Obesity Day

Presented By The Obesity Consortium of San Antonio

Saturday, April 20, 2019 7:30 - 2:30 PM

LaCantera Resort
16641 LaCantera Parkway
San Antonio, TX 78256


$15 for 6 hours of CME, which will be donated to Edgewood Convenio - an organization of community members and providers who work together to improve the well-being of our community through healthy transformation of food production, distribution, and consumption.

Course Co-Directors

Marzieh Salehi, MD, MS, FACP
Associate Professor of Medicine
Department of Medicine, Diabetes Division
UT Health at San Antonio
SVTHCS, Deputy Medical Director, Bartter Research Unit, Audie Murphy Hospital


John Pilcher, MD, FACS, FASMBS
Sage Bariatric Institute


Richard M. Peterson, MD, MPH, FACS, FASMBS
Professor of Surgery, UT Health San Antonio


Marzieh Salehi, MD, MS, FACP

Dr. Salehi is a board-certified endocrinologist with expertise as a clinician, translational investigator and educator in obesity, diabetes, and PCOS. She has been nationally recognized as clinician expert in glucose abnormalities, such as hypoglycemia, after bariatric surgery which has been one of the areas of her research and continuously funded by National Institute of Health, American Heart Association, and American Society of Metabolic and Bariatric Surgery. The focus of her research is studying the role of gut-brain-pancreas axis on glucose metabolism and energy balance mediated by hormonal and neural factors derived from the gut.

John Pilcher, MD, FACS, FASMBS

Dr. Pilcher is a bariatric surgeon who has practiced in San Antonio since 1995. He has accomplished more than 4,000 bariatric operations of all types and his current surgical interest is the application of robotic techniques to bariatric operations to achieve an ever safer and ever quicker recovery.

Throughout his career, Dr. Pilcher has been interested in a collaborative multi-disciplinary approach to managing the Obesity Disease. He foresees significant advances in diagnosis, medical therapy, and perhaps even prevention of this devastating condition. It is an exciting time to be in this field.

Richard Peterson, MD

Dr. Richard Peterson obtained his Bachelor of Science (BS) degree in biology from the University of California, Riverside. He then went on to obtain a Masters in Public Health (MPH) at the East Stroudsburg University in East Stroudsburg, PA. He obtained his MD degree from the American University of the Caribbean. He completed his General Surgery residency at St. Agnes Hospital in Baltimore, MD. He then went on to pursue a fellowship in Advanced Laparoscopic and Bariatric Surgery at the University of Southern California.

Following the completion of his training he entered into Active Duty service with the United States Air Force. He served two combat tours in support of Operation Iraqi Freedom and Operation Enduring Freedom. During his time in the Air Force, Dr. Peterson served as Chief of Bariatric and Advanced Laparoscopic Surgery at Wilford Hall Medical Center. He expanded the program to be the largest bariatric surgery program in the Department of Defense. He also served as the Consultant to the Air Force Surgeon General on Bariatrics during this time.

Dr. Peterson is a Professor of Surgery and the Chief of Bariatric and Metabolic Surgery at the University of Texas Health San Antonio. He is a past President of the Texas Association for Bariatric Surgery and is a Councilperson at Large of the Executive Council and has chaired multiple committees as well as serves on several other committees of the American Society for Metabolic and Bariatric Surgery. His involvement on the national level keeps his passion for improving patient access to care for obesity treatment alive and well in his own practice.

Dr. Peterson also serves as the Social Media Editor for Surgery for Obesity and Related Diseases (SOARD), the official journal of the ASMBS. He started and runs the largest bariatric journal club on Facebook.


David D'Alessio, MD
Director, Division of Endocrinology
Duke University


Ralph Defronzo, MD
Division Chief of Diabetes
University of Texas, San Antonio


Jane Lynch, MD
Staff Endocrinologist, Pediatrics
University of Texas, San Antonio


David D'Alessio, MD

Dr. D'Alessio is Professor of Medicine at the Duke University School of Medicine and Director of the Division of Endocrinology. He is a staff physician at the Durham VA Medical Center where he has consultative practices in the lipid and the endocrinology clinics. Dr. D'Alessio went to medical school at the University of Wisconsin, was a resident at Temple University Hospital and did Endocrinology fellowship at the University of Washington. He has held faculty positions at the University of Washington, University of Cincinnati and Duke. His primary research interest is in the regulation of glucose tolerance and abnormalities that lead to type 2 diabetes. Work in his lab is directed at the interplay between circulating glucose, GI hormones and neural signals to control insulin secretion with a primary focus on the gut peptide GLP-1 and its role in normal physiology, type 2 diabetes and bariatric surgery. He has research funding from the NIH and VA.

Ralph Defronzo, MD

Ralph A. DeFronzo, MD, is Professor of Medicine and Chief of the Diabetes Division at the University of Texas Health Science Center and the Deputy Director of the Texas Diabetes Institute, San Antonio, Texas. Dr. DeFronzo is a graduate of Yale University (BS) and Harvard Medical School (MD) and did his training in Internal Medicine at the Johns Hopkins Hospital. He completed fellowships in Endocrinology at the National Institutes of Health and Baltimore City Hospitals and in Nephrology at the Hospital of the University of Pennsylvania. Subsequently, he joined the faculty at the Yale University School of Medicine (1975-88) as an Assistant/Associate Professor. From 1988 to present Dr. DeFronzo has been Professor of Medicine and Chief of the Diabetes Division at the University of Texas Health Science Center at San Antonio. He also serves as the Deputy Director of the Texas Diabetes Institute.

His major interests focus on the pathogenesis and treatment of type 2 diabetes mellitus and the central role of insulin resistance in the metabolic-cardiovascular cluster of disorders known collectively as the Insulin Resistance Syndrome. Using the euglycemic insulin clamp technique in combination with radioisotope turnover methodology, limb catheterization, indirect calorimetry, and muscle biopsy, he has helped to define the biochemical and molecular disturbances responsible for insulin resistance in type 2 diabetes mellitus.

For his work in this area, Dr. DeFronzo received the prestigious Lilly Award (1987) by the American Diabetes Association (ADA), the Banting Lectureship (1988) by the Canadian Diabetes Association, the Novartis Award (2003) for outstanding clinical investigation world wide and many other national and international awards. He also is the recipient of the ADA's Albert Renold Award (2002) for lifetime commitment to the training of young diabetes investigators. Dr. DeFronzo received the Banting Award from the ADA (2008) and the Claude Bernard Award from the EASD (2008). These represent the highest scientific achievement awards given by the American and European Diabetes Associations, respectively. In 2008 Dr. DeFronzo also received the Italian Diabetes Mentor Prize and the Philip Bondy Lecture at Yale. In 2009 he received the Presidential Award for Distinguished Scientific Achievement from the University of Texas Health Science Center at San Antonio. Dr. DeFronzo received the Outstanding Clinical Investigator Worldwide Award by CODHy (2012), the Outstanding Scientific Achievement Award from the American College of Nutrition (2014), the Samuel Eichold II Memorial Award for Contributions in Diabetes from the American College of Physicians (2015), the George Cahill Memorial Lecture from the University of Montreal (2015) and the Priscilla White Memorial Lecture from the Joslin Clinic & Brigham and Women's Hospital (2015). Most recently (2017), Dr. DeFronzo received the Hamm International Prize for his many seminal observations on the pathogenesis and treatment of type 2 diabetes and the Distinction in Endocrinology Award from the American College of Endocrinology. With more than 800 articles published in peer-reviewed medical journals, Dr. DeFronzo is a distinguished clinician, teacher, and investigator who has been an invited speaker at major national and international conferences on diabetes mellitus.

Jane Lynch, MD

Dr. Jane L. Lynch, MD has practiced as a Board Certified Pediatric Endocrinologist for over 25 years. She completed her pediatric training at The University of Texas Southwest in Dallas and finished her Pediatric Endocrine Fellowship at Massachusetts General Hospital in Boston. She was awarded the Linda Pollin Foundation Award during training with a full year spent studying the impact of chronic disease on children and families. Dr. Lynch was an investigator in the Diabetes Control and Complications Trial (DCCT) early in her career. She held faculty positions at Massachusetts General Hospital and the National Children's Hospital in Washington DC prior to spending several years in a multispecialty pediatric private practice in Dayton, Ohio. Dr. Lynch joined the faculty at the University of Texas Health Science Center at San Antonio in 2004 and is a Professor of Pediatrics and the Greehey Family Foundation Chair in Pediatric Endocrinology at UT Health. She is the Principal Investigator of the NIH sponsored TODAY trial - a multicenter clinical trial focused on type 2 Diabetes therapies in youth and active in several other diabetes related trials including Trial Net in San Antonio. She is fellowship director for the Pediatric Endocrinology division and her clinic is located at the Texas Diabetes Institute. Dr. Lynch also serves as the Chair of the American Academy of Pediatrics Executive Section for Endocrinology and on the Global Pediatric Type 2 Diabetes Expert Panel with ten pediatric endocrinologists from 8 countries evaluating global trends in pediatric type 2 diabetes. She was recognized as an Extraordinary Women in Medicine Leadership by Bexar County Medical Society in November 2018 and has been listed as a Castle Connolly Top Doctor, San Antonio Magazine's Best Doctor and a Best Doctors in America annually over the past 8 years.

Colleen M. Bridger, MPH, PhD
San Antonio Metropolitan Health District


Monica Anz-Cavazos, MD
Medical Director, Internal Medicine Physician
Sage Bariatric Institute


Jennifer C. Seger, MD, FOMA
Family Medicine Physician
ABOM Diplomate
Adjunct Professor UTHSCSA Long School of Medicine Department of Family Medicine
Medical Director Bariatric Medical Institute of Texas


Colleen M. Bridger, MPH, PhD

Colleen Bridger was named director of the San Antonio Metropolitan Health District in March 2017. Dr. Bridger is responsible for implementing policies aimed at improving the health of the population in San Antonio and Bexar County and managing nearly two dozen programs, including WIC, vector control, air quality, STD/HIV prevention and Tuberculosis control and prevention. She has oversight of a $44,000,000 budget and a staff of nearly 500 public health professionals.

Prior to joining Metro Health, Dr. Bridger was director of the Stokes County (1997-2002), Gaston County (2002-2010) and Orange County (2011-2017) Health Departments in North Carolina. As Health Director, she tackled tough issues like poverty, transportation and access to care and exceeded community goals for reductions in teen pregnancy and infant mortality rates. Under her leadership, the Health Departments won numerous awards including multiple Ralph Ketner awards for Innovation in Government, and multiple GlaxoSmithKline Child Health.

Recognition awards

Prior to becoming a local health director she worked as a social worker for Spanish-only speaking pregnant women and as a health systems researcher for the state of North Carolina and international development organizations.

A nationally recognized speaker, trainer and innovations expert, Dr. Bridger has over 20 years of experience in community development and improvement.


Professional Membership & Community Involvement:


Dr. Bridger was raised on a farm in Michigan. She and her husband, Chuck, have two children, Sarah and Charlie.

Monica Anz-Cavazos, MD

Dr. Monica Anz-Cavazos is the co-founder and clinical director of Sage Bariatric Institute in San Antonio. Her clinical practice is directed toward obesity management in both non-surgical and bariatric surgical patients. Dr. Anz-Cavazos is a native San Antonian. She received her medical degree from the University of Texas Health Science Center at Houston in 1999. She then completed her Internal Medicine residency at Exempla St. Joseph Hospital in Denver, Colorado. She is a long-time member of the American Society for Metabolic & Bariatric Surgery, The Obesity Society, TMA, and the Obesity Action Coalition.

Jennifer C. Seger, MD, FOMA

State Medical License: Texas
Medical Residency: Texas Tech University Health Sciences Center, School of Medicine
Board Certification: Family Medicine; Obesity Medicine

Dr. Jennifer Seger is a graduate of the University of Texas at Austin and the University of Texas Medical School at San Antonio. After completing her residency at the Texas Tech University Health Sciences Center School of Medicine, she established a family medicine practice in San Antonio, where she developed a strong interest in wellness and preventative health care. As a Board Certified Family Medicine physician, Dr. Seger saw many patients affected by obesity, yet found herself struggling to provide effective treatment recommendations for them. Dr. Seger decided to dedicate her practice to the prevention and treatment of obesity and became a diplomate of American Board of Obesity Medicine in 2011.

Dr. Seger is currently the Director of the medical weight loss program as well as the post-operative Medical-Surgical Comprehensive Program at the Bariatric Medical Institute of Texas, which offers a comprehensive, integrated approach to the treatment of obesity. She has been active in the field of obesity medicine, serving currently on the board of the American Board of Obesity Medicine and serving previously on the board of the Obesity Medicine Association and as a co-chair the OMA's Obesity Algorithm released in 2013. She has spoken at numerous national obesity conferences and recently served as a Co-Chair for the upcoming release of the 2018 AACE/TOS/ASMBS Bariatric Surgery Clinical Practice Guidelines. Dr. Seger is an adjunct faculty member at the UTHSC Long School of Medicine, hosting 4th year medical students interested in learning more about the treatment of obesity. She is the mother of five children and is active in her community. Dr. Seger is dedicated to raising awareness of obesity, improving access to care and providing excellent, comprehensive and compassionate care to patients.


Nation-leading Endocrinology and Internal Medicine physicians will discuss the biologic origins of the Obesity Disease, its impact on patients and society, and management strategies for the primary care setting. This Conference should be of interest to any provider whose patients suffer from obesity its related complications. Any physicians in training or any licensed provider is welcome to attend including physicians, nurses, and dietitians.

7:30 AM   Registration
7:50 AM   Welcome and Introduction
8:00 AM   Obesity: What Causes it and why do we care? - Marzieh Salehi, MD, MS, FACP
8:30 AM   Treatment of diabetes in relation to obesity - David D'Alessio, MD
9:40 AM   Intersection of Obesity, Diabetes, and Cardiovascular Disease - Ralph DeFronzo, MD
10:10 AM   Break
10:30 AM   Obesity and its comorbidities in youth - where are we heading and what can be done? - Jane Lynch, MD
11:00 AM   The State of Obesity and comorbidities in San Antonio - Colleen M. Bridger, MPH, PhD
11:30 AM   Lunch and Panel Discussion - Marzieh Salehi, MD, MS, FACP; David D'Alessio, MD; Ralph Defronzo, MD; Jane Lynch, MD; Colleen M. Bridger, MPH, PhD
1:15 PM   Treatment of obesity with dietary modification and exercise - how effective are they? - Monica Anz-Cavazos, MD
1:45 PM   Pharmacological interventions - when and how to utilize? - Jenny Seger, MD
2:15 PM   Panel Discussion - All faculty
2:30 PM   Adjourn

Target Audience

This activity is designed to meet the educational needs of any provider whose patients suffer from obesity. Any licensed provider is welcome to attend including physicians, nurses and dietitians.

Activity Goal

This activity is designed to address the following core and team competencies: Patient Care and Medical Knowledge.

Learning Objectives


In support of improving patient care, Ciné-Med 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.

Ciné-Med designates this live activity for a maximum of 6 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


This activity is supported by an educational grant from Medtronic.