NPACE 2025 Primary Care Bundle

Details

PROGRAM DESCRIPTION

This bundle is perfect for the Primary Care provider! It provides a comprehensive review of some of the most common clinical concerns in Primary Care. This 11-course bundle covers the management of osteoporosis, mens health, dizziness and vertigo, Palliative care, how to manage low back pain and sciatica & more. This is a must have in primary care with a variety of topics that would benefit any primary care provider!

FORMAT OPTIONS

Streaming Online Video:

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ACCESS

Internet browser: Google Chrome is required for viewing via a browser. Go to the CE Center and log in using your APEA account username and password. Find your course and click on the title of a lecture to open the player and view each video. The Course Manual may be downloaded or printed from the CE Center.

Access the course content via the APEA app for iOS or via browser. A new APEA app for Android is in development. Therefore, downloading of the course on an Android phone is temporarily unavailable. Android users can access the course via browser (instructions below).

APEA app: Download the app for iOS. Log in with your APEA account username and password. Find your course in the CE Center. Download the audio files. Print or download the Course Manual.

COURSE DESCRIPTIONS

Update on Osteoporosis and Fracture Prevention in Men and Women

This session will provide information regarding the identification of women and men at risk for fracture based on bone densitometry and their 10-year fracture risk using the FRAX calculation. Pharmacologic therapies will be reviewed including patient selection for first line therapies when fracture risk is high and therapies for patients at very high risk including drug risks and benefits. Current controversies will be discussed including long-term use of bisphosphonates, adverse events including osteonecrosis of the jaw (ONJ) and atypical subtrocanteric femur fractures and drug holidays. New concerns about discontinuation of rank ligand inhibitors and the rapid increase in vertebral fractures will be discussed. Treatment of patients at high risk due to therapy such as aromatase inhibitors and androgen deprivation therapy will be presented. Case studies will be used to provide real clinical scenarios.

Palliative Tips and Tricks for Symptom Management

This presentation will provide you tips on how palliative care clinicians approach symptom management and the medications we most commonly use.

Natural Alternatives for Low Back Pain & Sciatica

Understand a manual Physical Therapy perspective that alleviates sciatica. Find out how important the piriformis is in relation to sciatica. Easily locate the culprit.

Navigating Men's Health: Understanding Prostatitis, Testicle Pain and Pelvic Floor Dysfunction

We will be exploring topics that most providers do not like to manage but are very commonly seen in men – prostatitis, testicle pain, pelvic floor dysfunction and how to properly assess and manage them

Addressing Men’s Health Issues – Talking Erectile Dysfunction and Testosterone Replacement Therapy

In this session we will be highlighting the evaluation, treatment options and management of erectile dysfunction and hypogonadism – two of the most common men’s health issues

Dizziness, Vertigo, and Syncope: Assessment and Treatment

“I am so dizzy” is a common complaint encountered by primary care clinicians every day, and one of the biggest challenges in ensuring that we know what the patient is talking about! The most common differential diagnoses of “dizziness” have very different etiologies, ranging from inner ear, spinocerebellar, neurologic, cardiogenic and volume issues. Because most effective treatments require an accurate diagnosis, careful evaluation of these differentials is critical to best patient outcomes. This session presents a clear approach to differentiating among etiologies as a foundation for best management.

The intersection of obesity and T2DM in primary care: Management & Medication

This presentation will highlight the current epidemiological data regarding obesity as a chronic disease. Review of the morbidity and mortality associated with Obesity, and stigma surrounding the disease will be revealed. The pillars of obesity management of timing of food, type of food/ amount, movement, and pharmacotherapy will be presented.

Coding Updates & Pearls you may not be aware of...

It is every APRNs fiscal responsibility to understand the revenue stream within a practice whether employed or owner of a practice. APRN education focuses on the clinical aspects of training and little on the business side of generating revenue for a practice by correct coding and documentation for APRN services. Coding and billing can make an NP visible to payers which can enhance value. Learn how to reduce the likelihood of denials which affect the bottom line. Learn about value-based reimbursement and be prepared for outcome-based payment. Learn the tools to enhance documentation and reduce burden to have more time with patients and better work life balance. APRNs that can accurately document and code their services bring value to a practice and add to the evidence base for the quality and cost-effectiveness of APRN care.

Heart Failure Pearls Guidelines Update and Cases Review

We will review the new pharmacologic agents used in the treatment of heart failure, including the 4 pillars. We will also discuss root causes of HF, how to correctly document the status of heart failure and the work up.

What’s Hot & What’s Not in Cardiology

This session is a crash course into some of the newest ways to diagnose ACS, some new risk factors in women, new physical exam findings that can help you assess severity of heart disease and some new apps that are helpful in clinical medicine.

Syphilis: The Return of a Supervillian

This presentation will review the increasing prevalence of syphilis, including which populations of patients should be tested for this infection. The syphilis testing cascade will be discussed, including guidance on how to ensure that an active infection has been completely treated and how often patients need follow-up and tests of reinfection. The current penicillin shortage will be discussed when the most appropriate, evidenced-based treatment

Holistic Evaluation of Medication Lists: Paring Down in an Era of Polypharmacy

In the current healthcare landscape, medications have become increasingly complex and overwhelming for both patients and providers. This workshop serves as a reset, allowing us to collectively reevaluate the value of all drugs and adopt a holistic approach to patient care and their medication list. Using a variety of resources, we'll explore strategies to streamline medication lists in the era of polypharmacy and diverse providers. Identifying the primary owner of the patient's medication list is crucial in this process, and we'll discuss effective methods to do so. This will be an interactive conversation, fostering a dynamic exchange of ideas and strategies among the audience and myself as the moderator. I encourage you to bring your strategies for complex cases to this fast-paced 1-hour discussion

TIME TO COMPLETE

Each video is accessible twice within six months of purchase.

CREDITS

NPACE designates this educational activity for a maximum of 13.5 CNE credit(s), of which 6.75 is pharmacology credit. Participants should claim only credit commensurate with the extent of their participation in the activity. Courses' Expiration Date: December 31st, 2025

DISCLAIMER

The material presented in this continuing education program is being made available for educational purposes only and is not intended to represent the best or only methods, medications and/or guidelines appropriate for the medical situation discussed. Rather the material is intended to present an approach, view, statement, or opinion of the presenter(s), which may be helpful, or of interest to other practitioners and should not be used by clinicians without the evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. NPACE disclaims any liability, loss, injury, or damage incurred as a consequence, directly or indirectly, of the use and application of any information given in a presentation.

DISCLOSURE OF UNLABELED USE

This educational activity may mention the uses of products that are not approved by the FDA for the indication(s) being discussed. The presenter(s) are instructed to notify participants when they are discussing unapproved uses or investigational agents. The opinions related to unapproved uses of products are solely those of the presenter(s) and are not endorsed or recommended by NPACE. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

ACCREDITED PROVIDER

Provider Accreditation Statement

This program is provided by Nurse Practitioner Associates for Continuing Education (NPACE).

Nurse Practitioner Associates for Continuing Education (NPACE) is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC).

In addition to ANCC, NPACE is approved as a provider of continuing education in nursing by: the California Board of Registered Nursing, Provider Number CEP8720 and Florida CE Broker #50-1476.

NPACE, the Provider of awarding contact hours, is responsible for adherence to ANCC criteria.

FACULTY

Nancy Berman, MSN, ANP-BC, NCMP, FAANP

Nancy R. Berman specializes in women’s healthcare at Michigan Healthcare Professionals, in Farmington Hills, Michigan. She has been a nurse practitioner since 1978 and holds certification as an Adult Nurse Practitioner and as a Menopause Practitioner from the North American Menopause Society. She received her BSN from the University of Michigan and her MSN from Wayne State University. She has been a nurse colposcopist and expert in HPV and lower genital tract disease for over 35 years. She has authored many publications and educational materials and has lectured extensively on topics in lower genital tract disease, colposcopy, osteoporosis, menopause and women’s health.

She served on the board of the American Society for Colposcopy and Cervical Pathology (ASCCP) from 2010 through 2016, served as Course Director of the ASCCP Comprehensive Colposcopy Course for a two-year term from 2017 to 2019 and served on the Michigan Cervical Cancer Consortium. She currently serves as a representative of Nurse Practitioners in Women’s Health (NPWH) on the ASCCP Consensus Committee for the Enduring Guidelines for the Management of Abnormal Cervical Cancer Screening Tests and Cancer Precursors She was inducted as a fellow of the American Association of Nurse Practitioners in 2015.

Clark Cassone, MSN, FNP-BC, ACHPN

Clark Cassone is a board-certified family nurse practitioner and advanced hospice and palliative nurse. They are an Assistant Professor of Practice in the Department of Nursing at Simmons University where they teach Advanced Pharmacology. Their clinical practice is in palliative care at Brigham and Women’s Hospital in Boston, Massachusetts. They are an expert in symptom management in palliative care and counsel patients using evidence-based research, including treatment with medical marijuana. They have presented on medical marijuana to both student and professional nurse practitioners.

Tami Recesso, PT, DPT

I am a physical therapist licensed in NH and Massachusetts having built well-respected physical therapy private practices in 2001, 2018, and 2020. I have grown my business into one of the most successful PT practices in the Merrimack Valley, with locations in Plaistow, NH and Newburyport, MA. My staff and I are the providers that the physicians lean on trusting us with their most complex clients who have been unsuccessful with other medical providers. Thanks to my commitment and passion for manual therapy spine care and having over 28 years of clinical experience I have developed an innate skill of quickly deducing the culprit of pain and successfully resolving it permanently and efficiently. I have created an online medical platform called DocTami.com that offers an assessment tree to simplify complex differential spine related conditions. My mission is to share my clinical knowledge with the world and raise the bar of Physical Therapy provider autonomy, efficiency, expertise, and outcomes. I look forward to supporting you!

Eden Miller, DO, Diplomate ABOM

Dr. Eden Miller, an Osteopathic board-certified Family Practitioner, received her medical degree from Kirksville College of Osteopathic Medicine in 1997. Returning to the Northwest, she completed her residency in Family Practice at East Moreland Hospital in Portland, Oregon. Recently completing her certification in Obesity management, she is the founder of Diabetes Nation a nonprofit organization, and CEO of Diabetes and Obesity Care LLC where she practices with her husband Dr. Kevin Miller in Bend.

Dr. Miller has cultivated a special interest in diabetes, after contracting type-1 diabetes while in medical school. Out of that personal experience, her practice has extended into a subspecialty in diabetes care. An impassioned speaker, Dr. Miller has given over 1250 lectures in the field of Diabetes to health care providers and patients alike, on subjects such as Diabetes Management, CGM Technology, Insulin Pump Therapy, Obesity and Metabolism intervention, Clinical Research, and Healthcare Policy. Her adage for care is that she “only succeeds as a provider if she turns patients into experts on their own disease”.

Dr. Miller believes that a “physiologic patient individualized approach to diabetes intervention is crucial to success. She feels if our nation is to triumph over the ravages of diabetes, a collaborative effort; unhindered by fear of personal scrutiny, and barriers for effective treatment need to be removed”.

For her, Diabetes and Obesity Care provides the foundational model to impact the people that represent this disease and begin the process of restoring hope back to their lives.

Justin Dubin, MD

Dr. Justin Dubin is a Urologist who specializes in Men's Health at Memorial Healthcare System in South Florida. Justin grew up in Wayne, NJ and graduated from Johns Hopkins University in 2010 with a BA in Biology and Minor in Entrepreneurship and Management. He attended Rutgers Robert Wood Johnson for medical school then completed his training in Urology at the University of Miami in 2021 and his Andrology fellowship at Northwestern University in 2022. Dr. Dubin is passionate about men’s health and education with the goal of improving both the lives of men and their partners. He has published multiple papers on both male infertility and sexual health, has been quoted in the NY Times, Insider, GQ, The Cut, USA Today, and Men’s Health and is the current co-host of the men’s health podcast Man Up: A Doctor’s Guide to Men’s Health through which he hopes to destigmatize men's health topics and motivate men to improve their overall lives.

Lynn Rapsilber, DNP, APRN, ANP-BC, FAANP

Dr. Rapsilber has been educating colleagues on the nuances of coding and billing for years. She is a sought-after speaker at local, state and national conferences. In our education and training, the focus is on mastering clinical aspects of the role, Lynn recognized the need to provide business education as well. She explains the complex process of billing and coding into an easy to understand, user-friendly exercise. She is the owner of NP Business Consultants, LLC educating NPs about the fiscal responsibility we all have to our practices. She published articles, contributed to book chapters, and is a resource on Reimbursement for NP Services. She has presented on a variety of topics related to health care fraud, health policy, business development, payment models and NP value in changing reimbursement models. Dr. Rapsilber is a Founder of the National Nurse Practitioner Entrepreneur Network (NNPEN) started by NPs to accelerate NP business ownership with the goal to preserve the benefits of nurse-led care to grow substantially and operate sustainably

Jennifer Carlquist, PA-C

Jennifer Carlquist PA-C works as a cardiology physician assistant with an emphasis on preventative cardiology and electrophysiology. She works a mix of inpatient and out patient medicine. She formerly worked in Primary Care and Urgent care at the beginning of her career.

She also works per diem in the Emergency Room and was one of the first Pas in the country to get her CAQ (Certificate Added Qualifications) in ER Medicine. She has been a PA for 15 years.

Previously, she worked as a 911 paramedic for 13 years starting in South Central Los Angeles where she served as a Lead Field Training Officer. She speaks nationally on EKG's, cardiology related topics and managing difficult patient interactions. She has published articles in JAAPA on patient satisfaction and cardiology related topics. She enjoys painting and has been featured in the local newspaper the Monterey County Weekly for her heart themed art.

Alison O. Marshall, RN, MSN, FNP-C

Alison Marshall is a board certified, practicing Family Nurse Practitioner (FNP). She earned her Bachelor of Arts (B.A.) in Sociology with Honors from Boston College in 2000, and her master’s in nursing from Yale University in 2005. She has completed her PhD coursework and is working on her dissertation, with expected graduation in 2024. Her research is focused on the connection between genital hair modification practices and the associated risk of acquiring sexually transmitted infections.

Alison’s nursing practice is based in Massachusetts. She is a full-time Clinical Instructor at the Boston College Connell School of Nursing as well as Faculty at The Sylvie Ratelle STD/HIV Prevention Center of New England, a Centers for Disease Control (CDC) funded national training organization for practicing providers. Alison has practiced clinically at the South Boston Community Health Center since 2005.

Alison lives happily in Cambridge, Massachusetts with her husband, daughter, and their French bulldog, Jarvis.

Michelle Wade, MSN/Ed, APRN, AGNP-C, ACNPC-AG, FAANP

Michelle presents throughout the United States on nursing and nurse practitioner topics specific to the adult and geriatric population. She is a chapter contributor for the “Textbook for the Adult-Gerontology Acute Care Nurse Practitioner: Evidence-Based Standards of Practice” and a reviewer for Clinical Guidelines books. As a clinician Michelle was awarded the 2018 AANP Nurse Practitioner State Award for Clinical Excellence in Vermont by leading a project to reduce the rate of re admissions to hospitals from local nursing homes. Her efforts helped decrease the rate of readmission by about 70% in 1 years' time.

Currently she’s the Lead Hospitalist at Gifford Medical Center in Rural Randolph Vermont and active on several Committees. In her role as a hospitalist she cares for a diverse population in a small town and works to teach patient’s about their illnesses as well as improve their health.

Michelle is a duel certified Adult Gerontological Nurse Practitioner in both Primary and Acute Care for over 10 years, a fellow in the American Association of Nurse Practitioners, adjunct faculty at Vermont State University, active in state and National nursing and nurse practitioner organizations, currently the Co-chair of the AANP awards committee and present elect for the Vermont Nurse Practitioner’s Association. She works to advocate for patients on a daily basis.

Sally K. Miller, PhD, APRN, FAANP, PMHNP-BC, FNP-BC, AGACNP-BC, AGPCNP-BC

Clinical Professor, Drexel University CNHP

Nurse Practitioner, iCarePsychiatry and Sahara Family Practice

Dr. Sally Miller has been practicing as a nurse practitioner for 30 years. She is board certified as a family NP, Adult/Geriatric Acute and Primary NP, and Psych/Mental Health NP. Dr. Miller is a clinical professor with Drexel University College of Nursing and Health Professions. She maintains an active clinical practice with Sahara Family Practice and Theravada Wellness. Sally has published over 30 research and clinical articles with emphasis on issues related to adult health and illness as well as obesity. She has been an active conference presenter and author in the NP community since 1996.

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