19TH ANNUALAdvances inDiagnosisand Treatment           entof Sleep Apnea           neaand SnoringDisney’s BoardwalkInn Res...
facultyCourse Directors                                                                  COURSE OVERVIEW                  ...
REGISTRATION FEES                                               lation fee. Please email your cancellation notificationThi...
course scheduleFriday, February 15, 2013            Registration, Continental Breakfast,7:00–7:55am	                      ...
Saturday, February 16, 20137:30–8:00am	   Continental Breakfast and Exhibit Viewing               Optional Lunch and8:00–8...
Sunday, February 17, 20137:30–8:00am	 ontinental Breakfast  Exhibit Viewing            C8:00–8:30am	Oral Appliances and Th...
course registration form19th ANNUALAdvances in Diagnosis and Treatment of Sleep Apnea and SnoringFebruary 15–17, 2013  2 W...
Non-Profit Organization      Philadelphia, PA      Permit No. 2563        U.S. Postage           Paid                     ...
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19th Annual Advances in Diagnosis and Treatment of Sleep Apnea and Snoring

  1. 1. 19TH ANNUALAdvances inDiagnosisand Treatment entof Sleep Apnea neaand SnoringDisney’s BoardwalkInn ResortOrlando, FloridaFebruary 15-17, 2013Presidents’ Day WeekendUpdated Program! © Disney
  2. 2. facultyCourse Directors COURSE OVERVIEW This course is coordinated by the Penn Division of Sleep Medicine and the Department of Otorhinolar-Richard J. Schwab, MDProfessor, Division of Sleep Medicine yngology–Head and Neck Surgery at the University ofPulmonary, Allergy and Critical Care Division Pennsylvania and the Department of Otolaryngology–Department of Medicine Head and Neck Surgery at the University of California,Perelman School of Medicine at the University of Pennsylvania San Francisco. The program is designed to provide aPhiladelphia, PA comprehensive review and update on recent advancesAndrew N. Goldberg, MD, MSCE in sleep apnea and snoring. New approaches and con-Professor, Department of Otolaryngology –Head and Neck Surgery troversies in the management of patients with sleep-University of California, San Francisco disordered breathing will be highlighted. Leaders in theEric J. Kezirian, MD, MPH field of sleep science from Otolaryngology, PulmonaryAssociate Professor, Department of Otolaryngology – and Critical Care Medicine, Sleep Medicine, Neurology,Head and Neck Surgery Bariatric Surgery and Oral Maxillofacial Surgery willUniversity of California, San Francisco share their medical and surgical expertise in didacticGuest Faculty lectures and optional break-out sessions. There willPeter Cistulli, MD, PHD be ample opportunity for interaction with participat-Professor of Sleep Medicine ing faculty. A course syllabus will be provided to eachNorthern Clinical School Woolcock Institute ofMedical Research, University of Sydney, Australia participant. In order to “go green” the syllabus will be provided via flash drive.Gary D. Foster, PhDDirector, Center for Obesity Research and EducationProfessor, Medicine and Public Health TARGET AUDIENCETemple University, Philadelphia, PA This continuing medical education program is intend-Thorarinn Gislason, MD, PhD ed for the physician in Otolaryngology, PulmonaryProfessor of Medicine Medicine, Sleep Medicine, Oral Maxillofacial Surgery,Landspitali University Hospital, Reykjavik, Iceland Dentistry, Family Practice, Internal Medicine, Neurol-Kasey K. Li, MD, DDS ogy, Cardiology, and Psychiatry. Nurses and sleep andAdjunct Associate Clinical Professor in Sleep MedicineDepartment of Psychiatry, Stanford School of Medicine respiratory therapy technologists are also invited toStanford, CA attend this program.Atul Malhotra, MDAssociate Professor of Medicine OBJECTIVESHarvard Medical School, Boston, MA Upon completion of this course, participants shouldMarc I. Raphaelson, MD be able to:Director, Greater Washington Sleep Disorders Center • Discuss new developments in the pathogenesis, Rockville, MD diagnosis and management of patients withEdward M. Weaver, MD, MPH sleep disordered breathingProfessor of Otolaryngology, Chief of Sleep Surgery • Identify new and alternative medical and surgi- University of Washington, Seattle, WA cal treatments for sleep apnea and snoringB. Tucker Woodson, MD • Discuss ramifications of sleep apnea and driving Professor and Chief, Division of Sleep Medicine • Assess new insights from upper airway imaging Medical College of Wisconsin, Milwaukee, WI • Discuss the association between obesity and ob- University of Pennsylvania Faculty structive sleep apnea and the outcomes of medi-Nalaka S. Gooneratne, MD cal and surgical treatment of obesityAssociate Professor of Medicine, Division of Geriatric Medicine • Review the medical, social and economical con- Perelman School of Medicine at the University of Pennsylvania, sequences of sleep apnea and snoringPhiladelphia, PASamuel T. Kuna, MD AccreditationAssociate Professor of Medicine The Perelman School of Medicine at the UniversityChief, Sleep Medicine Section of Pennsylvania is accredited by the AccreditationPhiladelphia Veterans Affairs Medical CenterPerelman School of Medicine at the University of Pennsylvania Council for Continuing Medical Education (ACCME) toPhiladelphia, PA provide continuing medical education for physicians.Allan I. Pack, MB ChB, PhDProfessor of Medicine, Chief, Division of Sleep Medicine Designation of CreditDirector, Center for Sleep Respiratory Neurobiology The Perelman School of Medicine at the UniversityPerelman School of Medicine at the University of Pennsylvania of Pennsylvania designates this live activity for aPhiladelphia, PA maximum of 15.75 AMA PRA Category 1 Credits™. Phy-Ilene M. Rosen, MD sicians should claim only the credit commensurateAssociate Professor of MedicineDivision of Sleep Medicine and Pulmonary, Allergy, with the extent of their participation in the activity. Critical Care Division, Department of MedicinePerelman School of Medicine at the University of Pennsylvania DisclosuresPhiladelphia, PA The Perelman School of Medicine at the UniversityErica R. Thaler, MD of Pennsylvania, Office of Continuing Medical Educa-Professor, Department of Otorhinolaryngology – tion, adheres to the ACCME Standards for CommercialHead and Neck SurgeryPerelman School of Medicine at the University of Pennsylvania Support. Faculty disclosure information will be madePhiladelphia, PA available in the conference materials and syllabi. Fac-Noel N. Williams, MB CHB, MCh ulty members are also expected to disclose to partic-Professor of Surgery ipants any discussions of off-label and/or investiga-Director, Bariatric Surgery Program tional uses of pharmaceutical products within theirPerelman School of Medicine at the University of Pennsylvania presentations.Philadelphia, PA
  3. 3. REGISTRATION FEES lation fee. Please email your cancellation notificationThis CME activity offers an early registration discount for to cathy.lafferty@uphs.upenn.edu or fax to 215-662-registrations received by December 15, 2012. The stan- 4515. For more information please call 215-349-5382.dard registration fee of $725.00 will apply to all mail-in The University reserves the right to cancel or postponeregistrations post-marked and all online registrations any activity due to unforeseen circumstances. In thesubmitted after December 15th. Seating capacity is lim- event of cancellation or postponement by the Univer-ited. We encourage participants to register early. sity or course directors, we will refund registration fees Physicians but will not be responsible for any related costs, charg- Early Registration: $675 • Standard Registration: $725 es or expenses to participants including cancellation Nurses, allied health professionals, charges assessed by airlines, hotels or travel agencies. sleep technicians, residents fellows: $600 Nondiscrimination StatementOptional break-out sessions are offered on Friday and The University of Pennsylvania values diversity and seeks tal-Saturday. Participants may register for one break- ented students, faculty and staff from diverse backgrounds. The University of Pennsylvania does not discriminate on theout session each day. Break-out registration fee of basis of race, sex, sexual orientation, gender identity, religion,$30.00 per session includes lunch on that day. color, national or ethnic group, age, disability status as a Viet-Registration fees include program, breakfast, refresh- nam Era Veteran or disabled veteran in the administration ofment break each day, 1 complimentary ticket to the educational policies, programs or activities; admissions poli-EPCOT® fireworks reception and all course materials. cies; scholarship and loan awards; athletic or other University administered programs or employment. Questions or com-We will confirm all registrations by email. If you do not plaints regarding this policy should be directed to the Execu-receive a confirmation within 2 weeks of registration, tive Director, Office of Affirmative Action, Suite 228, Sansomplease contact 215-349-5382. Place East, 3600 Chestnut Street, Philadelphia, PA 19104-6106 or 215-898-6993 (Voice) or 215-898-7803 (TDD)..Cancellation Refund Policy Services for the Disabled or Special ArrangementIf a participant must cancel his/her course registration, If special arrangements are required for an individualrefunds are possible if written notification is received with a disability, or for any reason, to attend this meetingby January 15, 2013. Refunds will not be processed af- please contact Cathy Lafferty at 215-349-5382 or emailter this date. All refunds are subject to a $75.00 cancel- cathy.lafferty@uphs.upenn.edu by February 1, 2013.DISNEY’S BOARDWALK INN RESORTThis upscale waterfront resort is steeped in nostalgiaand old-fashioned charm. Guest rooms are bright andspacious and offer a variety of views. Room service,concierge, health club, business center, babysitting, selfparking, valet parking, laundry services, wireless Wi-Fiaccess and high speed Internet access are all available onsite. The “Boardwalk” is located within walking distanceto EPCOT® and is easily accessible to all Disney themeparks and attractions via water launch or bus. The resort © Disneyoffers an exciting array of activities. There are two “quiet”pools and a large pool with a playground area. Tennis, plan ahead and make your arrangements early! For yourcroquet, bike and surrey rentals are also available on site convenience, Disney offers Disney’s Magical Express, busand there is a two-mile jogging trail. Golf courses are lo- transportation to and from the Orlando Airport. You maycated nearby. For tee times just call 407-WDW-GOLF. On make arrangements while booking your hotel room, orthe Boardwalk itself there are several outstanding res- make them online once you have a reservation number.taurants, nightclubs and boardwalk activities. Whether Conference Center: The Sleep Apnea course will beyou bring your family or come yourself, you are sure held in the Conference Center at Disney’s Boardwalkto enjoy everything this unique complex has to offer. Inn Resort. It is just a short walk down the path fromFor driving directions or additional information call the hotel. If you are driving to the meeting, parking is407-939-5100. For dining reservations call 407-WDW- available at the Conference Center.Dine. Advance dining reservations are recommended DISNEY THEME PARK TICKETSand most may be made 6 months ahead of time. Meeting/convention discount park tickets are availableHOTEL RESERVATIONS for course participants and their families. You may orderOvernight rooms are available at the Boardwalk Inn tickets while you make your hotel reservation or youbeginning Wednesday, February 13th at a special dis- may call 407-566-5600. Options include 1-day ticketscounted conference rate of $245.00 per night for single for park entry after 2pm and after 4pm as well as park hopper tickets for 2–5 days. Additional information willor double occupancy (additional persons 18yrs and be sent to all course registrants. The Disney parks fea-older $25.00 per night). This rate does not include taxes ture something for everyone, from the seven whimsical(currently at 12.5%). For reservations call the Group Res- lands in the Magic Kingdom®, to the iconic Spaceshipervations Office at 407-934-3372 and identify yourself Earth and World Showcase at Epcot®, to the rides andas a participant in the University of Pennsylvania Sleep shows at Disney’s Hollywood Studios, to Disney’s Ani-Apnea Conference. Or you may make reservations online mal Kingdom’s Kilimanjaro Safari® and Expedition Ever-at: http://www.mydisneymeetings.com/sleep-apnea-- est™ and everything in between, to the two awesomesnoring-conference-2013/. You will need to guarantee water parks at Typhoon Lagoon and Blizzard Beach!your reservations with a credit card or deposit. All res-ervations must be made by January 15, 2013 to receive OTHER ORLANDO ATTRACTIONSthis special rate. Please note that reservations will be The Orlando area also offers a wide variety of other ac-accepted based upon space availability, and rates may tivities, sure to please everyone in your family or group–increase if you call after January 15th. Rooms are avail- Universal Studios (featuring The Wizarding World ofable on a first come, first served basis and may sell out Harry Potter™), SeaWorld, Gatorland, Buena Vista Water-quickly. In the event that rooms at this hotel sell out, an sports, Orlando Balloon Rides, and the Kennedy Spacealternative hotel will be offered to you. We urge you to Center – just to name a few!
  4. 4. course scheduleFriday, February 15, 2013 Registration, Continental Breakfast,7:00–7:55am Optional Lunch and Exhibit Viewing Break-out Session7:55– 8:00am Introduction and Course Announcements Advance registration required;8:00–8:30am verview of Sleep Disorders O box lunch is included. Richard Schwab, MD 1:30–2:30pm • Sleep deprivation • Narcolepsy, parasomnias, insomnia, PLMs, RBD The Treatment of Insomnia Including Cognitive8:30–9:00am Pathogenesis and Clinical Presentation Behavior Therapy of Sleep Apnea Atul Malhotra, MD Nalaka S. Gooneratne, MD • Upper airway physiology, fluid shifts or • REM-related sleep apnea 1:30–2:30pm 9:00–9:20am in the Elderly and Cognitive Function OSA Sleep Board Review: Nalaka Gooneratne, MD • What level of AHI matters in the elderly? Polysomnography and • Association of OSA with dementia Artifacts9:20–9:40am Epidemiology of Sleep Apnea Around the World Marc I. Raphaelson, MD Thorarinn Gíslason MD, PhD Atul Malhotra, MD • Obesity and craniofacial factors Ilene M. Rosen, MD • Racial and ethnic differences Richard J. Schwab, MD9:40–10:00am ortable Sleep Studies: P The Horse is out of the Barn Samuel Kuna, MD 8:00–9:30pm • Diagnostic algorithms for ambulatory sleep studies Illuminations Fireworks • Outcome data with sleep study paradigms Dessert Reception10:00–10:20am Complementary and Alternative Medicine at EPCOT’s French Island for Sleep Disorders • Private Dessert Buffet Nalaka Gooneratne, MD • Spectacular fireworks display • Use of herbal medications and laser show • Use of melatonin • Free for participants (additional10:20–10:50am Break Exhibit Viewing fee for family or guests)10:50–11:10am Portable Sleep Study Program in • Advance reservations are Hospitalized Patients required–see registration form Richard Schwab, MD • Who should be studied? Supported in part by: • Improved outcomes in cardiac patients?11:10–11:30am Outcome Measures in OSA and Snoring Andrew Goldberg, MD, MSCE • Biomarkers, QOL, cognitive effects • Sleep study indices, snoring11:30–12:00pm ardiovascular Consequences of Sleep Apnea C Atul Malhotra, MD • Myocardial infarction, arrhythmias, CHF • Hypertension, stroke12:00–12:20pm OSA in Commercial Non-Commercial Drivers: Public Safety Issues Allan Pack, MB ChB, PhD • Medicolegal risk, when to revoke a license • Ramifications for the trucking industry12:20–12:40pm hat Have We Learned About the W Genetics of Sleep Apnea? Thorarinn Gíslason MD, PhD • Iceland experience • SAGIC (sleep apnea genetics international consortium) study12:40–1:00pm hat is the Future of Sleep Medicine? W Allan Pack, MB ChB, PhD • OSA is a chronic disease: focus on outcomes not diagnosis • New model of reimbursement: bundled payment model1:00-1:20 pm Questions Answers © Disney
  5. 5. Saturday, February 16, 20137:30–8:00am Continental Breakfast and Exhibit Viewing Optional Lunch and8:00–8:30am Sleep Disorders: Year in Review 2013 Break-out Session Advance registration required; Allan Pack, MB ChB, PhD box lunch is included. • Update on sleep apnea • Update on narcolepsy, PLMs, insomnia 1:30–2:30pm anagement of a Fiscally M8:30–9:00am The Obesity Epidemic and Sleep Apnea Sound Sleep Lab and Home Gary Foster, PhD Sleep Study Programs • Metabolic syndrome, Type II DM, insulin resistance Marc I. Raphaelson, MD • Update on Sleep Ahead Study Richard Schwab, MD9:00–9:30am CPAP: Evidence-Based Treatment of Registration is limited. This session Choice for SDB will use a “town hall” format to Ilene Rosen, MD discuss various economic aspects • Clinical outcomes with CPAP of sleep medicine. • CPAP adherence or9:30–9:50am The Nuts and Bolts of the Delivery of Positive Airway Pressure 1:30–2:30pm Ilene Rosen, MD urgical Case S • CPAP, Bilevel systems, AutoPAP, ASV Presentations • New interfaces Andrew N. Goldberg, MD, MSCE Eric J. Kezirian, MD, MPH9:50–10:10am PAP Adherence Tracking: How to Use the Data C Kasey K. Li, MD, DDS Richard Schwab, MD Erica R. Thaler, MD • Clinical guidelines Edward M. Weaver, MD, MPH • Why residual AHI and mask leak are important B. Tucker Woodson, MD10:10–10:30am Diagnosis and Management of Obesity- Hypoventilation Syndrome Ilene Rosen, MD • How to diagnosis Pickwickian syndrome • What is the best treatment option?10:30–11:00am Break Exhibit Viewing11:00–11:30am to Achieve Medical Weight Loss in 2013 How Gary Foster, PhD • Behavioral strategies for weight loss • Role of medications11:30–12:00pm utcomes from Bariatric Surgery in Patients O with Sleep Apnea Noel Williams, MB ChB, MCh • What type of bariatric surgery? • Indications and outcome data in OSA12:00–12:30pm ew Medical Approaches to OSA Treatment N Atul Malhotra, MD • Provent™, Oral Pressure Therapy–Winx™, oropharyngeal exercises • Sedative-hypnotics, carbon dioxide Reimbursement for CPAP, OA, Surgery and12:30–1:00pm PSGs (including Home Studies) in 2013 Marc Raphaelson, MD • 2013 updates • Can portable sleep studies be cost effective?1:00–1:20pm Questions Answers © Disney
  6. 6. Sunday, February 17, 20137:30–8:00am ontinental Breakfast Exhibit Viewing C8:00–8:30am Oral Appliances and Their Clinical Indications in OSA: Are they better than CPAP? Peter Cistulli, MD, PhD • Indications • What is the best oral appliance?8:30–9:00am Evaluation/Therapy and Sinusitis in Patients with SDB Nasal Edward Weaver, MD • Significance of septal deviation and obstruction • Nasal dilators, septoplasty, treatment of rhinosinusitis9:00–9:20am Upper Airway Physical Examination and Identifying Sites of Obstruction in Patients with OSA Eric Kezirian, MD, MPH • Drug-induced sleep endoscopy • Correlating the site of obstruction with surgical options9:20–9:40am Insights into the Management of SDB Utilizing Upper Airway Imaging Richard Schwab, MD • Phenotyping the pharynx • Upper airway changes with surgery, appliances, CPAP, weight loss Perioperative Management of OSA9:40–10:00am Andrew Goldberg, MD, MSCE • Patients with sleep apnea surgery • Nonapneic surgery in patients with apnea10:00–10:30am hat is the Role of UPPP and Surgery in OSA? W Edward Weaver, MD, MPH • Who is a good candidate? • Outcome data/complications Break Exhibit Viewing10:30–10:50am Beyond UPPP: Alternative Palate Surgeries10:50–11:20am B. Tucker Woodson, MD • Expansion sphincter pharyngoplasty, Z-palatoplasty, palatal advancement • Techniques and complications Treatment of Snoring11:20–11:40am Andrew Goldberg, MD, MSCE • Palatal implants, radiofrequency, laser • Outcomes data and complications11:40–12:00pm A in the Treatment of Sleep Apnea in Children T Kasey Li, MD, DDS • Presentation of sleep apnea in children • Indications for tonsillectomy Selecting Hypopharyngeal Surgery in OSA12:00–12:20pm Eric Kezirian, MD, MPH • Factors associated with outcomes after various procedures • Patient indications12:20–12:40pm axillomandibular Advancement and Maxillary Expansion M Kasey Li, MD, DDS • Specific patient indications • Outcome data/complications Robotic Base of the Tongue Surgery (TORS)12:40–1:00pm Erica Thaler, MD • Specific patient indications: lingual tonsils • Outcome data/complications1:00–1:20pm Novel Surgical Options for Treating OSA in 2013 and Beyond Eric Kezirian, MD, MPH • Soft palette and tongue implants, magnets • Hypoglossal nerve stimulation1:20pm Closing Remarks and Evaluations Participants must sign in each day, complete a credit request form and submit it to the course registration desk in order to receive CME credits
  7. 7. course registration form19th ANNUALAdvances in Diagnosis and Treatment of Sleep Apnea and SnoringFebruary 15–17, 2013 2 Ways to Register 1. Go online to www.uphs.upenn.edu/pennorl, click on CME Programs and follow the course registration link. Both check and credit card payment options are available online. 2. Mail Registration Form and check payment to: University of Pennsylvania, Conference Services, Holly Marrone, Re: Sleep Apnea, 3702 Spruce Street, Stouffer Commons, Philadelphia, PA 19104. Make check payable to “Trustees of the University of Pennsylvania”. Credit card payment is available online only. NAME______________________________________________________________________ FIRST M.I. LAST M MD M DO M PhD M DDS M Dmd M Other______________________________________ address____________________________________________________________________________ City____________________________________ State________ COUNTRY_______________ Zip__________ Phone (______)______________________________ Fax (______)______________________________ E-Mail_____________________________________________________________________________ Medical Specialty_____________________________________________________________________Tuition Fees Physicians Early Registration Fee (before December 17th) _______ @ $675 = $_________ Standard Registration Fee (after December 17th) _______ @ $725 = $_________ Nurses, Allied Health Professionals, Sleep Technicians, Residents, Fellows _______ @ $600 = $_________Optional LUNCH Break-Out SessionsPlease check ONLY ONE PER DAY if you would like to participate in a break-out session.Pre-registration is required. Space is limited; cost includes lunch. Friday, February 15, 2013  The Treatment of Insomnia Including Cognitive Behavior Therapy _______ @ $30 = $_________  Sleep Board Review: Polysomnography Artifacts _______ @ $30 = $_________ Saturday, February 16, 2013  Management of a Fiscally Sound Sleep Lab and _______ @ $30 = $_________ Portable Home Sleep Study Programs  Surgical Case Presentations _______ @ $30 = $_________EPCOT© Illuminations Dessert ReceptionFriday, February 15, 2013, 8:00–9:30pm, French IslandFree for course registrants; additional guest tickets available. All must be pre-registered. Course Participant _______ @ $0 = $_________ Spouse or Adult Guest(s) _______ @ $20 = $_________ Children 3–12 (under 3 are free) _______ @ $10 = $_________ Total amount DUE: $_________Method of payment  Check Payment enclosed All registrations will be confirmed by email For questions or additional information, please contact: Cathy Lafferty Phone: 215-349-5382 • Fax: 215-662-4515 Email: cathy.lafferty@uphs.upenn.edu
  8. 8. Non-Profit Organization Philadelphia, PA Permit No. 2563 U.S. Postage Paid MARK YOUR CALENDAR! University of Pennsylvania Medical Center Department of Otorhinolaryngology – 3400 Spruce Street, 5 Silverstein Head and Neck Surgery Philadelphia, PA 19104 CME Coordinator UPCOMING AND ONGOING EVENTS 6th International Update Course: PENN Rhinoplasty Course* Otolaryngology Underwater* March 9–10, 2013 • The Westin Philadelphia Dec. 4–7, 2012 • Brac Reef Beach Resort, Cayman Brac This course will cover valuable information for general otorhinolar- A superb lecture series combined with spectacular scuba diving yngologists as well as those focusing their practice on rhinology or opportunities. This popular 4-day continuing medical education facial plastic surgery. A distinguished faculty will provide a broad per- program is intended for practicing Otolaryngologists interested in spective on the most difficult problems as well as the most common updating their knowledge and reviewing contemporary diagnosis conditions. Topics will include evaluation and analysis of the nose, and treatment techniques in a broad spectrum of topics including basic and advanced nasal anatomy, functional and aesthetic surgi- rhinology, head and neck cancer, pediatric otolaryngology, otol- cal techniques, management of complications, understanding terms ogy/neurology, laryngology, rhinoplasty, facial plastic surgery, imag- and uses of grafts, and much more. The format will include lectures ing, allergy and obstructive sleep apnea. The course is directed by and panel discussion with audience participation. An opportunity for Dr. David Kennedy and Dr. Bert O’Malley, Jr; distinguished faculty hands-on lab will also be offered. from around the world will be featured. Visiting Mini Fellowship in Rhinology Frontal Sinus with Endoscopic Sinus Surgery Skull Base Forum Professorship* University of Pennsylvania As part of the PENN International Rhinology Skull Base Course Department of Otorhinolaryngology – March 7–9, 2013 • The Westin Philadelphia Head and Neck Surgery This comprehensive 3-day continuing medical education program This program is designed for practicing Otolaryngologists with a features an outstanding national and international faculty, spotlight- significant interest in endoscopic sinus surgery and management ing medical and surgical advances in the management of sino-nasal of sinus and nasal problems. The course is a three-day, one-on-one disease, with special focus on frontal sinus, and skull base disorders. clinical experience where participants may spend time with Dr. Da- Difficult cases, prevention, diagnosis and management of complica- vid Kennedy, Dr. James Palmer, and Dr. Nithin Adappa during their tions arising from sinus disease and skull base surgery will be reviewed. office hours, observing them in surgery, and performing a cadaveric Didactic lectures, live surgical cases, and demonstration dissections dissection. It will be of particular benefit to Otolaryngologists who will be presented, and the course will offer the opportunity for hands- have been to didactic courses, developed some experience with FESS on cadaver dissection laboratories with powered instrumentation, and identified specific problem areas in the surgical management of drills and image guidance systems at every station. A special highlight patients with sinus disease. A maximum of two Otolaryngologists is of the program is the Distinguished Skull Base Professorship. admitted to the mini fellowship at any one time, allowing for a close*The Perelman School of Medicine at the University of Pennsylvania is accredited one-on-one experience with the faculty. Participants are encouraged by the Accreditation Council for Continuing Medical Education (ACCME) to provide to present CT scans from their own difficult or interesting patient continuing medical education for physicians. This live activity is approved for AMA cases. Mini Fellows are invited to attend Wednesday evening clinical PRA Category 1 Credit(s)™. conferences and Thursday morning Grand Rounds. For course brochure or 20th Annual Advances in more information, contact: Diagnosis and Treatment Cathy Lafferty of Sleep Apnea and Snoring CME Coordinator February 14–15, 2014 • Presidents’ Day Weekend Phone: 215-349-5382 • Fax: 215-662-4515 Grand Hyatt Union Square • San Francisco, CA Email: cathy.lafferty@uphs.upenn.edu http://www.uphs.upenn.edu/pennorl/