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The Spring Meeting offers a wide variety of postgraduate courses from which to choose. This year, we have several skills-oriented courses, which include both didactic and hands-on formats (designated as SC), and postgraduate courses, which are primarily didactic (designated as PG). Breast Ultrasound-SC01
The objective of this course is to introduce the practicing general surgeon to a focused module in diagnostic and interventional breast ultrasound. The program will consist of lectures and hands-on skill stations using a variety of ultrasound equipment. Live models and phantom breast moulages will be used to develop skills in breast ultrasound imaging and ultrasound-guided breast biopsy. Prerequisite: Registrants must have completed a course in basic ultrasound in order to register for this course. Three options are available to meet the prerequisite:
Session I - Lectures
Introduction
Physics and Principles of Breast Ultrasound
Scanning Techniques and Normal Breast Ultrasound Anatomy Break (10:00-10:30 am) Breast Ultrasound Interpretation: Benign versus Malignant Interventional Breast Ultrasound
Integration of Breast Ultrasound into the General Surgical Practice Session II - Workshop
Skill Station Instructors Contemporary Bariatric Surgery 2005-SC02
This intense, two-day course will feature didactic presentations, panels, and live interactive, closed-circuit televised sessions to provide a broad overview of bariatric surgery. Participants will be able to describe the epidemiology, etiology, and incidence of morbid obesity and outline the physiologic basis for bariatric surgery. Criteria for identification of appropriate surgical candidates will be outlined, and various bariatric surgical procedures such as laparoscopic adjustable gastric banding, vertical banded gastroplasty, gastric bypass, and duodenal switch will be presented. The pre-, intra-, and postoperative care associated with each procedure will be described, along with the possible postoperative complications and their appropriate management and prevention strategies. In addition, principles underlying a multidisciplinary approach to bariatric surgery and the consequences of post bariatric weight loss will be discussed along with the psychological aspects of caring for the bariatric surgery patient, postoperative reconstructive surgery, and bariatric surgery in the adolescent. Live interactive, closed-circuit televised operations, primarily featuring laparoscopic techniques, will be performed by world-renowned surgeons. Session I - Lectures and Panel Discussion
Introduction Nicolas V. Christou, MD, PhD, FACS, Montreal, QC, Canada
Energy Metabolism and the Biochemistry of Morbid Obesity
Comorbid Conditions of Morbid Obesity
Evolution of Bariatric Surgery Procedures
Panel Discussion
Gastric Banding
Vertical Banded Gastroplasty and Banded Gastric Bypass Procedures
Roux-an-Y Gastric Bypass, Standard and Long-Limb
Biliopancreatic Diversion/Duodenal Switch
Panel Discussion Session II - Live, Interactive, Closed Circuit Televised Presentations and
Live Surgery: Laparoscopic Adjustable Gastric Banding
Live Surgery: Laparoscopic Gastric Bypass, Circular Stapler Technique
Controversy Panel I: Can a Specific Patient be Matched to a Specific Operation? Session III - Special Lectureship and Dinner
Lessons from 6,000 Cases of Gastric Bypass Session IV - Lectures and Panel Discussion
Ancillary Intraoperative Procedures During Bariatric Surgery
Pre-, Intra-, and Postoperative Care of the Bariatric Patient
Bariatric Surgery Complications, Revisions and Reversals Bariatric Surgery in Adolescents
Moderator: Panel Discussion Session V - Live, Interactive, Closed Circuit Televised Presentations and
Live Surgery: Laparoscopic Gastric Bypass, Linear Staple Technique
Live Surgery: Laparoscopic Gastric Bypass, Hand Sewn Technique
Live Surgery: Duodenal Switch
Live Surgery: Laparoscopic Vertical Banded Gastroplasty Session VI - Lectures and Panel Discussion
Post Weight Loss Reconstructive Surgery
The Professional Bariatric Surgery Team and Center
Psychology of the Bariatric Patient
Professional Liability in Bariatric Surgery Controversy Panel II - Open versus Laparoscopic Bariatric Surgery
Conclusion Minimal Access Surgery-PG03 Session IA - Biliary
Preoperative and Intraoperative Imaging: When and How?
The Challenging Laparoscopic Cholecystectomy: Technical Tips and Tricks
Common Duct Injury: After the Learning Curve Panel Discussion Break (9:30-10:00 am) Session IB - Colon
Laparoscopic Colectomy for Benign Disease Laparoscopic Colectomy for Malignancy: Has the Time Come?
Techniques in Laparoscopic Colectomy: What Works? Panel Discussion Session IIA - Hernia
Is Laparoscopic Inguinal Hernia Dead? The ACS Trial Postmortem
Techniques and Outcome in Routine Laparoscopic Ventral Hernia Repair
Laparoscopy in Complicated and Re-Recurrent Ventral Hernia Panel Discussion Break (2:30-3:00 pm) Session IIB - New Horizons
Robotic and Computer-Assisted Surgery
Tissue Transection and Bowel Anastomosis
Endoluminal Therapies
Biomaterials Panel Discussion Breast Imaging for the General Surgeon-SC04 Session I
Introduction
Overview of Stereotaxis, Imaging, and Diagnostic Interventions
Overview of Mammography and Ultrasound Break (10:00-10:30 am) Mammographic Abnormalities/Case Presentations
Pathologic Correlation Panel Discussion Multidisciplinary Approaches to Multisystem Trauma: Issues and Priorities-PG05
The purpose of this course is to acquaint the practicing surgeon with the critical decisions and multidisciplinary considerations and options necessary for the proper care of the multiply injured patient. A variety of challenging combinations of injuries to multiple body systems will be discussed to demonstrate the appropriate priorities of care, available diagnostic and treatment modalities, and controversial issues. Presentations will include combined head and torso, abdomen and chest, and nonoperatively managed injuries, as well as a number of confounding conditions such as cervical spine injury, pregnancy, and advanced age. Session IA - Multidisciplinary Approaches to Multisystem Trauma: An Overview
Introductory Remarks
Prehospital Assessment and Interventions: Help or Hindrance?
In the Trauma Center: Evaluation Priorities and Methods
Early Airway Management in the Multiply Injured Patient Panel Discussion Break (9:45-10:00 am) Session IB - Blunt Multisystem Trauma: Competing Priorities for Care
Severe Head and Torso Trauma
Pelvic Fracture and Abdominal Injuries
Extremity Injuries with Head and Torso Trauma Nonoperative Management of Abdominal Injuries: Indications, Methods, and Challenges in the Multiply Injured Patient Panel Discussion Session IIA - Dilemmas in Multisystem Penetrating Trauma
Combined Thorax and Abdominal Penetrating Injuries Transcervical, Transmediastinal, or Combined Neck and Chest Trauma
Multisystem Abdominal Wounds: Who's On First? Interventional Radiology in Penetrating Trauma Panel Discussion Break (2:30-2:45 pm) Session IIB - Confounding Issues in Multisystem Trauma
Cervical Spine Evaluation and Management
Trauma in the Elderly Patient
The Patient is Pregnant
Missed Injuries: Pitfalls and Guidelines Panel Discussion Vascular Surgery-PG06 Session IA - Update on the Management of Cerebrovascular Disease
Screening and Management of Asymptomatic Carotid Disease
Identification and Management of High Risk Patients with Carotid Occlusive Disease Update on Carotid Stenting 2005
Process Improvement for Carotid Endarterectomy Panel Discussion/Q&A Break (9:30-10:00 am) Session IB - New Approaches to the Management of Abdominal and Thoracic Aortic Aneurysms
Aneurysm Screening and Medical Therapy of Small Aneurysms
What's New with Abdominal Aortic Stent Grafting: New Devices and Fenestrated Grafts Endovascular Repair of Ruptured Abdominal Aortic Aneurysms: Comparison of Early Results with Open Surgical Repair
Treatment of Thoracic Disease with Aortic Endografts Panel Discussion/Q&A
Session IIA - New Approaches to the Management of Peripheral Arterial Disease Advances in Endovascular Therapy of Infrainguinal Vascular Disease: Is It Deja Vu All Over Again?
Venous Cuffs As Adjuncts to Prosthetic Infrainguinal Bypass: What's Involved and Is It Worth the Effort?
Adjuncts to Infrainguinal Bypass Procedures: Antiplatelet, Anticoagulants, Statins, and Antiproliferative Agents
Medical Treatment of the Vascular Patient: "Get With the Guidelines" Panel Discussion/Q&A Break (2:30-3:00 pm) Session IIB - Update on Venous Disease and Vascular Access
Endovenous Saphenous Ablation for Treatment of Varicose Veins: Is It Better and Does It Avoid Surgery?
Retrievable Vena Caval Filters
Autogenous Hemodialysis Access: Achieving the K/DOQI Guidelines
Central Venous Access for Hemodialysis Panel Discussion/Q&A Mobile and Wireless Computing: Practical Applications-SC07
This session will highlight the role of personal digital assistants (PDAs) and the use of interactive information for the surgeon's daily practice. The workshop session, designed for beginners who have never owned or used a PDA, will feature a hands-on demonstration of the use and function of PDAs. A PDA will be provided to each participant. Participants are required to attend the lecture session and select one workshop session. Session I - Lecture
Medical Applications for PDAs Break (2:30-3:00 pm) Practice Management Tools on the PDA
Wireless Connectivity Technologies for Handheld Computing Workshop A Setting Up Your PDA Mastering Surgical and Office-Based Coding-SC08
The objective of this course is to teach participants the finer distinctions of appropriately reporting Current Procedural Terminology (CPT) codes for surgical services. This course will discuss CPT coding changes that become effective in 2005, when to apply modifiers to surgical procedures and office encounters, and how to correctly use the evaluation and management (E&M) codes for consultations, critical care services, and prolonged services. The differences between the American Medical Association's definition of the surgical package and Medicare's definition of the global surgical package will be examined. Instruction will be given on the use of the Medicare physicians' fee schedule and the information contained in the explanation of benefits (EOB) forms. At the con-clusion of this advanced coding program, participants will be better able to appropriately report and receive reimbursement for the services provided to their patients. Surgeons and their staff with two years of solid coding experience may attend. Participants are required to bring their copy of Current Procedural Terminology (CPT) Coding, 2005 edition. Session I CPT Code Update:
Global Surgical Package Defined Break (9:00-9:30 am) Introduction to Modifiers for Surgical and Office Procedures Session II
Evaluation and Management (E&M) Coding: Break (2:30-3:00 pm) Using the Physician Fee Schedule Charting a Sound Course for Surgical Practices: A Course in Practice Management for Surgeons by Surgeons-PG09
This course is designed for surgeons interested in improving the management and efficiency of their surgical practices. The course will include lectures as well as skills laboratories, in which participants will work with the instructors to solve real-life practice management problems. Session I
Welcome and Opening Remarks
Organizing Your Office for Optimal Efficiency
Financial Reports I Break (10:15-10:45 am) Financial Reports II and Insurance Claim Processing Panel Discussion/Q&A Session II
Corporate Compliance
Benchmarking Break (2:30-3:00 pm) Breakout Session for Small Practices:
Managing Personnel Breakout Session for Large Practices:
Financial Management for Large/Academic Practices
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