Presented by the Division of Hospital Medicine • Department of Medicine • University of California, San Francisco 25th ANNUAL MANAGEMENT OF THE HOSPITALIZED PATIENT Hyatt Regency San Francisco • San Francisco, CA Thursday - Saturday October 21-23, 2021 Praise from past attendees… “The best conference ever! By far!!!” COURSE CHAIR Robert M. Wachter, MD Professor and Chair, Department of Medicine University of California, San Francisco 2021 The course that started it all returns for its 25th year! This course serves as the West Coast Regional Meeting of the Society of Hospital Medicine. 25th ANNUAL MANAGEMENT OF THE HOSPITALIZED PATIENT October 21-23, 2021 This course, chaired by Dr. Robert Wachter, ACCREDITATION The University of California, San Francisco covers the clinical issues most relevant to School of Medicine (UCSF) is accredited by the hospitalists and other clinicians who care for Accreditation Council for Continuing Medical Education to provide continuing medical inpatients. Taught by UCSF’s top teachers education for physicians. and selected guest faculty, the course – now UCSF designates this live activity for a maximum in its 25th year – highlights recent advances of 18.50 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit and current controversies. To promote active commensurate with the extent of their learning, the course uses a mobile audience participation in the activity. response system and features multiple This CME activity meets the requirements under California Assembly Bill 1195, continuing workshops in a variety of disciplines to allow education and cultural and linguistic for small group discussions. The course will competency. be offered both in-person and virtually. Geriatric Medicine: The approved credits shown above include 4.75 Geriatric Credits toward The course includes broad content in critical meeting the requirement under California Assembly Bill 1820, Geriatric Medicine. care, perioperative care, patient safety, Pain Medicine: The approved credits shown hospital neurology, cardiology, GI, above include 0.75 Pain Credits towards meeting the requirement under California Assembly Bill hematology, oncology, nephrology, and 487, Pain Management and Care for the infectious diseases (including Covid). Terminally Ill. ABIM Maintenance of Certification Points: This course is presented by the UCSF Successful completion of this CME activity, Division of Hospital Medicine and is which includes participation in the evaluation component, enables the participant to earn sponsored by the Office of Continuing up to 18.50 MOC points in the American Board Medical Education, University of California, of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will San Francisco School of Medicine. It also earn MOC points equivalent to the amount of serves as the West Coast regional meeting CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit of the Society of Hospital Medicine. participant completion information to ACCME for the purpose of granting ABIM MOC credit. OBJECTIVES Family Physicians: Application for CME credit An attendee completing the Management has been filed with the American Academy of of the Hospitalized Patient course should Family Physicians. Determination of credit is pending. be able to: Nurses: For the purpose of recertification, • Improve diagnosis of common the American Nurses Credentialing Center inpatient clinical presentations; accepts AMA PRA Category 1 CreditTM issued by organizations accredited by the ACCME. • Perform an evidence-based work-up Pharmacotherapeutics CEUs for Nurses: for common inpatient clinical For the purposes of recertification the American Nurses Credentialing Center presentations; accepts AMA PRA Category 1 CreditsTM issued • Apply modern therapeutic approaches by organizations accredited by the ACCME. This activity is designated for a maximum of 6.25 to common inpatient disorders; pharmacotherapeutic credits towards meeting • More effectively respond to patients’ the requirement for nursing pharmacology continuing education. Nurses should claim questions in hospital medicine using 0.1 CEUs for each contact hour of participation the latest clinical literature. in designated pharmacotherapeutic continuing education. Pharmacists: 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 PRA Category 1 CreditTM from organizations accredited by the ACCME. 25th ANNUAL MANAGEMENT OF THE HOSPITALIZED THURSDAY, OCTOBER 21, 2021 7:00 am Registration and Continental Breakfast 8:00 Welcome and Overview Robert M. Wachter, MD 8:10 Rx Diagnosis and Management of VTE in the Hospitalized Tracy Minichiello, MD Patient 9:00 Update on Clinical Manifestations and Inpatient Jennifer Babik, MD, PhD Management of COVID-19 9:50 Break 10:15 GRx Managing Anticoagulation in the Hospitalized Patient Tracy Minichiello, MD 11:10 GRx Update in Diagnosis and Management of Stroke S. Andrew Josephson, MD 12:00 pm Lunch Break 1:30 SMALL GROUP WORKSHOPS: SESSION I 1 The Neurological Exam S. Andrew Josephson, MD 2 Tough Cases in the Hospitalized Patient with Danielle Brandman, MD, MAS Liver Disease 3 Thromboembolism Q&A: Cases and Controversies Tracy Minichiello, MD Erika Price, MD, MPH 4 Tough Cases in Inpatient Pulmonary Medicine Lekshmi Santhosh, MD 5 Common Hospital Consults in Infectious Disease Jennifer Babik, MD, PhD 6 Caring for the Hospitalized Patient with Addictions Marlene Martin, MD 7 Meet the Professor Robert M. Wachter, MD 2:50 Break 3:15 ICU Management Pearls for the Hospitalist Lekshmi Santhosh, MD 4:10 Setting Up a Successful Hospital at Home Program Linda DeCherrie, MD 5:00 pm Adjourn FRIDAY, OCTOBER 22, 2021 7:00 am Continental Breakfast 8:00 Clinical Problem-Solving Exercise Gurpreet Dhaliwal, MD 9:00 COVID-19: Update on Vaccines and Variants Monica Gandhi, MD, MPH 9:55 Break 10:20 Current Controversies in Medical Consultation H. Quinny Cheng, MD 11:15 Advances in Interventional Endoscopy Craig Munroe, MD 12:10 pm Lunch Break 12:40 SMALL GROUP WORKSHOPS: SESSION II 8 The Neurological Exam (repeat) Vanja Douglas, MD 9 Radiology Refresher: Chest Imaging Brett M. Elicker, MD 10 Fundamentals of Preoperative Evaluation H. Quinny Cheng, MD 11 Interesting Cases in Hospital Rheumatology Sarah Goglin, MD 12 Bedside Ultrasound for Diagnosis Stephanie Conner, MD Trevor Jensen, MD, MS 13 The Art of Diagnostic Reasoning: Gurpreet Dhaliwal, MD An Interactive Case 2:00 Session Break- Transition to Next Workshop 2:10 SMALL GROUP WORKSHOPS: SESSION III 14 The Neurological Exam (repeat #2) Vanja Douglas, MD 15 Radiology Refresher: Chest Imaging (repeat) Brett M. Elicker, MD 16 Thromboembolism Q&A: Cases and Controversies Tracy Minichiello, MD (repeat) Erika Price, MD, MPH 17 Tough Cases in Medical Consultation H. Quinny Cheng, MD 18 Bedside Ultrasound for Diagnosis (repeat) Stephanie Conner, MD Trevor Jensen, MD, MS 19 Management of COVID-19 Patients in the ICU Antonio Gomez, MD 20 Diagnosis and Management of Acute Kidney Injury Lowell Lo, MD 3:30 Break 3:50 The State of the COVID-19 Pandemic George Rutherford, MD 4:40 Cardiology Pearls for the Hospitalist Krishan Soni, MD 5:30 pm Adjourn PATIENT • Hyatt Regency San Francisco SATURDAY, OCTOBER 23, 2021 7:00 am Continental Breakfast 8:00 How Has the Pandemic Changed Healthcare? Robert M. Wachter, MD 8:50 Neurological Emergencies S. Andrew Josephson, MD 9:45 G Key Arrhythmia Topics for Hospitalists Gregory C. Marcus, MD 10:30 Break 10:50 Oncologic Emergencies in Hospital Medicine Sam Brondfield, MD 11:35 The Year in Review in Hospital Medicine Bradley A. Sharpe, MD Bradley Monash, MD 12:20 pm Adjourn G • Geriatric Credit P • Pain Credit Rx • Meets Requirements for Pharmacotherapeutics CEUs for NPs/Nurses program COURSE CHAIR COURSE FACULTY (CONT’D) COURSE FACULTY (CONT’D) Robert M. Wachter, MD Gurpreet Dhaliwal, MD Gregory M. Marcus, MD Professor and Chair Professor of Medicine, Medicine Professor of Medicine, Department of Medicine Clerkship Site Director, San Division of Cardiology University of California, Francisco VA Health Care System Marlene Martin, MD San Francisco Vanja Douglas, MD Associate Professor of Medicine, VISITING FACULTY Associate Professor of Neurology; Division of Hospital Medicine Sara & Evan Williams Foundation Linda DeCherrie, MD Endowed Neurohospitalist Chair Tracy Minichiello, MD Professor of Geriatrics and Palliative Professor of Medicine; Brett M. Elicker, MD Medicine; Associate Professor of Chief, Anticoagulation Professor of Radiology & Medicine, General Internal Medicine, and Thrombosis Service, Biomedical Imaging; Chief, Icahn School of Medicine at Mount San Francisco VA Health Care Cardiac & Pulmonary Imaging Sinai, New York, NY System Monica Gandhi, MD, MPH COURSE FACULTY Bradley Monash, MD Professor of Medicine; Associate (University of California, Associate Professor of Medicine San Francisco, School of Medicine) Division Chief, Division of HIV, and of Pediatrics, Division of Infectious Diseases, and Global Jennifer Babik, MD, PhD Hospital Medicine Medicine, UCSF/San Francisco Associate Professor of Medicine, Chief of Medicine Service Division of Infectious Diseases; General Hospital; Director of the Associate Program Director, Internal UCSF Center for AIDS Research;