2026 Clinical Challenges in Hospital Medicine
2026 Clinical Challenges in Hospital Medicine
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Contains 4 Component(s)
Hyperthyroidism
Learning Objectives:
- Discuss diagnosis and treatment of hypothyroidism.
- Discuss diagnosis and treatment of hyperthyroidism.
- Discuss thyroid eye disease.
$i++ ?>John Sutton, DO, MACOI, FEAA, CCD
Endocrinologist
Carson Tahoe Endocrinology
John Sutton, DO, MACOI, FEAA, CCD, is in private solo practice of Endocrinology in Carson City, NV. He is a 1989 graduate of KCOM. He is past president of the Kirksville Osteopathic Alumni Association. He lectures on Endocrinology to 2nd year students at KCOM, and he is Adjunct Assistant Professor in the department of Internal Medicine at KCOM. Dr Sutton is certified in Endocrinology and Internal Medicine by the American Osteopathic Board of Internal Medicine. He is Past President of the American College of Osteopathic Internists. He is a Board Member of the Nevada Clinical Endocrinologists’ Association, and he is on the Leadership Team of the Endocrine Alliance. He is a Master Fellow of the ACOI and a Fellow of the Endocrine Alliance Academy.
The faculty member, for this activity, has no relevant relationships with ineligible companies to disclose.
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Contains 4 Component(s)
Cushing Syndrome
Learning Objectives:
- Describe apprpriate selection and interpretation of dexamethasone suppression testing (DST)
- Describe various medications to treat cortisol exccess
- Describe how to differentiate excess cortisol secretion from pituitary, adrenal, and ectopic sources
$i++ ?>Jack Snitzer, DO, MHA, FACOI, FACE (he/him/his)
Endocrinologist, Internal Medicine PD
TidalHealth Endocrinology
Jack L. Snitzer, DO, MHA, FACOI, FACE, Endocrinologist and director, TidalHealth Endocrinology, Salisbury, Maryland and Program Director, TidalHealth IM residency program. I have been in clinical endocrinology practice since 1993.
The faculty member, for this activity, has disclosed the following financial relationships:
- Dexcom-Consulting Fees-Ongoing
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Contains 4 Component(s)
GLP-1 for Hospitalists
Learning Objectives:
- Discuss diagnosis and treatment of hypothyroidism.
- Discuss diagnosis and treatment of hyperthyroidism.
- Discuss thyroid eye disease.
$i++ ?>Jeffrey Freeman, DO, FACOI (he/him/his)
Physician & Chairman, Division of Endocrinology and Metabolism
Philadelphia College of Osteopathic Medicine
Jeffrey S. Freeman, DO, is a Professor of Internal Medicine and Chairman of the Division of Endocrinology and Metabolism at the Philadelphia College of Osteopathic Medicine in Philadelphia, PA. A board-certified endocrinologist with additional certifications in internal medicine and clinical lipidology, Dr. Freeman earned his Doctor of Osteopathy degree from Des Moines University College of Osteopathic Medicine. He completed his residency in internal medicine at John F. Kennedy Memorial Hospital through the New Jersey School of Osteopathic Medicine and went on to complete a clinical fellowship in endocrinology and metabolism at the University of Medicine and Dentistry of New Jersey, East Orange VA Medical Center. Dr. Freeman’s research and clinical interests focus on glycemic control in type 2 diabetes, incretin-based therapies, and lipid disorders. He has authored or coauthored numerous articles published in peer-reviewed journals including The Journal of the American Osteopathic Association, Current Drug Therapy, and Postgraduate Medicine. A recognized leader in his field, Dr. Freeman previously served as President-Elect of the American Diabetes Association, Mid-Atlantic Region, and as Chairman of the Subcommittee on Metabolic Diseases for the Pennsylvania Osteopathic Medical Association.
Dr. Freeman has disclosed the following relevant financial relationships: Mankind-Consulting Fees-Ongoing; Novo Nordisk-Consulting Fees-Ongoing
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Contains 4 Component(s)
Drug Allergies: Clinical Challenges in Hospital Settings
Learning Objectives:
- Upon completion, the participants will be able to
- define different drug reaction.
- define common drug allergies in hospitalized patients.
- use both PenFast and SulfaFast systems.
$i++ ?>Robert W. Hostoffer, Jr., DO, FACOI (he/him/his)
Professor
Case Western Reserve University
Robert W. Hostoffer, DO, is an AOA board-certified osteopathic allergist, immunologist and pediatrician.
Dr. Hostoffer practices at Allergy/Immunology Associates in Mayfield Heights, Ohio. He is a clinical professor at the Ohio University Heritage College of Osteopathic Medicine at Athens, an associate professor at Case Western Reserve University in Cleveland and an adjunct professor at Lake Erie College of osteopathic Medicine.
Dr. Hostoffer is the past president of the American College of Osteopathic Pediatricians, Cleveland Academy of Osteopathic Medicine, Cleveland Allergy Association and the Ohio Osteopathic Association. He is now a member of the board of the American Osteopathic Association and NOBME. He is the program director of the Allergy/Immunology fellowship (ACGME/Osteopathic Recognition).
Dr. Hostoffer earned his Osteopathic medical degree from the Philadelphia College of Osteopathic Medicine. He completed his pediatric residency training at Doctors Hospital in Columbus, Ohio, and a fellowship in pediatric immunology from the University of Alabama at Birmingham. He has completed a master’s in medical education (LECOM, Erie, PA) as well as a master’s in business administration (St Joseph University, Philadelphia, PA) and a certificate in Physician Leadership from the University of Chicago.
Dr Hostoffer has authored over 100 peer-reviewed articles, 14 book chapters, 160 abstracts/posters and given 290 invited presentations. He recently received the Lifetime Achievement Award from the American Osteopathic Foundation. - Upon completion, the participants will be able to
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Contains 4 Component(s)
Big Bad Sodium, Potassium, and Calcium in Hospital Medicine
Learning Objectives:
- Diagnose and manage sodium abnormalities
- Diagnose and manage potassium abnormalities
- Diagnose and manage calcium abnormalities
$i++ ?>Andrew Buelt, DO
Hospitalist
Veterans Affairs Medical Center
Dr. Buelt graduated from Des Moines University and completed family medicine residency at in St. Petersburg, Florida. Currently he works as a Hospitalist at the Veterans Affairs Medical Center in Bay Pines, Fl and has worked as an Assistant Professor of Family Medicine at the University of Central Florida (UCF) College of Medicine and the Orlando College of Osteopathic Medicine.
Dr. Buelt has helped record and produce over 500 hours of continuous medical education.
Helping shape medical guidelines, Dr. Buelt co-authored guidelines on dyslipidemia, headaches, COPD, low back pain, stroke rehabilitation, and depression for the Veteran Affairs and Department of Defense. His prolific work extends to numerous Practice Guideline reviews in the Journal of American Family Physician. Beyond his written contributions, Dr. Buelt co-founded the globally recognized Questioning Medicine podcast, earning a spot on the American Family Physician list of "25 Podcast Episodes Every Family Physician Should Listen To." Dr. Buelt stands as a top-tier speaker, sharing unparalleled insight, expertise, in an evidence based perspective.
The faculty member, for this activity, has no relevant relationships with ineligible companies to disclose.
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Contains 4 Component(s)
Bronchiectasis
Learning Objectives:
- Describe the "vicious vortex" pathophysiology and distinguish between inflammatory endotypes.
- Identify heterogeneous etiologies and apply diagnostic algorithms.
- Formulate evidence-based management strategies while recognizing ineffective therapies.
$i++ ?>Timothy J. Barreiro, DO, MACOI
Section Chair Pulmonary, Critical care and Sleep Medicine
NEOMED, LECOM, OUHCOM
Timothy J. Barreiro, DO, MACOI, is a Professor of Internal Medicine whose career reflects a sustained commitment to equity, teaching, and public service. He has spent decades caring for underserved communities and mentoring physicians in training. Hundreds of residents he coached have gone on to fellowships and leadership positions, carrying forward a model of medicine grounded in rigor, accountability, and service.
Dr. Barreiro earned his medical degree from the Ohio University Heritage College of Osteopathic Medicine. He completed fellowship training in pulmonary, critical care at the University of Rochester School of Medicine. In his career, the National Institutes of Health named him a Health Disparities Scholar through the National Center on Minority Health and Health Disparities, recognizing his work on cultural complexity in health care delivery.
His clinical and scholarly focus centers on preventable lung disease and health disparities. He has authored and co-authored more than eighty peer reviewed publications. His work extends beyond academia into public policy and governance. He served as a Health Commissioner for the Ohio Office of Minority Health for over a decade, appointed by the Governor. He currently serves as a Centers for Medicare and Medicaid Services appointee to the Medicare Evidence Development and Coverage Advisory Committee.
Dr. Barreiro is a founding member of the American Osteopathic Association task force on equity and advancement with the ACOI. In Youngstown, Ohio, he leads a multidisciplinary clinic and Program Director for PCCM fellowship that remains the city’s only pulmonary practice serving uninsured patients. He holds leadership and advisory roles in numerous professional societies and has earned the designation of Master Fellow of the College of Osteopathic Interns.
He reads widely in literature and the humanities and writes regularly for DO Magazine. He is a grandfather of two, a role that keeps his professional achievements in proper proportion.
The faculty member, for this activity, has no relevant relationships with ineligible companies to disclose.
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Contains 4 Component(s)
Approach to the Patient with Gram Positive Sepsis
Learning Objectives:
- Identify and differentiate common gram-positive pathogens causing sepsis based on clinical presentation, risk, and objective data
- Develop an evidence-based empiric and targeted treatment plan for these patients incorporating source risk factors and ability to achieve source control
- Apply a systematic diagnostic and management approach to patient with suspected gram-positive sepsis including appropriate use of blood cultures, imaging, and echocardiography
$i++ ?>Mia A. Taormina, DO, FACOI (she/her/hers)
Chair, Department of Infectious Disease
Duly Health and Care
Chair, Department of Infectious Disease - Duly Health and Care
Director, Clinical Board of Directors - Duly Health and Care
Co-Chair, Infectious Disease Subsection - American College of Osteopathic Internists
Adjunct Clinical Faculty - Midwestern University - Chicago College of Osteopathic MedicineThe faculty member, for this activity, has no relevant relationships with ineligible companies to disclose.
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Contains 4 Component(s)
Approach to the Patient with Gram Negative Sepsis
Learning Objectives:
- Identify common gram-negative pathogens causing sepsis and correlate these with clinical syndromes and exposures
- Construct an evidence-based empiric and definitive antimicrobial strategy for gram-negative sepsis including resistance risk, patient specific factors, and stewardship
- Implement a systematic diagnostic and management approach for patient suspected of having gram-negative sepsis
$i++ ?>Mia A. Taormina, DO, FACOI (she/her/hers)
Chair, Department of Infectious Disease
Duly Health and Care
Chair, Department of Infectious Disease - Duly Health and Care
Director, Clinical Board of Directors - Duly Health and Care
Co-Chair, Infectious Disease Subsection - American College of Osteopathic Internists
Adjunct Clinical Faculty - Midwestern University - Chicago College of Osteopathic MedicineThe faculty member, for this activity, has no relevant relationships with ineligible companies to disclose.
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Contains 4 Component(s)
Fever and Positive Cultures: When to Treat, When to Watch, When to Stop
Learning Objectives:
- Distinguish true bacteremia from blood culture contaminants using clinical and microbiological criteria
- Differentiate colonization from infection in positive cultures
- Apply evidence-based criteria for initiating empiric antibiotic therap
$i++ ?>MarkAlain Déry, DO, MPH, FACOI (he/him/his)
Chief Innovation Officer
Access Health Louisiana
Dr. MarkAlain Déry is an infectious disease specialist and epidemiologist renowned for his humanitarian work and commitment to public health. As the founder of 102.3FM WHIV-LP, a community radio station in New Orleans dedicated to human rights and social justice, Dr. Déry has utilized media to advocate for health equity and raise awareness about critical health issues such as HIV/AIDS. His international humanitarian efforts are extensive, having been at the forefront of disaster response during events like Hurricane Katrina, the Haiti earthquake, the Ebola outbreak in West Africa, and being adjacent to the front lines at the beginning of the Ukraine war. These experiences underscore his dedication to providing medical care in some of the most challenging environments, often employing innovative means of transportation to reach remote areas.
In addition to his hands-on medical work, Dr. Déry serves as the Chief Innovation Officer and Medical Director at Access Health Louisiana, where he continues to lead initiatives to improve healthcare access and outcomes for marginalized communities. His passion for education and advocacy extends to his role as a board member of the American College of Osteopathic Internists (ACOI), where he contributes to shaping policies that enhance medical practice and patient care.
Dr. Déry's career is marked by a profound commitment to addressing health disparities, promoting justice through clinical practice and public engagement. His work exemplifies a holistic approach to healthcare that integrates medical expertise with a deep understanding of social determinants of health, making him a pivotal figure in both local and global health landscapes.
In his free time, Dr. Déry plays bass for several New Orleans bands and has made several award-winning recordings. His passion for music complements his professional life, allowing him to engage with the community creatively while promoting health awareness through events that merge music and advocacy. -
Contains 4 Component(s)
Frequent Discharge Questions Answered in 2025
Learning Objectives:
- Identify common barriers to safe and efficient hospital discharge in 2025, including post-acute care coordination challenges.
- Discuss best practices for managing complex discharge scenarios—such as polypharmacy, social determinants of health, and limited primary care follow-up.
- Evaluate approaches for effective interdisciplinary discharge planning, emphasizing collaboration with nursing, case management, and outpatient care teams.
$i++ ?>Andrew Buelt, DO
Hospitalist
Veterans Affairs Medical Center
Dr. Buelt graduated from Des Moines University and completed family medicine residency at in St. Petersburg, Florida. Currently he works as a Hospitalist at the Veterans Affairs Medical Center in Bay Pines, Fl and has worked as an Assistant Professor of Family Medicine at the University of Central Florida (UCF) College of Medicine and the Orlando College of Osteopathic Medicine.
Dr. Buelt has helped record and produce over 500 hours of continuous medical education.
Helping shape medical guidelines, Dr. Buelt co-authored guidelines on dyslipidemia, headaches, COPD, low back pain, stroke rehabilitation, and depression for the Veteran Affairs and Department of Defense. His prolific work extends to numerous Practice Guideline reviews in the Journal of American Family Physician. Beyond his written contributions, Dr. Buelt co-founded the globally recognized Questioning Medicine podcast, earning a spot on the American Family Physician list of "25 Podcast Episodes Every Family Physician Should Listen To." Dr. Buelt stands as a top-tier speaker, sharing unparalleled insight, expertise, in an evidence based perspective.
The faculty member, for this activity, has no relevant relationships with ineligible companies to disclose.