May 29th – 31st, 2008 Big Cedar Lodge

On the Shores of Table Rock Lake near Branson, Missouri

Up to

14

Hour

s o

f Medical & Dental CE Credit Available!

The Oral Health Network

of Missouri is an ADA CERP Recognized

Provider

Annual

Medical & Dental Clinical Conference

A Touch of the Tropics in the

Ozark Mountains!

www.ohnm.orgwww.mo-pca.org

Conference at a GlanceThursday, May 29th7:30 – 4:30 Conference Registration7:00 – 8:15 Breakfast (provided)8:30 – 4:30 OHNM Strategic Planning Retreat11:30 – 12:45 Medical Directors Luncheon & MeetingNoon – 1:00 Lunch (provided)1:00 – 5:00 “Motivational Interviewing”

(Spacelimited;reservationsrequiredonregistrationform.) Dave Hanson, Pharm.D., PAHM Sponsored by Pfi zerDinner On Your Own

Friday, May 30th7:00 – 8:15 Breakfast (provided)8:15 – 8:30 Welcome & Opening Remarks Joe Pierle, CEO, OHNM & MPCA 8:30 – 9:45 Medical: “Asthma Management Update” Dr. Ben Francisco Sponsored by the Missouri Department of Health and Senior Services8:30 – 9:45 Dental: “Dental Management of HIV Patients” David Reznik, DDS Sponsored by the Missouri Department of Health and Senior Services 9:45 – 10:00 Break10:00 – 11:30 Medical: “Asthma Management Update” Dr. Ben Francisco 10:00 – 11:30 Dental: “Dental Management of HIV Patients” David Reznik, DDS11:30 – 12:30 Lunch (provided)12:30 – 2:30 Medical & Dental Plenary: “Mugs & Drugs- Overall Health Impacts of Counter-Cultural Trends” Betsy Reynolds, RDH, MS Sponsored by Phillips Sonicare2:30 – 2:45 Break2:45 – 4:45 Medical & Dental Plenary: “Diet Wars; The Effect of Diets on Oral and Systemic Health” Betsy Reynolds, RDH, MS Sponsored by Phillips SonicareDinner Luau (Reservationsrequiredonregistrationform) Sponsored by Henry Schein, Inc.

Saturday, May 31st7:00 – 8:00 Breakfast (provided)8:00 – 10:30 Medical & Dental Plenary: “Maintaining Health for a Lifetime: Strategies for Women” Barbara Steinberg, DDS & Tieraona Low-Dog, MD10:30 – 11:00 Break & Box Lunch11:00 – 1:30 Medical & Dental Plenary: “Maintaining Health for a Lifetime: Strategies for Women” Barbara Steinberg, DDS & Tieraona Low-Dog, MD1:30 Adjourn

Conferences & SpeakersMotivational Interviewing: Health Behavior Change - A Model for Improving Patient CareDAVE HANSON, PHARM.D., PAHM

Medication non-adherence is a multifaceted problem, especially for patients with chronic disease. Thirty-two million Americans are taking 3 or more medications daily. Fifty percent of the prescriptions dispensed annually in the United States are not taken correctly by patients.

Managing illness and adhering to a medication regimen usually requires some sort of behavior modifi cation on the part of the patient. Most people who are faced with a change are not ready to take action. The patient’s readiness to change directly infl uences the patient’s motivation. Lack of motivation can be infl uenced by the patient’s ambivalence regarding the treatment plan.

In this 4-hour workshop, participants will be introduced to a method of communication for enhancing their patients’ intrinsic motivation to change by exploring and resolving patient ambivalence. Health care providers will learn to recognize resistance and collaborate with their patients in order to better manage their health.

At the end of this presentation, participants should be able to:• Understand and describe the steps necessary to negotiating

behavior change with patients.• Defi ne resistance, dissonance, and ambivalence as they relate

to health behavior change.• Describe the 4 categories of resistant behavior, causes of

resistance, and strategies for reducing patient resistance during consultation.

• Describe and apply the 5 general principles of health behavior change (READS).

• Apply the health behavior change strategies of exchanging information learned from workshop presentations and role-play scenarios to patient encounters in your practice setting.

• Demonstrate how to evaluate a patient’s readiness to change their health behavior.

• Conduct a patient counseling session using the Elicit-Provide-Elicit strategy.

• Demonstrate the use of empathy during a patient counseling session.

• Evaluate various Health Behavior Change processes and utilize the most appropriate skills to help motivate a patient’s behavior change.

• Identify various counseling skills that can be implemented with patients immediately

DAVE HANSON, PHARM.D., PAHMDr. Hanson is a Medical Outcomes Specialist with the Global Medical Division of Pfi zer, Inc. in Kansas City. He received his Bachelor of Science in Pharmacy from Drake University and later matriculated to Creighton University where he completed his Doctor of Pharmacy.

Dr Hanson also holds adjunct clinical faculty positions with the University of Kansas, School of Pharmacy, Drake University College of Pharmacy and Health Sciences, and the University of Missouri-Kansas City School of Pharmacy.

Asthma Management UpdateDR. BEN FRANCISCOThis presentation will provide a thorough summary of signifi cant changes in the 2007 expert asthma guidelines along with a review of Missouri asthma surveillance data and research fi ndings related to asthma disability. Clinical innovations in asthma care will be highlighted, including objective assessment and improvement of inhalation technique. Hand-held devices for rapid assessment of FEV1, FVC, and FEV1/FVC ratio will be demonstrated and discussed. Policy issues will be presented that impact reimbursement, availability of equipment and quality of care. Reliable resources for patient education will be reviewed.

At the end of this presentation, participants should be able to: • Describe of signifi cant changes in 2007 expert asthma guidelines• Describe disability, morbidity, mortality, and health resource

utilization data for asthma in Missouri• Identify the scope and impact of asthma disability among children• Describe major innovations in asthma care• Discuss asthma policy issues• Locate and review reliable sources of information for patients

DR. BENJAMIN D. FRANCISCODr. Ben Francisco is an international consultant on child health, with particular expertise in the fi eld of asthma treatment. He received his doctorate in nursing from the Sinclair School of Nursing. Dr. Francisco is a Board Certifi ed Nurse Practitioner and a Certifi ed Asthma Educator. He is currently serving as a Research Assistant Professor of Child Health at the University of Missouri, Columbia School of Medicine.

Dental Management of HIV patientsDR. DAVID REZNIKThis presentation will offer information on the important role of the oral healthcare provider regarding the clinical management of HIV-infected patients. Topics to be covered will include proper dental management for people living with HIV disease including important lab data and infection control concerns as well as information regarding oral manifestations seen in association with HIV disease. Participants will learn techniques

to accurately diagnose and manage the most common oral opportunistic infections seen in association with HIV disease. Proper recognition and management of the oral diseases seen in association with HIV infection can reduce morbidity and improve the overall quality of life of people living with HIV/AIDS.

At the end of this presentation, participants should be able to:• Describe the latest trends in the oral manifestations of HIV

in the ART Era, including an update on the association of oropharyngeal HPV infection and cancer

• Identify the most common oral manifestations seen in association with HIV disease.

• Manage the most common oral manifestations seen in association with HIV disease

• Understand clinical management issues for treating patients living with HIV/AIDS in the dental offi ce.

DR. DAVID REZNIKDr. David Reznik, a graduate of Emory College and Emory University’s School of Dentistry, is presently Chief of the Dental Service for the Grady Health System in Atlanta, Georgia. He also serves as Director of the Oral Health Center of Grady’s Infectious Disease Program, which Dr. Reznik founded 14 years ago. In addition, Dr. Reznik serves as Dental Director for the Southeast AIDS Training and Education Center. He has lectured and published extensively on oral health concerns for people living with HIV disease. Dr. Reznik has been providing oral health care services for people living with HIV disease in the Atlanta metropolitan area for over twenty years.

Mugs & Drugs BETSY REYNOLDS, RDH, MSThis course is designed to give participants an understanding of the overall health impact of certain counter-cultural trends. Head and neck piercings, their healing dynamics and possible impact on oral structures will be discussed utilizing case studies to enhance learning. Recognizing substance- and self-abuse patterns will aid health care professionals in recognizing potentially life-threatening behaviors. Abuse of ‘drugs’—including alcohol, methamphetamine, over-the-counter remedies, and prescription medication—will be discussed. This course will provide participants with the necessary resources to recognize and provide supportive services for patients abusing drugs.

At the end of this presentation, participants should be able to:• Develop appropriate in-offi ce and at-home treatment care

strategies for the intraorally pierced patient• Understand the healing dynamics associated with head and

neck piercings• Recognize self-abuse patterns and implement appropriate

referral services• Become familiar with commonly abused drugs and their affect

on the oral cavity• Recommend home care strategies for treating the addicted patient

Dr. David Reznik Dr. David Reznik, a graduate of Emory College and Emory University’s School of Dentistry, is presently Chief of the Dental Service for the Grady Health System in Atlanta, Georgia. He also serves as Director of the Oral Health Center of Grady’s Infectious Disease Program, which Dr. Reznik founded 14 years ago. In addition, Dr. Reznik serves as Dental Director for the Southeast AIDS Training and Education Center. He has lectured and published extensively on oral health concerns for people living with HIV disease. Dr. Reznik has been providing oral health care services for people living with HIV disease in the Atlanta metropolitan area for over twenty years.

Mugs & DrugsBetsy Reynolds, RDH, MS

This course is designed to give course participants an understanding of the overall health impact of certain counter-cultural trends. Head and neck piercings, their healing dynamics and possible impact on oral structures will be discussed utilizing case studies to enhance learning.Recognizing substance- and self-abuse patterns will aid health care professionals in recognizing potentially life-threatening behaviors. Abuse of ‘drugs’—including alcohol, methamphetamine, over-the-counter remedies, and prescription medication—will be discussed. This course will provide participants with the necessary resources to recognize and provide supportive services for patients abusing drugs.

At the end of this presentation, participants should be able to:Develop appropriate in-office and at-home treatment care strategies for the intraorally pierced patient Understand the healing dynamics associated with head and neck piercingsRecognize self-abuse patterns and implement appropriate referral servicesBecome familiar with commonly abused drugs and their affect on the oral cavity Recommend home care strategies for treating the addicted patient

Diet Wars – � e Eff ects of Diets on Oral & Systemic HealthBETSY REYNOLDS, RDH, MSSouth Beach? Atkins? The Zone? Weight Watchers®? Jenny Craig®? CortiSlim®? Cabbage Soup? Eating Right for Your Blood Type? Caveman? Grapefruit? Russian Air Force? 7-Day All-You-Can-Eat? Confusing???? You bet! America’s obsession with weight loss has lead to increasingly complex diets that im-pact general and oral health. This course will provide participants with an overview of current dieting trends in an effort to minimize confusion and maximize understanding of the effects of today’s dieting revolutions. Presented in a relaxed forum, clinicians will be able to incorporate information garnered in this course to provide more comprehensive nutritional counseling to patients as well as recognize possible sequelae of dieting trends. Come prepared to learn, enjoy and share your insights.

At the end of this presentation, participants should be able to:• Describe fat metabolism • Recognize the infl ammatory nature of certain types of adipose tissue• Develop treatment plan protocols based on appropriate diet

and home care recommendations• Discuss how obesity affects all age groups

BETSY REYNOLDS, RDH, MSArmed with degrees in dental hygiene and oral biology, Betsy presents scientifi -cally-based continuing education programs nationally and internationally. Betsy has also lent her expertise to articles and books on topics ranging from microbiology and anatomy of the oral cavity to the relation-ship between oral health and systemic disease processes. As someone who is passionate about lowering mortality rates in wom-en due to cardiovascular disease, Betsy is committed to presenting programs including current research involving links associated with oral infl ammation and heightened risk of heart attack and stroke.

Maintaining Health for a Lifetime: Strategies for WomenTIERAONA LOW-DOG, MD BARBARA STEINBERG, DDS

As women search for ways to optimize their health and well being, they must sift through the enormous amount of recommendations being made in both conventional and complementary medicine. This highly informative and engaging presentation will provide participants with a comprehensive review of the evidence for dealing with chronic stress, premenstrual syndrome, menopause, insomnia, osteoarthritis, as well as for reducing the risk of heart disease, diabetes and cancer. The presentation will also address the special needs of women when it comes to oral health and dental care, including the latest information on osteoporosis and bisphosphonate induced osteonecrosis of the jawbones.

At the end of this presentation, participants should be able to:• Assess the evidence for alternative therapeutic options for premen-

strual syndrome, menopause and osteoarthritis to help women make better healthcare choices.

• Identify authoritative resources for obtaining accurate, unbiased infor-mation on conventional, complementary and alternative treatments

• Identify which dietary supplements have evidence of benefi t for improving or maintaining the health of women.

• Discuss prevention strategies including lifestyle modifi cations and dietary interventions that can reduce the risk of diabetes, heart disease and certain cancers.

• Recognize oral conditions prevalent in victims of domestic violence• Recognize special dental and medical considerations when treat-

ing female patients during fl uctuations in sex hormones that occur in puberty, menses, pregnancy, menopause, as well as those caused by the use of oral contraceptives

• Describe the latest information regarding osteoporosis, including bisphosphonate induced osteonecrosis of the jawbones

• Recognize the oral and systemic effects of eating disorders

DR. TIERAONA LOW-DOG Dr. Low-Dog received her Doctor of Medicine degree from the University of New Mexico School of Medicine and cur-rently serves as the Director of Education for the Program in Integrative Medicine at the University of Arizona. She has studied midwifery and massage therapy, and has served as President of the American Herbalist Guild. With more than 30 publications to her credit, Dr. Low Dog is an internationally known speaker on topics ranging from the responsible use of herbal medicine and dietary supplements to integrative approaches to women’s health.

DR. BARBARA STEINBERGBarbara J. Steinberg received her D.D.S. from the University of Maryland School of Dentistry and completed a residency at the Medical College of Pennsylvania. She is a Clinical Professor of Surgery at Drexel University College of Medicine, as well as Adjunct Associate Professor of Oral Medicine at the University of Pennsylvania School of Dental Medicine. Dr. Steinberg is also a Diplomate of the American Board of Oral Medicine. Dr. Steinberg specializes in the treatment of medically compromised patients. She is a nationally and internationally invited lecturer in the area of dental treatment of the medically compromised patient and women’s health.

Diet Wars – The Effects of Diets on Oral and Systemic Health Betsy Reynolds, RDH, MS

South Beach? Atkins? The Zone? Weight Watchers®? Jenny Craig®? CortiSlim®? Cabbage Soup? Eating Right for Your Blood Type? Caveman? Grapefruit? Russian Air Force? 7-Day All-You-Can-Eat?Confusing???? You bet! America’s obsession with weight loss has lead to increasingly complex diets that impact general and oral health. This course will provide participants with an overview of current dieting trends in an effort to minimize confusion and maximize understanding of the effects of today’s dieting revolutions. Presented in a relaxed forum, clinicians will be able to incorporate information garnered in this course to provide more comprehensive nutritional counseling to patients as well as recognize possible sequelae of dieting trends. Come prepared to learn, enjoy and share your insights.

At the end of this presentation, participants should be able to:Describe fat metabolismRecognize the inflammatory nature of certain types of adipose tissueDevelop treatment plan protocols based on appropriate diet and home care recommendations Discuss how obesity affects all age groups

Betsy Reynolds, RDH, MS Armed with degrees in dental hygiene and oral biology, Betsy presents scientifically-based continuing education programs nationally and internationally. Betsy has also lent her expertise to articles and books on topics ranging from microbiology and anatomy of the oral cavity to the relationship between oral health and systemic disease processes. As someone who is passionate about lowering mortality rates in women due to cardiovascular disease, Betsy is committed to presenting programs including current research involving links associated with oral inflammation and heightened risk of heart attack and stroke.

Dr. Tieraona Low-DogDr. Low-Dog received her Doctor of Medicine degree from the University of New Mexico School of Medicine and currently serves as the Director of Education for the Program in Integrative Medicine at the University of Arizona. She has studied midwifery and massage therapy, and has served as President of the American Herbalist Guild. With more than 30 publications to her credit, Dr. Low Dog is an internationally known speaker on topics ranging from the responsible use of herbal medicine and dietary supplements to integrative approaches to women’s health.

Dr. Barbara Steinberg Barbara J. Steinberg received her D.D.S. from the University of Maryland School of Dentistry and completed a residency at the Medical College of Pennsylvania. She is Clinical Professor of Surgery at Drexel University College of Medicine, as well as Adjunct Associate Professor of Oral Medicine at the University of Pennsylvania School of Dental Medicine.She is a Diplomate of the American Board of Oral Medicine. Dr. Steinberg specializes in the treatment of medically compromised patients. She is a nationally and internationally invited lecturer in the area of dental treatment of the medically compromised patient and women’s health.

Annual Clinical Conference

Registration FormMissouri Primary Care Association & Oral Health Network of Missouri

Name & Professional Designation (as it will appear on name badge)

Employer/Health Center

Employer Address

Employer City, State, Zip

Address to send C.E. Letter (if different from employer address)

Address City, State, Zip

Work Phone Fax

E-mail

Dietary Restrictions:

Will you be attending “Motivational Interviewing”? Y or N

Number of Persons Attending Friday Night Luau . 1 or 2 (Limit2perregistration)

Registration Fee$250 - Missouri FQHC Employees Only$400 - All others Fee Included $____________

Send Check or Money Order, along with completed Registration Form to:Oral Health Network of Missouri

3325 Emerald LaneSuite K

Jefferson City, MO 65109-6879

Copy form as needed.Please use one form per person

Hotel InformatIon

Big Cedar Lodge612 Devil’s Pool RoadRidgedale, Missouri 65739www.big-cedar.comToll Free Reservations1-800-225-6343Reference the Missouri Primary Care Association when making reservations.

refund PolIcy

Cancellation on/before April 30, 2008 full refund of registration fees, less a $25 processing fee.

Cancellation on/after May 1, 2008 no refund.

Questions may be directed to Karen Dent at 573-634-4022 orkdent@mailohnm.org.

Thanks to the following sponsors for their generous support of the 2008 Clinical Conference!

REFUND POLICYCancellation prior to May 1, 2008: full refund of registration fees,

less a $25 processing fee Cancellation after April 30, 2008: no refund

Questions may be directed to Karen Dent 573-634-4022 kdent@mailohnm.org

The Missouri Primary Care Association and The Oral Health Network of Missouri would like to thank the following sponsors for their generous support of

The 2008 Clinical Conference:

Henry Schein, Inc.

Missouri Department of Health and Senior Services

HIV Supportive Services Program

Asthma Prevention and Control Program

Made possible by special support and funding from the Centers for Disease Prevention and Control, National Center for Environmental Health funding opportunity agreement

Catalog of Federal Domestic Assistance (CFDA) Number: 93.283Funding Opportunity Announcement (FOA) Number: EH06-604CONT08

Philips Sonicare

Missouri Department of Health and Senior ServicesHIV Supportive Services Program &Asthma Prevention and Control ProgramMadepossiblebyspecialsupportandfundingfromtheCentersforDiseasePreventionandControl,NationalCenterforEnvironmentalHealthfundingopportunityagreement.

Catalog of Federal Domestic Assistance (CFDA) Number: 93.283 Funding Opportunity Announcement (FOA) Number: EH06-604CONT08

HENRY SCHEIN, INC.

Pfizer, Inc.

Missouri Primary Care Association3325 Emerald LaneJefferson City, MO 65109

Missouri Primary Care AssociationMissouri Primary Care AssociationMissouri Primary Care Association

2008 Conference Details & Registration Inside!