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10th Annual UC Davis Pulmonary and Critical Care Conference: State of the Art 2012


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10th Annual UC Davis Pulmonary and Critical Care Conference: State of the Art 2012

  1. 1. 10th Annual UC DavisPulmonaryand CriticalCare ConferenceState of the Art in 2012Friday-SaturdayJuly 13-14, 2012Hyatt RegencySacramento, CaliforniaScan forOnline RegistrationSponsored by:Office of Continuing Medical EducationandDivision of Pulmonary, Critical Careand Sleep MedicineDepartment of Internal Medicine
  2. 2. faculty course chair Brian Morrissey, MD Associate Professor of Clinical Internal Medicine Division of Pulmonary, Critical Care and Sleep Medicine University of California Davis School of Medicine course co-chairs Nicholas S. Stollenwerk, MD Ken Y. Yoneda, MD Assistant Clinical Professor Professor of Clinical Internal Medicine Division of Pulmonary, Critical Care Division of Pulmonary, Critical Care and Sleep Medicine and Sleep Medicine University of California Davis Health System University of California Davis Health System GUEST FACULTY Gary Raff, MD Jeremiah Duby, PharmD, BCPS Associate Professor of Surgery and Pediatrics Director, Pharmacy Critical Care Program Department of Surgery Department of Pharmaceutical Services Division of Cardiothoracic Surgery University of California Davis Health System University of California Davis Health SystemDIVISION OF PULMONARY, CRITICAL CARE AND SLEEP MEDICINE Timothy E. Albertson, MD, MPH, PhD Susan Murin, MD, MSc Professor of Medicine, Pharmacology/ Professor of Clinical Internal Medicine Toxicology and Anesthesia Vice Chair of Clinical Affairs, Gordon A. Wong Professor in Pulmonary Department of Internal Medicine and Critical Care Medicine Acting Chief, Division of Pulmonary, CriticalActing Chair, Department of Internal Medicine Care and Sleep Medicine Roblee P. Allen, MD Gibbe Parsons, MD Professor of Clinical Internal Medicine Clinical Professor Mark V. Avdalovic, MD Christian E. Sandrock, MD, MPHAssociate Professor of Clinical Internal Medicine Associate Professor of Clinical Internal Medicine H. William Bonekat, DO Michael Schivo, MD Clinical Professor Assistant Professor of Clinical Internal Medicine Hugh B. Black, MD Christian Sebat, MD Associate Clinical Professor Assistant Clinical Professor Richart W. Harper, MD Associate Professor of Medicine in Residence Post Doctoral Fellows Jason Adams, MD Nicholas J. Kenyon, MD Katherine Cayetano, MD Associate Professor of Medicine in Residence Charles Poon, MD Will Tseng, DO Samuel Louie, MD Professor of Clinical Internal Medicine CONFERENCE COORDINATOR Larry Jacinth Meeting Planner Office of Continuing Medical Education University of California Davis Health System
  3. 3. 10th Annual UC Davis Pulmonar State of the A FRIDAY, July 13, 20129:00 am Registration, Refreshments, Visit Exhibits10:00 Welcome and Course Objectives Brian Morrissey, MD10:10 Lung Cancer Screening and Diagnosis Introduction to Disease Screening Concepts Brian Morrissey, MD CT Screening Ready for Prime Time: Pro and Con en Yoneda, MD; Susan Murin, MD K11:50 Update in Respiratory Infections Christian Sandrock, MD Therapy New Pathogens12:30 pm Lunch (included in tuition)1:30 Asthma Update on Asthma Samuel Louie, MD “Out of Control” Asthma 2:30 COPD Where do These “New” Medications Fit? Michael Schivo, MD What’s in the Diagnosis? Mark Avdalovic, MD3:30 Pulmonary Case Poster Session and Refreshment Break4:30 Pulmonary Case Review and Discussion Panel: Roblee Allen, MD; Susan Murin, MD; Christian Sebat, MD6:00 Adjourn
  4. 4. ry and Critical Care Conference:Art in 2012 Saturday, July 14, 2012 7:00 am Registration, Continental Breakfast, Visit Exhibits 7:00 Sunrise Sessions – Roundtable Discussions: Critical Care Journal Club Timothy Albertson, MD; Hugh Black, MD, Brian Morrissey, MD; Nicholas Stollenwerk, MD 8:00 Critical Care Sessions— Nicholas Stollenwerk, MD Welcome and Objectives 8:05 Delirium in the ICU Richart Harper, MD; Jeremiah Duby, PharmD 8:55 Q & A 9:05 Sepsis in 2012 Timothy Albertson, MD 9:50 Break, Visit Exhibits 10:05 Extracorporeal Life Support: Hugh Black, MD What is it, who gets it….and does it work? Gary Raff, MD 11:15 Q&A 11:30 Lunch (on your own) 1:00 pm Small Group Sessions – Choose One 1. ECLS Workshop Hugh Black, MD; Gary Raff, MD 2. When Regular Mechanical Richart Harper, MD; Ventilation “Fails” Katherine Cayetano, MD 3. Chest Radiography – Pearls and Review Gibbe Parsons, MD 4. Difficult Cases – Sleep H. William Bonekat, MD; Charles Poon, MD 5. Difficult Cases – Asthma, Bronchial Thermoplasty and More Ken Yoneda, MD 1:55 Break, Transition into Workshops 2:00 Small Group Sessions (Repeated) 2:55 Break, Visit Exhibits 3:10 Small Group Sessions (Repeated) 4:00 Adjourn Have a safe journey home!
  5. 5. TARGET AUDIENCEThis knowledge-based course continues to be developed with the busy practitioner in mind.It is designed to improve the clinical practice of physicians, nurses, respiratory therapists,and pharmacist through expanding knowledge, promoting collaboration, and fosteringinterdisciplinary team management.NEEDS ASSESSMENTThe UC Davis Pulmonary and Critical Care Conference, has reached its 10th Annualpresentation. Our program offers an evidence-based and state-of-the-art update on relevanttopics in Pulmonary, Critical Care, and Sleep Medicine. Highlighted topics are chosen basedon previous conference evaluations and a comprehensive needs assessment. We concentrate onareas in medicine that are both clinically relevant and interesting, paying particular attention tochanges in clinical practice and technology. This activity is designed to enhance competencythrough interactive didactic lectures and expert panel discussions, as well as through smallgroup workshops, case-based learning activities, and roundtable discussions. Our variedlearning formats make for a more interesting conference that better meets the needs of ourdiverse audience. This conference will specifically address these identified educational needs.In the area of critical care we will review the management of several areas of therapeuticchallenge: ARDS, delirium, and ICU infections. With increasing experience using extracorporeallife support (ECLS) we have chosen to review the indications and implementation of thistechnique. To better understand delirium in the ICU we will review the impact of sleep,medications and withdrawal syndromes. For ICU infections, we will review new diagnosticstrategies and basic medical therapies. In the area of pulmonary disease, airway diseases andcancer remain important causes of morbidity. This year’s conference provides an up-to-dateunderstanding of recent pharmacologic advances for airway disease management. We alsoexpand and review some of the new techniques such as bronco thermoplastic for the treatmentof asthma. We also review and update the topic of respiratory infections in the ever-growing listof new and released to recognize pathogens. Using a stimulating pro-/con debate we addressthe new CT screening data as it applies to lung cancer.EDUCATIONAL OBJECTIVESAt the end of the program, participants should be able to:• Describe the rational for the use of extracorporeal life support (ECLS)• Identify the basic “anatomy” of the ECLS circuit and the team needed to support an ECLS program• Differentiate the risk and benefits of ECLS, and better identify which patients may benefit from ECLS• Explain current diagnostic and treatment strategies for infection in the ICU• Discuss the state-of-the-art in recognition and treatment of sepsis• Label recognition of delirium in the ICU• Recognize risk factors and implement strategies to improve delirium in the ICU• Name the effects of sleep disruption and sedation management in the ICU• Appraise the evidence and controversy of CT screening for lung cancer• Practice up to date, evidence based pharmacologic treatment strategies for asthma and COPD• Describe the similarities and differences in the pharmacologic treatment of asthma and COPD• Recognize patients who might benefit from bronchial thermoplasty for asthma• Describe newly recognized respiratory pathogens• Demonstrate evidenced based treatment strategies for respiratory infections
  6. 6. ENROLLMENT Please register early – space is limited.Tuition is $355 for physicians and $305 for all others. Confirmation of registration willbe sent within two weeks after receipt of enrollment form. The fees will increase afterJune 21, 2012. Tuition includes continental breakfasts, refreshment breaks, one lunch, electronic syllabus, andan online certificate of attendance. Tuition may be paid by check, American Express, Discover,MasterCard or VISA. Cash is not accepted. The Office of Continuing Medical Education reservesthe 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 isreceived, and payment must follow within 10 days. Early discount rates are honored ifpayment is received by the date noted on the enrollment form. After that date, the late fee is applied. Cancellation and Refund Policy:A refund of tuition, less $75 administrative fee, will be allowed if requested in writing by June 21,2012. No refunds will be provided after this date. SYLLABUSThe electronic syllabus will be available to pre-registered attendees online prior to the meeting fordownloading and printing and onsite on a flash drive. Attendees will receive an email when thesyllabus materials are available online. Printed syllabus will not be available.UC DAVIS HEALTH SYSTEM CME MISSIONIn concert with the UC Davis Health System mission of “discovering and sharing knowledge toadvance health,” the continuing medical education (CME) mission focuses on the lifelong learningcommitments of healthcare professionals practicing in Northern California and beyond. UC DavisCME is at the nexus between scientific discovery and its translation into practice. The CME program iscommitted to developing evidence-based educational programs to meet the learners’ educational needsto enhance competence, performance and/or patient care. DISCLOSURE OF RELEVANT FINANCIAL RELATIONSHIPSAs a provider accredited by the Accreditation Council for Continuing Medical Education, theUniversity of California, Davis Health System Office of Continuing Medical Education must ensurebalance, independence, and objectivity in all CME activities to promote improvements in health careand not proprietary interests of a commercial interest. The provider controls all decisions related toidentification of CME needs, determination of educational objectives, selection and presentation ofcontent, 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 committeemembers, presenters, authors, moderators, panel members, and others in a position to control thecontent of this activity are required to disclose relevant financial relationships with commercial interestsrelated to the subject matter of this educational activity. Learners are able to assess the potential forcommercial bias in information when complete disclosure, resolution of conflicts of interest, andacknowledgment of commercial support are provided prior to the activity. Informed learners are thefinal safeguards in assuring that a CME activity is independent from commercial support. We believethis mechanism contributes to the transparency and accountability of CME.BROCHURE ART CREDITBrochure images courtesy of Accreditation Council for Continuing Medical Education,Accreditation Council for Pharmacy Education, UC Davis Public Affairs, Hyatt Regency, FURTHER INFORMATIONUC Davis Health System 1(866) CME4EDU (263-4338)Office of Continuing Medical Education (916) 734-53903560 Business Drive, Suite 130 (916) 734-0742 FaxSacramento, CA 95820-2161
  7. 7. 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. Physician Credit: The University of California, Davis Health System designates this live activ-ity for a maximum of 12 AMA PRA Category 1 Credits™. In addition, each optional breakfastroundtable/workshop is designated for an additional 1 AMA PRA Category 1 Credits™. Physi-cians 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 FamilyPhysicians. Determination of credit is pending. AMA PRA Category 1 Credits™ acceptable for interprofessional 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: The University of California Davis Health System Department of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Pharmacist must attend the entire day to receive full ACPE credit. No partial credit will be awarded.July 13, 2012: ACPE Universal Activity Number 0277-0000-12-180-L01-P has been assigned tothis activity. This knowledge-based activity provides 6.00 contact hours (0.6 CEUs) of continuingeducation credit.July 14, 2012: ACPE Universal Activity Number 0277-0000-12-181-L01-P has been assigned tothis activity. This knowledge-based activity provides 6.00 contact hours (0.6 CEUs) of continuingeducation credit. General Session Optional Breakfast Roundtable SessionsUp to 12 AMA PRA Category 1 Credits™ Up to 1 AMA PRA Category 1 Credits™Cultural and Linguistic Competency RequirementAll continuing medical education (CME) courses with patient care components are requiredby California State statute to include curriculum on cultural and linguistic competency in thepractice of medicine (California Business and Professions Code, Section 2190.1). Those whohave developed this UC Davis CME activity have been encouraged to address cultural andlinguistic differences for a diverse patient population related to this topic. A variety of resourcesare available that address these competencies. Additional resources and information can be foundon our website,
  8. 8. locationHyatt Regency Sacramento • 1209 L Street,, Sacramento, CA 95814(916) 443-1234 • (916) 321-3099 Fax • HYATT REGENCY SACRAMENTOA block of rooms is being held for conference participants at a rate of $125 single or doubleoccupancy plus hotel and sales tax (extension dates may be available). After June 21, 2012,reservations will be on a space and rate available basis. Reservations should be made directly withthe hotel.By staying at the host hotel, you help the University of California Davis meet itscontractual obligations with the Hyatt Regency Sacramento and keep future registrationfees reasonable. Please consider that when making your accommodation decisions. Weencourage you to stay at the host hotel.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 andCalifornia State Historic Park. “Old Sac” is a thriving commercial trade center and waterfront withnew public docks, excursion cruises, water taxi, some of Sacramento’s best restaurants, and thefamous Railroad Museum.Layered clothing is recommended as the meeting room temperature may be uncomfortablefor some, depending on personal preferences. If you have any special needs due to a disabilityas specified in the Americans with Disabilities Act, please call the Office of Continuing MedicalEducation at (916) 734-5390 so we may make the necessary accommodations for you.AIR TRAVEL to Sacramento International Airport (SMF)United Airlines: Please call United Airlines at (800) 521-4041 between 7:00 am and 12:00 amET, to take advantage of this conference’s discounts by mentioning account code #552QB.GROUND TRANSPORTATIONHertz Car Rental: 1 (800) 654-2240 and request ID CV#04H70003 for discounted rates.National Car Rental: 1 (800) CAR-RENT and request ID #5282865 for discounted rates.
  9. 9. ENROLLMENT APPLICATION PULMONARY AND CRITICAL CARE MEDICINE(Please Print) July 13-14, 2012________________________________________________________________________________________________First Name MI Last Name MD DO PharmD RPh PA NP RN Respiratory Therapist Lic.#________ 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-mailE-mail for link to electronic syllabus. UC Davis CME will not use your email for any purpose other than corresponding with you.Physician information required for CME credit and name badge. Please indicate primary medical specialty: PULM CC FP GP IM Other (specify)____________________________________________________Social Security Number (last 4 digits required for transcript purposes) PHARMACY CREDIT ONLY 10 Digit NABP ID# (ACPE) X X X X X ––––––––––––––––––––––––––––––––––––– Month/day of birth Example Feb. 3 = 0203 –––––––––––––––––––––––––––––––––––––Please copy the mail code from the address side of the brochure(above your name, e.g. PPPUL, 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)?_ ______________________________________________ cloc WEBHave you attended this conference in the past? Yes NoREGISTRATION FEES (Receipt/Confirmation will be mailed within two weeks) Early Discount After June 21 Physician $355 $430 Other Health Care Professionals $305 $380SYLLABUSThe electronic syllabus will be available to pre-registered attendees online prior to the meeting for downloading andprinting and onsite on a flash drive. Attendees will receive an email when the syllabus materials are available online.No printed syllabus will be available. If you need disability accommodations at the meeting, please let us know by July 1, 2012, and our representative will contact you. Please note special dietary/food allergy requirements­­­­­­­­­­­­­­­­­­­ ____________________________________________________Registration forms received without check, credit card number or purchase ordernumber will not be processed until payment is received. For office use only Check enclosed payable to: UC Regents PUL2013 AMEX Discover MasterCard VISA 6221_________________________________________________________________________________________________Account Number Expiration Date_________________________________________________________________________________________________Authorized Signature (name on card) Security CodePlease use ONE of these methods to register: (Do not mail if previously faxed or telephoned) Mail application and payment: Office of Continuing Medical Education, c/o UC Davis Cashier’s Office P.O. Box 989062, West Sacramento, CA 95798-9062 Telephone: (916) 734-5390 Fax application (916) 734-0742 Register online:
  10. 10. University of California Davis Office of Continuing Medical Education Non-profit Org. 3560 Business Drive, Suite 130 U.S. Postage PAID Sacramento, CA 95820-2161 Sacramento, CA Permit No. 340510th Annual If you cannot attend...UC Davis Pulmonary and Critical Care Conference: please give brochureState of the Art in 2012 to a colleague! DATED MATERIALFriday-Saturday, July 13-14, 2012Hyatt Regency, Sacramento, CaliforniaHighlights:• Pro/Con: CT Screening for Lung Cancer• Extracorporeal Support (“ECMO) in ARDS• Bronchoscopy Updates: Thermoplasty for AsthmaThis program is self-supporting and receives no state funding.