7:00 AM CONTINENTAL BREAKFAST
7:30 AM
Update - ABIM Maintenance of Certification Program
Joan M. Von Feldt, MD, MS Ed • University of Pennsylvania; Philadelphia, PA
7:45 AM
Welcome & Introductions
Michael H. Pillinger, MD • New York University Langone Medical Center; New York, NY
8:00 AM
Opening Lecture: Placebo Analgesia in Clinical Trials and Practice
Roland Staud, MD • University of Florida; Gainesville, FL
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- recognize important factors modulating placebo analgesia
- differentiate between classical conditional and expectations as they apply to patient treatment responses
- recognize that patient responses to medications are always modulated to some degree by expectation/placebo effects, and adjust clinical practice such that patient treatment responses will be enhanced rather than diminished by placebo effects
8:45 – 10:15 AM
SESSION I: THE BIG THREE
Osteoarthritis: State-of-the-Art and Future Perspectives
Steve B. Abramson, MD • New York University Hospital of Joint Disease; New York, NY
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- describe the known mechanisms by which osteoarthritis develops and progresses
- recognize the role of inflammation in the pathogenesis of osteoarthritis
- identify potential biochemical markers that may predict disease progression and how they might facilitate future DMOAD development
New Therapies for Rheumatoid Arthritis
Clifton O. Bingham III, MD • Johns Hopkins University; Baltimore, MD
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- appropriately utilize the most recently-approved biologic and small molecule therapies for rheumatoid arthritis
- describe the mechanisms of action and efficacy data of pipeline biologic and small molecule therapies for rheumatoid arthritis
- evaluate future potential agents for rheumatoid arthritis treatment based on the evolving biology of rheumatoid arthritis
Year in Review: Lupus
Elena M. Massarotti, MD • Brigham and Women's Hospital; Boston, MA
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- review clinical advances in lupus in 2012
- discuss drugs in development in 2012-2013
- identify current gaps in diagnosis and treatment
10:15 AM BREAK
10:45 – 12:15 PM
SESSION II: PAIN
Mechanisms of Musculoskeletal Pain
Roland Staud, MD • University of Florida; Gainesville, FL
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- recognize the important role of inflammation for pain
- distinguish between peripheral and central pain processing in diagnosis and clinical practice
- recognize factors that modulate chronic pain, and modulate these factors to reduce the likelihood and/or impact of chronic pain in patients with rheumatic diseases
Update on Treatment Options for Low Back Pain
David G. Borenstein, MD • Arthritis & Rheumatism Association; Washington, DC
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- review the common underlying etiologies of low back pain by diagnostic category
- interpret the literature on efficacy of epidural injections
- discuss data on efficacy of artificial discs
- compare non-pharmacologic therapies for low back pain
Pediatric Amplified Pain: When it Is and When it Isn't
David D. Sherry, MD • Children's Hospital of Philadelphia; Philadelphia, PA
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- explain the diagnosis of amplified pain in children
- list differential diagnostic entities in considering pediatric amplified pain
- discuss treatment options for amplified pain in children
- recognize and diagnose conversion
12:15 PM BOXED LUNCH
12:30 – 1:30 PM
LUNCH SESSIONS (Space is limited. Separate registration fees apply unless indicated otherwise.)
A Look at the ACR 2012 Guidelines for Gout Management: Consensus (and just a little controversy!)
Michael H. Pillinger, MD • New York University Langone Medical Center; New York, NY
Pediatric Rheumatology for the Adult Rheumatologist
David D. Sherry, MD • Children's Hospital of Philadelphia; Philadelphia, PA
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- understand key aspects and pearls of pediatric rheumatology that adult rheumatologists should know
Rehabilitation
Kenneth S. O'Rourke, MD • Wake Forest School of Medicine; Winston-Salem, NC
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- discuss available rehabilitative strategies, and their evidence base, for the treatment of patients with selected musculoskeletal conditions
- incorporate information on rehabilitative strategies into the formation of a therapy prescription
ANCA-Associated Vasculitis
John H. Stone, MD, MPH • Harvard Medical School; Cambridge, MA
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- understand current approaches to the induction of remission in ANCA-associated vasculitis
- gain insight into the impact of both rituximab and cyclophosphamide on B cell kinetics and to appreciate the implications of this for therapy
- recognize complications of therapies and appreciate means by which these may be avoided
Disease Assessment in Rheumatoid Arthritis
Joan M. Bathon, MD • Columbia University Medical Center; New York, NY
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- recognize the importance of disease activity assessment in the management of a patient with rheumatoid arthritis
- distinguish the utility of disease activity assessment in a treat to target approach
- distinguish between different tools used in disease activity assessment in patients with rheumatoid arthritis
Pharmacotherapy for the Treatment of Non-renal Lupus
Elena M. Massarotti, MD • Brigham and Women's Hospital; Boston, MA
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- list the mechanisms of action, toxicities, and dosing of the immunosuppressive medications used to treat non-renal lupus
- identity treatment strategies for specific manifestations of non-renal lupus
- review the evidence based literature that inform these treatment decisions
Practical Approach to Common Low Back Pain Syndromes through Case Vignettes
David G. Borenstein, MD • Arthritis & Rheumatism Association; Washington, DC
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- review typical clinical presentations of common low back pain syndromes including spinal stenosis, disc herniation, osteoarthritis and muscle strain
- discuss management of these syndromes through case examples
Risk Evaluation and Mitigation Strategies (NO FEE)
Allan Gibofsky, MD, JD • Hospital for Special Surgery; New York, NY
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- explain the magnitude of use of extended release and long acting opioids
- identify the elements of a risk evaluation mitigation program (REMS)
- discuss the FDA REMS on extended release and long acting opioids
From Spondylarthropathy to Spondylarthritis: Diagnosis, Classification, Treatment (NO FEE)
Marcello Govoni, MD • University of Ferrara; Ferrara, Italy
Ignazio Olivieri, MD • San Carlo Hospital of Potenza and Madonna delle Grazie Hospital of Matera; Potenza, Italy
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- apply the new ASAS classification to categorize patients with various types of spondylarthritis
- recognize the challenges of diagnosing undifferentiated spondylarthritis
- apply the latest knowledge to optimize the management of spondylarthritides, particularly the use of biologic agents
- distinguish the biology and management of spondylarthritis from those of rheumatoid arthritis
1:45 – 3:15 PM
SESSION III: MUSCLE DISEASE
Myositis
Paul H. Plotz, MD • NIAMS NIH; Bethesda, MD
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- discuss the differential diagnosis of a patient presenting with muscle weakness and elevation of the CPK
- review diagnostic pearls to avoid incorrect diagnosis of myositis
- analyze treatment options in newly diagnosed and refractory myositis and dermatomyositis
Metabolic Myopathies
Kenneth S. O'Rourke, MD • Wake Forest School of Medicine; Winston-Salem, NC
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- discuss the sources of energy for muscle metabolism
- describe the evaluation of a patient presenting with a suspected metabolic myopathy, correlating defects in energy production pathways with symptoms
- summarize available therapies for patients with metabolic myopathies
Fellow Case Presentations with Speaker Panel
Kenneth S. O'Rourke, MD • Wake Forest School of Medicine; Winston-Salem, NC
Paul H. Plotz, MD • NIAMS NIH; Bethesda, MD
3:15 PM BREAK
3:30 – 5:00 PM
SESSION IV: HOT TOPICS
IgG4-Related Disease
John H. Stone, MD, MPH • Harvard Medical School; Cambridge, MA
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- appreciate the breadth of organ system manifestations of IgG4-related disease
- recognize the ways in which this new rheumatologic condition mimics established rheumatologic conditions
- gain insight into current treatment approaches for IgG4-related disease and to appreciate what mechanistic studies on this condition can tell us about the immune system
Vaccinations in Patients with Rheumatic Diseases
Clifton O. Bingham III, MD • Johns Hopkins University; Baltimore, MD
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- recognize the impact that rheumatic diseases have on the efficacy of various vaccines, and the importance of vaccination in these same patients
- describe the potential risks of recombinant versus live attenuated vaccines as these apply to specific rheumatic diseases, disease activities and immunosuppressive therapies
- develop a treatment algorithm for vaccination of rheumatic disease patients, in order to promote optimal vaccine efficacy with minimally possible adverse effects
Cardiovascular Disease in Rheumatoid Arthritis
Joan M. Bathon, MD • Columbia University Medical Center; New York, NY
View Learning ObjectivesClick to Expand
View Learning ObjectivesClick to Hide
At the conclusion of this session participants should be able to:
- elucidate the difference in prevalence/incidence of cardiovascular disease and cardiovascular risk factors in rheumatoid arthritis versus matched controls
- delineate the effect of rheumatoid arthritis and inflammation on cardiovascular metabolic pathways
- probe the effect of rheumatoid arthritis treatment on risk of cardiovascular disease in rheumatoid arthritis patients