Best Practices at the Bedside: Critical Thinking for Common Conditions



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2 0 1 4 S p r i n g P o s t g r a d u a t e C o u r s e Best Practices at the Bedside: Critical Thinking for Common Conditions WHEN Saturday, May 3 8:15 a.m. 5:30 p.m. Sunday, May 4 8:30 a.m. 12:35 p.m. WHERE McCormick Place, Chicago, IL Held in conjunction with DDW Save $75 on your registration fee when you register on or before March 26, 2014. 125-080EDU_13-3

This one-and-a-half-day, multi-topic course draws on both basic science and clinical examples to illuminate a variety of different disease states. The clinicallyfocused curriculum is presented via a variety of learning formats, including both large lectures and small group sessions. The 2014 Spring Postgraduate Course schedule is: Saturday, May 3 8:15 a.m. 5:30 p.m. Sunday, May 4 8:30 a.m. 12:35 p.m. For more information about AGA s scheduled educational programming at DDW, please visit www.ddw.org. What Attendees Said About the 2013 Course this course was excellent because it was broad-based and relevant. thanks for synchronized syllabus and presentations. Patients first, great idea, prompted better questions. Always a great course. Thank you! Very elegant, precise and highly clinically useful presentations. 2

Why YOU Should Attend This Year You will leave the course with new and improved approaches to clinical problems seen in everyday practice. Learn from the foremost experts on GI and hepatology and exercise your mind on the latest information in practical use for the clinician at the bedside of the patient. Optional clinical challenge sessions and lunch breakout sessions allow you to delve deeper into 14 clinical topics and give you the opportunity to work in small groups. This critical thinking course gives you the opportunity to reevaluate your approaches to common conditions. Topics range from functional bowel disorders to esophagus and upper GI conditions, and IBD. Course Highlights General session explore common causes and current treatment options for a variety of common conditions. Focused, small-group sessions provide direct access to internationally-renowned faculty. You will receive a syllabus containing detailed summaries of all sessions that can be used as a permanent reference tool after the course. Choose a printed copy or a flash drive. Additional copies available for purchase. Earn up to 12 AMA PRA Category 1 Credits TM. Learning Objectives Upon completion of this course, you will be able to: Assimilate the current best practices for managing colonoscopy preparations, and anti-coagulants/ anti-platelet agents in the peri-procedure period. Understand the common causes and incorporate the current treatment options for benign and malignant biliary strictures. Reevaluate your approach to the management of chronic pancreatitis pain and idiopathic acute recurrent pancreatitis. Understand the latest approach to optimizing therapy in patients with inflammatory bowel disease. Adopt an updated approach, including appropriate motility assessment for the patient with functional bowel disorders or suspected motility disorders. Understand the newest approach for treating hepatitis C. critically assess our approach to Barrett s esophagus screening and surveillance. Develop an updated approach to the patient with NAFLD, NASH or alcoholic liver disease. Update the approach to screening for HCC in the patient with cirrhosis. Course Directors Course Director: David Rubin, MD, AGAF Course Co-Directors: Bruce Bacon, MD, AGAF Grace Elta, MD, FASGE 3

program Saturday, May 3, 2014 8:15 8:20 a.m. President s Welcome Anil Rustgi, MD, AGAF 8:20 8:25 a.m. Course Overview David Rubin, MD, AGAF Session I: Inflammatory Bowel Disease Moderator: David Rubin, MD, AGAF 8:25 8:43 a.m. why is My Patient Not Responding to Conventional Therapies? william Tremaine, MD 8:45 9:03 a.m. optimizing Biological Therapy: How to Maximize Response and Assess Loss of Response Maria Abreu, MD, AGAF 9:05 9:23 a.m. Managing IBD as a Chronic Disease: What Do We Monitor? How Do We Prevent Complications? corey Siegel, MD, MS 9:25 9:43 a.m. Assessment of Extra-Intestinal Manifestations of IBD: When Is It the Disease? When Is It the Therapy? Millie Long, MD 9:45 10:05 a.m. Refreshment Break Session II: Functional Bowel Disorders Moderator: William Chey, MD 10:05 10:23 a.m. Bloating and Gas: The Role of Diet, Probiotics and Additional Therapies Satish Rao, MD, PhD, AGAF 10:25 10:43 a.m. Management of Constipation: Pelvic Floor, Motility and New Treatment Strategies Darren Brenner, MD 10:45 11:03 a.m. Evaluation of IBS-D Anthony Lembo, MD 11:05 11:23 a.m. Functional Upper GI/Dyspepsia Michael Vaezi, MD, PhD 11:45 a.m. 12:45 p.m. Luncheon Breakouts Session III: Pancreatic-biliary Moderator: Grace Elta, MD, FASGE 12:45 1:03 p.m. Benign Biliary Strictures: Etiology and Treatment Options? Greg Cote, MD, MS 1:05 1:23 p.m. indeterminate/malignant Biliary Strictures: Diagnostic Methods and Treatment Choices David Lichtenstein, MD, FASGE 1:25 1:43 p.m. chronic Pancreatitis Pain: Medical, Endoscopic, and Surgical Therapy Rob Hawes, MD, FASGE 1:45 2:03 p.m. idiopathic Acute Recurrent Pancreatitis: Diagnosis and Treatment Marty Freeman, MD Session IV: Esophagus/Upper GI Moderator: Herb Wolfsen, MD, FASGE 2:05 2:23 p.m. Barrett s Esophagus: Is Screening/ Surveillance Worthwhile? Amitabh Chak, MD 2:25 2:43 p.m. Barrett s Esophagus: Does Image Enhancement, Endomicroscopy, or Molecular Tagging Have Legs? Michael Wallace, MD, MPH, AGAF 2:45 3:03 p.m. Update on EOE Rhonda Souza, MD, AGAF 3:05 3:23 p.m. celiac Sprue: When to Test and How to Test? joseph Murray, MD 3:25 3:43 p.m. nsaids, Aspirin, Clopidogrel and PPIs: Risk of Damage and When to Use Prophylaxis? james Scheiman, MD, FASGE 3:45 4:00 p.m. Refreshment Break 4:00 5:30 p.m. Clinical Challenge Sessions 4

program Sunday, May 4, 2014 Session V: Hepatology Moderator: Bruce Bacon, MD, AGAF 8:30 8:48 a.m. Management of Coagulation Disorders in Cirrhosis: How Anxious Should We Be? Sam Lee, MD 8:50 9:08 a.m. Choosing the Optimal HCV Regimen jordan Feld, MD 9:10 9:28 a.m. Alcoholic Hepatitis and Management of Acute on Chronic Liver Disease Michael Lucey, MD 9:30 9:48 a.m. Hepatocellular Carcinoma: Surveillance, Diagnosis, and Treatment jorge Marrero, MD, MS 9:50 10:08 a.m. nafld and NASH: Moving the Needle Stephen Harrison, MD 10:10 10:30 a.m. Refreshment Break Session VI: Colon Moderator: Dayna Early, MD, FASGE 10:30 10:48 a.m. Colonoscopy Prep Decisions in 2014 thomas Imperiale, MD 10:50 11:08 a.m. Prevention of CRC: How to Improve our Adenoma Detection Rate? Sameer Saini, MD 11:10 11:28 a.m. the Defiant Polyp: Rules of Engagement B. Joseph Elmunzer, MD 11:30 11:48 a.m. Anti-Coagulants/Anti-Platelet Agents: Management Before, During and After Endoscopy neena Abraham, MD, AGAF, MSCE, FASGE 11:50 12:08 p.m. When to Refer your Polyp Patient for Genetic Assessment? Elena Stoffel, MD 12:10 12:28 p.m. Fecal Microbial Transplant: What are the Indications, How to Do It and What is the Future? larry Brandt, MD, FASGE 12:30 12:35 p.m. Conclusion 5

Breakout Sessions Clinical Challenge Sessions Focus on your choice of 14 clinical topics in these interactive sessions. Saturday, May 3: 4 5:30 p.m. Make your selection when you register for the course. Sessions are filled on a first-come, first-served basis, so register early. C101 Case Based ERCP for the Practicing GI Sri Komanduri, MD and Greg Cote, MD, MS C102 complex Patients with Portal HTN: Ascites, Variceal Bleeding, Hepatic Encephalopathy Michael Lucey, MD and Michael Fallon, MD C103 Functional Abdominal Pain: Diagnosis and Management Anthony Lembo, MD and Lin Chang, MD, AGAF C104 Hepatitis B: Simplifying a Complex Disease Norah Terrault, MD and Tram Tran, MD C105 incontinence: The Scope of the Problem and Treatment Options William Chey, MD and Darren Brenner, MD C106 new Endoscopic Techniques for UGI Bleeding Vanessa Shami, MD, FASGE and David Lichtenstein, MD, FASGE C107 Pancreatic Cysts: When is EUS (+/- FNA) Helpful? Brenda Hoffman, MD and James Scheiman, MD, FASGE C108 Prevention of Post-op Complications in IBD (Recurrent Crohn s and Pouchitis) Miguel Regueiro, MD and Millie Long, MD C109 Surveillance for Dysplasia in Chronic Colitis: Is Chromoendoscopy Needed? Thomas Ullman, MD, AGAF and William Tremaine, MD C110 the Cirrhotic Patient with HCV: Avoiding Potential Pitfalls Jordan Feld, MD and Nancy Reau, MD C111 the Patient Failing Anti-TNF: What s Next? william J. Sandborn, MD, AGAF and Maria Abreu, MD, AGAF C112 the Pregnant IBD Patient Who is Flaring Russell Cohen, MD and Sunanda V. Kane, MD, MSPH, AGAF C113 Update in the Management of Pediatric IBD Dan Turner, MD, PhD and Stacy Kahn, MD C114 when Does Manometry/Impedance/pH Testing Help Manage Patients? Kerry Dunbar, MD, PhD and John Pandolfino, MD, AGAF C112 the Pregnant IBD Patient Who is Flaring Russell Cohen, MD and Sunanda V. Kane, MD, MSPH, AGAF 6

Luncheon Breakout Sessions Take part in one of 14 small-group lunch sessions. A boxed lunch is included. Saturday, May 3: 11:45 a.m. 12:45 p.m. Make your selection when you register for the course. Sessions are filled on a first-come, first-served basis, so register early. L101 L102 L103 L104 L105 Acute Kidney Injury in Cirrhosis: It s Not Always HRS jorge Marrero, MD, MS Approach to a New Hepatic Mass Alex Befeler, MD Barrett s Dysplasia: The Role of EMR, Ablation, and Surgery Herb Wolfsen, MD, FASGE can We Use Fibroscan in Clinical Practice? nezam Afdhal, MD Disease Monitoring in IBD: Use of Serum or Fecal Markers? Severine Vermeire, MD, PhD L107 L108 L109 L110 L111 L112 L113 L114 ERCP Tricks of the Trade Bret Petersen, MD, FASGE GI Practice in 2014 and Beyond klaus Mergener, MD, PhD, MBA, FASGE Health Care Changes: 2014 Update Bob Ganz, MD nausea/vomiting Treatment Update Bill Hasler, MD Post-ERCP Pancreatitis: How to Prevent It? B. Joseph Elmunzer, MD Sleep Disorders and GI Problems: Chicken or Egg? Michael Vaezi, MD, PhD the Post-Liver Transplant Patient: Managing Acute Problems and Chronic Disease tse-ling Fong, MD treat to Target in IBD: What is It and Where Will It Take Us? Geert D Haens, MD, PhD L106 Endoscopic Quality Measurement TBD Luncheon Breakouts 7

Registration Fees on or Before After March 26 March 26 and Onsite AGA Member $405 $480 Nonmember $555 $630 AGA Member Trainee $145 $220 Nonmember Trainee $245 $320 AGA Senior Member $135 $210 AGA Member Nurse Practitioner $245 $320 Nonmember Physician Assistant $345 $420 Register Early and Save $75! Save $75 by registering on or before March 26, 2014. April 4, 2014, is the last day to register and receive your badge and breakout session tickets in the mail prior to the course. If you register after this date, you must pick up your badge and tickets onsite. Register online at www.ddw.org, or call 888-873-3976 (U.S. and Canada) or 508-743-8521 (international) between the hours of 9 a.m. and 5 p.m. EST. Refund Policy Refund requests must be received in writing on or before April 4, 2014. Requests will not be honored after this date. All refunds, minus a $50 administrative fee, will be processed following the course. Accommodations Hotel reservations must be made through DDW Registration and Housing. Please refer to the DDW Preliminary Program for more information or visit www.ddw.org. CME Information The AGA Institute is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AGA Institute designates this educational activity for a maximum of 12 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Program-Related Information Contact Sandra Megally, AGA education program manager, at 301-941-2639 or smegally@gastro.org. AGA Trainee and Young GI Track These sessions are specifically designed to meet the unique needs of new GI physicians. Participants will learn about all aspects of starting a career in clinical practice or research, have the opportunity to network with mentors and peers, and review board material. Mentor and Advisor Program: Reception for Trainees/Young GIs An Evening with AGA Mentors Saturday, May 3, 5:45 7:15 p.m. Board Review Session Monday, May 5, 8 a.m. 12:30 p.m. Discount coupons for DDSEP 7 will be offered on a first-come, firstserved basis. Career and Professional Related Issues Monday, May 5, 12:30-2 p.m. Free lunch is included, but quantities are limited. Boxed lunches are available on a first come, first served basis. Preparing Yourself for Life After Fellowship Monday, May 5, 2 3:30 p.m. The Next Accreditation System (NAS) and Milestones: Advice for Fellows and Faculty Monday, May 5, 4 5:30 p.m. Learn more at www.gastro.org/traineetrack. 8

Spring Postgraduate Course Resources* Get access to the course as full-motion video with fully synchronized presenter slides with audio, allowing you to view the presentations as if you were in the room. Order with your course registration and save. DVD Includes audio and slides of all lectures and clinical challenge sessions. ONLINE All the features of the DVD, plus the option to earn CME credits. DVD & ONLINE For just $10 more, get the DVD and online access. Course Plus DDW On Demand: Get an external drive, online access, plus DDW On Demand, a library of up to 500 hours of DDW sessions. With Your Registration: With Your Registration: With Your Registration: With Your Registration: AGA Member $50 NONMember $60 AGA Member $30 NONMember $45 AGA Member $60 NONMember $70 AGA Member $549 NONMember $649 After the Course: After the Course: After the Course: After the Course: AGA Member $60 NONMember $70 AGA Member $35 NONMember $50 AGA Member $70 NONMember $80 $1,149 Order with your course registration at www.ddw.org or at www.gilearn.org/pgresources. *DVD and online sessions available fall 2014. 9

Course Director David T. Rubin, MD, AGAF Associate University of Chicago Medical Center Co-Directors Bruce R. Bacon, MD, AGAF Director, Division of Gastroenterology & Hepatology James F. King MD Endowed Chair in Gastroenterology Professor of Internal Medicine Saint Louis University School of Medicine St. Louis University Hospital Grace H. Elta, MD, AGAF Professor of Internal Medicine GI Division University of Michigan Medical Center SPGC 2014 Faculty Neena Abraham, MD, AGAF, MSCE, FASGE Mayo Clinic Maria T. Abreu, MD, AGAF Chief, Division of Gastroenterology University of Miami School of Medicine Nezam Afdhal, MD Chief of Hepatology Liver Center, Beth Israel Deaconess Medical Center Alex Befeler, MD Associate Professor of Internal Medicine Medical Director of Liver Transplantation Division of Gastroenterology and Hepatology Saint Louis University Lawrence J. Brandt, MD, MACG, AGAF, FASGE and Surgery Albert Einstein College of Medicine Emeritus Chief, Division of Gastroenterology Montefiore Medical Center Darren Brenner, MD Assistant Professor in Medicine Gastroenterology, Hepatology and Surgery Northwestern University Amitabh Chak, MD Head, Section of Gastrointestinal Endoscopy University Hospital of Cleveland Lin Chang, MD, AGAF Co-Director, Center for Neurovisceral Sciences and Women s Health Center for Neurobiology of Stress UCLA David Geffen School of Medicine UCLA Division of Digestive Diseases William D. Chey, MD, AGAF Director, GI Physiology Laboratory University of Michigan Health System Russell Cohen, MD Co-Director, Clinical IBD University of Chicago Hospitals Greg Cote, MD, MS Assistant Indiana University Geert D Haens, MD, PhD Academic Medical Center, Amsterdam, The Netherlands Kerry Dunbar, MD, PhD Assistant Division of Gastroenterology and Hepatology Department of Medicine VA North Texas Healthcare System Dallas VAMC University of Texas Southwestern Medical Center Dayna Early, MD, FASGE Associate Professor of Clinical Medicine Washington University School of Medicine GI Division B. Joseph Elmunzer, MD Assistant University of Michigan Health System Michael Fallon, MD Professor and Division Director University of Texas Health Science Center at Houston Jordan Feld, MD, MPH Toronto Western Hospital Liver Center University Health Network McLauglin-Rotman Centre for Global Health Tse-Ling Fong, MD Associate Professor of Clinical Medicine Director, Hepatitis Treatment Center Keck School of Medicine University of Southern California Marty Freeman, MD Director of the Division of Gastroenterology, Hepatology and Nutrition University of Minnesota Medical School University of Minnesota Medical Center Robert A. Ganz, MD, FASGE Chief of Gastroenterology Associate Abbott-Northwestern Hospital University of Minnesota Minnesota Gastroenterology Stephen Harrison, MD SAUSHEC Gastroenterology Fellowship Program (BAMC) Brooke Army Medical Center Bill Hasler, MD Professor, Division of Gastroenterology University of Michigan Health System Rob Hawes, MD, FASGE Florida Hospital Institute for Minimally Invasive Therapy University of Central Florida College of Medicine Brenda Hoffman, MD Medical University of South Carolina Tom Imperiale, MD The Regenstrief Institute Stacey Kahn, MD Assistant Professor Pediatric Gastroenterology University of Chicago Sunanda V. Kane, MD, MSPH, AGAF Associate Mayo Clinic Rochester Sri Komanduri, MD Director of Interventional Endoscopy Associate Division of Gastroenterology and Hepatology Feinberg School of Medicine Northwestern University Sam Lee, MD Professor, Department of Medicine Head, Division of Gastroenterology University of Calgary 10

Anthony Lembo, MD Associate Beth Israel Deaconess Medical Center David Lichtenstein, MD, FASGE Director of Endoscopy Boston Medical Center Medicine Millie Long, MD Assistant University of North Carolina Gastroenterology Michael Lucey, MD Associate Chief, Division of Gastroenterology University of Wisconsin School of Medicine & Public Health Jorge Marrero, MD Chief, Clinical Hepatology Medical Director, Liver Transplantation University of Texas Southwestern in Dallas Klaus Mergener, MD, PhD, MBA, FASGE Digestive Health Specialists Joseph Murray, MD Mayo Clinic John Pandolfino, MD, AGAF Associate Professor Northwestern University Bret Petersen, MD, FASGE Consultant in Gastroenterology Endoscopy Chair Mayo Clinic Satish S.C. Rao, MD, PhD, AGAF University of Iowa College of Medicine Nancy Reau, MD Associate University of Chicago Hospitals Miguel Regueiro, MD Associate Chief for Education Co-Director, Inflammatory Bowel Disease Center Head, IBD Clinical Program Director, Gastroenterology Program University of Pittsburgh Anil Rustgi, MD, AGAF Chief, Division of Gastroenterology Director, Center for Molecular Studies in Digestive and Liver Diseases T. Grier Miller University of Pennsylvania Perelman School of Medicine Sameer Saini, MD Assistant Professor University of Michigan William J. Sandborn, MD, AGAF Director, IBD Interest Group University of California San Diego James Scheiman, MD, FASGE University of Michigan Hospitals Vanessa Shami, MD, FASGE Associate Director of Endoscopic Ultrasound University of Virginia Corey A. Siegel, MD, MS Assistant Professor Director, IBD Center Dartmouth Medical School & The Dartmouth Institute Dartmouth-Hitchcock Medical Center Rhonda F. Souza, MD, AGAF Associate VA North Texas Healthcare System UT Southwestern Medical Center Elena Stoffel, MD Assistant Professor of Internal Medicine University of Michigan Norah Terrault, MD, MPH and Surgery University of California - San Francisco Tram Tran, MD Medical Director of Liver Transplantation Cedars Sinai Medical Center William Tremaine, MD Mayo Medical Center Dan Turner, MD, PhD Pediatric Gastroenterologist Shaare Zedek Medical Center The Hebrew University Thomas Ullman, MD, AGAF Associate Professor The Mount Sinai School of Medicine Michael Vaezi, MD, PhD Clinical Director, GI Division Vanderbilt University Medical Center Severine Vermeire, MD, PhD Associate Professor University Hospital Gasthuisberg Gastroenterology Mike Wallace, MD, MPH, AGAF Mayo Clinic Herb Wolfsen, MD, FASGE Associate Mayo Clinic Jacksonville 125-080EDU_13-3 11