39th Refresher Course in Family Medicine: Managing the Challenges of Clinical Practice

Sponsored by:

UPMC St. Margaret

University of Pittsburgh School of MedicineDepartment of Family Medicine

Center for Continuing Educationin the Health Sciences

In collaboration with regional teaching hospitals

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Pittsburgh,PA

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June14,15&16,2012

CenterforContinuingEducationintheHealthSciences

200LothropStreet•IroquoisBuilding,Suite302

Pittsburgh,PA15213-2536

Course Directors:

Paul W. Dishart, MD (Emeritus)

Donald B. Middleton, MD

MANAGING THE CHALLENGESof CLINICAL PRACTICE

Using Evidence, Performance Data andSound Clinical Judgment to Benefit Patients

39th Refresher Course in Family Medicine

June 14, 15 &16, 2012Marriott Pittsburgh City Center • Pittsburgh, PA

39thRefresherCourseinFamilyMedicine

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CONT INU ING EDUCAT ION CRED I T

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for ContinuingMedical Education to provide continuing medical education for physicians.The University of Pittsburgh School of Medicine designates this live activity for a maximum of

22.0 AMA PRA Category 1 Credits™. Physician should claim credit commensurate with the extentof their participation in the activity.Other health care professionals are awarded 2.200 continuing education units (CEU’s) which are

equal to 22.0 contact hours.This continuing nursing education activity has been approved for 22.0 contact hours by the UPMC

Provider Unit of the PA State Nurses Association, an accredited approver by the American NursesCredentialing Center’s Commission on Accreditation. To receive contact hours, the participant mustattend the entire session, complete the evaluation form and sign-in sheets, and return all informationbefore leaving the course.Application for CME credit has been filed with the American Academy of Family Physicians.

Determination of credit is pending.Application for AOA Category 2 credit has been filed with the American Osteopathic Association.

Determination of credit is pending.

This program is sponsored by the UPMC Center for Continuing Education in the HealthSciences. The UPMC Center for Continuing Education in the Health Sciences is accredited by the

Accreditation Council for Pharmacy Education (ACPE) as a Provider of continuing pharmacy education.The assigned universal program numbers: 0481-0000-12-140-L04-P, 0481-0000-12-141-L04-P,0481-0000-12-142-L04-P, 0481-0000-12-143-L04-P, 0481-0000-12-144-L04-P, 0481-0000-12-145-L04-P,0481-0000-12-146-L04-P, 0481-0000-12-147-L04-P, 0481-0000-12-148-L04-P, 0481-0000-12-149-L04-P,0481-0000-12-150-L04-P, 0481-0000-12-151-L04-P, 0481-0000-12-152-L04-P, 0481-0000-12-153-L04-P,0481-0000-12-154-L04-P, 0481-0000-12-155-L04-P, 0481-0000-12-156-L04-P, 0481-0000-12-157-L04-P,0481-0000-12-158-L04-P.This program provides 12.00 contact hours (1.200 CEU) of continuing education credit. Upon

successful completion of this program (attending the full session and completing and submitting aprogram evaluation and a CE verification form), participants will receive their statement of continuingeducation by UPMC Center for Continuing Education in the Health Sciences within two weeks by U.S.mail. A learning self-assessment tool is provided to enable participants to evaluate their successfulachievement of the program objectives.

SPEC IAL NEEDS

Participation by all individuals is encouraged. Advance notification of any special needs willhelp us provide better service. Notify us of your needs immediately or at least two weeks inadvance of the program by calling (412) 647-8232.

�

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COLLABORAT ING FAMILY MED IC INE PROGRAMS

� Forbes Regional Hospital

� Heritage Valley Health System

� Latrobe Area Hospital

� The Washington Hospital

� UPMC Horizon

� UPMC McKeesport

� UPMC St. Margaret

� UPMC Shadyside

WHO SHOULD ATTEND

This two and a half day continuing education activity is meant to attract family physicians, primarycare physicians, residents, fellows, nurses, physician assistants, nurse practitioners, doctors of pharmacy,and other health care professionals interested in a family medicine refresher course developed by acollaboration of expert faculty and practicing physicians.

OBJECT I VES

At the end of this course the participant should be able to:

� Apply current updated knowledge relevant to problems commonly encountered in a clinical setting.

� Utilize new diagnostic procedures to enhance diagnostic accuracy.

� Apply standard treatment modalities for management of acute and chronic diseases.

� Demonstrate competence in specific clinical procedures.

� Utilize national guidelines to approach commonly encountered clinical conditions.

� Diagnose and treat common dermatologic conditions including common rashes, eczema, acne,rosacea, and skin cancer.

MEET ING LOCAT ION / ACCOMMODAT IONS / PARK ING

The conference will be held in the Conference Center on the second floor of the Marriott PittsburghCity Center hotel located at 112 Washington Place, Pittsburgh PA 15219.The conference has contracted a limited number of hotel rooms at the Marriott Pittsburgh City

Center (hotel) for conference attendees. You may book a room by calling the hotel at 1-888-456-6600or 412-471-4000 and asking for the 39th Refresher Course in Family Medicine room block in order toreceive our reduced rates. The special reduced rate is $115 plus tax per night. These accommodationsare not included in registration fee. If you experience any problems booking your room, please tele-phone CCEHS at (412) 647-8232. Room availability cannot be guaranteed beyond the block or thecontracted end date of 12:00 PM May 22, 2012.Parking is on your own and facilities are available below the Marriott Pittsburgh City Center hotel.

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(*) denotes topics that receive ACPE accreditation (+) denotes topics that meet Patient Safety/Risk Management criteria

Moderator: Donald Middleton, MD

12:40 pm Keynote Lunch Lecture:The Promise of Telemedicine *Geralyn Lee

1:15 pm Break & Visit Exhibits

THURSDAY AFTERNOON GENERAL SESSION

Moderator: N. Randall Kolb, MD

1:30 pm Boning Up on Vitamin D *+Jeannette South-Paul, MD

2:00 pm Drains and Pains: ENT Pearls +Suman Golla, MD

2:30 pm The Skinny on Bariatric Surgery +LeeAnn Peluso, MD

3:00 pm Question and Answer Panel


3:35 pm SKILL/DEMONSTRATION SESSION I(please select two; repeats at 4:40 pm)

D. Keep ‘em in Stitches: SuturingLeeAnn Peluso, MD

E. The Big Chill: Office Derm +Colleen Ebbert, MD

F. The Scope of Colposcopy +Robin Maier, MD

G. A Firm Footing in Podiatry +Jeffrey Nigro, DPM

H. Take Heart: EKGsMakum Ramesh, MD

4:40 pm SKILL/DEMONSTRATION SESSION II (repeated from 3:35 pm)

5:40 pm Thursday Adjournment

5:45 pm Meet the Professors Reception and Discussion


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COURSE SCHEDULE ~ THURSDAY, JUNE 14, 2012

6:15 am Registration and Continental Breakfast

THURSDAY MORNING GENERAL SESSION

7:00 am Opening Comments and WelcomeDonald Middleton, MD

Moderator: Heather Sakely, PharmD, BCPS

7:20 am Anticoagulation: Chest 2012 *+Rachelle Simon, PharmD, BCPS

8:00 am The Rigors of Pneumonia *+Raymond Pontzer, MD

8:30 am Changes in Lipid Management 2012 *+TBD

9:00 am Question and Answer Panel

9:15 am Break & Visit Exhibits

Moderator: Ted Schaffer, MD

9:35 am The Pressure of Hypertension *+David Blandino, MD; Stephanie Ballard, PharmD, BCPS

10:20 am Red Eye (without the Jet) +John Maher, MD



11:20 am GUIDELINE SEMINARS I(please select two; sessions repeat on Friday at 11:15 am)

A. Return to Play +Jeanne Doperak, DO

B. Attention to Detail: ADHD *+Madeline Simasek, MD, MSCP, FAAP; Philip Phelps, MSW

C. Filling the Vaccine Vacuum *+Richard Zimmerman, MD; Donald Middleton, MD

12:30 pm Grab Lunch & Visit Exhibits

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FRIDAY AFTERNOON GENERAL SESSION


12:35 pm Lunch Keynote Lecture:Community Health *Bruce Dixon, MD


Moderator: Aaron Listopad, DO

PEARL GUIDELINE PANELS:

1:30 pm > Asthma Update: Clinical Considerations *+Jennie Broders, PharmD, BCPS

2:00 pm > Irritable Bowel Syndrome +Dan Trellis, MD

2:30 pm > Radiology of the NeckDavid Lackner, MD

3:00 pm Question and Answer Panel


3:35 pm WORKSHOPS and DEMONSTRATIONS I(please select two; repeats at 4:40 pm)

I. Osteopathic Update +Jacqueline Weaver-Agostoni, DO

J. Obstetrics Update +Paul Larson, MD; Karen Moyer, MD

K. Lessons in Loss and Living *Michele Reiss, PhD

L. Drug Update *+Stephen Wilson, MD, MPH, FAAFP; Nicholas Owens, PharmD, BCPS

M. Advanced Electronics: Getting the Most from Your EHR *+Grant Shevchik, MD

4:40 pm WORKSHOPS and DEMONSTRATIONS II (repeated from 3:35 pm)

5:40 pm Friday Adjournment


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COURSE SCHEDULE ~ FR IDAY, JUNE 15, 2012

6:30 am Registration & Continental Breakfast

FRIDAY MORNING GENERAL SESSION

Moderator: Jeffrey Minteer, MD

7:30 am Peripheral Vascular Disease +James Dewar, MD

8:00 am Contraception *+Karen Moyer, MD

8:30 am Thyroid NodulesChristopher Bartels, MD



Moderator: Lauren Jonkman, PharmD, BCPS

9:35 am Imported Illnesses *William Markle, MD

10:05 am Diabetes Mellitus *+Vijay Bahl, MD; Jonathan Ference, PharmD, BCPS



11:15 am GUIDELINE SEMINARS II (repeated from Thursday at 11:20 am)

A. Return to Play +Jeanne Doperak, DO

B. ADHD *+Madeline Simasek, MD, MSCP, FAAP; Philip Phelps, MSW

C. Immunization Cases *+Richard Zimmerman, MD; Donald Middleton, MD

12:25 pm Grab Lunch & Visit Exhibits

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COURSE SCHEDULE ~ SATURDAY, JUNE 16, 2012

6:30 am Registration & Continental Breakfast

General Sessions


7:30 am Vector-Borne Diseases and Bites *Niladri Das, MD

8:05 am What’s New with Acne and Rosacea *Lisa Grandinetti, MD, FAAD

8:40 am Eczema *Melissa Pugliano-Mauro, MD


9:30 am Morning Break & Visit Exhibits

Pharmacology Guideline Seminarsand Case Presentations:

9:45 am > RashesJacqueline Weaver-Agostoni, DO

10:20 am > Skin Cancer *Mary Sheehan, MD

10:55 am > Aging SkinLaura Ferris, MD


11:45 am Board Review QUIZ (including dermatology photo cases)

11:50 am Book Awards

12:15 pm Conference Adjournment

The conference program is subject to changes.


GUEST FACULTY

Jonathan Ference, PharmD, BCPSAssociate Professor Pharmacy PracticeWilkes UniversityKingston, PA

Dr. Ference received his Doctorate of Pharmacy from Wilkes University Nesbitt College of Pharmacy andNursing. He completed a specialty residency in Family Medicine and a faculty development fellowship atUPMC St. Margaret, Pittsburgh, PA. Before returning to Northeast Pennsylvania, he spent four years on facultyas an assistant professor at the University of Oklahoma College of Pharmacy and adjunct assistant professorin the University of Oklahoma College of Medicine, Department of Family Medicine Tulsa, OK. Dr. Ference isa board certified pharmacotherapy specialist and manages a referral-based pharmacotherapy clinic, focusingon advanced diabetic education and management and serves as a consultant for the hospital’s FamilyMedicine Team. He has published several book chapters and original, peer-reviewed manuscripts andpresented at international Family Medicine conferences. Dr. Ference’s research interest includes pharmacypreceptor development and pharmacy student curricular development, and Information Mastery.

Rachelle Simon, PharmD, BCPSPharmacist Clinician / Clinical PharmacistFranciscan St. Margaret HealthHammond and Dyer, IN

Rachelle Simon is a clinical pharmacist at Franciscan St. Margaret Health in Indiana. She earned her Doctorof Pharmacy degree from the University of Pittsburgh in 2008 and completed a PGY-1, PGY-2 in FamilyMedicine, and faculty development fellowship at UPMC St. Margaret in 2010. At the University of ChicagoMedicine, she assisted with expansion of the Anticoagulation Management Service and piloted pharmacist-driven medication therapy management. Subsequently, she has joined the team at Franciscan St. MargaretHealth to expand discharge counseling and outpatient clinical pharmacy services. She has presented atnumerous national meetings and co-authored research on the integration of pharmacists into the medicalhome. Her favorite activities are traveling and spending time with her family.

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Local Faculty

Vijay K. Bahl, MDClinical Professor of MedicineDepartment of Medicine

Stephanie Ballard, PharmD, BCPSClinical PharmacistUPMC Shadyside

Christopher Bartels, MDClinical Associate Professor of SurgeryDepartment of Surgery

David A. Blandino, MDClinical Associate Professor of Family Medicine

Jennie Broders, PharmD, BCPSDirector of Inpatient PharmacotherapyUPMC St. Margaret Family Medicine Residency

Niladri Das, MDDirector of Practice ImprovementUPMC St. Margaret

James Dewar, MDClinical Associate Professor of MedicineDepartment of Family Medicine

Bruce Dixon, MDAssociate Professor of MedicineDepartment of Medicine

Jeanne Doperak, DOAssistant ProfessorDepartment of Orthopaedic Surgery

Colleen Ebbert, MDFaculty PhysicianRenaissance Family Practice – Aspinwall

Laura Ferris, MDAssistant Professor of DermatologyDepartment of Dermatology

Sharon Goldstein, MDClinical Assistant Professor of SurgeryDepartment of Surgery

Suman Golla, MDAssociate Professor of OtolaryngologyUPMC St. Margaret

Lisa Grandinetti, MD, FAADAssistant Professor of DermatologyAssociate Residency Program Director

Lauren Jonkman, PharmD, BCPSInstructor, Pharmacy and TherapeuticsUniversity of Pittsburgh School of Pharmacy

David Lackner, MDChairman of RadiologyUPMC St. Margaret Department of Radiology

Paul Larson, MDDirector of Global Health EducationDepartment of Medical EducationUPMC St. Margaret

Geralyn LeeManager Disease State Management ProgramHome Health Administration

John C. Maher, MDAssociate Clinical Professor of OphthalmologyDepartment of Ophthalmology

Robin Maier, MDAssistant Professor of Family MedicineDepartment of Family Medicine

William H. Markle, MDClinical Associate Professor Family MedicineDepartment of Family MedicineProgram Director Family Medicine ResidencyUPMC McKeesport

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Course Directors

Paul W. Dishart, MD (Emeritus)*Clinical Associate Professor of ClinicalEpidemiology and Preventive Medicine

University of Pittsburgh School of MedicineDirector of Medical EducationUPMC St. Margaret

Donald B. Middleton, MD*Professor, Department of Family MedicineVice President, UPMC St. Margaret FamilyMedicine Residency Education

University of Pittsburgh School of Medicine

Planning Committee

Karen Weimer, CRNPLead Nurse PractitionerDepartment of NursingUPMC St. Margaret

Heather Sakely, PharmD, BCPSDirector, Geriatric PharmacotherapyDepartment of Medical EducationUPMC St. Margaret Family Practice Residency

*Course Directors are members of the Planning Committee.

Collaborating Faculty

N. Randall Kolb, MDProgram Director, Family Medicine ResidencyUPMC Shadyside

Aaron Listopad, DOProgram Director, Family Medicine ResidencyUPMC HorizonFarrell, PA

William H. Markle, MDClinical Associate Professor of Family MedicineUniversity of Pittsburgh School of MedicineProgram DirectorFamily Medicine ResidencyUPMC McKeesportMcKeesport, PA

Jeffrey Minteer, MDProgram Director, Washington Hospital FamilyMedicine Residency

Washington HospitalWashington, PA

Katherine Neely, MDProgram Director, Family MedicineWest Penn Allegheny Health SystemMonroeville, PA

Ted C. Schaffer, MDProgram Director, Family Medicine ResidencyUPMC St. Margaret

Michael Semelka, MDProgram Director, Family Medicine ResidencyLatrobe Area HospitalLatrobe, PA

Guest Faculty

Jonathan Ference, PharmD, BCPSAssociate Professor Pharmacy PracticeWilkes UniversityDirector of Pharmacotherapy EducationWyoming Valley Family MedicineResidency

Kingston, PA

Rachelle Simon, PharmD, BCPSPharmacist Clinician / Clinical PharmacistFranciscan St. Margaret HealthHammond and Dyer, IN

COURSE D IRECTORS AND FACULTY

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REG I S TRAT ION INFORMAT ION

Pre-registerThe Early Registration period will end onMay 14, 2012. AfterMay 14, 2012, the late registration periodwill begin and registrations will be accepted until June 11, 2012 at an additional fee. We cannot guaranteespace in the program or any program inclusions for those registrations received after this date. If space isavailable after this date, on-site registration will be required and incur an additional processing fee.

Online Registrations (pre-registration due date June 11, 2012)Registering online is the quickest and easiest way to reserve your space at CCEHS conferences.• Visit our online registration site at https://ccehs.upmc.com/liveFormalCourses.jsf• Click the Registration button and enter all the requested information• After registering, an electronic confirmation will be sent to the email address you providedus when you registered

You must bring this confirmation letter with you to the conference.

Paper Registrations by Fax or Mail (see contact information below)If you are unable to register online please submit a request for paper form. UPMC employeeswhose registration fee will be remitted via journal transfer must request the paper registration form.

A confirmation letter will be faxed or mailed if registration is completed through the mail or faxby the pre-registration deadline. If you register on-line, you will receive an immediate e-mailconfirmation message. Please note: Registration is not complete until you receive thisconfirmation. If you do not receive this letter within 5-7 days of registration, pleasecontact us at (412) 647-8232.

You must bring this confirmation letter with you to the conference.

CancellationAll cancellations must be in writing, via U.S. mail, e-mail or fax. Tuition for cancellations postmarked ordate stamped before June 1, 2012 will be completely refunded. After June 1, 2012 a $35 administrativefee will be assessed. No refunds will be made after June 8, 2012. Cancellation requests can be made to:

Krystal MooreCenter for Continuing Education in the Health SciencesIroquois Building, Suite 302200 Lothrop StreetPittsburgh, PA 15213-2536Phone: (412) 647-8232 or (412) 647-7050 • Fax: (412) 647-8222E-mail: [email protected]

The UPMC Center for Continuing Education in the Health Sciences reserves the right to cancel this program ifsufficient registrations are not received. In the case of cancellation, the department will fully refund registration fees.

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Karen Moyer, MDAssistant Professor of Family MedicineDepartment of Family Medicine

Jeffrey S. Nigro, DPMFaculty PhysicianNigro Ankle & Foot CareVandergrift, PA

Nicholas Owens, PharmD, BCPSClinical PharmacistUPMC Shadyside

LeeAnn Peluso, MDClinical Assistant Professor of SurgeryDepartment of Surgery

Philip Phelps, MSWDirector-Behavioral Science CurriculumUPMC Shadyside Family Medicine Residency

Raymond Pontzer, MDClinical Associate Professor of MedicineDepartment of MedicineUPMC St. Margaret

Melissa Pugliano-Mauro, MDAssistant Professor of DermatologyUPMC St. Margaret

Makum Ramesh, MDAssistant Professor of MedicineDepartment of Medicine

Michele Reiss, PhDAssistant Director, Family Medicine ResidencyDirector, Behavioral Medicine

Mary Sheehan, MDAssociate Professor of DermatologyDepartment of DermatologyUPMC St. Margaret

Grant Shevchik, MDMedical Director of Partners in Health UPMCMedical Director UPMC Healthtrak

Madeline Simasek, MD, MSCP, FAAPClinical Associate Professor of PediatricsDirector, Pediatric ServicesUPMC Shadyside Family Medicine Residency

Jeannette E. South-Paul, MDAndrew W. Mathieson Professor and ChairpersonDepartment of Family Medicine

Dan Trellis, MDClinical Assistant Professor of MedicineDivision of Gastroenterology & Hepatology

Jacqueline Weaver-Agostoni, DODirector, Osteopathic Family Medicine ResidencyProgram Faculty

Director of Predoctoral Education,Family Medicine ResidencyMasters of Public Health

Stephen Wilson, MD, MPH, FAAFPDirector, Faculty Development FellowshipDepartment of Medical EducationUPMC St. Margaret

Richard Zimmerman, MDProfessor of Family MedicineDepartment of Family Medicine

Faculty members are affiliated with the University of Pittsburgh School of Medicine and/or UPMC and located in

Pittsburgh, PA area unless otherwise identified.

In accordance with Accreditation Council for Continuing Medical Education requirements on disclosure, information

about relationships of presenters with commercial interests (if any) will be included in materials distributed at the

time of the conference.

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The University of Pittsburgh, as an educational institution and as an employer, values equality of opportunity, human dignity, and

racial/ethnic and cultural diversity. Accordingly, the University prohibits and will not engage in discrimination or harassment on the basis

of race, color, religion, national origin, ancestry, sex, age, marital status, familial status, sexual orientation, disability, or status as a

disabled veteran or a veteran of the Vietnam era. Further, the University will continue to take affirmative steps to support and

advance these values consistent with the University’s mission. This policy applies to admissions, employment, access to and treatment

in University programs and activities. This is a commitment made by the University and is in accordance with federal, state, and/or

local laws and regulations. For information on University equal opportunity and affirmative action programs and complaint/grievance

procedures, please contact: William A. Savage, Assistant to the Chancellor and Director of Affirmative Action (and Title IX and 504 Coordina-

tor), Office of Affirmative Action, 901 William Pitt Union, University of Pittsburgh, Pittsburgh, PA 15260, (412) 648-7860.

FOR ADD I T IONAL INFORMAT ION, CONTACT :

Krystal MooreCoordination Specialist

Telephone: (412) 647-8232 or (412) 647-7050 • Fax: (412) 647-8222E-mail: [email protected]

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REG I S TRAT ION INFORMAT ION CONT INUED

Registration Fees

Early Fees: (Received on or before May 14, 2012)

Physicians:3 days: $3352 days: $2501 day: $175

Residents, nurses, PAs, pharmacists and other health care professionals:3 days: $2502 days: $1751 day: $100

Late Fees: (Received after May 14, 2012)

Physicians:3 days: $4002 days: $3001 day: $225

Residents, nurses, PAs, pharmacists and other health care professionals:3 days: $3002 days: $2251 day: $125

There is no reduced rate for a Saturday-only selection.

If space permits after the late registration period, on-site registration will be available and incur anadditional $25 processing fee.

Registration fee includes:

• Continuing education credit• Registration and course materials• Continental breakfast, refreshments and lunch• Meet the Professors Reception and Discussion

AND VIS I T SOME OF P I T T SBURGH’S MANY

FAMILY- FR I ENDLY EVENTS DUR ING YOUR V IS I T

• Visit the spectacular dinosaur exhibits at theCarnegie Museum of Natural History

http://www.carnegiemuseums.org/index.php

• Visit the exhibits at the Pittsburgh PPG Zoo and Aquariumhttp://www.pittsburghzoo.org/

• Visit the National Aviarywww.aviary.org

• A Warhol painting sold for $71 million dollars!Anyone want to see some others?

http://www.warhol.org/

• August Wilson Center for African American Historywww.augustwilsoncenter.org/

• Heinz History Centerhttp://www.pghhistory.org/

• Carnegie Science Centerhttp://www.carnegiesciencecenter.org

• Visit http://www.imaginepittsburgh.com/for more Pittsburgh highlights.

39th Refresher Course in Family Medicine: Managing the Challenges of Clinical Practice

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