies of neutropenia across the lifespan. This will include an in-depth review of congenital and acquired causes.  Participants will develop increased confidence about appropriate referrals for neutropenia as well as the acuity of the evaluation.  We will conclude by discussing the treatment of various etiologies of isolated neutropenia, including growth factors and chemotherapy. At the end of this session participants will:

1. Have increased confidence in building an appropriate differential diagnosis for a patient presenting with isolated neutropenia.
2. Develop a systematic work-up and disposition for patients that present with new onset neutropenia.
3. Recognize the appropriate referral criteria and urgency of referral to hematology. 
4. Increase understanding of some of the most commonly used agents in treating isolated neutropenia including nutritional replacement, antibiotic prophylaxis, growth factors, and chemotherapy.   

Discuss the typical clinical presentation of Streptococcal pharyngitis. Review some life-threatening conditions that may present with the symptom of sore throat. Summarize the physical exam findings, diagnostic evaluation, and management of the medical conditions covered.  Attendees will: 

1. Discuss the typical presentation of Streptococcal pharyngitis.
2. Review some life-threatening conditions that may present with the symptom of sore throat.
3. Summarize the typical clinical exam findings and exam findings of some life-threatening conditions presenting with the symptom of sore throat.
4. Summarize the diagnostic approach when suspecting some life-threatening condition presenting with the symptom of sore throat.