Learning Objectives:

• Upon completion, participant will be able to understand and apply PFS teaching physician rules for supervision and apply the clarifications to their documentation
• Upon completion, participants will understand the downcoding of hospital admission codes being done by payers and apply this knowledge to changes in their documentation
• Upon completion, participants will utilize new ICD-10 diagnosis codes and analyze their coding software for omissions in coding that may affect this.

Jill M. Young, CEMC, CPC, CEDC, CIMC (she/her/hers), Principal Consultant, Young Medical Consulting, LLC

Learning Objectives:

• Review common lower GI disorders
• Understand symptoms and risk factors for Lower GI disorders
• Review treatment and follow‑up for Lower GI disorders

Emmanual A. McDonald, DO, FACOI (he/him/his), Board Certified Gastroenterologist, Advent Health

Learning Objectives:

• Differentiate common upper GI disorders based on pathophysiology and presentation
• Apply evidence-based diagnostic approaches to upper GI conditions
• Select appropriate management strategies for common upper GI disorders

Charlene A. LePane, DO, MBA, MSPH, FACOI, FACG, FASGE (she/her/hers), Chief Medical Information Officer/Gastroenterologist, AdventHealth

Learning Objectives:

• Apply individualized, whole-person, care for hospitalized pregnant patients with advanced maternal age.
• Describe interdisciplinary approaches to optimizing maternal and fetal outcomes in advanced maternal age pregnancies.
• Understand physiologic changes of pregnancy.

Emmie R. Strassberg, DO (she/her/hers), Owner, Emmie Strassberg, LLC Preconception Counseling

Learning Objectives:

• To gain an understanding of the actual number of patients inpatient who have COPD.
• To recognize how overdiagnosis of COPD comes about.
• To avoid the CMS Financial Penalties under “Hospital Readmissions Reduction Program” (FRRP) for 30-day readmission rate.with potential solutions to overdiagnosis of COPD

David H. Lindner, DO, MBA, FCCP, FACOI (he/him/his), Section Chair, Pulmonary & Critical Care, NCH Health Care

Learning Objectives:

• Apply Validated Risk Assessment Models to Stratify Medical Patients: Utilize the Padua and IMPROVE scores to assess VTE risk in medically ill patients. Use the Caprini score for surgical patients to balance the risk of thrombosis against bleeding complications.
• Compare Prophylaxis Strategies • LMWH vs. UFH: Low Molecular Weight Heparin (LMWH) is generally superior to Unfractionated Heparin (UFH) for prophylaxis, except in patients with severe renal failure (CrCl <30 mL/min). • Mechanical Prophylaxis: Use Intermittent Pneumatic Compression (IPC) or Graduated Compression Stockings (GCS) when pharmacologic prophylaxis is contraindicated due to high bleeding risk.
• Implement Updated Cancer-Associated VTE Guidelines • ASCO Updates: Recent guidelines support the use of direct oral anticoagulants (DOACs) like apixaban and rivaroxaban for both the treatment of established VTE and extended thromboprophylaxis in cancer patients. • Bleeding Caution: Exercise caution with DOACs in patients with GI and genitourinary malignancies due to a higher risk of mucosal bleeding.

Timothy J. Barreiro, DO, MPH, FCCP, MACOI, FACP, Section Chair Pulmonary, Critical care and Sleep Medicine, NEOMED, LECOM, OUHCOM

60 minutes

Learning Objectives:

• Expand your knowledge regarding DNR.
• Be able to use information gained here to support your patient’s wishes for response to their last heartbeat.
• Realize that the DNR, Full code question is rarely asked of the patients.

Leonard Hock, DO, MACOI, CMD, FAAHPM, Palliative Inpatient Consultant, HockTalk

Learning Objectives:

• Learn more about life limited prognosis and be able to support patients with this information
• Be able to refer to tools to improve prognostication
• Be able to use the patient’s own personal rate of decline to help loved ones understand prognosis

Leonard Hock, DO, MACOI, CMD, FAAHPM, Palliative Inpatient Consultant, HockTalk

Learning Objectives:

• Define the QT interval, QTc, standard normal ranges
• Identify major risk factors for TdP
• Explain the pathophysiology of QT prolongation and its link to TdP

Robert J. Chilton, DO, MACOI, Professor of Medicine, University of Texas Health Science Center

Learning Objectives:

• Review tools for critical reading of medical literature.
• Use landmark journal articles to illustrate pitfalls in critical reading which can impact patient care.
• Specifically focus on the value of appreciating the study population, and exclusions validity.

Rick A. Greco, DO, MACOI, Internal Medicine Residency Program Director, Trinity Health System, Common Spirit Health