Boston University School of Medicineand Boston Medical CenterSonia Ananthakrishnan, MDAssistant ProfessorBoston University School of MedicineDepartment of MedicineDivision of Endocrinology, Diabetes & Nutrition

Steven Borkan, MDAssociate Professor of MedicineBoston University School of MedicineDepartment of Medicine, Division of NephrologyAttending Physician, Renal SectionBoston Medical Center

Robert Lowe, MDCo-Course DirectorAssociate Professor of MedicineBoston University School of MedicineDirector of Education, Section of GastroenterologyBoston Medical Center

Cammie Townsend, DNP, MS/MBA, RNLead Nurse PlannerBarry M. Manuel Continuing Medical Education OfficeBoston University School of Medicine

Gopal Yadavalli, MDAssistant ProfessorBoston University School of Medicine Department of MedicineDivision of Infectious DiseasesProgram Director, Internal Medicine Residency

Donald and Barbara Zucker School of Medicine at Hofstra/NorthwellDavid L. Battinelli, MDCo-Course DirectorVice DeanBetsey Cushing Whitney Professor of MedicineDonald and Barbara Zucker School of Medicine at Hofstra/NorthwellSr. Vice President and Chief Medical OfficerNorthwell Health

Barbara DeVoe, DNP, FNP-BCCNE Course AdvisorAssociate Dean for Interprofessional EducationHofstra Northwell School of Graduate Nursing and Physician Assistant StudiesVice President of Interprofessional Education and LearningCenter for Learning and InnovationNorthwell Health

Jeffrey M. Katz, MDAssociate Professor of Neurology and RadiologyDonald and Barbara Zucker School of Medicine at Hofstra/NorthwellChief, Vascular ServicesDirector, Stroke Center and Stroke UnitNorth Shore University HospitalAttending, Interventional NeuroradiologyNorthwell Health

Noah D. Kauff, MDAssociate Professor of Obstetrics & GynecologyDonald and Barbara Zucker School of Medicine at Hofstra/NorthwellChief, Cancer GeneticsNorthwell Health

Sameer Khanijo, MD, FACP, FCCPAssistant Professor of MedicineDonald and Barbara Zucker School of Medicine at Hofstra/NorthwellMedical Director, Respiratory Care UnitNorth Shore University HospitalNorthwell Health

Richard B. Libman, MD, FRCP(C)Professor of NeurologyDonald and Barbara Zucker School of Medicine at Hofstra/NorthwellVice Chair, Neurology Chief, Vascular NeurologyCo-Director, Stroke UnitNorthwell Health

Alex C. Spyropoulos, MD, FACP, FCCP, FRCPCDProfessor of MedicineDonald and Barbara Zucker School of Medicine at Hofstra/NorthwellProfessor, Center for Health Innovations andOutcomes ResearchFeinstein Institutes for Medical ResearchSystem DirectorAnticoagulation and Clinical Thrombosis ServicesNorthwell Health

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Who Should Attend? Primary Care Physicians, Internists, Family Practice Physicians, Nurse Practitioners, Nurses, and Physician Assistants

Educational Objectives At the conclusion of this conference the participants will be able to:

• Describe the latest medical controversies in primary care that have arisen because of new advances in disease processes and patient outcome data.

• Identify such problems in their practice and work settings.• Choose and provide appropriate treatment for such issues.

Why You Should Attend The intent of this activity is to expand the clinical competence of participating clinicians by providing a format for adult learning that includes brief lectures, case-based small group workshops, interactive question and answer sessions, as well as time for personal expert faculty consultations. It also provides a week long forum for generalists to learn from their peers in a program that fosters collaborative sharing of patient care issues especially with respect to active and evolving internal medicine controversies.

Accreditation Boston University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Boston University School of Medicine designates this live activity for a maximum of 21.25 AMA PRA Category 1 Credits ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn 21.25 MOC points in the American Board of Internal Medicine’s (ABIM)

Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

Continuing Nursing Education Provider Unit, Boston University School of Medicine is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 21.25 hours of Category I credit for completing this program.

The Royal College of Physicians and Surgeons of Canada recognizes conferences and workshops held out of Canada that are developed by a university, academy, hospital, specialty society or college as accredited group learning activities.

Disclosure Policy Boston University School of Medicine asks all individuals, and their spouses/partners, involved in the development and presentation of Continuing Medical Education (CME) and Continuing Nursing Education (CNE) activities to disclose all relevant financial relationships with commercial interests. This information is disclosed to CME activity participants prior to the start of the educational activity. Boston University School of Medicine has procedures to resolve all conflicts of interest. In addition, faculty members are asked to disclose when any unapproved use of pharmaceuticals and devices is being discussed.C

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Monday, May 4 7:30am Registration and Breakfast8:00 Welcome by Course Directors David L. Battinelli, MD and Robert Lowe, MD

8:10 Keynote Address: Vaping! “What Every Doctor and Mother Should Know!” Sameer Khanijo, MD

9:00 Precision Medicine and Cancer Screening: Ready for Prime Time? Noah D. Kauff, MD

9:45 A Bug’s Life – a Primer on the Microbiome Robert Lowe, MD

10:30 Break10:45 Update in HIV Medicine - Gopal Yadavalli, MD 11:30 WORKSHOPS - A, B, C A. Common Screening Dilemmas in the Age of Genetic Testing - Noah D. Kauff, MD B. Primary Care Saves The Nephron: Practical Steps - Steve Borkan, MD C. An Approach to Abnormal LFTs - Robert Lowe, MD

12:30pm Adjourn

Tuesday, May 5 7:30am Breakfast8:00 Asthma and COPD: Finally Some New Strategies - Sameer Khanijo, MD

8:40 Water Balance & The (relocated) Osmostat - Steve Borkan, MD

9:20 DOAC’s From A-Z: What an Internist Must Know in 2020 - Alex C. Spyropoulos, MD

10:00 Hard to Swallow – An Assortment of Esophageal Disorders - Robert Lowe, MD

10:35 Break

10:50 Precision Medicine and Cancer Screening: Will There be an App for This? Noah D. Kauff, MD

11:30 WORKSHOPS - D, E, F D. Common Anticoagulation Dilemmas - Alex C. Spyropoulos, MD E. An Approach to Abnormal LFTs - Robert Lowe, MD F. Primary Care Saves The Nephron: Practical Steps - Steve Borkan, MD

12:30pm Adjourn

Friday, May 87:30am Breakfast

8:00 Emerging Infectious Disease - Gopal Yadavalli, MD

8:35 Perioperative Anticoagulation Strategies: Resolving the Controversy Alex C. Spyropoulos, MD

9:15 Working with Transgender Patients: Important Considerations for 2020 Sonia Ananthakrishnan, MD

9:55 Advances in Internal Medicine Part II - David L. Battinelli, MD

10:25 Break

10:40 Science of Salt: Essential or Toxic? - Steve Borkan, MD

11:15 Controversial Options for Intracranial Vascular Pathology - Jeffrey M. Katz, MD

11:50 Asymptomatic Bacteriuria: The Phantom Menace - Gopal Yadavalli, MD

12:30pm Adjourn

Omni Hilton Head Oceanfront Resort23 Ocean Lane, Hilton Head, South Carolina 29928Ph: 843.842.8000 | Fx: 843.842.8033 | omnihotels.com/hotels/hilton-head

A block of rooms has been reserved at the Omni Hilton Head Oceanfront Resort with an arrival date of Sunday, May 3, 2020 and a departure date of Friday, May 8, 2020.The room rate is $255, single or double, plus taxes and a $19 per day resort fee. Call 1-800-843-6664 to make a reservation.

The room block will be open until 5:00pm local time on Friday, April 10, 2020 or until it sells out, whichever happens first. After this date, reservations will be accepted on a space and rate available basis. Specify that you are with the Boston University Controversies in Internal Medicine (042920BOSTONUNI) group when making your reservation in order to receive the conference rate.

Cancellations will be accepted prior to 12:00pm local hotel time, at least 3 days prior to arrival. If the reservation is no longer required and is not cancelled prior to this time, the reservation will be released, and one night’s subsequent room and tax charges will be billed to the credit card on file. The hotel will also charge an early departure fee for any guest who checks out prior to the guest’s reserved check out day in the amount equal to one night room and tax. Guests wishing to avoid an early check out fee should advise the Omni at or before check-in of any change in planned length of stay.

Guests may use this link to make their reservations online:https://www.omnihotels.com/hotels/hilton-head/meetings/2020-controversies-in-intl-m-05022020

Please visit our website to access this link: bucme.org/controversiesBoston University School of MedicineContinuing Medical Education

Co-Provided with Northwell Health

Accommodations

Agenda (Note: This agenda is subject to change) ControversiesControversiesinInternal MedicineInternal Medicine

May 4-8, 2020

Substitution/Cancellation PolicySubstitution may be made at any time without an additional charge. Refunds will be issued for all cancellations received at least two weeks prior to the start of the conference. Should cancellation occur less than two weeks prior to the start of the conference, a credit towards another Boston University School of Medicine conference will be issued, not a refund. A $75.00 administrative fee will be charged for all refunds and credits. “No shows” are subject to the full course fee. Cancellations/substitutions must be made in writing. Refunds and credits will not be issued once the conference has started. This course is subject to change and/or cancellation.

Core Competencies This activity has been developed with consideration given to the American Board of Medical Specialties Six Core Competencies. This activity will increase your competency in the areas of Patient Care, Medical Knowledge, and Professionalism.

How to Register Online:1) Go to the bucme.org/controversies website.2) Select the green “Register Online” button.3) Login or create your user account.4) Follow the instructions to register and pay by credit card. An email confirmation will be sent to you.5) Contact our office to pay by check at 617.358.5005 or cme@bu.edu. When paying by check, we recommend creating an account at bucme.org/register before calling our office so that we may address your request with the most expediency.

Questions?Please contact our office at 617.358.5005 or cme@bu.edu

Tuition - Regular Rate (after March 16):MD/DO - $895NP/RN/PA - $795Fellows/Residents - $595BUSM/Northwell/Hofstra Alumni - $678BUSM/BMC/Northwell/Hofstra Faculty/Staff - $416

Tuition - Early Bird Rate (through March 16):MD/DO - $795NP/RN/PA - $695Fellows/Residents - $495BUSM/Northwell/Hofstra Alumni - $578BUSM/BMC/Northwell/Hofstra Faculty/Staff - $318

Registration

Register at: bucme.org/controversies

Wednesday, May 67:30am Breakfast

8:00 Acute Stroke in the Age of Advanced Intervention: A Whole New World Jeffrey M. Katz, MD

8:40 When is a Stroke a Stroke and Not Something Else? - Richard B. Libman, MD

9:20 ECMO: Not Exactly Ambulatory But Amazing! - Sameer Khanijo, MD

10:00 Advances in Internal Medicine Part I - David L. Battinelli, MD

10:35 Break10:50 Autoimmune Liver Diseases – A Lack of Tolerance! - Robert Lowe, MD

11:30 WORKSHOPS - G, H, I G. The Approach and Management of Acute Stroke Patients - Jeffrey M. Katz, MD H. Common Confusing Neurologic Presentations - Richard B. Libman, MD I. We Are Off to See Adenomas! Pituitary, Adrenal and Thyroid, Oh My! Sonia Ananthakrishnan, MD

12:30pm Adjourn

6:00 to 7:30pm Welcome Reception Bring your family and join the faculty for a reception in the garden courtyard. This has become a favorite get-together for our attendees. Refreshments will be served.

Thursday, May 77:30am Breakfast

8:00 Community Acquired Pneumonia - What’s New in the Recent Guidelines Gopal Yadavalli, MD

8:40 Preventing Deep Venous Thrombosis (DVT): Are We Finally There? Alex C. Spyropoulos, MD

9:15 Gut Feelings - Advances in IBS Therapy - Robert Lowe, MD

9:55 Chronic Kidney Disease (CKD): Stopping the “Inevitable” Spiral Steve Borkan, MD

10:35 Break

10:50 Common Neurologic Problems and When to Refer - Richard B. Libman, MD

11:30 WORKSHOPS - J, K, L J. The Approach and Management of Acute Stroke Patients - Jeffrey M. Katz, MD K. Common Confusing Neurologic Presentations - Richard B. Libman, MD L. Update on Treating Diabetes in 2019: More than just Metformin Sonia Ananthakrishnan, MD

12:30pm Adjourn