Part IV: Complexities of Hormone Replacement Therapy: An Evidence Based Protocol Review - December 2017


Course Details

Syllabus Information:

All attendees will receive an electronic and printed syllabus with their registration.  The eSyllabus will be available for download at least three days prior to the course.  Attendees will be sent an email notification when it is available.  This early release provides the opportunity to download and study the syllabus and additional speaker handouts
The syllabus can be saved in Adobe Reader which allows attendees to add "sticky notes" directly on the slide as the speaker is talking.  These notes can be saved permanently to your document.   Other recommended applications include iBooks (for apple mobile devices) and iAnnotate (for mobile devices). 

Pre-Course Test:

In our efforts towards continuous improvement for our course curriculum, the Foundation for Care Management has requested that all attendees take a pre-test.

Visit the FCM website to take the pre-test: FCM Pre-Test
The Course code is: BHRT12317P2
Notification will be sent out after the course with links to complete the post test and survey.  These must be completed to claim your credit.  Your certificate will be available to print online once the survey has been completed.


Alpine Ballroom – 2nd Floor

7:00 – 8:00 a.m.

Meeting Start Time is 8:00 a.m. - No breakfast is provided

End time is 5:30p.m. on Friday and Saturday.  Sunday adjourns at noon


Friday and Saturday Luncheon Buffet

The Canyons A and B

Networking Luncheons


Saturday Evening Optional Activity

Meet in the lobby by 6:30 pm and enjoy a 30 minute walking tour of the holiday lights in and around Temple Square.  They are absolutely beautiful.  I'll leave options open to enjoy shopping or dining at City Creek Center or enjoy local singing at Temple Square.  


This course has been approved for 21 AMA PRA Category 1 Credits, 21 Nursing Contact Hours (21 pharmacologic hours), 21 Hours Pharmacy Credit (knowledge based).

Prerequisites:  Part I, II and III

One would think that 3 courses on HRT would be all that is needed to adequately practice BHRT. However attendees have requested that they want more, but with more complexity and problem solving as opposed to didactic. Hence Part IV.

Although there are new articles, research, updates, literature critiques, and sarcasm (of course), the majority of this course will be problem solving, case management, mistakes to avoid, and tricks of the trade. The audience will consist of those with significant experience, questions, and issues that make for an excellent experience for both me and participants as we all learn from patients and ourselves. Extensive literature review in Parts I, II, & III have not allowed me to present all the interesting and complicated cases and situations that I have encountered in the last 15 years of practice. I have included 60 of my most complex and problematic cases from the last 15 years but it will require you to have masterful understanding of Parts I, II, and III in order to understand the reasoning behind the treatment and management of these problematic cases.
First we will review the latest NAMS recommendations. It is a step in the right direction. However I will use the medical literature to, of course, prove to them what they should have said and done as opposed to their sole reliance on the WHI trial. It should be the summation of all available data that should dictate our treatment, not just one study. We will then review the evolution from testosterone causes prostate cancer to maybe it protects against cancer to now where we prescribe it to men with active cancer. Although commonly (incorrectly) thought to cause prostate cancer, estrogen has been a mainstay to treat and protect against prostate cancer. In fact it may be through aromatization that testosterone can protect against prostate cancer. We will also review at what level of estradiol results in a flip of the lipids that then become cardio-protective. Although it has been customary and fashionable to utilize aromatase inhibitors to block aromatization of testosterone to estrogen, the most recent study demonstrates using an AI increases gynecomastia, visceral and subq fat, cholesterol, and sexual dysfunction.
Please read the agenda and course outline for a more complete synopsis of topics and objectives. So bring your tough cases, comments, thoughts and ideas and have another fun weekend with your talented peers. This will be a collection of the most talented and experienced physicians in this industry. Caution: Part IV will be thought provoking, intense, and very complex. And just maybe you’ll be able to pass that Certification Exam.


  • When

  • Friday, December 1, 2017 - Sunday, December 3, 2017

  • Where

  • Hilton Salt Lake City Center
    255 S West Temple
    Salt Lake City, Utah 84101



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