Presented by Department of MedicineUniversity of California, San Francisco

47th Annual

Advances in Internal Medicine

• Earn a Full Year’s MOC & CME Credit Requirements• Features an Electronic Audience Response System• This Course Does Not Receive Industry Funding

COURSE CHAIRHugo Quinny Cheng, MDProfessor of Medicine University of California, San Francisco

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Now in its 47th year, this course reviews the most recent developments and current controversies in the field of internal medicine. Particular emphasis will be placed on topics of clinical relevance to the practicing physician. The course will include:

Didactic Lectures – Clinical experts from UCSF’s Department of Medicine will review and interpret recent clinical advances.

Year-in-Review Literature Reviews – Faculty will review major articles from the general medical and specialty literature with immediate importance to clinical practice.

Clinical Dilemmas – In addition to case presentations to illustrate current management strategies, a special session on clinical problem-solving is included.

Questions and Answers – Two-way Q&A, as expert clinicians answer audience questions while also polling participants on their own practice.

Internal Medicine Topics – Areas to be covered include cardiology, geriatrics, endocrinology, general internal medicine, women’s health, infectious diseases, gastroenterology, hematology and oncology, neurology, rheumatology, and pulmonary disease.

Multidisciplinary Topics – Additional topics of interest to the practicing internist will include issues in women’s health, geriatrics, office-based orthopedics, neurology, and hospital medicine.Advances in Internal Medicine is presented by the Department of Medicine and is sponsored by the Office of Continuing Medical Education of the University of California, San Francisco School of Medicine.

GREENER MEETING (optional)We’re saving paper! The syllabus will be available electronically prior to the course. A printed syllabus book is also available for purchase for an additional $40.

TARGET AUDIENCEThis course is designed for practicing internists, family practitioners, and other primary care health professionals. It is also appropriate for hospitalists who wish to stay current on recent developments in internal medicine beyond the inpatient setting.

The purpose of this course is to increase competence and improve clinician practice in internal medicine. We specifically anticipate improvements in skills and strategies to:• Better manage commonly encountered chronic medical problems such

as hyperlipidemia, diabetes, osteoporosis, obstructive lung disease, gout and chronic pain, as well as acute conditions such as skin and soft tissue infections, STI, and sports-related injuries;

• Bring practice patterns more in line with current evidence and guidelines with respect to atrial fibrillation, coronary artery disease, chronic kidney disease, diet & exercise recommendations, immunization, and preoperative medical evaluation;

• Manage problems traditionally treated by specialists, such as heart failure, hepatitis B & C infections, end-of-life care, rheumatoid arthritis, as well as recognize the indications for referral to a subspecialist.

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47th Annual

Advances in Internal MedicineMay 20-24, 2019 • June 17-21, 2019

COURSE CHAIRH. Quinny Cheng, MD Professor of MedicineCOURSE FACULTY (University of California, San Francisco unless indicated)

Robert B. Baron, MD, MSProfessor of MedicineAssociate Dean for Graduate andContinuing Medical EducationStephanie Cohen, MD, MPHAssistant Professor of MedicineDivision of Infectious DiseasesMedical Director, San Francisco City ClinicMatthew Cooperberg, MDProfessor of Urology and Epidemiology & BiostatisticsAssociate Chair, Clinical Research, Department of UrologyHelen Diller Family Chair in UrologyKenneth Covinsky, MD, MPHProfessor of MedicineDivision of GeriatricsHenry Crevensten, MDAssociate Professor of MedicineSan Francisco VA Medical CenterSarah Doernberg, MDAssociate Professor of MedicineRabih Geha, MDAssistant Professor of MedicineJonathan Graf, MDAssociate Professor of MedicineDepartment of RheumatologySteven Harris, MD Professor of MedicineDivision of Endocrinology and MetabolismGerald Hsu, MDAssociate Professor of MedicineFellowship Program Director, Division of Hematology/OncologyS. Andrew Josephson, MDCarmen Castro Franceschi andGladyne K. MitchellNeurohospitalist DistinguishedProfessor and Chair, Department of NeurologyJeffrey Kohlwes, MD, MPHAssociate Professor of MedicineDirector, VAMC PRIME ProgramAssociate Program DirectorInternal Medicine ResidencyNicholas Kolaitis, MD Clinical FellowDepartment of Pulmonary and Critical Care Medicine

Jennifer Lai, MD, MBA Associate Professor of MedicineDivision of GastroenterologyLorianna E. Leard, MDAssociate Professor of MedicineDivision of Pulmonary and CriticalCare Medicine; Associate Director,Pulmonary and Critical CareMedicine FellowshipAndrew D. Leavitt, MD Professor.Departments of Medicine (Hematology)and Laboratory MedicineMorris Levin, MDProfessor of NeurologyAnthony Luke, MD, MPHProfessor and DirectorPrimary Care Sports MedicineUmesh Masharani, MB, BS, MRCPProfessor of MedicineDivision of Endocrinology andMetabolismDavid Naeger, MDAssociate Professor & Associate Chair for Education, Department of Radiology & Biomedical ImagingCara Pellegrini, MDProfessor of MedicineChief, Division of Endocrinologyand MetabolismZuckerberg San Francisco GeneralMichael Peters, MD Assistant Professor of MedicineDivision of Pulmonary and Critical Care MedicineSusan Philip, MDAssistant Professor of MedicineCenter for AIDS ResearchZuckerberg San Francisco GeneralThomas A. Ports, MDProfessor of MedicineChief, Interventional CardiologyRachel Pystritsky, MD Assistant Professor of MedicineDivision of Infectious DiseasesMegan B. Richie, MD Assistant Professor of NeurologyHope Rugo, MDProfessor of MedicineDirector, Breast Oncology andClinical Trial EducationUCSF Helen Diller FamilyComprehensive Cancer CenterVan Selby, MD Assistant Adjunct Professor Division of Cardiology

Bradley A. Sharpe, MDAssociate Professor of MedicineDivision of Hospital MedicineAssociate Chief, Medical ServiceAssociate Program DirectorInternal Medicine ResidencyProgramAmandeep Shergill, MDAssistant Professor of MedicineSan Francisco VA Medical CenterKanade Shinkai, MD, PhDAssociate Professor of DermatologyProgram Director, DermatologyResidency ProgramMichael G. Shlipak, MD, MPHProfessor of Medicine, Epidemiology and BiostatisticsChief, Division of General Internal Medicine, San Francisco VA Medical CenterLarissa Thomas, MD Associate Professor of MedicineAssociate Program Director for the UCSF Internal Medicine Residency Program; Director of Well-being for UCSF Graduate Medical EducationZuckerberg San Francisco GeneralJeffrey A. Tice, MD Associate Professor of Medicine Division of General Internal MedicineJudith M.E.Walsh, MD, MPHProfessor of Medicine; Women’s Health Clinical Research CenterRabindra R. Watson, MD Associate Professor of MedicineDivision of GastroenterologySara Whetstone, MD, MHS Assistant Professor of Obstetrics, Gynecology and Reproductive Sciences: Associate Residency Program DirectorEric Widera, MDAssistant Professor of MedicineDirector, Hospice & Palliative CareSan Francisco VA Medical CenterLisa G. Winston, MDProfessor of MedicineDivision of Infectious Diseases;Vice Chief, Inpatient MedicalServices and Hospital Epidemiologist, Zuckerberg San FranciscoGeneral HospitalLeah Witt, MD Assistant Professor of Geriatrics and PulmonologyLucas Zier, MD Assistant Professor of MedicineDivision of Cardiology

Monday • May 20 and June 177:00 am Registration and Continental Breakfast8:00 Welcome and Overview H. Quinny Cheng, MD CARDIOLOGY • Moderator: Thomas A. Ports, MD 8:10 G Update on Heart Failure with Reduced and Van Selby, MD Preserved Ejection Fraction 9:00 Atrial Fibrillation Review and Update Cara Pellegrini, MD9:50 Coffee Break 10:10 G Updates on Coronary Artery Disease and Lucas Zier, MD Interventional Cardiology11:00 Keynote Lecture: Physician Well-Being Larissa Thomas, MD11:50 am Lunch on OwnGERIATRICS • Moderator: Eric Widera, MD 1:20 G P Geriatrics & Palliative Care: Year in Review Eric Widera, MD and

Kenneth Covinsky, MD2:50 Coffee BreakENDOCRINOLOGY • Moderator: Umesh Masharani, MB, BS, MRCP 3:10 Update on Diabetes Medications Umesh Masharani, MB, BS, MRCP4:00 G Osteoporosis Screening and Diagnosis: BMD Steven Harris, MD FRAX & Assessment of Secondary Osteoporosis4:50 pm Adjourn

Tuesday • May 21 and June 187:30 am Registration and Continental Breakfast GENERAL INTERNAL MEDICINE & WOMEN’S HEALTH • Moderator: Robert B. Baron, MD, MS8:00 Updates in Nutrition and Exercise: New Trials Jeffrey A. Tice, MD

and New Guidelines8:50 P Modern Management of Pain: Current Strategies Henry Crevensten, MD for Maximizing Results While Minimizing Opioids9:40 Coffee Break 10:00 Chronic Kidney Disease: What the Generalist Michael G. Shlipak, MD, MPH

Needs to Know (MAY) Management of Lipid Disorders: Robert B. Baron, MD, MS Integrating the New Guidelines (JUNE)10:50 Updates in General Internal Medicine: Jeffrey Kohlwes, MD, MPH

Year in Review11:40 am Lunch on Own 1:10pm Menopause: What’s New? What’s Safe? Sara Whetstone, MD, MHS2:00 Update in Women’s Health: Year in Review Judith M.E. Walsh, MD, MPH2:50 Coffee BreakHOSPITAL MEDICINE • Moderator: H. Quinny Cheng, MD 3:10 Updates in Hospital Medicine Bradley A. Sharpe, MD4:00 Updates in Perioperative Medicine H. Quinny Cheng, MD4:50 pm Adjourn G - Satisfies the California requirement for Geriatric CME

P - Satisfies the California requirement for Pain CME

47th Annual

Advances in Internal Medicine

program

Wednesday • May 22 and June 197:30 am Continental Breakfast INFECTIOUS DISEASES • Moderator: Lisa G. Winston, MD8:00 Cutaneous Infections Kanade Shinkai, MD, PhD8:50 Immunization Update Lisa G. Winston, MD (MAY) Pneumonia: CAP/HAP/VAP Rachel Pystritsky, MD (JUNE)9:40 Coffee Break 10:00 New Developments in Clostridium Difficile Sarah Doernberg, MD10:50 STDs - Now More Than Ever Stephanie Cohen, MD, MPH (May)

Susan Philip, MD (June)11:40 am Lunch on Own 1:10pm Clinical Problem Solving (Mystery Case) Rabih Geha, MDGASTROENTEROLOGY • Moderator: Amandeep Shergill, MD 2:00 Updates on Liver Disease Jennifer Lai, MD2:50 Coffee Break 3:10 Advances in Endoscopic Bariatric Therapies Rabindra R. Watson, MD4:00 P Tendinopathy- Basic Strategy for Anthony Luke, MD

Diagnosis and Treatment4:50 pm Adjourn

Thursday • May 23 and June 207:30 am Continental Breakfast HEMATOLOGY AND ONCOLOGY • Moderator: Hope Rugo, MD8:00 Oncologic Emergencies and Adverse Effects Gerald Hsu, MD of Immunotherapy 8:50 Venous Thromboembolism: So Many Questions…Oy Andrew Leavitt, MD9:40 Coffee Break 10:00 The Prostate Cancer Consensus: Matthew Cooperberg, MD Smarter Screening, Smarter Treatment 10:50 What Radiology Test Should I Order? David Naeger, MD11:40 am Lunch on Own NEUROLOGY • Moderator: S. Andrew Josephson, MD 1:10pm P Advances in Headache Management Morris Levin, MD2:00 What’s New in Neurology Megan B. Richie, MD2:50 Coffee BreakRHEUMATOLOGY • Moderator: Jonathan Graf, MD 3:10 P Advances in the Management of Gout Jonathan Graf, MD4:00 P Rheumatoid Arthritis: Diagnosis, Assessment, and Jonathan Graf, MD

Treatment in the Era of New Oral Therapies 4:50 pm Adjourn

Friday • May 24 and June 217:30 am Continental Breakfast PULMONARY • Moderator: Lorriana E. Leard, MD8:00 The New Frontier of Pulmonary Vascular Disease Nicholas Kolaitis, MD8:50 G Pulmonary Disease in the Older Adult Leah Witt, MD9:40 Coffee Break 10:00 Updates in COPD and Asthma Michael Peters, MD10:50 Medicine Quiz Show: What Have We Learned? H. Quinny Cheng, MD11:40 am AdjournG Geriatric Credit P Pain Credit

May 20-24, 2019 • Holiday Inn Golden Gateway June 17-21, 2019 • UCSF Parnassus Campus (Cole Hall)

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ACCREDITATION The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. UCSF designates this live activity for a maximum of 30.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency.Geriatric Medicine: The approved credits shown above include 4.25 geriatric credits toward meeting the requirement under California Assembly Bill 1820, Geriatric Medicine.Pain Management and Care for the Terminally Ill: The approved credits shown above include 5.75 AMA PRA Category 1 CreditsTM towards meeting the requirement under California Assembly Bill 487,Pain Management and Care for the Terminally Ill. Nurses: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 CreditsTM issued by organizations accredited by the ACCME.

Pharmacy: The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA Category 1 CreditTM.Physician Assistants: AAPA accepts category 1 credit from AOACCME, Prescribed credit from AAFP, and AMA category 1 credit for the PRA for organizations accredited by the ACCME.American Board of Internal Medicine (ABIM) MOC: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 30.25 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.Family Physicians: Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

Wednesday • May 22 and June 197:30 am Continental Breakfast INFECTIOUS DISEASES • Moderator: Lisa G. Winston, MD8:00 Cutaneous Infections Kanade Shinkai, MD, PhD8:50 Immunization Update Lisa G. Winston, MD (MAY) Pneumonia: CAP/HAP/VAP Rachel Pystritsky, MD (JUNE)9:40 Coffee Break 10:00 New Developments in Clostridium Difficile Sarah Doernberg, MD10:50 STDs - Now More Than Ever Stephanie Cohen, MD, MPH (May)

Susan Philip, MD (June)11:40 am Lunch on Own 1:10pm Clinical Problem Solving (Mystery Case) Rabih Geha, MDGASTROENTEROLOGY • Moderator: Amandeep Shergill, MD 2:00 Updates on Liver Disease Jennifer Lai, MD2:50 Coffee Break 3:10 Advances in Endoscopic Bariatric Therapies Rabindra R. Watson, MD4:00 P Tendinopathy- Basic Strategy for Anthony Luke, MD

Diagnosis and Treatment4:50 pm Adjourn

Thursday • May 23 and June 207:30 am Continental Breakfast HEMATOLOGY AND ONCOLOGY • Moderator: Hope Rugo, MD8:00 Oncologic Emergencies and Adverse Effects Gerald Hsu, MD of Immunotherapy 8:50 Venous Thromboembolism: So Many Questions…Oy Andrew Leavitt, MD9:40 Coffee Break 10:00 The Prostate Cancer Consensus: Matthew Cooperberg, MD Smarter Screening, Smarter Treatment 10:50 What Radiology Test Should I Order? David Naeger, MD11:40 am Lunch on Own NEUROLOGY • Moderator: S. Andrew Josephson, MD 1:10pm P Advances in Headache Management Morris Levin, MD2:00 What’s New in Neurology Megan B. Richie, MD2:50 Coffee BreakRHEUMATOLOGY • Moderator: Jonathan Graf, MD 3:10 P Advances in the Management of Gout Jonathan Graf, MD4:00 P Rheumatoid Arthritis: Diagnosis, Assessment, and Jonathan Graf, MD

Treatment in the Era of New Oral Therapies 4:50 pm Adjourn

Friday • May 24 and June 217:30 am Continental Breakfast PULMONARY • Moderator: Lorriana E. Leard, MD8:00 The New Frontier of Pulmonary Vascular Disease Nicholas Kolaitis, MD8:50 G Pulmonary Disease in the Older Adult Leah Witt, MD9:40 Coffee Break 10:00 Updates in COPD and Asthma Michael Peters, MD10:50 Medicine Quiz Show: What Have We Learned? H. Quinny Cheng, MD11:40 am AdjournG Geriatric Credit P Pain Credit

GENERAL INFORMATIONAdvance registration closes two (2) business days prior to start of each course.

REGISTRATION INFORMATION

Tuition: $995 Practicing Physicians $795 Nurses/Pharmacists/Physicians

Assistants/Allied Health Professionals/Residents/Fellows

GREENER MEETING (optional) We’re saving paper! The syllabus will be available electronically one week prior to the course. Optional purchase of a printed syllabus is available for an additional $40.

Payment may be made by Visa, MasterCard, AmEx or check.

REGISTER VIAOnline: cme.ucsf.eduMail: Complete course registration form

and send with payment to: UCSF Office of CME

3333 California Street, Suite 450 San Francisco, CA 94118

Fax: Fax completed registration form to: (415) 502-1795 (be sure to include your credit card number)

Phone: To register by phone or to inquire about registration status, please call UCSF’s CME Registration Office at (415) 476-5808. Please check our website for up-to-date information on the course: cme.ucsf.edu

REFUND POLICY Cancellations received in writing before the first day of the course will be refunded, less a $100 administrative fee. No refunds will be made on cancellations received after that date.

CONFERENCE LOCATION The May Session of this conference will take place at the Holiday Inn Golden Gateway Hotel. Featuring chic décor, a new restaurant, and a central location, while still offering affordable rates compared to other San Francisco hotels, this full-service hotel is centered between Nob Hill, Fisherman’s Wharf, and the Golden Gate Bridge, which offers an oasis for San Francisco hotel guests looking for a true city experience.A block of guestrooms has been reserved at the special UCSF conference rate of $219/night for the May sesssion. You are urged to make your reservations early. The group rate is available until April 19, 2019, or until the group room block is filled. After this date,rooms will be provided on a space-available basis only. To make hotel reservations on-line, go to cme.ucsf.edu and click on the hotel link in the Travel & Lodging section of the course webpage. If you prefer to telephone in your reservation, call 800-272-7098 and please identify yourself as a member of this UCSF conference to receive the special rate.

The June Session is being held at Cole Hall on the UCSF Parnassus Campus at 513 Parnassus Avenue. Our preferred location for room reservations is the Stanyan Park Hotel, conveniently located at 750 Stanyan Street (cross street: Waller). The Stanyan Park Hotel is offering a starting rate of $208/night. Additional upgraded room rates are available. To make your reservation, call 415-751-1000.By staying at the host hotel, you help UCSF meet its contractual obligations and keep registration fees reasonable.

AIR TRANSPORTATION AND RENTAL CARUCSF has negotiated special fares with airlines and car rental agencies. Please visit the TRAVEL AND LODGING section on the course webpage at cme.ucsf.edu for more information and discount codes. Please check our website for up-to-date information on the course: cme.ucsf.edu

£ Dr. £ Ms. £ Mr. £ Mx.

_________________________________________________________________Last Name First M.I. _________________________________________________________________Degree Specialty _________________________________________________________________ Address _________________________________________________________________ City State Zip _________________________________________________________________Daytime Phone Fax_________________________________________________________________Email Address Label Code Letter (see address label: example, A, B, C, D, etc.) ____________________

Would you like to be on our priority email list? £ Yes £ No

Date of birth to be used as OCME registrant number: ___ ___ /___ ___ / X X Month Day Please indicate if you have any special needs:_____________________________________

Registration Fees £ $995 Practicing Physicians £ $795 Non-Physicians

£ $40 Optional Printed Syllabus

Course (Select One): £ May 20-24, 2019 MDM19M19 – Holiday Inn Golden Gateway • San Francisco, CA £ June 17-21, 2019 MDM19M20 – UCSF Parnassus Campus, Cole Hall • San Francisco, CAMake checks payable to UC RegentsPlease charge my credit card: £ Visa £ MasterCard £ AmEx for $ _________________________

________________________________________________|________/_______Card # Expiration date___________________________________|_____________________________Name on Card (Please Print) Authorized Signature

Refund Policy: Cancellations received in writing before the first day of the course will be refunded, less a $100 administrative fee. No refunds will be made on cancellations received after that date.Please check our website for up to date information on the course: cme.ucsf.edu

47TH ANNUAL ADVANCES IN INTERNAL MEDICINEC

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Ambulatory Care Center (A)400 Parnassus Avenue

UCSF Medical CenterUCSF Children’s Hospital505 Parnassus Avenue

Environmental Health & Safety (EHS)50 Medical Center Way

Faculty Alumni House (FA)745 Parnassus Avenue

Langley Porter Psychiatric Institute (LPPI)401 Parnassus Avenue

Lucia Child Care Study Center (CCC)610 Parnassus Avenue

Parnassus Services Building (PS)30 Medical Center Way

Proctor Foundation (PF) 95 Kirkham Street

UC Hall (U) 533 Parnassus Avenue • Beckman Vision Center • Faculty Practice Offices• Toland Hall

ParnassusCampus

UCSF Parnassus Campus Cole Hall, Medical Sciences Building 513 Parnassus Avenue San Francisco, CA 94122

Holiday Inn Golden Gateway 1500 Van Ness Avenue San Francisco, CA 94109 (415) 441-4000

May

20-

24, 2

019

June

17-

21, 2

019

May 20-24, 2019 MDM19M19Holiday Inn Golden Gateway

June 17-21, 2019 MDM19M20UCSF Parnassus Campus, Cole Hall

Mail to : UCSF Office of CME 3333 California Street, Suite 450 San Francisco, CA 94118

Online registration: cme.ucsf.edu Registration Information: (415) 476-5808 Course Information: (415) 476-4251

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