The basis of this talk will be to review the combined efforts of government bureaucrats, legal entrepreneurs, health policy experts and academic ethicists to weaken or destroy the bond between patient and physician known as the doctor-patient relationship. This relationship was based on mutual trust and understanding; the patient believed the physician was acting in their best interest; the physician that the patient would be forthright and forthcoming about their medical problem and understand that the physician could not guarantee full health or happiness, only a best effort. With the involvement (admittedly with good intentions in most part) of government in the payment for, and ultimately definition of medical practice, this relationship changed. The patient went on believing for a period of time that the physician was acting in their best interest, but the physician was under great pressure to act not in the in the best interest of the patient but in the best interest of the payor either the government or their surrogate. This fundamental conflict soon became apparent to patients, and justification for the change began, thus the need to focus the blame on physicians, not the payors. This talk will go through the stages of this demonization of physicians with the intent of deflecting discontent from the payors to physicians.

Dr. Robert Replogle is a cardiac surgeon who has been Professor of Surgery at the University of Chicago and Head of Cardiac Surgery there. He went to medical school at Harvard Medical School and had his training in Boston at Harvard teaching hospitals. Early in his career his research interests were in the physiology of the cardiovascular system, particularly as it related to cardiopulmonary bypass and cardiac surgery. Later in his career he developed an interest in Health Policy, and attended several Executive Courses at the Kennedy School at Harvard. He has been President of the Society of Thoracic Surgeons, as well as President of the Council of Medical Specialty Societies. During his period of leadership at the STS, he was involved in the initiation of the STS National Cardiac Surgery Database, and the CTSnet, the dominant information source for cardiac surgeons worldwide.

Dr. Peter Greene is Chief Medical Information Officer and Associate Dean for Emerging Technologies at Johns Hopkins Medicine. He helps Johns Hopkins Medicine to identify and implement institution-wide technology projects that impact clinical care, research, and education. These projects include an enterprise computerized provider order entry system, a clinical data warehouse, and a web-based training system for all Hopkins employees.

He is the founding executive director of the MedBiquitous Consortium, a non-profit, ANSI-accredited standards development organization consisting of 65 leading organizations in healthcare creating technology standards for healthcare education and competence assessment. He is also the founding executive editor of CTSNet, an online community of 48 professional cardiothoracic surgery societies and six journals. Dr. Greene is a graduate of Harvard College and Yale Medical School and has a longstanding interest in using information technology to educate medical professionals. He was a practicing cardiac surgeon for 10 years and retains a faculty appointment in the division of cardiac surgery at the Johns Hopkins School of Medicine.

This presentation will examine the benign causes of vomiting such as lactose intolerance and overfeeding, and review current therapies. To cautiously approach each case with vigilance for possibly pathological and life-threatening causes and therapies is the onus upon the Pediatric and Primary Care Clinician. Also scrutinized will be the increased prevalence of Gastroesophageal Reflux Disease (GERD) and include surgical emergencies such as brain trauma and intestinal intussusception.

Charlene M. Morris earned her Bachelor of Science degree in Health Care Sciences and Physician Assistant certificate from George Washington University in Washington, D.C. and her Master of Physician Assistant Studies degree from the University of Nebraska. She has over 27 years of experience in all facets of primary care in a variety of settings. Ms. Morris has developed and presented many health care seminars, in addition to writing journal and on-line articles for clinicians and for Medscape's "Ask the Expert PA." She has published in The Journal of Family Practice, Advance for Physician Assistants, Physician Assistant, Clinician News and Clinician Reviews and several educational monographs. Ms. Morris has also authored two chapters on Neurology and Dermatology topics in The PA Handbook's 2nd Edition. Charlene remains active in the PA and medical community as mentor, life-long learner and patient advocate.

Dr. Nadkarni will cover the spectrum of pediatric illness and injuries, highlighting the differences in assessment and management of children and adults. Of particular focus will be acute pediatric emergencies, considerations for the stabilization of the pediatric patient prior to transport, common pitfalls in diagnosis and treatment, and summary of PALS and AED recommendations for children.

Vinay Nadkarni, M.D. is an Associate Professor of Anesthesia and Pediatrics, Director of the Center for Simulation, Advanced Education and Innovation at the Children's Hospital of Philadelphia, and Associate Director of the Center for Resuscitation Science at the University of Pennsylvania. Dr. Nadkarni served as Pediatric Critical Care Medicine fellowship training program director for six years, and trained more than 25 graduate students and postdoctoral fellows, and has mentored and advised over 30 physician-scientists during his career at Thomas Jefferson University and the University of Pennsylvania. He is currently mentor to Fellows and Instructors who receive NIH, AHRQ, Foundation and Departmental Awards for research. He has served as chairman of the American Heart Association (AHA) National Committee on Pediatric Resuscitation, Emergency Cardiovascular Care Committee, a national editor for the Pediatric Advanced Life Support (PALS) training materials, and is currently co-chair 2007-2010 of the International Liaison Committee on Resuscitation (ILCOR) that publishes evidence-based advisory statements in Europe, North America, South America, Southern Africa, Asia, Australia, and New Zealand. He is a board member of the Citizen CPR Foundation and the World Federation of Pediatric Intensive and Critical Care Societies, and Scientific Advisory Board of the Pediatric Acute Lung Injury and Sepsis Investigators and AHA National Registry of CPR. He was the course director for the 2006 National SCCM Pediatric Critical Care Concepts Course.

This presentation will guide clinic administrators, owners, and managers through the process of scheduling for their urgent care centers as well as recruiting, selecting, hiring, and training staff. We will also explore a variety of resources available on line to assist with the entire HR process; from where to find legal statutes to online policy, compliance program information, training programs and policy/procedure manuals.

Tammy Mallow-Elly has served as the Administrator of Family Medical Walk-In Clinics in Springfield, Missouri for the past nine years. She has been instrumental in the expansion of services in this four facility group of urgent care clinics to include primary care and non-operative orthopedics, as well as the development and implementation of a medical membership program. Mallow is on the advisory board for NAFAC, and is scheduled to be a contributing writer for the AAUCM Journal of Urgent Care Medicine. She has spoken at the last three NAFAC conferences, AAUCM, and the Urgent Care Summit by the World Research Group on topics relating to Problem Based Coding, Clinic Operations and Human Resources. She is a contributing writer and presenter of "Bills Book of Urgent Care. Mallow was recognized as one of the top forty business persons under age 40 in the Springfield Metro area, and under her direction her company was also honored as one of the top three medical facilities.

The objective of this program is to familiarize physicians with the impact that medical errors have on the health care system. The program will cover areas of health care that have particularly high rates of medical errors and provide physicians with techniques to avoid common mistakes. A systems approach to preventing medical errors will be outlined which replaces the traditional view of placing blame on the individual healthcare professional

Dr. Mackles has practiced hospital based neonatal medicine in Florida for over twenty two years since completing a fellowship in Neonatology at The Cornell University Medical Center in New York. In addition to receiving an MBA from Nova Southeastern University Dr. Mackles obtained his license as a Healthcare Risk Manager through studies at the University of South Florida. Currently Dr. Mackles devotes full time to risk management and patient safety issues.

This presentation covers definitions, history, components of informed consent, ethical guidelines/rules/regulations and how to give informed consent. Informed consent for common office interventions including surgical consent for simple procedures, vaccinations, school sports physicals, psychotropic drug prescribing, and handling a patient decision that is against medical advice.

Moira Dolan, M.D. is Executive Director of Medical Accountability Network, a not for profit educational resource provided by health care professionals dedicated to the restoration of integrity in medicine. Through advocacy, investigation and education we raise the responsibility level of participants in all aspects of the professional and public communities affected by medical issues. Dr. Dolan is currently consultant to the Office of the Inspector General of Texas, assessing medical appropriateness and medical necessity of various treatments, and is also serving as a State Affiliated Medical Consultant for Texas Department of Assistive & Rehab Services in Austin, Texas. She is a 1984 graduate of the University of Illinois College Of Medicine and is certified by the American Board of Internal Medicine.

This session will provide an overview of the CMS Documentation Guidelines in a step-by-step method. Scenarios specific to Urgent Care Facilities will be used to demonstrate what must be documented for each CPT Evaluation and Management Code Level. Additionally, modifiers essential to obtaining reimbursement for services provided will be discussed. E/M and modifier templates will be provided to each participant.

As a Regional Director of Client Servies for Bill Dunbar and Associates, LLC (BDA), Joyce Ralstin has 25 years experience in the healthcare industry. Her focus is to educate providers and staff in proper billing and coding techniques to ensure compliance to accepted and approved standards and to optimize reimbursement. Prior to joining BDA, Ms. Ralstin served as Billing and Coding Specialist for a large multi-specialty hospital organization. She was responsible for starting The Center for Billing and Coding Education through the hospital network which focused training on appropriate physician documentation and staff billing and coding practices and co-wrote the curriculum for the Center for Billing and Coding Education. Prior to serving as Billing and Coding Specialist, Ms. Ralstin worked as a Biller/Office Manager in both single and multi-physician practices, gaining experience in Cardiology, Obstetrics and Gynecology, Family Care, Internal Medicine, Rheumatology, Endocrinology, General Surgery, Nephrology, Pulmonology, Neurology, Ophthalmology, Podiatry, Occupational Medicine, and Urgent Care. She received her certifications as a Certified Coding Specialist Physician Based (CCS-P) from the American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) and Certified Medical Professional Coding Curriculum Instructor (PMCC) through the American Academy of Professional Coders (AAPC) and Professional Coding Specialist through the American College of Medical Coding Specialists (PCS).

This lecture will examine the historical and contemporary theories, principles, and practices of Emergency Management, particularly the all-hazards approach and the related processes of mitigation, preparedness, response and recovery. Using a case study approach, the lecture considers the evolution of Emergency Management and its practical application within government and private-sector institutions. The roles, responsibilities, and duties of Emergency Managers at various levels of government are discussed, as are the relationships between the agencies, organizations, and individuals involved.

The lectures acquaints the audience with the National Response Plan and such contemporary Emergency Management systems as the National Incident Management System (NIMS), with specific attention paid to their applicability to crises that include terrorist events, natural and man-made disasters, and other hazards.

Dr. Gary M. Klein is the Chief Medical Information Officer in the United States Department of Homeland Security, Division of Immigration Health. In this role, he continues to consult to the Department of Defense in their Bio-security program, and works with researchers at Ft. Detrick. While serving at Ft. Detrick, Dr. Klein is instrumental in upholding the USAMRIID standards of and in helping to achieve its mission, critical to the national security of this country. In his passion for information technology, disaster planning and the changing paradigm of medical practice for the future, Dr. Klein serves on the HIMSS (Health Information and Management Systems Society) Katrina-Phoenix project, the HIT First Responder Workgroup, as well as their Global EHR Task Force, which recently published their white paper on global initiatives. Dr. Klein is Chairman of the Board and Government Liaison for the American Academy of Urgent Care Medicine (AAUCM) as well as a member of the Editorial Board for its journal, Urgent Care, and is an adjunct faculty member of George Mason University Krasnow Institute for Advanced Studies He is a Board Certified Urgent Care Physician with over 15 years in Emergency, Acute Care, inpatient and outpatient clinical environments. Dr. Klein received his training at the Medical College of Georgia, School of Medicine, achieved a Masters in Public Health at the Emory University School of Medicine in a dual degree program between MCG and Emory, and later received a Fellowship with the World Health Organization (WHO), where he worked with researchers in India and Egypt on the H.Pylori outbreak. Dr. Klein received his MBA with a concentration in information technology from the University System of Georgia, and was honored with an Entrepreneurial and Leadership Internship with the Founders of Home Depot. Dr. Klein has achieved Level V Certification in Homeland Security and is an Instructor for Basic and Advanced Disaster Life Support through the American Medical Association.

The objective of this presentation is to identify key issues in both the medical response to (and challenges posed by) a pandemic, and a pandemic's effect on (and possible responses to) business continuity, with a focus on the urgent care physician community.

Jonathan M. Links, Ph.D. is a medical physicist, with a B.A. in Medical Physics from the University of California, Berkeley (1977), and a Ph.D. in Environmental Health Sciences (with a concentration in Radiation Health Sciences) from Johns Hopkins University (1983). Dr. Links is currently Professor of Environmental Health Sciences in the Johns Hopkins Bloomberg School of Public Health, with joint appointments in Radiology and Emergency Medicine in the Johns Hopkins School of Medicine. Dr. Links is a member of the Delta Omega National Public Health Honor Society. Dr. Links directs the Johns Hopkins Center for Public Health Preparedness, a $5M CDC-funded training center for frontline public health workers. He is a past president of the Society of Nuclear Medicine, a 16,000 member professional medical society that deals with the use of radioactivity and radiation in medicine. Dr. Links is currently Baltimore City's radiation terror expert, working with the Health, Fire, and Police Departments. He is also a member of a federal DHS Infrastructure Experts Team. At Hopkins, Dr. Links has significant experience in the creation of undergraduate and graduate courses and curricula. He has received 4 teaching awards for his efforts. He is also the co-author of an undergraduate textbook. His interests include public health preparedness and response for all hazards, ionizing radiation, biomarkers, mathematical modeling, and non-invasive medical imaging.

Research has found that physicians are among the most highly trusted sources for risk communication messages in a public health emergency. This presentation will discuss practical models to assist physicians in providing accurate, consistent, and empathic risk communication to concerned patients and the public during a public health emergency. Topics addressed will include risk perception, trust determination, and negative dominance; message mapping; and applying the Extended Parallel Process Model to understand how effective communication can channel fear into positive protective behaviors.

Dr. Barnett's research interests include best practice models to enhance all-hazards public health emergency readiness and response. Specific areas of focus include design and evaluation of preparedness curricula for public health workers; mental health aspects of public health emergency response; public health readiness exercises; and organizational culture change issues facing health departments in building a ready public health workforce.

Articles That Have Change My Practice: A review of current literature that we often glean over but never really reflect on just how important the data is. This session will focus on how it impacts how we practice, and how we can provide better care to our patients. Included in this series will be some urgent care medicine tips and tricks that have helped many a doctor and will make you appear as a genuine wizard! Travel Medicine: With the globalization of our world as we know it, we will present the ten-step/ten-week boot camp on how you can turn your practice around and become knowledgeable and proficient in the specialty of travel medicine. Your community will seek you out before they make a trip to almost any foreign country.

Currently, Dr. Ritucci is the Director of America's Urgent Care in Orlando, Florida. Dr. Ritucci provides services in Addiction Medicine, completing training to treat opioid-dependent patients on an outpatient bases. He also provides urgent care medical services at Premiere Urgent Care in Melbourne, Florida. Dr. Ritucci is the Medical Director of the American Academy of Urgent Care Medicine and the President of the American Board of Urgent Care Medicine. Dr. Ritucci is acting Editor-in-Chief of the journal Urgent Care. In addition, he is on the Board Directors for the Association of Emergency Physicians and is on the Editorial Advisory Boards for The Coding Institute, Medical Office Compliance Alert, Pain Management Coding Alert, APC Advisor and The Prescriber's Letter. Dr. Ritucci is the author of "Community Marketing for Ambulatory Care Centers" and "Quality Assurance Plan for Ambulatory Medical Centers." Franz Ritucci, M.D. began his education at Hunter College in New York City, graduating with a Bachelor of Arts. Looking to broaden his horizons, he attended the University of Perugia in Perugia, Italy, obtaining a graduate degree in Italian Literature before turning his sites to medicine. To accomplish this goal, Dr. Ritucci attended Ross University School of Medicine. He completed his residency in Internal Medicine at Wyckoff Heights Medical Center, Brooklyn, N.Y.

The objective of this presentation is to provide health care providers (HCP) affiliated with a clinic, private office, or hospital with a complete outline of how to deal with the evaluation of a patient who has sustained an exposure to a bloodborne pathogen. Unless the HCP deals with this issue on a daily basis, it is easy to miss details of this important evaluation. We will address the initial evaluation and the follow up evaluations as recommended by the CDC. I have tried to sort through all the "nice to know" information and provide the "really need to know" substance. The use of a protocol and standard forms provides for consistency in evaluation and treatment regardless of whom is seeing the patient on any visit. It is really beneficial in making sure each patient is afforded the same level of care. This information is available in more detail at www.exposureprotocol.com and is available at no cost.

James R. (Ron) Pace is a Physician Assistant practicing in Occupational Health in Orlando, Florida. Mr. Pace has been a P.A. for 33 years. He received his B.S. degree from the University of Nebraska College of Medicine in 1976, and retired from the U.S. Navy in 1988. He was been honored by the Florida Academy of Physician Assistants for his many years of service to the Academy and profession as P.A. in 1999, received a Lifetime Achievement Award in 2005, a Presidential Diamond Award in 2006, and an Honorary Lifetime Membership in 2007. In 2006 Mr. Pace was selected as the American Academy Physician Assistant National Outstanding P.A.

This program will take participants through an updated/modern look at the Revenue Recovery Management Tools that Urgent Care owners and providers have available to them. Participants will be able to view actual coding case scenarios, go through collection processes, and discuss how Managed Care organizations affect the facilities bottom line.

Stacy Calvaruso has over 24 years of experience in the healthcare field. Her career includes a background in both for profit, and not for profit facilities. She has worked as the Patient Financial Services Director for large healthcare providers, as well as Clinic Operations Director for a Practice Management Company. Currently, Stacy is the co-owner and CEO of Urgent Care Billing and Collections of America, LLC, which is a nationwide firm specializing in assisting Urgent Care centers with all A/R management activities from start up, credentialing, billing/collection and even full management. With multiple active Urgent Care clients, Stacy and her team have been able to gain great insight into the specialized reimbursement issues faced by many. Her expertise includes practice evaluations, training and implementing effective programs to meet the needs of the healthcare providers in today's economy. She is currently a Healthcare Financial Management Association Learning Solution Inc. trainer for their Compliance @ Work program, and author of the HFMA Physician Office Compliance @ Work program. In addition, Stacy and was honored with the Patient Financial Services Excellence Award in 2003 by HFMA and currently holds the title of Secretary as a Chapter Leader for her home state of Louisiana. She is also an active member of the Healthcare Billing Management Association, as well as, MGMA.

Wellness is top of mind, yet few companies truly understand the health, wellness and environmental trends or the consumers driving them. Find out about the consumer group driving the trends and what you need to know to get them as patients of your Urgent Care. Learn about this consumer's attitude and behavior and how it relates to the latest green issues and trends. Considering this is a $230 billion marketplace, it's one you cannot afford to ignore.

Colette Chandler, president of The Marketing Insider, is an expert in showing companies how to profit from consumer health and environmental (green) trends and understand the consumers influencing them. Colette is one of the 2006 Forty Under Forty Recipients from Columbus' Business First. She consults, speaks and writes nationally, including a weekly blog. Her information has been featured in various national and international publications including: Enterprising Women Magazine, Resort & Recreation Magazine, TreeHugger.com, Environmental News Network, and 4hoteliers.com. She serves as a regular resource to the media on health and environmental trends, and green and LOHAS marketing.

This talk will look at historical examples of chemical warfare and terrorism, as well as mass chemical disasters involving toxic industrial chemicals (TICs). The reported psychological effects and the occurrence of multiple unexplained physical symptoms (MUPS) from these exposures will be discussed.

Ross H. Pastel is a Lieutenant Colonel in the U.S. Army Medical Service Corps. He is currently assigned to the U.S. Army Medical Research and Materiel Command (USAMRMC) where he is detailed to Fort Belvoir as the Medical Liaison Officer to the Rapid Equipping Force (REF) and to the Program Executive Office (PEO) Soldier. He is also an Adjunct Assistant Professor in the Medical and Clinical Psychology Department at Uniformed Services University of the Health Sciences (USUHS). LTC Pastel earned his B.A. in Biology at Harvard College and his Ph.D. in Neural and Endocrine Regulation at the Massachusetts Institute of Technology. He did post-doctoral research at the Western Psychiatric Institute and Clinic in Pittsburgh, PA and also had a one year Graduate Fellowship in Clinical Psychology at the Uniformed Services University of the Health Sciences. His previous assignments have included the Walter Reed Army Institute of Research, U.S. Army Science and Technology Center, Far East, in Japan, the Armed Forces Radiobiology Research Institute (AFRRI), and the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID). LTC Pastel has taught extensively on the medical and psychological effects of weapon of mass destruction (WMD). While at AFRRI, he was on the faculty for the Medical Effects of Ionizing Radiation (MEIR) Course. He organized and chaired the International Conference on the Operational Impact of Psychological Casualties from Weapons of Mass Destruction in 2000. He was responsible for running the Medical Management of Biological Casualties course at USAMRIID for 2 years and was the executive producer for seven satellite courses. He is currently on the faculty for the Medical Management of Biological and Chemical Casualties Course, the Field Management of Biological and Chemical Casualties Course, the Hospital Management of Chemical, Biological, Radiological and Nuclear (HM-CBRNE) Course, and the Homeland Security Medical Executive Course. He has published in the areas of neuropharmacology of sleep, biological surety, and psychological effects of WMD.

Dr. Korn will review eye emergency cases that are most likely to present to urgent care facilities. The clinical cases will include eye emergencies that affect the pediatric, adult, and geriatric populations. The presentation will include high definition videos and pictures of inflammatory eye disease and ocular trauma as well as slit lamp examination techniques to help urgent care clinicians diagnose these eye conditions. Dr. Korn will also provide a clinical update on conjunctivitis and the red eye.

Dr. Tommy Korn is attending ophthalmologist at Sharp Memorial Hospital and Assistant Clinical Professor of Ophthalmology at the University of California, San Diego. His area of expertise is in cornea – external eye disease, cataract – lens implant surgery, and corneal transplantation. Dr. Korn has a particular interest in educating urgent care clinicians about eye disease, a topic often neglected during medical school and clinical training. He is also the ophthalmology editor of Urgent Care and recently authored the cover article entitled "Eye Emergencies: Insightful Diagnosis" for the September 2007 issue. Known for his insightful, engaging, and entertaining presentation style, Dr. Korn has lectured to clinicians throughout the world at many academic, hospital and international CME programs. His "Angry, Red Eye" presentation is one of the most popular lectures at national CME symposiums and conferences. His research interests include corneal disease, laser eye surgery, and cataract/lens implant surgery. Dr. Korn is also an active member of the international ophthalmology community and has volunteered on medical missions to the Ukraine, Mexico, and Thailand. He has appeared on CNN and in the Associated Press for his humanitarian eye surgery service. In 2002, Dr. Korn received the prestigious Medal of Honor from Her Majesty, the Crown Royal Princess of Thailand for his humanitarian eye surgeries performed in rural Thailand.

Projections for the global environment under a changed climate pose many threats to public health:

• More heat-related illness
• Greater risk of infectious diseases
• Worsening air quality
• Rising sea levels threatening populations and infrastructure
• More accidents and injuries from increased flooding, storm surge, and extreme weather events
• Threatened food supplies
• Potentially hundreds of millions of environmental refugees threatening global security and further stressing global resources
• Threatened quantity and quality of water supplies
• Stressed ecosystems, potential for collapse, and loss of ecosystem services

This talk will focus on the public health implications of each of these topics, the disaster preparedness needs of health care providers, patients, and communities, and what you can do to avert disaster.
Dr. Parker works with communities to solve local and global environmental problems and sustainable development issues. She is also interested in how global environmental issues are communicated. Dr. Parker's other area of focus is public health preparedness for disasters including crisis communication and disaster mental health.

This specialized training provides health professionals who may be asked, or might volunteer, to respond in times of emergency with perspective on injuries and trauma that are beyond those physical in nature. Additionally, the model is readily applicable to public health settings, the workplace, the military, mass disaster venues, and even the demands of more well circumscribed critical incidents, e.g., dealing with the psychological aftermath of accidents, robberies, suicide, homicide, or community violence.

George S. Everly Jr., Ph.D., serves on the faculties of Loyola College in Maryland and the Johns Hopkins University and was Distinguished Visiting Professor, Universidad de Flores (Argentina). Dr. Everly is both the non-governmental representative to the United Nations for a non-profit United Nations-affiliated public health and safety organization, as well as a chairman of the board emeritus. In addition, he serves on the adjunct faculty of the Federal Emergency Management Agency and was senior research advisor in the Social Development Office, Office of the Amir of Kuwait, State of Kuwait. He is also an advisor to the Hospital Authority of Hong Kong. Prior to these appointments, Dr. Everly was a visiting lecturer in medicine, Harvard Medical School, and chief psychologist and director of behavioral medicine for the Johns Hopkins Homewood Hospital Center. Dr. Everly is a fellow of the American Institute of Stress and has been awarded the Fellow's Medal of the Academy of Psychosomatic Medicine and the Professor's Medal of the Universidad de Weiner (Peru). He is the author, co-author or editor of 14 textbooks and over 100 professional papers. Among his texts are

• Personality Guided Therapy of Posttraumatic Stress Disorder (APA, 2004), Psychotraumatology (Plenum, 1995)
• A Clinical Guide to the Treatment of the Human Stress Response, 2nd Edition (Plenum, 2002)
• Controlling Stress and Tension, 7th Edition (Allyn Bacon, in press)
• Personality and Its Disorders, with Theodore Millon (Wiley, 1985)

Dr. Everly serves on the editorial board of Stress Medicine and was a past contributing editor for the American Journal of Health Promotion. He was founding executive editor of the International Journal of Emergency Mental Health. Dr. Everly served as the mental health chairperson for the Central Maryland Chapter of the American Red Cross, where he was co-founder of the disaster mental health network. He has given invited lectures in 22 countries on 6 continents. His works have been translated into Russian, Arabic, Swedish, Polish, Portuguese, Japanese, Chinese, German, Korean and Spanish.

Much has been written about the electronic medical record (EMR) and its reported benefits. However, adoption by physicians has been slow. This presentation will focus on the use of the EMR to streamline practice operations with specific real examples of measurable data outcomes. The challenges of medical charting, documentation and patient flow will be discussed. Controversial subjects such as chart templating and EMR expenses will also be discussed. This presentation will also include an analysis of the return on investment for an EMR system. Upon completion of this presentation, the participants should be able to understand the uses of an EMR and how to utilize the EMR to improve practice operations.

Dr. Schreck is Chairman of Emergency and Hospital Medicine at the Summit Medical Group and Vice Chairman of the Department of Medicine at Overlook Hospital, both in Summit, New Jersey. Dr. Schreck is also Clinical Assistant Professor of Medicine at the University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School in New Brunswick, New Jersey and Adjunct Professor of Chemical Biology and Physiology at Stevens Institute of Technology in Hoboken, New Jersey. Prior to joining the Summit Medical Group, Dr. Schreck held the administrative positions of Vice President of Business Development for Emergency Medical Associates of NJ, and President and Medical Director of Emergency Medical Associates' Hospitalist EMO division. After earning a dual BS degree in chemistry and MS degree in Biomedical Engineering-Science in 1975 from Stevens Institute of Technology, Dr. Schreck completed his MD degree from Loyola University Chicago Stritch School of Medicine in 1980. Dr. Schreck then completed dual residency programs in internal medicine and emergency medicine as a Visiting Clinical Fellow of Columbia University College of Physicians and Surgeons at Overlook Hospital in Summit, New Jersey. As a nationally recognized emergency physician and hospitalist, Dr. Schreck has an extensive experience in developing and implementing clinical information management systems including the electronic medical record, database tools, applications of machine learning artificial intelligence techniques, and telemedicine applications.

The purpose of this topic is to serve as an illustrative reminder for clinicians that medicine is still an art as well as science, but above all, more than a business. Several cases will be presented that demonstrate as to what can happen when clinicians rely too heavily upon a "cookbook" approach to medical practice, resulting in unnecessary expense and suffering.

Dr. Magin L. Quiambao, M.D. is a Department of Defense Federal Physician serving as a Civilian Medical Officer in the Department of the Army at Fort Detrick in Frederick, Md. Dr. Quiambao is a provider of services in both Urgent Care and Primary Care. He is also the Medical Review Officer and Clinical Advisor for the Army's Substance Abuse Program at Fort Detrick. He is a sitting committee member of the Army's Family Advocacy Case Review Committee at Fort Detrick. In addition, he serves as a volunteer physician for the Mission of Mercy mobile free clinic, serving indigent populations of Maryland and Pennsylvania. Dr. Quiambao received his residency training from the Department of Pediatrics at Meharry Medical College in Nashville, TN and from the University of Virginia's Lynchburg Family Practice Residency Program, Lynchburg, VA.

Travel medicine is an interdisciplinary specialty that has developed rapidly in response to the needs of increasing numbers of people traveling internationally. It includes knowledge of epidemiology, transmission and prevention of travel-associated infectious diseases, of vaccine indications and procedures, as well as personal safety and prevention of environmental risk. This program will provide urgent care physicians with the information they need to effectively employ travel medicine in the urgent care setting.

Dr. Roberts is a Clinical Instructor at the University of Miami School of Medicine and a Senior Flight Examiner for the Federal Aviation Administration. He cofounded Sunshine Medical Center, which has office locations in South Miami, the Port of Miami, and Fort Lauderdale, Florida. In 2000, Dr. Roberts founded VaccineXpress to promote awareness of travel medicine services. VaccineXpress specializes in the prevention of travel-related and vaccine-preventable illnesses and is a major provider of adult vaccines in the state of Florida. He is nationally certified as a travel medicine specialist by the International Society of Travel Medicine.

Dr. Olmstead is Medical Director of NM Travel Health and Olmstead Health Care Services in Albuquerque, New Mexico where she specializes in international travel health, vaccinations, and pandemic planning. She also serves as a Clinical Assistant Professor in the Department of Internal Medicine at the University of New Mexico School of Medicine. Dr. Olmstead has served as a subinvestigator in numerous clinical trials. In addition, she has written and lectured extensively on subjects relating to travel medicine and health, occupational medicine, and pandemic planning. She is certified by the International Society of Travel Medicine and the American Board of Internal Medicine

Dr. Mackell is a pediatrician at Mountain View Pediatrics in Flagstaff, Arizona. She has traveled extensively and has worked as a pediatrician in a number of Latin American countries. She is an active member of the International Society of Travel Medicine and the Wilderness Medical Society. Dr. Mackell is a fellow of the American Academy of Pediatrics and a member of the American Society of Tropical Medicine and Hygiene. Dr. Mackell has authored several text chapters and articles on various topics in pediatric travel medicine. In addition, she has lectured extensively on travel medicine and international adoption issues.

Dr. Singer is Professor and Vice Chair for Research at the Department of Emergency Medicine at Stony Brook University, Stony Brook, New York. He received his medical degree from Ben-Gurion University of the Negev, Israel, in 1986, then served as a medical officer for 5 years. Dr. Singer completed his internship in general surgery at Yale-New Haven Hospital in New Haven, Connecticut, and his residency in emergency medicine at Stony Brook University.

Dr. Singer is also a member of the Board of Directors of the Society for Academic Emergency Medicine. His main areas of research include cutaneous wound healing and tissue adhesives. Dr. Singer has more than 200 publications, including several in the New England Journal of Medicine and JAMA. He has served as Associate Editor for Academic Emergency Medicine and is on the editorial board of several other medical journals. He is also a reviewer for several other journals both within and outside emergency medicine. Dr. Singer has received various national awards, including the Outstanding Contribution in Research Award of the American College of Emergency Physicians and the Young Investigator Award of the Society for Academic Emergency Medicine. Dr. Singer has coauthored several textbooks, including Emergency Medicine Pearls and Lacerations and Acute Wounds: An Evidence-Based Guide.

Mr. Blumm is Clinical Instructor of Emergency Medicine and Surgery in the Physician Assistant Studies Program at Hofstra University in Hempstead, New York. He was a Vietnam era Special Forces medic who, upon returning from Vietnam, entered private practice with a physician. He has remained with this practice for 33 years and also worked for 12 years in an emergency department.

Mr. Blumm is actively involved in serving the PA profession. He is President of the Association of Plastic Surgery Physician Assistants and past President of the New York State Society of Physician Assistants and the American Association of Surgical Physician Assistants. He has also served as Chairman of the Surgical Congress of the American Association of Physician Assistants (AAPA) and as AAPA Liaison to the American College of Surgeons. He is currently President of the American College of Clinicians, a joint NP/PA organization. Mr. Blumm has received numerous honors, including the AAPA Paragon Physician-PA Partnership Award, the New York State Conspicuous Service Cross, and the John W. Kirklin MD Award for Professional Excellence. He is a Distinguished Fellow of the AAPA. Mr. Blumm has authored many articles and has served on the editorial board of Surgical Physician Assistant, NYSSPA News, and Sutureline. He is a nationally known speaker, lecturing to NP and PA audiences as well as to physician resident groups. In addition, he is on the faculty of Fitzgerald Health Education Associates.