Total Credits: 10.25 including 10.25 AOA Category 1-A Credit(s)
Objectives for Female Sexual Health: How to Ask, How to Help:
1) Summarize the definitions pertinent to female sexual health
2) Describe normal and abnormal symptoms
3) Summarize what we can do to help patients address sexual health concerns
4) Compare and contrast various pathologic conditions affecting sexual health
5) Explain the risk factors, etiology and presenting symptoms of sexual health conditions
6) Summarize the physical exam findings, diagnostic evaluation, and treatment of sexual health conditions
7) Apply evidence-based medicine to case-based learning scenarios
**Dr. O'Laughlin does not have any financial disclosures.**
Objectives for Taking the Stage for Cancer: The New Metabolic Approach:
1) To Describe risk factors for development of cancer.
2) Explain the importance of different body terrains in causation, prevention, and treatment of cancer.
3) Learn about roles of various herbs, nutraceuticals as adjuvant to effective cancer therapy.
4) Discuss Ketogenic diet to improve effectiveness of chemotherapy and radiation therapy, reduce the side effects from these therapies and prevention of recurrences.
**Dr. Batra does not have any financial disclosures.**
Objectives for Chronic Kidney Disease – Early Detection and Treatment:
1) Review the prevalence and incidence of chronic kidney disease (CKD) and the importance of early detection and treatment.
2) Provide education for Primary Care Providers in the identification and evaluation of patients with Risk Factors for CKD.
3) Know guidelines for the diagnosis of CKD using the estimated glomerular filtration rate (eGFR) and urinary Albumin to Creatinine Ratio (ACR).
4) Learn about the National Kidney Foundation Risk Map and use to identify patients for referral to nephrology specialty care.
5)Understand recent advances in treatment of CKD
**Dr. Spry is a stockholder with Home Dialysis of Lincoln.**
Objectives for Chronic Kidney Stones: Basic Evaluations and Treatment:
1) Review the most common constituents of urinary tract stones.
2) Recognize risk factors for kidney stones.
3) Understand the conservative management of kidney stones.
4) Recognize treatment of more unusual kidney stones.
5) Understand the concepts of supersaturation in urine.
**Dr. Spry is a stockholder with Home Dialysis of Lincoln.**
Objectives for Tools to Address E-Cigarettes/Vaping in Youth: How, When, and What Do I Do Now?:
1) Explain E-Cigarette devices, how they work, and the toxins that are inhaled with use.
2) Identify trends in youth use, why youth use is concerning and contributing factors
3) Identify who, when, and how to screen for e-cigarette use in the office
4) Explain available screening tools and screening approaches
5) Identify strategies to incorporate screening into routine visits and coding
6) Provide treatment recommendations including Nicotine Replacement Therapy and cessation support
7) Identify opportunities for Advocacy
**Dr. Kimball does not have any financial disclosures.**
Objectives for An Introduction to Ethics in Healthcare:
1) Describe the foundations of health care ethics, including values, morals, and principles.
2) Discuss common scenarios in which ethics consultations may be appropriate.
3) Discuss how ethics services may be incorporated into health systems or clinics.
**Dr. Dahlke does not have any financial disclosures.**
Objectives for Alzheimer’s Disease- An Osteopathic Approach:
1) Be comfortable identifying patients who likely have Alzheimer’s disease
2) Discuss and differentiate available medications to slow progression of dementia and manage symptoms
3) Incorporate strategies to support patients and families appropriately throughout illness trajectory
4) Compassionately and skillfully initiate serious illness conversations and help patients and families plan for end stage disease
**Dr. Noble does not have any financial disclosures.**
Objectives for General Surgery Pearls for the Primary Care Physician:
1) Articulate key principles in general surgery to help make informed decisions in the workup and management of surgical cases within the primary care setting.
2) Gain practical insights into perioperative management and care.
**Dr. Rathje is a consultant for Intuitive Surgical.**
Objectives for Understanding Interrelationship Between Chronic Pain and SUD (A Rising Tide Lifts All Boats):
1) Understand unifying pathophysiologic mechanisms of chronic pain, addiction, and mood disorders.
2) Understand concepts of buprenorphine prescribing to improve pain control while reducing risk.
**Dr. Massey does not have any financial disclosures.**
Objectives for Drug Allergies:
1) Understand why drug allergies are important
2) Review how to work a patient up for drug allergy and when to refer
3) Understand cross-reactivity rates with drug allergies
**Dr. Nayima does not have any financial disclosures.**
Objectives for Infertility in the Wild:
1) Describe the high yield historical points of an infertility history and apply them to clinical testing decisions and specialty referral indications.
2) Expand the attendee’s understanding of the clinical application and utility of serum hormone assays – what and when to order and how to interpret the results.
3) Demonstrate practical applications through clinical case examples.
4) Review high yield topics in the field of reproductive endocrinology and infertility with a focus on [abnormal] menstrual cycle management and improving access to infertility care.
**Dr. Weedin does not have any financial disclosures.**
Objectives for Considerations for Assessing Recreational Drug Use: Cannabis Products & Kratom:
1) Discuss importance of obtaining a thorough patient medication & social history
2) Review pharmacology & toxicology of Cannabis and Kratom
3) Recall important patient safety considerations for Cannabis & Kratom use
4) Discuss the benefits, harms & risk mitigation strategies to help providers frame discussions
**Dr. Bottenberg does not have any financial disclosures.**
The Iowa Osteopathic Medical Association is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians and designates this program for a maximum of 10.25 AOA Category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician's participation in this activity.
Grievance Policy: IOMA strives to provide continuing medical education programs to fulfill the needs of the attendees and to meet the AOA Uniform Guidelines and AOA Accreditation Requirements. Comments, questions, or complaints should be put in writing and forwarded to IOMA Executive Director at ioma@ioma.org or IOMA, 6919 Vista Drive, West Des Moines, IA 50266.
| Female Sexual Health: How to Ask, How to Help Slides (684.1 KB) | 19 Pages | Available after Purchase |
| Taking the Stage for Cancer: The New Metabolic Approach Slides (1.5 MB) | 24 Pages | Available after Purchase |
| Chronic Kidney Disease: Early Detection and Treatment Slides (779.5 KB) | 12 Pages | Available after Purchase |
| Kidney Stones: Basic Evaluation and Treatment Slides (553.1 KB) | 12 Pages | Available after Purchase |
| Tools to Address E-Cigarettes/Vaping in Youth: How, When, and What Do I Do Now? Slides (1.7 MB) | 9 Pages | Available after Purchase |
| An Introduction to Ethics in Healthcare Slides (622.6 KB) | 9 Pages | Available after Purchase |
| Alzheimer’s Disease: An Osteopathic Approach Slides (1.6 MB) | 14 Pages | Available after Purchase |
| General Surgery Pearls for the Primary Care Physician Slides (820.5 KB) | 26 Pages | Available after Purchase |
| Understanding Interrelationship Between Chronic Pain and SUD (A Rising Tide Lifts All Boats) Slides (2 MB) | 12 Pages | Available after Purchase |
| Drug Allergies Slides (3.7 MB) | 10 Pages | Available after Purchase |
| Infertility in the Wild Slides (1 MB) | 7 Pages | Available after Purchase |
| Considerations for Assessing Recreational Drug Use: Cannabis Products & Kratom Slides (969.2 KB) | 12 Pages | Available after Purchase |
Danielle O’Laughlin is an Assistant Professor of Medicine at Mayo Clinic in the Division of Community Internal Medicine (CIM) in Rochester, MN. In addition to her role in CIM she serves as the team lead of the Primary Care Obstetrics and Gynecology Clinic and works as the Clinical Skills Co-Director at the Mayo PA Program.
Dr. Batra is a family physician working as a full-time faculty at mercy One family medicine residency program in Des Moines, Iowa for last 20 years. He is also a certified medical practitioner in Functional medicine. He is the Director of “integrative Medicine” curriculum in the residency. He is currently doing a fellowship in “Integrative Oncology”. He enjoys teaching holistic medicine to the medical students and residents. He believes that “lifestyle” medicine should be the foundational approach for all patients for prevention and effective management of all illnesses. He empowers his patents for self-management of their health issues by educating them, sharing resources and working with other providers in the community.
Dr. Leslie Spry was born in Lexington, Nebraska and grew up on a farm and graduated from Lomax Country school, Oconto High School, and University of Nebraska, Lincoln. He attended the University of Nebraska School of Medicine in Omaha and completed his internship and residency in Internal Medicine at University of Nebraska Hospitals. Dr. Spry also completed a research and clinical fellowship in Nephrology at Washington University in St. Louis and was faculty at St. Louis University School of Medicine from 1982 to 1987. He was certified in Critical Care Medicine while on faculty at St. Louis University and came to Lincoln in 1987 where he started Lincoln Nephrology & Hypertension in 1996. He has been the Medical Director of the Dialysis Center of Lincoln since 1987. Dr. Spry is the past President of the Nebraska Medical Association and an active volunteer and blogger with the National Kidney Foundation. He remains active in the American Society of Nephrology and the National Kidney Foundation.
Amy Kimball, DO FAAP, is a General Pediatrician at Health Trust Physicians Clinic and Madison County Health Care System in Winterset, lowa. Afler undergraduate studies at Cottey College and the University of Denver, and medical school at Des Moines University, she completed her pediatric residency at Blank Children's Hospital where she served as Chief Resident. Following residency, Dr. Kimball joined the Health Trust Physicians Clinic with her family practitioner husband, Dr. Joseph Kimball, DO FAAFP. She has lived and practiced in Winterset for twenty years as the sole pediatrician treating patients in the clinic, emergency
room and hospital.
Dr. Kimball is an active member of the American Academy of Pediatrics (AAP) and the AAP Section on Osteopathic Pediatricians (SOOPe), having served multiple years on the board and as the President and Past President of the lowa Chapter of the AAP from 2018-2020 and 2020- 2022 respectively. She is active at the State and National level in advocacy and child health initiatives including tobacco and e-cigarette education, pediatric obesity, pediatric mental health, safety and injury prevention, and immunizations. Dr. Kimball currently serves as the co-chair of the Legislative Committee and as the E-Cigarette Chapter Champion for the lowa Chapter of the AAP and is a member of the American Heart Association's Tobacco-Free Taskforce Committee. Dr. Kimball is also an active member of the lowa Medical Society and currently serves as the Chairperson for the County and Specialty Society Council and as a member of the Leadership Development Committee.
Jacob Dahlke is a clinical ethicist and the Director of the Office of Healthcare Ethics at Nebraska Medicine in Omaha, NE. Jacob is a graduate of The Bioethics Program at Union Graduate College – Mt. Sinai School of Medicine, and is currently in a PhD program at UNMC studying the intersection of healthcare ethics, structural discrimination, and health care policy. He has contributed to medical ethics in Vermont and Colorado, and is a part of the first cohort of nationally credentialed bioethicists through the American Society for Bioethics and Humanities. Jacob’s primary interests in bioethics include advance care planning, the intersection of systemic racism and bioethics, and healthcare professional wellness as it relates to moral distress and moral injury.
My journey in, and to, medicine has been long and winding, but as I look back at where I’ve been, I know it was the road I needed to travel to be exactly where I belong today. I was born and raised in Nebraska, then attended the University of Southern California in Los Angeles, graduating in 2006 with a bachelor’s degree in neuroscience and philosophy. From there, I swapped coasts and moved to New York, NY, where I worked at The Rockefeller University and rode the train back and forth to Mineola to complete a master’s degree in acupuncture & Chinese Medicine. After completing my studies in New York, I was fortunate to have the opportunity to initiate an acupuncture program in a health care system in North Carolina where I lived for three years prior to spending five months in Boudhanath, Nepal providing acupuncture treatments and learning at a local hospital, followed by ten months studying in Auvergne, France, where I cemented my ambition to complete a medical degree. I returned to the U.S. in June 2013 and worked on prerequisites before attending and graduating from Des Moines University in 2020 as a Doctor of Osteopathy. I was able to return to my roots in Omaha to complete my family medicine residency in 2023 and am now in the process of completing a fellowship year in hospice and palliative medicine at the University of Nebraska Medical Center. I feel incredibly grateful to be able to do work I find deeply satisfying, both in specialty level palliative care and in general family medicine. Current special interests include neuropalliative care, psychedelic assisted therapy and encouraging development and strengthening of primary palliative care skills in the primary care workforce to increase satisfaction for both patients and providers.
Outside of my professional life, I am blessed to be the mama of three energetic and creative children who make me smile (and take deep breaths) on a daily basis. Raising my children surrounded by family and friends in the community where I grew up is a tremendous privilege I am so grateful for. Last, but so definitely not least, I couldn’t do what I do without my incredibly patient and loyal partner Matt. I am deeply indebted to the wonderful people who have walked this path alongside me.
Dr. Clint Rathje grew up on a farm just outside of Aurora, Nebraska and received his Bachelor of Science degree from the University of Nebraska-Lincoln. He went on to earn his medical degree from Kansas City University of Medicine and Biosciences where he graduated with honors. He also obtained his Masters of Business Administration in Healthcare Leadership from Rockhurst University in Kansas City while attending medical school. He completed his General Surgery Residency at the University of Kansas in Wichita, Kansas. Dr. Rathje is Board Certified by the American Board of Surgery.
Dr. Rathje enjoys all aspects of general surgery including advanced laparoscopic and robotic-assisted surgery. In addition to his Lincoln clinic, he serves the communities of Central City, Tecumseh, and Wahoo. He is a member of the Nebraska Medical Association, Lancaster County Medical Society, and American Medical Association.
In his free time, he enjoys spending time with his wife, Mandi and their four daughters. He enjoys being outdoors, DIY projects, and watching college football, GO HUSKERS!
Dr. John Massey has 25 years of experience as a pain management physician in multiple locations across Nebraska. He has served as the chair of the committee that developed and implemented the Nebraska pain guidance document in 2017.
Through the Nebraska Department of Health and Human Services, the Nebraska Medical Association, and the CDC Opioid Response Grant, Dr. Massey provides training in the comanagement of substance abuse disorders with chronic pain along with training regarding buprenorphine therapy. He is a member and past chair of the Nebraska Board of Medicine and Surgery and through this affiliation, is a member of the Federation of State Medical Boards. Dr. Massey has previously served on the FSMB committee that revised recommendations regarding physician impairment.
As a lifelong Cornhusker, Dr. Massey is disappointed about Hawkeye football dominance over the last several years.
Dr. Nayima is double board-certified in Internal Medicine and Allergy/Immunology. Born in Vietnam, Dr. Nayima moved to Des Moines as a child and studied Biology at the University of Iowa before attending Des Moines University for medical school. He completed the University of Iowa - Des Moines Internal Medicine Residency Program at Iowa Methodist Medical Center in 2014 and his Allergy/Immunology Fellowship at the University of Alabama-Birmingham in 2016. Dr. Nayima then returned to Des Moines and founded Iowa Allergy in West Des Moines and Ankeny in 2019.
Dr. Nayima is a big proponent of medical education and serves as adjunct faculty with the University of Iowa Hospitals & Clinics as well as adjunct assistant professor of Internal Medicine with Des Moines University. He also provides lectures and preceptorships to medical students and residency programs in the metro area. His medical interests include seasonal allergies, food allergy, asthma, drug allergy, and immune deficiency.
Dr. Weedin is a board-certified Reproductive Endocrinologist who was born and raised in Waverly, Nebraska. Dr. Weedin received her undergraduate degree in Nutritional Science from the University of Nebraska in Lincoln and then moved to Phoenix, Arizona where she attended medical school and graduated from the Arizona College of Osteopathic Medicine. Following medical school, Dr. Weedin completed her general Obstetrics and Gynecology residency as well as her fellowship in Reproductive Endocrinology and Infertility at the University of Oklahoma Health Sciences Center in Oklahoma City, Oklahoma. During her medical training she was admitted into both Sigma Sigma Phi, the National Honorary Osteopathic service fraternity, as well as to the Alpha Omega Alpha Honor Medical Society. Additionally, she obtained a Masters Degree in Clinical and Translational Science through the University of Oklahoma College of Public Health during fellowship training.
Dr. Weedin’s research interests include polycystic ovary syndrome, and the impact of lifestyle, mental, physical and emotional health, on infertility. She also loves to teach students and residents and holds a faculty appointment at the University of Nebraska Medical Center. Clinically, Dr. Weedin has special interests in Mullerian anomalies, reproductive surgery, multi-disciplinary approaches to patient care, and infertility treatment. Dr. Weedin is a partner at Heartland Center for Reproductive Medicine and offers the full spectrum of reproductive endocrinology and infertility treatment in her practice.
Michelle M. Bottenberg, PharmD, BCPS is a Professor of Pharmacy Practice at Drake University College of Pharmacy and Health Sciences and serves as the Director of the Pharmacy Practice Skills Lab. Additionally, she helps develop, coordinate, deliver and assess interprofessional and collaborative experiences at both Drake University and through the Des Moines Area Interprofessional Collaborative (DMAIPEC) of which she was a founding member in 2013. She currently precepts students at an interprofessional ambulatory care experience at Des Moines University’s Family Medicine Clinic.