2015 Clinical Education Course Catalog

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1 2015 Clinical Education Course Catalog 1

2 Table of Contents and Course Objectives The objective of Sandhill University is to provide clinical users with the knowledge and skills necessary to effectively acquire and analyze High Resolution Impedance-Manometry studies, impedance-ph reflux monitoring ßstudies and anorectal manometry studies. Comprehensive Esophageal High Resolution Manometry and Reflux 3-Day Testing Course 3-4 Educational Objectives 1. Understand esophageal testing rationale and objectives 2. Learn HRiM data acquisition and analysis skills 3. Learn Z/pH monitoring data acquisition and analysis skills 4. Reinforce knowledge in hands-on practical exercises 5. Utilize knowledge in case study discussions Anorectal Manometry 2-Day Course 5 Educational Objectives 1. Describe the anatomy and physiology of the anal canal and rectum 2. Describe the protocol and techniques of anal rectal manometry performance 3. Identify normal and abnormal anorectal measurements 4. Describe treatment options for abnormal test findings 5. Learn muscle retraining exercise options Advanced Pelvic Floor 2-Day Course Anorectal Manometry Workshop with Case Review and Discussion 6 Educational Objectives 1. Identify the anatomy and physiology of the anal canal and rectum as it pertains to the mechanisms of defecation and continence 2. Identify normal and abnormal measurement patterns 3. Learn medical treatment options for fecal incontinence 4. Learn medical treatment options for defecation disorders High Resolution Anorectal Hands-on Procedure Training 6 Educational Objectives 1. Understand and practice anorectal manometry data acquisition skills 2. Understand the techniques to review and analyze an anorectal manometry study 3. Learn muscle retraining exercise options Sandhill University Online Courses 7 A course packet will be provided to attendees at time of registration with hotel and transportation information. During the course, attendees will be loaned a laptop computer to use in study analysis practical exercises. For further information, please contact Clinical Education at or call , Ext

3 Comprehensive HRiM Esophageal Function Testing and Impedance/pH Reflux Monitoring 3-Day Course Wednesday (8:00 AM 5:00 PM) HRiM Didactic Sessions > Esophageal Anatomy and Physiology Course Instructor: Dr. Reginald Bell Fundamentals of esophageal anatomy Physiology of swallowing and reflux Primary motility disorders Mechanisms of GERD > HRiM Data Acquisition Demonstration HRiM study acquisition walk-through Software operation fundamentals Live demonstration of test sequence > HRiM Data Analysis Demonstration HRiM study analysis walk-through Software operation fundamentals Live demonstration of analysis sequence Hands-on Exercise Sessions HRiM study acquisition on volunteers Clinical Specialists provide real-time training Course Dates: April 8-10 June 10-12* July September 16-18* October November 11-13* Thursday (8:00 AM 5:00 PM) > HRiM Clinical Lecture Course Instructor: Dr. John Pandolfino Introduction to Chicago Classifications 3.0 Clouse Plot data expression Diagnostic category flow chart orientation Role of impedance bolus transit assessment HRiM Didactic Sessions > Case Study Presentation Physician Debate: Dr. Reginald Bell and Dr. Matt Reveille Three case study presentations Class participation in case discussion Therapeutic outcomes explanations Hands-On Exercise Sessions > HRiM Data Acquisition Practical Exercises HRiM study acquisition on volunteers Clinical Specialists provide real-time training > HRiM Data Analysis Practical Exercises HRiM study analysis on sample studies Real-time training from clinical specialists > Student Choice Practical Exercises Students cycle to preferred exercise stations HRiM study acquisition on volunteers HRiM study analysis on sample studies Clinical Specialists provide real time training Continued on Next Page * These Courses are held in Conjunction with the Anorectal Courses 3

4 Comprehensive HRiM Esophageal Function Testing and Impedance/pH Reflux Monitoring 3-Day Course Friday (8:00 AM 2:30 PM) Z/pH Reflux Monitoring Didactic Sessions > Reflux Monitoring Clinical Lecture Course Instructor: Dr. Phil Hanna Introduction to Z/pH monitoring On/Off PPI testing strategies Introduction to principles of symptom association > Z/pH Data Acquisition Demonstration Reflux study acquisition walk-through Fundamentals of software operation Live demonstration of Z/pH monitoring data acquisition procedures > Z/pH Data Analysis Demonstration Z/pH study analysis walk-through Fundamentals of software operation Live demonstration of analysis sequence Hands-on Exercise Sessions > Z/pH Data Acquisition Practical Exercises Z/pH study data acquisition exercises Clinical Specialists provide real-time training > Z/pH Data Analysis Practical Exercises Z/pH study analysis on sample studies Clinical Specialists provide real-time training Course Dates: April 8-10 June 10-12* July September 16-18* October November 11-13* * These Courses are held in Conjunction with the Anorectal Courses 4

5 Anorectal Manometry 2-Day Course Monday (8:00 AM 12:00 PM) Anorectal Anatomy and Physiology > Course Instructor: Dr. Matt Reveille This session offers a detailed description of the anatomy and physiology of the anus and rectum, including sphincters, muscle groups and innervation which affect defecation and continence. Anorectal Manometry Study Components and Normal Values This session will describe the study components and normal values for anorectal evaluation. Demonstration of an Anorectal Manometry Study > Course Instructor: Jean Osborn, RN, BSN A live demonstration of High Resolution Anorectal Manometry. Waveform Analysis This session will review a normal study discussing waveform patterns and normal values. Monday (1:00 PM 5:00 PM) Anorectal Manometry Hands-On Session This hands-on session provides an opportunity to work with an experienced clinician on the setup, acquisition and analysis of the motility study. These sessions utilize live volunteer patients to round out the experience. Tuesday (8:00 AM 12:00 PM) Treatment of Anorectal Disorders This session covers the medical and surgical interventions for the treatment of fecal incontinence, constipation, obstructive defecation, and anal pain. Pudendal Nerve Latency Testing Basic overview of the principles and protocol of pudendal nerve latency testing Anorectal Manometry Hands On Session This hands-on session provides an opportunity to work with an experienced clinician on the setup, acquisition and analysis of the motility study. These sessions utilize live volunteer patients to round out the experience. Tuesday P.M. (1:00 PM 3:00 PM) Analysis of the Abnormal Study > Course Instructor: Dr. Matt Reveille In depth review of waveforms of abnormal patient studies. This is an interactive session with Dr. Reveille discussing how findings relate to the patient s symptoms and treatment.. Pelvic Floor Retraining > Course Instructor: Jean Osborn, RN, BSN Basic overview of the principals and protocol of pelvic muscle retraining for the patient with weak pelvic muscles and obstructive defecation. Course Dates: March June November

6 Advanced Pelvic Floor 2-Day Course Anorectal Manometry Workshop with Case Review and Discussion This interactive workshop is designed for physicians and experienced Anorectal Manometry nurses. It will feature case studies of Anorectal Manometry with patient presentation, study findings and discussion of treatment options. Agenda: Introduction Anorectal Anatomy and Physiology Anorectal Manometry Study Components and Normal Values Case Presentations Treatment of Anorectal Disorders Treatment Options High Resolution Anorectal Hands-on Procedure Training > Course Instructor: Jean Osborn, RN, BSN This day is designed for experienced nurses and physicians who will acquire and analyze anorectal manometry procedures. Participants will take part in handson Manometry, EMG, Biofeedback and Pudendal Nerve Latency Testing stations. Agenda: Introduction Anatomy and Physiology Review Demonstration of Anorectal Manometry and EMG studies Analysis of the studies Pelvic Floor Retraining Hands-on stations: Students will rotate to all stations of interest Anorectal Manometry High Resolution Non High Resolution Pelvic Floor Retraining Constipation Incontinence EMG Diagnostic Evaluation Pudendal Nerve Latency Testing Course Dates September

7 Faculty John Pandolfino, MD Hans Popper Professor of Medicine Division Chief, Gastroenterology and Hepatology at Feinberg School of Medicine, Northwestern University, Chicago, Illinois Reginald Bell, MD Board Certified General Surgeon SurgOne Foregut Institute Englewood, Colorado Matt Reveille, MD Board Certified Gastroenterologist Lakewood, Colorado Phil Hanna, MD Associate Professor, Division of Gastroenterology National Jewish Medical Center Denver, Colorado Jean Osborn, RN, BSN Sandhill Scientific Consultant Paulette Smith RN, BSN Sandhill Scientific Consultant 7

8 Innovations in Clinical Education Sandhill University Online Courses These free online tutorials provide a step-by-step guidance to develop skills in data acquisition, study review and report generation. Included are tutorials in all standard probe configurations for esophageal and anorectal studies as well as reflux studies. Just go to to obtain your log-in information. Webinars: Sandhill Scientific is proud to present a series of live, interactive discussions on topics related to esophageal function testing, reflux testing and anorectal manometry. Each webinar will last approximately one hour and will have time for Q and A. They will also be recorded and posted on the Sandhill U Online Physician Portal. Look in your latest Sandhill Digest or online at for upcoming webinars. Cybercoaching: Online and in real-time, Sandhill clinical specialists provide study specific data review and report generation coaching. us at to schedule a one-on-one session. Sandhill SuperVision makes live, two-way, high-definition, interactive telepresence over the Internet a reality. Designed specifically for the medical industry, the system enables you to participate in real-time physician training, interactive patient studies and product demonstrations all through the web. As the global leader in G.I. diagnostics, Sandhill Scientific continues to offer state-of-the-art clinical education courses throughout the world. To learn about courses in your area of the globe, please contact a Sandhill representative. 8

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