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ABMS COMPETENCIES KEY
Medical
Knowledge
Interpersonal and
Communication Skills
Patient
Care
Practice-Based
Learning and Improvement
Professionalism System-Based
Practice

This activity has been developed in recognition of the American Board of Medical Specialties Six Core Competencies. This activity will increase your competency in the areas of Patient Care, Medical Knowledge, Systems-Based Practice, Practice-Based Learning and Improvement, and Professionalism. The AATS has designated the primary competency each session will address.

SATURDAY, April 26, 2014
Adult Cardiac Skills and Decision Making
Pearls and Pitfalls in Operative Technique

8:00 a.m. - 5:00 p.m.
Course Chair: *Tomislav Mihaljevic, Cleveland Clinic
Contemporary cardiac surgery includes ever-increasing spectrum of complex operations. The Adult Cardiac Skills and Decision Making course will offer expert insight to the most pertinent operations on coronary, valvular, aortic and heart failure surgery. The course will identify the greater use of complete arterial revascularization in patients with CAD and adequate screening of aortic atherosclerosis in patients with CAD. In addition, the course will address, appropriate patient selection, and proper techniques for off-pump CABG, training in echocardiography for the assessment of mitral valve disease, aggressive surgical treatment of endocarditis, decision-making algorithm in minimally invasive surgery, and the current status of conventional surgery for thoracoabdominal aneurysmal disease.

Educational Objectives
At the conclusion of this course, the participants will be able to:

  • Identify optimal revascularization strategy in patients with complex coronary artery disease.
  • Discuss mitral valve repair techniques for myxomatous and functional mitral regurgitation.
  • Explain contemporary treatment algorithms for patients with actue and chronic heart failure.
  • Describe catheter-based and hybrid interventions for coronary artery disease, structural heart disease and atrial fibrilliation.
8:00 a.m. - 8:10 a.m. Welcome and Introduction
*Tomislav Mihaljevic
Cleveland Clinic
8:10 a.m. - 8:30 a.m. Mitral Valve Repair in Barlow's Disease
*Ottavio R. Alfieri
San Raffaele University Hospital
8:30 a.m. - 8:50 a.m. Mitral Annular Calcification: Debride or Respect?
*Tomislav Mihaljevic
Cleveland Clinic
8:50 a.m. - 9:10 a.m. Surgery for Endocarditis
*Carlos A. Mestres
University of Barcelona
9:10 a.m. - 9:30 a.m. Valve Sparing Aortic Root Replacement
*Gebrine El Khoury
Université Catholique de Louvain
9:30 a.m. - 9:50 a.m. Less-invasive Valve Surgery: Small Incision vs. the Robot
Didier Loulmet
New York University
9:50 a.m. - 10:10 a.m. Sutureless Aortic Valve Replacement
*Guenther Laufer
Medical University of Vienna
10:10 a.m. - 10:40 a.m. BREAK
10:40 a.m. - 11:00 a.m. Complete Arterial Revascularization: Graft Choices and Anastomotic Techniques
*Joseph F. Sabik
Cleveland Clinic
11:00 a.m. - 11:20 a.m. Atherosclerotic Ascending Aorta, Diffuse Coronary Disease: Techniques and Management Algorithms
*Sary F. Aranki
Brigham & Women's Hospital
11:20 a.m. - 11:40 a.m. Beating Heart CABG: How to Do It Safely
*John D. Puskas
Emory University
11:40 a.m. - 12:00 p.m. Less Invasive and Robotically-assisted CABG
Johannes Bonatti
Cleveland Clinic Abu Dhabi
12:00 p.m. - 1:30 p.m. LUNCH
1:30 p.m. - 1:50 p.m. Mitral Repair in Heart Failure
*Frederick Y. Chen
Brigham & Women's Hospital
1:50 p.m. - 2:10 p.m. Implantation of Contemporary Ventricular Assist Devices
*Bartley P. Griffith
University of Maryland
2:10 p.m. - 2:30 p.m. Cath-lab Crashes and postcardiotomy Failure: What to Do? When to Say No? When to Stop?
*John V. Conte
Johns Hopkins University
2:30 p.m. - 2:50 p.m. Myectomy
*Nicholas G. Smedira
Cleveland Clinic
2:50 p.m. - 3:10 p.m. Surgery for Thoracoabdominal Aneurysms: Here to Stay!
*Joseph S. Coselli
Baylor College of Medicine
3:10 p.m. - 3:40 p.m. BREAK
3:40 p.m. - 4:00 p.m. Coronary Artery Disease
Michael E. Halkos
Emory University
4:00 p.m. - 4:20 p.m. Aortic Dissection
*Wilson Y. Szeto
University of Pennsylvania
4:20 p.m. - 4:40 p.m. Valvular Heart Disease
Donald D. Glower
Duke University
4:40 p.m. - 5:00 p.m. Atrial Fibrillation
*Gorav Ailawadi
University of Virginia

Congenital Skills and Decision Making
Developing Technical Excellence

8:00 a.m. - 5:00 p.m.
Course Chair: *J. William Gaynor, Children's Hospital of Philadelphia
  The AATS Congenital Skills and Decision Making Course will be on technical and decision making skills required for performing a successful operation and provide peri-operative care. The course will put emphasis on the three lesions, functional single ventricle including hypoplastic left heart syndrome, tetralogy of Fallot and coarctation of the aorta. The course will address alternative surgical techniques for the Hemi-Fontan operation and the Fontan operation, management of recurrent aortic arch obstruction, including transcatheter techniques. Presentations will describe standard and hybrid techniques for the Norwood operation as well as post-operative management. Attending this course will improve your technical and decision making skills.

Educational Objectives
At the conclusion of this course, the participants will be able to:

  • Describe two techniques for performance ofm the hemi-Fontan procedure.
  • Peform the extra-cardiac Fontan procedure without CPB.
  • Identify indications for anatomic vs.extra-anatomic surgical repair of recurrent aortic arch obstruction
  • List indications for trans-catheter intervention for recurrent aortic arch obstruction.
  • Describe the management of tetralogy of Fallot, including management of the symptomatic neonate, management of associated AV canal defect, and valve-sparing repair.
  • Apply surgical techniques for hybrid and standard Norwood procedures.
  • Translate skills to provide post-operative care after hybrid and standard Norwood procedures.
8:00 a.m. - 8:05 a.m. Welcome and Introduction
*J. William Gaynor
Children's Hospital of Philadelphia
8:05 a.m. - 8:25 a.m. Classic Hemi-Fontan and Lateral Tunnel Fontan
*Thomas L. Spray
Children's Hospital of Philadelphia
8:25 a.m. - 8:45 a.m. Modified Hemi-Fontan and Lateral Tunnel Fontan
*Richard Ohye
University of Michigan
8:45 a.m. - 8:55 a.m. DISCUSSION
8:55 a.m. - 9:15 a.m. Superior Cavopulmonary Connection and Extra-Cardiac Fontan Without CPB
*V. Mohan Reddy
Stanford University
9:15 a.m. - 9:30 a.m. Computer Modeling to Optimize Fontan Energetics
*Kirk Kanter
Emory University
9:30 a.m. - 9:40 a.m. DISCUSSION
9:40 a.m. - 10:00 a.m. BREAK
 
Moderator: *James Tweddell, Medical College of Wisconsin
 
10:00 a.m. - 10:20 a.m. Anatomic Repair of Recurrent Aortic Arch Obstruction
*E. Dean McKenzie
Texas Children's Hospital
10:20 a.m. - 10:40 a.m. Extra-anatomic Bypass for Recurrent Aortic Arch Obstruction
*Kristine J. Guleserian
University of Texas
10:40 a.m. - 11:00 a.m. Trans-catheter Management of Recurrent Aortic Arch Obstruction
Lee Benson
Hospital for the Sick Children
11:00 a.m. - 11:10 a.m. DISCUSSION
11:10 a.m. - 11:30 a.m. Repair of TOF with AVC
Sitaram Emani
Boston Children's Hospital
11:30 a.m. - 11:50 a.m. Valve Sparing Repair of TOF
*Constantine Mavroudis
Florida Hospital for Sick Children
11:50 a.m. - 12:00 p.m. DISCUSSION
12:00 p.m. - 1:30 p.m. SATURDAY SKILLS LUNCHEON
"The Development of a Surgeon"

Delos M. Cosgrove
Cleveland Clinic Foundation
 
Moderator: *Richard Ohye, University of Michigan
 
1:30 p.m. - 1:50 p.m. The Norwood Procedure
*James S. Tweddell
Medical College of Wisconsin
1:50 p.m. - 2:10 p.m. Postoperative Management after the Norwood
*Jennifer C. Hirsch-Romano
University of Michigan
2:10 p.m. - 2:30 p.m. The Hybrid Stage 1
*Mark E. Galantowicz
Nationwide Children's Hospital
2:30 p.m. - 2:50 p.m. Postoperative Management after the Hybrid Stage 1
Steven Schwartz
Hospital for the Sick Children
2:50 p.m. - 3:15 p.m. DISCUSSION
3:15 p.m. - 3:45 p.m. BREAK
Moderator: *V. Mohan Reddy, Stanford University
3:45 p.m. - 4:05 p.m. Aortic Valve Repair
Viktor Hraska
German Pediatric Heart Centre
4:05 p.m. - 4:10 p.m. DISCUSSION
4:10 p.m. - 4:30 p.m. Management of the Symptomatic Neonate with TOF: Initial Palliation
Christian Brizard
Royal Children's Hospital
4:30 p.m. - 4:50 p.m. Management of the Symptomatic Neonate with TOF: Primary Repair
*Glen Van Arsdell
Hospital for Sick Children
4:50 p.m. - 5:00 p.m. DISCUSSION

General Thoracic Skills and Decision Making
Mastering Techniques and Decision Making

8:00 a.m. - 5:00 p.m.
Course Chair: *Nasser K. Altorki, New York Hospital-Cornell Medical Center
8:00 a.m. - 8:10 a.m. Welcome and Introduction
*Nasser K. Altorki
New York Hospital-Cornell Medical Center
8:10 a.m. - 8:25 a.m. Navigational Bronchoscopy: From Diagnosis to Therapy
*Jeffrey L. Port
Weill Cornell Medical College
8:25 a.m. - 8:30 a.m. DISCUSSION
8:30 a.m. - 8:45 a.m. Endoscopic Therapy of the Airway
Moishe Liberman
Centre Hospital de l'Universite de Montreal
8:45 a.m. - 8:50 a.m. DISCUSSION
8:50 a.m. - 9:05 a.m. Endoscopic Therapy for Early Esophageal Cancer: EMR and ESD
Lorenzo E. Ferri
Montreal General Hospital
9:05 a.m. - 9:10 a.m. DISCUSSION
9:10 a.m. - 9:25 a.m. Peroral Endoscopic Myotomy
*Steven R. DeMeester
University of Southern California
9:25 a.m. - 9:30 a.m. DISCUSSION
9:30 a.m. - 9:45 a.m. Transcervical Mediastinal Lymphadenectomy
*Marcin Zielinski
Pulmonary Hospital
9:45 a.m. - 9:50 a.m. DISCUSSION
9:50 a.m. - 10:20 a.m. BREAK
10:20 a.m. - 10:35 a.m. Minimally Invasive Sublobar Resections
Rodney J. Landreneau
Ochsner Medical Center
10:35 a.m. - 10:40 a.m. DISCUSSION
10:40 a.m. - 10:55 a.m. Robotic-assisted Anatomical Lung Resection
*Robert J. Cerfolio
University of Alabama at Birmingham
10:55 a.m. - 11:00 a.m. DISCUSSION
11:00 a.m. - 11:15 a.m. Techniques for Reconstruction of the Diaphragm and Pericardium
*David J. Sugarbaker
Brigham & Women's Hospital
11:15 a.m. - 11:20 a.m. DISCUSSION
11:20 a.m. - 11:35 a.m. Resection of Lung Cancer Invading the Mediastinum
*Philippe G. Dartevelle
Centre de Chirurgie Marie Lannelongue
11:35 a.m. - 11:40 a.m. DISCUSSION
11:40 a.m. - 11:55 a.m. Innovations in Airway Surgery: Tracheal Replacement and Beyond
*Paolo Macchiarini
Karolinska Institutet
11:55 a.m. - 12:00 p.m. DISCUSSION
12:00 p.m. - 1:30 p.m. SATURDAY SKILLS LUNCHEON (825mb)
"The Development of a Surgeon"

Delos M. Cosgrove
Cleveland Clinic Foundation
12:00 p.m. - 1:30 p.m. LUNCH
1:30 p.m. - 1:45 p.m. Laparoscopic Repair of Giant Hiatal Hernia
*Nasser K. Altorki
New York Hospital-Cornell Medical Center
1:45 p.m. - 1:50 p.m. DISCUSSION
1:50 p.m. - 2:05 p.m. Reoperative Laparoscopy for Benign Esophageal Disease
*Raphael Bueno
Brigham & Women's Hospital
2:05 p.m. - 2:10 p.m. DISCUSSION
2:10 p.m. - 2:25 p.m. Alternate Conduits for Esophageal Reconstruction - The Supercharged Jejunum
*Stephen G. Swisher
University of Texas
2:25 p.m. - 2:30 p.m. DISCUSSION
2:30 p.m. - 2:45 p.m. Tricks and Pitfalls of MIE
*James D. Luketich
University of Pittsburgh
2:45 p.m. - 2:50 p.m. DISCUSSION
2:50 p.m. - 3:05 p.m. Robotic-assisted Esophagectomy
*Kemp H. Kernstine
University of Texas Southwestern
3:05 p.m. - 3:10 p.m. DISCUSSION
3:10 p.m. - 3:40 p.m. BREAK
3:40 p.m. - 3:50 p.m. Post-pneumonectomy Empyema : Are Eloesser Flap and Clagget Window History?
*Walter Weder
University Hospital Zurich
3:50 p.m. - 3:55 p.m. DISCUSSION
3:55 p.m. - 4:05 p.m. Management of the Post-resectional Space
*Daniel L. Miller
Emory University
4:05 p.m. - 4:10 p.m. DISCUSSION
4:10 p.m. - 4:20 p.m. Prevention and Management of Intraoperative Complications During Vats Lobectomy
*Robert J. McKenna
Cedars Sinai Medical Center
4:20 p.m. - 4:25 p.m. DISCUSSION
4:25 p.m. - 4:35 p.m. Step by Step Management of Anastomotic Leaks after Esophagectomy
*Richard J. Finley
University of British Columbia
4:35 p.m. - 4:40 p.m. DISCUSSION
4:40 p.m. - 4:50 p.m. Post-esophagectomy Airway Fistulas
*Sudish C. Murthy
Cleveland Clinic
4:50 p.m. - 5:00 p.m. DISCUSSION

Allied Health Personnel Symposium
Advancing the Practice of Patient Care in Cardiothoracic Surgery
7:30 a.m. - 5:00 p.m.
Course Co-Chairs: *Stephen C. Yang, Johns Hopkins University
Katherine J. Hoercher, Cleveland Clinic
Assistants in Cardiovascular Surgery (APACVS) In Collaboration with the Association of Physician
Assistants in Cardiovascular Surgery (APACVS)
Now in its fourth year, this symposium will provide allied health personnel, including nurses, nurse practitioners, perfusionists, and physician assistants ,as well as surgeons, the most up-to-date evidence-based practices to promote optimal patient outcomes in cardiothoracic surgery. Case studies, didactic presentations, and panel discussions will provide an opportunity for attendees to enhance perioperative and post operative clinical skills.

The program will specifically address percutaneous and robotic assisted surgery, common postoperative issues including atrial fibrillation, glucose control, and chest tubes, and decision making and management of the LVAD recipient. Additionally, as cardiothoracic surgery continues to move toward team based care, this program will provide participants with an overview on how to incorporate different members of the care team to improve patient outcomes and operate practices more effectively and seamlessly.

Educational Objectives
At the conclusion of this course, the participants will be able to:

  • Describe the increasing role of non physician providers in the care of the cardiovascular surgical patient.
  • Apply strategies for managing CV surgical patients in the perioperative and postoperative arena.
  • Apply new knowledge in the management of patients on long term LVAD support.
  • Explain the advantages and limitations of surgical and interventional therapies based on individual case parameters and accepted guidelines.
7:30 a.m. - 7:40 a.m. Welcome and Opening Remarks
Advances in Patient Centered Care: Improving Outcomes
Moderator: Jonathan Sobel, North Shore LIJ Health System, APACVS
7:40 a.m. - 8:00 a.m. Developing a Multidisciplinary Team Model of Comparative Effectiveness Outcomes in Cardiothoracic Surgery
*W. Randolph Chitwood
East Carolina University
8:00 a.m. - 8:20 a.m. The Expanding Role of the Nurse Practitioner and Physician Assistant Across the Continuum of Care for the CTS Patient: Preoperative, Postoperative, and After Discharge
Jane MacIver
Toronto General Hospital
8:20 a.m. - 8:40 a.m. Impact of Prolonged ICU Stay on In-hospital Mortality, Long Term Survival, and Resource Allocation
*Gorav Ailawadi
University of Virginia
8:40 a.m. - 9:00 a.m. Simulation as an Inter-professional Educational Tool in Cardiothoracic Surgery
*Stephen C. Yang
Johns Hopkins University
9:00 a.m. - 9:30 a.m. BREAK
Advanced Techniques in CT Surgery: Percutaneous, Minimally Invasive, and Conventional Approaches
Moderator: David E. Lizotte, Rockingham Memorial Hospital, APACVS
9:30 a.m. - 9:50 a.m. PCI versus CABG: Long Term Outcomes in Real World Patients versus those in RCTs
*Joseph F. Sabik
Cleveland Clinic
9:50 a.m. - 10:10 a.m. Mitral Valve Repair: Robotic, Percutaneous, or "Old Fashioned Surgery"?
*Robert A. Dion
Ziekenhuis Oost-Limburg
10:10 a.m. - 10:30 a.m. TAVR versus Surgical Repair
*Fredrick L. Grover
University of Colorado
10:30 a.m. - 10:50 a.m. Outcomes of Endoscopic versus Open Vein Harvesting in CABG: Conduit Quality and Early Graft Patency
*Jonathan Sobel
North Shore LIJ Health System, APACVS
10:50 a.m. - 11:10 a.m. Percutaneous Support Options for Cardiogenic Shock
Cyril Serrick
Toronto General Hospital
11:10 a.m. - 11:30 a.m. Alternatives to Surgical Resection for Early Stage Lung Cancer
*Neil Christie
Shadyside Hospital
11:30 a.m. - 12:00 p.m. Robotics for Thoracic Surgery: Indications and Outcomes
*Benjamin Lee
Valley Health Systems
12:00 p.m. - 1:30 p.m. SATURDAY SKILLS LUNCHEON
"The Development of a Surgeon"

Delos M. Cosgrove
Cleveland Clinic Foundation
Advancing Intraoperative and Perioperative Skills in CT Surgery
Moderator: *Stephen C. Yang, Johns Hopkins University
1:30 p.m. - 1:45 p.m. Advances in Intraoperative Blood Conservation
Cyril Serrick
Toronto General Hospital
1:45 p.m. - 2:00 p.m. Management of Pacing Wires after Cardiac Surgery
David E. Lizotte
Rockingham Memorial Hospital, APACVS
2:00 p.m. - 2:15 p.m. Management of Chest Tubes and Air Leaks
Emily Kluck
Johns Hopkins University, APACVS
2:15 p.m. - 2:30 p.m. Management of the Postpneumonectomy Patient
Emily Kluck
Johns Hopkins University, APACVS
2:30 p.m. - 2:45 p.m. Accelerated Recovery Protocol: Who, When, How?
Shannon Pengel
Cleveland Clinic
2:45 p.m. - 3:00 p.m. Post Operative Glucose Control
Shannon Pengel
Cleveland Clinic

Myra Cook
Cleaveland Clinic
3:00 p.m. - 3:15 p.m. Postoperative Atrial Fibrillation: Prophylaxis and Management
*Stephen C. Yang
Johns Hopkins University
3:15 p.m. - 3:45 p.m. BREAK
Advanced Surgical Management of Heart Failure
Moderator: Katherine Hoercher, Cleveland Clinic
3:45 p.m. - 4:20 p.m. Point/Counterpoint: Definitive Therapy for Advanced Heart Failure in 2014
Why LVAD Should Now Be the First Choice for Permanent Replacement
Scott C. Silvestry
Washington University
Heart Transplant is Still the Best Option and Should be the First Choice
Edward G. Soltesz
Cleveland Clinic
Rebuttal and Discussion
4:20 p.m. - 4:40 p.m. Intraoperative and Immediate Postoperative Management of the LVAD Patient
Jane MacIver
Toronto General Hospital
4:40 p.m. - 5:00 p.m. Incidence, Risk factors, and Management of LVAD Thrombus
*Daniel Goldstein
Montefiore Medical Center

Cardiothoracic Transplant and Mechanical Circulatory Support of Heart and Lung Failure
Mastery of the Management of End-Stage Heart and Lung Failure

8:00 a.m. - 5:05 p.m.
Course Chair: *R. Duane Davis, Duke University
The surgical management of end-stage heart and lung failure has dramatically evolved over the past decade. Mechanical circulatory support as a therapy for end-stage heart failure continues to evolve with new technologies, improvements in management, treatment of complications and evolution of operative techniques allowing outcomes that are approximating those achieved with heart transplantation. More frequently, heart transplantation is occurring after mechanical circulatory support and following palliative procedures for congenital heart disease.

Educational Objectives
At the conclusion of this course, the participants will be able to:

  • Classify patients with advanced heart failure and appropriately apply mechanical circulatory support to improve the quality of life and survival.
  • Manage post MCS complications and more appropriately bridge appropriate patients to heart transplantation.
  • Describe the complexities and strategies to better apply MCS and heart transplantation to heart failure associated with congenital heart disease.
  • Identify appropriate candidates for lung transpantation and how to appropriately bridge them to transplant.
  • Improve the number and quality of lung allografts available for transplantation.
8:00 a.m. - 8:10 a.m. Introduction
*R. Duane Davis
Duke University
8:10 a.m. - 8:30 a.m. Technology 101: Review of Current Technologies, Types of Flow, Pump Parameters
*Francis D. Pagani
University of Michigan
8:30 a.m. - 8:45 a.m. Lessons from Intermacs-What are the Outcomes and Where Should We Focus Our Energies?
*James K. Kirklin
University of Alabama at Birmingham
8:45 a.m. - 9:00 a.m. Patient Assessment?? When is the Patient "Sick Enough" to Implant MCS? RV Assessment and Prediction, End? Organ Assessment, Timing of Implantation
*Hermann Reichenspurner
University Hospital Eppendorf
9:00 a.m. - 9:20 a.m. Implantation 101: Overview of the Most Crucial Surgical Considerations: Inflow Cannula/Pump Placement, Driveline, etc.
*Nader Moazami
Cleveland Clinic
9:20 a.m. - 9:35 a.m. Matching Pumps to Patients: Considerations for Device Type, Type of Flow Based Upon Patient Factors
*Mark S. Slaughter
University of Louisville
9:35 a.m. - 10:00 a.m. BREAK
  VADs Gone Bad? Managing the Complications
 
10:00 a.m. - 10:20 a.m. Infection, Hemolysis, Clotting and Bleeding, and Aortic Insufficiency
*Carmelo A. Milano
Duke University
10:20 a.m. - 10:35 a.m. What to Do When the RV Fails- Existing and Emerging Strategies to Assist the Right Ventricle
*Vivek Rao
Toronto General Hospital
10:35 a.m. - 10:50 a.m. What's Coming: New Device and Technologies
Coming to You - Percutaneous VAD Support, Applications and Limitations and the New Toys

Scott C. Silvestry
Washington University/Barnes Jewish Hospital
10:50 a.m. - 11:10 a.m. MCS for Congenital Cardiac Disease in Children and Adult
*David L. Morales
Cincinnati Children's Hospital
11:10 a.m. - 11:30 a.m. Finance 101: What Do You Need to Know to Build and Run a Successful MCS Program? - Team Composition, Clinic Structure, Focused Medical Management (BP, Rhythms, etc.), Rehab
*Michael A. Acker
University of Pennsylvania
11:30 a.m. - 11:45 a.m. Transplant For Patients with Congenital Heart Disease; Strategies and Techniques
*Jonathan M. Chen
Seattle Children's Hospital
11:45 a.m. - 12:00 p.m. Cardiac Transplant for LVAD Bridged Patients: Strategies, Techniques and Outcomes
*Valluvan Jeevanandam
University of Chicago
12:00 a.m. - 1:30 a.m. SATURDAY SKILLS LUNCHEON
"The Development of a Surgeon"

Delos M. Cosgrove
Cleveland Clinic Foundation
 
Lung Transplantation and ECMO
 
1:30 p.m. - 1:40 p.m. Introduction
*R. Duane Davis
Duke University
1:40 p.m. - 2:00 p.m. In the Modern Era of LAS, Who is an Acceptable Recipient?- Update on Listing Guidelines
Lianne Singer
University of Toronto
2:00 p.m. - 2:20 p.m. Who to Bridge, How to Bridge to Transplant? Ambulatory ECMO vs. Vent vs. Just Say No? Patient Selection, Technical Aspects of Cannulation, How to Organize the Team and the Service
*Marc De Perrot
Toronto General Hospital
2:20 p.m. - 2:40 p.m. What's a Usable Donor? Steps to Achieve the Highest Transplant Rate
Matthew Hartwig
Duke University
2:40 p.m. - 3:00 p.m. Resuscitating the Unusable Lung?? EVLP and Other Strategies
*Shaf Keshavjee
Toronto General Hospital
3:00 p.m. - 3:30 p.m. How to do a Lung Transplant-Technical Pearls - Make it Easy, Reproducible and Improve Outcome
*John H. Dark
The Freeman Hospital
Panel Discussion:
*Shaf Keshavjee, Toronto General Hospital
*R. Duane Davis, Duke University
*Kenneth R. McCurry, Cleveland Clinic
3:30 p.m. - 3:50 p.m. BREAK
3:50 p.m. - 4:05 p.m. How to Prevent PGD-Lessons Learned from LTOG
*Ashish S. Shah
Johns Hopkins University
4:05 p.m. - 4:20 p.m. ECMO as a Bridge to Recovery-Setting Up an ECMO Program
Charles Hoopes
University of Kentucky
4:20 p.m. - 4:35 p.m. Post Operative Management: What's New, What's Old, What's Good
*Michael S. Mulligan
University of Washington
4:35 p.m. - 4:50 p.m. Tricks Needed to Build a Large Transplant Program-How to do More Than a Hundred
*Kenneth R. McCurry
Cleveland Clinic
4:50 p.m. - 5:05 p.m. What You Need To Know To Build and Run a Lung Transplant and ECMO Program
*R. Duane Davis
Duke University
Ethics Forum: Surgical Ethics Course
In Collaboration with the Department of Surgery at University of Toronto

8:00 a.m. - 4:30 p.m.
Course Chair Co-Chairs: *Martin F. McKneally, University of Toronto
*Robert M. Sade, University of South Carolina
  A one day intensive course focused on ethical issues faced by practicing surgeons will be presented at the Annual Meeting of the American Association for Thoracic Surgery in Toronto on Saturday, April 26, 2014. Topics to be discussed include innovation, the learning curve, donation after cardiac death, industry reps in the OR, explaining mistakes to patients, the ethics of social media, misconceptions of informed consent, declining competence of surgeons, and life sustaining treatment.
The day is divided into one-hour sessions on specific topics, with three speakers on individual topics, each speaking for 10 minutes. The remaining 30 minutes is for a panel discussion by the speakers and ethicists. This format will encourage active discussion between faculty and participants. Speakers will include clinical surgeons and ethicists experienced in addressing and solving these problems.

Educational Objectives
At the conclusion of this course, the participants will be able to:

  • Apply the impact of ethical issues on clinical practice and research.
  • Explain the ethical foundations for dealing with issues of informed consent, conflict of interest, innovation & clinical research, and end of life care.
  • Provide reliable guidance on end of life care.
  • Provide reliable guidance on donation after cardiac death.
View Online Ethics Forum: Surgical Ethics Course Booklet

8:00 AM Introduction
*Martin F. McKneally,University of Toronto
*Robert M. Sade,Medical University of South Carolina
 
8:30 AM End of-life Issues
Who Decides When Treatment is Futile?
*Leslie J. Kohman
SUNY Update Medical University
Donation after Cardiac Death
Bobby Yanagawa
University of Toronto
LVAD as Destination Therapy
*Vivek Rao
Toronto General Hospital
Panel Discussion:
*Leslie J. Kohman, SUNY Update Medical University
Bobby Yanagawa, University of Toronto
*Vivek Rao, Toronto General Hospital
Linda Wright, University of Toronto
John W. Hammon, Jr., Wake Forest University
 
9:30 AM Consent
Was that Consent Informed?
*Thomas A. D'Amico
Duke University
Was that Consent Voluntary?
Jane MacIver
Toronto General Hospital
Does Preop Consent Include Life-Sustaining Treatment?
*Martin F McKneally
University of Toronto
Panel Discussion:
*Thomas A. D'Amico, Duke University
Jane MacIver, Toronto General Hospital
*Martin F. McKneally, University of Toronto
*Susan D. Moffatt-Bruce, Ohio State University
Karen M. Devon, University of Toronto
10:30 AM BREAK
11:00 AM Surgical Competance
Resident Readiness to Operate
*John W. Hammon, Jr.
Wake Forest University
Competence in New Technologies
Jennifer L. Ellis
MedStar Heart Institute/Cleveland Clinic Heart and Vascular Institute
Managing Declining Competence of Surgeons
*Susan D. Moffatt-Bruce
Ohio State University
Panel Discussion:
*John W. Hammon, JR., Wake Forest University
Jennifer L. Ellis, MedStar Heart Institute/Cleveland Clinic Heart and Vascular Institute
Susan D. Moffatt-Bruce, Ohio State University
Martin F. McKneally, University of Toronto
Thomas A. D'Amico, Duke University
 
12:00 p.m. SATURDAY SKILLS LUNCHEON
"The Development of a Surgeon"
*Delos M. Cosgrove
Cleveland Clinic Foundation
 
1:30 p.m. Communication
Social Media
Karen M. Devon
University of Toronto
Telemedicine (Including Live Broadcast)
Kathleen Fenton
International Children's Heart Foundation
Explaining Mistakes to Patients
*Richard I. Whyte
Harvard Medical School
Panel Discussion:
Karen M. Devon, University of Toronto
Kathleen Fenton, International Children's Heart Foundation
*Richard I. Whyte, Harvard Medical School
*Thomas A. D'Amico, Duke University
*Robert M. Sade, Medical University of South Carolina
 
2:30 p.m. Conflict of Interest
Device Reps In The Operating Room
Tom Theruvath
Medical University of South Carolina
Gifts/Grants from Companies
*Michael J. Mack
Baylor Health Care System
Non-financial Conflicts
*John S. Ikonomidis
Medical University of South Carolina
Panel Discussion:
Tom Theruvath, Medical University of South Carolina
*Michael J. Mack, Baylor Health Care System
*John S. Ikonomidis, Medical University of South Carolina
*Robert M. Sade, Medical University of South Carolina
*Richard I. Whyte, Harvard Medical School
 
3:30 p.m. Innovation and Research
When Does Innovation Become Research?
*Michael J. Mack
Baylor Health Care System
Professional Oversight of Surgical Innovation
*Paul W. Fedak
Foothills Medical Center
Future of Surgical Ethics
*Robert M. Sade
Medical University of South Carolina
Panel Discussion:
*Michael J. Mack, Baylor Health Care System
*Paul W. Fedak, Foothills Medical Center
*Robert M. Sade, University of South Carolina
*Martin F. McKneally, University of Toronto
Jennifer L. Ellis, MedStar Heart/Institute/Cleveland Clinic Heart and Vascular Institute
4:30 p.m. ADJOURN
6:00 p.m. EBUS Hands-On Session (Separate Registration Required)
Location: Toronto Medical Discovery Tower
6:00 p.m. ECLS Hands-On Session (Separate Registration Required)
Location: The Michener Institute for Applied Health Sciences
6:00 p.m. Three-Dimensional Echocardiography Workshop for Congenital Heart Surgeons (Separate Registration Required)


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All rights reserved. IMPORTANT REMINDER: The preceding information is intended only to provide general guidance and not as a definitive basis for diagnosis or treatment in any particular case. It is very important that you consult a doctor about any specific medical problem or question.