Session Descriptions

Friday, February 4, 2022

8 - 9 a.m.

Evidence-based Practices with Mind-Body and Stress Reduction Practices

Rob Slater, MD; UIW-SOM

We're all familiar with the stress response - fight, flight, or freeze - with activation of the sympathetic nervous system, adrenal glands, and a wide range of downstream effects. Unfortunately, frequent and prolonged stress in the modern age has increasingly transformed this one-physiologic response into pathophysiologic one. Fortunately, many evidence-based mind-body practices can activate the relaxation response and counteract the detrimental effects of excessive stress. In this session, Dr. Slater will discuss the mind-body connection, present practical techniques to induce relaxation, and research into the benefits of mind-body techniques for a variety of common conditions. 


  • Explain the history and physiology of the mind-body connection
  • Describe practical mind-body techniques to reduce stress
  • Recognize current research into the benefits of mind-body techniques.

9 - 10 a.m.

Intermittent Fasting in the Primary Care Setting
Dante Paredes, DO; UNTHSC-TCOM

This presentation will provide an overview of the relevant evidence regarding the use of time restricted eating/intermittent fasting for the nonpharmacologic management and potential resolution of metabolic syndrome and its manifestations. In addition, the speaker will discuss practical application within an overarching treatment plan.


  • Understand the physiology of nutritional ketosis/fasting
  • Develop familiarity with TRE, OMAD, and 5:22 regimens
  • Become comfortable applying the listed regimens to T2DM and NAFLD   

10 - 10:30 a.m.


10:30 - 11:30 a.m.

High Morbidity Cases: Prenatal Care in the African American Community
Jessica Edwards, DO; Zara Medical Aesthetics

This session will review Texas-specific maternal morbidity and mortality as well as specific changes that birthing women of color face nationwide. In addition, the session will review policy efforts to combat this.


  • Review maternal morbidity and mortality in the state of Texas
  • Discuss social determinants of health and how they play a role in morbidity and mortality in women of color
  • Discuss health policy efforts to improve outcomes

11:30 a.m. - 12:30 p.m.

Update on COVID-19 Vaccines and Other Adult Vaccinations
Stanley Grogg, DO; Oklahoma State University - CHS

This presentation will allow participants to understand the recommendations of the present FDA approved COVID-19 vaccines. In addition, the speaker will discuss the latest recommendations of the Advisory Committee on Immunization Practices  (ACIP) on vaccinations in general.


  • Understand the COVID-19 vaccines in the U.S.
  • Discuss the latest ACIP recommendations of the 2022 vaccine schedule
  • Know websites for recent COVID-19 vaccines and ACIP recommendations.

12:30 - 1:45 p.m.

Lunch on your Own

1:45 - 2:45 p.m.

Zero Tolerance in Gaps for Healthcare for Physicians

Kayur Patel, MD

For years we have focused on standard of care that is what we have been taught from medical school to residency to clinical practice.  This has been the wrong focus for years we have never focused on what really matters.  We need to redirect the entire healthcare industry’s energy from managing numbers to managing the pathophysiology.  How can we restructure our thinking to treat the root cause and the pathophysiology at the grassroots and remove our focus from managing better numbers for your diabetics, our hypertensive, and for hyperlipidemia?  As these numbers reach their norm as clinicians there is an innate desire to stop our management however this is the very thing that is wrong with the current system.  This is when we need to act this is the right time to evaluate the root cause of the disease and manage it at that level   Where is the disconnect? We do not lack resources, we have the best surgical procedures in the world, the best medications money can buy, the world’s best imaging techniques, etc., yet why do we fail our citizens in providing the best quality of care?


  • Gain an insight on what really matters when caring for a patient population
  • Working knowledge of the critical decision-making process
  • Identify over 80% of gaps in care.

2:45 - 3:45 p.m.

The Diagnosis and Treatment of Depression for the Pediatric Primary Care Provider
Mili Khandheria, MD, MBA; UTSW

This presentation will review criteria of depression, screening tools. and treatment options.


  • Know the criteria according to the DSM 5 for MDD
  • Understand how to diagnose depression in the pediatric setting
  • Discuss the risk factors and clinical features of depression
  • Understand initial assessment that needs to be completed
  • Discuss screening for suicide and non suicidal self injury
  • Describe non pharmacological and pharmacological approaches to the management of depression.

3:45 - 4:15 p.m.


4:15 - 6:15 p.m.

Opioid and Pain Management Rules and How Best to Comply (OPIOID)
Jeff McDonald, JD and Jon Porter, JD; McDonald, Mackay, Porter & Weitz 

In this presentation, the speakers will discuss the Texas Medical Board, Rule 170 - the opioid, controlled substances and pain management rule. This course will assist with understanding the rule, how the Board enforces the rule, best practice, according to the Board, on the use of controlled substances and how to document.


  • Understand TMB Rule 170
  • Understand the current philosophical approach to the use of opioids and other controlled substances
  • Understand how to document and protect one's self in the use of opioids and other controlled substances for patients.

Saturday, February 5, 2022

8 - 9 a.m.

COVID: "Long Haulers" Assessment and Treatment
Alfred Johnson, DO

Post COVID patients having symptoms lasting more than 3 months are termed “Long Haulers”. By this time the infection is resolved and the healing and repair process is occurring. The presentation is focused modalities and treatments that may help patients reduce symptoms and enhance the healing process resulting in a better quality of life.


  • To understand the multiple body systems affected by COVID and the pathophysiology of the disease.
  • Discuss treatment modalities available related to the specific symptoms and affected body systems.

9 - 10 a.m.

Healing for the Wounded Healer
Robert Crocker, MD; Andrew Weil Center for Integrative Medicine, University of Arizona

In this session, Dr. Crocker will review the principles of integrative medicine. In addition, the speaker will discuss concepts of health and healing as well as share the story of The Wounded Healer. Finally, a practical approach to assessing ones’ health and some practical applications for self-care will be provided.


  • Become familiar with the important concept of what it means to be a wounded healer
  • Be provided with a method to assess ones’ own health and how to enhance their approach to self-care
  • Provide practical applications of these principles for their life and their practice.

10 - 10:30 a.m.


10:30 - 11:30 a.m.

Palliative Care: Benefitting Patients, Family Members and the Medical Team Members

Salman Raheem, DO

Palliative care focuses on comfort and quality of the life that is provided in conjunction with curative therapies. Physical, spiritual, psychosocial distressors play a major role in a patient's illness and become a source of stress for the patient's family members. A palliative care team approach can provide assistance to the patients, their families, and in a unique manner support the medical teams caring for the patients. 


  • Define principles of palliative care
  • Discuss the importance of promoting advanced care planning (POLST/MOST)
  • Review case studies to illustrate how palliative care teams can be beneficial 

11:30 a.m. - 1 p.m.

TOMA Business Meeting and Luncheon

1 - 2 p.m.

Osteopathic Considerations in the Pre-Participation Physical Evaluation
Townes Leigh, DO; SHSU-COM

This lecture will discuss the latest goals and guidelines from "PPE: Pre-Participation Physician Evaluation, 5th Edition," by the American Academy of Pediatrics for young athletes as well as considerations needed in specific populations prior to participating in competitive athletics. Additionally, osteopathic considerations will be presented that can support the goals of the PPE in the care of the athlete.


  • Define the requirements and goals of the Pre-Participation Physical Evaluation (PPE)
  • Compare and contrast the requirements and goals of the PPE in specific populations
  • Describe methods for how Osteopathic Principles & Practices can be integrated into the PPE
  • Outline the requirements of the PPE in Texas
  • Construct a treatment plan for an athlete presenting for a PPE

2 - 3 p.m.

Osteoarthritis: An Evidence-based Review
Mindy Hansen, DO; UNTHSC-TCOM

This presentation will provide an evidence-based review of osteoarthritis (OA) with brief coverage of the pathophysiology and substantial review of management algorithms. Regenerative modalities will be covered as well as the most current data from systemic and meta-analyses.


  • Identify OA on exam, imaging and list clear management options
  • Understand what the evidence shows of various OA treatments
  • Be able to select appropriate OA treatment modality/modalities and know when to refer to orthopedics.

3 - 3:30 p.m.


3:30 - 4:30 p.m.

Wild West Medicine, Part II

Laurel Mueller, DO

This is a presentation of three emergency injuries, common in rural areas especially the Southwest US, and the Four Corners area of the US, but applicable to any area where children are raised, horses are ridden, and knives are used.


  • Distinguish unusual injuries common to rural communities
  • Differentiate symptoms and guidelines for diagnosis
  • Apply evidence-based treatment for these conditions

4:30 - 5:30 p.m.

Diminishing the Individual and Social Burden of Peripheral Neuropathy
Brett Lockman, DO; Sierra Biotensegrity

This lecture hopes to shed light on additional nutritional, conservative non-invasive, and minimally invasive treatment protocols for peripheral neuropathy to improve patient health span and functional optimization.


  • Possess a better understanding of chronic peripheral neuropathic pain.
  • Understand the nutritional, pharmacologic, and minimally invasive treatment protocols for peripheral neuropathy to decrease pain and lessen fall risk & injury.

Sunday, February 6, 2022

8 - 10 a.m.

Safe Space Training (ETHICS/RISK MGMT)
Andrew Meigs, OMS; Alexander Golden, OMS, Carly Pierson, OMS and Matthew Dear, OMS
Moderated by Carol Browne, DO; UIW-SOM

Safe Space Training is constructed to education individuals about the LGBTQI+ community and help teach how to create and communicate a welcoming environment for its members. Pride in Practice at UIW-SOM directs Safe Space Training with a focus on improving the patient-physician relationship with LGBTQI+ patients. Completion of this training provides applicable information that can be utilized in the holistic and culturally competent care of your LGBTQI+ patients.


  • Broaden an understanding of medical care for the LGBTQI+ community
  • Strengthen confidence in addressing and interviewing LGBTQI+ patients
  • Deepen knowledge of the health disparities experienced by the LGBTQI+ community

10 - 10:15 a.m.


10:15 - 11:15 a.m.

Micro-Aggressions and Cultural Competence (ETHICS/RISK MGMT)
Carol Browne, DO; UIW-SOM

During this interactive presentation, attendees will be invited to examine microaggressions in the professional setting. Attendees will discuss personal experiences of microaggressions and/or witnessed microaggressions in the clinic setting, meetings, or personal interactions. Attendees will be educated to identify and mitigate microaggressions in the professional environment.


  • Identify the use of microaggressions in communication
  • Examine the consequences of microaggression use in communication
  • Adapt microaggression mitigation techniques to improve relationships and communication

11:15 a.m. - 12:15 p.m.

Lifestyle Changes to Battle Insulin Resistance
Alicia Reasoner, DO; Methodist Medical System

This session will provide a detailed explanation of what insulin resistance is, how it is defined, and why it matter.


  • Define insulin resistance and understand the implications of early recognition
  • Discuss the specific factors that define metabolic syndrome
  • Discuss the benefits of lifestyle modification and dietary change
  • Review of recent studies and the benefits of lifestyle change
  • Review of recent observations of metabolic syndrome and obesity and how it relates to COVID

12:15 - 1 p.m.

Box Luncheon

1 - 2 p.m.

Hair Loss...2022
Carlos Puig, DO; Physicians'  Hair Restoration Center

This presentation will discuss a sound approach to the diagnosis and management of the complex subject of hair loss in women, with attention to a strategy for diagnosis and therapy or referral. In addition, the speaker will review the current status of new biological therapies in male androgenetic alopecia.


  • Describe Ludwig Female Pattern Hair Loss
  • Contrast and compare the evolutionary epidemiology of male and female patterned hair loss.
  • Describe an algorithm for evaluation & women with hair loss
  • Outline the key components of the differential diagnosis in suspected FPHL

2 - 3 p.m.

Understanding Venous Disease
Daniel Rizzo, DO, FACOS; Aaron Roberts, DO and Bradley Hart, MD, PhD, FACS; Vitality Vein Care

This presentation will discuss the impact of Chronic Venus Insufficiency (CVI) across the healthcare industry. The speakers will discuss treatment options, the impact CVI has on patients as well as the pathophysiology.


  • Review the lower extremity venous anatomy
  • Discuss pathophysiology of chronic venous insufficiency (CVI)
  • Understand treatment modalities of CVI

3 p.m.



The Texas Osteopathic Medical Association is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. 

The Texas Osteopathic Medical Association designates this program for a maximum of 22 AOA Category 1-A credits, including 2 opioid and 3 medical ethics/risk management credits, and will report CME commensurate with the extent of the physician's participation in this activity. 

The TOMA 66th MidWinter Conference has been planned and implemented in accordance with the accreditation requirements and policies of the AOA Council on Continuing Medical Education. Attendees can earn 1 CME credit for every 60 minutes of educational time.