Before they are dogs they are puppies.

This lecture and accompanying workshop will consider the recently published literature on OMT as a way to augment the response to vaccination, specifically the mRNA COVID vaccines. Learning Objectives: Review mechanisms of OMT for vaccine augmentation. Review immune processes in vaccination. Practice OMT techniques to stimulate lymphatic circulation. Disclosures: None reported

Participants will gain insight into the prevalence and severity of STIs in California Participants will understand how to incorporate STI testing into their practices, recognizing the consequences of untreated syphilis Participants will recognize up to date guidelines on treatment and management of people living with STD and their partners. Participants will consider STD screening for members regardless of their reason for visit, and order STD screening if deemed appropriate. Learning Objectives: Understand syphilis diagnosis, lab interpretation, and treatments. Will discuss addressing multidrug resistant gonorrhea. Discuss preventative ways to address sexually transmitted infections. Disclosures: None reported

In this session, we will delve into the intricate relationship between physiology, anatomy, and emotional factors that contribute to low libido in women. Specifically focusing on Hypoactive Sexual Desire Disorder (HSDD), we will explore why this condition is prevalent yet often overlooked, particularly in women in mid-life and menopause. By understanding the complexity of factors involved, we aim to provide a holistic perspective on this common but rarely discussed issue. The session will not only raise awareness but also offer a comprehensive overview of various treatment options available to address low libido in women. From medical interventions to lifestyle changes and emotional support, we will explore a range of strategies aimed at empowering women to regain control over their sexual health and vitality. Learning Objectives: Identify and screen for low libido in women. Discuss common and most untreated complaints. Understand how these problems can be successfully treated. Disclosures: None reported

The Lewis and Clark Expedition of North America in 1803-1806 was far more than a 2 year and 4 month camping trip. The captains served as physicians to the group with little training and a box full of medicines that were mostly toxic. Yet they lost only one member! What were their medical problems and what was the medical thinking of their day? Dr Peck will answer this and more as we delve into a fascinating era of American history. Learning Objectives: Become aware of the diseases and illnesses encountered by the expedition. Understand the medical theories and medications prominent during the early 19th century in America. Understand popular treatments utilized by early American physicians and what those physicians were attempting to accomplish with these therapies. Compare medical practices of the Native American nations encountered by the expedition to those of the expedition. Understand how the early American medical theories evolved and their inclusion in the medical practice of the expedition. Disclosures: None reported

This presentation discussed 10 areas where private practice physicians can modify operations in order to better deal with the implications of the rising percentage of managed care patients in California. Learning Objectives: Take away one to three ideas that can be implemented immediately to improve efficiency and/or reduce costs. Disclosures: I am not a healthcare consultant. However, I have 13 years of experience in healthcare and 28 years of experience in creating both business-to-business services and consumer goods. This learning is based on the experiences of one privately held specialty medical practice. Your situation may require other solutions.

Join us for an engaging and insightful session that delves into the critical issues of health disparities and social determinants of health (SDOH) that impact underserved communities. Our panel of experts will address key questions surrounding the intersection of health equity, social justice, and the role of osteopathic physicians in promoting health equity and will share personal anecdotes demonstrating the impact of these principles on patients from underserved populations. Learning Objectives: Discuss strategies for addressing disparities through clinical practices and advocacy efforts. Analyze how physician workforce shortages exacerbate health inequities, particularly in rural and low-income urban areas. Review examples of successful population health interventions and the importance of collaboration with public health systems and community organizations. Explore how the shift towards value-based care models presents opportunities to address health disparities while acknowledging the challenges of implementation in underserved communities. Disclosure: None reported

When people with obesity are provided with evidence-based treatment such as intensive behavioral therapy, medications, or bariatric surgery, they are able to lose weight and may be able to sustain that weight loss. This session will demonstrate how to foster meaningful patient partnerships for sustainable weight through evidence-based interventions. We will explore how to navigate cultural nuances and communication strategies in order to develop personalized care plans, ensuring optimal, person-centered health promotion. Learning Objectives: Employ evidence-based guidelines to screen for and diagnose the disease of obesity. Apply the 5 Rs and integrate cultural humility to improve physician-patient interaction. Apply patient-centered techniques to engage and create personalized management plans for patients with obesity. Discuss the mechanism of action, efficacy and safety of approved pharmacotherapies and those in late-stage development for obesity. Discuss criteria to identify patients who would benefit from a referral to an obesity specialist. Disclosures: None reported

This lecture will introduce the physician to the medical impact of the unique work environments, biomechanics, and ergonomics of military service on the warfighter and Veteran. OMT techniques and home exercises that are applicable regardless of medical specialty will be reviewed and demonstrated. Learning Objectives: Discuss how the warfighters work environment (biomechanics/ergonomics) impacts their musculoskeletal system and creates somatic dysfunction. Discuss the long-term impact on Veterans from prior service-related work environments and injuries. Discuss how OMT can used to support veterans and active duty/reserve soldiers, airmen, sailors, and guardians, and keep them in peak performance. Describe, review, and demonstrate how OMT can be used to keep the warfighter working when they have MSK issues without having to take them off duty status. Describe and evaluate common muscular imbalances that contribute to somatic dysfunction. Disclosures: The opinions and assertions expressed herein are those of the author and do not reflect the official policy or position of the Uniformed Services University of the Health Sciences, the Army Reserve Medical Command, the U.S Army Reserve or the Department of Defense.

During this session, we will explore groundbreaking strategies to enhance addiction education within healthcare settings. Participants will learn about effective models and techniques that have empowered countless students and professionals to advocate for hope and healing in the context of treatment and recovery. Our discussion will provide valuable insights and foster empathy by addressing the truths and myths surrounding addiction. Drawing from extensive professional experience in the field, as well as a personal journey that includes transitioning from a career on Wall Street and navigating the aftermath of the 9/11 tragedy, our speaker will offer a unique perspective on addiction education. Join us as we delve into the nuances of addiction, dispel misconceptions, and equip you with the knowledge and compassion to make a meaningful difference in the lives of those affected by addiction. At the conclusion of this presentation, participants should be able to: Define addiction according to the American Society of Addiction Medicine (ASAM) and describe the characteristics that patients with substance use disorder (SUD) display. Identify the DSM-V criteria to diagnose substance use disorders. Describe evidence illustrating addiction as a disease as opposed to addiction as a choice. List ways in which medical students and professional education on addiction is improving. Explain the importance of screening patients for SUD, in addition to identifying national and local resources to assist patients with SUD, stressing the importance of displaying empathy and support in the delivery of care. Disclosures: I am employed by the Hazelden Betty Ford Foundation, a non-profit behavioral health organization. I have no financial or conflicts to disclose.

In this lecture, we will delve into the crucial topic of distinguishing between cardiac and non-cardiac chest pain. Understanding the difference between these types of chest pain is essential in providing timely and appropriate care to patients presenting with chest discomfort. We will discuss how to integrate clinical and laboratory findings to conduct the most suitable patient-centered workup. By combining these aspects of assessment, healthcare professionals can better pinpoint the underlying cause of chest pain and tailor treatment accordingly. we will touch upon the significance of adhering to chest pain guidelines endorsed by esteemed societies like the American College of Cardiology. By aligning with evidence-based guidelines, healthcare providers can ensure standardized, high-quality care for patients presenting with chest pain symptoms. At the conclusion of this presentation, participants should be able to: Distinguish between cardiac and non-cardiac chest pain. Understand how to integrate the clinical, & laboratory findings, in order to carry out the most appropriate patient centered work up. Determine the next best diagnostic test, Functional (stress test) vs Anatomic (Cardiac CTA). Disclosures: None reported

This presentation explores coccidioidomycosis, commonly known as Valley Fever, with a focus on its impact on children in California. Attendees will learn about the epidemiology, risk factors, and both typical and atypical clinical presentations in pediatric patients. The session will also cover diagnostic challenges and the latest evidence-based treatment options, providing a comprehensive overview for healthcare providers managing this condition in endemic regions. Learning Objectives: Recognize the risk factors and epidemiological data regarding coccidioidomycosis in California, with a focus on its impact on pediatric populations. Identify both typical and atypical presentations of coccidioidomycosis among pediatric patients. List the diagnostic modalities for coccidioidomycosis in children and understand the challenges associated with each. Identify treatment options for pediatric coccidioidomycosis based on current evidence. Disclosures: None reported

As a physician, have you ever wondered what being a patient in our healthcare system would be like? Not "your healthcare system where you might be treated as a VIP" but a healthcare system in a new community far from home where you were just another patient. On October 5, 2024, that is precisely what happened to me. As an ex-CMIO who had spent the last 15 years of my professional career focused on using technology to make healthcare better, I had a trauma that hospitalized me 2300 miles away from my primary source of care. As someone with an intimate knowledge of electronic health records, workflows, health information exchange, clinical decision support, and care transitions, I had expectations. I was a health information technology insider experiencing how digitization has changed healthcare; the good, the bad, and the ugly. Join me as I share that journey and insights on leveraging technology to improve efficiency and patient experience. At the end of the session, participants will: Identify changes that can be made in an existing digital health system to improve efficiency and patient experience. After this activity, participants will reimagine the electronic health record as a relational database that should be queried to personalize care and improve quality. After this activity, participants will list opportunities to reduce duplicate testing and improve patient care continuity. Disclosures: None reported

This lecture will provide a comprehensive overview of the diagnosis and treatment of Benign Prostate Hyperplasia (BPH) and prostatitis. Participants will gain insights into the evaluation and management of these common conditions affecting the male reproductive system. Learning Objectives: Discuss diagnosis and treatment of Benign Prostate Hyperplasia (BPH). Discuss evaluation and management of prostatitis. Discuss herbal and alternative treatment options. Disclosures: None reported

This lecture will go over the many interventional and non-interventional techniques used by pain management professionals but will also allow for the understanding and basic know-how for those not in the specialty. A full formulary of medications will be discussed that involve both opioid and non-opioid medications, as well as useful medical foods/supplements found to be beneficial. Learning Objectives: Understand what the various interventional treatment techniques are and when to order them. Distinguish between non-pharmacological and non-opioid treatments to address acute and chronic pain. Develop knowledge of the different opioid medications, and when and how to use them. Basic Osteopathic techniques for certain pain conditions. Disclosures: None reported

This lecture provides a comprehensive overview of atrial fibrillation, a prevalent cardiac arrhythmia, and an update on the current management and treatment options available. Atrial fibrillation poses a significant clinical challenge due to its high prevalence and associated risk of complications such as stroke and heart failure. Through this lecture, attendees will gain insight into the pathophysiology of atrial fibrillation, including recent advancements in understanding the disease mechanism. Learning Objectives: Understand what atrial fibrillation is. Review current understanding of pathophysiology of atrial fibrillation. Discuss clinical implications of atrial fibrillation, rhythm management, impact on heart failure, and risk of stroke. Discuss rhythm management options, rhythm versus rate control, pharmacological therapies versus cardiac ablation. Discuss stroke prevention management (although this could be its own talk altogether) including pharmacological therapies versus left atrial appendage closure (Watchman procedure). Discuss other forms of management, pacemakers and AV node ablation. Discuss when to refer for consultative assistance with a cardiologist or even an electrophysiologist. Disclosures: None reported

This lecture will provide a historical narrative of the state of the Osteopathic Profession in California from the early 1960's to modern-day practice. Understand the factors that lead to the merger of the California Osteopathic Medical Association with the California Medical Association. Understand the loss of licensure for new osteopathic physicians in California and the resumption of the Osteopathic Medical Board to full duties for licensure of new osteopathic physicians. Understand the factors specific to California leading to support for the Single Accreditation System. Understand potential threats that still exist to DO's. Disclosures: None reported

This presentation will delve into the evolving landscape of health and wellness in the United States, emphasizing the unique perspective offered by the Tenets of Osteopathic Medicine. Through an exploration of historical contexts and contemporary evidence, participants will gain insights into how redefining health and wellness can positively impact patient outcomes. By the end of the session, attendees will not only broaden their understanding of holistic healthcare strategies but also develop practical communication skills to empower patients in their own health journey. Learning Objectives: Review past definitions of health and wellness in the United States. Distinguish how the Tenets of Osteopathic Medicine influence the new definition of health and wellness. Discover how the powerful "law of the artery is supreme" has been proven over and over again in healthcare. Expand knowledge of strategies to increase the new definition of health and wellness. Enhance ability to effectively share with patients the strategies to increase health and wellness. Expected outcome for learners is an increase in the new definition of health and wellness for both themselves and their patients. Disclosures: None reported

The curriculum, developed by nationally known experts in pain management, addiction, and opioids, thoughtfully balances the risks and benefits of opioid prescribing, providing the latest insights in this vital healthcare area. It covers many important topics, including understanding the nature and pathophysiology of pain, effective patient assessment, creating patient-centered pain treatment plans, non-pharmaceutical pain treatment options, managing patients on opioid analgesics, educating patients and caregivers, and addressing opioid use disorder. Learning Objectives: Recognize the origin(s) and types of pain as they relate to pain management and opioid use disorder (OUD). Fully assess persons experiencing pain, including risk for OUD. Develop safe and effective pain management plans using nonpharmacologic and pharmacologic (non-opioid or opioid) options. Partner with patients to reduce risks when taking opioid therapy. Disclosures: Dr. Karen Muchowski is an investor in Defined Research, a company addressing insomnia through use of CBD. This relevant financial relationship has been mitigated. This program meets the California state requirements for opioid education and is fully compliant with the Opioid Analgesic Risk Evaluation and Mitigation Strategy (REMS) education requirement ("Blueprint"), issued by the U.S. Food & Drug Administration in October 2023. This activity also meets the criteria outlined by SAMHSA to count toward the MATE Act training requirement.

This lecture is designed to provide osteopathic family physicians with practical strategies and insights to enhance their personal and professional well-being. Through a comprehensive approach integrating self-care, mindfulness, and professional development, participants will learn to implement actionable steps to achieve a balanced and fulfilling lifestyle. Learning Objectives: Implement strategies for maintaining work-life balance, engaging in regular physical activity, and ensuring adequate sleep to enhance their well-being and professional performance. Identify and apply at least three mindfulness and stress reduction techniques to manage stress effectively, enhancing their resilience and ability to cope with professional challenges. Engage in lifelong learning by setting educational goals, fostering strong professional relationships, and seeking professional help to achieve a balanced and sustainable lifestyle. Disclosures: None reported