Secure Your Financial Future Break Free From The
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Secure Your Financial Future Break Free From The
Secure Your Financial Future Break Free From The Medical Insurance World Provide Better Patient Care Call our faculty today: 866.953.1510 www.cenegenicsfoundation.org Jointly sponsored by Cenegenics Education and Research Foundation (CERF) Foundation for Care Management (FCM) Beyond Medical Excellence . . . The science you respect . . . the maximized income potential you deserve. Now you can tap into the private-pay sector, delivering exceptional healthcare, free from the medical insurance maze. Age management medicine (AMM) creates a solid solution for the uncertainty looming in our current insurance-based system. Globally recognized, this innovative field of medicine sets a new paradigm with solid science, proven therapeutic methods and comprehensive evaluation. Its proactive, preventive approach bridges the gap between conventional medicine and scientifically based intervention. As a result, patients around the world (including physicians and their families) are taking control of their natural aging process, achieving and maintaining endocrine balance. Accredited, superb training. Cenegenics Education and Research Foundation (CERF) champions the way to next generation medicine for your existing or new practice. Jointly sponsored by CERF and the Foundation for Care Management (FCM), this highly regarded Part 1 & Part 2 Physician Training & Certification in Age Management Medicine presents sound science and strong ethical business models to ensure your long-range financial success: • Earn 60 AMA PRA Category 1 Credits™ • Learn with hands-on clinical training from leading experts in AMM, in a sophisticated facility • Become certified in age management, distinguished in your patients’ eyes as the one who helped restore vitality, energy and quality to their aging process © 2006 Cenegenics Education and Research Foundation. All rights reserved. www.cenegenicsfoundation.org • Uncover a patient’s weakest health links through comprehensive evaluations and diagnostic analyses • Discover the synergy of hormonal optimization, sound nutrition, sensible exercise and quality nutraceutical supplementation • Gain insights on how to transition your practice into a health-based, proactive, preventive approach • Secure your income potential outside insurance entanglements— proven, ethical business, management and marketing strategies show you how • Enjoy high patient retention Certification. Part 1 contains three modules; Part 2 has one. You must complete both segments and meet certain standards, including passing an examination to demonstrate your training and qualifications for practicing AMM. Once evidenced, you will be certified in AMM. Post-certification advanced training. After attaining certification, you’ll have an opportunity to expand your agemanagement knowledge with advanced theory courses—worth $1,995 but presented at no charge—via our Web seminars, earning an additional 20 AMA PRA Category 1 Credits™. “One of the most valuable learning experiences since medical school.” —Enrique Ginzburg, MD Associate Professor of Surgery, University of Miami School of Medicine, Miami, FL Accreditation . . . This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the Foundation for Care Management (FCM) and Cenegenics Education and Research Foundation (CERF). FCM is accredited by the ACCME to provide continuing medical education for physicians. FCM designates this educational activity for a maximum of 60 AMA PRA Category 1 credits™. Upon completion of Part 1 & Part 2 Physician Training & Certification in Age Management Medicine, physicians receive an elegant 16” x 20” parchment matted and presented in a handsome 27” x 30” black frame. The Joint Sponsors . . . Foundation for Care Management The Foundation for Care Management is a not-for-profit 501(c)3 foundation, governed and advised by an active and distinguished board of healthcare professionals and recognized as an international leader in ongoing education for physicians, nurses, pharmacists and other healthcare professionals. Its mission is to provide quality, evidence-based, continuing education, including AMA PRA Category 1 Credits™ to primary care providers who want continuing education of the highest quality. More about FCM can be found at www.FCMcme.org. • Stay abreast of patient care with help from Institute physicians: Alvin Lin, MD (course co-director); Jeffry Life, MD, PhD (course co-director); Beth Traylor, MD; Michael Resnick, MD; Mike Baza, MD; Michael Gunter, MD • Find solutions to nutrition and exercise issues from Annie Colbert, MS, CPT; Janette Whellams, MS, ACSM Cenegenics Education and Research Foundation Cenegenics Education and Research Foundation (CERF) is a not-for-profit 501(c)3 foundation, governed by an independent board. Guided by eminent physician educators and researchers, CERF’s mission is to conduct research and provide evidence-based education in age management and proactive, preventive medicine and to support other organizations with similar goals to develop best-practice standards in the prevention of disease. Learn more at www.cenegenicsfoundation.org. Ongoing Resources, Continued Support . . . As in any medical field, staying informed of current trends—beyond initial training and certification—is essential. CERF recognizes that, becoming your personal resource for clinical, business and marketing concerns, as well as past, present and future research and developments in age management: • • Learn advanced theories and earn CMEs via a Web seminar program, a series of 10 presentations earning a maximum of 20 AMA PRA Category 1 Credits™, titled Advanced Topics in Age Management Medicine “The core information was backed with excellent literature references, and the instructors were experts in areas they taught. This age management program has changed the way I practice medicine.” —Robert Willix, Jr., MD, FACSM Boca Raton, FL Keep the business side of your practice on track, contacting John E. Adams, Cenegenics® Medical Institute’s president, available to answer concerns related to practice development, business or marketing www.cenegenicsfoundation.org Age Management . . . A Smart, 21st Century Practice Age management medicine is just that—scientifically sound, evidenced-based medicine. It is not part of the anti-aging movement, nor does it claim to increase longevity or affect aging at cellular levels. Equally important, it is not founded on unsubstantiated claims or pseudo-science. AMM sees aging as a natural process (not a disease) that can be managed with innovative programs. As trained age-management physicians, we can incorporate well-known and accepted markers of disease risk into proactive patient management, making it possible to prevent premature disability and death while helping patients regain and maintain optimal health and vigor. A certified age-management physician uses hormone modulation for the endocrinologically “normal” by identifying hormone levels, which yield superior health outcomes. For most hormones, that is the upper 25% - 30% of the normal range for the patient’s age. The exceptions are insulin, cortisol and hGH. Reducing insulin and cortisol levels to the lower end of the normal range for the patient’s age is key—whereas hGH modulation is considered only when a comprehensive evaluation reveals an adult onset growth hormone deficiency (GHD). Backed by extensive training, the AMM physician can accurately evaluate a patient’s health status in terms of age-management goals and initiate an appropriate, individualized hormonal modulation therapy program. The physician examines hormones that decline with age, the timing and degree of that decline as well as the related physiologic consequences—knowing www.cenegenicsfoundation.org hormone modulation’s risks and benefits, regarding sex hormones, thyroid hormone, melatonin and growth hormone (for adult onset GHD). Controlling levels and achieving balance with hormones contributing to the aging process are key. Therefore, a critical component is added to the age-management protocol: the synergy of optimal low-glycemic nutrition, appropriate nutrient supplementation, physical exercise and recommended lifestyle adjustments. Along the way, a qualified agemanagement physician adjusts the hormone dose and related therapies, addressing any side effects. Patients are monitored to determine the treatment’s efficacy with periodic diagnostic testing to determine progress objectively and to keep patients as disease-free as possible. Register for AMM training today: Call 1.866.953.1510. “The most important aspect . . . the clinical interaction with patients.” —Hugo Pribor, MD, PhD, FCAP Clinical Professor of Pathology Emeritus, Vanderbilt University Medical Director & President, Pribor & Associates Medical Director, Quest Diagnostics, Nashville, TN “Everything they promised and more.” —Eva-Maria Heurich, DO, FAAFP Clinical Associate Professor, NOVA Southeastern Osteopathic College of Medicine, Ft. Lauderdale, FL Age Management Medicine: Patient Benefits • • • • Youthful aging and better health— vitality, vigor and a higher quality of life with improved cognitive functions, enhanced libido, lean muscle mass, decreased body fat, better skin tone and elasticity, improved cholesterol scores, a stronger immune system and healthier bones Real answers to specific health concerns—more than a snapshot, the comprehensive evaluation and ongoing analyses provide evidencedbased data, revealing the entire picture of what’s happening inside the body and uncovering a patient’s strengths and weakest health links Individualized, synergistic proactive therapeutic programs—a proven four-faceted protocol of hormone modulation, low-glycemic nutrition, sensible exercise and quality nutraceutical supplementation, which meets health goals 95% of the time Ongoing, expert care—since the body changes, your periodic dialogue and consultations track progress, determining adjustments along the way Age Management Medicine: Your Benefits • Help patients lead healthier, more vigorous lives—with the potential for increased longevity • Increase income—beyond your regular practice • Get paid directly for your services— even before they are performed . . . no receivables ever again • Offer tax-deductible programs— no insurance entanglements • Restore physician-patient relationship—fire third-party payers • Build practice with motivated patients—able to afford privatepay medicine—such as business owners, executives, physicians, lawyers, bankers, accountants, real estate developers and their families • Enjoy high patient retention—thanks to successful therapies and patient management systems, which effectively guarantee an ongoing income stream • Develop patient loyalty—revered as “the” physician, helping restore vitality to their lives More Benefits You’ll appreciate the evidenced-based approach and solid science used in our training and certification program. In fact, prestigious institutions and medical journals consistently publish articles, validating the therapies you will learn. To stay on the progressive—yet medically grounded—edge, we also continually expand our affiliations: The Cenegenics Education and Research Foundation is conducting a retrospective review study with the University of Miami Miller School of Medicine. Results of this study will be submitted in early 2007 for publication in a peer-reviewed journal. ADD AGE MANAGEMENT MEDICINE TO YOUR NEW OR EXISTING PRACTICE WITH PROVEN ETHICAL BUSINESS AND MANAGEMENT STRATEGIES. www.cenegenicsfoundation.org Aging: Signs & Symptoms Currently, it’s not possible to affect biological aging at the cellular level or increase longevity per se. However, the indicators of aging can be delayed. In some instances, these signs and symptoms can be relieved—and even reversed—by restoring optimal endocrine balance (upper end of the normal range for the patient’s age), creating better system integration. Extending Health Span We can enhance vitality through nutrition, exercise and hormone optimization. By extending our health span, we can take advantage of future medical breakthroughs, which may result in increased longevity. Quality of Life Normal AGE Optimized Leading Causes of Death: Persons 65 and Older 1. 2. 3. 4. 5. Asian or Pacific Islander Hispanic White Black American Indian Heart Disease Heart Disease Heart Disease Heart Disease Heart Disease Cancer Cancer Cancer Cancer Cancer Stroke Stroke Diabetes Stroke Stroke COPD Diabetes Stroke Pneu/Influenza COPD Pneu/Influenza Pneu/Influenza COPD COPD Pneu/Influenza Trends in Health and Aging, 2001 Interactive Hormones All our hormones are interactive; deficiencies and/or excesses rarely exist alone. Think of a symphony orchestra playing Beethoven’s Ninth. You need all the instruments and the choir. “The whole is greater than the sum of the parts.” Never was there more truth in this statement than when applied to the endocrine system. www.cenegenicsfoundation.org PART 1 • Module 1: Introduction to Age Management Medicine 1 Day 10 AMA PRA Category 1 Credits™ Discover the scope of AMM, along with the theory and practice of AMM—including the synergistic components, nutrition and exercise. The course discusses preventive medicine, (including risk factors and the role oxidation and inflammation play in degenerative diseases) and describes evaluation of the aging adult and laboratory panel. Prior to arriving at the training site, three home-study subsets must be completed, using the homestudy materials, which include tests: Cardiovascular disease – LDL cholesterol, fiber, over-the-counter alternatives, HDL cholesterol and triglycerides, lipoprotein(a), homocysteine, C reactive protein, Syndrome X/Metabolic Syndrome• Osteoporosis – bone densitometry (dual energy X-ray absorptiometry), pharmaceutical agents • Dementia – neurochronometric analysis • Diet and nutrition – minimum protein requirement, glycemic index, glycemic load, saturated, monounsaturated, polyunsaturated, trans fats • The exercise prescription Outcome Objectives • Overview of AMM – 1 hour After completing this module, the physician will be able to . . . • Nutrition in AMM – 1 hour • • The Exercise Prescription –1 hour At the training site, you will personally experience a Clinical Executive Health Evaluation: complete physical exam, fitness and flexibility measurements, DEXA scan, hormone panel appropriate for gender, CBC, Chem 20 screen, HbA1C, serum insulin, homocysteine, serum iron, lipid panel, CRP, TIBC and U/A. Module Content • Definitions and disease targets • Cancer – age and riskappropriate screening, e.g., colonoscopy, mammogram, Indole-3-Carbinol, lycopene, melatonin, omega 3 fatty acids • Diabetes mellitus – hemoglobin A1c, insulin resistance/ insensitivity, percent body fat Comprehend the scope of AMM, rooted in nutrition, endocrinology and disease-risk management • Identify risk factors for chronic degenerative disease, including oxidation and inflammation • Describe the optimal balance of protein, carbohydrate and fat to delay the onset of degenerative disease • Describe the relationship of glycemic load (GL) to glycation, advanced glycation end-product (AGE) formation, oxidative stress, and degenerative disease • Describe the relationship of GL to serum lipoproteins and cardiovascular risk • Describe the role of fat and protein in limiting GL and managing cardiovascular risk • Describe GL and its relationship to blood glucose control • Calculate the GL of any carbohydrate, given the parameters of total carbohydrate and fiber content • Identify foods carrying a high GL and those with a low GL • Identify patients with Syndrome X/ Metabolic Syndrome and formulate a lifestyle approach for treatment • Review findings in the literature regarding the value of exercise in the treatment and prevention of chronic disease • Formulate an exercise prescription for several patients Attendee Evaluations CME evaluation scores compiled from previous attendees: With 4.0 as the highest possible score, Module 1 was rated 3.74 on average. “This experience confirmed my belief that [this institute] is an ethical, conservative medical business that will promote a sound approach to age management medicine.” “I found the presentation very organized, and they answered all questions appropriately for my practice.” “Excellent presentation in all areas and a good learning experience.” www.cenegenicsfoundation.org PART 1 Home-Study Subsets Module 2: Clinical Training Testosterone Modulation for Men and Women – 2 hours 3 Days DHEA – 1 hour 30 AMA PRA Category 1 Credits™ Hormonal Modulation for Women – 1 hour Experience hands-on clinical training in a state-of-the-art patient care facility, acquiring diagnostic and treatment skills necessary to add AMM into your new or existing practice. This module emphasizes . . . • Hormonal Evaluation of the Aging Male • Hormonal Evaluation of the Aging Female • Human Growth Hormone Evaluation for Adult Onset GHD Work alongside faculty, becoming familiar with hands-on patient care. Patients in attendance at the training site and those participating in conference calls are the subjects for instruction. The number of initial evaluations and follow-up phone consults varies, based on the scheduled patient flow on that given day. The home-study subsets—done online—are rigorous, preparing you to diagnose and treat patients. The materials are mandated and must be completed prior to experiencing the clinical portion of Part 1/Module 2. Materials in the home-study subsets examine the signs and symptoms, pathophysiology, clinical diagnosis and treatment of the aging adult. An online test must be done at the end of each home-study subset; results can be printed out. Once completed, clinical evaluation and patient management for an AMM program follows, including initial evaluations and follow-up consults, resembling a mini-residency. www.cenegenicsfoundation.org Osteoporosis – 1 hour Growth Hormone Evaluation of the Deficient Adult – 2 hours Legal Considerations in AMM – 1 hour Hormonal Evaluation of the Aging Male The clinical syndrome—related to the decline in testosterone, DHEA (-S) and testosterone-to-estradiol ratio—occurs in men gradually, beginning at age 35, approximately. Module Content • Testosterone physiology and measurement • Relationship between testosterone, muscle mass, strength and body composition • Relationship between testosterone, cardiovascular disease, blood pressure and glucose metabolism • Relationship between testosterone, libido and erectile quality • Relationship between testosterone, cognitive function and mood • Absolute and relative contraindications to testosterone replacement • Testosterone replacement dosing, delivery method and treatment goals • Testosterone replacement therapy concerns and side effects • DHEA (-S) physiology, measurement and replacement Outcome Objectives After completing this module, the physician will be able to . . . • Recognize the hormonal manifestations of the aging male • Analyze the laboratory results obtained in the male hormone evaluation • • • Discuss benefits and risks of various testosterone supplementation methods Clinical evaluation and patient management for an AMM program follows, including initial evaluations and follow-up consults. Module Content • Estrogen physiology and measurement • Menopause • Relationship between estrogen/hormone replacement therapy (ERT/HRT) and related disease states • • Initiate individualized hormone treatment of the aging male Monitor the efficacy of treatment, adjust the dose of hormones and related therapies and address side effects Hormonal Evaluation of the Aging Female The clinical syndrome related to the decline in estradiol and progesterone occurs in women, beginning around their late 40s and early to mid-50s. This module examines menopause signs and symptoms, pathophysiology, clinical diagnosis and treatment. Risks and benefits of bioidentical versus non-bioidentical hormone replacement therapy, various modes of administration and side effects are discussed. Estrogen replacement dosing, delivery method and treatment goals Absolute and relative contraindications to ERT/HRT and alternative therapies • ERT/HRT concerns and side effects • Progesterone physiology, measurement and replacement • Testosterone physiology, measurement and replacement Outcome Objectives After completing this module, the physician will be able to . . . • Recognize the physiological and emotional symptoms of menopause • Discuss estrogen and progesterone physiology and laboratory measurements • Review the latest findings from current research regarding hormone replacement therapy • Analyze the laboratory results obtained in the female hormone evaluation • Discuss the risks and benefits of hormone replacement therapy (HRT) • Discuss the differences between bioidentical and nonbioidentical hormones • Initiate individualized hormone treatment of the aging female • Monitor the efficacy of treatment, adjust the doses of hormones and related therapies, and address side effects • Describe absolute and relative contraindications to ERT/HRT and alternative therapies • Discuss issues related to female sexual dysfunction and new therapies to treat it Human Growth Hormone Evaluation for Adult Onset GHD This study module provides an overview and rationale for the reasoned use of growth hormone modulation therapy for adult onset growth hormone deficiency in the clinical setting when a comprehensive evaluation reveals an adult deficiency. This module is not about growth hormone alone, but rather it is about evaluating growth hormone levels and their consideration as one clinical factor among many in a comprehensive adult patient-oriented diagnosis, prevention and lifestyle alteration program. DHEA and thyroid are also evaluated in aging adults. Examined are the signs and symptoms, pathophysiology, clinical diagnosis and treatment of GHD plus DHEA and thyroid imbalance. Also discussed are risks and benefits of human growth hormone replacement therapy in a proven adult deficiency, including mode of growth hormone replacement and side effects—as well as risks www.cenegenicsfoundation.org and benefits of thyroid and DHEA supplementation, various forms of thyroid supplementation and side effects. Clinical evaluation and patient management for an AMM program follows, including initial evaluations and follow-up consults. Outcome Objectives • Review the metabolic pathway of human growth hormone Module Content • Identify the signs and symptoms of growth hormone in adult onset growth hormone deficient patients • Review the research studies concerning growth hormone therapy (in proven adult growth hormone deficient patients) particularly in relation to prostate and breast cancer • Diagnose adult onset growth hormone deficiency, including clinical presentation and lab studies • Discuss the benefits and risks of hGH replacement in adult onset growth hormone deficient patients • Describe the route of administration and dosing of hGH in adult onset growth hormone deficient patients • hGH replacement therapy concerns and side effects • Discuss legal issues relating to the administration of hGH • Legal issues relating to the prescribing of hGH • Describe the metabolic pathway of DHEA • Hypothyroidism and thyroid imbalance • Discuss the literature on DHEA and its replacement value in heart disease, mood and well-being, auto-immune and inflammatory diseases, bone health, brain function and erectile dysfunction • Thyroid replacement dosing, delivery method and treatment goals • Determine an individualized dosing protocol, based on patient lab values and response • Thyroid replacement therapy concerns and side effects • Monitor the efficacy of treatment, adjust the doses of hormones and related therapies and address side effects After completing this module, the physician will be able to . . . • Hypothalamic-pituitary-adrenal axis physiology and measurement • Relationship between hGH, muscle mass, strength and body composition • Relationship between hGH, cardiovascular disease, blood pressure and glucose metabolism • Relationship between hGH, cognitive function and mood • Absolute and relative contraindications to hGH replacement • hGH replacement dosing, delivery method and treatment goals • Absolute and relative contraindications to thyroid replacement • DHEA (-S) physiology, measurement and replacement 10 www.cenegenicsfoundation.org • Recognize the clinical manifestations of thyroid imbalance • Analyze the laboratory results obtained in a thyroid imbalance evaluation • Discuss the benefits and risks of thyroid supplementation • Initiate individualized treatment of the thyroid imbalance patient Attendee Evaluations CME evaluation scores compiled from previous attendees: With 4.0 as the highest possible score, this module was rated 3.89 on average. PART 1 • Generating prospective patient leads – advertising, networking, events, acquisition cost per lead • Closing Executive Health Evaluation sales – including physician time requirements, phone calls, emails, one-on-one meetings, close rates, acquisition cost per evaluation Learn how to incorporate AMM into your existing or new medical practice, using proven business and management strategies. This module has a 30-minute, home-study subset with a test. The learned concepts are discussed during a four-hour/on-site clinical training. • Patient pricing – Executive Health Evaluation and semiannual professional fees • Pricing – physician/corporate/couple • Tax deductible – no insurance Module Content • Physician capacity – recognizing the 5-year time investment • Advertising expense and overhead • Maintaining full capacity – attrition rates, program close rates • AMM revenue model • Variable expenses – baseline labs/blood draws, exercise and nutrition consultations by an independent contractor, cognitive testing, credit card fees • Fixed expenses – advertising costs per Executive Health Evaluation, nonphysician payroll costs, shared office space, malpractice and miscellaneous expenses • Legal issues – hGH for deficient adults, legal vs. illegal hGH forms, risks when physicians profit from lab services or prescription drugs, Medicare issues, illegal/counterfeit products, FDA warnings, NY Times article on counterfeits, Internet drugs from overseas, anti-aging products facing congressional scrutiny • Initial steps – setting up shared office, staffing, initial advertising campaigns, closing and completing Executive Health Evaluations and AMM programs Module 3: Building Your Age Management Practice 1/2 Day 4 AMA PRA Category 1 Credits™ • • “Great course—allowed for a huge amount of time for learning in a very relaxed environment.” “I have met few physicians with better rapport and ethical standards.” “Well organized with valuable information.” Location – prestigious addresses, space requirements for solo physician practice or AMM center, floor plan examples, upscale décor Diagnostics – lab panel, bone density, body fat, cognitive testing, strength testing, etc. • Staffing – qualification, Internetbased recruiting/hiring resources • Creating a 5-hour Executive Health Evaluation – 2-hour physician consultation, 1.5 hour exercise/nutrition consultation, 30-minute cognitive testing, 30minute nutritional DVD, 30-minute program, review and close • Marketing materials – brochures, business cards, Website with visitor registration, article reprints, DVD/CD set • Know the prospective patient profile – male (age 40-69) makes up 90%, typically business owners, executives, professionals and their families, unlike general healthcare, where females bring in the men www.cenegenicsfoundation.org 11 Outcome Objectives PART 2 After completing this module, the physician will be able to . . . Physician Training in Age Management Medicine • Determine the appropriate location for the practice, from spacing to décor • Staff the practice appropriately, cost-effectively • Understand timing requirements of an Executive Health Evaluation • Market successfully, from target patient demographic to advertising materials • Plan advertising, variable, fixed and other expenses correctly • Grasp the tax deductible aspect and the AMM revenue module • Know the legal issues surrounding AMM and work within FDA guidelines • Price fees appropriately • Build an AMM practice, from the ground up Attendee Evaluations CME evaluation scores compiled from previous attendees: With 4.0 as the highest possible score, this module was rated 3.94 on average. “Thorough and insightful, specific to my needs.” “Concise and comprehensive.” “Gave me the confidence to get started!” 12 www.cenegenicsfoundation.org 16 AMA PRA Category 1 Credits™ This part of the training demonstrates your competency in AMM. There are 50 questions, covering basic science/clinical science and 20 real-life case studies, all multiplechoice. To answer these case study questions, you must consider the complete patient history and be able to interpret the laboratory results accompanying each case, based on the standardized dosing algorithm given during the formal training modules. Eligibility for Part 2 hinges on satisfactory completion of Part 1 and being licensed in good standing in the state you are practicing. After finishing Part 1 at the training site, a battery of basic science/clinical science questions and case studies are completed as a home study. A Cenegenics Education and Research Foundation certificate is awarded when Parts 1 and 2 are successfully completed. The certificate states the certificate holder has met certain standards and has passed an examination conducted by Cenegenics Education and Research Foundation (CERF) and the Foundation for Care Management (FCM), demonstrating to the satisfaction of CERF that the certificate holder has the training and qualifications needed to practice age management medicine. Certificate of Completion Each case study must be reviewed and questions answered, focused on specific sub-topics including . . . • Basic Science/Clinical Science (50 questions) • Introduction to Age Management Medicine (5 cases) • Hormonal Evaluation of the Aging Male (5 cases) • Hormonal Evaluation of the Aging Female (5 cases) • Human Growth Hormone Evaluation for an Adult Onset Growth Hormone Deficiency (5 cases) Answers to the basic science/clinical science questions and case studies must be returned to the CERF faculty. Grading is completed within five working days of receipt. Three out of four questions in each case study must be answered correctly and a passing 80% earned for each sub-topic to receive credit for the module (16 AMA PRA Category 1 Credits™). CERF must receive the answers to the basic science/clinical science questions and case studies (along with the evaluation) within 90 days from the date you received the exam. If a passing score isn’t earned, the entire module must be retaken; the module can be retaken a maximum of two times. Address general questions on the case studies to Marina Tettis at CERF: [email protected]. You will receive a response within three working days of receiving questions. Outcome Objectives After completing this module, the physician will be able to . . . • Obtain a health history pertinent to AMM • Interpret laboratory studies as prescribed by CERF for assessing the physical, mental and emotional status of the patient • Develop and implement an individualized regimen for nutrition, exercise and hormonal optimization • Develop and implement a plan to resolve side effects and promote adherence to treatment regimen • Formulate a treatment plan, using evidence-based research presented in home-study subsets, on-site clinical practice and your personal review of the literature Attendee Evaluations: Evaluation for AMA PRA Category 1 Credits™ A standard evaluation of the learning process is conducted, using a Likert scale. The evaluation also asks if the presentation of the case study content is balanced (commercially unbiased) and requests the participant for a commitment to change. The knowledge gained is measured using case studies, reviewed by the participant and validated by the faculty. “An excellent course in age management. It gives me the reassurance and confidence to further develop my age management practice.” “A great training and a great learning experience.” “This portion of the training is imperative . . . to completely understand and implement age management medicine.” “Probably the best and the most serious [course] . . . on age management medicine.” This evidenced-based education requires a six-month, follow-up survey with all participants to determine the extent the educational experience changed their clinical practice and to determine their need for further education in AMM. On the summary evaluations, 97% rated the course good to superior, with 79% rating it superior. www.cenegenicsfoundation.org 13 Faculty Jeffry S. Life, MD, PhD Alvin B. Lin, MD Dr. Life is a course co-director and a faculty member for Cenegenics Education and Research Foundation (CERF). He also is a senior institute physician at the Cenegenics® Medical Institute. Dr. Lin is a course co-director and a faculty member for Cenegenics Education and Research Foundation (CERF). He also is a senior institute physician at the Cenegenics Medical Institute. Dr. Life has completed Physician Training & Certification in Age Management Medicine, jointly sponsored by CERF and the Foundation for Care Management (FCM). Dr. Lin has completed Physician Training & Certification in Age Management Medicine, jointly sponsored by CERF and the Foundation for Care Management (FCM). Dr. Life is board-certified in family medicine. He is a Diplomate of the American Board of Family Medicine and a Fellow of the American Academy of Family Physicians. After receiving his medical degree from University of Iowa, Dr. Life completed his residency in family medicine and internal medicine at West Virginia University. He also attained a PhD in environmental sciences and health. Throughout his career, Dr. Life was a full-time family physician and a parttime assistant professor at Marywood University in Pennsylvania, teaching graduate courses in nutritional science and exercise physiology. In 1998, after reaching a lifetime high in body weight, percentage of body fat and level of deconditioning, Dr. Life entered EAS National Body-for-LIFE Challenge, at age 60. He won the contest and became a Grand Champion. Dr. Life continues to live a lifestyle promoting health and fitness. He wrote a chapter on “Exercise, Fitness and Lifestyle” for a popular medical textbook, published in 2002.Currently, he is completing a Masters of Science program in sports nutrition and exercise science, while working on an upcoming book. 14 www.cenegenicsfoundation.org Dr. Lin is board-certified in family medicine. He is a Diplomate of the American Board of Family Medicine and a Fellow of the American Academy of Family Physicians. Dr. Lin earned his bachelor of science in biology and a post-baccalaureate in computer science from the University of California, Riverside. After receiving a medical degree from the Bowman Gray School of Medicine at Wake Forest University, Dr. Lin completed his residency in family medicine at the University of California, Davis. Dr. Lin completed a fellowship in geriatrics at the Brody School of Medicine, East Carolina University. He earned the Certificate of Added Qualifications in geriatric medicine, then re-certified in family medicine. Dr. Lin continued at East Carolina, where he was appointed director of the Ambulatory Geriatrics Center and assistant clinical professor in the Department of Family Medicine at the Brody School of Medicine. In this capacity, Dr. Lin had the opportunity to train the next generation of family physicians, geriatricians, physician assistants and nurse practitioners, while delivering babies and caring for our elderly. Dr. Lin also is a clinical assistant professor. His diverse professional background, coupled with ACLS, ALSO, ATLS, BLS, NRP and PALS certifications, has made him an influential and successful mentor. Alan P. Mintz, MD John Adams Michale Jill Barber, MD Dr. Mintz serves as a faculty member for the Cenegenics Education and Research Foundation (CERF). He also is the chief medical officer, chief executive officer and co-founder of Cenegenics Medical Institute, where his commitment to excellence, professional expertise and guidance are evidenced. In addition, Dr. Mintz has been a driving force behind the implementation of CERF’s university-affiliated research. John Adams serves as a faculty member for Cenegenics Education and Research Foundation (CERF). He also is the president, co-founder and CPA of Cenegenics Medical Institute, where his proven leadership abilities and strong financial vision contribute to the organization’s unparalleled success. Dr. Barber serves on the faculty of Cenegenics Education and Research Foundation (CERF) and is the CEO of Cenegenics South Carolina. Dr. Mintz has completed the Physician Training & Certification in Age Management Medicine, jointly sponsored by CERF and the Foundation for Care Management (FCM). Dr. Mintz is board-certified in radiology, nuclear medicine and radiation therapy. He is a Diplomate of the American Board of Radiology, including nuclear medicine and radiation therapy. A University of Chicago graduate, Dr.Mintz earned the Degree of Doctor of Medicine from the University of Illinois - School of Medicine. He went on to serve as a physician with the U.S. Navy, prior to postgraduate training in radiology. Throughout his career, Dr. Mintz was appointed chairman of the Department of Radiology for several Chicago-area hospitals and remains an adjunct professor for the Center for Cardiovascular Research at Northeastern Illinois University. He held the position of chief executive officer, president and co-founder for the world’s largest radiology management company, Medicon, Inc. Dr. Mintz has attained international recognition as a lecturer and published author in such prestigious publications as the Journal of Age Management Medicine and Total Health. He remains active, lecturing throughout the world on age management medicine, presenting health from a new perspective. A University of Illinois at Chicago graduate, Mr. Adams was appointed to the Dean’s Business Advisory Council of the College of Business Administration. His path to success began in Chicago as a certified public accountant. Before long, Mr. Adams was acknowledged for his consummate work ethic, earning him the role of senior consultant for Arthur Andersen & Company’s Emerging Business Group. Mr. Adams’ first entrepreneurial venture was as co-founder, executive vice president and chief operating officer of Medicon, Inc.—the world’s largest radiology management company. There, he demonstrated his extraordinary ability for developing and implementing a business model from a medical vision. Complementing his success, Mr. Adams serves on the board of the elite Young Presidents’ Organization. It is with Mr. Adams’ direction, perseverance and incomparable drive that Cenegenics Medical Institute continues on the progressive edge of patient care, maintaining its position as a leader in age management medicine, nationally and internationally. “The faculty is personable and good at explaining the business, medical and legal aspects of age management medicine.” Dr. Barber has completed Physician Training & Certification in Age Management Medicine, jointly sponsored by CERF and the Foundation for Care Management (FCM). Dr. Mickey Barber is a boardcertified anesthesiologist, a Diplomate of the American Board of Anesthesiology and former assistant professor of Tulane University. After earning a medical degree from the Medical University of South Carolina, Dr. Barber completed her residency (anesthesiology) and internship (general surgery) at Tulane University Medical Center as well as a fellowship in obstetrical anesthesia at Harvard Medical School/ Brigham & Women’s Hospital. Committed to excellence, Dr. Barber has received several awards for clinical performance and teaching skills throughout her career, such as Outstanding Faculty of the Year (Tulane University), Robert D. Dripps Memorial Award (Outstanding Graduate Resident in Anesthesiology), Chief Resident (Tulane University), Surgical Intern of the Year (Tulane University), among others. Her achievements also include several appointments, research contributions and lecture presentations. Dr. Barber is a member of the American Society of Anesthesiologists, American Medical Association, South Carolina Medical Association and Charleston County Medical Society. www.cenegenicsfoundation.org 15 Beth A. Traylor, MD Michael L. Resnick, MD Dr. Traylor serves on the faculty for Cenegenics Education and Research Foundation (CERF) and is an Institute physician at Cenegenics® Medical Institute. Dr. Michael L. Resnick is a faculty member of the Cenegenics Education and Research Foundation (CERF) and is an Institute physician at Cenegenics Medical Institute. Dr. Traylor has completed Physician Training & Certification in Age Management Medicine, jointly sponsored by CERF and the Foundation for Care Management (FCM). He has completed Physician Training & Certification in Age Management Medicine, jointly sponsored by CERF and the Foundation for Care Management (FCM). Dr. Traylor is a board-certified family physician, a Diplomate of the American Board of Family Medicine and a Fellow of the American Academy of Family Physicians. Hailing from Chicago, Dr. Traylor earned an undergraduate degree in psychology from the University of Illinois. In 1984, she received a medical degree from the University of Health Sciences/Chicago Medical School. She completed her family medicine residency in 1987 at St. Joseph Hospital, a Northwestern University affiliate. Moving into private practice, Dr. Traylor enjoyed positions in both administrative and clinical capacities. She served as lead physician and branch medical officer for the San Jose Medical Group, as well as maintained a full clinical practice with a special area of interest in women’s health. In 2000, Dr. Traylor moved to Las Vegas, where her growing interest in bioidentical hormone replacement led her to the Cenegenics Medical Institute. Throughout her career, Dr. Traylor was a Fellow of the American Academy of Family Physicians, received the American Medical Association Physician Recognition Award and was published for her work on behavioral factors and physical health. 16 www.cenegenicsfoundation.org A graduate of Northwestern University Medical School, Chicago, Illinois, Dr. Resnick performed a rotating externship in thoracic diseases and cardiology at the Mayo Clinic, Rochester, MN, and a residency at Cornell University Medical Center, New York Hospital, New York, NY. Dr. Resnick—a former major in the US Air Force—holds medical licenses in several states, including California, Nevada, New York, Tennessee, North Carolina and Kentucky. His previous practices encompassed obstetrics, gynecology, laser surgery and infertility. Over the years, he used his medical expertise in radio and television, including as CBS Medical Reporter (Phoenix, AZ) and Healthwatch Reporter (Miami, FL); ABC’s Medical Editor (Las Vegas, NV) and ABC’s Staying Healthy reporter (San Diego, CA). Dr. Resnick has also been the home physician for medical segments on ABC’s “The Home Show,” hosted by Gary Collins. Dedicated to medicine, advanced learning and his patients, Dr. Resnick serves on the faculty at CERF and currently is a member of several organizations, including the American Medical Association, American Fertility Society, Alpha Epsilon Society and Phi Beta Kappa. His civic commitment encompasses work with the March of Dimes and the Make a Wish Foundation. Michael John Gunter, MD Jose M. Baza, MD Dr. Gunter is a faculty member of the Cenegenics Education and Research Foundation (CERF) and is an Institute physician at Cenegenics Medical Institute. Dr. Baza is a faculty member of the Cenegenics Education and Research Foundation (CERF) and is an Institute physician at Cenegenics Medical Institute. He has completed Physician Training & Certification in Age Management Medicine, jointly sponsored by CERF and the Foundation for Care Management (FCM). He has completed Physician Training & Certification in Age Management Medicine, jointly sponsored by CERF and the Foundation for Care Management (FCM). Dr. Michael John Gunter is boardcertified in family and sports medicine with a CAQ in sports medicine. He is a Diplomate of the American Board of Family Medicine. Dr. Baza is a specialist, boardcertified in emergency medicine from the American Board of Emergency Medicine. After earning an undergraduate degree in biology at the University of Nevada-Las Vegas, Dr. Gunter received his medical degree from the University of Nevada-School of Medicine at Reno. He completed his residency at Scottsdale Memorial in Arizona for family practice as well as a fellowship at Toledo Hospital in Ohio for sports care/sports medicine. He furthered his education in Santa Monica, California, with UCLA acupuncture for medical doctors and holds certification from the American Academy of Medical Acupuncture Dr. Gunter has been the cast physician for Lord of the Dance, Blue Man Group and EFX. He also was a medical director for HEALTHSOUTH Rehab and Cliff Keen events. Dr. Gunter served as chairman of family practice at Spring Valley Hospital in Las Vegas and is the current chair for family practice at Summerlin Medical Center. Dr. Gunter’s passion for excellence is evidenced in his faculty work at CERF as well as in his activities and awards: Quality Assurance Chair and Chief Resident, Scottsdale Memorial; Resident Teacher of the Year, Scottsdale, Arizona; recipient of NIH research grant, among others. After receiving his undergraduate degree from California State University at Long Beach, Dr. Baza earned a medical degree from California State University at San Diego. He completed an internship and residency at Highland General Hospital in Oakland, California. Hailing from Los Angeles, California, Dr. Baza held a president position in the Highland Interns and Residents Association, California Medical Students Association and Chicanos for Community Medicine. “The faculty was pleasant and very informative.” “The faculty demonstrated superb patient interaction skills and bedside manners.” “I was impressed with the openness and candor of the faculty.” “Willing and able to answer peripheral questions.” “Very experienced advisors and educators.” “Excellent presentation in all areas and a good learning experience.” Dr. Baza continues to pursue his academic medical interests, including age management, ophthalmologic emergencies, metabolic/acidbase disorders, trauma medicine and travel/tropical medicine. “The faculty was very helpful in answering my questions—all the materials were covered by the end of the seminar.” “Discussions were very good.” www.cenegenicsfoundation.org 17 Need more information? Call 1.866.953.1510 Training Location Cenegenics Education and Research Foundation 851 South Rampart Boulevard, Las Vegas, NV 89145 Toll-free phone: 1.866.953.1510 Email: [email protected] www.cenegenicsfoundation.org Hotel J.W. Marriott - Las Vegas 221 North Rampart Boulevard, Las Vegas, NV 89145 Phone: 1.877.869.8777 Request Cenegenics discounted rate Transportation Air Travel Las Vegas, McCarran International Airport - 19 miles from CERF Ground Transportation Taxi Service - About $37 from McCarran Airport to CERF Private Sedan Service - About $60 from McCarran Airport to CERF; call On-Demand Sedan at 1.800.245.9956 Cenegenics Education and Research Foundation (CERF) Physician Training & Certification: Registration/Information Request Name _ _____________________________________________________________________________________________ First Middle Initial Last Academic Credential(s) Address_____________________________________________________________________________________________ City_________________________________________________ State____________________ Zip ____________________ Phone (________)_______________________Fax (________)________________________ Email_ ___________________ Please contact me to discuss my questions (mail or fax your request) I’m planning to attend the training (complete rest of form) Physician Training & Certification Fees Check appropriate training Part 1 Fee 44 AMA PRA Category 1 Credits™ 3 modules/5-day program with home-study subsets $11,045 16 AMA PRA Category 1 Credits™ take-home exam Total registration due $2,750 $ ______ Credit Card Payments Credit Card: Mail: Send completed form with payment to Cenegenics Education and Research Foundation 851 S. 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