Welcome,

Do some of your patients “drop out of life” with chronic nausea, abdominal pain or dizziness? Are they “heart-sink” patients (meaning that your heart sinks when their name appears on your schedule because nothing seems to work)? Over 30% of patients presenting to a primary practice harbor a functional disorder like chronic idiopathic nausea, irritable bowel syndrome, postural tachycardia syndrome or chronic migraine. And yet all of us in medicine remain ill-equipped to diagnose or manage this population because most medical school and training programs do not address their issues.

This live, patient-based workshop aims to fill this gap. You will hear from world-renowned experts on each topic, followed by your eliciting history from a live patient with the problems just covered. Only patient-based training (like resident and fellowship) changes how practitioners think.

WEDNESDAY, NOVEMBER 2, 2016 7:30-8:00 Registration

MORNING SESSION - BASIC TOPICS 8:00-9:45 Lectures on basic topics in the management of autonomic disorders:

8:00 Distinguishing Structural and Functional Disorders: Chris Gibbons (30)

8:30 Orthostatic Disorders: Julian Stewart (35)

9:05 FGID Syndromes & Associated Co-morbidities: Gisela Chelimsky (40)

9:45-10:00 Break

10:00-11:45 (Participants will rotate through all sessions) Basic Topics with live patients • Functional vs Structural: Tom Chelimsky

(30) • Orthostatic: Satish Raj/Tom Ahern (30) • GI Co-morbidities: John Fortunato (30)

12:00-1:30 Lunch (included)

AFTERNOON SESSION - COMPLEX TOPICS 1:30-3:15 Lectures on complex topics in the management of autonomic disorders:

1:30 Psychological Aspects: Sally Tarbell (30)

2:00 Hypermobility/Genetics: Brad Tinkle (40)

2:40 Inflammation/Vagal Nerve: Adrian Miranda (35)

3:15: Break

3:30-5:00 (Participants will rotate through all sessions) Complex Topics with live patients • Somatization: Phil Fischer (30) • Hypermobility: Donald Basel (30) • Vagal Nerve Stimulation & Pain: Adrian

Miranda (30) 5:00-5:30 Panel & Closing Remarks: All faculty

Presenters Tom Ahern, MD PhD, Cardiologist, Cardiac Electrophysiologist, Scripps Hospital, LaJolla, CA Donald Basel, MBBS, Section Chief, Associate Professor, Genetics, Medical College of Wisconsin Thomas Chelimsky, MD, CME Program Director, Professor of Neurology, Medical College of Wisconsin Gisela Chelimsky, MD, CME Program Co- Director, Professor of Pediatric Gastroenterology, Medical College of Wisconsin Phil R. Fischer, MD, Professor of Pediatrics, Mayo Clinic John E. Fortunato Jr, MD, Gastroenterologist Pediatric Specialist, Children’s Hospital, Colorado Christopher H. Gibbons MD, MMSc, FAAN, Associate Professor in Neurology, Harvard Medical School Adrian Miranda, MD, Associate Professor, Pediatric Gastroenterology, Medical College of Wisconsin Satish R. Raj MD, MSCI, Associate Professor of Medicine & Pharmacology, Vanderbilt Julian Stewart, MD, PhD, Professor, Associate Chairman, Patient Oriented Research, Director, Center for Hypotension, New York Medical College Sally Tarbell, PhD, Psychologist, University of Colorado Hospital Brad T. Tinkle, MD, PhD, Medical Director of Clinical Genetics at Advocate Children’s Hospital in Chicago

Purpose The purpose of this workshop is to educate generalist health care practitioners about the practical diagnosis and management of functional and structural autonomic disorders. This workshop will review orthostatic disorders like orthostatic hypotension, postural orthostatic tachycardia syndrome (POTS), syncope, and functional gastrointestinal and genetic disorders. Collectively, these disorders impact millions of Americans. Most PCPs, pediatricians, and even general neurologists and cardiologists have never received specific training. As a result, patients see multiple specialists for evaluation of each new symptom without appreciation that all symptoms reflect a single disorder. It is not unusual for patients to be referred to 10 physicians or more prior to receiving an accurate diagnosis. This workshop will highlight the protean manifestations of autonomic disorders in multiple end-organs and help practitioners to diagnose a root-cause etiology for the entire syndrome. Learning Objectives • Differentiate symptoms indicative of

structural and functional autonomic disorders

• Understand foundational principles of management of orthostatic disorders

• Recognize the meaning of both psychiatric and somatic co-morbidities

• Appreciate state-of-the-science recent advances on genetics and the vagal control of inflammation

Target Audience Primary Care Physicians (PCP), Pediatricians, Family Practice Physicians, Internists, General Neurologists, Cardiologists, PM & R Specialists Physician Assistants, Nurse Practitioners and Allied Health Care Professionals

Accreditation This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of The Medical College of Wisconsin®. The Medical College of Wisconsin is accredited by the ACCME to provide continuing medical education for physicians.

The Medical College of Wisconsin designates this enduring material for a maximum of 7.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Medical College of Wisconsin designates this activity for up to 7.5 hours of participation for continuing education for allied health professionals.

Register online http://bit.ly/AAS2016-ADWG Fees: Before September 30, 2016 $200.00 After October 1, 2016 $250.00

For additional information or hotel information, please visit our web site at www.americanautonomicsociety.org or contact the American Autonomic Society at info@americanautonomicsociety.org.

Autonomic Disorders Workshop

for Generalists Wednesday, November 2, 2016

MANCHESTER GRAND HYATT 1 Market Place

San Diego, CA 92101