Eating Disorders: Physicians in the Trenches, Mobilizing Resources for Effective Care

Wednesday, March 2, 2011: 9:00 AM-4:00 PM
Point Hilton at Squaw Peak
Eating Disorders are common and often chronic psychological syndromes which have a profound effect on health and quality of life. All those in the medical field will come across those struggling with the emotional and physical complications from binge eating, vomiting, laxative abuse, compulsive exercise,and chronic restrictive eating. This CME symposium will help medical professionals recognize, evaluate and mobilize resources to treat patients with eating disorders across the spectrum of ages, in chronic and acute scenarios, and with varying degrees of malnutrition and medical co-morbidity.
Eating disorders: Physicians in the Trenches, Mobilizing Resources for Effective Care

Target audience:  Psychiatrists, Primary care (Pediatrics, Internal Medicine, Emergency Medicine, Family Medicine), Residents, Medical Students, Nursing), Insurance Providers

Presenters all physicians

Eating Disorders: Physicians in the Trenches, Mobilizing resources for Effective Care 

Introduction 10 minutes

The End of Mind -Body Dichotomy. Core symptoms, psychological and physiological presentations, toward a more coherent concept of medicine 

Presenters: Jennifer Guadiani, MD, ACUTE unit Denver Health and Emmett Bishop, MD, FAED, CEDS, Denver

Time: 2 hours

Video clips and clincial descriptions paint a vivid picture of complexity, severity of cognitive, emotional, interpersonal and physical symptoms

Remembering what you already know in unfamiliar circumstances: elements of assessment, early stages of treatment, cause(s) of undertreatment and lack of appropriate intervention

Presenter: Pauline Powers, MD, FAED Florida

Time: 45 minutes

Hungry Brain / Basics of treatment:

  1. Keyes starvation studies, effects of starvation on cognition, CNS regulation
  2. Relevance of Cognitive changes in eating disorders... set change associated with starvation,
  3. sychotherapy for Eating Disorders  

Presenter: Kim McCallum, MD, CEDS, FAPA, McCallum Place Treament Center, St Lou MDis

Time: 45 minutes

Lunch Break

Physicians in the trenches: treatment targets, mobilizing treatment resources, chronic and complex patients

Presenter: Diane Mickley, MD, FACP, FAED, Wilkins Center, CT

Time: 45 minutes

Working with younger patients, heading off long terms complications, specialized medical populations

Presenter: Ovidio Bermudez, MD, FAED, Eating Recovery Center, CO

Time: 45 minutes 

Panel Discussion: mobilizing resources for cost effective care

Time : 30 minutes

 

Eating Disorders: Physicians in the Trenches, Mobilizing Resources for Effective Care

Eating Disorders are complex biologic based illnesses that are effected by cultural messages and behavioral experiements. Once extablished eating disorders effect not only emotional and social functioning but have a profound impact on physical health.  Because eating disorders are common, all medical professionals will come across patients struggling with eating disorders and related problems. Drs Guadiani and Bishop will provide video clips and clinical material describing typical presentations of psychological and physiologic symptoms common in patients struggling with eating disorders. Dr Powers will help professionals think about eating disorders in a medical framework, focuing on elements of clinical assessment, early stages of treatment, and barriers to appropriate care.  Dr McCallum will describe both the cognitive styles which put patients at risk and the effects of starvation on brain and GI  functioning.    The implications of cognitive factors for treatment will be considered. Research based psychotherapy strategies will be described. Dr. Mickley will discuss treatment targets, mobilizing resources and management of complex and chronic cases.  Treatment of special populations should be focused in a particular way. Dr Bermu dez will review treatment considerations in children and adolescents, in men and in patients with additional medical comorbidity such as diabetes.    

Primary Presenter:
Kimberli McCallum, MD, CEDS, FAPA

A Board-certified psychiatrist in child, adolescent, and in adult psychiatry, Kim is also a fellow of the American Psychiatric Association, Associate Professor of Clinical Psychiatry at Washington University School of Medicine, and a CEDS. She is also a psychotherapist with a broad range of therapy skills, including DBT, CBT, family-based treatment, IFS and psychoanalysis. She received her medical degree from Yale, completed adult training at UCLA Neuropsychiatric Institute, and Child and Adolescent Psychiatry Fellowship at Washington University. She is a member of AED and serves on the board of directors of NEDA and IAEDP. She has developed several eating disorder treatment programs including McCallum Place and Cedar Springs in Texas.



Co-presenters:
Emmett R. Bishop, MD, FAED, CEDS

Dr. Bishop has over 25 years experience in the treatment of eating disorders and is with Eating Recovery Center, Denver, Colorado where he is the Director of Research and Outpatient Services. He was the Medical Director of the Clark Center Eating Disorders program in Savannah, Georgia from 1986 to 1996. Serving on the board of directors of the International Association of Eating Disorders Professionals since 1993, he is currently the immediate Past President. He is a Fellow of the Academy for Eating Disorders and is also on the editorial board of Eating Disorders: Journal of Treatment and Prevention.



, Ovidio Bermudez, MD, CEDS

Ovidio Bermudez, M.D is the Medical Director of Child and Adolescent Services at Eating Recovery Center in Denver, Colorado. He holds academic appointments as Clinical Professor of Psychiatry and Pediatrics at the University of Oklahoma College of Medicine. He held faculty appointments formerly at Vanderbilt University School of Medicine. He is Board certified in Pediatrics and Adolescent Medicine. Dr. Bermudez is a Fellow of the Academy for Eating Disorders, the Society for Adolescent Medicine, and the American Academy of Pediatrics. He is Past Chairman and current member of the Board of Directors of the National Eating Disorders Association, Co-Founder of the Eating Disorders Coalition of Tennessee (EDCT), and Vice-President and co-founder of the Oklahoma Eating Disorders Association (OEDA). He Chairs the Medical Care Special Interest Group and the Hispano-Latino-American Chapter of the Academy for Eating Disorders. Dr Bermudez has lectured nationally and internationally on eating disorders, childhood obesity, and other topics related to pediatric and adult healthcare and has been recognized for his dedication and advocacy in the field of eating disorders.



, Jennifer L. Gaudiani, MD

Jennifer L. Gaudiani, M.D. completed her undergraduate work at Harvard College, earned her medical degree from Boston Univeristy School of Medicine in 2002, and completed her residency and chief residency in Internal Medicine at Yale. Dr. Gaudiani is board-certified in Internal Medicine, practices hospitalist medicine at Denver Health, and conducts research on eating disorders with Dr. Mehler. Dr. Gaudiani is the Assistant Medical Director of the A.C.U.T.E. Center.



, Pauline Powers, MD, CEDS

Dr. Pauline Powers is nationally recognized as an expert in the field of eating disorders. She was the Founding President of the Academy for Eating Disorders and is currently the director of the Psychosomatic Medicine Division within the Department of Psychiatry at the University of South Florida. She is the author of books about obesity and eating disorders and has written over 70 scientific Publications. She is a founding member of the Eating Disorders Research Society and is on the Editorial Boards of Eating Disorders: The Journal of Treatment and Prevention, Obesity Surgery, and the Eating Disorders Review. Dr. Powers is on the Scientific Board of Directors of the National Eating Disorders Screening Program. As an active board member for NEDA , she recently served as the President for 2005 and was awarded the Life Time achievement award in 2006. She is a member of the American Psychiatric Association Committee preparing Guidelines of the Treatment of Eating Disorders. Dr. Powers was recognized as the Outstanding Clinician in 2000, by the Academy for Eating Disorders. She is a past president for the National Eating Disorders Association.



and Diane Mickley, MD, FACP, FAED

Dr.Mickley is a physician who has treated 6000 patients with eating disorders over the past 25 years. She founded Wilkins Center, a comprehensive, multidisciplinary outpatient treatment center. She is past president of the American Anorexia/Bulimia Association, past co-president of the National Eating Disorders Association, founding fellow and former trustee of the Academy for Eating Disorders, and book review editor of the journal Eating Disorders: Treatment and Prevention. Dr. Mickley is a clinical assistant professor in the Department of Psychiatry at Yale University School of Medicine and the author of numerous articles and book chapters.



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