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  • 1. Sponsored by: UC DAVIS HEALTH SYSTEM Office of Continuing Medical Education and Division of Pulmonary and Critical Care MEDICINE Department of Internal Medicine Friday—Saturday July 16–17, 2010 Hyatt Regency Sacramento, California 8th Annual UC Davis Pulmonary & Critical Care Conference State of the Art in 2010
  • 2. Friday, July 16, 2010 7:00 am Registration, Continental Breakfast, Visit Exhibits 8:00 Welcome and Course Objectives PULMONARY 8:10 KEYNOTE PRESENTATION An Update on CT Screening for Lung Cancer. What is the Evidence? James Jett, MD 8:50 Q & A 9:00 COPD: Understanding Inhaled Pharmacologic Treatment Strategies Brian Morrissey, MD 9:30 Interventional Bronchoscopy: Heat or Freeze, Site or Sound, Metal or Silicone and Going Virtual. It’s All Good. Ken Yoneda, MD 10:00 Expert Panel Question and Answer 10:10 Break, Visit Exhibits 10:30 Case Based Learning Approach To Pulmonary Diseases Adult Onset Exertional Dyspnea: Michael Schivo, MD When the Cardiologist Says, “It’s Not the Heart” Expert Panel: Adult Onset Asthma Samuel Louie, MD COPD Brian Morrissey, MD Pulmonary Arterial Hypertension Mark Avdalovic, MD 11:45 Lunch (included in tuition) 1:00 pm Highlights of the 2008 ACCP Anticoagulation Guidelines Susan Murin, MD 1:40 Q & A 1:45 Treating Idiopathic Pulmonary Fibrosis: Facts and Expert Opinion Andrew Chan, MD 2:25 Q & A 2:30 Sleep Apnea William Bonekat, DO 3:10 Q & A 3:15 Break, Visit Exhibits 3:35 Small Group Workshops 1. Radiographic Case Studies Gibbe Parsons, MD and Mathew Sisitki, MD 2. Bronchoscopy Clinics Amir Zeki, MD and Heba Ismail, MD 3. Approach to the Sleepy Patient William Bonekat, DO 5:15 Adjourn 8th Annual UC Davis Pulmonary & Critical Care Conference
  • 3. Friday, July 16, 2010 continued PULMONARY SPECIALTY TRACK: ASTHMA UPDATES AND CONTROVERSIES (additional fee, see enrollment form for details) 1:00 pm Welcome and Objectives Bench to Bedside, New Insights into Asthma: Clinical Implications 1:05 What Have We Learned from Animal Models? Mark Avdalovic, MD 1:25 Genomics and Beta Agonist Resistance: Translational Science in Asthma Nicholas Kenyon, MD 1:45 Expert Panel Question and Answer Clinical Management 1:55 Asthma and the Pregnant Patient Amir Zeki, MD 2:15 Vocal Cord Dysfunction Syndrome Peter Karkos, MD 2:35 Expert Panel Question and Answer 2:45 Break, Visit Exhibits 3:05 Case Based Learning Approach to Asthma Asthma Conundrums Samuel Louie, MD Advanced Treatment Strategies 3:45 Immunotherapy Suzanne Teuber, MD 4:05 Thermoplasty Ken Yoneda, MD 4:20 Omaluzimab (Anti-IGE): Who, How, and When to Treat? Samuel Louie, MD 4:40 Expert Panel Question and Answer Team Based Approach to Outpatient Asthma Management 4:50 The University of California (Davis) Asthma Network (UCAN) Clinic Experience Samuel Louie, MD, Nicholas Kenyon, MD, Celeste Kivler, RRT, AE-C, CCRP and Claudia Vukovich, RRT, RCP, AE-C 5:15 Adjourn
  • 4. SATURday, July 17, 2010 7:00 am Continental Breakfast, Visit Exhibits 7:00 Sunrise Sessions: Roundtable Discussions Optional informal meet the faculty discussions. Seating limited to 10 per table, no pre-registration required. Ultrasound and New Technologies Nicholas Stollenwerk, MD Update on Acute Respiratory Distress Syndrome Network (ARDSnet) Clinical trials Timothy Albertson, MD, MPH, PhD Managing Chronic Lung Infections Need not be a Chronic Pain Brian Morrissey, MD CRITICAL CARE 8:00 Welcome and Critical Care Objectives 8:10 Update on Sepsis Timothy Albertson, MD, MPH, PhD 8:50 Q&A 9:00 Managing an Intensive Care Unit: Applying Evidence Based Guidelines, Using Protocols, and Following Markers of Quality Care Gregory Marelich, MD, Petey Laohaburanakit, MD, and Mojdeh Talebian, MD 10:00 Speaker Panel Question and Answer 10:10 Break, Visit Exhibits Providing Critical Care Management in the ICU and How to Find the Best Model for Your Medical Center 10:30 The Housestaff Model Christian Sandrock, MD, MPH 10:50 The Intensivist Model Hugh Black, MD 11:10 The Pediatric Perspective Robert K. Pretzelaff, MD, MS and JoAnne E. Natale, MD, PhD 11:30 Panel Discussion 11:45 Lunch (on your own) 1:15 pm Integration of New Technologies Into the ICU: Choosing What Works Best For You Nicholas Stollenwerk, MD
  • 5. SATURday, July 17, 2010 continued 1:50 Rescue Ventilator Strategies: From Conventional Mechanical Ventilators to ECLS Nicholas Stollenwerk, MD and Christian Sandrock, MD, MPH 2:30 Preventing Infections in the ICU: What is the Evidence? Christian Sandrock, MD, MPH 3:10 Speaker Panel Question and Answer 3:20 Break, Visit Exhibits 3:40 Small Group Workshops 4. Infectious Disease Cases Christian Sandrock, MD, MPH and Roksara Raffi, MD 5. Ventilator Wave Forms and/or Case Studies in Rescue Ventilator Strategies Hugh Black, MD 6. Ultrasound Cases and/or Non-invasive Hemodynamic Monitoring Cases Nicholas Stollenwerk, MD and Heba Ismail, MD 5:00 Adjourn, turn in evaluations and pick up certificate of attendance. Have a safe journey home! ENROLLMENT Please register early – space is limited. Tuition is $325 for physicians and $275 for all others. Confirmation of registration will be sent within two weeks after receipt of enrollment form. The fees will increase after June 16, 2010. Tuition includes continental breakfast, lunch on Friday, refreshment breaks, syllabus, and a certificate of attendance. Tuition may be paid by check, American Express, Discover, MasterCard or VISA. Cash is not accepted. UC Davis Health System and UC Davis School of Medicine volunteer faculty, alumni, faculty, and staff are eligible for tuition discounts. See enrollment form for details. Refunds must be requested by June 16, 2010 and will be subject to a $25 service charge. Program materials cannot be guaranteed unless enrollment is received by June 16, 2010. The Office of Continuing Medical Education reserves the right to cancel this program. In such a case, a full refund will be given. Registration forms received without payments will not be processed until payment is received, and payment must follow within 10 days.Earlydiscountratesarehonoredifpayment is received by the date noted on the enrollment form. After that date, the late fee is applied. On-site Fees: At door registrations will be charged at a higher rate. Please see enrollment form for details.
  • 6. Faculty COURSE CO-CHAIRS GUEST FACULTY DIVISION OF PULMONARY, CRITICAL CARE & SLEEP MEDICINE Nicholas Stollenwerk, MD Assistant Clinical Professor Division of Pulmonary and Critical Care Medicine UC Davis Health System James R. Jett, MD Professor of Medicine Divisions of Oncology, Pulmonary and Critical Care Medicine Mayo Clinic Ken Y. Yoneda, MD Professor of Clinical Internal Medicine Division of Pulmonary and Critical Care Medicine UC Davis Health System Keynote speaker Peter D. Karkos, MD Fellow and Visiting Assistant Professor Department of Otolarygology UC Davis Health System Petey Laohaburanakit, MD Pulmonary and Critical Care Medicine Rogue Valley Medical Center, Medford, OR Gregory Marelich, MD Pulmonary and Critical Care Medicine Kaiser Permanente South Sacramento Medical Center JoAnne E. Natale, MD, PhD Associate Professor Medical Director, UC Davis Children’s Hospital Pediatric Intensive Care Unit Robert K. Pretzlaff, MD, MS Associate Professor of Pediatrics Chief of Pediatric Critical Care Medicine Medical Director of Extracorporeal Life Support Mojdeh N. Talebian, MD Pulmonary and Critical Care Medicine Sequoia Hospital, Redwood City, CA Suzanne S. Teuber, MD Professor of Medicine Divisions of Rheumatology, Allergy and Clinical Immunology UC Davis Health System Timothy E. Albertson, MD, MPH, PhD Professor of Medicine Pharmacology/Toxicology and Anesthesia Gordon A. Wong Professor in Pulmonary and Critical Care Medicine Acting Chair, Department of Internal Medicine Mark V. Avdalovic, MD Assistant Clinical Professor H. William Bonekat, DO Professor of Clinical Internal Medicine Hugh B. Black, MD Assistant Clinical Professor Andrew L. Chan, MD Associate Professor of Clinical Internal Medicine Nicholas J. Kenyon, MD Associate Professor of Medicine in Residence Samuel Louie, MD Professor of Clinical Internal Medicine Brian A. Morrissey, MD Associate Professor of Clinical Internal Medicine Fellowship Director, Pulmonary & Critical Care Susan Murin, MD Professor of Clinical Internal Medicine Gibbe H. Parsons, MD Professor of Medicine Christian E. Sandrock, MD, MPH Assistant Clinical Professor Amir A. Zeki, MD Assistant Clinical Professor Heba Ismail, MD Rokhsara Raffi, MD Post Doctoral Fellows Michael Schivo, MD Mathew P. Sisitki, MD CONFERENCE COORDINATOR Pamela Schneider CME Specialist Office of Continuing Medical Education UC Davis Health System Department of Respiratory Care Celeste Kivler, RRT, AC-E, CCRP Respiratory Therapist Claudia Vukovich, RRT, RCP, AC-E Respiratory Therapist
  • 7. TARGET AUDIENCE This knowledge-based course was developed with the busy clinician in mind. It is designed to change physicians, nurses, respiratory therapists, and pharmacists competence and to promote collaboration and interdisciplinary team management to improve patient care in pulmonary and critical care medicine. NEEDS ASSESSMENT In the 8th year of this successful and expanding program, we offer the health professional evidence based, state-of-the-art update on highlighted topics in pulmonary and critical care medicine. Based on previous conference evaluations and a comprehensive needs assessment, we continue to concentrate on the disease areas of high relevance, clinical interest, advanced technology, and rapid advancement. This activity is designed to change competence through didactic lectures, small group workshops, expert panel discussions, and case-based learning to help meet the needs of our diverse audience. With the anticipated release of large controlled trials on CT screening for lung cancer, we have recruited a recognized world-wide expert and clinical investigator in this highly controversial area to be our keynote speaker. This conference will specifically address these identified educational needs and provide practitioners with state- of-the-art tools to provide improved treatment options for their patients. This year we will also feature a specialized pulmonary track with an in-depth bench to bedside focus on asthma. OBJECTIVES At the end of the program, participants should be able to: • Evaluate the knowledge of existing and future clinical trials regarding chest CT screening for lung cancer and apply it to individual patients • Apply knowledge regarding asthma guidelines to better identify, stratify, and treat asthma • Describe recent advancements in our basic understanding of asthma pathogenesis including beta-agonist resistance and develop a strategy for applying it to patients • Apply knowledge from new clinical trials regarding inhaled medications and the safe use of long-acting beta2-agonists for COPD • Apply knowledge to better identify and refer patients who might benefit from new advancements in interventional bronchoscopy • Outline a strategy for recognizing and applying the pharmacologic treatment of deep venous thrombosis and pulmonary emboli based on the new American College of Chest Physicians Guidelines • Recognize the symptoms of dyspnea associated with pulmonary arterial hypertension • Apply knowledge to gain an understanding of how technology can aide the care of patients in the ICU and to begin to incorporate various technologies into practice • Apply knowledge to more systematically adhere to guidelines for the treatment of sepsis • Apply knowledge to develop a strategy for identifying, evaluating, and treating sleep disorders, particularly obstructive sleep apnea • Apply knowledge and implement change to improve adherence to guidelines for the prevention of ventilator associated pneumonia and central line infections in the ICU • Describe advanced treatment strategies for asthma including thermoplasty, immunotherapy, and omaluzimab and develop a strategy for incorporating them into practice • Identify and implement quality of care markers in the ICU • Describe the management of chronic lung infections
  • 8. ACCREDITATION The University of California, Davis Health System is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. CREDIT DESIGNATION Physician Credit: The University of California, Davis Health System designates this educational activity for a maximum of 15.25 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. AAFP: Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. AMA PRA Category 1 Credits™ acceptable for multidisciplinary team members Nurse: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credits™ issued by organizations accredited by the ACCME. For the purpose of relicensure, the California Board of Registered Nursing accepts AMA PRA Category 1 Credits™ (report hours of credit and fill in “CME Category 1” for the provider number). Physician Assistant: The National Commission on Certification of Physician Assistants (NCCPA) states that AMA PRA Category 1 Credits™ are acceptable for continuing medical education requirements for recertification. Respiratory Therapist: This course meets the requirements for continuing education for respiratory care practitioners in California. ADDITIONAL CREDIT DESIGNATION Pharmacist:TheUniversityofCalifornia,DavisHealthSystemDepartmentofPharmacyisaccredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacyeducation.ACPEUniversalProgramNumber0277-0000-10-148-L01-P has been assigned to this activity. This knowledge-based activity provides 14.25 contact hours (1.425 CEUs) of continuing education credit. To obtain credit, pharmacists must attend and actively participate in all sessions and complete the course evaluation at the end of the activity. CALIFORNIA AB 1195 With the passage of California Assembly Bill 1195, signed November 2005, continuing medical education courses with patient care components are required to include curricula in the subject of cultural and linguistic competency. It is the intent of the bill, which went into effect on July 1, 2006, to encourage physicians and surgeons, CME providers in the state of California, and the Accreditation Council for Continuing Medical Education to meet the cultural and linguistic concerns of a diverse patient population through appropriate professionaldevelopment.Theplanners,speakers,andauthors of this CME activity have been encouraged to address issues relevant in their topic area. In addition, a variety of resources are available to address cultural and linguistic competency, some of which will be included in the syllabus or handout materials. Additional resources and information about CA AB 1195 can be found on our website at http://cme.ucdavis.edu. GENERAL SESSION Up to 14.25 AMA PRA Category 1 Credits™ SUNRISE SESSIONS Up to 1 AMA PRA Category 1 Credits™
  • 9. Location Hyatt Regency Sacramento at Capitol Park 1209 L Street Sacramento, CA 95814 (916) 443-1234 or (800) 233-1234 The Hyatt Regency is across the street from the California State Capitol. It is near the K Street Mall, Sacramento’s vibrant landmark shopping complex, and Old Sacramento, a national landmark and California State Historic Park. “Old Sac” is a thriving commercial trade center and waterfront with new public docks, excursion cruises, water taxi, some of Sacramento’s best restaurants, and the famous Railroad Museum. UC Davis does not have a room block for group rates at the Hyatt. Reservations may be made by calling the Hyatt. Visit the Sacramento Convention and Visitors Bureau web site for information about dining and lodging in the downtown Sacramento area: http://www.sacramentocvb.org. Please consider layered clothing as temperature conditions may vary in the meeting room. If you have any special needs due to a disability as specified in the Americans with Disabilities Act, please call the Office of Continuing Medical Education at (916) 734-5390 so we may make the necessary accommodations for you.
  • 10. for further information UC Davis Health System 1 (866) CME4EDU (263–4338) Office of Continuing Medical Education (916) 734–5390 3560 Business Drive, Suite 130 Fax (916) 734–0742 Sacramento, CA 95820–2161 http://cme.ucdavis.edu UC DAVIS HEALTH SYSTEM CME MISSION In concert with the University of California, Davis Health System mission of discovering and sharing knowledge to advance health, the continuing medical education mission focuses on the lifelong learning commitments of physicians who practice in the health system and in the greater Northern California region. UC Davis CME is at the nexus between scientific discovery and its translation to practice with a commitment to provide a variety of educational formats for evidence-based education that fulfills identified needs and produces changes in physician practice resulting in improved competence, performance and/or patient care. With an emphasis onmultidisciplinaryprograms,contentisbasedoncompetenciesandbonafideneedsassessments as well as clinical requirements. The CME Advisory Committee reviews the content and quality of CME offerings in accordance with the Accreditation Council for Continuing Medical Education’s EssentialAreasandTheirElementsandtheAmericanMedicalAssociation’sPhysicianRecognition Award accredited provider information. DISCLOSURE OF RELEVANT FINANCIAL RELATIONSHIPS As a provider accredited by the Accreditation Council for Continuing Medical Education, the UniversityofCalifornia,DavisHealthSystemOfficeofContinuingMedicalEducationmustensure balance, independence, and objectivity in all CME activities to promote improvements in health care and not proprietary interests of a commercial interest. The provider controls all decisions related to identification of CME needs, determination of educational objectives, selection and presentation of content, selection of all persons and organizations that will be in a position to control the content, selection of educational methods, and evaluation of the activity. Course directors, planning committee members, presenters, authors, moderators, panel members, and others in a position to control the content of this activity are required to disclose relevant financial relationships with commercial interests related to the subject matter of this educational activity. Learners are able to assess the potential for commercial bias in information when complete disclosure, resolution of conflicts of interest, and acknowledgment of commercial support are provided prior to the activity. Informed learners are the final safeguards in assuring that a CME activity is independent from commercial support. We believe this mechanism contributes to the transparency and accountability of CME. BROCHURE ART CREDIT Brochure images courtesy of Accreditation Council for Continuing Medical Education, UC Davis Public Affairs, Tom Myers and Sacramento Convention & Visitors Bureau, and iStockphoto.com. In accordance with applicable State and Federal laws and University policy, the University of California does not discriminate in any of its policies, procedures, or practices on the basis of race, color, national origin, religion, sex, sexual orientation, handicap, age, veterans status, medical condition (cancer-related), ancestry, or marital status as defined in Section 12926 of the California Government Code; nor does the University discriminate on the basis of citizenship, within the limits imposed by law or University policy. In conformance with the applicable law and University policy, the University of California is an affirmative action/equal opportunity employer. Inquiries regarding the University’s equal opportunity policies may be directed to the Vice Chancellor of Academic Affairs-Affirmative Action Officer and Title IX Coordinator at University of California, Davis, 525 Mrak Hall, Davis, CA 95616.
  • 11. 8th Annual UC Davis Pulmonary & Critical Care Conference (Please Print) Friday—Saturday, July 16–17, 2010 ( ) ( ) For Office Use Only PUL2011 6049 Enrollment application ______________________________________________________________________________________________________________________ First Name M.I. Last Name MD DO PharmD RPh PA NP RN RT Other:_____________________________________ ______________________________________________________________________________________________________________________ Institution/Employer (as you would like it to appear on your badge) Profession/Occupation ______________________________________________________________________________________________________________________ Address (where you would like your receipt mailed) ______________________________________________________________________________________________________________________ City State Zip Code ______________________________________________________________________________________________________________________ Day Phone Fax Number ______________________________________________________________________________________________________________________ E–Mail Physician information required for CME credit and name badge. Please indicate primary medical specialty: FP GP IM PULM CC EM Other (specify)_ _________________________________________________________ Social Security Number (last 4 digits required for transcript purposes) Please copy the mail code from the address side of the brochure (above your name, e.g. PPUL, MMSPUL, CRDPUL):______________________ If you did not receive a brochure in the mail, how did you hear about this conference? (example: PT&MG, UCD website, web search, magazine, friend) _________________________________________________________________ HAVE YOU ATTENDED THIS CONFERENCE IN THE PAST? YES NO Please use ONE of these methods to register: (Do not mail if previously faxed or telephoned) Mail application and payment to Office of Continuing Medical Education c/o UC Davis Cashiers Office, PO Box 989062, West Sacramento, CA 95798-9062 Telephone: (916) 734–5390 Fax application (916) 734-0742 REGISTER ONLINE: http://cme.ucdavis.edu/conferences REGISTRATION FEES: (Receipt/Confirmation will be mailed within two weeks) Early Discount after JUNE 16 ON SITE Physician $325 $375 $425 Other Health-care Professional $275 $324 $374 UC DAVIS AFFILIATE FEES: (Please specify) Faculty Volunteer Faculty Alumni Staff PCN Early Discount after JUNE 16 ON SITE Physician $270 $310 $360 Other Health-care Professional $230 $269 $320 _____________________________________________________________________________________________ 7 Digit Acct. # Authorized Signature and Phone # Department WORKSHOP ENROLLMENT: Please circle the workshop you wish to attend at each scheduled time. FIRST CHOICE SECOND CHOICE FIRST CHOICE SECOND CHOICE Friday 3:35 pm 1 2 3 1 2 3 Saturday 3:40 pm 4 5 6 4 5 6 If you need disability accommodations at the meeting, please let us know by June 16, 2010 and our representative will contact you. Please note special dietary/allergy requirements______________________________________________________ Please check your payment method. Registration forms received without check, credit card number or purchase order number will not be processed until payment is received. Check enclosed payable to: UC Regents AmEx Discover MasterCard VISA _____________________________________________________________________________________________ account number expiration date _____________________________________________________________________________________________ authorized signature (name on card) security code Pulmonology and Critical Care Medicine Friday 1:00pm - 5:15pm Saturday 8:00am - 5:00pm Pulmonary Specialty Track: Asthma Updates and Controversies Friday 1:00pm - 5:15pm — $40.00 Participants must be registered participants of the 8th Annual UC Davis Pulmonary and Critical Care Conference. Space is limited and pre-registration required. eMktg
  • 12. Non–profitOrg. U.S.Postage PAID Sacramento,CA PermitNo.3405 Ifyoucannotattend…please givebrochuretoacolleague! DATEDMATERIALFriday—Saturday July16–17,2010 HyattRegency Sacramento,California Highlights: ■ WorldRecognizedExpert,JamesJett,MDtoDiscussthe ControversySurroundingCTScreeningforLungCancer ■ SpecialtyTrack:StateoftheArtAsthmaCare– FromBenchtoBedside ■ StateoftheArtCare:SelectedTopicsinPulmonary andCriticalCareMedicine 8thAnnualUCDavis Pulmonary&CriticalCareConference Thisprogramisselfsupportingandreceivesnostatefunding. 10%postconsumerwaste UniversityofCalifornia,Davis OfficeofContinuingMedicalEducation 3560BusinessDrive,Suite130 Sacramento,CA95820-2161