Disorders Symposium. Saturday, October 11, 2014
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1 UT SouthwesternPelvic Floor Disorders Symposium Update on the Evaluation & Treatment of Urinary Incontinence, Pelvic Organ Prolapse, Fecal Incontinence, Pelvic Pain & Pelvic Floor Dysfunction Saturday, October 11, 2014 UT Southwestern Medical Center T. Boone Pickens Biomedical Building Auditorium 6001 Forest Park Road Dallas, Texas Sponsored by UT Southwestern Department of Surgery, Department of Urology, Department of Gynecology, Department of Physical Medicine & Rehabilitation and the Office of Continuing Medical Education
2 Who Should Attend Purpose Educational Objectives Accreditation Credit Designation Conflict of Interest Discussion of Off-Label Use Registration Refund Policy UT Southwestern Pelvic Floor Symposium The symposium is designed for Physicians, Nurses, Nurse Practitioners, Physical Therapists and Physicians Assistants interested in the treatment of pelvic floor disorders within the fields of Internal Medicine and Primary Care physicians, Urologists, Gynecologists, and Colorectal Surgeons. Update on the multidisciplinary approach to the evaluation and treatment of pelvic floor disorders including urinary incontinence, pelvic organ prolapse, fecal incontinence, pelvic pain and constipation. The course is aimed at providing tools to practitioners so they can identify, evaluate and offer first line therapy for pelvic floor disorders. The ability to perform these tasks has been identified as lacking in multiple national publications and guidelines. Upon completion of this course, participants should be able to link the educational objectives to Core Competencies(Medical Knowledge and Patient Care) and be able to: Evaluate patients with pelvic floor disorders through careful screening Perform directed pelvic floor history and physical examination Initiate and manage therapy for urinary incontinence, fecal incontinence, constipation, and pelvic organ prolapse Identify the mechanisms behind chronic pelvic pain and be able to initiate treatment Discuss the role of pelvic floor physical therapy in the treatment of pelvic floor disorders Discuss the pros and cons of pelvic mesh and slings Identify complex patients who require referral to a subspecialist The University of Texas Southwestern Medical Center is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide Continuing medical education for physicians. The University of Texas Southwestern Medical Center designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity. UT Southwestern University Hospitals is an approved provider of continuing nursing education by the Texas Nurses Association, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. This activity provides 6.0 contact hours. Application of Physical Therapy credits has been submitted and is pending approval. All persons in the position to control the content of an education activity are required to disclose all relevant financial relationships in any amount occurring within the past 12 months with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients along with that of their spouses or significant other. A primary mechanism to resolve identified conflicts of interest is a content review that is prior to the activity. This course is meant to educate physicians with what is currently in use and what may be available in the future, there maybe off-label use discussed in the presentations. Speakers have been requested to inform the audience when off-label use is being discussed. The registration fee entitles participants admission to the conference, all course materials, continental breakfasts, refreshment breaks and lunches during the meeting. Enrollment is confirmed upon receipt of registration fee. Registration cannot be processed without payment. On-site registration will be available; however, course materials are not guaranteed for registrations received after September 27, A $10 handling fee will be deducted from cancellation refunds. For a full refund, requests must be received by mail or fax prior to September 27, No refunds will be made thereafter.
3 Location UT Southwestern Medical Center T. Boone Pickens Biomedical Building - NG3.112 Auditorium 6001 Forest Park Road Dallas, Texas I-35 Stemmons Frwy To Downtown Dallas N Forest Park Mockingbird Stutz Inwood Parking Additional Information Program AccessibIlity Parking is available in the parking garage entered from 6001 Forest Park, located adjacent to the T. Boone Pickens Biomedical Building. The garage entrance is to the right of the front building entrance. The garage elevators will take you to the third floor. Follow the directional signs to the conference room. For additional information, please call The Office of Continuing Medical Education, , , or cmeregistrations@utsouthwestern.edu. The Office of Continuing Medical Education reserves the right to limit registration and cancel courses, no less than one week prior to the course, should circumstances make this necessary. We accommodate people with disabilities. Please call for more information, or mark the space indicated on the registration form. To ensure accommodation, please register as soon as possible. The University of Texas Southwestern Medical Center is committed to providing programs and activities to all persons regardless of race, color, national origin, religion, sex, age, veteran status, or disability. UT Southwestern Medical Center is an equal opportunity institution. CourSe director Kelly M. Scott, M.D. Assistant Professor Department of Physical Medicine & Rehabilitation University of Texas Southwestern Medical Center Dallas, Texas ut SouthweStern FaCulty Abier A. Abdelnaby, M.D. Assistant Professor, Department of Surgery Sunil Balgobin, M.D. Assistant Professor, Department of Obstetrics & Gynecology Michelle Bradley, P.T. Outpatient Rehabilitation- Zale Lipshy Cynthia Brinker, P.T. Outpatient Rehabilitation- Zale Lipshy Maude Carmel, M.D. Assistant Professor, Department of Urology Samar Harris, M.D. Assistant Professor, Department of Internal Medicine Gaurav Khatri, M.D. Assistant Professor, Department of Radiology Gary E. Lemack, M.D. Professor, Department of Urology and Neurology Craig H. Olson, M.D. Assistant Professor, Department of Surgery David Rahn, M.D. Associate Professor, Department of Obstetrics & Gynecology Gargi Raval, M.D. Assistant Professor, Department of Physical Medicine and Rehabilitation Joseph Schaffer, M.D. Professor, Department of Obstetrics & Gynecology Philippe Zimmern, M.D. Professor, Department of Urology
4 UT Southwestern Pelvic Floor Disorders Symposium Update on the Evaluation & Treatment of Urinary Incontinence, Pelvic Organ Prolapse, Fecal Incontinence, Pelvic Pain & Pelvic Floor Dysfunction R E G I S T R A T I O N F O R M Saturday, October 11, 2014 #RP1410A Register on-line at utsouthwestern.edu/pelvicfloorsymposium Name Address City State Zip Code Last Four Digits of SS# Business Phone Degree Address: UT Southwestern Alumni Specialty Please indicate preferred method to receive registration confirmation: Fax Mail Check here to receive our free monthly calendar of upcoming CME activities. Fax Indicate Credit Desired: AMA PRA Category 1 General Registration Fees: $75 Physicians $25 Nurses/Physical Therapists - Outside UT Southwestern Complimentary to UT Southwestern Faculty/Fellows/Residents/Nurses/ Physical Therapists/UTSCAP Physicians Method of Payment: MASTERCARD VISA Security Code CARD # Exp. Date Print Cardholder s Name Billing Address of Cardholder: Signature of Cardholder City State Zip Code AMERICAN EXPRESS Security Code CARD # Exp. Date Signature of Cardholder Print Cardholder s Name Billing Address of Cardholder: City State Zip Code CHECK: If paying by check make checks payable to: UT Southwestern/CME Fax completed registration form to 214/ Mail completed registration form to: UT Southwestern Medical Center 5323 Harry Hines Blvd., / Dallas, Texas Dietary Restrictions: Refund Policy A $10 handling fee will be deducted from cancellation refunds. For a full refund, requests must be received by mail or fax prior to September 27, No refunds will be made thereafter. ADA Statement Please check this box if you require assistance because of a disability to make this program accessible to you. Someone from our office will be in touch with you.
5 UT Southwestern Pelvic Floor Symposium SympoSium agenda - Saturday, October 11, :30 am Registration/Breakfast 8:00 am Welcome - Kelly Scott, M.D. 8:05 am Introduction to Pelvic Floor Disorders: Anatomy and Epidemiology - Joseph Schaffer, M.D. 8:30 am Pelvic Pain - Kelly Scott, M.D. 9:00 am Introduction to Pelvic Floor Physical Therapy - Michelle Bradley, P.T. 9:25 am Panel for Questions - Joseph Schaffer, M.D., Michelle Bradley, P.T., Kelly Scott, M.D. 9:30 am Break 9:45 am Fecal Incontinence - Craig Olson, M.D. 10:10 am Constipation - Abier Abdelnaby, M.D. 10:35 am The Role of Imaging in Pelvic Floor Disorders - Gaurav Khatri, M.D 11:00 am Panel for Questions - Craig Olson, M.D., Abier Abdelnaby, M.D., Gaurav Khatri, M.D. 11:05 am Case Study Discussion Breakouts #1 Pelvic Pain: Physical Medicine & Rehabilitation #2 Pelvic PT Techniques: PM&R Physical Therapy #3 Defecatory Dysfunction: Colorectal & Gastroenterology #4 Lower Urinary Tract Disorders: Urology #5 Pelvic Organ Prolapse: Urogynecology 11:40 am Lunch 12:10 pm Overactive Bladder - Gary Lemack, M.D. 12:40 pm Stress Urinary Incontinence - David Rahn, M.D. 1:10 pm Panel for Questions - Gary Lemack, M.D., David Rahn, M.D. 1:15 pm Break 1:25 pm Office Evaluation, Conservative Treatment, and Prevention of Pelvic Organ Prolapse and Pelvic Floor Disorders - Sunil Balgobin, M.D. 1:50 pm Surgical Treatment of Pelvic Organ Prolapse - Maude Carmel, M.D. 2:20 pm Mesh and Tape Controversies - Philippe Zimmern, M.D. 2:50 pm Panel for Questions - Sunil Balgobin, M.D., Maude Carmel, M.D., Philippe Zimmern, M.D. 3:00 pm Adjourn
6 Disorders Symposium Update on the Evaluation & Treatment of Urinary Incontinence, Pelvic Organ Prolapse, Fecal Incontinence, Pelvic Pain & Pelvic Floor Dysfunction Office of Continuing Medical Education 5323 Harry Hines Blvd. / Dallas, Texas Not printed or mailed at State expense OCTOBER Register on-line at utsouthwestern.edu/pelvicfloorsymposium UT SouthwesternPelvic Floor NONPROFIT US POSTAGE PAID TWMS
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