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Hormones and Beyond for 21st Century Wellness Medicine


October 5th - 7th, 2018
Westin La Paloma Resort and Spa
3800 E. Sunrise Drive
Tucson, Arizona 85718


Course Description:

Medicine is changing, doctors and practitioners are no longer satisfied with the status quo of treating symptoms with medications and managing illness for their patients. Chronic diseases like obesity, heart disease, cancer, strokes, and dementia continue to rise. Instead of managing disease, our goal as an organization is to provide evidence based education that seeks to prevent these types of diseases from occurring in the first place.

Hormone replacement is one component where research shows tremendous benefits for bone, heart, and brain support and we will continue to provide the most current literature to review and critique. Our focus this year is on dementia. Neal Rouzier, MD will continue to explore recent peer reviewed articles, but we will also go a step further and discover other areas to support cognitive decline through research being conducted using the Bredensen Protocol. We will provide tools and case studies to show what can be done and how to implement within your practice (competence and performance). Dementia is not a one pill fixes all, it is a multidimensional disease that requires a paradigm shift not only in how we look at and treat it, but what steps to take to avoid the initial onset.

Treating chronic pain is an ongoing crisis in this country and no one seems immune from the opioid epidemic. Cannabis is controversial and now legal in some format in more than half the states in this country. There are many questions around the use of cannabis to treat pain and a whole host of other conditions. Knowing the legal landscape and medical evidence surrounding this drug is a high priority, as the treatment for chronic pain continues to top the news stories.

There are other areas of preventive medicine in their early stages that show promise for helping practitioners and their patients with a more customized approach to their health. Epigenetics is one example and we will explore what we know, what we still don’t know and how some of this may be useful for treating patients. Protein rich plasma (PRP) is another example of an emerging field with great potential to help patients without doing more harm than good. We will explore new techniques, science and research around its benefits and uses.

According to the American Cancer Society, there will be an estimated 164,690 new cases diagnosed this year for prostate cancer. What are the latest available treatment protocols, hormone recommendations, and literature review to support new and different options?

While the science is important, protecting your medical license and practice is equally essential. Hormone treatment is typically outside plan reimbursement, and consultations relating to hormone treatment options are also often outside what plans reimburse. This means that hormone therapy practice models need to follow best practices and compliance guidelines for private and direct practice models where patients pay private fees for certain health services. Come listen to Jim Eischen, JD, who is considered a national expert in private patient fee compliance and will provide the latest guidance on private direct practice models and compliance solutions.

Be sure to check out the agenda online for more information on speakers and topics

Come celebrate 20 years of education with your colleagues and return home with tangible pearls to implement and improve how your patients live and feel (patient outcomes).

See you all very soon!

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Course Details     Course Objectives     Agenda     Speakers     Hotel and Travel     Registration Fees     Accreditation    Contact Us     Location

Course Details  


Hormones and Beyond / Neal Rouzier's Part V / Current Trends and Updates 2018

Course Dates - October 5-7, 2018

Friday, 8:00 am - 5:30 pm

Saturday 8:00 am - 5:30 pm

Sunday 8:00 am - 12:00 Noon

Where

Westin La Paloma Resort and Spa
3800 E. Sunrise Drive
Tucson, Arizona 85718
USA





    Course Objectives

     Upon completion of this course, participants will be able to: 

    1. Describe how the lifespan can be enhanced and the aging process slowed.

    2. Recognize how nutrition and food selection impacts vitality, immune function, cognitive function and quality of life.

    3. State how educating patients about eating habits during the day can effect symptoms associated with hormone decline.

    4. Review the criteria of metabolic syndrome and the implication for destabilizing hormone balance.

    5. Utilize clinical tools in helping patients manage insulin resistance and how to maintain optimal blood sugar levels.

    6. Discriminate science from pseudoscience in clinical use of epigenetics.

    7. Employ genomic data and epigenetic science to bio-individual lifestyle patterns in patients to achieve optimal outcomes.

    8. Assess nutrigenomic intervention outcomes through clinical evaluation.

    9. Identify lifestyle patterns that are evolutionarily mismatched to current environments.

    10. Identify major components of the endocannabinoid system (ECS).

    11. Summarize major topics and information on the subject of chronic pain, the opioid epidemic, as well as opiate and NSAID use/abuse.

    12. Apply information to opiates and cannabis as it relates to chronic pain.

    13. Recognize differences in the FDA categorization/regulation of botanical drugs vs. single molecule/highly-purified drugs.

    14. Develop an understanding of the terrain of medical cannibis’s usage in the context of chronic pain.

    15. Identify high risk patient groups for the use of medical cannabis.

    16. List the limitless application of PRP and its feasibility in small offices, and what it means for your patient’s budget and hopes.

    17. Address the demands and needs for non-invasive, non-surgical interventions, and 100% safe product, to a variety of esthetic and medical challenges, in less than an hour in your office.

    18. Define the new generation of PRP, how it is different and which to use.

    19. Critique studies and recognize the difference between relative risk and absolute risk by navigating through a review paper that reviews a critical evaluation of scientific articles.

    20. Utilize management strategies on how you can design any study to prove benefit or how to see through the smoke screen.

    21. Review literature as it pertains to memory, cognition, dementia and Alzheimer’s disease.

    22. Review the effects of hormones on the brain and discuss the research showing protection which is often ignored or not appreciated.  Multiple hormones have protective effects on the brain not just estrogen.

    23. Review the pros and cons of estrogen for Alzheimer’s disease protection and correctly interpret the studies that experts don’t understand, confuse, ignore or misinterpret.

    24. Outline the burden of Alzheimer’s disease in the United States

    25. Describe the role that the lipid-binding protein ApoE4 plays in modifying the risk of Alzheimer’s disease.

    26. List at least two normal roles for amyloid beta in the brain. 

    27. Describe the solutions lifestyle medicine provides to address the burden of Alzheimer’s disease and Mild Cognitive impairment.

    28. Identify methods to fly below the radar.History repeats itself and that applies to lawsuits and medical board issues.

    29. Discuss recent legal cases and provide a legal update.

    30. Analyze research that demonstrates that there are other pathologies producing symptoms of low thyroid with normal thyroid tests.

    31. Review NTIS, Chronic Fatigue Syndrome, genomic, metabolome hypometabolic mitochondrial deficiency, reduced tissue T3 with normal thyroid levels.

    32. Analyze recent studies demonstrating harm of thyroid hormone as well as lack of efficacy.What the expert don’t understand that you will.

    33. Describe the use of MRI in prostate cancer detection and localization.

    34. Recognize the role of MRI-guided intervention for biopsy and therapy delivery.

    35. Utilize clinical genomics to improve risk stratification of prostate cancer patients.

    36. Review NEJM report on how MRI scans with targeted biopsies led to: fewer biopsies, more clinically significant cancers being identified when done, fewer biopsy cores when done, less side effects, better patient satisfaction, equaling a practice changing study.

    37. Analyze a recent meta-analysis of testosterone replacement therapy that proves no evidence of prostate cancer progression, less cancer than control groups, less symptoms of BPH (LUTS), and an actual improvement in voiding symptoms.

    38. Describe the apoptotic effects of Progesterone after reviewing a recent study from Oxford.

    39. Integrate testosterone into the treatment regimen for breast cancer and demonstrate the current strategies published in Maturitas that testosterone is also apoptotic to breast cancers.

    40. Explore other options for breast cancer prevention.


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    Agenda - Friday     Saturday      Sunday


    Friday, October 5th, 2018


    • 7:00 AM  -  8:00 AM

      Registration

      8:00 AM  -  8:05AM

      Introduction

      8:05 AM - 10:00 AM

      The Aging Time Clock: Dysglycemia, Insulin Resistance and Protein Glycation
      Speakers:

      10:00 AM  -  10:15 AM

      Break

      10:15 AM  -  11:15 AM

      Clinical use of Genetics and Epigenetic Science to Bio-individualize Lifestyle Patterns
      Speakers:

      11:15 AM  -  12:15PM

      Cannabis, the Endocannabinoid system, and the Opioid Epidemic: Implications for Patient Care
      Speakers: Jake Felice, ND

      12:15 PM -  1:30 PM

      Lunch
      Canyons Ballroom

      Nathan S. Bryan, Ph.D.
      Luncheon Guest Lecturer - The Role of Nitric Oxide in Vascular Function (CME Accredited)

      1:30 PM  -  2:30 PM


      Speakers: Jake Felice, ND
      Cannabis, the Endocannabinoid system, and the Opioid Epidemic: Implications for Patient Care

      2:30 PM  -  3:30 PM

      Platelet Rich Plasma (PRP) The New Frontier
      Speakers:

      3:30 PM - 3:45 PM

      Break 
      3:45 PM  -  5:45 PM
      HRT Update with a Special Focus on Pain
      Speakers:  Neal Rouzier, MD 
       


    Saturday, October 6th, 2018 - back to agenda

    •  
    • 7:00 AM  -  8:00 AM

      Registration on Saturday

      8:00 AM  -  11:00 AM

      Alzheimer's Disease and Dementia
      This review is not just articles on Alzheimer's but how to evaluate and read studies, statistics, demonstration of reversal of beta-amyloid plaque, reversal of symptoms of Alzheimer's, the WHIMS study and its flaws, use of the SPECT scans for monitoring therapy, effect of progesterone vs Provera in brain function, "critical window" studies, treatment of active disease. What to do about genomics and DNA predictions-throw everything in the pot and drink it!
      SPEAKERS:

      11:00 AM  -  11:15 AM

      Break 3

      11:15 AM  -  12:15 PM

      The Reversal of Cognitive Decline: The Science, The Tools, and The Transformation
      SPEAKERS:

      12:15 PM  -  1:15 PM

      Lunch Saturday
      Guest Speaker - Joseph Raffaele, MD
      PhysioAge Health Analytics: Next Generation Software for Healthspan Optimization”

      1:15 PM  -  2:00 PM

      The Reversal of Cognitive Decline: The Science, The Tools, and The Transformation
      SPEAKERS:

      2:00 PM  -  3:00 PM

      Medical Legal Case Discussion: Current Legal Cases, What to Watch out for
      SPEAKERS:

      3:00 PM  -  3:15 PM

      Break 4

      3:15 PM  -  4:15 PM

      The latest Guidance on Private Direct Practice Models and Compliance Solutions.
      Hormone treatment is typically outside plan reimbursement, and consultations relating to hormone treatment options are also often outside what plans reimburse. This means that hormone therapy practice models need to follow best practices and compliance guidance for private direct practice models where patients pay private fees for certain health services. Come listen to Jim Eischen, considered a national expert in private patient fee compliance, provide the latest guidance on private direct practice models and compliance solutions.

      4:15 PM  -  5:15 PM

      Testosterone Optimization, Literature Review, WWYLYLTB for Breast Cancer Protection/Treatment?
      SPEAKERS:  Neal Rouzier, MD 

    Sunday, October 7th, 2018 - back to agenda

    •  

      8:00 AM  -  10:00 AM

      Prostate Cancer Management-Technology Update 2018
      Evolution of Prostate MRI and MR-guided intervention-During this session a review of the literature will be followed by discussion about the role of MRI in detection, diagnosis and treatment of prostate cancer. MR-Guided Biopsy of the Prostate-MRI-guided biopsy is becoming more common and this session will describe the techniques and strategies for achieving the best possible targeting of prostate cores. MR-Guided Laser Focal Therapy for Prostate Cancer-During this session participants will receive an overview of laser focal therapy and an update on Clinical Trail NCT #02243033. The Evolving Role of Clinical Genomics-Participants will learn about the various available genomic tests and their implementation in clinical practice and research.
      SPEAKERS:

      10:00 AM  -  10:15 AM

      Break 5

      10:15 AM  -  11:15 AM

      Prostate Cancer Update from a Hormonal Perspective
      Recent studies, use of MRI, safety and efficacy of testosterone. Safety and efficacy of estrogen-based therapies.
      SPEAKERS:

      11:15 AM  -  12:15 PM

      Breast Cancer Update, What the Oncologic World Should know from Their Literature but Doesn't
      Recent Studies on the Protective Effects of Progesterone, testosterone and Melatonin. Further evidence of apoptotic effects of HRT in outcome studies. Reasons to increase dosing of Melatonin.
      SPEAKERS:
















































    Speakers

    Speakers

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    Neal Rouzier, MD
    FACULTY CHAIRMAN
    Dr. Neal Rouzier is a pioneer in the bio identical hormone replacement field, practicing almost since its inception in the early 1990’s. He has dedicated his life’s work to uncovering the medical literature that supports safe and effective protocols for unique and personalized patient care. He is the Director of the Preventive Medicine Clinics of the Desert, specializing in the medical management of aging and preventive care for men and women. He has treated more than 2,000 patients with natural hormone replacement therapy and is recognized as a renowned leader and expert in the field. Additionally, Dr. Rouzier is the author of Natural Hormone Replacement for Men and Women: How to Achieve Healthy Aging. He has over 16 years of experience as an educator and practicing physician, and 29 years of Emergency Medicine experience at Queen of the Valley Hospital in West Covina, CA.

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      Bernadette Greenwood, P. G. Cert.
      Bernadette Greenwood began her medical career in Geriatrics, attending nursing school and working as a geriatric aide while still in high school. A Combat Medic and Radiographer in the U.S. Army, she attended University of Maryland, Asian Division while stationed in Seoul, South Korea and earned a BSc in Radiologic Sciences from Adventist University. She earned her Postgraduate Certificate in Imaging at the University of Edinburgh. Bernadette has worked in government, industry, clinical and research settings. With 30 years’ experience in medical imaging, marketing, clinical education, regulatory affairs, product management and R&D, she conceptualized and developed focal laser interstitial thermal therapy of prostate cancer with a trans-rectal approach under MRI guidance in 2009 (patent pending). Preclincal testing was conducted at MD Anderson Cancer Center and the first transrectal laser procedure on a human research subject was performed at Desert Medical Imaging in May, 2010. 
      In her current capacity as Chief Research Officer at Desert Medical Imaging, she oversees clinical and research activities. She lectures frequently on topics related to oncologic imaging and is an internationally recognized expert in prostate MRI and MR-guided intervention. Ms. Greenwood is currently pursuing her PhD in Tumor Immunology Imaging and was awarded the Army Women's Leadership Foundation Legacy Graduate Scholarship. She was also named Research Advocacy Network Scholar 2015. She has published multiple journal articles and textbook chapters on prostate imaging and intervention and is a member of the RSNA, AUA, ASCO, AACR and ESMRMB. She also serves on the AdMeTech International Working Group for Prostate MRI as well as The AdMeTech Genomic Summit Steering Committee. In 2014, she founded the International Laser Network to bring together international experts on laser focal therapy to create a dedicated educational forum for the sharing of experiences and techniques while harmonizing data collection intervals and patient reported outcomes measures. A vocal patient advocate, she has been active in patient education and awareness for much of her career working with UsToo International, ZeroCancer and local prostate cancer support groups. She recently accepted a faculty appointment at the UC Riverside School of Medicine, Department of Internal Medicine as a Clinical Instructor.

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        Jake Felice, ND
        Dr. Jake Felice’s biography
        Dr. Jake Felice, N.D., L.M.P. is a charismatic public speaker and social media expert on the topic of medical cannabis. As a consultant and national cannabis brand ambassador, Dr. Felice provides scientific, medical, public relations, and compliance based advice for companies in emerging and existing cannabis markets. Dr. Felice has consulted for Seattle Central College, and The Academy of Cannabis Science. He is a recognized cannabis expert and blogger at CannabisMatrix.com. 

        Dr. Felice delivers professional industry training for cannabis professionals in WA state which are required by law for professionals to obtain medical marijuana consultant certification through the Washington Sate Department of Health. The education of these career cannabis professionals includes helping companies comply with state law, an overview of the cannabis plant, the endocannabinoid system, its medical effects, as well as customer service guidelines specific to the cannabis industry. Dr. Felice writes content and develops educational videos for cannabis education classes, and he regularly runs online chats providing expert advice for students and industry professionals. 

        Clinically, Dr. Felice specializes in the treatment of chronic pain and the improvement of human performance. He is a graduate of Bastyr University, and former adjunct professor where he taught Advanced Soft-Tissue Manipulation and Radiographic Lab Interpretation. He earned his undergraduate degree from Penn State University where he played varsity lacrosse and majored in psychology with a focus on the study of peak human performance.

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          Vincent Nacouzi, MD
          Dr. Nacouzi has worked in Raleigh NC over 20 years. His expertise in Emergency Medicine and Critical Care led him to develop excellent surgical skills. With his research experience in Molecular Biology at UCLA, Dr. Nacouzi was naturally driven to apply Stem Cell science to aesthetic medicine. He became the first accredited Physician in Raleigh NC, to perform PRP injection for the Vampire Face Lift. Dr. Nacouzi is an expert injector who realizes the importance of each procedure and insists on performing every injection himself. He is a member of IAPAM (International Association for Physicians in Aesthetic Medicine) and the American Cosmetic Cellular Medicine Association

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            Daniel Stickler, MD
            Dr. Daniel L. Stickler is the Co-Founder and Chief Medical Officer of The Apeiron Center for Human Potential and Chief Science Officer for Apeiron Academy. He is the visionary pioneer behind systems-based precision lifestyle medicine, a new paradigm that re-defines medicine from the old symptoms based disease model to one of limitless peak performance in all aspects of life. A physician to high-performing executives and entrepreneurs who want to upgrade their current state, he’s also an author, speaker, blogger and podcaster. He is the Medical Director for the Neurohacker Collective, a Google consultant for wearable technology, epigenetics, and AI in healthcare and a guest lecturer at Stanford University on Epigenetics in Clinical Practice. He discovered that lifestyle was the key to creating an optimized life and his journey to find the ideal approach to optimizing human potential took him on a path through functional medicine, alternative care, holistic, naturopathic, and age-management medicine. Each modality fell short of the outcome of creating a truly optimized human mainly because they focused on the disease model of treating symptoms as opposed to a model that focuses on human systems, homeostatic balance and optimization. In 2008, a new world opened through the lens of genetics and epigenetics and his near obsession like fascination of the potentials for personalized human systems design led to the realization that we truly have the ability within us to take charge of our destiny and become the architects of our evolution.

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              Kenneth Sharlin, MD
              Ken Sharlin, MD, MPH, IFMCP, is a board-certified neurologist, consultant, functional medicine practitioner, author, and speaker. He received his medical degrees from Emory University, and his functional medicine certification through The Institute for Functional Medicine. He is the #1 best-selling author of The Healthy Brain Toolbox: Neurologist-Proven Strategies to Improve Memory Loss and Protect Your Aging Brain, and of numerous essays that have appeared in media internationally. Dr. Sharlin is a 3-time Ironman Triathlon finisher who made his story of personal transformation the launching point of his career when he shifted gears from a conventional neurology practice to a holistic, lifestyle-medicine-oriented approach. Using the action plan presented in his book, Dr. Sharlin and his team have witnessed the reversal of illnesses that are supposed to be chronic and progressive, and in some cases fatal. He practices general neurology, conducts clinical research, and directs his functional medicine program, Brain Tune Up!, through his clinic, Sharlin Health and Neurology, located in Ozark, MO.

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                James J. Eischen, Jr., Esq.
                Jim Eischen is a California attorney with nearly 30 years of experience representing clients in matters involving business planning, healthcare, privacy, licensing, and regulatory issues (including Medicare compliance, physician compensation, and private direct fee business modeling and compliance). His practice encompasses life science companies integrating physician healthcare models via Management Services Organization (MSO) structures, navigating the corporate practice of medicine, and related compliance issues. He advises clients in matters connected to reimbursement, contracts, interdisciplinary health professional employment and labor issues, and Health Insurance Portability and Accountability Act (HIPAA) compliance. Jim has done credentialing work for physician independent practice associations (IPAs). He has experience structuring physician practice purchase and employment structures, and assisting companies delivering wellness products or programs, to ensure reimbursement and privacy compliance. Jim is a national authority on structuring consumer/patient financial contribution and reimbursement models for private/concierge medical groups and healthcare IT product developers to achieve federal legal compliance. He has worked as a consultant/founder with medical groups, electronic health record software firms, cardiovascular testing and health coaching enterprises, and venture capital groups exploring healthcare opportunities. Jim also provides preliminary guidance on practice formation options

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                  David Kern, ND
                  David Kern, ND., LAc
                  Naturopathic Physician, Licensed Acupuncturist

                  Dr. David Kern is a naturopathic physician and licensed acupuncturist. He has been in clinical practice for the past 39 years. 

                  Dr. Kern attended the National College of Naturopathic Medicine from 1973 to 1979. In his senior year he was introduced to bioidentical hormones and would have an opportunity to prescribe those hormones as a student physician.

                  Following graduation, Dr. Kern incorporated bioidentical hormone therapy into his private practice while continuing to study and participate in teaching seminars, much of that time with physicians from Europe. 

                  Following the 2002 Women’s Health Initiative Study, Dr. Kern turned his study, prescribing and lecturing focus to the discrepancy in so-called evidence based medicine and the inconsistencies in prescribing protocols for bioidentical hormones.

                  Dr. Kern is the medical director and founder of Grace Health Centers on the island of Maui. He has been a resident of Hawaii since 1985. In 2001, Dr. Kern was admitted to the staff of the Maui Memorial Medical Center, as the first ND admitted to a state hospital staff in Hawaii. In 2005, Dr. Kern was honored for his leadership and medical service in the field of women’s health and naturopathic medicine by the Maui Memorial Medical Center Foundation. Additionally, he received a commendation from the governor of Hawaii, for his contribution and service to the people of Maui.

                  In addition to his clinical practice, Dr. Kern also serves as president of the Hawaii Association of Naturopathic Physicians and Chair of the Board of Naturopathic Medicine for Hawaii.

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                    Hotel and Travel




                    Westin La Paloma Resort and Spa - ROOM BLOCK IS SOLD OUT

                    3800 E Sunrise Drive
                    Tucson, AZ 85718

                    Room Block Rate $169.00 (Room Block Expires 9/4/2018)

                    The resort service charge for our group has been reduced from $29.00 per day to $10.00 per day and includes:

                    FREE Guestroom Internet

                    Unlimited Fitness Center and Fitness Classes

                    Complimentary Shuttle to LaEncantada Shopping Center

                    Reserve Your Room

                    To reserve a guestroom by phone call (520) 742-6000, ask for reservations and mention the Worldlink Medical Conference or provide group code 2J04AB

                    Alternate Hotels 

                    El Conquistador a Hilton Hotel

                    https://www.hiltonelconquistador.com/

                     IF YOU NEED ASSISTANCE LOCATING A HOTEL NEARBY WITH AVAILABILITY PLEASE FREE TO CONTACT OUR STAFF AND WE'LL DO OUR BEST TO ASSIST YOU.  PLEASE CALL 888.222.2966 AND SPEAK WITH REBECCA, DANA OR MARY


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                    Registration Fees

                    1. Initial Enrollment

                      $1,095.00
                      Discounted Price If Registered By Refund Policy
                      $895.00 Friday, June 15, 2018 No Refunds
                      $995.00 Friday, September 7, 2018 No Refunds
                      $1,095.00 Saturday, October 6, 2018 No Refunds
                    2. Staff member MA, RN, Office Manager

                      $675.00
                      Cancellation Policy
                      If cancellation is received more than 3 weeks in advance a full credit can be applied to your account for future use.  If less than 3 weeks a $350.00 cancellation fee applies and the balance will be applied as a credit to a future event.

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                    Accreditation


                    AMA PRA Category 1 Statement

                    This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Foundation for Care Management (FCM) and Worldlink Medical. The Foundation for Care Management is accredited by the ACCME to provide continuing medical education for physicians.

                    FCM designates this educational activity for a maximum of 21 AMA PRA Category 1 Credits

                    Physicians should only claim credit commensurate with the extent of their participation in this activity. The ACCME defines a “Commercial Interest” as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.

                    Nursing Statement

                    The Foundation for Care Management is an approved provider of continuing nursing education by the Western Multi-State Division (WMSD), Approver of Continuing Nursing Education an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 21 Nursing contact hour(s).

                    Pharmacy Statement

                    The Foundation for Care Management is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Program # 0347-9999-18-015-L01-P Objectives appropriate for pharmacists. This activity is 21 Contact Hours Pharmacy Credit. *This CME is Knowledge Based (K). Initial release October 5, 2018.


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                    Contact Us



                    Location

                    Westin La Paloma Resort and Spa
                    3800 E. Sunrise Drive
                    Tucson, Arizona 85718 USA

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