March, 2009

Volume IX, Issue III

Fitzgerald Health Education Associates, Inc

Inside this issue:

Infant Nutrition During a Disaster

2

KCNPNM Conference

2

Six Day Clinical Pharmacology

3

Need a speaker? 4

Pharmacology Update

4

A Letter from Margaret Fitzgerald

5

Who We Are... 5

Question and Answer with Margaret Fitzgerald

6

Customer Comment 6

System Maintenance 7

Weight Bias in Medical Care

7

AANP Smart Brief 7

2009 Cruises 7

Monthly Featured Faculty Member

8

Upcoming Confer-ences Featuring FHEA Speakers

8

Margaret Fitzgerald’s Upcoming Speaking Engagements

9

FHEA News

Upcoming Cruises

• 10-Day Panama Canal & Southern Caribbean Cruise Holland America’s Zuiderdam Sailing: March 29, 2009

• 10-Day Mediterranean Cruise Holland America’s Noordam Begins: October 6, 2009

Upcoming NP Certification Exam Review Courses

03/13/2009 Charlotte, NC 03/27/2009 San Diego, CA 04/03/2009 Toronto, ON*

(Also Pediatric) 04/03/2009 Federal Way, WA 04/16/2009 Amherst, NY 04/17/2009 Ann Arbor, MI 04/19/2009 Lexington, KY 04/22/2009 Atlanta, GA 04/30/2009 Charleston, WV 04/30/2009 Houston, TX 04/30/2009 Pittsburgh, PA

(Also Acute Care) 05/01/2009 Greenville, SC 5/07/2009 Philadelphia, PA 05/05/2009 Omaha, NE

(Acute Care) 05/08/2009 Omaha, NE 5/11/2009 Newton, MA

(Acute Care and Pediatric) 05/12/2009 Newton, MA

(Also Gerontology and Women’s Health)

05/12/2009 Salt Lake City, UT 05/15/2009 New Haven, CT 05/16/2009 Lisle, IL

(Also Acute Care) 05/20/2009 Tampa, FL

(Also Acute Care) 05/29/2009 Miami, FL 05/29/2009 Dallas, TX 05/30/2009 Evansville, IN (Also Acute Care) *Canadian version. Please note-only Enrollments from Canadians

will be accepted

FHEA Offer of the Month 10% off Expert Exam of the

Abdomen DVD Healthcare News By Margaret A. Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP The world of healthcare is always changing. In this article you will find highlights of recent publications relating to the healthcare industry.

Nurse Practitioners Featured in O, the Oprah Magazine A recent edition of O, the Oprah Magazine, features useful information on healthcare pro-viders. This article gives favorable mention to nurse practitioners including Mary Jo Goolsby, the American Academy of Nurse Practitioner’s director of research and education. Dr Goolsly offered information about NP patient care out-comes, office visit lengths and cost effective aspects of NP practice. To see the full article, visit: http://www.oprah.com/article/omagazine/200903_omag_primary_care, accessed 3.2.09. The Laborist: An Emerging Healthcare Provider Obstetrics is a healthcare specialty focused on childbirth. The majority of the patients will most likely be hospitalized for a short period of time. At the same time, the provision of obstet-rical care is increasingly complex. A key ele-ment of this practice which continues to evolve is the role of the laborist. The primary function of the laborist is to focus on inpatient manage-ment of women during pregnancy. Using this model, pregnant women would be cared for prior to childbirth by communitybased provid-ers. When the woman enters labor, she is ad-mitted to the hospital to be cared for by an interdisciplinary healthcare team including the laborist. After returning home, the woman will seek care by her community-based provider. (continued on page 4)

Page 2 FHEA News

Infant Nutrition during a Disaster By Marie L Bosco, BSN, RNC, IBCLC

The American Academy of Pediatrics (AAP) has chosen to address infant nutrition during a disaster. The state-ment addresses breastfeeding and other options when faced with an emergency situation. The AAP statement emphasizes that mothers and their infants should re-main together in a disaster. Human milk is, after all, the cleanest and safest food for an infant. It protects against infectious disease through the enteromammary pathway which allows for mothers to produce antibodies specific to disease in the immediate environment. Use of formula during a disaster could pose significant problems because water may not be clean for mixing formula and cleaning bottles. Additionally, there may not be refrigeration to preserve formula, or it may become contaminated.

For these reasons breastfeeding remains the optimal choice for infant feedings in a disaster. Women who have weaned may successfully regain their milk supply with proper manage-ment. If exclusive breastfeeding is not possible for any reason, donor milk is the best next choice. If donor milk is not an op-tion, ready to feed infant formula should be used.

References:

www.aap.org/breastfeeding www.breastfeeding.com

www.cdc.org R. Lawrence. Breastfeeding A Guide for the Medical Profes-sional. 6th edition. St Louis: Mosby, 2005.

Lectures include: Pediatric Asthma and Allergy Management Update Presented by Fitzgerald Education Health Associates, Inc Senior Lecturer Christy Yates, MSN, FNP, AE-C This seminar will prepare you to: 1. Review asthma and allergy etiology and the link between the two. 2. Describe the clinical presentation and the latest recom-mendations for appropriately diagnosing and classifying allergic rhinitis and asthma. 3. Discuss methods for applying the NAEPP EPR-3 Guide-lines for asthma treatment in the pediatric population. For more information on the KCNPNM, and for a complete list of sessions offered visit: http://www.kcnpnm.org/conference.html

This year is the Kentucky Coalition of Nurse Practitioners and Nurse Midwives 21st Regional Conference. This conference of-fers professional presentations and practical workshops for the healthcare practitioner. Learn to: • Develop assessment and clinical management skills • Evaluate current and new treatment methods and

pharmacologic therapies • Identify issues that affect advanced practice, including

reimbursement, malpractice, clinical practice guidelines and new technologies.

*ANCC Accreditation: Eastern Kentucky University, the Division of Continuing Education and Development, is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. This program carries a maximum of 23.0 possible contact hours, of which 14.7 is pharmacology. (Note: 60 minutes = 1.0 contact hour). Kentucky Board of Nursing (KBN), Conference attendees may obtain a maximum of 27.6 continuing education credits of which

17.7 is pharmacology. (KBN) (Note: 50 minutes = 1.0 contact hour)

Kentucky Coalition of Nurse Practitioners and Nurse Midwives 21st Regional Conference. Lexington Convention Center

Lexington, Kentucky

April 15-18, 2009 Earn up to 23 Contact Hours*

Page 3 FHEA News

Presented live in Manhattan, NY March 11-16, 2009 Presented live in Los Angeles, CA September 14-19, 2009 Presented live in MinneapolisOctober 19-24, 2009 This course addresses the growing need for a thorough course in the principles of pharmacotherapeutics. Prescrib-ing has become a major part of the role of advanced prac-tice nurses while at the same time, prescribing has become more complex and polypharmacy is more prevalent with the possibility of adverse interactions. Thus, a course of this caliber is critical to the preparation of advanced prac-tice nurses.

The course is taught in an intensive format by two of the nation’s most respected NP educators. The instructors have taught this curriculum at several universities most recently at Pennsylvania State, Lasalle, and Samford Uni-versities. In addition, recorded lectures of this course form the basis for other university NP pharmacology courses. The material constitutes the equivalent of a three credit university course in pharmacology.

Six Day Clinical Pharmacology for NPs & Advanced Practice Clinicians

Presented by: Margaret A. Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP and

Sally K. Miller, PhD, ACNP-BC, ANP-BC, FNP-BC, GNP-BC, FAANP, CNE

Topics covered: · National Legal and Practice Issues · Principles of safe prescribing: Pharmacokinetics, pharmacodynamics, pharmacogenomics, drug interactions · Prescribing in special populations: Pregnancy, lactation, children, older adults · Hormonal contraception and post menopausal hormone therapy

· Pharmacologic management in type 1 and type 2 DM: Oral agents, insulin and non-insulin preparations · Principles of antimicrobial therapy: Intervention in bacterial infection · Drugs that affect the respiratory system: Beta2 agonists, methylxanthines, anticholinergics, mast cell stabilizers, inhaled and systemic corticosteroids, leukotriene modifiers, over-the-counter cough and cold medications · Evaluation and intervention in common thyroid disorders

· Assessment and intervention in common anemias

· Drugs that affect the cardiovascular systems: Antihypertensives, antianginals, dysrhythmics, medications used in the management of heart failure · Pharmacologic treatment of lipid abnormalities and drugs that affect clotting

· Drugs that affect the GI system: H2 receptor antagonists, proton pump inhibitors, antacids, prokinetics, antidiarrheals, including over-the-counter medications For additional topic information, and to register online visit: www.fhea.biz

Pharmacology contact hours: 45.0*

Code: PCON — standard $775; advance: $7501; early bird: $6992 Note 1: Registrations received or postmarked between two months and two weeks prior to the start of the course qualify for this rate.

Note 2: Registrations received or postmarked more that two months prior to the start date of the course qualify for this rate. Upon receipt of your enrollment and full payment, you will receive a confirmation of registration and directions to the course. An administrative fee of $50.00 will be charged for cancellation. No refunds will be granted within two weeks of the starting date. All cancellations and changes must be received in writing. *Because states’ requirements vary, it is important that you con-tact your Board for details regarding educational requirements for prescriptive authority.

Margaret A. Fitzgerald Sally K. Miller

Page 4 FHEA News Page 4 FHEA News

Need a Speaker? If you are interested in having Margaret or one of our other talented associates speak at your school, local, regional or national conference, please e-mail services@fhea.com for more informa-tion. Conference administrative services are also available.

8am­9:30am  Antimicrobial Update:  The Basics and Beyond (Part 1) 

 9:45am­11:15am 

 Antimicrobial Update: T he Basics and Beyond (Part 2)   

12:15pm­1:45pm 

Drug‐drug and Drug‐nutrient  Interactions:  A Focus on Common Problems   

2:00pm­3:30pm 

Worst Case Scenario:  Uncommon Outcomes in Common  Diseases   

3:45 pm­5:15pm   

Prescribing in the Elder   

Pharmacology Update  June 8, 2009 Lecturer:  

Margaret A. Fitzgerald,  DNP, FNP‐BC, NP‐C, FAANP, CSP  

1.5 Contact Hours awarded per topic 7.5 Pharmacology Related Contact Hours awarded for  all 5 topics* 

(Continued from page 1) According to information found at the website www.oblaborist.org, additional laborist responsibilities include education of the residents and medical students, participating in the multidisciplinary team for patient care, contributing to clinical research, and working within the hospital infrastructure so that optimal patient care can be provided for the least cost and maximal patient satisfaction. Source- The OB laborist, available at: http://oblaborist.org/ accessed 3.2.09. Free antibiotics: Patient Advocacy or Pathogen Resistance? As healthcare consumers, we face the threat of antibi-otic resistant infections. And as healthcare practitioners, we face patient pressure to prescribe antibiotics, often from self-limiting viral infections. Recent complications continue to emerge now that some grocery store phar-macies offer free antibiotics. With this promotion, the person presents an antibiotic prescription that will be filled by the pharmacy without cost to the consumer. While waiting for this to be filled, the anticipation is that the patient will shop for analgesics, cough medicine, juice, ice cream, soup, or other such items that found in the grocery store. In turn, the profit from customers pur-chasing these products helps to compensate for the cost-free antibiotic prescription. One of the major issues to consider is whether or not the availability of free antibiotics will encourage patients to ask for these prescriptions. The concern with this is that providers may yield to these requests and prescribe an antibiotic when not warranted. To date, little study has been done on this issue. At the same time, in-creased antibiotic use is one of a number of factors in the burgeoning problem of resistant pathogens and few new antibiotics are currently in development.

In fact, the Infectious Diseases Society of America (IDSA) suggests that instead of offering free antibiotics a better public health strategy would be for retail outlets to provide free influenza vaccinations.

For further information on antimicrobial resistance, please visit the following websites: http://www.idsociety.org/Content.aspx?id=13246 http://www.cdc.gov/drugresistance/community/index.htm accessed 3.2.09.

Click here for more information and to register online 

*Because states’ requirements vary, it is important that you contact your Board for details  regarding educa‐tional requirements for prescriptive authority. 

Page 5 FHEA News

Who We Are…

Fitzgerald Health Education Associates, Inc. is an NP-owned company dedicated to helping nurse practitioners and ad-vanced practice nurses achieve certification through review courses and to help healthcare providers maintain profes-sional competence by providing live continuing education seminars, web and computer based learning courses, au-dio/video learning modules and books. The Fitzgerald Nurse Practitioner Certification Exam Review and Advanced Practice Update Course has helped more than 45,000 NPs nationwide achieve certification and improve their clinical assessment skills since its inception in 1988.

To my family, friends and colleagues: I took on the challenge of completing the Disney Half Mara-thon (13.1 miles) on January 10, 2009 as part of the Ameri-can Stroke Association’s Boston Training team to End Stroke. I did this in honor of many people whom I love, some of whom have had strokes, including both my grandmothers, my dear friend David Tibbetts, and my Uncle Ed. I also did this in honor of my patients who have had strokes, particu-larly Mrs. O. and Mrs. R. You, the members of the NP community, supported me in this endeavor with your encouragement and generous finan-cial support. Together, we raised more than $2,000 to sup-port the American Stroke Associate’s research and advo-cacy efforts. I spent a few moments prior to the event think-ing about our stroke heroes and carried this with me during the event. The weather was perfect for a Bostonian taking on a half-marathon; it was cool, and dry. At our 6am start the tem-perature was a mild 50 degrees warming to the low 70s by end of the race. I had trained well, something that helped significantly given that I came down with a horrible cold a few days before the event. (By the way, I participated in the 2007 Disney Half Marathon with a terrible cold. History re-peats itself). While my time was slower than I had antici-pated, I completed the event within the time restrictions. I even felt like I had a time along the way to work with a few first time half-marathoners who needed a bit of encourage-ment to keep pushing on. Additionally, I met a critical care nurse along the way who is thinking of becoming a nurse practitioner so, of course, I couldn't resist some recruiting for the NP profession!

Again, I thank you for your support! Sincerely,

Margaret A. (Peg) Fitzgerald Peg@fhea.com

A Letter from Margaret Fitzgerald

Right: Margaret Fitzgerald in front of the Epcot Center

Click Here for more information on Disney Marathons

Page 6 FHEA News

Dear Fitzgerald Health Education, I passed the ANCC FNP exam today!! I only studied the Fitzgerald online and extra exam programs through FHEA. I did not look at anything else (i.e. school books, notes, other exam prep books) and heard Margaret in my head repeatedly during the exam. Thanks for these great products!

Sincerely, Jason McMahan, RN, MSN, FNP-BC US Army Civilian Landstuhl, Germany

 Question: I am an NP who, due to a number of professional and personal reasons, has not practiced in more than 10 years. I would really like to get back into NP practice but am not sure where to start. Do you have any advice?

Answer: I hear this question on a regular basis from NPs who wish to return to practice. While each per-son's issues are unique, here's my input with some recommendations for products and programs that my company offers which have worked for many nurse practitioners.

• Take a pharmacology course (i.e. an in-depth, 45 hour pro-gram) so that you can familiarize yourself this critically important part of our practice. My com-pany offers such a course, live and online. Click here to see a list of our live clinical pharmacology programs Click here to view the same program offered online

• Investigate what you need to do to become nationally certified again. I strongly advise that you take a live NP review course because this will provide a great overview of what new graduates are expected to know. Additionally, this will serve as a start-ing point for your study and will help you prepare for your state boards. Click here to see a list of our live NP prep courses Click here to see this course of-fered in CD and Online format

• If you are many years removed from all nursing practice, please consider taking an RN refresher course. This will help you brush up basic nursing skills.

• Volunteer in a free clinic. Working side by side with RNs, NPs, PAs and MDs you will be able to see firsthand what type of practice interests you. Also, ask colleagues if you can shadow them for a half day or so to get another view of current practice.

Question and Answer with Margaret A. Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP

• Contact your local NP program to see if you can return for a clinical rotation as an independent study. You will need to pay tuition for this, but the school will provide you will faculty input that will be very valuable.

• Consider returning to school to retool your NP career. For example, perhaps you always wanted to practice in woman's health. Now might be the time to go back to school as a post MS or DNP student to do this.

I wish you well. While there is a good deal of work to do I know you can do it!

For more information on these and other FHEA products visit: www.fhea.biz

Customer Comment

Still have questions? Click here to see archived newsletters for  additional question and answer sessions with Margaret Fitzgerald 

Notice of System Maintenance for Testing & Learning Site

Routine maintenance is scheduled for March 21st, 2009. FHEA is committed to providing our customers maximum uptime, reliability, and security for our On-line Test-ing and Learning Site. Regular system maintenance is critical to achieving this goal. System maintenance is normally per-formed the 3rd Saturday of each month.

Page 7 FHEA News

Continuing Education with Margaret Fitzgerald while at Sea - 12 contact hours

Topics*

• Hot Topics in Drug Therapy: New products, new uses, new warnings

• Worst Case Scenario: Uncommon outcomes in common diseases

• Challenging Case Studies in Laboratory Diagnosis

• Dangerous Liaisons: Case studies in drug interactions

• Antimicrobial Update: A focus on prescribing in the age of resistant organisms

*For a full list of topics visit www.fhea.biz

Tuition: US$450

2009 Cruises

12-Day Itinerary

• Special tour of Vatican1

• Embark Civitavecchia

• Pisa / Florence

• Monte Carlo

• Barcelona

• Mallorca

• Carthage

• Palermo

• Naples

• Disembark Civitavecchia

Cabins $1,399—$2,599 per person*

Includes:

• Hotel—ship—airport transfers

• All taxes & port charges

• Fuel surcharge

• Cruise staff gratuities

* add gratuities, transfers and fees US$547pp

1 Tour fee to be determined

10-Day Itinerary

• Depart Fort Lauderdale, FL

• Half Moon Cay, Bahamas

• Aruba

• Curacao

• Cruising Panama Canal & Batun Lake

• Costa Rica

• Disembark Fort Lauderdale

Cabins $1,399—$2,599 per person*

Includes:

• All airport—ship transfers

• All taxes & port charges

• Fuel surcharge

• Cruise staff gratuities

* add gratuities, transfers and fees US$686pp

Southern Caribbean & Panama Canal

March 29—April 8, 2009

Two Days in Rome & Western Mediterranean

October 4—17, 2009

Click here to register on-line or

call (978) 794-8366 for more information about these outstanding cruise opportunities

Designed specifically for nurse practitioners and health care professionals like you, AANP SmartBrief is a FREE daily e-mail news-letter. It provides the latest news and information you need to stay informed about important health care is-sues. SIGN UP TODAY to receive AANP SmartBrief.

Weight Bias in Medical Care Weight bias often poses a stumbling block for people of size who seek medical care. The Rudd Center at Yale University explores this issue in an informative video featuring plus sized model, Emme as the moderator. This video provides excellent information on how health care provid-ers can change their practices to better accom-modate people of size. http://www.youtube.com/watch?v=lZLzHFgE0AQ

Page 8 Newsletter Title Page 8 FHEA News Page 8 FHEA News

Upcoming Conferences Featuring FHEA Speakers

Sally K. Miller is a Senior Lecturer with Fitzgerald Health Education Associates, Inc., an international provider of NP Certifi-cation Exam Review and Advanced Practice Update and continuing education for health-care providers. She presents the Fitzgerald NP Certification Exam Review Preparation Course for Adult, Family Gerontological and Acute Care Nurse Practitioners. Dr. Miller is a certified Acute Care, Adult, Family and Gerontological Nurse Practitio-ner. She is an Associate Professor at the University of Nevada, Las Vegas School of Nursing.

This Month’s Featured Faculty Member Sally K. Miller, PhD, ACNP-BC, ANP-BC, FNP-BC, GNP-BC, FAANP, CNE

She practices as a Nurse Practitioner for Xpress Care LV and House Calls in Las Vegas, Nevada. Dr. Miller is a Fellow of the American Academy of Nurse Practitio-ners. Dr. Miller is a member of numerous pro-fessional organizations, including the American Academy of Nurse Practitioners, American Nurses Association, Academy of Correctional Health Professionals, the Nevada Nurses’ Association and the Na-tional Organization of Nurse Practitioner Faculties.

March 18, 2009 Virginia Council of Nurse Practitioners Annual Conference, Williamsburg Lodge Williamsburg , VA Topic(s): Pediatric Emergencies: Assessment and Treat-ment of the pediatric patient presenting with emergent respiratory, neurologic, infectious, gastrointestinal and cardiac disorders Speaker: John D. Rowlett

April 25, 2009– April 28, 2009 National Conference of Nurse Practitioners and Advanced Care Clinicians Westin Boston Waterfront Hotel, Boston MA Topic(s): Various Speakers: Margaret A. Fitzgerald, Bruce D. Askey, Linda S. Blassen, Victor Czerkasij, Louise McDevitt, Shawn M. Stewart, Monica N. Tombasco, Diane C. Viens, Christy M. Yates.

May 19, 2009 Utah NP Pharmacology Conference Sheraton City Centre, Salt Lake City, UT Topic(s): Drug Update: What is hot, what is not; What is on the shelf? Over-the-counter medi-cations for the treat-ment of cough and cold symptom, Speaker: Monica N. Tombasco

October 06, 2009 American Journal of Nursing- Advancing Excellence in Nursing Practice Hyatt Regency McCormick Place Chicago, IL Topic(s): Heart Dis-ease in Women-2009 Update, Speaker: Kismet D. Rasmusson

85 Flagship Drive, North Andover, MA

01845-6154

Phone: 978.794.8366 Fax: 978.794.2455

E-mail: cs@fhea.com

Providing Education to the Health Care Community

Fitzgerald Health Education Associates, Inc.

Editorial Staff Managing Editor: M. W. Comstock Editor: Emily L. Paquin Assistant Editor: June Kuznicki Technical Assistant: B. Flete

Contributors Margaret A. Fitzgerald DNP, FNP-BC, NP-C, FAANP, CSP Marie L. Bosco, BSN, RNC, IBCLC

Open Forum

FHEA welcomes articles, news, comments and ideas from its readers! Please e-mail emily@fhea.com If you would like to contact customer service please e-mail cs@fhea.com We have sent this e-mail news-letter in the hope that you will find it useful. If you prefer not to receive future issues, please e-mail: stopnews@fhea.com Please include "Stop" as the subject of your e-mail and your full name and the mail address you wish to cancel in the body. If you received a copy of this newsletter from a friend, you can subscribe by sending an e-mail to: newsletter@fhea.com. Be sure to include your full name, mailing address and day-time phone number so that we can confirm and authenticate your subscription.

Interested in advertising in this newsletter? Email june@fhea.com

Margaret A. Fitzgerald’s Upcoming Speaking Engagements

Date Location Topic

3/19/09 Virginia Council of Nurse Practitioners Annual Conference Williamsburg Lodge Williamsburg, VA

- Pediatric Pharmacology Update for Primary Care ‐ Challenging Case Studies in Laboratory Diagnosis: A focus on renal and hepatic problems

3/27/09 Northeast Pennsylvania NP Association Annual Meeting Wilkes Barre, PA

- Hot Topics in Drug Therapy: New products, new uses, new warnings ‐ Antimicrobial Update: A focus on urinary tract and sexually transmitted infections ‐ Special Considerations in Geriatric Prescribing: Issues of safety and efficacy - What now? Where you and your NP profession are going

4/15/09 NONPF- North American Organization of Nurse Prac-titioner Faculties 35th Annual Meeting Portland, OR

- Pharmacology Update

4/25 – 27/09

NCNP/ACC – National Conference of Nurse Practi-tioners and Advanced Care Clinicians, Boston, MA

- Pediatric Pharmacology: Update for Primary Care ‐ Antimicrobial Update: The basics and beyond -Parts 1 & 2 ‐ Prescribing for Pregnancy and Lactation: A focus on issues for the urgent care provider ‐ Challenging Case Studies in Laboratory Diagnosis

5/21/09 Maine Nurse Practitioner Conference Holiday Inn by the Bay Convention Center Portland, ME

- Keynote: What now? Where you and your NP profession are going. ‐ Antibiotic Update: Community Acquired Pneumonia and Acute Bacterial Exacerbation of Chronic Bronchitis

6/18-21/09

AANP 24th National Conference Gaylord Opryland Nashville, TN 

Thursday, June 18 ‐ In the Spotlight: Honing Your Presentation Skills 

Saturday, June 20 ‐ Inflammation: Assessing, Preventing and Treating This Common Denominator in a Variety of Diseases ‐ Dangerous Liaisons: Drug-Drug, Drug-Nutrient Interactions Sunday, June 21 ‐ Honing Your Cardiac Exam: A Focus on Heart Sounds and Murmurs

7/16/09 34th University of Colorado Annual Nurse Practitioner Symposium (NPS) – Copper Mountain, CO

‐  Hot Topics in Drug therapy: new Products, new uses, new warnings ‐ The Role of Inflammatory Process in Disease States ‐  Emerging Infectious Disease Threats

9/10/09 Nursing Management Congress 2009 Hilton Chicago Chicago, IL 

- DNP: Changing the Academic Face of Nursing 

9/18/09 UARPN, NP Conference Macon, GA 

- Challenging Case Studies in Laboratory Diagnosis: A focus on anemia - Type 2 Diabetes Mellitus, Metabolic Syndrome, PCOS: How to assess and manage the many faces of insulin resistance 

- Dealing with the difficult patient