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TWENTY-NINTH ANNUAL MADISON CLINICAL CONFERENCE
Management of the Patient with Diabetes

March 11-12, 2008
Marriott Madison West/Middleton, WI

Developed and conducted by Extension Services in Pharmacy, School of Pharmacy, University of Wisconsin-Madison


Registration

The "early" registration fee is $210 if received by February 19; after this date, the standard registration fee of $275 will apply.

Your registration options are as follows:

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Register On-line, If you don't have a user account creating one is free & easy.

envelope

Download the registration form, complete & mail to:

Madison Clinical Conference
Extension Services in Pharmacy
777 Highland Avenue
Madison, WI 53705

fax

Download the registration form, complete & fax to 608.262.2431 using a credit card for payment.

General Information

Intended Audience

The Conference will be promoted to pharmacists throughout the Midwest area; this includes community, hospital, long-term care pharmacy and managed-care pharmacy practitioners. Please share this program information with colleagues you believe may have an interest in the subject matter.

Fees

Enrollment will be limited to promote active participation and exchange of ideas. While there is no specific deadline date for receipt of registrations, there is an enrollment limit related to comfortable seating in the general sessions as well as workshops. Once the enrollment limit is reached, no more registrations will be accepted -- this includes on-site registrations. Therefore, early applications are encouraged. The "early" registration fee is $210 if application is received by February 19; after this date, the standard registration fee of $275 will apply. The registration fee includes all instruction, notebook/handout materials, and processing of CE Statements of Credit; in addition, continental breakfasts, luncheons, and all refreshment breaks on both Tuesday and Wednesday are included.

Clinical Instructors for selected UW School of Pharmacy experiential programs (i.e., 740, 741 & 760) and Clinical Instructors who provide at least six lecture/discussion hours for School of Pharmacy courses may qualify for waiver of instructional fees for selected CE courses (including Madison Clinical Conference) offered by Extension Services in Pharmacy. Advance registration (to ensure space) and payment for food/beverage functions is required ($95 for Clinical Conference). If clarification is required, contact Alan L. Hanson, PhD (Chair, Extension Services in Pharmacy and Associate Dean for Outreach, School of Pharmacy) at 608-262-2099 regarding eligibility and registration procedures related to this reduced fee structure. Registration as a Clinical Instructor for this reduced fee is not available on-line; please mail or fax completed registration form to Extension Services in Pharmacy at the address/fax number indicated in the program brochure.

Are you a pharmacy student? Complimentary registration is available for School of Pharmacy students. Contact Extension Services in Pharmacy at 608-262-3130 for further information.

In the event it is necessary for an enrollee to cancel a registration, a refund -- minus a $40 administrative fee -- will be provided if notification is received prior to February 19. After that date, no refunds will be provided.

Symposium Location

Marriot Madison West
Atrium Hotel and Conference Center
1313 John Q. Hammons Drive
Middleton, WI 53562
(Phone: 608-831-2000)

Directions to the Marriott Madison West Hotel
From Chicago, Minneapolis, Milwaukee:

  • I-90/94
  • Exit Hwy 12/18 West (Exit 142A)
  • West on Hwy 12/18 for 15 miles
  • Exit #252 (Greenway Blvd)
  • Turn left on Greenway
  • Turn left on John Q. Hammons Drive

Accommodations

A block of rooms has been reserved at the Marriott Madison West.. Hotel reservations must be made directly with the Marriott Madison West and, to ensure the availability of space at the reduced rate applicable for this Conference, reservations for accommodations should be made no later than February 19. You may also contact the hotel directly and request the Madison Clinical Conference/School of Pharmacy rate. The room rate for those attending the Conference is $119/single or double occupancy, plus tax.

Acknowledgment

Sources of funding support will be acknowledged in printed materials distributed at the Conference.

Goals & Objectives

The goal of this Conference is to enhance the clinical knowledge of pharmacists to enable them to more efficiently educate patients (and their caregivers) as well as work collaboratively with other healthcare professionals to manage/monitor and improve patient outcomes in those with diabetes. As a result of participating in this Conference, attendees should be able to:

  1. Describe best management practices for special populations for those patients with diabetes (elderly, chronic kidney disease, highly variable blood glucose values).
  2. Describe best management practices for inpatient management of the patient with diabetes.
  3. List and discuss treatment options for gestational diabetes.
  4. Describe and discuss strategies to manage obesity as a diabetes co-morbidity.
  5. Describe and discuss evidence-based primary and secondary prevention of cardiovascular disease in diabetes.
  6. Provide patient counseling relative to a nutrition plan for the patient with diabetes.
  7. Provide patient counseling regarding emergency preparedness for patients with diabetes.
  8. List, discuss and compare current antihyperglycemic agents as well as those in the pipeline.

Participants should be able to perform additional tasks based on the specific workshops they attend.

Continuing Education Credit

ACPE

Attendees may earn a maximum of 12 hours of continuing education credit (1.2 CEUs) by attending all portions of this Conference, i.e., nine hours of lecture and three hours of workshops.

Extension Services in Pharmacy at the University of Wisconsin-Madison School of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Receipt of a Statement of Credit documenting participation in this program will be mailed within 30 days of completion of the program and is based on attendance at all portions of the Conference (lectures plus three workshops) as well as satisfactory completion of all evaluation materials. Universal Program #073-000-08-020-L01-P

More Information

Alan L. Hanson, Ph.D., R.Ph.
Extension Services in Pharmacy
777 Highland Avenue
Madison, WI 53705
(608) 262-3132 or (608) 262-3130
FAX (608) 262-2431
Send Email

Conference Outline

Tuesday, March 11

7:30

Registration/Continental Breakfast

8:30

Welcome/Introductions

8:40

Best Management Practices, Part 1: Special Populations

  • Patients with highly variable blood glucose values
  • Elderly diabetes patients
  • Diabetes patients with chronic kidney disease

Melissa Meredith, MD
Associate Professor of Medicine
University of Wisconsin
Madison, WI

9:30

Best Management Practices, Part 2: Inpatient Management

  • Pre-, peri-, and post-operative management of inpatients with diabetes
  • Inpatient management of non-surgical inpatients
  • Insulin and insulin drips versus oral medications

Michael S. Nyffeler, PharmD
Pharmacy Department
Meriter Hospital
Madison, WI

10:20

Refreshment Break

10:45

Obesity

  • Obesity as a diabetes co-morbidity, especially in youth
  • Magnitude of obesity epidemic in youth and adults
  • Strategies pharmacists might incorporate into their practices to affect behavioral change of obese youth
  • Lifestyle issues and behavioral change

Aaron Carrel, MD
Associate Professor of Pediatrics
University of Wisconsin Children’s Hospital
Pediatric Endocrinology, Diabetes and Fitness
Madison, WI

11:35

Gestational Diabetes

• Screening and diagnosis

  • Recommendations from different authority groups
  • Evidence-based recommendations for practice

• Current evidence-based treatment options

  • Nonpharmacologic
  • Pharmacologic

Beth Potter, MD
Associate Professor
University of Wisconsin-Madison
Department of Family Medicine
Madison, WI

12:30

Luncheon

1:30

Prevention of Cardiovascular Disease in the Patient with Diabetes

• Cardiovascular disease as a diabetes co-morbidity
• Magnitude of cardiovascular disease in diabetes
• Evidence-based primary prevention of cardiovascular disease in diabetes

  • Nonpharmacologic
  • Pharmacologic

• Evidence-based secondary prevention of cardiovascular disease in diabetes

  • Nonpharmacologic
  • Pharmacologic

Bharat Raman, M.B.B.S.
Endocrinologist
Dean Clinic
Madison, WI

2:20

Diabetes Drugs in the Pipeline

  • New therapeutic agents in development for diabetes mellitus
  • Efficacy and toxicity
  • Potential place in therapy
  • Actual and/or potential drug interactions

Denise L. Walbrandt Pigarelli, PharmD, BC-ADM
Clinical Associate Professor
School of Pharmacy
University of Wisconsin
Clinical Pharmacy Specialist, Diabetes Clinic
VA Hospital
Madison, WI

3:10

Refreshment Break

3:30

Diabetes Nutrition 101 for Pharmacists

  • Medical nutrition therapy: what is it?
  • Carb counting basics including fiber & sugar alcohol subtractions
  • Quick tips for counseling patients about meal planning
  • Portion estimation/sizing tips
  • Plate method—what is it?
  • Alcohol intake in diabetes
  • Food label reading & what to tell patients

Sue McCartney, MS, RD, CDE
Ambulatory Care Nutrition and Diabetes Education
Wm S. Middleton Memorial Veterans Hospital
Madison, WI

4:20

Adjourn for the Day

Wednesday, March 12

7:45

Continental Breakfast

8:30

Emergency Preparedness for Patients with Diabetes

  • Development of an emergency plan
  • Emergency supply kit & contents
  • Medical identification
  • Diabetes self-care during emergencies

Denise L. Walbrandt Pigarelli, PharmD, BC-ADM
Clinical Associate Professor
School of Pharmacy
University of Wisconsin
Clinical Pharmacy Specialist, Diabetes Clinic
VA Hospital
Madison, WI

9:20

Pharmacotherapy Update: Current Clinical Use of Anti- hyperglycemic Agents

  • Review of available pharmacologic agents, including efficacy & toxicity monitoring
  • Current diabetes guideline therapy algorithms

Elizabeth Musil, RPh, PharmD
Assistant Clinical Professor
Department of Family and Community Medicine
Medical College of Wisconsin
Faculty Pharmacist
Racine Family Medicine Residency Program
Racine, WI

10:20

Refreshment Break/Transit to Workshops

10:40

Workshop/Discussion Group I

11:45

Lunch

1:00

Workshop/Discussion Group II

2:05

Refreshment Break

2:20

Workshop/Discussion Group III

3:25

Adjourn Conference

Workshop Choices

Workshop/Discussion Group Topics:
Each registrant will have an opportunity to participate in three different Workshop/Discussion Group “Sessions.” The goal of each of these “Sessions” is to provide an opportunity for participation and interaction rather than a lecture format. The participation/interaction may focus around a case study, focused Q&A, and/or some other interactive format. Advance selection should be made from the list below and recorded on the registration form. The number of registrants in each “Session” will be limited; assignments will be made in order of receipt of applications and based on choices specified. Lack of demand/interest as demonstrated through the pre-registration process may result in the cancellation of a Workshop “Session.”

  1. Insulin Initiation and Adjustment
    • Evidence-based literature review and case studies

    Denise L. Walbrandt Pigarelli, PharmD, BC-ADM
    Clinical Associate Professor
    School of Pharmacy
    University of Wisconsin
    Clinical Pharmacy Specialist, Diabetes Clinic
    VA Hospital
    Madison, WI
  2. Insulin Pumps
    • Hands-on demonstration

    Christine Fugelseth, BSN, RN, CDE
    Diabetes Clinical Consultant
    Medtronic Diabetes
    Madison, WI
  3. 3. Diabetes Challenges
    • Game-based approach to reinforcing concepts based on DM Guidelines and drug therapy

    Elizabeth Musil, RPh, PharmD
    Assistant Clinical Professor
    Department of Family and Community Medicine
    Medical College of Wisconsin
    Faculty Pharmacist
    Racine Family Medicine Residency Program
    Racine, WI
  4. Inpatient Case Studies
    • Illustration/application of best practices

    Michael S. Nyffeler, PharmD
    Pharmacy Department
    Meriter Hospital
    Madison, WI
  5. Ambulatory Case Studies
    • Illustration/application of best practices

    Chris Klink, PharmD, BCPS
    Managing Pharmacist – Aurora St. Luke’s POB Pharmacy
    Clinical Pharmacist - Aurora St. Luke’s Family Practice Center
    Milwaukee, WI
  6. Diabetes Lab 101
    • Patient education for drawing-up and injection of insulin
    • Hypoglycemia
    • Mixed insulin

    Shelly Van Note, PharmD
    Clinical Pharmacist/Clinical Instructor
    University of Wisconsin Hospital and Clinics
    Madison, WI
  7. Diabetes Lab 102
    • Foot exam
    • Blood pressure
    • Insulin pens

    Casey Gallimore, PharmD
    Clinical Assistant Professor
    Pharmacotherapy Lab Coordinator
    School of Pharmacy
    University of Wisconsin
    Madison, WI
  8. Blood Glucose Self-Monitoring
    • Meter selection
    • Interpretation of print-outs
    • Case studies

    Mike Grunske, BSPharm, PharmD, BCPS
    Clinical Pharmacist
    Aurora St. Luke's Family Practice Center
    Milwaukee, WI
  9. An Introduction to Applying Motivational Interviewing Techniques to Promote Health Behavior Change in Patients with Diabetes
    • Lifestyle (tobacco use, alcohol use, diet, exercise)
    • Self-monitoring (home glucose monitoring, general health measures)
    • Medication adherence (barriers: knowledge, unwelcome effects, doubts need or efficacy, lacks social support)

    Beth Martin, RPh, BSPharm, MS, PhD
    Assistant Professor (CHS)
    School of Pharmacy
    University of Wisconsin
    Madison, WI
  10. Continuous Glucose Monitoring
    • Review of sample profiles
    • Case studies
    • Patient perspective as well as clinician perspective

    Mary Bruskewitz, RN, MS, BC-ADM
    Clinical Nurse Specialist - Diabetes
    UW Hospital & Clinics - Diabetes Clinic
    Assistant Clinical Professor UW School of Nursing
    Madison, WI

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