48th Annual Scientific Meeting - Internal Medicine · 2016 Scientific Meeting Program Agenda “Embracing the Future of Medicine and Clinical Practice” Friday, September 09, 2016

48th Annual Scientific Meeting

September 9 - 11, 2016

“Embracing the Future of Medicine and Clinical Practice”

Jennifer W. Caceres, MD FACP Naresh H. Pathak, MD FACP

Scientific Program Co-Chairs

Ocean Reef Club

Key Largo, Florida www.oceanreef.com

http://www.oceanreef.com/

Learning Objectives At the conclusion of this activity, the participant will be able to:

Apply updated knowledge of internal medicine to clinical practice;

Improve clinical practice by incorporating major new developments in subspecialty medicine; and

Understand recent advances in internal medicine.

Satisfy requirements of state-mandated educational courses on Prevention of Medical Errors & Domestic Violence

CME & MOC

The American College of Physicians is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American College of Physicians designates this live activity for a maximum of 18 AMA PRA Category 1 credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation

component, enables the participant to earn up to 18 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.

Resident's Activities and Events

Oral Presentations prepared by Residents will be presented at the meeting as well as posters prepared by Residents and Medical Students. The Resident Oral Presentations winner is invited to represent the Chapter at the 2017 national competition (Internal Medicine Meeting 2017) and will receive some funding from the Chapter. The winners of the poster competition will receive a plaque. Winners of the Doctors’ Dilemma™ will represent the Chapter at the 2017 Internal Medicine Doctors’ Dilemma™ competition and each resident may receive some funding from the Chapter.

Presentation & Abstracts To help us “GO GREEN”, we are making our presentations and abstracts available online only on the Chapter Website. No printed copies will be available.

Accreditation and Designation Statement

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Table of Contents Faculty & Presenters ......................................................................................................... 4

Resident Oral Competition Finalists ................................................................................ 5

Scientific Program Agenda ............................................................................................... 6

Resident & Medical Student Breakout Sessions Agenda ................................................ 8

Doctor’s Dilemma Finals Competition Participants ........................................................ 9

Formal Poster Competition - Resident Posters .............................................................. 12

Formal Poster Competition - Medical Student Posters .................................................. 16

Sponsors & Exhibitors .................................................................................................... 18

ACP Internal Medicine Meeting 2017

Mark your calendar for Internal Medicine Meeting 2016, March 30 – April 1, 2017 in San Diego, CA. For additional information about this and other ACP programs and products, please visit the website at www.acponline.org.

Governors

John G. Langdon, MD, FACP

President/Governor [email protected]

Jason M. Goldman, MD, FACP

Governor

[email protected]

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2016 Faculty & Presenters

Stuart J. Bagatell, MD

Ankush K. Bansal, MD FACP

Seth J. Baum, MD

Larry M. Bush, MD FACP Jennifer W. Caceres, MD FACP

Marion Colas-Lacombe, MD

Edward A. Dauer, MD

Samer A. Fahmy, MD FACP

David A. Gross, MD

Jeffrey G. House, MD FACP

Corey L. Howard, MD FACP

Himangi Kaushal, MD FACP

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2016 Faculty & Presenters

Kenji Kaye, MD

Christopher L. Nuland, Esq.

Naresh H. Pathak, MD FACP

Julio Perez-Downes, DO

Bernardo Reyes, MD

Dawn H. Sherling, MD FACP

Claudio D. Tuda, MD FACP

Ana M. Viamonte-Ros, MD

Wilhelmine Wiese-Rometsch, MD FACP

Resident Oral Competition Finalists

Jordan C. Ray, MD Mayo Clinic Florida

Sarah W. Robison, MD Mayo Clinic Florida

Syed R. Sabzwari, MD Florida Hospital Orlando

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2016 Scientific Meeting

Program Agenda

“Embracing the Future of Medicine and Clinical Practice”

Friday, September 09, 2016 Carysfort Ballroom 7:30 am

Registration & Breakfast

8:10 am – 8:15 am

Governors’ Welcome Jason M. Goldman, MD FACP, Governor ACP John G. Langdon, MD FACP, President/Governor ACP Jennifer W. Caceres, MD FACP & Naresh H. Pathak, MD FACP, Presiding

8:15 am – 9:15 am

Updates in Hospital Medicine for the Florida Internist Ankush K. Bansal, MD FACP & Himangi Kaushal, MD FACP

9:15 am – 10:15 am

e-Health: Technology’s Impact on Today’s Physician Samer A. Fahmy, MD FACP

10:15 am–10:45 am Networking Break with Exhibitors

10:45 am-11:45 am

Physician Orders for Life-Sustaining Treatment in Florida Stuart J. Bagatell, MD

11:45 am-12:45 pm

Geriatric Pearls for the Internist 2016 Bernardo Reyes, MD

12:45 pm Adjourn

12:45 pm - 2:00 pm

Governors Luncheon Legislative & Regulatory Report Christopher L. Nuland, Esq.

2:00 pm – 3:00 pm

Updates in Internal Medicine 2016 Dawn H. Sherling, MD FACP

3:00 pm – 4:00 pm U.S. Health in International Perspective: Shorter Lives, Poorer Health Edward A. Dauer, MD

4:00 pm – 4:15 pm Networking Break with Exhibitors

4:15 pm – 5:15 pm

Depression Across the Lifecycle David A. Gross, MD

5:15 pm ADJOURN

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Saturday, September 10, 2016 Carysfort Ballroom

7:30 am


8:10 am – 8:15 am

Scientific Session Jennifer W. Caceres, MD FACP & Naresh H. Pathak, MD FACP, Presiding

8:15 am – 9:15 am ZIKA Virus Update 2016 Larry M. Bush, MD FACP

9:15 am – 10:15 am Will Guidelines Still Pertain in the Era of PCSK9i? Seth J. Baum, MD

10:15 am-10:45 am

Networking Break with Exhibitors

10:45 am-11:45 am Vaccinations: If Not Now, When? ....If Not Us, Who?

Larry M. Bush, MD FACP

11:45 am-12:45 pm

The Science of Lifestyle Medicine Corey L. Howard, MD FACP

12:45 pm – 1:00 pm 1:00 pm – 2:00 pm

Town Hall/Annual Business Meeting Jason M. Goldman, MD FACP & John G. Langdon, MD FACP, ACP Governors

Governors Luncheon 5th Annual Humanism in Medicine Lecture Series: Providing Meaningful Care to a Diverse Patient Population: Improving One’s Cultural Competency and Removing Implicit Bias Ana M. Viamonte Ros, MD

2:00 pm – 3:00 pm

RESIDENT’S ORAL PRESENTATION FINALIST COMPETITION *not for CME Credit

Near Fatal Arrhythmia from High Dose Loperamide - “The Poor Man’s Methadone” Sarah W. Robison, MD - PGY-4 Mayo Clinic Florida

A Fatal Case of Postpartum Cerebral Angiopathy with Concurrent Cardiomyopathy Syed R. Sabzwari, MD - PGY-3 Florida Hospital Orlando

A Description Analysis of Medication Administration During Inpatient Cardiopulmonary Arrest Resuscitation

Jordan C. Ray, MD - PGY-4 Mayo Clinic Florida

3:00 pm – 3:15 pm Networking Break with Exhibitors

3:15 pm – 5:15 pm Prevention of Medical Errors (2 Hr. State Mandated Course) Christopher L. Nuland, Esq.

5:15 pm

Adjourn

5:30 pm – 7:30 pm Formal Medical Student & Resident Poster Competition

7:30 pm – 9:00 pm Governor’s Award Reception

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Saturday, September 10, 2016 Resident & Medical Student Breakout Sessions

8:45 am - 9:00 am Welcome and Registration

9:00 am – 9:45 am The World of ACP: Who We Are, What We Do, And How We Get It Done Julio Perez-Downes, DO, Chair - FL Chapter Council of Resident/Fellow Members

9:45 am – 10:45 am Strategies for a Successful Residency Match Wilhelmine Wiese-Rometsch, MD FACP –FSU-Sarasota Memorial IM Residency Program Director

10:45 am – 11:45 am Overview of Quality Improvement Project: iRaise The Rates: Initiative to Raise the Adult Immunization Rates in Primary Care. Kenji Kaye, MD, Chief Resident- University of Florida Internal Medicine Residency

11:45 am -12:45 pm (in General Session)

The Science of Lifestyle Medicine Corey L. Howard, MD FACP

12:45 pm – 1:00 pm (in General Session)


Town Hall/Annual Business Meeting Jason M. Goldman, MD FACP & John G. Langdon, MD FACP, ACP Governors Governors Luncheon 5th Annual Humanism in Medicine Lecture Series: Providing Meaningful Care to a Diverse Patient Population: Improving One’s Cultural Competency and Removing Implicit Bias Ana M. Viamonte Ros, MD


RESIDENT’S ORAL PRESENTATION FINALIST COMPETITION * not for CME Credit

Near Fatal Arrhythmia from High Dose Loperamide - “The Poor Man’s Methadone” Sarah W. Robison, MD - PGY-4 Mayo Clinic Florida

A Fatal Case of Postpartum Cerebral Angiopathy with Concurrent Cardiomyopathy Syed R. Sabzwari, MD - PGY-3 Florida Hospital Orlando

A Description Analysis of Medication Administration During Inpatient Cardiopulmonary Arrest Resuscitation

Jordan C. Ray, MD - PGY-4 Mayo Clinic Florida

3:00 pm – 3:45 pm A Program Director’s Point of View: Information on Applications, Residency, Fellowship & Beyond Jeffrey G. House, DO FACP – University of Florida Jacksonville IM Residency Program Director Himangi Kaushal, MD FACP - Memorial Healthcare System IM Residency Program Director Wilhelmine Wiese-Rometsch, MD FACP - FSU-Sarasota Memorial IM Residency Program Director Claudio D. Tuda, MD FACP -Mount Sinai Medical Center IM Residency Program Director

3:45 pm – 4:15 pm Tips and Tricks for a Successful Presentation: How to Best Prepare Abstracts, Posters and Oral Presentations Sarah W. Robison, MD – Internal Medicine Chief Resident, Mayo Clinic Florida Jordan C. Ray, MD – Cardiovascular Diseases Fellow, Mayo Clinic Florida

4:15 pm – 5:00 pm Council of Resident/Fellow Members and Council of Student Members Meeting Julio Perez-Downes, DO – Chair, FL Chapter Council of Resident/Fellow Members

5:30 pm – 7:30 pm

Formal Medical Student & Resident Poster Competition (Town Hall)

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Sunday, September 11, 2016 Carysfort Ballroom 7:30 am


7:30 am – 7:55 am Breakfast Breakout Opportunities Advancement to Fellowship (FACP) Mentoring Breakfast (pre-registration required)

Women in Medicine Mentoring Breakfast (pre-registration required)

7:55 am – 8:00 am

Scientific Session Jennifer W. Caceres, MD FACP & Naresh H. Pathak, MD FACP, Presiding

8:00 am – 10:00 am Intimate Partner Violence and Domestic Violence (2 Hr. State Mandated Course) Jennifer W. Caceres, MD & Naresh H. Pathak, MD FACP

10:00 am–11:00 am

OB/GYN Review for the Primary Care Provider Marion Colas-LaCombe, MD

11:00 am–11:15 am Networking Break

11:15 am–12:30 pm

Doctors’ Dilemma™ Final Competition Kendall Regional Medical Center Mount Sinai Medical Center Orlando Health University of South Florida

12:30 p.m. Announcements and Adjournment

Doctor's Dilemma Finalist Teams

Kendall Regional Medical Center Antoni Kafrouni Gerges, MD

Sowjanya Kalluri, MD Parth Parikh, MD

Mt Sinai Medical Center Jorge Martinez Benscome, MD, MD

Juan Carlos Murillo, MD Hernando Torres, MD

Orlando Health Brittany Bednov, MD

Malgorzata Krzyszczak, MD Ariel Perez Perez, MD

University of South Florida Martin Guerro, MD

Ju Hee Kim, MD Tara Saco, MD

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Orlando Health

Ariel Perez-Perez, MD, Omar Qazi, MD, Daniel Anscher, MD

2014 - Orlando Health

2013 - University of Florida

2012 - University of Miami - Jackson Memorial Hospital

2011 - University of Florida - Jacksonville

2010 - University of South Florida



2015 Florida Chapter Doctors Dilemma Champions

Previous Florida Chapter Doctors Dilemma Champions

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2016

Florida Chapter ACP

Formal Poster Competition

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Aventura Hospital and Medical Center

Acts Like Pheochromocytoma, Looks Like Cushing’s Syndrome – A Mysterious Presentation

of a Rare Adrenocortical Carcinoma

Fulvia Banu, MD

Optic Neuritis Masquerading as Trigeminal Neuralgia

Hsien Lee Lau, MSc MD

Heroin-Induced Rhabdomyolysis Resulting in Rapidly Progressive Bilateral Acute

Compartment Syndrome

Samantha Marie Shrouder, MD

Brandon Regional Hospital

Evidence Base Medicine Treatment Mistakenly Stopped Induced Acute Kidney Injury

Linda Ferrer Gonzalez, MD

Correlation of SLE-patient Reported Outcome Tool with SLE Symptoms-Based

SELENA-SLEDAI Disease Index

Zulfiqar Ali Qutrio Baloch, MD

DKA Associated with SGLT2 Inhibitor Initiation

Calvin Tsogmo, MD

Cleveland Clinic Florida

Proptosis and Vision Loss - A Grave Complication of Allergic Fungal Sinusitis and Polyposis

Shane Bobart, MD

Post Operative Hemoptysis Due to Negative Pressure Pulmonary Edema

Clifton Espinoza, MD

Bleeding Out: Should we Suspect Acquired Hemophilia A with an Elevated aPTT?

Linda Godinez, MD

Florida Atlantic University

Should Ultrasound Guidance be Standard of Care for Central Vascular Access

Ashwin Durairaj, MD

Suppurative Phlebitis Secondary to Lymphocutaneous Nocardiosis with Necrotizing Cellulitis

Andrew Nguyen, MD

Delayed Diagnosis of Acute MI in a Paced Patient: Case Report and Physician Survey

Yotam Papo, MD MPH

Florida Hospital

A Rare Case of L-Transposition of the Great Arteries Presented as Generalized Tonic-Clonic Seizure

Cheng Fang, MD PhD

Predictors of the Need for a Therapeutic Intervention in Elderly Patients with

Non-Variceal Gastrointestinal Bleed

Xiaoping He, MD PhD

Impact of Consultation on Hospital Outcomes and Resource Utilization for Patients with Acute CHF

Zoltan Varga, MD PhD

Resident Poster Presentations

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Kendall Regional Medical Center

Neuronal Stripping: Reversing the Stigma / Two Cases of Central Pontine Myelinolysis

Treated with Immunotherapy

Yeissen Godinez, MD

Can't Coagulate? Investigate Factor Eight

Micaella Kantor, MD

Zoster Imposter: Varicella Vasculitis Presenting as an Acute Stroke

Dr. Charlotte Tudela, MD

Mayo Clinic Florida

A Fatal Sting: Rare Cause of Acute Liver Failure

Benjamin Paul Cochran, MD

Discordance Between Acid Reflux Events and Computer-Identified Impedance Events

in the Evaluation of GERD

Andree Hermes Koop, MD

An Emerging Grain: Buckwheat-Induced Anaphylaxis

Keith Sacco, MD

Mt Sinai Medical Center

Making a Comeback

Yamil Elias Michelen, MD

North Florida Regional Medical Center

Caution! It is MSSA and Not MRSA This Time

Babbaljeet Kaur, MD

Oak Hill Hospital

The Forgotten Disease

Adam Alperstein, MD

Ocala Health System

You Can’t Judge a Patient by Their Cover…

Mounica Banala, MD

Orange Park Medical Center

Anomalous Origin of Right Coronary Artery Originating from the Pulmonary Trunk (ARCAPA):

An Incidental Finding in a Patient Pres

Pragathi Balakrishna, MD

Unusual Presentation of ACS : Wave Your Hands for Ischemia

Seung Geun Yoon, MD

Are Women of Reproductive Age Adequately Informed of Zika Virus Infection Prevention?

Hasan Zahid, MD


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Orlando Health

Dysentery Beyond Borders: A Cholera Tale in the Sunshine State

Jessica Jimenez-Rodriguez, MD

Treating Depression with Heparin

Lauren Stipp, MD

I Can’t Believe It’s Not Cancer!

Harold William Watson Jr, MD

Palmetto General Hospital

Non-Occlusive Ischemic Colitis with Hypervascularity of Affected Bowel on Fluoroscopic-Guided

Abdominal Aortogram

Shanna Marie Baltar, DO

Think Locally!

Elena Cabb, DO MPH

Looking Forward to the STRASS Trial: A Multidisciplinary Approach to Retroperitoneal Sarcoma

Pinal Chokshi, DO

University of Central Florida

Double Whammy - First Reported Case of Esophageal Adenocarcinoma and

Multiple Myeloma Presenting Concomitantly

Talat Almukhtar MD

Short Course of Amiodarone-Induced Severe Lung Toxicity in Post-CABG Patient

Uyanga Batnyam, MD

Cryptogenic Organizing Pneumonia After a Motor Vehicle Accident

Arnaldo E. Reyes-Esteves, MD

University of Florida – Gainesville

Penile Gangrene in a Dialysis-Dependent Diabetic

Christopher Monsour, MD JD

A Dirty Cause of Palpable Purpura: Your Friend's Oxygen Tubing Isn't a Foley

Nikhil Shah, MD

Beefy Ulcerating Lesions: A Rare and Striking Presentation of Mycosis Fungoides

Donevan Westerveld, MD

University of Florida – Jacksonville

Establishing an Elusive Diagnosis: A Unique Approach to the Challenge of

Confirming Cardiac Sarcoidosis

Bashar Al-Turk, DO

Methotrexate Use in Hemodialysis- An Ongoing Dilemma

Cherisse Melissa Baldeo, MD

Emphysematous Aortitis Secondary to Clostridium Septicum

Ciel Harris, MD


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University of Miami at Holy Cross Hospital

Spinal Arachnoiditis and Cauda Equina Syndrome - A Rare Mix for a Primary Care Physician

Sisir Akkineni, MD

Uncommon Presentation of Severe Hypothyroidism

Hazem Bdair, MD

‘ALL’ in the Ankle

Salman Ahmad Farsi, MD

University of Miami Regional Campus

A Rare Case of Post-Transcatheter Aortic Valve Replacement Thrombosis Discovered

Within Two Days of Implantation

Samantha Joan Bethel-Ellison, MD

Wernicke Encephalopathy as a Rare Complication of Gastric Bypass Surgery

Nyrene Haque, MD

Pneumocephalus: A Case Report on Nosocomial Bacterial Meningitis

Sagarika Koka, MD MPH

University of Miami/ Jackson Memorial Hospital

STEMI Alert Masking a Case of Boerhaave Syndrome

Marco Lorio, MD

Cardiovascular Disease Risk in HIV Patients – Comparing Treatment Lines

Fahim Pyarali, MD MPH

University of South Florida

Alpha-1 Antitrypsin Deficiency Presenting as Pulmonary Nodules

Shan Cheng, MD

A Case of Anterior Hypopituitarism as the Initial Presentation of

Pituitary Metastasis from Breast Cancer

Vindya Gunawardena, MD

A Case of Primary Testicular Diffuse Large B Cell Lymphoma

Shiven S. Patel, MD


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Florida Atlantic University Charles E. Schmidt College of Medicine

An Uncommon Cause of Neurological Dysfunction Following Amniotic Fluid Embolism

Eithan David Haim, MS III

Early Renal Biopsy Over Serologic Studies to Expedite Diagnosis and Management

of Cryoglobulinemia Induced Acute Kidney Injury

Lauren Vaughan, MS IV

The Association of Vitamin D Insufficiency and Frailty in an Older Adult Population

Lena Vaynberg, MS III

Florida International University Herbert Wertheim College of Medicine

Anti-HIV Effects of Recombinant Human Chorionic Gonadotropin

Madiha Noor, MS IV

Florida State University College of Medicine

Sweet Syndrome - A Hint of Something Much More Bitter

Michael Dustin Baratta, MS IV

Double Appendicitis: Case Report on the Discovery of a Duplicated Appendix

After a Previous Appendectomy

William Johnson, MS IV

Lake Erie College of Osteopathis Medicine - Bradenton

A Unique Case of Hypernatremia Secondary to Hypophysitis Induced Hypothermia

Najam A Siddiqui, OMS IV

Nova Southeastern University College of Osteopathic Medicine

The Rapidly Progressing MRSA Prostatic Abscess: A Rare Case

Alexandra Grammenos, OMS-IV

University of Central Florida College of Medicine

Identification of High Sun Exposure Activities Through Twitter Analysis

Anand Desai, MS III

Progressive Multifocal Leukoencephalopathy in Chronic Lymphocytic Leukemia

Tiffanie Thy Do, MS IV

University of Florida College of Medicine

Infectious Insult or Chronic Illness? B. Henselae Amid Hemophilia A

Faiz Jiwani, MS IV

Ecthyma Gangrenosum in a Patient with Methimazole-Induced Agranulocytosis

Elizabeth Kay Pace, MS IV

Medical Student Poster Presentations

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University of Miami Miller School of Medicine

The Face of Torture Inflicted by Central American Gangs:

A Case Report from the Human Rights Clinic of Miami

Samuel Kareff, MS III

Continuity of Care and Clinical Outcomes in an Academic Internal Medicine Clinic

Amanda Pechman, MS IV

Complications of Liver Laceration: The Diagnostic Challenge

Katelin Snow, MS III

Predictors of In-Hospital Mortality in Patients with Hemolytic Uremic Syndrome

Mehran Taherian, MS IV

University of South Florida Morsani College of Medicine

Staph Epidermidis as an Atypical Cause of Infectious Myositis in a Patient with Myelofibrosis

Mark Bender, MS III

Abdominal Mimicry: Amebic Disease Presenting as Hepatitis

Samuel Slone, MS IV

Sepsis Secondary to Group A Streptococcal Cellulitis with Methicillin-Resistant

Staphylococcus Aureus Superinfection

Thejal Srikumar, MS IV

Medical Student Poster Presentations

To help us “GO GREEN”, we are making our presentations and abstracts available online only on the Chapter Website. No printed copies will be available.

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The Florida Chapter American College of Physicians would like to express appreciation to the following companies

for their support of the 2016 Scientific Meeting:

Sponsors: Exhibitors:

American College of Physicians

ACP Center for Quality

Ambry Genetics

Astellas Pharma

BioReference Laboratories – An OPKO Health Co.

EmCare

Florida Department of Health – Division of Medical Quality Assurance

Florida Blue

Florida Rx Card

Florida State University/Sarasota Memorial

Invitae

Merck & Co, Inc

Pfizer Inc

Quest Diagnostics

Specialists on Call

Trust Bridge Health

Sponsors and Exhibitors

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1000 Riverside Avenue, STE 220 Jacksonville, FL 32204

(904) 355-0800 [email protected]

All contents © 2016 respective authors and/or American College of Physicians, Florida Chapter. All rights reserved.

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48th Annual Scientific Meeting - Internal Medicine · 2016 Scientific Meeting Program Agenda “Embracing the Future of Medicine and Clinical Practice” Friday, September 09, 2016

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