ADULT AND PEDIATRIC TRANSPLANTATION

2nd Annual

MedStar Georgetown Transplant Institute Symposium

COURSE DIRECTORS:

Thomas M. Fishbein, MDExecutive DirectorMedStar Georgetown Transplant InstituteWashington, D.C.

Matthew Cooper, MDProgram Director, Kidney and Pancreas Transplant ProgramWashington, D.C.

Alexander J. Gilbert, MDTransplant NephrologistWashington, D.C.

Basit Javaid, MD, MSMedical Director, Kidney and Pancreas Transplant ProgramWashington, D.C.

Stuart S. Kaufman, MDMedical Director, Pediatric Intestinal Rehabilitation and TransplantationWashington, D.C.

Rohit S. Satoskar, MDMedical Director, Liver TransplantationClinical Director, Transplant HepatologyWashington, D.C.

SEPTEMBER 14, 2019Washington Marriott GeorgetownWashington, D.C.

L I V E R

K I D N E Y

P A N C R E A S

I N T E S T I N E

3007

Tild

en S

treet

, NW

, Sui

te 3

NW

ashi

ngto

n, D

.C. 2

0008

COURSE DESCRIPTION

MedStar Georgetown Transplant Institute is proud to be hosting the 2nd Annual MedStar Georgetown Transplant Institute Symposium (MGTI 2019). The educational program will consist of three parallel tracks navigating the diagnosis and treatment options for kidney, pancreas, liver, and intestinal disorders including those requiring a transplant. These tracks include: Advances in Liver Diseases and Transplantation, Current Issues in Kidney and Pancreas Transplantation and Dialysis, and Update on Liver and GI Diseases and Transplants for Children.

The Advances in Liver Diseases and Transplantation track will address the gap between best and current practices in order to provide the best care to patients, reduce morbidity and mortality, and reduce the burden of liver disease in the Mid-Atlantic region. Up-to-date information on liver disease and transplant topics relevant to community practitioners will be highlighted. We will focus special attention on multidisciplinary management of tumors of the hepatobiliary tract as well. Through the Current Issues in Kidney and Pancreas Transplantation and Dialysis track the content will examine kidney and pancreas transplantation with a special emphasis on the multidisciplinary approach in pre and post-transplant care of patients with renal dysfunction and diabetes and following transplantation. The third track, Update on Liver and GI Diseases and Transplants for Children, will focus on topics that will be of interest to pediatric gastroenterology, primary care and allied health providers in the course of their interactions with infants and children with small bowel disease, parenteral nutrition, and chronic liver diseases including those likely to lead to transplantation.

MGTI 2019 offers an educational experience for attendees to interact in an interprofessional learning environment with designated tracks, lectures and panel discussions pertaining to your specific specialty.

TARGET AUDIENCE

This conference is intended for gastroenterologists, pediatric gastroenterologists, general surgeons,hepatobiliary surgeons, bariatric surgeons, pediatric hematologists and oncologists, surgical oncologists, medical oncologists, pathologists, pulmonologists, hepatologists, cardiologists, endocrinologists, nephrologists, neonatologists, intensivists, primary care physicians, emergency physicians, hospitalists, residents and fellows, nurse practitioners, physician assistants, nurses, pharmacists, dietitians, nutritionists, social workers, occupational therapists, physical therapists, dialysis technicians, home health providers serving pediatric populations, and pediatric case managers. In addition, the program is intended for members of the healthcare team who are involved in the care of patients with chronic kidney disease, end-stage renal disease, kidney and pancreas transplantations, and liver diseases.

ACCREDITATION

In support of improving patient care, MedStar Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation

Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

CREDIT DESIGNATION

This activity was planned by and for the healthcare team, and learners will receive 6.25 Interprofessional Continuing Education (IPCE) credits for learning and change.

LEARNING OBJECTIVESADVANCES IN LIVER DISEASES AND TRANSPLANTATION TRACK• Discuss the management of patients with acute and chronic liver diseases• Identify common clinical scenarios and evidence-based management of patients with liver diseases• Discuss evidence-based management of the pre and post-transplant patient with goal of improving patient outcomes• Recognize how to triage a liver mass discovered on imaging based on patient characteristics and imaging findings• Discuss scenarios and factors which may increase patient access to liver transplantation

CURRENT ISSUES IN KIDNEY AND PANCREAS TRANSPLANTATION AND DIALYSIS TRACK• Recognize the pre-transplant conditions that may advantage their patients in receiving transplants• Identify the challenges posed by older patients in getting ready for transplant• Evaluate the specific factors that differentiate the older patients with better or poorer chances in transplantation• Analyze the newer strategies used to overcome even difficult to match patients and allow transplant• Differentiate the transplant implications of the choice between private insurance and Medicare/Medicaid• Recognize the warning signs of poor vascular health that may complicate the transplant process• Define the challenges, risks, and possibilities for pregnancy in transplant patients with attention to maternal, renal and

fetal health• Explore the growing role in technology in more effectively communicating and managing complex patients and conditions• Review the specific medical issues faced by patients receiving pancreas transplants• Evaluate the additional implications on transplant for the management of HCV positive patients

UPDATE ON LIVER AND GI DISEASES AND TRANSPLANTS FOR CHILDREN TRACK• Improve recognition of acute and chronic infant and child liver diseases• Demonstrate appropriate utilization of vaccines in immunocompromised pediatric settings• Demonstrate various nutritional options inside and outside of the home that are available to delay or prevent onset of

malnutrition and its ramifications in infants and children with compromised digestive function and chronic liver diseases• Review the impact of chronic digestive disease in a child on family functioning• Discuss options available to maintain age-appropriate lifestyles in infants and children with compromised digestive

function and chronic liver diseases

VENUE INFORMATIONWASHINGTON MARRIOTT GEORGETOWN1221 22nd Street, NW Washington, D.C. 20037202-872-1500www.marriott.com/waswe

REGI

STRA

TION

INFO

RMAT

ION

EA

RLY

BIR

D R

AT

EN

OW

TH

RO

UG

H J

ULY

29

, 20

19

JULY

30

—

SE

PT

EM

BE

R 1

4, 2

01

9

Phys

ician

$75

$125

Resid

ent o

r Fell

ow

$50

$90

Phys

ician

Assis

tant

$50

$90

Nurse

Prac

titio

ner

$50

$90

Nurse

$50

$90

Allie

d Hea

lth Pr

ofes

siona

l$5

0$9

0

Socia

l Wor

ker

$50

$90

Diet

itian

or N

utrit

ioni

st$5

0$9

0

Phys

ical T

hera

pist

$50

$90

Occu

patio

nal T

hera

pist

$50

$90

Phar

mac

ist$5

0$9

0

ON

LIN

E R

EGIS

TRA

TIO

N P

REF

ERR

ED

Plea

se vi

sit o

ur w

ebsit

e at C

E.M

edSt

arHe

alth

.org

/MGT

I fo

r upd

ated

pro

gram

and

regi

strat

ion

info

rmat

ion.

We a

re

unab

le to

acce

pt re

gistr

atio

ns o

r can

cella

tions

by t

elep

hone

. If

you

wish

to p

ay yo

ur re

gistr

atio

n fe

e by c

heck

, ple

ase

down

load

and

prin

t a re

gistr

atio

n fo

rm an

d m

ail it

to th

e ad

dres

s on

the r

egist

ratio

n fo

rm w

ith yo

ur ch

eck.

All r

egist

ratio

ns w

ill b

e con

firm

ed b

y em

ail o

nly.

Plea

se u

se an

emai

l add

ress

that

you

chec

k reg

ular

ly. If

you

have

que

stion

s reg

ardi

ng re

gistr

atio

n or

do

not r

ecei

ve an

em

ail c

onfir

mat

ion

of yo

ur re

gistr

atio

n wi

thin

1-2

bus

ines

s da

ys, p

leas

e con

tact

us at

Med

Star

CME@

gmai

l.com

or

202-

780-

1655

.

CA

NC

ELLA

TIO

N P

OLI

CY

Canc

ella

tions

mad

e in

writi

ng b

y Aug

ust 2

, 201

9 wi

ll be

subj

ect t

o a 5

0% p

enal

ty. N

o re

fund

s will

be g

iven

afte

r Au

gust

2, 2

019

Canc

ella

tions

will

not

be a

ccep

ted

by

tele

phon

e. In

the u

nlike

ly ev

ent t

hat t

he co

urse

is ca

ncel

ed,

Med

Star

Hea

lth w

ill re

fund

the r

egist

ratio

n fe

e, bu

t is n

ot

resp

onsib

le fo

r any

trav

el co

sts. P

leas

e cal

l 202

-780

-165

5 or

em

ail M

edSt

arCM

E@gm

ail.c

om if

you

have

any q

uesti

ons

or n

eed

any a

dditi

onal

info

rmat

ion.

CE

.ME

DS

TA

RH

EA

LTH

.OR

G/M

GT

I

CONTINUING EDUCATION CREDIT INFORMATION

PHYSICIANS: MedStar Health designates this live activity for a maximum of 6.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

NURSES: This program provides 6.25 contact hours.

PHARMACISTS: The Universal Activity Number for this program is JA4008151-0000-19-016-L01-P. This learning activity is knowledge-based. Your CE credits will be electronically submitted to CPE Monitor upon successful completion of the activity and its evaluation. Please update your CloudCME™ membership profile with your date of birth and NABP number. Pharmacists with questions can contact NABP customer service (custserv@nabp.net).

CEPTCS: An application has been made to the American Board for Transplant Certification.

DIETITIANS AND NUTRITIONISTS: An application has been made to the Commission on Dietetic Registration for continuing education credits.

SOCIAL WORKERS: An application has been made to the Association of Social Work Boards (ASWB) for continuing education credits. CE.MedStarHealth.org/MGTI

AD

ULT

AN

D P

ED

IATR

IC T

RA

NSP

LAN

TATI

ON

2nd

Ann

ual

Med

Star

Geo

rget

own

Tr

ansp

lant

Insti

tute

Sym

posiu

m

ALEXANDER H.K. KROEMER, MD, PHDTransplant and Hepatobiliary SurgeonScientific Director, Center for Translational Transplant MedicineMedStar Georgetown Transplant InstituteMedStar Georgetown University Hospital Washington, D.C.

JENNIFER C. LAI, MD, MBATransplant HepatologistUniversity of California, San FranciscoSan Francisco, CA

ALEXANDER T. LALOS, MDTransplant HepatologistMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalMedStar Washington Hospital CenterWashington, D.C.

MERCEDES LAUDANO, MS, RD, CNSCAdult Liver, Kidney and Pancreas Transplant DietitianKidney and Pancreas Transplant ProgramMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

JACK MOORE, JR., MDDirector, Section of NephrologyMedical Director, Kidney and Pancreas Transplant ProgramMedStar Georgetown Transplant Institute at MedStar Washington Hospital CenterWashington, D.C.

LINDSEY O ‘CONNELL, FNPTransplant Nurse PractitionerMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

ALEXANDRA D. RADOMSKY, MSW, LICSWClinical Social Worker, Kidney and Pancreas TransplantMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

AMOL S. RANGNEKAR, MDTransplant HepatologistMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

SUZANNE E. ROBERTAZZI, MSN, ANP-BCNurse PractitionerMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

COLEMAN I. SMITH, MDTransplant HepatologistMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

SUKANYA SUBRAMANIAN, MDMedical Director, Adult Intestinal Rehabilitation and Transplant MedStar Georgetown Transplant InstituteMedStar Georgetown University Hospital Washington, D.C.

ARUL M. THOMAS, MDTransplant HepatologistMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalMedStar Washington Hospital CenterWashington, D.C.

BEJE THOMAS, MDTransplant NephrologistMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

JESSICA U. TYNDALL, CCLS Child Life SpecialistMedStar Georgetown University HospitalWashington, D.C.

JENNIFER E. VERBESEY, MDDirector, Living Donor Kidney TransplantationSurgical Director, Pediatric Kidney TransplantationMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

GAYLE M. VRANIC, MDTransplant NephrologistMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

EMILY R. WINSLOW, MD, MSRegional Chief, Hepatopancreaticobiliary SurgeryMedstar Georgetown University HospitalWashington, D.C.

JOSEPH H. YACOUB, MDRadiologistMedStar Georgetown University HospitalWashington, D.C.

NADA A. YAZIGI, MDMedical Director, Pediatric Liver TransplantationPediatric Hepatology and Transplant SpecialistMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

SOO YOUN YI, MDKidney and Pancreas Transplant SurgeonMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

COURSE DIRECTORS AGENDATHOMAS M. FISHBEIN, MDExecutive DirectorMedStar Georgetown Transplant InstituteWashington, D.C.

MATTHEW COOPER, MDProgram Director, Kidney and Pancreas Transplant ProgramMedStar Georgetown Transplant InstituteWashington, D.C.

ALEXANDER J. GILBERT, MDTransplant NephrologistMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

BASIT JAVAID, MD, MSMedical Director, Kidney and Pancreas Transplant ProgramMedStar Georgetown Transplant InstituteWashington, D.C.

STUART S. KAUFMAN, MDMedical Director, Pediatric IntestinalRehabilitation and TransplantationMedStar Georgetown Transplant InstituteWashington, D.C.

ROHIT S. SATOSKAR, MDMedical Director, Liver TransplantationClinical Director, Transplant HepatologyMedStar Georgetown Transplant InstituteWashington, D.C.

ADVANCES IN LIVER DISEASES AND TRANSPLANTATION TRACK

8:40 a.m. Introduction to Track Rohit S. Satoskar, MD

8:45 a.m. Update on Hemochromatosis Thomas W. Faust, MD, MBE

9:05 a.m. Drug Induced Liver Injury Arul M. Thomas, MD

9:25 a.m. Hepatitis B: When to Start and Stop Treatment Christine C. Hsu, MD

9:45 a.m. Questions and Discussion

CURRENT ISSUES IN KIDNEY AND PANCREAS TRANSPLANTATION AND DIALYSIS TRACK

8:40 a.m. Introduction to Track Matthew Cooper, MD

8:45 a.m. Fast Lanes to Transplant Alexander J. Gilbert, MD

9:05 a.m. The Older Transplant Patient Jack Moore, Jr., MD

9:25 a.m. Swapping Kidneys Jennifer E. Verbesey, MD

9:45 a.m. Questions and Discussion

UPDATE ON LIVER AND GI DISEASES AND TRANSPLANTS FOR CHILDREN TRACK

8:40 a.m. Introduction to Track Stuart Kaufman, MD

8:45 a.m. Evaluation of the Yellow Baby for the Pediatric Provider Nada A. Yazigi, MD

9:05 a.m. Transplant Medications and Other Tips for the School Nurse Shahira S. Ghobrial, PharmD, MPH Lindsey O’Connell, FNP

9:25 a.m. Vaccines for the Immunocompromised Child Ruth M. Kanthula, MD, MPH

9:45 a.m. Questions and Discussion

7:15 a.m. Registration and Continental Breakfast 7:55 a.m. Welcome and Introduction Thomas M. Fishbein, MD

8:00 a.m. Frailty in Solid Organ Transplantation Jennifer C. Lai, MD

CE.MEDSTARHEALTH.ORG/MGTI

12:00 p.m. Lunch and Visit the Exhibits 1:00 p.m. Future Opportunities Alexander H. K. Kroemer, MD, PhD

1:50 p.m. Liver Jeopardy Rohit S. Satoskar, MD

2:20 p.m. Imaging of Liver Lesions Joseph H. Yacoub, MD

2:50 p.m. What’s New in HPB Surgery Emily R. Winslow, MD, MS

3:10 p.m. The Modern Management of Intestinal Failure Sukanya Subramanian, MD

3:30 p.m. Questions and Discussion

3:50 p.m. Closing Remarks

1:50 p.m. Baby on Board: Reproductive Health and Planning after Transplantation Gayle M. Vranic, MD

2:10 p.m. New Frontiers in Transplant Beje Thomas, MD

2:35 p.m. The Cutting Edge of Pancreas Transplantation Peter L. Abrams, MD

2:55 p.m. Fact and Fiction in Transplantation Basit Javaid, MD, MS

3:15 p.m. Questions and Discussion

3:45 p.m. Closing Remarks

1:50 p.m. Social Work Challenges Before and After Abdominal Transplantation Claire E. Connolly, MSW, LGSW

2:15 p.m. Primary Pediatric Care After Abdominal Transplantation Sejal Bavishi, MD

2:35 p.m. Growing up with Chronic Disease Jessica U. Tyndall, CCLS

3:00 p.m. Questions and Discussion

3:45 p.m. Closing Remarks

10:20 a.m. Diagnosis and Management of Autoimmune Hepatitis Amol S. Rangnekar, MD

10:50 a.m. Acute Liver Failure: A Review Focusing on the Diagnosis and Early Management Alexander T. Lalos, MD

11:20 a.m. Post-Transplant for Referring MDs Suzanne E. Robertazzi, MSN, ANP-BC

11:40 a.m. Hepatitis C Positive Organ Donors Coleman I. Smith, MD

10:20 a.m. I Love Medicare (and Medicaid) Tamara Jelali

10:40 a.m. Getting by with a Little Help from Your Friends Jessica H. Gelfarb, LGSW; Alexandra D. Radomsky, MSW, LICSW

11:00 a.m. Bariatric Options in Dialysis and Transplant Mercedes Laudano, MS, RD, CNSC; Soo Youn Yi, MD

11:20 a.m. Overcoming Surgical Challenges in Kidney Transplant S. Reza Ghasemian, MD

11:40 a.m. Questions and Discussion

10:20 a.m. Evaluation of the Acutely Ill, Immunocompromised Child Stuart S. Kaufman, MD

10:40 a.m. Treatment of the Child with Chronic Liver and Chronic Intestinal Failure: Fragile Bones and Other Considerations for the Occupational and Physical Therapist Stuart S. Kaufman, MD; Nada A. Yazigi, MD

11:00 a.m. Parenteral and Enteral Nutrition for the Child with Chronic Liver and Chronic Intestinal Failure Shannon C. Huntley, MS, RDN, LD; Khalid M. Khan, MD, MPH

11:20 a.m. Questions and Discussion

PETER L. ABRAMS, MDDirector, Pancreas and Islet Cell TransplantMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

SEJAL BAVISHI, MDPrimary Care Pediatrician, Complex Care ProgramMedStar Georgetown University HospitalWashington, D.C.

CLAIRE E. CONNOLLY, MSW, LGSWPediatric Transplant Social WorkerMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

THOMAS W. FAUST, MD, MBETransplant HepatologistMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalMedStar Franklin Square Hospital CenterWashington, D.C.

JESSICA H. GELFARB, LGSWTransplant Social WorkerMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

S. REZA GHASEMIAN, MDDirector, Transplant UrologyKidney and Pancreas Transplant SurgeonMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

SHAHIRA S. GHOBRIAL, PHARMD, MPHClinical Pharmacist, Pediatric TransplantMedStar Georgetown University HospitalWashington, D.C.

CHRISTINE C. HSU, MDTransplant HepatologistMedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

SHANNON C. HUNTLEY, MS, RDN, LDPediatric Small Bowel Transplant Coordinator MedStar Georgetown Transplant InstituteMedStar Georgetown University HospitalWashington, D.C.

TAMARA JELALIFinancial CoordinatorMedStar Georgetown University HospitalWashington, D.C.

RUTH M. KANTHULA, MD, MPHPediatrician, Infectious DiseasesMedStar Georgetown University Hospital Washington, D.C.

KHALID M. KHAN, MD, MPHPediatric Gastroenterologist and HepatologistMedStar Georgetown University HospitalWashington, D.C.

10:00 a.m. Break and Visit the Exhibits

4:00 p.m. Adjourn

FACULTY

K E Y N OT E S P E A K E R S