Breast & Endocrine Surgery



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Presented by: Department of University of California, San Francisco School of Medicine The Postgraduate Course in Breast & Endocrine MARINES MEMORIAL CLUB AND HOTEL SAN FRANCISCO, CA University of California San Francisco COURSE CHAIRS Quan-Yang Duh, MD Professor of Division of General Chief, Section of Endocrine Laura J. Esserman, MD, MBA Professor of and Radiology Division of General Chief, Section of Breast Care Director, UCSF Carol Franc Buck Breast Care Center

The Postgraduate Course in Breast & Endocrine MARINES MEMORIAL CLUB AND HOTEL SAN FRANCISCO, CA Presented by the University of California, San Francisco School of Medicine, this clinically-oriented course brings the practicing surgeon up-to-date on the latest developments in Breast and Endocrine with an intensive overview of problems encountered in daily practice and is of substantial value in preparation for board and recertification examinations. This year s program emphasis is on common surgical diseases and techniques, with a focus on the avoidance of surgical complications, breast diseases and endocrine surgery. WHO SHOULD ATTEND THIS COURSE? This symposium is designed for general surgeons, endocrine surgeons, and other surgeons and allied health professionals who participate in the surgical management of breast and endocrine conditions. OBJECTIVES Upon completion of this course, participants should be able to: Know when and how to integrate molecular markers and imaging into the diagnosis and personalize the management of mammographic abnormalities, atypical lesions, breast cancer thyroid nodules, hyperparathyroid disease, adrenal tumors, and pancreatic neuroendocrine tumors; Understand the emerging issues on the overuse and appropriate use of antibiotics. COURSE CHAIR Quan-Yang Duh, MD Professor of Division of General ; Chief, Section of Endocrine Laura J. Esserman, MD, MBA Professor of and Radiology; Division of General ; Chief, Section of Breast Care ; Director, UCSF Carol Franc Buck Breast Care Center INVITED GUEST FACULTY Martin J Blaser, MD Muriel and George Singer Professor of Medicine Professor of Microbiology Director, Human Microbiome Program New York University Langone Medical Center Gerard M. Doherty, MD Utley Professor and Chair of, Department of ; Professor of Medicine, Boston University School of Medicine, Boston MA Nancy D. Perrier, MD Professor of Surgical Oncology, Division of ; Chief-Section of Surgical Endocrinology, Associate Medical Director, Fellowship Program Director, Department of Surgical Oncology, Endocrine Center; The University of Texas MD Anderson Cancer Center Houston, TX INVITED GUEST FACULTY (CONTD) Alastair M. Thompson, BSc(BSc (Hons), MB ChB, MD, FRCSEd Professor, Department of Surgical Oncology, Division of, The University of Texas MD Anderson Cancer Center, Houston, TX Anne M. Wallace, MD Director, UCSD Comprehensive Breast Health Center; Professor of, Surgical Oncology and Plastic UCSF FACULTY Michael Alvarado, MD, Division of General ; Director, Breast Oncology Fellowship Nancy L. Ascher, MD, PhD Professor and Chair, Department of Division of Transplant ; Leon Goldman, MD Distinguished Professor in Jonathan Carter, MD ; Division of General Bariatric, Gastrointestinal & Surgical Hospitalist Programs A. Jo Chien, MD Assistant Clinical Professor, Department of Medicine UCSF FACULTY (CONTD) Orlo H. Clark, MD Professor Emeritus of ; Division of General Cheryl A. Ewing, MD Clinical Professor of ; Division of General Robert Foster, MD Professor of Division of Plastic and Reconstructive Barbara L. Fowble, MD, FACR, FASTRO Professor of Medicine, Department of Radiation Oncology Jessica Gosnell, MD ; Division of General William Y. Hoffman, MD Professor of Chief, Division of Plastic and Reconstructive ; Vice-Chair, Department of Bonnie Joe, MD Radiology Gregor Krings, MD, PhD Clinical Pathology Eric Nakakura, MD, PhD ; Division of General Anne Peled, MD Fellow, Department of UCSF FACULTY (CONTD) Hani Sbitany, MD ; Division of Plastic and Reconstructive ; Diplomate, American Board of Plastic Mikki Seagren, DO Clinical Instructor of Edward Sickles, MD Professor of Radiology Wen T Shen, MD, MA Clinical Division of General Insoo Suh, MD ; Division of General, Attending, Endocrine & General San Francisco VA Medical Center Carlie Thompson, MD Postdoctoral Scholar Laura van't Veer, PhD Professor, Dept of Laboratory Medicine, Helen Diller Family Comprehensive Cancer Center Jasmine M Wong, MD Clinical Division of General

The Postgraduate Course in Endocrine & FRIDAY, MARCH 6, 2015 NAFFZIGER DAY 7:30 am Registration and Continental Breakfast 8:00 Welcome and Introduction Quan-Yang Duh, MD Laura J. Esserman, MD, MBA ENDOCRINE DISEASES SESSION I 8:10 Surgical Management of Differentiated Thyroid Gerard M. Doherty, MD Cancer: Update on 2015 ATA Guidelines 8:25 Surgical Management for Medullary Cancer Jessica E. Gosnell, MD 8:40 Unusual Approaches to Thyroidectomy Insoo Suh, MD 8:55 Primary Hyperparathyroidism: Extent of Operation and How to Avoid Persistent Disease Wen T. Shen, MD 9:10 Panel Discussion & Questions ENDOCRINE DISEASES SESSION II 9:40 Adrenal Incidentaloma: Work Up Quan-Yang Duh, MD and Management 9:55 Treatment of GI and Pancreatic Eric Nakakura, MD, PhD Neuroendocrine Tumors 10:10 Intraoperative Nerve Monitoring and Perioperative Gerard M. Doherty, MD Laryngoscopy: Are they Mandatory for Thyroid and Parathyroid? 10:25 Robot Assisted Thyroidectomy an Adrenalectomy Nancy D. Perrier, MD 10:40 Panel Discussion & Questions 11:10 Break 11:25 NAFFZIGER LECTURE Gerald M. Doherty, MD 12:25 pm Lunch On Own JOINT SESSION I 1:30 How to Use Molecular Diagnostic Tests Quan-Yang Duh, MD in Endocrine Diseases 1:45 How to Use Molecular Diagnostic Tests Laura van t Veer, PhD in Breast Diseases 2:00 Advances in Localizing Nodes and Tumors Bonnie Joe, MD and Who Should Do It? Breast 2:15 Advances in Localizing Nodes and Tumors Wen T. Shen, MD and Who Should Do It? Endocrine 2:30 Are We Ready to Predict Who Will Get Laura J. Esserman, MD What Kind of Cancer? Breast 2:45 Are We Ready to Predict Who Will Get Jessica E. Gosnell, MD What Kind of Cancer? Endocrine 3:00 Panel Discussion & Questions 3:30 Break 3:45 Case Presentations: Endocrine Orlo Clark, MD, Moderator Gerard M. Doherty, MD / Quan-Yang Duh, MD / Jessica E. Gosnell, MD / Wen T. Shen, MD / Nancy D. Perrier, MD / Insoo Suh, MD 4:30 Case Presentations: Breast Cheryl Ewing, MD, Moderator Barbara Fowble, MD / Jo Chien, MD / Alastair M. Thompson, MD Gregor Krings, MD / Michael Alvarado, program MD 5:00 pm Adjourn ACCREDITATION The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. UCSF designates this live activity for a maximum of 14.25 AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency. Nurses For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credit TM issued by organizations accredited by the ACCME. Physician Assistants AAPA accepts category 1 credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit from organizations accredited by the ACCME. Pharmacy The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA Category 1 Credit.

Breast Marines Memorial Club and Hotel SATURDAY, MARCH 7, 2015 8:00 am Breakfast KEYNOTE SESSION 8:15 Keynote Presentation: Missing Microbes: Why We Should Think Martin Blaser, MD Differently About Using Antibiotics JOINT SESSION II Is it Time to Personalize Perioperative Antibiotics? 9:15 Antibiotics in the Setting of Drains and Implants Robert Foster, MD 9:20 Prolonged Antibiotics are Not Needed with Jonathan Carter, MD Drains and Devices 9:25 Drains and Antibiotics are Rarely Used in Insoo Suh, MD Endocrine 9:30 Practice of Using Preoperative Antibiotics in Alastair M. Thompson, MD Other Countries 9:35 Why We Should Rethink The Practice of Martin J. Blaser, MD Preoperative Antibiotics? 9:40 Panel Discussion & Questions Laura J. Esserman, MD, MBA, Moderator 10:00 Break BREAST DISEASES SESSION I 10:15 Management of Atypical Lesions, Laura J. Esserman, MD, MBA New Studies for DCIS 10:30 Management of the Postmenopausal Woman Michael Alvarado, MD with a T1 Endocrine Positive Tumor: What are the Options and Tradeoffs? 10:45 The Rise in the Rates of Bilateral Mastectomy: Carlie Thompson, MD Can We Personalize this Decision? 11:00 When Should an MRI be Ordered? Jasmine Wong, MD 11:15 Panel Discussion & Questions Alastair M. Thompson, MD, Moderator 11:45 Lunch On Own BREAST DISEASES SESSION II 1:00 pm Reconstructive Techniques: What Should the Hani Sbitany, MD Breast Surgeon Know About Reconstruction? 1:15 Outcomes with Total Skin Sparing Mastectomy Anne Peled, MD 1:30 How Does Neoadjuvant Therapy Change the Alastair M. Thompson, MD Management of the Axilla? 1:45 I-SPY 2 Trial: Changing the Options for Anne M. Wallace, MD High-Risk Women 2:00 Post-Operative Pain: New Tricks That Mikki Seagren, DO Make a Difference 2:10 Panel Discussion & Questions Anne M. Wallace, MD, Moderator 2:30 Break JOINT SESSION III Overdiagnosis & Overtreatment 2:45 The Case For Overdiagnosis and Laura J. Esserman, MD, MBA Overtreatment in Breast Cancer 2:55 The Case Against Over Diagnosis, but For Edward Sickles, MD Overtreatment in Breast Cancer 3:05 Overdiagnosis and Overtreatment of Wen T. Shen, MD Endocrine Surgical Diseases 3:15 Underdiagnosis and Undertreatment of Gerard M. Doherty, MD Endocrine Surgical Diseases 3:25 Panel Discussion & Questions Michael Alvarado, MD, Moderator Joint Training: Who Does What? 3:45 Training and Practice of Breast : Alastair M. Thompson, MD International Variation 4:00 The Different Ways People are Trained in Nancy D. Perrier, MD Endocrine Joint Training: Is it Time for Change in the US? 4:15 The Case for Combining Breast and Plastics Anne M. Wallace, MD 4:25 The Case for Joint Training in Endocrine Nancy D. Perrier, MD and Surgical Oncology 4:35 pm Panel Discussion & Questions Laura J. Esserman, MD, MBA, Nancy L. Ascher, MD, PhD / William Hoffman, MD / Alastair M. Thompson, MD / Anne M. Wallace, MD / Nancy D. Perrier, MD 5:15 pm Adjourn Moderator

0569 University of California, San Francisco Office of CME UCSF Box 0742 San Francisco, CA 94143-0742 E Printed on Recycled Paper For more information or to register online visit our website at www.cme.ucsf.edu. You may also reach us by calling the Office of Continuing Medical Education at (415) 476-4251 or emailing: info@ocme.ucsf.edu. Upcoming CME Courses UCSF Vascular Symposium April 16-18, 2015 Hotel Nikko San Francisco, CA Critical Care Medicine and Trauma May 8-9, 2015 Marriott Union Square San Francisco, CA GENERAL INFORMATION Advanced registration closes one (1) business day prior to start of course. HOW TO ENROLL Tuition: $485 Physicians $385 Allied Health Professionals and Military $285 Residents/Fellows (non-ucsf Department of ) Payment can be made by Visa, MasterCard, AmEx or check. REGISTER VIA: Online: www.cme.ucsf.edu Mail: Complete course registration form and send with payment to: UCSF Office of CME P.O. Box 45368 San Francisco, CA 94145-0368 Fax: Fax completed registration form to: (415) 502-1795 (be sure to include your credit card number) Phone: To register by phone or to inquire about registration status, please call UCSF's CME Registration Office at (415) 476-5808. Please check our website for up-to-date information on the course: www.cme.ucsf.edu On-Site Registration: Generally we are able to accommodate on-site registration at our courses. REFUND POLICY Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date. WHERE Enjoy San Francisco s renowned attractions such as the historic cable cars, shopping in Union Square, or visit San Francisco s culinary hub at the Ferry Building. The Marines Memorial Club and Hotel, 609 Sutter Street, San Francisco is just steps from Union Square, famed cable cars, and the Theatre District. WHAT A block of guestrooms has been reserved at the special UCSF conference rate of $219 for a standard room or $239 for a deluxe room per night. You are urged to make your reservations early. The cutoff date is February 12, 2015. After this date, rooms will be provided on a spaceavailable basis only. HOW To make hotel reservations on-line, go to www.cme.ucsf.edu and click on the hotel link in the Travel & Lodging section of the course webpage. By staying at the host hotel, you help UCSF meet its contractual obligations and keep registration fees reasonable. Please take this into consideration when making your accommodation decisions. RENTAL CAR Hertz is offering special rates for participants of this conference; simply call (800) 654-2240 and refer to identification number #03BW0134, or call your travel agent. You may also make reservations at www.hertz.com. Advance reservations are recommended. AIR TRANSPORTATION UCSF has negotiated special fares with United Airlines for our course attendees. You may use the following tour codes to book on your own: United www.united.com code: ZT6C959560

St Course Registration Form www.cme.ucsf.edu POSTGRADUATE COURSE IN ENDOCRINE AND BREAST SURGERY March 6-7, 2015 Marines Memorial Club and Hotel San Francisco, California Mail to : UCSF Office of CME P.O. Box 45368 San Francisco, CA 94145-0368 Fax: (415) 502-1795 æ Dr. æ Mr. æ Mrs. æ Ms. Last Name First M.I. Degree Specialty Address City State Zip Daytime Phone Fax Email Address Label Code Letter (see address label: example, A, B, C, D, etc.) Would you like to be on our priority email list? Yes No Date of birth to be used as OCME registrant number: / / X X Month Day Please indicate if you have any special needs: Registration Fees (Receipt/Confirmation will be mailed within two to four weeks): $485 Physicians $385 Allied Health Professionals/Military $285 Residents/Fellows (non-ucsf Department of ) Complimentary for Naffziger Surgical Society Members whose dues are current. MSU15001 Check enclosed payable to UC Regents Please charge my credit card: Visa MasterCard AmEx for $ / Card # Expiration date Name on Card (Please Print) Authorized Signature Refund Policy: Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date. Please check our website for up to date information on the course: www.cme.ucsf.edu. Marines Memorial Club and Hotel 609 Sutter St, San Francisco, CA 94102 (415) 673-6672 http://www.marineclub.com dway fic St kson St ashington St lay St Sacramento St California St Pine St Bush St Sutter St Post St Polk Geary St O Farrell St Ellis St Eddy St Landmarks Cable Car Line Neighborhoods Points of Interest NOB Parks HILL Cable Car Lines Larkin Hyde St Leavenworth St GRACE CATHEDRAL MASONIC AUDITORIUM Marines Memorial Club and Hotel SAN FRANCISCO Online registration: www.cme.ucsf.edu Registration Information: (415) 476-5808 Course Information: (415) 476-4251 Jones St Taylor St Mason St CHINATOWN Powell St Stockton St UNION SQUARE O Farrell St Ellis St Grant Av v PORTSMOUTH SQUARE BANK OF AMERICA BLDG. Pine St POWELL ST. STATION SF SHOPPING CENTRE Bush St Kearny St Post St Geary St Market St TRANSAMERICA PYRAMID BLDG. FINANCIAL DISTRICT Montgomery St CROCKER GALLERIA Washington St Clay St Sansome St CENTER FOR THE ARTS AT YERBA BUENA GARDENS Sacramento St California St Battery St New Montgomery St 2nd St MOSCONE CONVENTION CENTER NORTH & SOUTH EMBARCADERO SHOPPING CENTER GOLDEN GATE UNIV. MONTGOMERY ST. STATION SF MUSEUM OF MODERN ART 3r 1st St mm St TRANSBAY TERMINAL Market St Fremont St JUSTIN HERMA PLAZA EMBARCA STATION Beale St RINCON CENT Main Mission St H