The 31st Annual Conference on Obstetrics, Gynecology, Perinatal Medicine, Neonatology, and the Law January 2-6, 2015

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1 Office of Continuing Medical Education Non-Profit U.S. Postage PAID Cambridge, MA Permit No Center for Human Genetics, Inc. 840 Memorial Drive, Suite 101 Cambridge, MA The 31st Annual Conference on Obstetrics, Gynecology, Perinatal Medicine, Neonatology, and the Law January 2-6, 2015 The 15th Annual Multispecialty Conference on Medical Negligence and Risk Management January 5-8, 2015 Mauna Lani Bay Golf and Beach Resort Kohala Coast, Island of Hawaii

2 The 31st ANNUAL CONFERENCE on OBSTETRICS, GYNECOLOGY, PERINATAL MEDICINE, NEONATOLOGY, AND THE LAW JANUARY 2-6, 2015 and The 15th ANNUAL MULTISPECIALTY CONFERENCE on MEDICAL NEGLIGENCE AND RISK MANAGEMENT IN MEDICINE, SURGERY, EMERGENCY MEDICINE, RADIOLOGY, AND FAMILY MEDICINE JANUARY 5-8, 2015 Two conferences sharing one day in common. Select one or come to both (the second at a reduced rate). The reviews of the 30th and 14th Annual Conferences were again outstanding, continuing the tradition of this highly successful joint series. MAUNA LANI BAY BEACH AND GOLF RESORT KOHALA COAST, ISLAND OF HAWAII

3 Conference Overview Absence of evidence is not evidence of absence. If ever there was a tortured descriptor of timing and causation of hypoxic ischemic encephalopathy, this statement would be close. None could deny the very existence of hypoxic brain injury. Few, however, could maintain with certainty, when such an insult occurred. This quandary festers even in the presence of remarkable imaging technology, and is further compounded and confounded by a host of independent and interdependent pre-, intra- and post-partum factors. The parental family histories and maternal medical histories are important, as is the state of fetal health during pregnancy. Undetected fetal abnormality or genetic disorder or predisposition, may further complicate analysis. When medical negligence supervenes, as it may in already risky situations, litigation will surely follow. This 31 st annual conference will focus especially on neonatal encephalopathy, assisted by four contributors to the recently published monograph on Neonatal Encephalopathy and Neurologic Outcome by ACOG and AAP. The 15 th multispecialty conference examines current knowledge, guidelines, and standards of care in the major health areas, including heart disease, stroke, cancer, genetics, and patient safety. Sadly, extant problems in labor and delivery may be aggravated by errors of omission and commission, or by abysmal decision-making. Meanwhile, medical malpractice in multispecialties continues unabated. While tragedies at sea (Korea) or in the air (Malaysia) grip the national imagination, a remarkable amnesia seems to have taken root evidenced by the lack of any emergency actions, even as tens of thousands die annually as a consequence of medical error. Increasing data show that malpractice in the outpatient setting, especially in primary care, is a leading contributor to malpractice risk and claims. In a Massachusetts review of pooled data on 7,224 closed malpractice claims, allegations were related to diagnosis in 72.1%. In another 2014 publication in which data was combined from three earlier studies, a rate of diagnostic error indicated that 1 in 20 adult outpatients were misdiagnosed, affecting about 12 million U.S. adults each year. The authors concluded that about 6,000 of these errors were potentially serious. These two multispecialty conferences bring into sharp focus new and established guidelines and standards of care, issues of competence, new advances, new judicial opinions, and ethics. The first conference concentrates on pregnancy, its management and the newborn, while the interdigitating and overlapping second conference takes up discussion along similar themes, but in multiple specialties.

4 The major objectives in these two conferences are to enhance the continuing education of a range of specialties in medicine and allied professions, including obstetrics, gynecology, midwifery, neonatology, medicine, surgery, family medicine, emergency medicine, cardiology, radiology, human genetics, and ethics. The key reasons that have characterized the success of these conferences for the past 30 and 14 years, respectively, are the highly qualified and renowned medical faculty, and the insights and lessons concerning the role of law and lawyers, communicated by acknowledged super lawyers. Only through a thorough understanding of the complexities of medicine and law can physicians and litigators hope to deal effectively with the continuing challenges of medical and legal practice. The specific goals of these conferences are to: 1. Teach healthcare professionals to better comprehend the machinations of negligence law, and to develop a more complete awareness of the need for anticipatory and safety practice. 2. Teach legal professionals about the complex issues encountered in the practice of medicine, including the intricacies of decision-making, aiming to sharpen their understanding on behalf of their clients, both plaintiff and defense. Once again, an extraordinarily experienced and superb faculty has been assembled for the 31st and 15th anniversary conferences that will be important to all the specialties mentioned including nurse practitioners, trial attorneys, in-house counsel, pediatricians, primary care physicians, insurers and claims personnel, risk managers and all providers of healthcare. At the conclusion of this conference, healthcare professionals will be able to articulate the role of law and lawyers in medical malpractice and discuss the complexities of the legal process. At the conclusion of this conference, legal professionals will be able to describe the bestevidence in medical malpractice as it pertains to obstetrics, gynecology, midwifery, neonatology, medicine, surgery, family medicine, emergency medicine, cardiology, radiology, and human genetics.

5 Major topics for the first conference include: The brain-damaged neonate Instrumental delivery: Risks and competence Surgical repair for urinary incontinence: Risks and contraindications Management of the category II tracing Neonatal arterial ischemic stroke Brain injury: Hypoxia or genetic disorder? Multiple gestation: Standards of expected care Legal impact of the neonatal encephalopathy task force report Gynecologic robotically-assisted vs. conventional laparoscopy standards Neonatal encephalopathy: A root-cause analysis Genetic evaluation of birth injury claims in later childhood Fetal stroke Perinatal inflammation and the preterm brain Patient protection, liability insurance and the Affordable Care Act Avoiding stillbirth: Pre-emptive management Implications of infection during pregnancy Genes, complications and fetal abnormality Is hypothermia for neonatal encephalopathy the standard? Expert testimony and cross-examination Consequences of the altered, lost or misplaced record Liability in the Midwife-Obstetrician Compact Shoulder dystocia: The new defense Can experts be sued for libel? Major topics for the overlapping second conference include: Cerebral sinovenous thrombosis in the newborn Evidenced-based reduction of preterm brain damage What every birthing facility should have Placenta accreta: An avoidable disaster Pelvic organ prolapse, nerve injury and mesh complications Defensive medicine: Legal necessary, ethically wrong? Breast cancer, mammography and malpractice Wrong diagnoses in office practice Door-to-needle time in ischemic stroke Post-resuscitation standards for myocardial infarction Errors and malpractice in radiology Resuscitation practice for out-of-hospital sudden death Telemedicine, triage and appropriate care following a stroke Do guidelines act as a sword or shield? Is hypothermia a standard for post-cardiac arrest care? Communication failures between radiologists and referring physicians Indications and contraindications for thrombolysis for strokes Cancer, genes, malpractice and the primary care physician When experts change their minds: Can they be sued? Hospital policies and procedures as evidence of the standard of care Legal duty when a patient expresses suicide ideation Is reliable expert testimony necessarily right

6 Faculty Aubrey Milunsky, M.D., D.Sc., F.R.C.P., F.A.C.M.G., D.C.H. Conference Chair Founder and Co-Director Center for Human Genetics, Inc. (Cambridge, MA) Formerly Professor of Human Genetics, Pediatrics, Obstetrics & Gynecology and Pathology at Boston University School of Medicine (Boston, MA) Dr. Milunsky is internationally known for his work in prenatal genetic diagnosis, molecular genetics, and the epidemiology of birth defects. He is the author, editor, or co-editor of 24 books and author or co-author of over 437 scientific communications. He is the Founding Editor and Co-Editor of Genetic Disorders and the Fetus: Diagnosis, Prevention and Treatment (7 th edition in preparation). The 6 th edition of this major worldwide reference text for prenatal diagnosis received the Highly Commended Award from the British Medical Association. His latest trade book entitled Your Genes, Your Health: A Critical Family Guide That Could Save Your Life is also being published in Indonesian. He has given invited lectures in 35 countries, (including the Vatican). He has been honored, by election, as a Fellow of the Royal College of Physicians of England, and with an award for excellence in teaching. He is an editorial board member of Prenatal Diagnosis. Boston University has named the Aubrey Milunsky Professorship in Human Genetics. Matthew D. Barber, M.D., M.H.S Professor of Surgery Cleveland Clinic Lerner College of Medicine at Case Western Reserve University Vice-Chairman for Clinical Research Obstetrics, Gynecology, and Women s Health Institute Cleveland Clinic (Cleveland, OH) Professor Barber is known internationally for his work in urogynecology. He is the co-editor of Hysterectomy for Benign Disease and the author or co-author of over 285 scientific communications. Professor Barber is also author or co-author of at least six videos on urogynecology, as well as a CD-ROM. He serves as Scientific Editor for the British Journal of Obstetrics and Gynecology and on the editorial boards of other prestigious journals. Professor Barber has repeatedly been honored as Teacher of the Year by the Cleveland Clinic Foundation and honored as Mentor of the Year by ACOG. He has been the recipient of co-authored Prized Papers for almost 10 consecutive years. He is listed among Best Doctors for the past 5 years. Richard L. Berkowitz, M.D. Professor of Obstetrics and Gynecology Director, Obstetrics and Gynecology Residency Columbia University Medical Center (New York, NY) Professor Berkowitz is known internationally for his work in maternal-fetal medicine. He was Chair of the department of Obstetrics and Gynecology at Mt. Sinai School of Medicine. He is the editor or co-editor of 8 books, the most recent of which was Nuchal Translucency Quality Review Program of the Maternal-Fetal Medicine Foundation. Professor Berkowitz is the author or co-author of over 440 scientific communications. He has been the recipient of multiple teaching and research awards, including Outstanding Professor Award and most recently as corecipient of the King Faisal International Prize for Medicine, King Faisal Foundation, Saudi Arabia.

7 Leonard Berlin, M.D. Professor of Radiology Rush Medical College Vice-Chairman, Department of Radiology NorthShore University Health System Skokie Hospital (Skokie, IL) Professor Berlin is known internationally for his work in diagnostic radiology. He is the author of 3 editions of his book Malpractice Issues in Radiology. Professor Berlin is the author or coauthor of almost 800 scientific communications. He has been the recipient of many honors, including at least 3 gold medals for distinguished and extraordinary service to radiology from, among others, the American College of Radiology. He is the recipient of a Lifetime Achievement Award in Medicine from the Illinois State Crime Commission. Mary D Alton, M.B., B.Ch., B.A.O Willard C. Rappleye Professor and Chair, Department of Obstetrics & Gynecology Columbia University College of Physicians and Surgeons Director, Obstetrics and Gynecology Services New York Presbyterian Hospital (New York, NY) Professor D Alton is known internationally for her work in maternal fetal medicine with special reference to maternal serum screening, fetal imaging and high risk pregnancy. She is the coeditor of 8 books, the most recent of which are Fetology: Diagnosis and Management of the Fetal Patient (2 nd edition) and Obstetric Imaging, Expert Radiology series. Professor D Alton is the author or co-author of at least 395 scientific communications. She was the chair of the ACOG Task Force and subsequent monograph Neonatal Encephalopathy and Neurologic Outcome (2 nd edition, 2014). She is past-president of the New York-Presbyterian Hospital Medical Board and President of the New York Obstetrical Society. She serves on the editorial boards of Prenatal Diagnosis and the Journal of the Society for Gynecologic Investigation. Professor D Alton is an Examiner for the American Board of Obstetrics and Gynecology. She has been the recipient of multiple Teaching Awards and repeated awards for outstanding research in perinatal medicine. She has been a recipient of many honors, the more recent of which was the Sean Boyle Memorial Lecture and Medal, in Dublin, Ireland. She is also an elected member of the Institute of Medicine, National Academy of Sciences. James C. Grotta, M.D. Director of Stroke Research, Clinical Innovation and Research Institute Memorial Hermann Hospital-Texas Medical Center Director, Mobile Stroke Unit Consortium Vascular Neurologist, Memorial Hermann Medical Group Manager, Grotta Stroke Ventures LLC (Houston, TX) Professor Grotta is known internationally for his research and clinical care in stroke. He was formerly Roy M. and Phyllis Gough Huffington Distinguished Chair In Neurology and Chairman of the Department of Neurology at the University of Texas. He is a co-author or editor of 7 books, the two most recent being Acute Stroke Care (2 nd edition) and the major tome Stroke: Pathophysiology, Diagnosis and Management (5 th edition). Professor Grotta is the author or coauthor of at least 775 scientific communications. He has and continues to serve on the editorial boards of prestigious journals in neurology, including the International Journal of Stroke and the Lancet Neurology Network. Professor Grotta has been honored with awards for Teaching Excellence annually for a remarkable 13 years. Among his many other honors were the President s Scholar Award, University of Texas Health Science Center; Lifetime Achievement Award, Texas Neurological Society; Distinguished Physician, Memorial Hermann Hospital; and, Pioneering Award, Society of Vascular and Interventional Neurology.

8 Alan B. Kachalia, M.D., J.D. Associate Professor of Medicine Harvard Medical School Co-Director, Center for Clinical Excellence Brigham and Women s Hospital Co-Chair, Partners Center of Excellence in Quality and Patient Safety Partners Health Care (Boston, MA) Professor Kachalia is known internationally for his work in patient safety and health care quality. He is the author or co-author of more than 47 scientific communications. Professor Kachalia has been the recipient of awards for teaching excellence at Harvard Medical School and as team leader for a high risk patient care program. He has been repeatedly honored with the Partners in Excellence Award for patient safety and quality care. He has provided congressional testimony to the Subcommittee on Health, Energy, and Commerce and Senate testimony on the Patient Injury Act, that aimed to create an alternative to medical malpractice litigation. Karl B. Kern, M.D. The Gordon A. Ewy, M.D. Distinguished Endowed Chair of Cardiovascular Medicine University of Arizona College of Medicine Interim-Chief, Section on Cardiology Co-Director, Sarver Heart Center Director, Cardiac Catheterization Laboratories University Medical Center (Tucson, AZ) Professor Kern is known internationally for his work in cardiovascular medicine with special reference to cardiac resuscitation and management of cardiac arrest. He is the editor or co-editor of 3 books, the latest being The Science and Practice of Resuscitation Medicine (2 nd edition). Professor Kern is also the author or co-author of over 405 scientific publications. He serves on the editorial boards of Resuscitation and the Journal of Accident and Emergency Medicine. He is listed in Leading Physicians of the World and for many years in Best Doctors in America. Adam Kirton, M.D., M.Sc., F.R.C.P.C. Associate Professor, Pediatrics and Clinical Neuroscience University of Calgary Pediatric Neurologist Alberta Children s Hospital (Calgary, AB, Canada) Professor Kirton is known internationally for his work in pediatric neurology with special reference to pediatric stroke. He is the author or co-author of at least 250 scientific communications. He has been the recipient of many awards and prizes, including repeated Teacher of the Year at the Alberta Children s Hospital. The Calgary Herald listed him in the Top-20 Compelling Calgarians. He received a Clinical Performance Commendation from the College of Physicians and Surgeons of Alberta and earlier the President s Prize from the Canadian Association of Child Neurology. He has also garnered awards for his research from the Heart and Stroke Foundation of Canada.

9 Jim Leventhal, J.D. Leventhal, Brown and Puga, P.C. (Denver, CO) Mr. Leventhal is a plaintiff attorney and a member of the Inner Circle of Advocates, an elite group of the 100 best plaintiff attorneys in the United States. He is only the 3 rd lawyer from Colorado to be so honored. He has been listed in Best Lawyers in America for at least 22 years and as a Colorado Super Lawyer for at least the last 8 years. Among other awards, he was honored with the Kenneth M. Kripke Lifetime Achievement Award by the Colorado Trial Lawyers Association. He has been on the Board of Governors of the American Association for Justice since Jeff M. Milunsky, M.D., F.A.C.M.G. Co-Director, Center for Human Genetics, Inc. Director, Clinical Genetics Senior Director, Molecular Genetics (Cambridge, MA) Dr. Milunsky is known internationally for his work in clinical and molecular genetics. He is formerly Professor of Pediatrics, Genetics, and Genomics at Boston University School of Medicine. He is the co-editor of Genetic Disorders and the Fetus: Diagnosis, Prevention and Treatment (7 th edition in preparation). The 6 th edition received the British Medical Association Highly Commended Medical Book Award. Dr. Milunsky is the author or co-author of at least 267 scientific communications. He is an elected member of the Society for Pediatric Research. He is listed in Top Doctors in Boston (Genetics). Michael P. Nageotte, M.D. Professor of Obstetrics and Gynecology University of California, Irvine Associate Chief Medical Officer Long Beach Memorial Medical Center / Miller Children s Hospital (Long Beach, CA) Professor Nageote is known internationally for his work in maternal-fetal medicine. He is the coauthor of 4 books, the last two of which are Disease, Complications, and Drug Therapy in Obstetrics: A Guide for Clinicians and Fetal Heart Rate Monitoring (4 th edition). Professor Nageotte is the author or co-author of at least 224 scientific communications. He is a member of the Board of Directors of Long Beach Memorial Medical Center and a past-president of the Society for Maternal-Fetal Medicine. Professor Nageotte has been the recipient of awards for excellence in health care and research. He was also the recipient of the Golden Apple Award for Faculty Teacher of the Year. Thomas M. D. O Shea, Jr., M.D., M.P.H. Professor of Pediatrics Wake Forest University School of Medicine Vice-Chair for Research, Department of Pediatrics Wake Forest University Baptist Medical Center (Winston-Salem, NC) Professor O Shea is known internationally for his work in neonatology with special reference to neurodevelopmental outcome in preterm infants. He is the author or co-author of at least 263 scientific communications. He serves on the editorial board of Research and Reports in Neonatology. He is an elected member of the Society for Pediatric Research. Professor O Shea has been the recipient of the Wake Forest School of Medicine Faculty Mentor Award and has been listed in Best Doctors in America for the past 9 years.

10 Ralph F. Valitutti, Jr., J.D. Kitch, Drutchas, Wagner, Valitutti & Sherbrook (Detroit, MI) Mr. Valittuti is a widely known and highly regarded defense lawyer, with special reference to expertise in birth trauma litigation, by national health insurance companies and health systems. He is a member of the American Bar Association Section on Hospital Law Forum and Litigation Council of America. He has given scores of lectures, in Michigan, and many other states. While he has lectured extensively on a range of subjects, he has for the past 20 years focused extensively on the defense of birth trauma litigation.

11 Accommodations MAUNA LANI BAY GOLF and BEACH RESORT * Kohala Coast, Island of Hawaii The Center for Human Genetics, Inc. has secured a room block at the Mauna Lani Bay Golf and Beach Resort, which will be available until November 23, 2014, or until it is sold out. Garden View: $259 Ocean View: $289 Deluxe Ocean View: $315 Ocean Front: $399 The above rates are based on single or double occupancy and are subject to the prevailing Hawaii State General Excise and Room Occupancy taxes, currently at a combined rate of % per room per night. Rates are effective for arrivals on Friday, January 2 to departures on Tuesday, January 13, A charge of $75 per adult per room per night will be assessed for a third adult, plus taxes and fees. Children 17 and under stay complimentary using existing bedding. Maximum of 2 adults/2 children or 3 adults per room. Rollaway beds are available in King Bedded rooms only and are subject to a daily charge of $65 per night plus applicable taxes. Arrivals prior to January 2, 2015, are on request basis only, subject to availability, and are priced at the full public rate in effect at that time. For information on making your travel arrangements and to book your accommodations, please visit What Participants Are Saying: This was an exceptional conference, as usual. This is my 10 th conference and they are all fantastic great, well-respected and very knowledgeable speakers, pertinent topics for both physicians and medical malpractice lawyers and well organized and presented content. *************** The gold standard for birth trauma conferences! This conference far exceeded my expectations, as most speakers were very engaging and well-prepared. I most certainly will be back in the future. *************** Very good seminar! The combination of lawyers and physicians provided a very nice dynamic and it s always enlightening to hear problems analyzed from different perspectives. *************** Thanks for creating such a unique type of conference my 5 th and always interesting, informative and useful. *************** Best conference I have ever attended! [Echoed many times]

12 31st Annual Conference on Obstetrics, Gynecology, Perinatal Medicine, Neonatology, and the Law FRIDAY, JANUARY 2, :00-6:30pm Registration SATURDAY, JANUARY 3, :15am 8:00am 8:10am Continental Breakfast Welcome and Introduction Aubrey Milunsky, M.D., D.Sc. Neonatal Encephalopathy: A New Perspective Mary E. D Alton, M.D. Legal Commentary and Discussion Jim Leventhal, J.D. Ralph F. Valitutti, J.D. 8:55am 9:35am 10:15am 10:30am Instrumental Delivery: Guidelines, Risks, and Competence Michael P. Nageotte, M.D. Surgical Repair for Urinary Incontinence: Risks, Contraindications, and Complications Matthew D. Barber, M.D., M.H.S. Refreshment Break What to Do With Category II Tracing Richard L. Berkowitz, M.D. Legal Commentary and Discussion Jim Leventhal, J.D. Ralph F. Valitutti, J.D. 11:20am Noon 12:40pm 1:00pm Neonatal Arterial Ischemic Stroke Mechanisms: The Eye of the Beholder Adam Kirton, M.D., M.Sc. Hypoxia or Genetic Disorder: Compounding and Confounding Aubrey Milunsky, M.D., D.Sc. Expert Panel Discussion Adjourn 6:30-7:30pm Welcome Reception

13 SUNDAY, JANUARY 4, :15am 8:00am 8:40am 9:20am 10:00am 10:15am Continental Breakfast Standards of Expected Care in the Management of Multiple Gestation Richard C. Berkowitz, M.D. The Potential Legal Impact on Birth Injury Lawsuits of the ACOG/AAP Task Force Report Jim Leventhal, J.D. Gynecologic Robotically-Assisted Laparoscopy vs. Conventional Laparoscopy: Standards of Expected Care Matthew D. Barber, M.D., M.H.S. Refreshment Break Conducting a Root Cause Analysis in a Case of Neonatal Encephalopathy Mary E. D Alton, M.D. Legal Commentary and Discussion Jim Leventhal, J.D. Ralph F. Valitutti, J.D. 11:00am 11:40am 12:20pm 1:00pm The Genetic Evaluation of a Child Touched by MIDAS: Establishing the Cause of Neurodevelopmental Disorders Jeff M. Milunsky, M.D. Fetal Stroke Syndromes: Definitive Exclusion of Peripartum Causation Adam Kirton, M.D., M.Sc. Perinatal Inflammation and the Preterm Brain T. Michael D. O Shea, M.D., M.P.H. Adjourn

14 MONDAY, JANUARY 5, :15am 8:00am 8:40am 9:20am 10:00am 10:15am 10:55am 11:35am 12:15pm Continental Breakfast Stillbirth: Risks, Warning Signs, and Pre-emptive Management Michael P. Nageotte, M.D. The National Partnership for Maternal Safety: What Every Birthing Facility Should Have Mary E. D Alton, M.D. Patient Protection and Liability Insurance: Medical, Legal and Economic Implications of the Affordable Care Act Ralph F. Valitutti, J.D. Refreshment Break PERIL in Pregnancies: Genes, Complications and Fetal Abnormality Jeff M. Milunsky, M.D. Sepsis in Pregnancy: A Tale of Two Cities Richard L. Berkowitz, M.D. Hypothermia for Neonatal Encephalopathy: How Soon? How Imperative? T. Michael D. O Shea, M.D., M.P.H. Clinico-Legal Case Testimony and Counter-Testimony by Experts. Mary E. D Alton, M.D., Michael P. Nageotte, M.D. vs. Richard L. Berkowitz, M.D. and Adam Kirton, M.D., M.Sc. Cross Examination: Jim Leventhal, J.D. Ralph F. Valitutti, J.D. 1:00pm Adjourn

15 TUESDAY, JANUARY 6, 2015 (Joint Conference Day) 7:15am 8:00am 8:10am Continental Breakfast Welcome and Introduction Aubrey Milunsky, M.D., D.Sc. Cerebral Sinovenous Thrombosis in the Newborn: Easy to Miss, Easy to Treat Adam Kirton, M.D., M.Sc. 8:50am 9:30am 10:10am 10:25am 11:05am Evidence-Based Practices to Reduce the Risk of Preterm Brain Damage T. Michael D. O Shea, M.D., M.P.H. Placenta Accreta: An Avoidable Disaster Michael P. Nageotte, M.D. Refreshment Break Pelvic Organ Prolapse, Nerve Injury and Mesh Complications: Informed Consent, Evidence-Based Care and the Avoidance of Litigation Matthew D. Barber, M.D., M.H.S. Medicolegal Forum Jim Leventhal, Esq. Ralph F. Valitutti, Esq. Spoliation: Consequences of the Altered, Lost or Misplaced Record When Experts Change Their Minds: Can They be Sued? Hospital Policies and Procedures as Evidence of the Standard of Care Liability in the Midwife-Obstetrician Compact Can Experts be Sued for Libel? Shoulder Dystocia: The New Defense Legal Duty When a Patient Expresses Thoughts About Suicide Is Reliable Expert Testimony Necessarily Right? 1:00pm Adjourn

16 Accreditation The 31 st Annual Conference on Obstetrics, Gynecology, Perinatal Medicine, Neonatology, and the Law January 2 6, 2015 AND The 15 th Annual Multispecialty Conference on Medical Negligence and Risk Management in Medicine, Surgery, Emergency Medicine, Radiology, and Family Medicine January 5 8, 2015 Physicians This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of Tufts University School of Medicine (TUSM) and The Center for Human Genetics. TUSM is accredited by the ACCME to provide continuing medical education for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The 31 st Annual Conference Tufts University School of Medicine designates this live activity for a maximum of 19 AMA PRA Category 1 Credits. The 15 th Annual Conference Tufts University School of Medicine designates this live activity for a maximum of AMA PRA Category 1 Credits. Joint Conference Tufts University School of Medicine designates this live activity for a maximum of 28.5 AMA PRA Category 1 Credits. CME, CLE, and RISK MANAGEMENT CREDITS American College of Obstetricians and Gynecologists ACOG has approved this program and assigned up to 29 cognate hours. Royal College of Physicians and Surgeons of Canada Activities held outside of Canada developed by a university, academy, specialty society or other physician organization can be recorded as accredited group learning activities under Section 1 of the Royal College of Physicians and Surgeons of Canada s Maintenance of Certification (MOC) Program The Royal Australian and New Zealand College of Obstetricians and Gynaecologists These two conferences have been approved for up to 30 meeting points. American Academy of Family Physicians This Live activity, Ob/Gyn, Perinatal Medicine, Neonatology & the Law, and Medical Negligence & Risk Management in Multispecialties, with a beginning date of 01/02/2015, has been reviewed and is acceptable for up to Prescribed credit(s) by the American Academy of Family Physicians. The College of Family Physicians of Canada Members of The College of Family Physicians of Canada are eligible to receive up to 28.5 Mainpro-M1 credits for attendance at these conferences due to reciprocal agreement with the American Academy of Family Physicians. Risk Management This program meets the criteria established by the Massachusetts Board of Registration in Medicine for risk management. The Medical Insurance Group Australia has accredited both conferences for 6 Risk Management Points, and the first conference for 4 Points. Nurse-Midwives The Continuing Education Section of the American College of Nurse-Midwives (ACNM) grants reciprocity status to the Accreditation Council for Continuing Medical Education for Category 1 offerings that are relevant to midwifery. Attorneys Attorneys seeking CLE credit will need to contact their individual state bar associations.

17 Illinois Attorneys* Application has been made to Illinois MCLE. There will be a fee of $28.50 for this certificate only for attorneys practicing in the state of Illinois. * For the attorney hardship policy, please contact CHG at (617) Core Competencies This activity is in accord with the American Board of Medical Specialties Six Core Competencies. This activity will increase your competency in the areas of Patient Care, Medical Knowledge, Interpersonal and Communication Skills, Professionalism, Systems-Based Practice, Practice-Based Learning and Improvement.

18 15th Annual Multispecialty Conference on Medical Negligence & Risk Management MONDAY, January 5, :00-6:00pm Registration TUESDAY, JANUARY 6, 2015 (Joint Conference Day) 7:15am 8:00am 8:10am Continental Breakfast Welcome and Introduction Aubrey Milunsky, M.D., D.Sc. Cerebral Sinovenous Thrombosis in the Newborn: Easy to Miss, Easy to Treat Adam Kirton, M.D., M.Sc. 8:50am 9:30am 10:10am 10:25am 11:45am Evidence-Based Practices to Reduce the Risk of Preterm Brain Damage T. Michael D. O Shea, M.D., M.P.H. Placenta Accreta: An Avoidable Disaster Michael P. Nageotte, M.D. Refreshment Break Pelvic Organ Prolapse, Nerve Injury and Mesh Complications: Informed Consent, Evidence-Based Care and the Avoidance of Litigation Matthew D. Barber, M.D., M.H.S. Medicolegal Forum Jim Leventhal, Esq. Ralph F. Valitutti, Esq. Spoliation: Consequences of the Altered, Lost or Misplaced Record When Experts Change Their Minds: Can They be Sued? Hospital Policies and Procedures as Evidence of the Standard of Care Liability in the Midwife-Obstetrician Compact Can Experts be Sued for Libel? Shoulder Dystocia: The New Defense Legal Duty When a Patient Expresses Thoughts About Suicide Is Reliable Expert Testimony Necessarily Right? 1:00pm Adjourn

19 WEDNESDAY, JANUARY 7, :15am 8:00am 8:40am 9:20am 10:00am 10:15am 10:55am 11:35am Continental Breakfast Breast Cancer, Mammography, and Malpractice: A Hapless Triad Leonard Berlin, M.D. Wrong Diagnosis in the Office: A Common Problem with Serious Consequences Allen B. Kachalia, M.D., J.D. Door-to-Needle Time in Ischemic Stroke: Whose Clock is Ticking? James C. Grotta, M.D. Refreshment Break Cooling and Cathing Post Resuscitation for Myocardial Infarction: Evolving Guidelines and Standards Karl B. Kern, M.D. Radiologic Errors and Malpractice: A Blurry Distinction Leonard Berlin, M.D. Defensive Medicine: Legally Necessary, Ethically Wrong? Allen B. Kachalia, M.D., J.D. 12:15pm Colloquium: Medicine, Law, and Ethics Leonard Berlin, M.D. James C. Grotta, M.D. Allen B. Kachalia, M.D., J.D. Karl B. Kern, M.D. 1:00pm Adjourn

20 THURSDAY, JANUARY 8, :15am 8:00am 8:40am 9:20am 10:00am 10:15am 10:55am 11:40am 12:20pm Continental Breakfast Resuscitation Practice for Out of Hospital Sudden Death : What Can Go Wrong? Karl B. Kern, M.D. Telemedicine, Drip and Ship, and Other Issues Pertaining to Appropriate Triage of Stroke Patients James C. Grotta, M.D. Sword or Shield: Guidelines as Safe Harbors? Allen B. Kachalia, M.D., J.D. Refreshment Break Therapeutic Hypothermia Post Cardiac Arrest: Is There a Standard of Expected Care? Karl B. Kern, M.D. Pitfalls in Communicating Abnormal Radiologic Findings: Are Electronic Health Records a Help or Hindrance? Leonard Berlin, M.D. Indications and Contraindications for Thrombolysis in the Management of Stroke James C. Grotta, M.D. What Every Primary Care Physician, Internist and Surgeon Should Know: Cancer, Genes and Potential Malpractice Aubrey Milunsky, M.D., D.Sc. 1:00pm Adjourn

Faculty Aubrey Milunsky, MD, DSc, FRCP, FACMG, DCH Genetic Disorders and the Fetus: Diagnosis, Prevention and Treatment Highly Commended Award

Faculty Aubrey Milunsky, MD, DSc, FRCP, FACMG, DCH Genetic Disorders and the Fetus: Diagnosis, Prevention and Treatment Highly Commended Award Faculty Aubrey Milunsky, MD, DSc, FRCP, FACMG, DCH Conference Chair Founder and Co-Director Center for Human Genetics, Cambridge, MA Adjunct Professor of Obstetrics and Gynecology, Tufts University School

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