University of South Carolina-Palmetto Health Richland Continuing Medical Education Organization General Surgery Update June 1-4, 2009 Sea Pines Resort, Hilton Head Island, South Carolina Moderators Richard M. Bell, MD, FACS Professor and Chairman Stephen A. Fann, MD, FACS Associate Professor Department of Surgery University of South Carolina School of Medicine

Monday - June 1, 2009
6:45 am - 7:15 am	Registration and Continental Breakfast
7:15 am - 7:25 am	Welcome, Disclosures and Opening Remarks
7:25 am - 8:25 am	"What is Happening to General Surgery: Some Real-Life Solutions to Some Real-Life Problems" Spencer M. Taylor, MD, FACS
8:25 am - 9:25 am	"Tips and Tricks for Minimally Invasive Access to the Re-operative Abdomen" Kent W. Kercher, MD, FACS
9:25 am - 10:25 am	"Breast Imaging 2009" Judy C. Boughey, MD, FACS
10:25 am - 10:40 am	Break
10:40 am - 11:40 am	"Rural Surgeons and the Information Highway" John A. Weigelt, MD, DVM, FACS
11:40 am - 12:40 pm	"Hemodynamic Monitoring: Current State of Non-Invasive Monitoring" Virginia A. Eddy, MD, FACS
12:40 pm - 1:05 pm	Panel: Case Presentations Moderator: Stephen A. Fann, MD, FACS
1:05 pm - 1:15 pm	Summary and Evaluation
Tuesday - June 2, 2009
6:45 am - 7:15 am	Registration and Continental Breakfast
7:15 am - 7:25 am	Welcome, Disclosures and Opening Remarks
7:25 am - 8:25 am	"Physician/Hospital Partnerships: Viability, Implications, and Complications" John A. Weigelt, MD, DVM, FACS
8:25 am - 9:25 am	"Minimally-Invasive Approaches to Colonic Pathology" Kent W. Kercher, MD, FACS
9:25 am - 10:25 am	"Renal Replacement Therapies in Acute Renal Failure" Virginia A. Eddy, MD, FACS
10:25 am - 10:40 am	Break
10:40 am - 11:40 am	"Breast Cancer: Where is the Current Frontier" Judy C. Boughey, MD, FACS
11:40 am - 12:40 pm	"Vascular Surgical Outcomes: Conventional Wisdom versus the Cold Hard Truth" Spencer M. Taylor, MD, FACS
12:40 pm - 1:05 pm	Panel: Case Presentations
1:05 pm - 1:15 pm	Closing Remarks, Summary, Evaluation and Adjourn
Wednesday - June 3, 2009
6:45 am - 7:15 am	Registration and Continental Breakfast
7:15 am - 7:25 am	Welcome, Disclosures and Opening Remarks
7:25 am - 8:25 am	"Laparascopic Splenectomy: Does Size Matter?" Kent W. Kercher, MD, FACS
8:25 am - 9:25 am	"Nutritional Support: Who, When, How, and its Complications" Virginia A. Eddy, MD, FACS
9:25 am - 10:25 am	"When It's Not Breast Cancer, but the Problem is Just as Bad" Judy C. Boughey, MD, FACS
10:25 am - 10:40 am	Break
10:40 am - 11:40 am	"The Management of the Diabetic Foot: New and Old" Spencer M. Taylor, MD, FACS
11:40 am - 12:40 pm	"Pay for Performance and PQRI" John A. Weigelt, MD, DVM, FACS
12:40 pm - 1:05 pm	Panel: Case Presentations
1:05 pm - 1:15 pm	Closing Remarks, Summary, Evaluation, and Adjourn
Thursday - June 4, 2009
6:45 am - 7:15 am	Registration and Continental Breakfast
7:15 am - 7:25 am	Welcome, Disclosures and Opening Remarks
7:25 am - 8:25 am	"Surgery in the Pregnant Patient" Judy C. Boughey, MD, FACS
8:25 am - 9:25 am	"Laparoscopic versus Open Inguinal Hernia Repair: Why the Controversy?" Kent W. Kercher, MD, FACS
9:25 am - 10:25 am	"Common Vascular Surgery Problems Encountered by the General Surgeon" Spencer M. Taylor, MD, FACS
10:25 am - 10:40 am	Break
10:40 am - 11:40 am	"CME" John A. Weigelt, MD, DVM, FACS
11:40 am - 12:40 pm	"Trauma Care in the Next Decade" Who Will be There?" Virginia A. Eddy, MD, FACS
12:40 pm - 1:05 pm	Panel: Case Presentations
1:05 pm - 1:15 pm	Closing Remarks, Summary, Evaluation and Adjourn

Educational Objectives: As a result of attending these sessions, participants should be able to:

Use axillary ultrasound for pre-op axillary staging for patients with breast cancer. Identify patients who are candidates for MRI screening for breast cancer. Apply new imaging technologies for patients with newly diagnosed breast cancer. Apply criteria to determine which patients are appropriate candidates for sentinel node biopsy. Identify patients who are candidates for neo adjuvant therapy. Integrate oncoplastic breast surgery principles into clinical practice. Differentiate between patients who are and are not candidates for nipple sparing mastectomy. Identify key timing for surgical interventions in pregnant patients. Discuss the impact of missed surgical conditions in pregnant patients. Appropriately position and monitor the pregnant patient during surgery. Recognize which patients are candidates for nonsurgical treatment as a temporizing measure for surgical conditions. Recognize the characteristics that differentiate a phyllodes tumor from a fibroadenoma with respect to diagnosis and management. Outline the diagnosis and treatment management algorithm of nipple discharge. Recognize differences and management of lactational and nonlactational breast abscesses. Identify patients who are candidates for prophylactic surgery. Identify which patients are candidates for nutritional support. Apply principles of nutritional monitoring to patients' care. Identify early renal dysfunction and apply management principles to obviate the need for dialysis. Integrate principles of renal replacement therapy for patients with specific needs. Identify patients who are candidates for noninvasive monitoring. Integrate novel monitoring technology into clinical practice. Outline current strategies to ensure the availability of trauma care resources for the future. Identify potential financial resources to support trauma care. Apply appropriate elements of E/M coding. Apply special strategies for compliance with pay for performance policies. Integrate specific benchmarks developed for pay for performance into clinical practice. Define physician/hospital partnerships. Identify benefits of physician/hospital partnerships. Recognize pitfalls in physician/hospital partnerships. Apply principles of practiced based improvement to CME activities. Define opportunities for a consistent program for independent CME. Identify products that can be helpful for self directed CME. Identify strategies to access electronic sources of medical information. Define electronic sources of medical information. Incorporate electronic media into clinical practice. Identify patients with potential for a hostile abdomen. Apply innovative techniques for safe access with minimally invasive technology. Recognize patients who are or are not candidates for laparoscopic splenectomy. Apply innovative techniques for removal of difficult spleens with the laparoscope. Integrate oncologic surgical principles into minimally invasive colonic surgery. Recognize appropriate candidates for minimally invasive colonic resections. Implement technical innovations for successful completion of minimally invasive colonic procedures. Identify the role of laparoscopic inguinal herniorrhaphy in clinical practice. Apply the principles of surgical technique to salvage difficult groin hernia dissections. Apply sound surgical practice to the diabetic foot. Integrate diabetic foot care and surveillance. Integrate a multidisciplinary approach to the diabetic extremity. Incorporate the principles of multidisciplinary care into the management of the patient with peripheral vascular disease. Utilize techniques of evaluation to identify the nonreconstructible vascular patient. Incorporate the use of a management algorithm for acute limb ischemia when vascular surgical expertise is not available. Apply management principles for care of the ruptured abdominal aortic aneurysm. Apply diagnostic criteria to differentiate the various types of extremity ulcerations. Outline current strategies to ensure the future of general surgery. Apply strategies to protect the traditional purview of the general surgeon.

Faculty:
	Judy C. Boughey, MD, FACS Senior Associate Consultant Department of Surgery Mayo Clinic Rochester, Minnesota Assistant Professor of Surgery College of Medicine Mayo Clinic Rochester, Minnesota		Virginia Eddy, MD, FACS Professor of Surgery Tufts University Director of Undergraduate Surgical Education Maine Medical Center Portland, Maine
	Spence Taylor, MD, FACS Assistant Dean for Academic Affairs Greenville Hospital System University Medical Center Greenville, South Carolina Chairman and Clinical Professor Department of Surgery University of South Carolina School of Medicine Greenville Campus Greenville, South Carolina		John Weigelt, MD, DVM, FACS Professor of Surgery Medical College of Wisconsin Chief of Critical and Trauma Surgery Froedtert Hospital Milwaukee, Wisconsin
	Kent Kercher, MD, FACS Chief Minimal Access Surgery Co-Director Carolinas Laparoscopic and Advanced Surgery Program Co-Director The Carolinas Hernia Center Carolinas Medical Center Charlotte, North Carolina		Stephen A. Fann, MD, FACS Moderator Associate Professor Department of Surgery University of South Carolina School of Medicine Columbia, South Carolina
	Richard M. Bell, MD - Moderator Professor and Chairman Department of Surgery University of South Carolina School of Medicine Columbia, South Carolina

Purpose Statement:

The purpose of this activity is to enhance physicians' competence in the ACGME/ABMS competency areas. This activity includes an update on the recent advances made in the clinical and surgical management of the most common problems seen in the practice general surgery.

Target Audience:

This course is designed for the practicing general surgeon, other surgeons, and those interested in general surgery.

Educational Format:

The format for this course consists of 45-minute lectures, each followed by a 15-minute question and answer period in which participants will also be encouraged to discuss with faculty potential barriers to implementation of new practice strategies. There will be a panel discussion of a case each day. The sessions are designed to facilitate exchange of information and dialogue between presenting faculty and participants.

Statement of Accreditation:

"The University of South Carolina School of Medicine-Palmetto Health Richland Continuing Medical Education Organization is accredited by the Accreditation Council for Continuing Medical Educational to provide continuing medical education for physicians."

Designation Statement:

"The USCSOM-PHR CME Organization designates this educational activity for a maximum of 22.25 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity."

Educational Planning Committee:

Richard M. Bell, MD, FACS Professor and Chairman Medical Director Department of Surgery University of South Carolina School of Medicine Columbia, South Carolina Stephen A. Fann, MD, FACS Associate Professor Department of Surgery University of South Carolina School of Medicine Columbia, South Carolina Morris J. Blachman, PhD Assistant Dean Continuing Medical Education & Faculty Development University of South Carolina School of Medicine Columbia, South Carolina LouAnn Morris, MEd Director, Training and Development Continuing Medical Education & Faculty Development University of South Carolina School of Medicine Columbia, South Carolina

If you would like to register for this course, click here.