Gastroenterology and Hepatology - Colorectal Cancer Screening
Gastroenterology & Hepatology Board Review · The Mayo Clinic Gastroenterology and Hepatology Board...
Transcript of Gastroenterology & Hepatology Board Review · The Mayo Clinic Gastroenterology and Hepatology Board...
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Gastroenterology & Hepatology
Board Review
September 15-18, 2016 Swissotel
Chicago, Illinois
© Mayo Foundation for Medical Education and Research
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Table of Contents
CME Activity Description ............................................................................................................................ 6
CME Activity Objectives .............................................................................................................................. 6
Intended Audience ........................................................................................................................................ 6
Continuing Education Credit ........................................................................................................................ 6
CME Record of Attendance .......................................................................................................................... 7
CME Activity Evaluation ............................................................................................................................. 7
Syllabus and Internet Access ........................................................................................................................ 7
Recording Device Policy .............................................................................................................................. 8
Electronic Devices ........................................................................................................................................ 8
Faculty .......................................................................................................................................................... 9
Faculty and Provider Disclosure Summary ................................................................................................ 10
Program Schedule ....................................................................................................................................... 11
Presentations .............................................See Program Schedule in each day's syllabus for Page Numbers
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CME Activity Description
The Mayo Clinic Gastroenterology and Hepatology Board Review is designed for candidates preparing
for certification and maintenance of certification (MOC) examinations in gastroenterology and
hepatology. The Gastroenterology and Hepatology Board Review will include relevant topics such as
pathology, endoscopy, radiology and nutrition.
CME Activity Objectives
1. Identify esophageal, gastric, small bowel and colon diseases and other disorders of the GI tract
and liver.
2. Articulate diagnostic therapeutic approaches to management of patients diagnosed with digestive
disorders.
3. Discuss relevant areas of pathology, endoscopy, radiology and nutrition.
Attendance at this Mayo Clinic activity does not indicate nor guarantee competence or proficiency in the
performance of any procedures which may be discussed or taught in this activity.
Intended Audience
This course is designed for GI fellows, gastroenterologists, persons preparing for GI board exams and
recertification, gastroenterologists needing MOC, and GI nurse practitioners, physician assistants and
physician extenders.
Continuing Education Credit
Mayo Clinic College of Medicine is accredited by the Accreditation Council for Continuing Medical
Education to provide continuing medical education for physicians.
General Session: September 15-18, 2016:
Mayo Clinic College of Medicine designates this live activity for a maximum of 32.25 AMA PRA
Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their
participation in the activity.
Additional AMA PRA Category 1 Credits™ can be claimed if you sign up for the following pre-course
sessions taking place on Wednesday, September 14, 2016:
ABIM Maintenance of Certification Session: 2016 Update in Gastroenterology, September 14, 2016
Mayo Clinic College of Medicine designates this live activity for a maximum of 1.5 AMA PRA Category
1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation
in the activity.
ABIM Maintenance of Certification Session: 2016 Update in Transplant Hepatology, September 14,
2016
Mayo Clinic College of Medicine designates this live activity for a maximum of 1.5 AMA PRA Category
1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation
in the activity.
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Other Health Care Professionals
A certificate of attendance will be provided to other health care professionals for requesting credits in
accordance with state nursing boards, specialty societies, or other professional associations.
ABIM Maintenance of Certification Points
Successful completion of this CME activity, which includes participation in the evaluation component,
enables the participant to earn up to 32.25 MOC points in the American Board of Internal Medicine's
(ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to
the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to
submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
CME Record of Attendance
Mayo School of Continuous Professional Development (MSCPD) will now be providing electronic
record of attendance certificates through our new website and registration system. Paper certificates will
no longer be provided. The record of attendance allows attendees to calculate their own credits of
participation in the educational activity.
Upon conclusion of the CME activity, and completion of any required course materials, you will be able
to claim credits commensurate with your participation at the CME activity.
Directions will be provided on how to claim your credit. A copy of the record of attendance will remain
available in your personal account on the MSCPD website and registration system and can be printed at
any time.
The record of attendance can be used for requesting credits in accordance with state licensing boards,
specialty societies, or other professional associations.
CME Activity Evaluation
The faculty and overall CME evaluations will now be available electronically through your profile in our
new website and registration system. All attendees are invited to complete the faculty evaluation. Course
Directors use this feedback to maintain and improve the caliber of presentations in future courses.
The overall CME activity evaluation will be available in your profile following the activity. The CME
activity evaluation is brief and will only take a few minutes to complete.
Your input is greatly appreciated. Thank you in advance for completing the evaluations.
Directions will be provided on where to complete these evaluations.
Syllabus and Internet Access
An electronic syllabus will be provided to all attendees. Participants are invited to bring their laptops to
the meeting room(s). Due to copyright issues or revisions, some slides may be shown during a
presentation, but not provided within the syllabus.
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Recording Device Policy
No recording devices, audio or visual, may be used during Mayo Clinic College of Medicine CPD
activities. Duplication, distribution, or excerpting of this program, without the express written permission
of Mayo Clinic, is strictly prohibited.
All of the proceedings of this program, including the presentation of scientific papers, are intended for
limited publication only, and all property rights in the material presented, including common-law
copyright, are expressly reserved by the Faculty and/or Mayo Clinic. No statement of presentation made
is to be regarded as dedicated to the public domain. Any sound reproduction, transcript or other use of the
material presented at this CME activity without the permission of Mayo Clinic is prohibited to the full
extent of common-law copyright in such material.
Electronic Devices
Please turn all electronic devices (cellular telephones, pagers, etc.) to silent mode. As a courtesy to the
presenters and other participants, phone calls should be taken outside of the general session.
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Faculty
Course Directors
Amy S. Oxentenko, M.D.
Laura E. Raffals, M.D.
William Sanchez, M.D.
Mayo Clinic
Jeffrey A. Alexander, M.D. Conor G. Loftus, M.D.
Glenn L. Alexander, M.D. Edward V. Loftus, Jr., M.D.
Alina M. Allen, M.D. John Martin, M.D.
Adil E. Bharucha, MBBS, M.D. Rahul Pannala, M.D.
Magnus Halland, M.D. Randall K. Pearson, M.D.
Stephanie L. Hansel, M.D. John J. Poterucha, M.D.
Robert C. Huebert, M.D. Karthik Ravi, M.D.
John B. Kisiel, M.D. Lewis R. Roberts, M.B., Ch.B., Ph.D.
Michael D. Leise, M.D. Seth R. Sweetser, M.D.
Jason T. Lewis, M.D.
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Faculty, Planning Committee and Provider Disclosure
Summary Gastroenterology & Hepatology Board Review
September 15-18, 2016
As a provider accredited by ACCME, Mayo Clinic College of Medicine (Mayo School of CPD) must
ensure balance, independence, objectivity and scientific rigor in its educational activities. Course
Director(s), Planning Committee Members, Faculty, and all others who are in a position to control the
content of this educational activity are required to disclose all relevant financial relationships with any
commercial interest related to the subject matter of the educational activity. Safeguards against
commercial bias have been put in place. Faculty also will disclose any off label and/or investigational use
of pharmaceuticals or instruments discussed in their presentation. Disclosure of these relevant financial
relationships will be published in activity materials so those participants in the activity may formulate
their own judgments regarding the presentation.
Listed below are individuals with control of the content of this program who have disclosed…
Relevant financial relationship(s) with industry: Name Nature of Relationship Company
Jeffrey A. Alexander, M.D. Grant/Research Support
Other
Merck, Shire
Financial Interest in Meritage
Adil E. Bharucha, MBBS,
M.D.
Consultant
Grant/Research Support
Other: royalties for IP
Allergan, Macmillan Medical
Communications
Ironwood Pharma
Medspira Inc
Michael D. Leise, M.D. Grant/Research Support
Other
Merck, Gilead
Author, royalties: Up-to-date, Merck
Site PI for Mult-Center Randomized
Controlled Trial that finished in
2015: Merck
Edward V. Loftus, Jr., M.D. Consultant
Grant/Research Support
Honoraria
UCB, Takeda, Janssen, AbbVie, Sun
Pharma, Seres Therapeutics, Amgen,
Eli Lilly, Mesoblast, Bristol-Myers
Squibb
UCB, Takeda, Janssen, AbbVie,
Genentech, Amgen, Pfizer, Gilead,
Receptos, Celgene, Robarts Clinical
Trials
Cornerstones Health, Gastrointestinal
Health Foundation
Lewis R. Roberts, M.B.,
Ch.B., Ph.D.
Grant/Research Support Ariad Pharmaceuticals- grant funding
BTG International Inc-grant funding
Wako Diagnostics-grant funding
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No relevant financial relationship(s) with industry:
Name
Glenn L. Alexander, M.D. Jessica V. McNeill
Alina M. Allen, M.D. Michael W. O’Brien
Magnus Halland, M.D. Amy S. Oxentenko, M.D.
Shannon M. Halvorson Rahul Pannala, M.D.
Stephanie L. Hansel, M.D. Randall K. Pearson, M.D.
Robert C. Huebert, M.D. John J. Poterucha, M.D.
John B. Kisiel, M.D. Laura E. Raffals, M.D.
Ruth L. Laird Karthik Ravi, M.D.
Jason T. Lewis, M.D. William Sanchez, M.D.
Conor G. Loftus, M.D. Seth R. Sweetser, M.D.
John Martin, M.D.
References to off-label and/or investigational usage(s) of pharmaceuticals or instruments in
their presentation:
Name Manufacturer/Provider Product/Device
Jeffrey A. Alexander, M.D. Multiple PPI infusion
Adil E. Bharucha, MBBS,
M.D.
Several Several – Most drugs used for IBS
are not approved
Stephanie L. Hansel, M.D. Medications (octreotide,
erythromycin)
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Program Schedule
Thursday, September 15, 2016
6:30 a.m. Registration / Continental Breakfast / Posters / Exhibits
7:00 a.m. Welcome Amy S. Oxentenko, M.D. Laura E. Raffals, M.D. William Sanchez, M.D.
7:10 a.m. Instructions to the Mobile App & Online Evaluations / Claiming Credit
7:20 a.m. Introduction to the Board Examination William Sanchez, M.D.
7:30 a.m. Vascular Diseases of the Liver and Portal Hypertension William Sanchez, M.D
8:10 a.m. The Approach to Abnormal Liver Tests and Drug-Induced Liver Injury John J. Poterucha, M.D.
8:55 a.m. Mass Lesions of the Liver Lewis R. Roberts, M.B., Ch.B., Ph.D.
9:40 a.m. Optional: Questions and Answers
9:40 a.m. Refreshment Break / Posters / Exhibits
10:00 a.m. Liver Disease and Pregnancy Alina M. Allen, M.D.
10:20 a.m. Alcoholic Liver Disease and Nonalcoholic Fatty Liver Disease Robert C. Huebert, M.D.
10:50 a.m. Hepatitis C Michael D. Leise, M.D.
11:15 a.m. Hepatitis B and Other Hepatitis Viruses John J. Poterucha, M.D.
11:50 a.m. Optional: Questions and Answers
12:00 p.m. Lunch
1:20 p.m. Cholestatic Liver Disease and Autoimmune Hepatitis Michael D. Leise, M.D.
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2:00 p.m. Board-Style Practice Questions: Liver I
Robert C. Huebert, M.D. John J. Poterucha, M.D.
2:50 p.m. Acute Liver Failure and Liver Transplantation
William Sanchez, M.D. 3:10 p.m. Ascites, Hepatorenal Syndrome and Encephalopathy
Robert C. Huebert, M.D.
3:50 p.m. Optional: Questions and Answers 3:50 p.m. Refreshment Break/Posters/Exhibits 4:20 p.m. Metabolic Liver Disease
William Sanchez, M.D. 5:00 p.m. Liver Pathology / Case Studies
Jason T. Lewis, M.D. John J. Poterucha, M.D.
6:00 p.m. Adjourn Friday, September 16, 2016 6:30 a.m. Registration / Continental Breakfast / Posters / Exhibits 7:10 a.m. Announcements
Amy S. Oxentenko, M.D. Laura E. Raffals, M.D. William Sanchez, M.D.
7:15 a.m. Board-Style Practice Questions: Liver II
William Sanchez, M.D. Michael D. Leise, M.D.
8:05 a.m. Acute Pancreatitis Rahul Pannala, M.D. 8:40 a.m. Biliary Stone Disease
John Martin, M.D. 9:15 a.m. Chronic Pancreatitis Rahul Pannala, M.D. 9:50 a.m. Optional: Questions and Answers 9:50 a.m. Refreshment Break / Posters / Exhibits
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10:15 a.m. Pancreatic Neoplasms Randall Pearson, M.D.
10:55 a.m. Board-Style Practice Questions: Pancreas and Biliary Tree John Martin, M.D. Randall Pearson, M.D.
11:45 a.m. Lunch
1:00 p.m. Gastroesophageal Reflux Disease Karthik Ravi, M.D.
1:30 p.m. Barrett’s Esophagus and Esophageal Neoplasms Jeffrey A. Alexander, M.D.
2:05 p.m. Esophageal Motility Disorders Karthik Ravi, M.D.
2:25 p.m. Board-Style Practice Questions: Esophagus Magnus Halland, M.D. Karthik Ravi, M.D.
3:15 p.m. Optional: Questions and Answers
3:15 p.m. Refreshment Break / Posters / Exhibits
3:40 p.m. Vascular Disorders of the Gastrointestinal Tract Seth R. Sweetser, M.D.
4:20 p.m. Non-variceal Gastrointestinal Tract Bleeding Jeffrey A. Alexander, M.D.
5:00 p.m. Gastrointestinal Pathology / Case Studies Jason T. Lewis, M.D. Amy S. Oxentenko M.D.
6:00 p.m. Adjourn
Saturday, September 17, 2016
7:00 a.m. Registration / Continental Breakfast / Posters / Exhibits
7:25 a.m. Announcements Amy S. Oxentenko, M.D. Laura E. Raffals, M.D. William Sanchez, M.D.
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7:30 a.m. Statistics for the Boards John B. Kisiel, M.D.
7:45 a.m. Peptic Ulcer Disease and Gastritis Conor G. Loftus, M.D.
8:20 a.m. Gastric Neoplasms and Gastrointestinal Endocrine Tumors Seth R. Sweetser, M.D.
9:10 a.m. Gastroduodenal Motility Disorders Stephanie L. Hansel, M.D.
9:35 a.m. Optional: Questions and Answers
9:35 a.m. Refreshment Break / Posters / Exhibits
10:00 a.m. Board-Style Practice Questions: Stomach Stephanie L. Hansel, M.D. John B. Kisiel, M.D.
10:50 a.m. Clinical Features of Malabsorptive Disorders; Small Bowel Mucosal Diseases and Bacterial Overgrowth Syndromes Amy S. Oxentenko, M.D.
11:55 p.m. Lunch
1:10 p.m. Nutritional Disorders Amy S. Oxentenko, M.D.
1:45 p.m. Board-Style Practice Questions: Small Bowel and Nutrition Glenn L. Alexander, M.D. Amy S. Oxentenko, M.D.
2:35 p.m. Irritable Bowel Syndrome, Constipation and Disorders of the Pelvic Floor Adil E. Bharucha, M.B.B.S., M.D.
3:15 p.m. Optional: Questions and Answers
3:15 p.m. Refreshment Break / Posters / Exhibits
3:45 p.m. Gastrointestinal Infections Conor G. Loftus, M.D.
4:35 p.m. Board-Style Practice Questions: Miscellaneous Disorders Conor G. Loftus, M.D. Laura E. Raffals, M.D.
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5:25 p.m. Optional: Questions and Answers
5:30 p.m. Adjourn
Sunday, September 18, 2016
6:30 a.m. Registration / Continental Breakfast / Posters / Exhibits
6:55 a.m. Announcements Amy S. Oxentenko, M.D. Laura E. Raffals, M.D. William Sanchez, M.D.
7:00 a.m. Inflammatory Bowel Disease: Clinical Features Edward V. Loftus, Jr., M.D.
7:30 a.m. Inflammatory Bowel Disease: Extraintestinal Manifestations Laura E. Raffals, M.D.
8:00 a.m. Inflammatory Bowel Disease: Therapy Edward V. Loftus, Jr., M.D.
8:55 a.m. Inflammatory Bowel Disease: Miscellaneous Laura E. Raffals, M.D.
9:20 a.m. Optional: Questions and Answers
9:20 a.m. Refreshment Break / Posters / Exhibits
9:45 a.m. Colorectal Neoplasms and Hereditary Polyposis Syndromes John B. Kisiel, M.D.
10:25 a.m. Board-Style Practice Questions: Colon Glenn L. Alexander, M.D. Jeffrey A. Alexander, M.D.
11:15 a.m. Optional: Questions and Answers
11:30 a.m. Adjourn