TOPICS IN EMERGENCY MEDICINE

Transcription

1 Department of Medicine University of California San Francisco University of California San Francisco TOPICS IN EMERGENCY MEDICINE November 6-9, 2006 Hilton San Francisco Financial District San Francisco, California MONDAY - THURSDAY y Division of Emergency Medicine NEW FOR 2006! Optional Ultrasound Course! Optional LLSA Course! Meet the Expert Sessions! Interactive Question and Answer Sessions! This CME Activity is self-supporting and receives no industry funding!

2 TOPICS IN EMERGENCY MEDICINE November 6-9, 2006 Hilton Financial District San Francisco, CA Topics in Emergency Medicine, now in its 35th year, is a practical review and update of emergency medicine for emergency physicians, family practitioners, internists, and pediatricians. The course covers a wide variety of adult and pediatric emergencies seen in emergency departments, urgent care and office settings. Cardiac, infectious disease, neurologic and ophthalmic emergencies are covered, as well as trauma, orthopedics, pulmonary, dermatologic and gynecologic problems. Lectures and workshops are taught by both emergency medicine physicians and specialists, and by specialists in a variety of disciplines with the emphasis on initial evaluation, treatment and indications for consultation and referral. We are proud to offer this year's course free of industry sponsorship. Topics in Emergency Medicine is presented by the Department of Medicine, Division of Emergency Medicine and is sponsored by the Office of Continuing Medical Education, University of California San Francisco School of Medicine. EDUCATIONAL OBJECTIVES Upon completion of this program participants should be able to: 1. Understand the latest methods for evaluation and treatment of a wide variety of emergency problems; 2. List the techniques and medications for assessment and reduction of acute pain; 3. Identify advances in the field of emergency medicine that can improve outcomes. ACCREDITATION The University of California, San Francisco School of Medicine is accredited by the Accreditation Council for (UCSF) Continuing Medical Education to provide continuing medical education for physicians. UCSF designates this educational activity for a maximum of AMA PRA Category 1 Credit(s) TM. Physicians should only claim 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. Pain Management and End-of-Life Care: The approved credits shown above include 5.5 credits toward meeting the requirement under California Assembly Bill 487, Pain Management and End-of-Life Care. Approved by the American College of Emergency Physicians for 26 hours of ACEP category 1 credit. Application for CME credit has been filed with the American Academy of Family Physicians (AAFP). Determination of credit is pending. This program is approved by the American Osteopathic Association (AOA) for 26 hours, category 2A CME credit. Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts category 1 credit issued from AOACME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit TM for the PRA for organizations accredited by the ACCME.

3 TOPICS IN EMERGENCY MEDICINE MONDAY, NOVEMBER 6, :00 am Registration and Continental Breakfast 8:00 The Emergent Eye in the Acute Setting Todd Margolis, MD, PhD BACK BY POPULAR DEMAND! A complete and practical review of the assessment and management of eye emergencies, from minor to vision-threatening. 9:00 Critical ENT Andrew Murr, MD What are the latest advances in management of acute, critical ENT issues? Our lecturer will fill you in on the recent evidence and clinical developments. 10:00 Break 10:15 Plastic Surgery Pearls for the Acute Care Setting David W. Kim, MD Understand the principles of wound healing, and maximize results in treating traumatic wounds. 11:15-12:15pm Pediatric Dermatology Amy Gilliam, MD Skin conditions in children can represent the most benign illness to harbingers of critical conditions. Learn clues to differentiate the serious from the life-threatening illness. 12:30-1:30 HOSTED LUNCHEON Medical Jeopardy This dynamic duo will entertain you and challenge your knowledge Charles Goldberg, MD and Jeffrey Hong, MD as you team up with your fellow course participants. 1:30 Low-Risk Chest Pain Nora Goldschlager, MD Non-cardiac chest pain causes the majority of all chest pain visits to the ED. But when should you worry? How can the myriad of non-invasive tests influence your decisions? Our cardiologist will give you guidelines on who should stay and who should go. 3:00-3:15 Break 3:15 New Cardiac Drugs Eric R. Snoey, MD Get up to speed on the ABCs of the latest medications touted for cardiac abnormalities that present to your Emergency Department. 4:00-5:00 Updates in COPD/Asthma Stephen C. Lazarus, MD Does the SOB in your code room leave you breathless? Learn the newest and best management strategies to treat acutely ill patients and keep them from coming back. TUESDAY, NOVEMBER 7, :00am Continental Breakfast 8:00 The Essentials of the Hand Examination Leonard Gordon, MD ONE OF OUR MOST POPULAR LECTURES: A hand surgeon takes you through the anatomy of the hand and the evaluation and management of hand injuries. 9:00 Catastrophic Errors in the Chest and Abdomen The differential diagnosis of abdominal and chest pain covers a broad Steven K. Polevoi, MD and Martin Kernberg, MD spectrum of disease. Emphasizing advances in radiographic imaging; learn how to distinguish the benign from the lethal. 10:00- Break 10:15 TIA Updates and Management S. Claiborne Johnston, MD, PhD It s clearly a TIA, but the patient now has a normal neuro exam. What should you do? Learn about the emerging information on management of TIAs. 11:15 The Approach to the Altered Patient Barry C. Simon, MD To diagnose a patient with AMS you have to cast a wide net. Streamline your workup to get the diagnosis quickly. 12:15-1:45pm Lunch on your own MEET THE EXPERT SESSIONS Participants pick 3 of 4 to attend Unanswered questions about specific topics burning in your mind? While at the conference, participants will pick the brains of our experts in small, moderated group Q&A sessions. 1:45-2:45 a. Cardiology Jonathan Zaroff, MD Moderator - Flavia Nobay, MD b. Nephrology Glenn Chertow, MD, MPH Moderator - Christopher Fee, MD c. Orthopaedic Surgery Sigurd Berven, MD Moderator - Michael Callaham, MD d. Infectious Diseases Lisa Winston, MD Moderator - Ellen J. Weber, MD 2:45-3:45 Sessions repeat 3:45 Break 4:00-5:00 Sessions repeat WEDNESDAY, NOVEMBER 8, :00am Continental Breakfast 8:00 P The Acute Abdomen in the Pregnant Patient Hobart W. Harris, MD The acute abdomen presents a doubly daunting differential in pregnancy. How should you approach these patients and what are the common pitfalls? 9:00 P Flank Pain Flavia Nobay, MD Are you sure it is a kidney stone? Discover clues to differentiate the benign presentations of flank paint from catastrophic ones. 10:00 Break 10:15 P Dental Emergencies Adel Tawfilis, DDS, OMFS Facial fractures and dental trauma often perplex the emergency and urgent care physician. Learn about recognition and management, including dental blocks and important anesthesia and closure techniques, for facial lacerations. 11:15 The Approach to the C-Spine and Spinal Cord Injury William Whetstone, MD Evaluation and treatment of spinal cord and vertebral column injury from head to toe. 12:15-1:30 Lunch on Your Own program

4 WORKSHOPS WEDNESDAY, NOVEMBER 8 1:30-3:00 Participants choose one each concurrent session: 1. Hands-On Alternative Airways Daniel A. McDermott, MD Use new devices in real time to practice approaches to the difficult airway. Particular focus will be on the LMA. 2. The Knee and Shoulder Exam Tiffany Gorman, MD Grab a partner and practice the exam of the knee and shoulder so that you can improve your skills in distinguishing minor from major injuries. 3. Splinting Lorraine Petti, PA-C A review of the type of splints needed for common injuries and hands-on practice in design and application. P 4. Emergency Dental Procedures Adel Tawfilis, DDS, OMFS As anyone knows, oral pain can be some of the worst pain patients can experience. With the help of an oral surgeon, get experience with intra-oral blocks, management for tooth fractures and physical exam of the head and mouth. 5. Ultrasound-Guided Emergency Department Procedures John Stein, MD The Institute of Medicine s report on medical errors recommends the use of procedural ultrasound to improve patient safety. This hands-on workshop will familiarize you with the use of ultrasound to assist in vascular access (peripheral and central lines), identification of abscesses, and identification of subcutaneous foreign bodies. 6. Radiologic Evaluation of the Trauma Patient Martin Kernberg, MD Trauma patients are subject to a wide range of radiologic possibilities. This evidence-based lecture will help you differentiate which test is actually indicated. 3:00 Break 3:15-4:45 WORKSHOPS REPEAT THURSDAY, NOVEMBER 9, :00am Continental Breakfast 8:00 P Conscious Sedation in Pediatric Patients Claire Brett, MD Let this pediatric anesthesiologist help guide your management of painful procedural sedation. 9:00 Pediatric Updates, part 1 Andrea K. Marmor, MD BACK BY POPULAR DEMAND! These case studies from UCSF s Children s Hospital will highlight the evaluation and treatment of thorny complaints, including rashes, fever and abdominal pain. 10:00 Break 10:15-11:15 Pediatric Updates part 2 (continued from above) Andrea K. Marmor, MD 11:15 Emergency Department Crowding Ellen J. Weber, MD Our EDs are bursting at the seam.. Why? With whom? And so what? 12:15pm End of Conference P Satisfies the California requirement for Pain Management / End-of-Life care CME 1:15-5:15 Lifelong Learning Standard Achievement (LLSA) Review Workshop Additional $200 charge to attend (must sign up in advance) The American Board of Emergency Medicine (ABEM) requires that all Diplomats complete an annual Lifelong Learning and Self-Assessment (LLSA) test based upon 20 selected readings. This LLSA Workshop is designated for 4.0 AMA PRA Category 1 Credit(s) TM. Join us for a rapid review of each LLSA article. Take the test as a group during the final hour in a relaxed, interactive setting. Due to copyright restraints, the LLSA articles will not be provided. The LLSA articles are listed on the ABEM website ( NOVEMBER 9-10, 2006 EMERGENCY ULTRASOUND MINI-FELLOWSHIP Additional $500 charge to attend (must sign up in advance) Educational Objectives At the completion of this course, the participant should be able to: Understand general principles of of ultrasound and develop a working knowledge of the ultrasound machine and its capabilities; Learn the anatomy and pathology of the abdomen, pelvis, and vasculature for clinical applications of emergency ultrasonography; Gain sufficient clinical experience through direct work with US faculty in order to feel confident to use ultrasound on patients in the emergency department for credentialing exams. THURSDAY NOVEMBER 9, :00pm Registration 1:30 Introduction to Ultrasound Ralph Wang, MD 2:15 Pelvic Ultrasound John Stein, MD A brief review of pelvic anatomy and scanning techniques followed by a presentation of the ultrasonagraphic approach to first trimester bleeding. 3:15 Vascular Access Ralph Wang, MD Ultrasound guidance for central venous access and other novel methods of venous access will be discussed. 4:00 Break 4:15 Hands-on Scanning of pelvic and vascular access models. Normal and positive models will be present, and instructors will lead participants in actual scanning. 5:00pm Adjourn FRIDAY NOVEMBER 10, :00am FAST Otto Liebman, MD The FAST exam for trauma will be presented, including a review of the literature and approach to the trauma patient. 9:00 Gallbladder Ralph Wang, MD Ultrasonographic evaluation of the right upper quadrant and the renal system of the will be discusses, focusing on the gallbladder and kidneys. Cases of cholelithiasis, cholecystitis, choledocolithiasis, and nephrolithiasis will be highlighted. 10:15 Break 10:30 Echocardiography David H. Adler, MD, MPH A brief review of imaging techniques of the heart will be followed by a discussion of peri-cardial effusion, cardiac activity. 11:15 Aorta & DVT US Christopher Fee, MD Important US vascular applications include the examination of the aorta exam. Pathologic states (AAA) will be presented. 12:00pm Lunch on your own 1:15 Video Review: Session 2 A series of ultrasound scans will be presented. Positive scans and normal anatomy will commented on, as well as review of abnormal findings. 2:00 Hands-on Scanning of the abdomen, heart and great vessels. Normal and positive models will be present, and instructors will lead participants in actual scanning. Exam technique will be taught, and normal exams will be compared to positive exams. 4:00 Ultrasound Minifellowship adjourns. course outline This Ultrasound Miniifellowship is designated for AMA PRA Category 1 Credit(s) TM.

5 COURSE REGISTRATION FORM TOPICS IN EMERGENCY MEDICINE November 6-9, 2006 Hilton San Francisco Financial District, San Francisco Mail to : Dr. Mr. Mrs. Ms. Last Name First M.I. Degree Specialty Address City State Zip Daytime Phone Fax Would you like to be on our priority list? Yes No Would you like to be on our priority fax 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: $705 $485 UCSF Office of Continuing Medical Education P.O. Box San Francisco, CA Fax: (415) Registration Information: (415) Course Information: (415) Physicians Allied Health Professionals, Interns, Residents, Students and Fellows Register me for Workshop (1,2,3,4,5 or 6) held 1:30-3:00 pm on Wednesday Register me for Workshop (1,2,3,4,5 or 6) held 3:15-4:45 pm on Wednesday $200 Register me for LLSA workshop held 1:15-5:15 pm on Thursday MDM07Q04 $500 Register me for Ultrasound Mini-fellowship workshop on Thursday and Friday Make checks payable to UC Regents. Please charge my credit card: Visa MasterCard AmEx for $ Credit Card Number 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. GENERAL INFORMATION Pre-registration is preferred to ensure that registrants receive a syllabus and CME Certificate at the course. HOW TO ENROLL Tuition: $705 Physicians $485 Allied Health Professionals, Interns, Residents, Students and Fellows Payment may be made by Visa, MasterCard, American Express or check. Registration fee includes course syllabus, Wednesday workshops, daily continental breakfast, and Tuesday luncheon. REGISTER VIA: Online: Mail: Complete course registration form and send with payment to: UCSF Office of CME P.O. Box San Francisco, CA Fax: Fax completed registration form to: (415) (be sure to include your credit card number) To register by phone or to inquire about registration status, please call UCSF s CME Registration Office at (415) On-Site Registration (if space allows) Time: 7:00-8:00 am Date: Monday, November 6, 2006 Place: Hilton San Francisco Financial District 750 Kearny St. San Francisco, CA CONFERENCE LOCATION 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. Located in the center of the most exciting, bustling and culturally diverse areas of San Francisco California, the Hilton San Francisco Financial District hotel is surrounded by the Financial District, Chinatown and North Beach. A block of guestrooms has been reserved at the rate of $175. To make reservations, go on-line < sfofdhf_emerg/index.jhtml> Or call By staying at the host hotel, you help the University of California meet its contractual obligations and keep future registration fees reasonable. Please take this into consideration when making your accommodation decisions. AIR, CAR AND HOTEL INFORMATION For airline, car rental and additional hotel information, go to 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.

6 University of California, San Francisco Office of Continuing Medical Education UCSF Box 0742 San Francisco, CA Non-Profit Org U.S. Postage PAID Novato, CA Permit #101 NEW FOR 2006! Optional Ultrasound Course! Optional LLSA Course! Meet the Expert Sessions! Interactive Question and Answer Sessions! This CME Activity is self-supporting and receives no industry funding! For more information or to register online visit our website at You may also reach us by calling the Office of Continuing Medical Education at (415) or ing COURSE CHAIRS Christopher Fee, MD Assistant Division of Emergency Medicine Flavia Nobay, MD Assistant Clinical Professor of Medicine, Division of Emergency Medicine COURSE FACULTY (University of California, San Francisco, School of Medicine unless otherwise noted) David H. Adler, MD, MPH Assistant Professor, Department of Emergency Medicine, University of Rochester, Rochester, New York Sigurd H. Berven, MD Assistant Professor of Orthopaedic Surgery Claire M. Brett, MD Associate Professor, Anesthesia and Pediatrics Michael Callaham, MD Professor of Medicine; Chief; Division of Emergency Medicine; Editor in Chief, Annals of Emergency Medicine Glenn Chertow, MD, MPH Professor of Medicine; Director of Clinical Services, Division of Nephrology Amy Gilliam, MD Assistant Clinical Professor of Dermatology Charles M. Goldberg, MD Emergency Services, Kaiser Permanente Medical Group, Oakland Medical Center Nora F. Goldschlager, MD, FACC, FACP, FAHA Professor of Clinical Medicine; Associate Chief, Division of Cardiology; Director, Coronary Care Unit, ECG Laboratory and Pacemaker Clinic, San Francisco General Hospital Leonard Gordon, MD Associate Clinical Professor of Orthopedics; Adjunct Associate Professor of Anatomy, UCSF; Chief Hand Surgeon, California Pacific Medical Center, San Francisco Tiffany Gorman, MD San Jose Medical Center/Stanford University Primary Care Sports Medicine Program Faculty; Assistant Team Physician, San Jose State University COURSE FACULTY (CONT.) Hobart W. Harris, MD, MPH Professor of Surgery; Chief of General Surgery Jeffrey C. Hong, MD Emergency Services, Kaiser Permanente Medical Group, Oakland Medical Center S. Claiborne Johnston, MD, PhD Associate Professor of Neurology and Epidemiology; Director, UCSF Stroke Service Martin Kernberg, MD Assistant Division of Emergency Medicine; Chief and Medical Director, National Emergency and Trauma Services, Radiology, San Francisco David W. Kim, MD Assistant Professor of Otolaryngology - Head and Neck Surgery; Director, Division of Facial Plastic and Reconstructive Surgery Stephen C. Lazarus, MD Professor of Medicine, Division of Pulmonary Medicine; Director, Chest Practice Otto Liebman, MD Ultrasound Fellow, Alameda County Medical Center, Highland Hospital, Oakland, California Todd Margolis, MD, PhD Professor of Ophthalmalogy; Director, F. I. Proctor Foundation Andrea K. Marmor, MD Assistant Clinical Professor, Department of Pediatrics Daniel A. McDermott, MD Associate Clinical Professor of Medicine, Division of Emergency Medicine Andrew Murr, MD Professor; Chief of Otolaryngology Service, San Francisco General Hospital Arun D. Nagdev, MD Assistant Clinical Professor, Ultrasound Director, Rhode Island Hospital Providence, Rhode Island Lorraine Petti, PA-C Physician Assistant, Division of Emergency Medicine COURSE FACULTY (CONT.) Steven K. Polevoi, MD Associate Division of Emergency Medicine; Quality Improvement Director Barry C. Simon, MD Clinical Professor of Medicine, Division of Emergency Medicine; Chairman, Department of Emergency Medicine, Alameda County Medical Center, Highland Hospital, Highland Campus Eric R. Snoey, MD Associate Clinical Professor of Medicine; Residency Director, Department of Emergency Medicine, Alameda County Medical Center, Highland Campus, Oakland, California John Stein, MD Assistant Clinical Professor of Medicine, Division of Emergency Medicine Adel Tawfilis, DDS, FACOMS Assistant Clinical Professor, Division of Plastic Surgery, University of California San Diego Ellen J. Weber, MD Professor of Clinical Medicine, Division of Emergency Medicine; Medical Director, Emergency Department, UCSF Medical Center Ralph Wang, MD Clinical Instructor of Medicine; Division of Emergency Medicine William Whetstone, MD Assistant Division of Emergency Medicine Lisa G. Winston, MD Assistant Division of Infectious Diseases; Hospital Epidemiologist, Division of Infectious Diseases, San Francisco General Hospital Jonathan Zaroff, MD Associate Professor of Medicine; Director, Coronary Care Unit, UCSF Medical Center faculty