Best Practices Course

2016 ACG Governors/ASGE Best Practices Course January 29 31, 2016 Scottsdale Resort and Conference Center, Scottsdale, AZ MOC Module Offered! Course Directors: Immanuel K. H. Ho, MD, FACG, FASGE Costas H. Kefalas, MD, MMM, FACG, FASGE Jennifer A. Christie, MD, FASGE Earn up to 14.25 CME Credits

2016 ACG Governors/ASGE Best Practices Course Learn the latest clinical updates, connect with colleagues, and enjoy a little R&R when you attend the 2016 ACG Board of Governors/ASGE Best Practices Course, January 29 31, 2016 at the Scottsdale Resort and Conference Center in Scottsdale, Arizona. This two-and-a-half day program features a faculty comprised of leading experts who will discuss current guidelines and ways to apply recommendations into practice on such topics as: Barrett s esophagus Celiac disease vs. gluten sensitivity Chronic diarrhea Hepatitis B and C Functional bowel disorders IBD Endoscopy and more Friday afternoon attendees can choose from a Practice Management session or Hands-on session. 2

Scottsdale Resort and Conference Center Scottsdale, Arizona January 29 31, 2016 Practice Management Session The Practice Management session will discuss: Legal risks of prescribing certain GI medications Pros and cons of joining an ACO New merit-based incentive payment system (MIPS), and Integrating key quality metrics into your practice Hands-on Workshops Hands-on Workshops will offer hands-on and Q&A with experts in: Mucosal ablation Enteroscopy EMR ERCP Polypectomy hemorrhoid banding Hemostasis, and Foreign body removal Breakout Sessions Five breakout sessions are offered during Saturday s lunch and again Saturday afternoon, and will discuss: Treatment of autoimmune hepatitis Management guideline(s) for pancreatic cysts Treatment strategies for obscure GI bleeding Perioperative and postoperative therapy in Crohn s patients Improvement methods for ERCP cannulation, and Esophageal and Anorectal Motility Disorders ACG will submit this activity to ABIM for acceptance for MOC credit. Attend the 2016 ACG Governors/ASGE Best Practices Course and earn MOC points when you successfully complete the online module, which is free to all 2016 ACG Governors/ASGE Best Practices Course attendees. Instructions on how to access the online MOC module will be provided at the conclusion of the program. The Best Practices Course will be held at the Scottsdale Resort and Conference Center. Located in downtown Scottsdale, you ll enjoy world-class shopping and dining and will be minutes from popular outdoor adventures the southwest is known for. The resort also features a spa and fitness center, four tennis courts, and more. Located in beautiful McCormick Park, enjoy a bike ride using one of the resort s rental bicycle or jog along the seven-mile trail next to the resort. 3

Course Agenda 4 Friday, January 29, 2016 Noon Welcome and Introductory Remarks Session 1: Luminal Gastrointestinal Diseases Moderator: John E. Pandolfino, MD, MSCI, FACG 12:10 pm POEM for Achalasia: Is this the Better Option? John E. Pandolfino, MD, MSCI, FACG Assess outcomes for medical, endoscopic, and surgical interventions for achalasia treatment. 12:30 pm GERD and Extraesophageal Manifestations Kenneth R. DeVault, MD, FACG Differentiate extraesophageal symptoms of GERD from other disorders and recommend treatment. 12:50 pm Management of Barrett s Esophagus Nicholas J. Shaheen, MD, MPH, FACG, FASGE Discuss surveillance recommendations and therapy for the management of Barrett s esophagus. 1:10 pm Celiac Disease versus Gluten Intolerance or Sensitivity Sheila E. Crowe, MD, FACG Distinguish clinical and serologic findings in the setting of gluten exposure and facilitate management. 1:30 pm Fecal Microbiota Transplant in IBD Christina M. Surawicz, MD, MACG Discuss practical issues related to the performance of fecal transplantation in patients with IBD. 1:50 pm Q & A 2:05 pm Break Session 2: Endoscopy Moderator: Immanuel K. H. Ho, MD, FACG, FASGE 2:20 pm What to Do With Luminal Foreign Bodies David A. Greenwald, MD, FACG, FASGE Discuss the endoscopic tools and techniques for managing foreign bodies. 2:40 pm Enteral Stenting John R. Saltzman, MD, FACG, FASGE Appraise the efficacy, safety, and outcomes of endoluminal stenting. 3:00 pm Endoscopic Advances for the Management of Obesity Gregory G. Ginsberg, MD, FACG, FASGE Describe the safety and efficacy of endoscopic therapies for weight reduction. 3:20 pm Management of Indeterminant Biliary Strictures Douglas G. Adler, MD, FACG, FASGE Analyze the recent advances in endoscopic management of biliary strictures. 3:40 pm Q & A 3:55 pm Break

2016 ACG Governors/ASGE Best Practices Course January 29 31, 2016 Scottsdale Resort and Conference Center, Scottsdale, AZ Simultaneous Sessions Attendees may choose between the Practice Management Program or Hands-on Workshops. Practice Management Sessions Moderator: Costas H. Kefalas, MD, MMM, FACG, FASGE 4:10 pm Risk Management for Prescribing GI Medications Scott M. Tenner, MD, MPH, JD, FACG, FASGE Identify and manage legal risks of certain GI medications. 4:30 pm Should I Join an ACO or Not? G. Anton Decker, MBBCH, MRCP, FACG, CPE, MHA Compare the pros and cons of joining an ACO. 4:50 pm SGR Repeal and the Merit-based Incentive Payment System (MIPS) Caroll D. Koscheski, MD, FACG Explain the new Merit-Based Incentive Payment System (MIPS) 5:10 pm Incorporating Quality Metrics into Your Practice Irving M. Pike, MD, FACG, FASGE Identify and integrate key quality metrics into the GI practice. 5:30 pm Q & A ------------------ OR ------------------ Hands-on Workshops Three 30-minute hands-on sessions, featuring 10 stations, will be offered. Spaces are limited. Please select your top station, to ensure you can participate in one of the hands-on sessions. The College will assign attendees to sessions based on availability of their top choices. Session Times 4:10 pm 4:40 pm 4:55 pm 5:25 pm 5:40 pm 6:10 pm 1. Mucosal Ablation: Radio Frequency Ablation Nicholas J. Shaheen, MD, MPH, FACG, FASGE 2. Enteroscopy Gregory G. Ginsberg, MD, FACG, FASGE 3. EMR Band Immanuel K. H. Ho, MD, FACG, FASGE 4. EMR Cap Douglas G. Adler, MD, FACG, FASGE 5. ERCP John R. Saltzman, MD, FACG, FASGE 6. Polypectomy Techniques I James M. Scheiman, MD, FACG, FASGE 7. Hemorrhoid Banding Harry E. Sarles, Jr., MD, FACG 8. Hemostasis 101 Tonya R. Kaltenbach, MD, FACG, FASGE 9. Foreign Body Removal David A. Greenwald, MD, FACG, FASGE 10. Polypectomy Techniques II Lauren B. Gerson, MD, MSc, FACG, FASGE Saturday, January 30, 2016 7:25 am Welcome and Announcements Session 3: Hepatology Moderator: David E. Bernstein, MD, FACG 7:30 am Current and Emerging Therapies for Hepatitis B Tram T. Tran, MD, FACG Describe the current and forthcoming treatments of hepatitis B. 7:50 am Hepatitis C in Special Populations David E. Bernstein, MD, FACG Discuss treatment approaches for special populations with hepatitis C. 8:10 am Drug-induced Liver Disease William M. Lee, MD, FACG Outline the current management of drug-induced liver disease. 8:30 am Emerging Management of NASH Richard K. Sterling, MD, MSc, FACG Define the emerging treatment options for NASH. 8:50 am Q & A 9:00 am Break/Visit Exhibits 5

Course Agenda (cont.) Session 4: Functional Bowel Disorders Moderator: Jennifer A. Christie, MD, FASGE 9:20 am The Role of the Gut Microbiome on Functional Bowel Symptoms William D. Chey, MD, FACG Explain the interactions between the gut microbiota, the enteric nervous system and functional bowel symptoms. 9:40 am Gastroparesis or Cyclic Vomiting: Does it Matter for Treatment? Brian E. Lacy, MD, PhD, FACG Contrast the management of gastroparesis and cyclic vomiting syndrome. 10:00 am Novel Options for the Management of Fecal Incontinence Arnold Wald, MD, MACG Discuss the latest advances in the treatment of fecal incontinence. 10:20 am Irritable Bowel Syndrome in 2016 Amy E. Foxx-Orenstein, DO, FACG Identify physiologic contributions to IBS symptoms and management strategies. 10:40 am Q & A 10:50 am Break/Visit Exhibits 6 Session 5: Gastrointestinal Oncology Moderator: Carol A. Burke, MD, FACG, FASGE 11:10 am Dysplasia in IBD: Update on Surveillance and Management David T. Rubin, MD, FACG, FASGE Appraise and apply diagnostic and therapeutic strategies in colonoscopic surveillance. 11:30 am Surveillance in Hereditary Colorectal Cancer Syndromes Carol A. Burke, MD, FACG, FASGE Evaluate hereditary colorectal cancer syndromes and recommend surveillance approaches. 11:50 am Subepithelial Lesions of the Gut: When Should I Worry? Douglas O. Faigel, MD, FACG, FASGE Summarize endoscopic characteristics, diagnostic methods, and therapy of subepithelial gut lesions. 12:10 pm Q & A 12:35 pm Saturday Lunch Breakout Session 1 Speakers will be asked to present one case at the beginning of their presentation. They may elect to present more cases for case-based learning or continue to standard lecture. 1. Autoimmune Hepatitis and Overlap Syndromes Tram T. Tran, MD, FACG Review current diagnostic and therapeutic interventions for best outcomes in the treatment of autoimmune hepatitis. 2. Pancreatic Cysts James M. Scheiman, MD, FACG, FASGE Integrate current guideline(s) in the management of pancreatic cystic lesions. 3. Obscure GI Bleeding Lauren B. Gerson, MD, MSc, FACG, FASGE Summarize effective diagnostic and efficient management strategies for the treatment of obscure GI bleeding. 4. Preventing Post-Operative Recurrence in Crohn s Disease Miguel D. Regueiro, MD, FACG Assess the benefits of medical therapy in the perioperative and postoperative patient. 5. Tricks of the Trade: The Difficult ERCP Cannulation Douglas G. Adler, MD, FACG, FASGE Identify endoscopic methods to improve cannulation success. 1:20 pm Break/Visit Exhibits

2016 ACG Governors/ASGE Best Practices Course January 29 31, 2016 Scottsdale Resort and Conference Center, Scottsdale, AZ Session 6: Inflammatory Bowel Disease Moderator: David T. Rubin, MD, FACG, FASGE 1:40 pm Can We Predict the Course of Crohn s Disease and Why Does It Matter? Stephen B. Hanauer, MD, FACG Recognize the genotypic and phenotypic factors that affect disease behavior. 2:00 pm Management of Refractory Crohn s Disease David T. Rubin, MD, FACG, FASGE Describe the management of the patient with refractory Crohn s disease. 2:20 pm IBD Therapy in the Patient With Infection Miguel D. Regueiro, MD, FACG Determine whether IBD therapy should be continued in the patient with infection. 2:40 pm Managing IBD During and After Pregnancy Sunanda V. Kane, MD, MSPH, FACG Discuss the approach to IBD therapy during and after pregnancy. 3:00 pm Q & A 3:15 pm Break/Visit Exhibits 3:45 pm Saturday Afternoon Breakout Session 2 These sessions are repeated from the lunch breakout sessions. See page 6 for a list of the breakout sessions. One additional breakout has been added. Hands-on: Esophageal and Anorectal Motility Disorders (no CME provided) Jennifer A. Christie, MD, FASGE and Michael D. Crowell, PhD, MACG A demonstration of how to interpret common esophageal and anorectal motility disorders. 4:30 pm Adjourn Sunday, January 31, 2016 7:30 am Welcome and Announcements Session 7: Endoscopy Moderator: John R. Saltzman, MD, FACG, FASGE 7:35 am Anti-coagulants/Anti-platelet Agents and GI Bleeding Neena S. Abraham, MD, MSCE, FACG, FASGE Summarize pre- and post-endoscopic management recommendations for the treatment of GI bleeding. 7:55 am The Flat Polyp Tonya R. Kaltenbach, MD, FACG, FASGE Characterize endoscopic features of flat polyps and apply resection techniques. 8:15 am Minimizing Risks in ERCP John R. Saltzman, MD, FACG, FASGE Apply endoscopic and non endoscopic means to prevent infection and postprocedure pancreatitis. 8:35 am Esophageal Leaks, Strictures, and Emergencies Gregory G. Ginsberg, MD, FACG, FASGE Review the efficacy and risks of various endoscopic interventions. 8:55 am EUS Pushing the Limits Douglas O. Faigel, MD, FACG, FASGE Describe current and emerging therapeutic options and summarize clinical outcomes in EUS. 9:15 am Q & A 9:30 am Closing Remarks and Adjournment 7

Program Descriptions and accommodations Program Description The introduction and advances of innovative diagnostic techniques and novel therapeutics has created an exciting range of approaches to many important areas of GI disease and patient care. This program is designed to address those compelling and controversial areas in the care of patients with gastrointestinal disease. During this course, multiple topics will be covered including achalasia, GERD, Barrett s esophagus, celiac disease, gluten intolerance, FMT, luminal foreign bodies, enteral stenting, obesity, indeterminate biliary strictures, practice management, hepatitis B and C, DILI, NASH, gut microbiome, gastroparesis, cyclic vomiting, fecal incontinence, IBS, dysplasia in IBD, surveillance in hereditary colon cancer syndromes, subepithelial lesions, refractory Crohn s disease, IBD treatment in pregnant patients and patients with infection, GI bleeding, flat polyps, risks in ERCP, esophageal leaks and EUS. The structure of the program includes a mix of didactic presentations delivered by expert faculty, breakout sessions, case presentations, interactive audience discussions as well as significant question and answer opportunities. Hands-on sessions will also be offered. This program is designed for gastroenterologists, gastroenterology trainees, primary care physicians, nurses, physician assistants and nurse practitioners interested in the latest information on diagnostic GI and state of the art treatment of these illnesses. Hands-on Workshops Hands-on workshops are offered for free to all course attendees to experience first-hand specific and often challenging endoscopic procedures. It is an opportunity to gain tactile experience using a variety of tools and techniques. Faculty will present an overview of the device or technique and a demonstration using the device. Attendees then have an opportunity to practice using the equipment. In addition, attendees will benefit from Q & A with experts during the session. While no CME is offered for hands-on workshops, they provide valuable experiential learning. 8

2016 ACG Governors/ASGE Best Practices Course January 29 31, 2016 Scottsdale Resort and Conference Center, Scottsdale, AZ 2016 ACG Governors/ASGE Best Practices Course January 29 31, 2016 Scottsdale Resort and Conference Center, Scottsdale, AZ Accreditation/CME The American College of Gastroenterology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American College of Gastroenterology designates this live activity for a maximum of 14.25 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. MOC Points ACG will submit this activity to ABIM for acceptance for MOC credit. Attend the 2016 ACG Governors/ASGE Best Practices Course and earn MOC points when you successfully complete the online module, which is free to all 2016 ACG Governors/ASGE Best Practices Course attendees. Instructions on how to access the online MOC module will be provided at the conclusion of the program. Registration All registrants must pay the full registration fee; one-day registration is not available. Full refund of registration fees will be given, less a $25 administrative fee, if written notice of cancellation is received in writing by the ACG by January 8, 2016. No refund will be given for cancellations received after this date. Attendees may register by submitting the enclosed registration form with payment in U.S. funds to the College headquarters by fax at 301-263-9025, by mail to ACG, 6400 Goldsboro Road, Suite 200, Bethesda, MD 20817, or online at gi.org/education-and-meetings/regional-meetings. Hotel Accommodations The Best Practices Course will be held at the Scottsdale Resort and Conference Center. Located in downtown Scottsdale, you ll enjoy world-class shopping and dining and will be minutes from popular outdoor adventures the southwest is known for. The resort also features a spa and fitness center, four tennis courts, and more. Located in beautiful McCormick Park, enjoy a bike ride using one of the resort s rental bicycle or jog along the 7-mile trail next to the resort. To make your hotel reservations for the Scottsdale Resort and Conference Center, call 1-800-540-0727. The special meeting rate for the 2016 ACG Governors/ASGE Best Practices Course is $249/night, single/double. Taxes are additional. Reservations must be made before January 6, 2016 in order to receive the special meeting rate. Only a certain number of rooms are available at this rate and are available on a first-come, first-served basis. Requests for reservations received after this date will be on a space available basis only. All reservations must be accompanied by a first night s room deposit for room and tax. Reservations may be charged to VISA, MasterCard, American Express, and Diners Club. Individuals will be charged for one night s room and tax if they cancel within 24 hours of arrival. Cancellations made prior to 24 hours will not be penalized. Check-in time is 3:00 pm. Check-out time is 12:00 noon. The Scottsdale Resort and Conference Center is located at 7700 E. McCormick Parkway, Scottsdale, Arizona 85258. More information For more information about the meeting, call ACG at 301-263-9000. Americans with Disabilities Act: Attendees of this ACG Regional Course who need additional reasonable accommodations or who have special needs (including dietary needs) should contact the ACG office at 301-263-9000 or by email at info@gi.org no later than January 6, 2016. 9

Course Directors and Faculty 10 Course Directors Immanuel K. H. Ho, MD, FACG, FASGE Clinical Professor of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA Costas H. Kefalas, MD, MMM, FACG, FASGE Staff Gastroenterologist, Akron Digestive Disease Consultants, Inc., Akron, OH Jennifer A. Christie, MD, FASGE Associate Professor of Medicine, Emory Healthcare, Atlanta, GA Faculty Neena S. Abraham, MD, MSCE, FACG, FASGE Professor of Medicine, Mayo Clinic College of Medicine, Scottsdale, AZ Douglas G. Adler, MD, FACG, FASGE Associate Professor of Medicine, University of Utah School of Medicine, Salt Lake City, UT David E. Bernstein, MD, FACG Chief of Hepatology, Director, Center for Liver Diseases, North Shore University Hospital and Long Island Jewish Medical Center, New Hyde Park, NY Carol A. Burke, MD, FACG, FASGE Director, Center for Colon Polyps and Cancer Prevention, Cleveland Clinic Foundation, Cleveland, OH William D. Chey, MD, FACG Professor of Medicine, Director GI Physiology Lab; Co-Director, Michigan Bowel Control Program, University of Michigan Medical Center, Ann Arbor, MI Sheila E. Crowe, MD, FACG Professor of Medicine; Director of Research, University of California, San Diego, La Jolla, CA Michael D. Crowell, PhD, MACG Professor of Medicine, Mayo Clinic, Scottsdale, AZ G. Anton Decker, MBBCH, MRCP, FACG, CPE, MHA President, Mercy Health Physicians, Cincinnati, OH Kenneth R. DeVault, MD, FACG Professor of Medicine, Mayo Clinic, Jacksonville, FL Douglas O. Faigel, MD, FACG, FASGE Professor of Medicine, Mayo Clinic, Scottsdale, AZ Amy E. Foxx-Orenstein, DO, FACG Professor of Medicine, Mayo Clinic, Scottsdale, AZ Lauren B. Gerson, MD, MSc, FACG, FASGE Director, Clinical Research, GI Fellowship Program; Associate Clinical Professor of Medicine, UCSF, California Pacific Medical Center, San Francisco, CA Gregory G. Ginsberg, MD, FACG, FASGE Director of Endoscopic Services, University of Pennsylvania Hospital, Philadelphia, PA

2016 ACG Governors/ASGE Best Practices Course January 29 31, 2016 Scottsdale Resort and Conference Center, Scottsdale, AZ David A. Greenwald, MD, FACG, FASGE Director of Clinical Gastroenterology and Endoscopy and Senior Faculty, The Mount Sinai Hospital, New York, NY Stephen B. Hanauer, MD, FACG Professor of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL Tonya R. Kaltenbach, MD, FACG, FASGE Clinical Assistant Professor of Medicine (Affiliated), Stanford University, Stanford, CA Sunanda V. Kane, MD, MSPH, FACG Professor of Medicine, Mayo Clinic, Rochester, MN Caroll D. Koscheski, MD, FACG Gastroenterology Assoc. P.A., Hickory, NC Brian E. Lacy, MD, PhD, FACG Professor of Medicine, Geisel School of Medicine at Dartmouth; Section Chief, Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH William M. Lee, MD, FACG Professor, UT Southwestern Medical Center Clinical Center for Liver Diseases, Dallas, TX John E. Pandolfino, MD, MSCI, FACG Professor and Chief, Division of Gastroenterology and Hepatology, Northwestern University, Chicago, IL Irving M. Pike, MD, FACG, FASGE Senior Vice President and Chief Medical Officer, John Muir Health, Walnut Creek, CA Miguel D. Regueiro, MD, FACG Professor of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA David T. Rubin, MD, FACG, FASGE Professor of Medicine, University of Chicago Medicine, Chicago, IL John R. Saltzman, MD, FACG, FASGE Director of Endoscopy, Brigham and Women s Hospital; Associate Professor of Medicine, Harvard Medical School, Boston, MA Harry E. Sarles, Jr., MD, FACG Founding Partner, Digestive Health Associates of Texas, Rockwall, TX James M. Scheiman, MD, FACG, FASGE Professor of Medicine, Division of Gastroenterology, University of Michigan Medical Center, Ann Arbor, MI Nicholas J. Shaheen, MD, MPH, FACG, FASGE Professor of Medicine and Epidemiology, University of North Carolina, Chapel Hill, NC Richard K. Sterling, MD, MSc, FACG Professor of Medicine, Virginia Commonwealth University, Richmond, VA Christina M. Surawicz, MD, MACG Professor of Medicine, Associate Dean for Faculty Development, University of Washington School of Medicine, Seattle, WA Scott M. Tenner, MD, MPH, JD, FACG, FASGE Clinical Professor of Medicine, State University of New York, Brooklyn, NY Tram T. Tran, MD, FACG Associate Professor, Geffen UCLA School of Medicine; Medical Director, Liver Transplantation, Cedars-Sinai Medical Center, Los Angeles, CA Arnold Wald, MD, MACG Professor of Medicine, University of Wisconsin, Madison, WI 11