Learning Objectives:

• Define paraneoplastic syndromes
• Discuss Endocrine PNS
• Discuss Neurologic & rheumatologic/dermatologic PNS

Mary Suchyta, DO, FACOI (she/her/hers), Medical Director, Select Health

Learning Objectives:

• Participants will be able to apply clinical decision rules using wells criteria to categorize patients into likely vs PE unlikely
• Implement rule out strategies and correctly apply the Pulmonary Embolism Rule-Out Criteria (PERC) to identify patients in whom PE can be safely excluded Explain the role of biomarkers (D-dimer)
• Assess mortality risk and apply treatment strategies based on hemodynamic stability (massive unstable, stable with RV strain, and low risk PE)

Carol E. Ash, DO (she/her/hers), Pulmonary Critical Care Sleep Medicine, Deborah Heart and Lung Center

Learning Objectives:

• Discuss common CXR diagnoses that may be missed
• Suggest imaging for diagnoses
• Discuss rare CXR finding

Mary Suchyta, DO, FACOI (she/her/hers), Medical Director, Select Health

Learning Objectives:

• Recognize the common clinical scenarios of patients presenting with sleep disorders
• Gain knowledge on guidelines and 2026 updates & evidence for management of common sleep medicine disorders
• Understand the clinical application to manage patients with sleep disorders optimizing patient outcomes

Carol E. Ash, DO (she/her/hers), Pulmonary Critical Care Sleep Medicine, Deborah Heart and Lung Center

Learning Objectives:

• Recognize shock early and the common clinical scenarios of patients presenting with shock
• Understand what is failing physiologically
• Avoid common pitfalls that delay appropriate treatment

Carol E. Ash, DO (she/her/hers), Pulmonary Critical Care Sleep Medicine, Deborah Heart and Lung Center

Learning Objectives:

• Identify the common intrinsic and extrinsic causes of restrictive lung disease Understand the new framework for ILD and apply to their patient population
• Recognize common radiologic and PFT patterns of restrictive lung disease
• Understand how to obtain a specific diagnosis once pulmonary restriction has been confirmed and apply tactics to improve their patient’s health outcome

Carol E. Ash, DO (she/her/hers), Pulmonary Critical Care Sleep Medicine, Deborah Heart and Lung Center

Learning Objectives:

• Participants will be able to recognize types of respiratory failure
• Equip healthcare providers with the knowledge to manage, and assess critical respiratory conditions
• Identify PFT patterns to differentiate common disease that will result in respiratory failure

Carol E. Ash, DO (she/her/hers), Pulmonary Critical Care Sleep Medicine, Deborah Heart and Lung Center

Learning Objectives:

• Discuss Current COPD guidelines
• Discuss Medications in COPD
• Discuss Surgical & Bronchoscopic Therapies in COPD

Mary Suchyta, DO, FACOI (she/her/hers), Medical Director, Select Health

Learning Objectives:

• Understanding common labs and procedures and surgical risk.
• Overview for internal medicine topics including USPTF/choosing wisely guidelines.
• Overview of example cases in the office practice.

Scott Spradlin, DO, FACP, FACOI, Vice President of Clinical Value and Innovation, Aetna

Learning Objectives:

• Describe hyper- and hypocalcemia
• Describe various treatment options for low bone density
• Describe how to diagnose and trteat primary hyperparathyroidism

Jack Snitzer, DO, MHA, FACOI, FACE (he/him/his), Endocrinologist, Internal Medicine PD, TidalHealth Endocrinology

Learning Objectives:

• Describe symptoms and signs of hypopituitarism and treatment.
• Describe when to use DDAVP fo diabetes insipidus
• Recognize pituuitary diseases causing hypersecrtions or pituitary hormones.

Jack Snitzer, DO, MHA, FACOI, FACE (he/him/his), Endocrinologist, Internal Medicine PD, TidalHealth Endocrinology

Learning Objectives:

• Describe the differencse between type 1 and type 2 diabetes mellitus
• Describe the basics of insulin pump therapy and AID
• Describes the signs and complications of metabolic syndrome

Jack Snitzer, DO, MHA, FACOI, FACE (he/him/his), Endocrinologist, Internal Medicine PD, TidalHealth Endocrinology

Learning Objectives:

• Discuss the diagnosis and treatment of adrenal insufficiency
• Explain the diagnosis and treatment of pheochromocytoma
• Describe the diagnosis and treatment of primary hyperaldosteronism

John R. Sutton, DO, MACOI, Endocrinologist, Carson Tahoe Endocrinology

Learning Objectives:

• Understand the diagnosis of thyriod disease by thyroid function labs.
• Understand the most common and least common thyroid cancer diagnosis.
• Understand hyperthyroidism presentation by nuclear thyroid scan.

John R. Sutton, DO, MACOI, Endocrinologist, Carson Tahoe Endocrinology

Learning Objectives:

• Understand the physical appearance of Cushing syndrome.
• Understand nuclear imaging in the diagnosis of thyroid disease
• Unstand the retinal mages of patients with diabetic retinopathy

John R. Sutton, DO, MACOI, Endocrinologist, Carson Tahoe Endocrinology