APACVS 35th Annual Meeting, March 13 - 16, 2016, Green Valley Ranch, Las Vegas, Nevada
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35th Annual Meeting Preliminary Program

Physician Assistant Review Panel This program has been reviewed and is approved for a maximum of 32 credits available for any one learner with all sessions being eligible for a total of 91.75 AAPA Category 1 CME credit by the Physician Assistant Review Panel. Physician assistants should claim only those hours actually spent participating in the CME activity.

This program was planned in accordance with AAPA's CME Standards for Live Programs and for Commercial Support of Live Programs.

APACVS 35th Annual Meeting, Cardiac Self-Assessment 03/14/2016 1 AAPA Category 1 Self-Assessment Credit

APACVS 35th Annual Meeting, Thoracic Self-Assessment 03/15/2016 1 AAPA Category 1 Self-Assessment Credit

APACVS 35th Annual Meeting, Vascular Self-Assessment 03/16/2016 1 AAPA Category 1 Self-Assessment Credit

APACVS 35th Annual Meeting, Critical Care Self-Assessment 03/15/2016 1 AAPA Category 1 Self-Assessment Credit

Physician Assistant Review Panel Self-Assessment CME This Self-Assessment CME program has been reviewed and is approved for a maximum of 4.00 AAPA Category 1 Self-Assessment CME credits by the Physician Assistant Review Panel. Approval is valid for one year from the release date of 03/14/2016. Physician Assistants should claim only the credit commensurate with the extent of their participation in the activity. This program was planned in accordance with AAPA's CME Standards.

Saturday, March 12, 2016
1400-1800 Registration
1500-1700 Maquet Pre-Conference Workshop *Pre-Registration Required
Del Sol Room
Expanding Horizons, a workshop for Thought Leaders:
Expand your knowledge on the newest opportunities in EVH and PleuraFlow, in roundtable discussions with your colleagues. Discuss EVH as the procedure of choice for vessel harvesting in the last 20 years. Learn about PleuraFlow, a recent recipient of the Novation Innovative Technology award, designed for preventing retained blood in the chest cavity.
 
Sunday, March 13, 2016
0630-1730 Registration
0730-1200 LAB: BIOSKILLS/CRITICAL SKILLS PROCEDURAL COURSE**
MERIN Lab (Off-property) – Transportation Departs at 0700
Course Chair: Steven M. Gottesfeld, PA-C
Sharp Memorial Hospital, San Diego, CA
Course Faculty: Cindy Carlotti, RRT
Winthrop University Hospital, Mineola, NY
  Robert Carlucci, PA-C
Mount Sinai Beth Israel, New York, NY
  Hugo Gomez-Engler, MD
Alvarado Hospital, La Mesa, CA
  Ryan O’Gowan, PA-C
Saint Vincent Hospital, Worcester, MA
  Karl Limmer, MD
Sharp Memorial Hospital, San Diego, CA
The Bioskills/Critical Skills Procedural Course provides the guided hands-on experience needed to master the following skills. A combination of practice on mannequins and cadavers will give attendees practical experience needed to excel.
  1. Cadaveric Bronchoscopy
  2. Percutaneous Tracheostomy/Emergent Croicoidotomy
  3. Chest Tube Placement
  4. Endotracheal Intubation and Mechanical Ventilation
  5. Advanced Hemodynamic Monitoring
Participation will be limited to the first 30 individuals who register.
0730-1630 LAB: VASCULAR EXPOSURE AND ANASTOMOSIS SKILLS COURSE **
The Oquendo Center (Off-property) – Transportation Departs at 0700
Course Chair: Shawn M. Gage, PA-C
Duke University Medical Center, Durham, NC
Course Faculty: Stephen E. Hohmann, MD
Texas Vascular Associates, Dallas, TX
This course is intended to provide an experience for Physician Assistants looking to enter into the field of, or improve their fund of knowledge regarding vascular surgical assistance and operative techniques, as well as provide an orientation to the knowledge and skills required to be effective in the Operating Room. At the conclusion of this activity, participants should be able to:
  • Manage the Physician Assistant – Surgeon Relationship and identify the role of the Physician Assistant in Operative Cases
  • Evaluate the core principles of operative first assistance
  • Demonstrate ability to safely expose and dissect blood
  • Demonstrate basic understanding of how to create a vascular anastomosis
  • Demonstrate the basic skills required of a Physician Assistant in the Operating Room
Participation will be limited to the first 24 individuals who register.
0800-1200 CARDIAC MECHANICAL ASSIST COURSE FOR THE ICU**
La Cascada
Mark Slaughter, MD
University of Louisville, Louisville, KY

The Cardiac Mechanical Assist Course for the ICU includes intense didactic and hands-on instruction in the indications and management of cardiac mechanical assist devices in the ICU. The course will cover the indications, contraindications, and management of patients who require IABP (Intra-Aortic Balloon Pump), MCS (Mechanical Circulatory Support), and LVAD (Left Ventricular Assist Device) support in the ICU. At the conclusion of this activity, participants should be able to:
  • Develop a differential diagnosis and recognize profound cardiogenic shock.
  • Understand the indications and contraindications for Cardiac Mechanical Assist in the ICU.
  • Identify and understand the advantages and disadvantages of common Cardiac Mechanical Assist Devices.
  • Understand the treatment goals and be able to implement a treatment plan.
  • Develop familiarity with common Cardiac Assist Devices and troubleshoot problems.
0800-1730 CARDIAC SURGICAL UNIT ADVANCED LIFE SUPPORT (CSU-ALS)**
El Viento IV
Course Faculty: Adrian Levine, MD
University Hospital of North Staffordshire, Staffordshire, United Kingdom
  Aaron Morton, PA-C
University of Louisville, Louisville, KY
  Timothy Wombacher, PA-C
University of Chicago, Chicago, IL
This course is designed for experienced CVS nurses, NP’s, and PA’s wishing to learn a novel, evidence-based approach to the resuscitation of post-operative heart patients. Using a format similar to Advanced Cardiac Life Support (ACLS), this program will include didactic lectures as well as hands-on practice with emergency pacing, internal and external defibrillation, and open chest resuscitation techniques. At the conclusion of this activity, participants should be able to:
  • Distinguish critical differences between protocols for ACLS versus CALS-S.
  • Discuss common causes of hypotension and their management in the postoperative CVS patient.
  • Identify the appropriate sequencing of emergency procedures to be followed for cardiac arrest in the CVS patient.
  • Obtain hands-on practice with open and closed chest resuscitation scenarios.
Background
In 2003, a group of dedicated UK surgeons embarked upon the development of resuscitation protocols designed specifically for postoperative cardiovascular surgical (CVS) patients. After conducting an exhaustive literature analysis, surgeon surveys, and clinical practicums, they created the Cardiac Surgical Unit Advanced Life Support (CSU-ALS) course. They have partnered with us to create this one-day intensive program for the U.S. that addresses management of postoperative decompensation and emergency re-sternotomy, using a common language for all providers. This approach has been accepted as the official protocol in Europe since 2010. Jill Ley is a member of a U.S. Society of Thoracic Surgeons task force that is currently writing a new guideline for postop resuscitation, which will endorse these concepts.
0100-1800 LAB: ADVANCED STERNAL CLOSURE COURSE**
MERIN Lab (Off-property) – Transportation Departs at 1230
Course Chair: Steven M. Gottesfeld, PA-C
Sharp Memorial Hospital, San Diego, CA
Course Faculty: Robert Carlucci, PA-C
Mount Sinai Beth Israel, New York, NY
  Wendy Cornelius, PA-C
St. Vincent’s Birmingham, Birmingham, AL
  Hugo Gomez-Engler, MD
Alvarado Hospital, La Mesa, CA
  Karl Limmer, MD
Sharp Memorial Hospital, San Diego, CA
The Advanced Sternal Closure Course provides a guided hands-on experience needed to master the following skills. A combination of practice on mannequins and cadavers will give attendees practical experience needed to excel.
  1. Single Wires
  2. Double Wires
  3. Talon Internal Fixation Device
  4. Sternal Plating
  5. Epicardial Pacemaker Wire Placement
  6. Cadaveric Closure Model
Participation will be limited to the first 15 individuals who register.
1200-1700 Thoracoscopic First Assist (TFA)
Estancia C
Course Chair: S. Scott Balderson, PA-C
Section of General Thoracic Surgery
Duke University Medical Center
Course Faculty: Shari Meyerson, MD
Northwestern University, Chicago, IL
  Jeremiah Martin, MB, BCh, FRCSI, FACS
University of Kentucky, Lexington, KY
  Mark Berry, MD
Stanford University, Palo Alto, CA
The Thoracoscopic First Assist Course has been designed to provide an opportunity for those physician assistants who assist in thoracoscopic procedures to immerse themselves in valuable information taught by thought leaders and surgeons on the forefront of thoracoscopic innovation. The course is designed to present a graduated level of instruction from instrumentation and equipment specific to thoracoscopic lobectomy to camera piloting techniques to error detection to assisting on a thoracoscopic lobectomy simulator with world renown faculty.
1400-1700 GENERAL SESSION
La Cascada
1400-1405 Welcome
David Lizotte, PA-C
1405-1500 Susan Lusty Memorial Lecture: The PA Experience in Germany
Prof. Dr. Marcus Hoffmann
1500-1600 Keynote Address: Teamwork and Communication in Cardiovascular Care
Thoralf M. Sundt, III, MD
Listen to Audio I
Listen to Audio II
1600-1700 Lung Transplant Update
Jules Lin, MD
Listen to Audio
1700-1830 Welcome Reception
Exhibit Hall, La SIrena
 
Monday, March 14, 2016
0630-1730 Registration
0630-0730 Continental Breakfast
0730-1200 GENERAL SESSION
La Cascada
0730-0830 Presidential Address
David Lizotte, PA-C
0830-0930 Endocrine Emergencies in the ICU
Joshua Miller, MD
Listen to Audio
0930-1000 Break
1000-1100 Sternal Wound Prevention
Baron L. Hamman, MD
Listen to Audio
1100-1200 Quality Outcomes in Surgery Driven by PAs
Mark Connolly, MD
Listen to Audio
1200-1330 Lunch & Learn: The EVH Experience
Sponsored by: MAQUET
(Non-Accredited)
Estancia DEFG
1330-1800 CONCURRENT BREAKOUT SESSIONS
Cardiac Breakout
La Cascada
1330-1415 TAVR Indications, Outcomes, and Is this the Future of Aortic Valve Surgery
Kendra Grubb, MD
Listen to Audio
1415-1500 TAVR From the Cardiologist's Perspective
Robert Kumar, MD
Listen to Audio
1500-1545 Minimally Invasive AVR: The Savior for Surgical Replacement?
Leonard Y. Lee, MD
Listen to Audio
1545-1600 Break
1600-1645 Open Aortic Valve Replacement: Is this Procedure Here to Stay?
Paul Stelzer, MD
Listen to Audio
1645-1800 Self-Assessment CME
Steven M. Gottesfeld, PA-C
Listen to Audio

Thoracic Breakout
El Viento IV
1330-1400 Lung Cancer Screening
Catherine Hogan, CTTS, ANP-C
1400-1430 The APP and Tobacco treatment Specialist in the Thoracic Surgery Clinic
Hilary Crittenden, MSN, FNP-C
1430-1530 Lung Cancer Staging
Allan Pickens, MD
1530-1600 Break
1600-1700 Management of Complications Post Esophagectomy
Allan Pickens, MD
1700-1800 Surgical Treatment of Emphysema
Joseph Philips, MD

Vascular Breakout
El Viento III
1330-1430 The use of Advanced Practice Providers in a Modern Vascular Surgery Practice
Andrew Lambert, MD
1430-1530 Vascular Access in Elderly Patients: How Do we Address This Challenging and Growing Population?
David Cull, MD
1530-1600 Break
1600-1700 An Overview of Current Dialysis Grafts
Shawn M. Gage, PA-C
1700-1800 The HeRO Graft. Establishing Access in Previously Abandoned Souls
Stephen Hohmann, MD
1900 - 2200 An Evening at the Pool
Opium Terrace at Green Valley Ranch
Sponsored by Maquet Medical Systems, USA
 
Tuesday, March 15, 2016
0630-1730 Registration
0630-0730 Continental Breakfast
0700-0730 APACVS Member Business Meeting (APACVS Members Only)
Listen to Audio
0730-1200 GENERAL SESSION
La Cascada
0730-0830 Management Strategies for Acute Respiratory Distress Syndrome
Aaron Cheng, MD
Listen to Audio
0830-0930 Advanced Management of Acute Sepsis
Craig Hertz, DO
Listen to Audio
0930-1000 Break
1000-1100 New Modalities for Post-Op Pain
Paul Gawry, MS, PA-C
Listen to Audio
1100-1200 Critical Care Case Studies - Self Assessment - CME
Ryan O’Gowan, PA-C
Listen to Audio
1200-1330 Lunch & Learn 1: Venapax® - The Next Frontier in EVH
Sponsored by: Saphena
(Non-Accredited)
La Cascada
Listen to Audio
1330-1800 CONCURRENT BREAKOUT SESSIONS
Cardiac Breakout
La Cascada
1330-1430 Update on the Medical and Surgical management of A-Fib
Erik Altman, MD
Listen to Audio
1430-1530 Percutaneous Mitral Valve Repair/Replacement: A Review of the Present and Future
Robert Kumar, MD
Listen to Audio
1530-1600 Break
1600-1700 Complications After Mitral Valve Surgery
Robin Varghese, MD
Listen to Audio
1700-1800 CANCELLED

Thoracic Breakout
El Viento IV
1330-1400 Robotic Esophagetomy
Rishindra Reddy, MD
1415-1500 Robotic Resection of Advanced Lung Cancer
Rishindra Reddy, MD
1500-1545 Management of Esophagel Perforations
Joseph Philips, MD
1545-1600 Break
1600-1645 Transthoracic vs. Laparoscopic Repair of Hiatal Hernias
Alberto de Hoyos, MD; Claude Deschamps, MD
View de Hoyos Presentation
View Deschamps Presentation
1645-1800 Self-Assessment CME
Shannon Ranella, PA-C, FAPACVS

Vascular Breakout
El Viento III
1330-1430 How to Develop a Successful Exercise Program to Treat Patients with Claudication in a Vascular Surgery Practice
Mary MacDermott, MD
1430-1530 Venous Thoracic Outlet Syndrome: To Take a Rib, or Not to Take a Rib, That's the Question
Chandu Vemuri, MD
1530-1600 Break
1600-1700 CREST II: Challenges, Study Design, and Optimal Medical, Surgical and Endovascular Considerations for Treatment of Carotid Disease
Rishi Kundi, MD
1700-1800 Critical Trials Studying Statin Therapy that you should know
Gregory L. Landry, MD

Fundamental Critical Care Support (FCCS) **
Estancia
Aaron Morton, PA-C; Ryan O’Gowan, PA-C
1330-1530 FCCS
1530-1600 Break
1600-1800 FCCS
1900-2200 Evening Social Event
Double barrel Roadhouse, Monte Carlo Hotel
Sponsored by Terumo Cardiovascular Group
 
Wednesday, March 16, 2016
0630-1730 Registration
0630-0730 Continental Breakfast
0730-1200 GENERAL SESSION
La Cascada
0730-0830 AAPA Update
Jonathan Sobel, PA-C, FAPACVS
Listen to Audio
0830-0930 Managing RV Failure
Gregory Fischer, MD
0930-1000 Break
1000-1100 Mini-invasive Technologies in Peri-operative Hemodynamic Management
Paul Corey, MD
Listen to Audio
1100-1200 Everything You Ever Wanted to Know About Pacemakers and ICDs but were Afraid to Ask
David Bunnell, PA-C
Listen to Audio
1200-1330 Lunch on own
1330-1800 CONCURRENT BREAKOUT SESSIONS
Cardiac Breakout
La Cascada
1330-1430 VAD Therapy: Where We are Now and Where We are Going
Walter Dembitsky, MD
1430-1530 VAD and ECMO Complication in the ICU
Walter Dembitsky, MD
Listen to Audio
1530-1630 Quality of Life after Cardiac Surgery
Mauth Bishawi, MD

Thoracic Breakout
El Viento IV
1330-1430 Management of Malignant Pleural and Pericardial Effusions
Elizabeth David, MD
1430-1530 Pleural Diseases
Leah Backhus, MD
1530-1630 Pericardial Diseases
Jeffrey Pearl, MD

Vascular Breakout
El Viento III
1330-1415 Open AAA repair in 2016: who, when, where, why?
Richard McCann, MD
1415-1500 Endovascular AAA Repair - Patient Selection and Devices
John Lane, MD
1500-1545 Management of the Infected Aorta
Javairiah Fatima, MD
1545-1645 Self-Assessment CME
Shawn M. Gage, PA-C

Fundamental Critical Care Support (FCCS)**
Estancia
Aaron Morton, PA-C; Ryan O’Gowan, PA-C
1330-1530 FCCS
1530-1600 Break
1600-1800 FCCS