A Systematic Approach to Medically Unexplained Symptoms 2018

Fontainebleau Miami Beach, Miami Beach, FL

8/8/2018 - 8/11/2018

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$925 - $995



This course will provide a diagnostic framework/template for chronic medically unexplained conditions with shared etiologies and presentations.  Subsequently, more specific management strategies for each condition will be provided, along with various clinical pearls. The program will cover various conditions seen throughout the scope of internal medicine, selecting from a variety of pertinent general and subspecialty-derived conditions.  Expert faculty will present evidence and case-based clinical approaches.

Intended Audience

This course is intended for internists, subspecialists, physician assistants, nurse practitioners, and others who practice in or have a special interest in treating medically complex patients.

Learning Objectives

Upon completion of this activity, participants should be able to:

  1. Summarize a general framework/construct regarding the approach to chronic functionally-based symptoms.
  2. Integrate a cost-effective and efficient diagnostic methodology in the care of chronic functionally-based symptoms.
  3. Describe updates in the treatment of irritable bowel syndrome.
  4. Describe therapeutic options for chronic subjective dizziness.


Wednesday, August 8, 2018
6:30 a.m. - 7:00 a.m.
7:00 a.m. - 7:15 a.m.
Introduction and Announcements
Anjali Bhagra, MD, Arya Mohabbat, MD, Sanjeev Nanda, MD
7:15 a.m. - 8:15 a.m.
Central Sensitization and Chronic Symptoms
Kevin Fleming, MD
8:15 a.m. - 9:00 a.m.
Chronic Chest Pain & Palpitations
Michael Cullen, MD
9:00 a.m. - 9:30 a.m.
Unexplained Chronic Cough
Vivek Iyer, MD
9:30 a.m. - 10:00 a.m.
Panel Questions & Answers
10:00 a.m. - 10:15 a.m.
10:15 a.m. - 10:45 a.m.
Chronic Dizziness
Jeffrey Staab, MD, MS
10:45 a.m. - 11:15 a.m.
Temporomandibular Disorders and Orofacial Pain
Kevin Reid, DMD
11:15 a.m. - 12:00 p.m.
Subjective Dyspnea
Vivek Iyer, MD
12:00 p.m. - 12:30 p.m.
Panel Questions & Answers
12:45 p.m.
Thursday, August 9, 2018
6:30 a.m. - 7:30 a.m.
Breakfast with the Experts Structured opportunity to ask questions from the previous day speakers. Topics will have an assigned table separate from the exhibitor area.
7:30 a.m. - 8:00 a.m.
When a Food Allergy Is Not an Allergy
Rohit Divekar, MBBS, Ph.D.
8:00 a.m. - 9:00 a.m.
Chronic Fatigue
Kevin Fleming, MD
9:00 a.m. - 9:30 a.m.
Unexplained Coagulopathy
Rajiv Pruthi, MBBS
9:30 a.m. - 10:00 a.m.
Panel Questions & Answers
10:00 a.m. - 10:15 a.m.
10:15 a.m. - 10:45 a.m.
Chronic Pruritus
Julio Sartori Valinotti, MD
10:45 a.m. - 11:30 a.m.
Evaluation of Thyroid Hormones, Myths, Truths and In Between
Mabel Ryder, MD
11:30 a.m. - 12:15 p.m.
Approach to the Patient With Adrenal Fatigue
Neena Natt, MD
12:15 p.m. - 12:45 p.m.
Panel Questions & Answers
12:45 p.m.
Friday, August 10, 2018
6:30 a.m. - 7:30 a.m.
Breakfast with the Experts Structured opportunity to ask questions from the previous day speakers. Topics will have an assigned table separate from the exhibitor area.
7:30 a.m. - 8:00 a.m.
My Hormones Are Off…
Ekta Kapoor, MBBS
8:00 a.m. - 8:45 a.m.
Vaginal Disorders That Impact Sexual Health
Carol Kuhle, DO, MPH
8:45 a.m. - 9:15 a.m.
Evaluation and Management of Chronic Breast and Chest Wall Pain
Sandhya Pruthi, MD
9:15 a.m. - 9:45 a.m.
Panel Questions & Answers
9:45 a.m. - 10:00 a.m.
10:00 a.m. - 10:45 a.m.
Lower GI
Amindra Arora, FRCP
10:45 a.m. - 11:30 a.m.
Upper GI
Nayantara Coelho Prabhu, MBBS
11:30 a.m. - 12:30 p.m.
Amit Sood, MD
12:30 p.m. - 12:45 p.m.
Panel Questions & Answers
12:45 p.m.
Saturday, August 11, 2018
6:30 a.m. - 7:30 a.m.
Breakfast with the Experts Structured opportunity to ask questions from the previous day speakers. Topics will have an assigned table separate from the exhibitor area.
7:30 a.m. - 8:15 a.m.
Approach to the Patient with Musculoskeletal Complaints
Kevin Moder, MD
8:15 a.m. - 9:00 a.m.
Chronic Paresthesia
Sarah Berini, MD
9:00 a.m. - 9:45 a.m.
“I Keep Passing Out” (POTS talk)
Jeremy Cutsforth-Gregory, MD
9:45 a.m. - 10:15 a.m.
Panel Questions & Answers
10:15 a.m. - 10:30 a.m.
10:30 a.m. - 11:15 a.m.
Functional Gait Disturbance
Anhar Hassan, M.B., B.Ch.
11:15 a.m. - 12:00 p.m.
Tips For Improving Communication With Our Patients
Scott Litin, MD
12:00 p.m. - 12:45 p.m.
What is a Psychiatrist Looking for When Evaluating Patients with Medically Unexplained Symptoms?
Shirlene Sampson, MD, MS
12:45 p.m.



As a Jointly Accredited Provider by ACCME, Mayo Clinic College of Medicine (Mayo School of Continuous Professional Development) must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course director(s), planning committee, faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s), please go here


Mayo Clinic College of Medicine and Science complies with the requirements of the National Physician Payment Transparency Program OPEN PAYMENTS (Physician Payment Sunshine Act).



AMA PRA Category 1 Credit™

In support of improving patient care, Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 23 AMA PRA Category 1 Credits™.Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAFP Prescribed Credits

This Live activity, A Systematic Approach to Medically Unexplained Symptoms 2018, with a beginning date of 08/08/2018, has been reviewed and is acceptable for up to  23.00 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  

ABIM MOC Credits

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 23 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Participation information will be shared with ABIM through PARS.

Other Health Care Professionals
A certificate of attendance will be provided to other health care professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

Attendees should ensure in advance that their credentialing or licensing organization accepts AMA PRA Category 1 CreditsTM from the sponsor of this activity.


Registration Fees
Registration fee includes tuition, electronic course syllabus, continental breakfasts, & break refreshments.

MD, PhD, DO, PharmD: $995

Fellow, Resident, PA, NP, RN, Allied Health Practitioners: $925

Optional Paper Syllabus: $50  
Pre-order by July 11, 2018


If you cancel your participation in this course, your registration fee, less a $75 administrative fee, will be refunded when written notification is received by Mayo Clinic General Internal Medicine CME before July 25, 2018 (email: rstgimcme@mayo.edu). No refunds will be made on or after July 25, 2018. Canceled registrations are non-transferable.

Mayo Clinic GIM CME reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event Mayo Clinic GIM CME must cancel or postpone this course, Mayo Clinic General Internal Medicine CME will refund the registration fee, but is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.


Course location:
Fontainebleau Miami Beach
4441 Collins AVE
Miami Beach, FL 33140

Guest rooms have been reserved for attendees and their guests with special course rates at Fontainebleau Miami Beach. In order to receive the special rate, reservations must be made before the room block is filled or before the expiration date of July 27, 2018 5:00 PM, Eastern Standard Time, whichever comes first. Reservations will be taken following this date based on space and rate availability.  

Rates are valid 3 days prior and 3 days post course dates. 

Run of House
Single or Double: $249      Triple: $279      Quad: $309

Online Reservations: https://aws.passkey.com/go/MAYO0718

Phone: 1-800-548-8886
Identify yourself as a participant of Mayo Clinic A Systematic Approach to Medically Unexplained Symptoms when making your reservation

Lodging and transportation arrangements are the sole responsibility of the individual registrant.

Mayo Clinic Division General Internal Medicine is not responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at the meeting. Costs incurred by the registrant such as airline or hotel fees or penalties are the responsibility of the registrant.



At this time, a complete listing of commercial support (financial or in-kind) is not available. Appropriate acknowledgement will be given to all supporters at the time of the meeting.


This course offers the opportunity for commercial companies to interact with health care providers and highlight their products and services. If you are interested in exhibit space during this course, please contact Deb Blomberg. Exhibits will be available for viewing at all scheduled breaks.


Miami Attractions

With its perfect weather and unique blend of cultures, the Miami area offers many things to do, learn and see, some so exclusive that visitors come from around the world for special events.

Adrienne Arsht Center for the Performing Arts and the Colony Theater
Jungle Island for family adventures and exhibits with exotic animals
Ocean Drive
Miami Design District

Eco Adventures: Bike, Canoe, and Kayaking and Snorkeling tours

Recreation: Fishing, Fitness, North Shore Tennis, Crandan Tennis Center, Miami Beach Golf Club

Turnberry Golf and Tennis

FB Kids

At Fontainebleau we go out of our way for kids 4 – 12. Every day at our Miami Beach family hotel presents new choices of daily activities to spark their imaginations, explore individual interests and put their energy and creativity to good use. Activities are led by Fontainebleau’s certified and experienced Adventure Guides who instruct and lead the kids in games, teambuilding, scavenger hunts, sport skills, art, drama, music and movement, and much more. 

Half Day Camp
Full Day Camp
Babysitting Services

Pools and Beach

Family Pool: The Family pool is the perfect place for guests of all ages to dive into a carefree day. Join us for Dive-in Movies this summer season.

Bowtie and Oasis Pool:  Sun worshippers, swimmers, and minglers alike are all welcomed to soak up the warm Miami sun from the natural beauty of Fontainebleau’s oceanfront oasis featuring a central pool design to resemble Morris Lapidus’ signature bowtie design – unquestionably Miami’s most inviting poolscape.

The Beach: Surrender to the warmth of the sun. Few pleasures can compare to the simple joy of chasing waves along miles of pristine sand or lounging under a beach umbrella lulled by the sound of the surf. 

Arkadia Day Club by Mina: Adults only pool

More Activities in August 2018

  • Family Dive-In Movie Night: Mondays and Wednesday
  • Family Pastry Class & Tour: Wednesdays and Saturdays
  • Painting with a Twist:  Thursdays
  • Sushi 101 With Blade: Saturdays
  • History of Fontainebleau Tower:  Saturdays

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