23 RD ANNUAL UC DAVIS ANESTHESIOLOGY UPDATE

23 RD ANNUAL UC DAVIS ANESTHESIOLOGY UPDATE SPONSORED BY: UC DAVIS HEALTH SYSTEM OFFICE OF CONTINUING MEDICAL EDUCATION AND DEPARTMENT OF ANESTHESIOLOGY AND PAIN MEDICINE Scan code for online registration NOVEMBER 9-11, 2012 FRIDAY - SUNDAY MONTEREY PLAZA HOTEL Monterey, California

NEEDS ASSESSMENT This course is designed to increase the clinical knowledge base of anesthesia, trauma care and perioperative healthcare providers. Course participant evaluations and community physician annual needs assessment surveys have identified the need for cutting edge information about perioperative healthcare. Topics to be covered include recent advances in anesthesiology and its major subspecialties including ambulatory, pediatric, regional anesthesia, acute pain management and trauma care. Lectures will address the economic impact and cost savings of regional anesthesia, regional anesthesia and perioperative pain management, perioperative hemostasis, updates on trauma resuscitation, and the impact of health care reform on anesthesia practice. This year s conference will specifically address these identified educational needs and provide practitioners with state-of-the-art tools to deliver improved treatment options for their patients. Faculty presenting and interacting with participants at this activity have been selected on the basis of their comprehensive clinical experience and academic excellence. ENROLLMENT Please register early space is limited. Tuition is $595 for physicians and $520 for all others. Confirmation of registration will be sent within two weeks after receipt of enrollment form. The fees will increase after September 9, 2012. Tuition includes continental breakfasts, refreshment breaks, electronic syllabus, and a certificate of attendance. Duplicate certificates are $10. Tuition may be paid by check, American Express, Discover, MasterCard or VISA. Cash is not accepted. UC Davis Health System and UC Davis School of Medicine volunteer faculty, alumni, faculty, and staff are eligible for tuition discounts. See enrollment form for details. Refunds must be requested by October 26, 2012 and will be subject to a $75 service charge. Program materials cannot be guaranteed unless enrollment is received by October 29, 2012. The Department of Anesthesiology & Pain Medicine reserves the 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 is received, and payment must follow within 10 days. Early discount rates are honored if payment is received by the date noted on the enrollment form. After that date, the late fee is applied. On-site Fees: At door registrations will be charged at a higher rate. Please see enrollment form for details. EDUCATIONAL OBJECTIVES At the end of the program, participants should be able to: Recognize the areas of perioperative care that can be positively affected by regional anesthesia techniques Develop a strategy to utilize regional anesthesia in your daily practice Identify the techniques suitable for continuous regional anesthesia Recognize the barriers to using perineural catheter techniques List the regional anesthetic techniques appropriate for total knee, total shoulder & total foot arthroplasty Describe the current treatment guidelines for local anesthetic systemic toxicity Discuss the indications for regional anesthetic techniques in the trauma victim Discuss the appropriate use and interpretation of platelet function assays List the many classes of non-opioid analgesic agents Discuss options for regional anesthetic techniques for trauma care Discuss risks and strategies to reduce dangers associated with compartment syndrome, pre-existent nerve damage, and LAST Discuss the mechanisms of antithrombotic therapy Describe the optimal care of the trauma patient who has both a head injury and pelvic fracture TARGET AUDIENCE This activity is designed to educate healthcare professionals caring for patients in the perioperative setting following various surgical procedures. Emphasis will be placed on care of the trauma patient, multimodal anesthesia techniques and regional anesthesia, operating room emergencies, coagulation problems and concerns about the economic issues surrounding the delivery of healthcare in the 21st century. Anesthesiology and pain medicine physicians, nurse anesthetists, nurses, physician assistants, research staff, anesthesiology residents and fellows are encouraged to attend. CANCELLATION AND REFUND POLICY: A refund of tuition, less $75 administrative fee, will be allowed if requested in writing by October 26, 2012. No refunds will be provided after this date. SYLLABUS The electronic syllabus will be available to pre-registered attendees online prior to the meeting for downloading and printing and onsite on a flash drive. Attendees will receive an email when the syllabus materials are available online. Printed syllabus will not be available.

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. CREDIT DESIGNATION Physician Credit: The University of California, Davis Health System designates this live activity for a maximum of 22.5 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity. AMA PRA Category 1 Credits TM 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. ADDITIONAL CREDIT DESIGNATION Nurse Anesthetists: This program has been approved by the American Association of Nurse Anesthetists for 21 CE Credits: Code Number 1026625; Expiration Date 11/11/12. CRNA s must pay for and attend all optional sessions to receive 21 CE credits. PAIN MANAGEMENT California Business and Professions Code (Section 2190.5) requires physicians and surgeons to complete 12 hours of mandatory continuing education on pain management and the treatment of terminally ill and dying patients. Physicians licensed prior to January 2002 were to have completed this requirement by December 31, 2006. Physicians and surgeons licensed on or after January 1, 2002 must complete this requirement within 4 years of their initial license or by their second renewal date, whichever occurs first. CULTURAL AND LINGUISTIC COMPETENCY REQUIREMENT All continuing medical education (CME) courses with patient care components are required by California State statute to include curriculum on cultural and linguistic competency in the practice of medicine (California Business and Professions Code, Section 2190.1). Those who have developed this UC Davis CME activity have been encouraged to address cultural and linguistic differences for a diverse patient population related to this topic. A variety of resources are available that address these competencies. Additional resources and information can be found on our website, http://cme.ucdavis.edu. BROCHURE ART CREDIT Brochure images courtesy of Accreditation Council for Continuing Medical Education, UC Davis Department of Anesthesiology & Pain Medicine, UC Davis Public Affairs and istockphoto.com. GENERAL SESSION Up to 12 AMA PRA Category 1 Credits PAIN CREDIT Up to 13.5 AMA PRA Category 1 Credits Lectures marked with asterisk (*) qualify for recognized content for California Assembly Bill 487 which requires physicians and surgeons to obtain 12 hours of continuing education in the subject of pain management and palliative care. OPTIONAL BREAKFAST ROUNDTABLE SESSIONS Up to 2.5 AMA PRA Category 1 Credits (1.25 each) OPTIONAL AFTERNOON WORKSHOPS Up to 8 AMA PRA Category 1 Credits FOR FURTHER INFORMATION UC Davis Health System Department of Anesthesiology & Pain Medicine Tel. (916) 734-1574 4150 V Street, PSSB Bldg., Suite 1200 Fax (916) 734-2975 Sacramento, CA 95817 http://www.ucdmc.ucdavis.edu/anesthesiology

FRIDAY, NOVEMBER 9, 2012 SATURDAY, NOVEMBER 10, 2012 7:00-7:45 am Registration, Continental Breakfast, Visit Exhibits 7:45 Welcome and Course Objectives Moderator: Stephen M. Macres, MD *8:00 Economic Impact and Cost Savings of Regional Anesthesia David B. Auyong, MD *8:55 The Practicalities of Ambulatory Perineural Catheters Robin J. Aldwinckle, MD, FRCA 9:45 Refreshment Break, Visit Exhibits *10:15 Regional Anesthesia and Perioperative Pain Management: CASE by CASE! Stephen M. Macres, MD 11:05 ACLS for the Anesthesia Provider: An Interactive Case Discussion of Advanced Cardiac Life Support in the Operating Room Brian L. Pitts, MD, MS 11:55 Q & A 12:15 Adjourn 12:30 Lunch for Workshop Participants 6:30- PROBLEM BASED LEARNING SESSIONS 7:45 am Additional fee, registration required, breakfast included, registration limited, 1.25 AMA PRA Category I Credits TM Discuss specific topics with a faculty expert over a buffet breakfast *1. Pain Management Strategies for the Opioid Dependent Patient Stephen M. Macres, MD *2. Developing an Acute Pain Service Is It Worth the Cost or Just a Pain? Michael A. Greenberg, MD *3. Regional Anesthesia in the Obese Patient for Out Patient Surgery. Can I/Should I do it Robin J. Aldwinckle, MD, FRCA *4. Best Billing Practice for Regional Anesthesia David B. Auyong, MD 7:00 am Registration, Continental Breakfast, Visit Exhibits 7:45 Welcome and Course Objectives Moderator: Peter Moore, MD, PhD 8:00 Perioperative Hemostasis: How do I Monitor Coagulation and Treat Coagulopathy? Kenichi Tanaka, MD 8:55 Update on Blindness after Anesthesia and Surgery Jeffrey Uppington, MD 9:20 Update on Damage Control Resuscitation Jeffrey Uppington, MD 1:00 - * BASIC ULTRASOUND GUIDED PERIPHERAL 5:00 PM NERVE BLOCK WORKSHOP Additional fee, registration required, lunch included, registration limited, four (4) AMA PRA Category 1 Credits TM. The Friday afternoon workshop will be a review of basic principles of ultrasound guided peripheral nerve blockade techniques offered in a small group format (6 participants per station). Upper extremity, lower extremity peripheral nerve blocks will be reviewed. Drs. Macres, Aldwinckle, Furukawa, Greenberg, Pitts and Betsy Bencken, NREMT-B, MS 5:30 MEET THE FACULTY 7:30 pm* NETWORKING RECEPTION Included in tuition, pre-registration required guest invited for $35 * Lectures marked with asterisk (*) qualify for recognized content for California Assembly Bill 487 which requires physicians and surgeons to obtain 12 hours of continuing education in the subject of pain management and palliative care. 9:45 Refreshment, Visit Exhibits 10:15 Healthcare Reform 2012: Where Do We Stand? Medicare: It s killing me! A macroeconomic look at the United States debt, deficit and future liabilities: Why Medicare WILL hurt us all. This talk is not for the faint of heart or optimists. Gary A. Levin, MD, MBA 10:45 A Summary and Update of the Patient Protection and Affordable Care Act Joseph F. Antognini, MD, MBA 11:15 The Supremes Have Sung: The Impact of the Supreme Court Decision Joseph F. Antognini, MD, MBA 11:25 SWOT THIS! Threats and opportunities analysis of the PPACA for Anesthesiologists Joseph F. Antognini, MD, MBA, Gary A. Levin, MD, MBA 11:50 Up Your Paradigm: An Open Recommendation to the CSA & ASA - Why We Should Embrace Fixed Payment, UK Style! Gary A. Levin, MD, MBA 12:00 Panel Discussion, Q & A Moderator: Peter Moore, MD, PhD Panel: Joseph F. Antognini, MD, MBA, Gary A. Levin, MD, MBA, Jeffrey Uppington, M.D. 12:15 Adjourn 12:30 Lunch for Workshop Participants

SATURDAY, NOVEMBER 10, 2012 *1:00- INTERMEDIATE ULTRASOUND GUIDED PERIPHERAL 5:00 pm NERVE BLOCK WORKSHOP Additional fee, registration required, lunch included, registration limited, four (4) AMA PRA Category 1 Credits TM. The Saturday afternoon workshop is a review of truncal, neuraxial, and tap blocks, sonopathology and billing for ultrasound guided regional anesthesia. This will be offered in a small group format (6 participants per station). Drs. Macres, Aldwinckle, Furukawa, Greenberg, Pitts and Betsy Bencken, NREMT-B, MS COURSE CHAIR UC DAVIS DEPARTMENT OF ANESTHESIOLOGY & PAIN MEDICINE Stephen M. Macres, MD Chief, Perioperative Pain Service Peter G. Moore, MD, PhD Chair of Anesthesiolgy COURSE CO-CHAIRS Jeffrey Uppington, MD Vice Chair of Clinical Affairs SUNDAY, NOVEMBER 11, 2012 6:30- PROBLEM BASED LEARNING SESSIONS 7:45 am Additional fee, registration required, breakfast included, registration limited, 1.25 AMA PRA Category I Credits TM Discuss specific topics with a faculty expert over a buffet breakfast *5. Antiplatelet Therapy Kenichi Tanaka, MD *6. Local Anesthetic Toxicity Brian L Pitts, MD, MS *7. Trauma Patient S/P fall from horse. Managing the Patient with both a Pelvic Fracture and a Head Injury Lara M. Moser, MD 8. Rebleeding Tonsil in a Pediatric Patient Sungeun Lee, MD *9. No stimulator, No Ultrasound...No problem! A Few Simple Compartment and Infiltration Blocks for Acute Perioperative Pain Control. Kenneth T. Furukawa, MD 7:00 am Registration, Continental Breakfast, Visit Exhibits 7:45 Welcome and Course Objectives Moderator: Jeffrey Uppington, MD GUEST FACULTY David B. Auyong, MD Staff Anesthesiologist Medical Director, Pre-Anesthesia Assessment Clinic Virginia Mason Medical Center Seattle, WA Kenichi Tanaka, MD, MSc Associate Department of Anesthesiology Emory University School of Medicine Atlanta, Georgia UC DAVIS DEPARTMENT OF ANESTHESIOLOGY & PAIN MEDICINE FACULTY Robin J. Aldwinckle, MD, FRCA Assistant Joseph F. Antognini, MD, MBA Director, Peri-operative Services Kenneth T. Furukawa, MD Gary Levin, MD, MBA Sungeun Lee, MD Assistant Lara M. Moser, MD Associate 8:00 Pediatric Premedication Alternatives The Kid Spit out all the Midazolam! Now what? Sungeun Lee, MD 8:55 Pre-operative Dilemmas in the Pediatric Patient Cathy R. Lammers, MD Michael A. Greenberg, MD Visiting Cathy R. Lammers, MD Brian L. Pitts, MD, MS Assistant 9:45 Refreshment, Visit Exhibits 10:15 911 Trauma to the OR in 10 Minutes How to Give Level One Trauma Anesthesia Care in your OR Lara M. Moser, MD 11:15 Lecture/Case Presentation: Peri-Operative Non-Opioid Analgesia Kenneth T. Furukawa, MD 11:45 Lecture/Case Presentation: Regional Anesthesia for Acute Trauma Care Kenneth T. Furukawa, MD 12:15 Adjourn Have a safe journey home! UC DAVIS CENTER FOR VIRTUAL CARE Betsy Bencken, NREMT-B, MS Clinical Specialist CONFERENCE COORDINATOR Beng Salud CME Meeting Planner Department of Anesthesiology & Pain Medicine UC Davis Health System

LOCATION Monterey Plaza Hotel 400 Cannery Row Monterey, California 93940 (831) 646-1700. Toll-Free (800) 631-1339 (800) 334-3999 Reservations Only (831) 646-0285 Fax http://www.montereyplazahotel.com $199 Inland View $229 Partial Ocean View $295 Ocean View $340 Ocean View Balcony A block of rooms is being held for conference participants at the special rates listed above. After October 10, 2012 reservations will be on a space and rate available basis. Reservations should be made directly with the hotel. Please be aware that a limited number of rooms in each category have been reserved and the hotel will likely sell out prior to the reservations deadline of October 10, 2012. By staying at the host hotel, you help the University of California, Davis, meet its contractual obligations with the Monterey Plaza Hotel and keep future registration fees reasonable. Please consider that when making your accommodation decisions. We encourage you to stay at the host hotel. The symposium will convene at the majestic Monterey Plaza Hotel on picturesque Cannery Row. Dramatically overlooking the Monterey Bay, the Monterey Plaza Hotel combines elegant European architecture, wide-sweeping coastal views and sophisticated style to create the perfect vantage point by which to enjoy the gentle sounds of the surf, the fresh scent of sea air and the sight of sea otters at play. The hotel s central location on Cannery Row makes it easy to enjoy the area s many attractions and activities including the world-renowned Monterey Bay Aquarium just three blocks away. Launch an ocean kayak from the beach adjacent to the hotel, play a round of golf at one of 19 championship courses, or skate along a nearby recreation trail. Sail, whale watch or scuba dive in the protected marine sanctuary of Monterey Bay. Walk to Fisherman s Wharf, Old Town Monterey, or the Maritime Museum, or take a scenic drive to Carmel, Pebble Beach, 17-Mile Drive, or Big Sur. The holiday shopper has a wide variety of stores from which to choose - whether one seeks department store shopping, boutiques, art galleries or factory outlets - all are awaiting you for a memorable shopping experience. AIR TRAVEL TO MONTEREY PENINSULA AIRPORT (MRY) For the Monterey Peninsula and the California Central Coast, regular flights are available from San Francisco, Los Angeles, Phoenix, Denver, Las Vegas, Salt Lake City, LA/Ontario and San Diego. The five carriers that currently provide service to Monterey are affiliated with airlines around the world.. GROUND TRANSPORTATION Hertz 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. http://supershuttle.com DISCLOSURE OF RELEVANT FINANCIAL RELATIONSHIPS As a provider accredited by the Accreditation Council for Continuing Medical Education, the University of California, Davis Health System Office of Continuing Medical Education must ensure balance, independence, and objectivity in all CME activities to promote improvements in health care and not proprietary interests of a commercial interest. The provider controls all decisions related to identification of CME needs, determination of educational objectives, selection and presentation of content, 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 committee members, presenters, authors, moderators, panel members, and others in a position to control the content of this activity are required to disclose relevant financial relationships with commercial interests related to the subject matter of this educational activity. Learners are able to assess the potential for commercial bias in information when complete disclosure, resolution of conflicts of interest, and acknowledgment of commercial support are provided prior to the activity. Informed learners are the final safeguards in assuring that a CME activity is independent from commercial support. We believe this mechanism contributes to the transparency and accountability of CME. Layered clothing is recommended as the meeting room temperature may be uncomfortable for some, depending on personal preferences. If you have any special needs due to a disability as specified in the Americans with Disabilities Act, please call the UC Davis Department of Anesthesiology & Pain Medicine at 916-734-1574 so we may make the necessary accommodations for you. UC DAVIS HEALTH SYSTEM CME MISSION In concert with the University of California, Davis Health System mission of discovering and sharing knowledge to advance health, the continuing medical education mission focuses on the lifelong learning commitments of physicians who practice in the health system and in the greater Northern California region. UC Davis CME is at the nexus between scientific discovery and its translation to practice with a commitment to provide a variety of educational formats for evidence-based education that fulfills identified needs and produces changes in physician practice resulting in improved competence, performance and/ or patient care. With an emphasis on multidisciplinary programs, content is based on competencies and bona fide needs assessments as well as clinical requirements. The CME Advisory Committee reviews the content and quality of CME offerings in accordance with the Accreditation Council for Continuing Medical Education s Essential Areas and Their Elements and the American Medical Association s Physician Recognition Award accredited provider information.

ENROLLMENT APPLICATION 23 RD ANNUAL UC DAVIS ANESTHESIOLOGY UPDATE November 9-11, 2012 REGISTRATION FEES RECEIPT/CONFIRMATION WILL BE EMAILED WITHIN TWO WEEKS EARLY DISCOUNT AFTER SEPT 10 ON SITE Physician $595 $670 $695 FEE DUE (Please Print) First Name MI Last Name Other Health-care Professional $520 $594 $620 MD DO PA NP RN CRNA (AANA License #) Other Institution/Employer (as you would like it to appear on your badge) UC DAVIS AFFILIATE FEES (Please specify) Faculty Volunteer Faculty Alumni Staff PCN RECEIPT/CONFIRMATION WILL BE EMAILED WITHIN TWO WEEKS EARLY DISCOUNT AFTER SEPT 10 ON SITE FEE DUE Email Address (where you would like your receipt emailed) Physician $485 $545 $570 City State Zip Code Other Health-care Professional $425 $484 $620 ( ) Day Phone ( ) Fax Number OPTIONAL WORKSHOP ENROLLMENT Please register early, as workshops are limited and fill up fast. Each workshop includes a boxed lunch and additional credit. WORKSHOP OPTIONS Basic Ultrasound Peripheral Nerve Block $175 Friday, 12:30-5:00 PM Intermediate Ultrasound Peripheral Nerve Block $175 Saturday, 12:30 5:00pm Saturday Problem Based Learning $50 6:30 am 1st choice: 1 2 3 4 2nd choice: 1 2 3 4 Sunday Problem Based Learning $50 6:30 am 1st choice: 5 6 7 8 9 2nd choice: 5 6 7 8 9 FEE DUE E-Mail for link to electronic syllabus. (UC Davis Department of Anesthesiology will not use your email for any other purpose other than corresponding with you.) Physician information required for CME credit and name badge. Please indicate primary medical specialty: AN PAIN APM PMD PPN OTHER (specify) Social Security Number (last 4 digits required for transcript purposes) X X X X X Please copy the mail code from the address side of the brochure (above your name, e.g. PP?, MMS:, CRD?) 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)? HAVE YOU ATTENDED THIS CONFERENCE IN THE PAST? YES NO MEET THE FACULTY NETWORKING RECEPTION FEE DUE (included in tuition, pre-registration required, guests invited) I will attend the Friday evening Meet the Faculty Reception N/A I will not attend the Friday evening Meet the Faculty Reception GUESTS I will bring adults and children Name(s) $35 EACH If you need disability accommodations at the meeting, please let us know by October 19th and our representative will contact you. Please note special dietary/ food allergy requirements Please check your payment method: Registration forms received without check, credit card number or purchase order number will not be processed until payment is received Check enclosed payable to: UC Regents AMEX Discover MasterCard VISA account number expiration date GUEST/SPOUSE FOOD PACKAGE (Name badges must be worn. Meal tickets may be purchased for guests to join you for continental breakfast. Fee includes group service charge and taxes) Adults $125 Name(s) Children 6-12 (under 6 N/C) Name(s) Catering is planned for course participants and paid guests registered by October 19th. If you do not purchase the meal package for your guests, please do not invite them to the meals. $60 TOTAL FEES FEE DUE authorized signature (name on card) security code Please use ONE of these methods to register. (Do not mail if previously faxed or telephoned) Mail application and payment to: Beng Salud Department of Anesthesiology & Pain Medicine 4150 V. Street, PSSB Bldg., Suite 1200, Sacramento, CA 95817 Telephone: (916) 734-1574 Fax application: (916) 734-2975 Register online: http://conferences.ucdavis.edu/anesthesiologyupdate

Department of Anesthesiology & Pain Medicine 4150 V Street, PSSB Bldg., Suite 1200 Sacramento, CA 95817 PRESORTED FIRST CLASS U.S. POSTAGE PAID CPS 23 RD ANNUAL UC DAVIS ANESTHESIOLOGY UPDATE MONTEREY PLAZA HOTEL 400 Cannery Row, Monterey, California If you cannot attend.. Please give brochure to a colleague! DATED MATERIAL NOVEMBER 9-11, 2012 FRIDAY - SUNDAY HIGHLIGHTS: Impact of Healthcare Reform on Anesthesia Practice Review of Multimodal Analgesia Utilizing Regional Anesthesia Techniques Cost Savings Associated with Regional Anesthesia Basic & Intermediate Ultrasound Guided Peripheral Nerve Block Workshop This program is self-supporting and receives no state funding 23 RD ANNUAL UC DAVIS ANESTHESIOLOGY UPDATE SPONSORED BY: UC DAVIS HEALTH SYSTEM OFFICE OF CONTINUING MEDICAL EDUCATION AND DEPARTMENT OF ANESTHESIOLOGY AND PAIN MEDICINE NOVEMBER 9-11, 2012 FRIDAY - SUNDAY MONTEREY PLAZA HOTEL Monterey, California