TN Maternal Mortality Related to Time Limited Certification in Obstetrics

Gray

Location
Cookeville Regional Medical Center
Education Rooms across from nursery viewing area on second floor

Times
5:30pm - Sign-in registration and snacks
6:00pm - CME Begins
6:40pm - UCMS-TMA regional activities

Learning Objectives
1. Review rapid decline in maternal mortality from 1970 – 1985.
2. Review rise in maternal mortality since the first time-limited certifications in OBGYN were issued in 1986.
3. Review current geographic distribution of certified OBGYNs and Key Performance indicators by county
4. Should UCMS-TMA support legislation to prohibit insurance companies from discriminating based on participation in Maintenance of Certification (MOC)?
5. Should UCMS-TMA support legislation to prohibit hospitals from requiring participation in MOC at time of renewal of privileges?

James C. Gray MD FACOG

College of Georgia in 1976; residency in OBGYN at Vanderbilt University Hospital in 1980; received life-time certification from the American Board of Obstetrics and Gynecology in 1982; elected Fellow of the American College of Obstetrics and Gynecology in 1983; practiced general obstetrics and gynecology in Cookeville from 1980 – 2004; practiced in TDOH county primary care clinics in Upper Cumberland from 2005 to 2012; currently holds an active Special Volunteer medical license and is the medical coordinator for the annual Cookeville Remote Area Medical Clinic; he is Judicial Councilor for TMA Region 5; past president of the Putnam County Medical Society and first President of the newly TMA-chartered Upper Cumberland Medical Society; currently is secretary of the UCMS-TMA

Doctor of Medical Science Degree for PAs

Hall

Location
Cookeville Regional Medical Center
Education Rooms across from nursery viewing area on second floor

Times
5:30pm - Sign-in registration and snacks
6:00pm - CME Begins
6:40pm - UCMS-TMA regional activities

Learning Objectives
1. Doctor of Medical Science Degree for Physician Assistants Curriculum and Training
2. Proposed legislation defining the licensing of the Doctor of Medical Science (DMS) in Tennessee
3. Primary health care delivery to residents of Upper Cumberland

Apryl Hall MD

MD, Quillen College of Medicine at East Tennessee State University; Pediatric Residency, East Tennessee State University; Member, American Academy of Pediatrics; Member UCMS-TMA

Pediatric Emergencies

Fox-Bergvin

Location
Cookeville Regional Medical Center
Education Rooms 3 and 4 across from nursery viewing area on second floor

Times
5:30pm - Sign-in registration and snacks
6:00pm - CME Begins
6:40pm - Medical Society Discussion

Lauren Fox-Bergvin DO

Dr. Lauren graduated from Cumberland County High School. She then attended The University of Tennessee-Knoxville. She graduated with a B.A. in Audiology with a Minor in Psychology. She was a member of Student Government, Mortar Board, The Speech-Language Pathology and Audiology Professional Society, and Delta Delta Delta Sorority. She was a Sports Medicine Intern for the UT Athletic Department working with Men’s Football and Basketball, and became a UT Letterman.

Dr. Fox-Bergvin obtained her Doctorate of Osteopathic Medicine degree from Lincoln Memorial University-DeBusk College of Osteopathic Medicine. While in medical school, she received the award for Outstanding Female Medical Student. She was inducted into Sigma Sigma Phi, the National Osteopathic Philanthropy and Academic Honor Society.

She completed her Pediatric Residency at The University of Tennessee at Chattanooga / Children’s Hospital of Erlanger. She received The Cathy Stevens Outstanding Resident Award and The Harold Alpers Humanitarism Award, recognizing humanitarian characteristics throughout all residency programs at the University of Tennessee at Chattanooga. Dr. Fox-Bergvin additionally received the Pediatric Resident of the Year award! She is now practicing at Plateau Pediatrics and is on staff at Cumberland Medical Center in Crossville. Dr. Fox-Bergvin is a member of the UCMS-TMA.

Pelvic Floor Dysfunction and Utilization of Physical Therapy

Bowman

Location
Cookeville Regional Medical Center
Education Rooms 3 and 4 across from nursery viewing area on second floor

Times
5:30pm - Sign-in registration and snacks
6:00pm - CME Begins
6:40pm - Medical Society Discussion

Learning Objectives
1. Recognize the relationship between musculoskeletal system deficits and pelvic floor dysfunctions.
2. Justify pelvic floor muscle training as a first line intervention of urinary incontinence in women based upon current clinical practice guidelines.
3. Select appropriate patients for referral to pelvic physical therapy.
4. Identify physical therapists appropriately trained to treat pelvic floor dysfunction.

Marsha Bowman PT, DPT, WCS

Marsha received her doctorate of physical therapy from Northeastern University where she completed her research on utilization of physical therapy following female pelvic surgery. Her facultative area of the doctorate program was in pelvic physical therapy. Marsha also holds a Bachelor of Science degree in physical therapy from the University of Memphis Health Science Center. She received her CAPP (certificate of achievement in pelvic physical therapy) from Brooks University in Jacksonville, FL in 2012 and is a Board Certified Clinical Specialist in Women’s Health Physical Therapy. She has been practicing physical therapy since 1986. In addition to working in her private practice, Marsha is an adjunct professor serving on the graduate faculty at Tennessee State University. She is committed to advancing the profession of physical therapy through research and mentoring future therapists. Marsha is a member of the American Physical Therapy Association, Tennessee Physical Therapy Association, Women’s Health Section of the APTA, and the International Continence Society. In her spare time, she enjoys camping with her husband and dogs, reading and teaching Pilates as a certified mat instructor.

(1) UCMS Grassroot Effort To Improve Perinatal Outcomes and Reduce Maternal Deaths - Jim Gray (2) TMA Positions at Day-On-The-Hill - Yarnell Beatty

Gray
Beaty

Location
Cookeville Regional Medical Center
Education Rooms 3 and 4 across from nursery viewing area on second floor

Times
5:30pm - Sign-in registration and snacks
6:00pm - CME Begins

Learning Objectives
Following this presentation participants will: 1. Review the epidemiology of maternal mortality in TN from 1970 - 2017.
2. Understand the forgotten 45-year old statute which created Tennessee’s Perinatal Regionalization Program in 1974 (TCA-68-1-Part 8)
3. Understand challenges to growth and maintenance of specialty-level obstetrics practice in non-metro rural health regions.
4. Review status of Rep Ryan Williams and Sen. Paul Bailey’s amendments to bring Tennessee’s Perinatal Regionalization Program in line with national standards.
5. Yarnell Beatty will discuss and answer questions on the official TMA position on this and other health care legislation being introduced in the 111th Tennessee General Assembly
6. Understand UCMS goal to have an Upper Cumberland physician meet with each of our 11 legislators at Day-On-The-Hill.

James C. Gray MD FACOG

College of Georgia in 1976; residency in OBGYN at Vanderbilt University Hospital in 1980; received life-time certification from the American Board of Obstetrics and Gynecology in 1982; elected Fellow of the American College of Obstetrics and Gynecology in 1983; practiced general obstetrics and gynecology in Cookeville from 1980 – 2004; practiced in TDOH county primary care clinics in Upper Cumberland from 2005 to 2012; currently holds an active Special Volunteer medical license and is the medical coordinator for the annual Cookeville Remote Area Medical Clinic; he is Judicial Councilor for TMA Region 5; past president of the Putnam County Medical Society and first President of the newly TMA-chartered Upper Cumberland Medical Society; currently is secretary of the UCMS-TMA

Yarnell Beaty JD

Senior Vice President and General Counsel at Tennessee Medical Association.

Direct Oral Anticoagulants

Meier

Location
Cookeville Regional Medical Center
Education Rooms 3 and 4 across from nursery viewing area on second floor

Times
5:30pm - Sign-in registration and snacks
6:00pm - CME Begins
6:40pm Medical Society Discussion

Learning Objectives
1. Indications
2. Contraindications
3. Dosing
4. Conversion to other agents

Jason Meier MD PhD

M.D., University of Louisville School of Medicine MD/PhD Program, Louisville, KY, 2012; Fellowship in oncology/hematology, Vanderbilt University Medical Center; Residency in internal medicine, Indiana University; Board certified in internal medicine; member of UCMS-TMA

2020 Medicare Appropriate Use Criteria Mandate

Means

Location
Cookeville Regional Medical Center
Education Rooms 3 and 4 across from nursery viewing area on second floor

Times
5:30pm - Sign-in registration and snacks
6:00pm - CME Begins
6:40pm Medical Society Discussion

Learning Objectives
1. Implementing clinical decision support in your practice
2. How and why to get ready to meet this mandate
3. Learn steps to implement clinical decision support
4. Gain insight on how such AUC-based clinical decision support systems may work on a daily basis

Seth Means MD

Dr. Means is fellowship trained from Emory University in musculoskeletal radiology. He received the “Most Outstanding Fellow” award in 2014 while working for Emory University’s radiology department. He earned his undergraduate biochemistry degree from the University of Tennessee in Knoxville and completed his radiology residency at the Medical University of South Carolina where he was Chief Radiologist. Dr. Means joined Putnam Radiology in July of 2014 and is a member of the Premier Medical Staff.
MEDICAL DEGREE: University of Tennessee
BOARD CERTIFIED: American College of Radiology
MEMBER: UCMS-TMA

Ten Things Ophthalmologist Want Primary Care Doctors to Know

Patterson

Location
Cookeville Regional Medical Center
Education Rooms 3 and 4 across from nursery viewing area on second floor

Times
5:30pm - Sign-in registration and snacks
6:00pm - CME Begins
6:40pm - Medical Society Discussion

Learning Objectives
1. Discuss top ten eye issues that can get primary care doctors in trouble
2. Discuss how to recognize these problems
3. Learn when to treat, and when to refer

Larry Patterson MD

Larry E. Patterson, M.D. is the Medical Director of Eye Centers of Tennessee and the Cataract and Laser Center. He is a past president of OOSS and the Chief Medical Editor of Ophthalmology Management for over ten years. He has done medical mission work in Central America, the Caribbean, and the South Pacific. Dr. Patterson has presented at many meetings as well as writing numerous publications on office and surgical efficiency.

Dr. Patterson is in his 31st year of practice. His son Michael joined him in practice in 2016. Eye Centers of Tennessee currently operates out of 5 locations with 3 ophthalmologists and 8 optometrists.

MD: University of Tennessee
Specialty Board Certification: American Board of Ophthalmology
MEMBER: UCMS-TMA

Cognitive Assessment and Care Plan Services (CPT 99483)

Piech

Location
Cookeville Regional Medical Center
Education Rooms 3 and 4 across from nursery viewing area on second floor

Times
5:30pm - Sign-in registration and snacks
6:00pm - CME Begins
6:40pm Medical Society Discussion

Learning Objectives: Upon completion of this session, participants should be able to
1. Describe the benefits of early diagnosis and care planning
2. Identify the required elements for CPT 99483 cognitive assessment and care plan services.
3. Assess how to implement care planning for cognitively impaired patients in their clinical setting.

Thomas J. Piech Pharm D

Dr. Piech is a 1974 graduate of the Duquesne University School of Pharmacy. He retired in 2010 after 37 years of retail pharmacy practice in New York and Tennessee. He currently serves as a member of the Overton County Industrial Authority and as a member of the Overton County Joint Economic and Community Development Board.

Tom is the Alzheimer’s Association Volunteer Congressional Ambassador for Representative John Rose TN-6. In his position he works to keep both state and federal legislators up to date on the issues facing Alzheimer’s sufferers and their caregivers. He has served on the AARP TN leadership team as a Congressional District Leader and as a Rotary Club member. He is a member of the TN Medical Reserve Corps.

Tom enjoys retirement in Livingston TN. His wife of 45 years, Cheryl Piech, passed away from Younger-Onset Alzheimer’s Disease in 2018 at the age of 66.

Update on Tick-borne Diseases Endemic to Upper Cumberland

Pierce

Location
Cookeville Regional Medical Center
Education Rooms 3 and 4 across from nursery viewing area on second floor

Times
5:30pm - Sign-in registration and snacks
6:00pm - CME Begins
6:40pm Medical Society Discussion

Learning Objectives
1. Review epidemiology, signs and symptoms, prevention and treatment of diseases transmitted by ticks and are endemic to our region.
2. Presentation and diagnosis of newly described alpha-gal syndrome - red meat allergy following bite of lone star tick.

Mark Pierce MD

Dr. Pierce received his MD at Southern Illinois University School of Medicine; Internal Medicine Residency, University of Alabama at Birmingham School of Medicine; Infectious Diseases Fellowship, University of Alabama at Birmingham School of Medicine; Board Certified in Internal Medicine and Infectious Diseases. Dr. Pierce practices infectious disease medicine at The Travel Clinic at CRMC. He is a member of the UCMS-TMA.

Review of Measles

Hall

Location
Cookeville Regional Medical Center
Education Rooms across from nursery viewing area on second floor

Times
5:30pm - Sign-in registration and snacks
6:00pm - CME Begins
6:40pm - UCMS-TMA regional activities

Learning Objectives
1. Clinical presentation and establishing diagnosis of measles
2. Potential complications of measles and management
3. Contagiousness and protection of public health – quarantine
4. AAP and WHO guidelines on use of vaccine and immune globulin for prevention of measles
5. Update on the 2019 Measles Outbreak in the US

Apryl Hall MD

MD, Quillen College of Medicine at East Tennessee State University; Pediatric Residency, East Tennessee State University; Member, American Academy of Pediatrics; Member UCMS-TMA

TransCarotid Artery Revascularization (TCAR)

Sywak

Location
CRMC Education Rooms 3 and 4 across from nursery viewing area on second floor

Times
5:30 PM - Sign-in registration and snacks
6:00 PM - 7:00 PM - CME presentation and discussion
7:00 PM - UCMS members and Board please plan to stay to discuss future direction of the UCMS

Learning Objectives
1. To identify and understand the surgical options for carotid artery stenosis and novel therapies.
2. To risk stratify options for stroke prevention in carotid artery stenosis.
3. To learn to identify patients who may benefit from TCAR.

Michael A Sywak MD

Dr. Sywak received his medical degree from St. George’s University in Grenada, West Indies, in 2011. He completed a general surgery residency at Waterbury Hospital (Yale Affiliate) in Waterbury, Connecticut, and a vascular surgery residency at Buffalo University (Gates Vascular Institute) in Buffalo, N.Y. He is board certified in general surgery and board eligible in vascular surgery. Dr. Sywak is a new member of the UCMS-TMA.

Update in Urogynecology

Geer

Location
CRMC Education Rooms 3 and 4 across from nursery viewing area on second floor

Times
5:30 PM - Sign-in registration and snacks
6:00 PM – 7:00 PM CME presentation and discussion
7:00 PM until Adjournment: UCMS business unrelated to the CME program

Learning Objectives
1. Medical treatment of overactive bladder and urge incontinence
2. Anticholinergics and effects on cognition—examining recent evidence
3. Current surgical options for pelvic floor support

Bert E. Geer DO

Dr. Bert Geer is a native of the Upper Cumberland. He graduated with his bachelor of science degree from Tennessee Tech University. He then attended medical school at the University of Health Sciences, College of Osteopathic Medicine in Kansas City Missouri. He completed his residency in obstetrics and gynecology at the University of Tennessee College of Medicine at Erlanger Medical Center in Chattanooga Tennessee. He is board certified and a Fellow of the American College of Obstetrics and Gynecology. In 2014 Dr. Bert Geer became the first board certified physician in Female Pelvic Medicine and Reconstructive Surgery, also known as urogynecology, in the region. Dr. Geer has been a member and supporter of the UCMS-TMA since 1997.

Endoscopic Ultrasound: The Who, What, When, Where and Why

Pisapia

Location
CRMC Education Rooms 3 and 4 across from nursery viewing area on second floor

Times
5:30 PM - Sign-in registration and snacks
6:00 PM - CME presentation and discussion
7:30 PM - Adjournment
The Tennessee Medical Association designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(TM).

Learning Objectives

  1. To understand the many indications for endoscopic ultrasound and its implications.
  2. To review the procedure and abilities of an endoscopic ultrasound including the risks.
  3. A brief review of pancreatic cystic lesions
  4. When to refer and our local abilities

Nicole Pisapia DO

D.O., Lincoln Memorial University-Debusk College of Osteopathic Medicine, 2013; Residency in internal medicine, Magnolia Regional Health Center, Corinth, MS; Fellowship in gastroenterology, Parkview Medical Center, Pueblo, CO; Board certified in internal medicine and gastroenterology. Dr. Pisapia is a member of the UCMS-TMA.

Welcome to the ED – review of ED utilization in 2020

McLerran

Location
CRMC Education Rooms 3 and 4 across from nursery viewing area on second floor

Times
5:30 PM - Sign-in registration and snacks
6:00 PM – CME presentation and discussion
7:30 PM – Adjournment
The Tennessee Medical Association designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™

Learning Objectives

  1. Review National Stats about Ambulatory Medicine and EDs and some terms/laws for critical care
  2. Review and discuss cases about potential office patients verses ED patient’s with attention to discussion about 6401-a process used to detain an individual for mental health examination and 6404-a Certificate of Need for involuntary hospitalization/commitment.
  3. Discuss a patient’s right to refuse transfer, how to transfer, and when to use 911

Samantha McLerran MD

Dr. McLerran is a native of Overton Co. She earned her MD at Meharry Medical School, Nashville, TN, 2001; Family Practice residency, University of Louisville/Glasgow, Glasgow, KY; Board certified in Family Practice. She also is certified in Emergency Medicine by the American Board of Physician Specialties. She has practiced in the ED for over 10 years and before that practiced 8 years in her private practice of Family Medicine. She is a native of Overton County TN and currently works at CRMC in ED for American Physician Specialists. Dr. McLerran is the 2020 President of the UCMS-TMA and represents the physicians in our region as an appointed member of the Tennessee Board of Medical Examiners.

COVID-19: An update on therapeutic approaches

Aronoff

UCMS-TMA Virtual Meeting

Times
6:00 PM – Sign in Zoom. CME program begins
6:45 PM – Q&A with Dr. Aronoff
7:00 PM – Brief UCMS business meeting. Members, officers, and board please plan to stay to discuss future meetings and agendas.

Registration
There is no fee to register and the invitation to attend is open to licensed members of the health care team who are not members of the UCMS-TMA.

If you received an invitation to register from the TMA, please use the link in that invitation to register.

If you did not receive an invitation or missed it but would like to attend, please use the REGISTER BUTTON on this notice to open a webform. Please include your academic suffix (MD, DO, PA, APN, RN, etc.) as requested on the form. Credentials will be verified and invitation to join will be sent by a separate email. This is necessary to prevent zoombombing and robotic registration. The certificate of attendance will be sent to the email address used in registration.

The Tennessee Medical Association designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™

Learning Objectives

  1. Be able to identify cases of COVID-19.
  2. Better decide on which therapies are best and evidence-based for COVID-19

David M. Aronoff MD, FIDSA, FAAM

David Aronoff, MD is Professor and Addison B. Scoville, Jr. Chair in Medicine and Director of the Division of Infectious Diseases at the Vanderbilt University School of Medicine. He is a Fellow in the Infectious Diseases Society of America (FIDSA) and a Fellow in the American Academy of Microbiology (FAAM). He received his Bachelor of Science degree in Microbiology from Indiana University and his Medical Degree at Tufts University in Boston. He completed internship, residency and Chief Residency in Internal Medicine at Vanderbilt University. Dr. Aronoff stayed at Vanderbilt to complete fellowships in Infectious Diseases and Clinical Pharmacology. He then joined the faculty in Infectious Diseases at the University of Michigan where he also completed a research postdoctoral fellowship in Immunology. Dr. Aronoff remained at the University of Michigan until 2013, rising to the rank of Associate Professor with tenure in the Departments of Internal Medicine and Microbiology & Immunology. He returned to Vanderbilt in October, 2013.

As Director of the Division of Infectious Diseases, Dr. Aronoff supervises a faculty of nearly 60 members, spanning a breadth of research, teaching and clinical care responsibilities. As a scholar, Dr. Aronoff has published more than 200 peer-reviewed manuscripts. He has national leadership roles in both the Infectious Diseases Society of America and the American Society for Microbiology. He has received numerous governmental and nongovernmental research grants, including support from the National Institutes of Health, the Environmental Protection Agency, The Doris Duke Charitable Foundation, The Burroughs Wellcome Fund, The March of Dimes and the Global Alliance to Prevent Prematurity & Stillbirth. Dr. Aronoff is a widely sought-after speaker for his work on severe infections, particularly those impacting maternal-child health.

Dr. Aronoff has been highly involved in the diagnosis and clinical care of COVID-19. In addition to leading institutional responses to the pandemic, he has been a key communicator of public health measures during the pandemic, through frequent media appearances and direct relationships with employers. You can follow him on Twitter @DMAronoff.

No Meetings Scheduled

No meetings are currently scheduled.