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CONTINUING MEDICAL EDUCATION<br />

Johns <strong>Hopkins</strong> University School of Medicine<br />

Division of Pulmonary and Critical Care Medicine<br />

presents<br />

Update and<br />

Board Review<br />

Pearls in<br />

Pulmonary<br />

and Critical<br />

Care Medicine:<br />

Hands-On Critical Care<br />

Procedures Session<br />

August 7-10, 2013<br />

Hyatt Regency<br />

Chesapeake Bay<br />

Cambridge, Maryland<br />

This activity has been approved for<br />

AMA PRA Category 1 Credits.


DESCRIPTION<br />

Lung disease is the third leading cause of death in the United<br />

States, after heart disease and cancer, and is responsible for<br />

one in ten deaths. Lung diseases, excluding lung cancer, caused<br />

an estimated 235,000 deaths in 2010. And COPD alone caused<br />

135,000 deaths in 2010.<br />

Today more than 52 million Americans are living with chronic lung<br />

disease such as asthma, emphysema, and chronic bronchitis. The<br />

economic cost of asthma, COPD, and pneumonia was $106 billion<br />

in 2009—$81 billion in direct health expenditures and $25 billion in<br />

indirect cost of mortality.<br />

The Johns <strong>Hopkins</strong> Division of Pulmonary and Critical Care Medicine<br />

presents its Annual Update in Pulmonary and Critical Care<br />

Medicine. This review course has been specifically designed to review<br />

the most recent innovations in pulmonary, critical care, and sleep<br />

medicine for the practicing physician. This year we will also be offering<br />

an optional workshop which features national leaders providing<br />

hands-on teaching of a broad range of critical care procedures.<br />

WHO SHOULD ATTEND<br />

This activity is intended for pulmonary and critical care medicine<br />

physicians and trainees, and internal medicine physicians.<br />

GENER AL INFORMATION<br />

Registration<br />

Wednesday, August 7, 2013 • 7:30 – 8:00 a.m.<br />

Location<br />

Hyatt Regency Chesapeake Bay<br />

100 Heron Boulevard • Cambridge, Maryland 21613<br />

Fees<br />

REGISTRATION CUT-OFF DATE: AUGUST 1, 2013<br />

Methods of Payment: Payment by check or credit card must accompany<br />

the registration form prior to the activity. On-site payments by credit<br />

card only. Foreign payments must be by credit card or with a U.S. Dollar<br />

World Money Order. The registration fee includes instructional materials,<br />

continental breakfasts, refreshment breaks and lunches.<br />

Physicians (Lectures and Hands-On) .............................................................. $1,395<br />

Residents*/Fellows*/Nurses/Nurse Practitioners/Physician Assistants/<br />

Allied Health Professionals (Lectures and Hands-On) ................................. $995<br />

*with verification of status<br />

Hands-On Session (Saturday Only) .................................................................. $495<br />

You will receive a confirmation by e-mail if you have provided your e-mail<br />

address. Otherwise confirmation will be sent by mail. If you have not received<br />

it by August 1, 2013, call (410) 502-9636 to confirm that you are registered.<br />

A certificate of attendance will be sent by September 24, 2013 to the e-mail<br />

address you provide on the registration form.<br />

The Johns <strong>Hopkins</strong> University reserves the right to cancel or postpone<br />

any activity due to unforeseen circumstances. In this event, the University<br />

will refund the registration fee but is not responsible for travel expenses.<br />

Additionally, we reserve the right to change the venue to a comparable venue.<br />

Under such circumstances registrants will be notified as soon as possible.<br />

Late Fee and Refund Policy<br />

A $50 late fee applies to registrations received after 5:00 p.m. ET on<br />

August 1, 2013. A handling fee of $50 will be deducted for cancellation. An<br />

additional fee may apply for cancellation of other events, including workshops<br />

OBJECTIVES<br />

After attending this activity, the participant will demonstrate the<br />

ability to:<br />

• Describe new diagnostic and therapeutic advances in pulmonary<br />

disease<br />

• Identify new diagnostic and therapeutic advances in critical care<br />

medicine<br />

• Evaluate and manage patients with significant lung disease.<br />

Accreditation Statement<br />

The Johns <strong>Hopkins</strong> University School of Medicine is accredited by<br />

the Accreditation Council for Continuing Medical Education to<br />

provide continuing medical education for physicians.<br />

Credit Designation Statement<br />

The Johns <strong>Hopkins</strong> University School of Medicine designates this<br />

live activity for a maximum of 21.25 AMA PRA Category 1 Credits.<br />

Physicians should claim only the credit commensurate with the<br />

extent of their participation in the activity.<br />

Other Credit<br />

American Academy of Nurse Practitioners<br />

American Academy of Nurse Practitioners (AANP) accepts AMA PRA<br />

Category 1 Credit from organizations accredited by the AC<strong>CME</strong>.<br />

and social activities. Refund requests must be received by fax or mail by<br />

August 1, 2013. No refunds will be made thereafter. Transfer of registration<br />

to another Johns <strong>Hopkins</strong> conference in lieu of cancellation is not possible.<br />

Syllabus<br />

All registrants will receive a flash drive with the slides and paper for notetaking.<br />

This is included in the cost of your registration. A link to the syllabus<br />

will be provided via email shortly before the activity begins if you prefer to<br />

study or print the syllabus. A printed copy may be ordered at the time of<br />

registration for an additional fee of $65. The printed copy will be provided<br />

during activity registration. Cancellations or refunds for the printed copy will<br />

not be permitted.<br />

Social Event<br />

A complimentary reception for registrants and faculty will be held<br />

August 7, 2013. Guests are invited to attend at an additional charge of $50.<br />

Please indicate your attendance on the registration form.<br />

Hotel and Travel Information<br />

We strongly encourage you to book your accommodations at the Hyatt<br />

Regency Chesapeake Bay, which is the conference headquarters hotel. The<br />

Johns <strong>Hopkins</strong> Office of <strong>CME</strong> makes every effort to secure the best rate<br />

for overnight accommodations. The rate is part of a negotiated conference<br />

package that incorporates many services. By staying at the host hotel and<br />

booking within the room block, you help us maintain current conference<br />

benefits and keep future registration fees reasonable. Please consider this<br />

when making your overnight accommodations decision.<br />

Hyatt Regency Chesapeake Bay (888) 421-1442 or (410) 901-1234<br />

100 Heron Boulevard FAX: (410) 901-6302<br />

Cambridge, Maryland 21613<br />

Web Site: www.chesapeakebay.hyatt.com<br />

HOTEL RESERVATION CUT-OFF DATE: JULY 9, 2013<br />

A limited block of sleeping rooms has been reserved for your convenience<br />

and will be available on a first come, first served basis.<br />

American Academy of Physician Assistants<br />

American Academy of Physician Assistants (AAPA) accepts<br />

certificates of participation for educational activities certified for<br />

AMA PRA Category 1 Credit from organizations accredited by the<br />

AC<strong>CME</strong>. Physician assistants may receive a maximum of 21.25 hours<br />

of Category 1 credit for completing this program.<br />

American Nurses Credentialing Center<br />

American Nurses Credentialing Center (ANCC) accepts AMA PRA<br />

Category 1 Credit from organizations accredited by the AC<strong>CME</strong>.<br />

Contact Hours for Non-Physicians<br />

The Johns <strong>Hopkins</strong> University has approved this activity for 21.25<br />

contact hours for non-physicians.<br />

Policy on Speaker and Provider Disclosure<br />

It is the policy of the Johns <strong>Hopkins</strong> University School of Medicine<br />

that the speaker and provider disclose real or apparent conflicts<br />

of interest relating to the topics of this educational activity, and<br />

also disclose discussions of unlabeled/unapproved uses of drugs or<br />

devices during their presentation(s). The Johns <strong>Hopkins</strong> University<br />

School of Medicine O<strong>CME</strong> has established policies in place that will<br />

identify and resolve all conflicts of interest prior to this educational<br />

activity. Detailed disclosure will be made in the activity handout<br />

materials.<br />

An extraordinary Eastern Shore experience awaits you at the Hyatt Regency<br />

Chesapeake Bay. Beautifully situated on the banks of the Choptank River,<br />

this 400-acre hotel and resort in Cambridge, Maryland is a delightful<br />

location to immerse yourself in paradise. Get away from the city grind with<br />

golf, swimming, sailing, fishing, and spa services, all available on-site at this<br />

AAA Four Diamond hotel. It’s all within reach of Philadelphia, Washington,<br />

Baltimore, or whatever you call home. Make your reservation online at<br />

http://tinyurl.com/dyupcrj or call the hotel directly and specify that you<br />

are attending the Johns <strong>Hopkins</strong> Update and Board Review Pearls in<br />

Pulmonary and Critical Care Medicine course to receive the special<br />

group rate of $229, single or double, plus $25 resort fee, plus tax. Onsite<br />

self parking is complimentary. Valet parking is available at an additional<br />

charge. Check-in time is 4:00 p.m. Check out time is 11:00 a.m.<br />

Evaluation<br />

A form will be available to attendees to evaluate each session and each<br />

speaker’s presentation, as well as to identify future educational needs.<br />

Outcomes Survey<br />

A survey will be sent to all physician attendees within three months post<br />

activity to assist us in determining what impact this activity had on the<br />

attendee’s practice.<br />

Emergency Calls<br />

On August 7-10, 2013, direct emergency calls to (410) 901-1234 and ask that<br />

a message be sent to the Johns <strong>Hopkins</strong> registration desk. Messages will be<br />

posted for participants.<br />

Americans with Disabilities Act<br />

The Johns <strong>Hopkins</strong> University School of Medicine fully complies with the legal<br />

requirements of the ADA and the rules and regulations thereof. Please notify<br />

us if you have any special needs.<br />

Acknowledgement<br />

Applications for commercial support from health care related industries are<br />

pending. A complete list of contributors will be provided in the syllabus.


PROGR AM<br />

Wednesday, August 7, 2013<br />

7:30 - 8:00 Registration and Continental Breakfast<br />

8:00 - 8:10 Welcome and Conference Goals<br />

Lonny Yarmus, DO, FCCP<br />

8:10 - 8:35 What’s New in Pulmonary<br />

Meredith McCormack, MD, MHS<br />

8:35 - 9:00 Update in COPD<br />

M. Bradley Drummond, MD, MHS<br />

9:00 - 9:25 Update in Asthma<br />

Nadia Hansel, MD, MPH<br />

9:25 - 9:50 Update in Pulmonary Embolism<br />

David Pearse, MD<br />

9:50 - 10:10 Refreshment Break<br />

10:10 - 10:35 Lung Cancer<br />

Lonny Yarmus, DO, FCCP<br />

10:35 - 11:00 Environmental Lung Disease<br />

Sonali Bose, MD<br />

11:00 - 11:25 Update in Pulmonary Hypertension<br />

Paul Hassoun, MD<br />

11:25 - 12:00 Lunch<br />

12:00 - 12:25 Interventional Pulmonology<br />

David Feller-Kopman, MD, FCCP<br />

12:25 - 12:50 Update in Sleep Medicine<br />

Susheel Patil, MD, PhD<br />

12:50 - 1:15 Pulmonary Infections<br />

Stephen Mathai, MD, MHS, FCCP<br />

1:15 - 2:15 Radiology Tutorial<br />

Christian Merlo, MD, MPH<br />

2:15 - 2:30 Wrap Up<br />

5:00 - 6:00 Welcome Reception<br />

Thursday, August 8, 2013<br />

7:30 - 8:00 Continental Breakfast<br />

8:00 - 8:10 Conference Goals<br />

Elizabeth Lee Daugherty, MD, MPH<br />

8:10 - 8:35 Sarcoid<br />

David Moller, MD<br />

8:35 - 9:00 Cystic Fibrosis / Bronchiectasis<br />

Noah Lechtzin, MD, MHS, FCCP<br />

9:00 - 9:25 Interstitial Lung Disease<br />

Sonye Danoff, MD<br />

9:25 - 9:50 Update in Pleural Disease<br />

David Feller-Kopman, MD, FCCP<br />

9:50 - 10:10 Refreshment Break<br />

10:10 - 10:35 Lung Transplant<br />

Pali Shah, MD<br />

10:35 - 11:00 Vocal Cord Dysfunction<br />

Mark Liu, MD<br />

11:00 - 11:25 Optimizing Medication Adherence<br />

Kristin Riekert, PhD<br />

11:25 - 12:00 Lunch<br />

12:00 - 12:25 Pulmonary Complications of HIV<br />

M. Bradley Drummond, MD, MHS<br />

12:25 - 12:50 Refresher of CPET and PFTs<br />

Henry Fessler, MD<br />

12:50 - 1:00 Wrap Up<br />

Friday, August 9, 2013<br />

7:30 - 8:00 Continental Breakfast<br />

8:00 - 8:10 Conference Goals<br />

Lonny Yarmus, DO, FCCP<br />

8:10 - 8:35 What’s New in Critical Care<br />

Mahendra Damarla, MD<br />

8:35 - 9:00 Acute Respiratory Distress Syndrome<br />

R. Scott Stephens, MD<br />

9:00 - 9:25 Triage in Medical Critical Care<br />

David Hager, MD, PhD<br />

9:25 - 9:50 Ventilatory Strategies in the ICU<br />

Venkataramana Sidhaye, MD<br />

9:50 - 10:10 Refreshment Break<br />

10:10 - 10:35 Toxidromes<br />

R. Scott Stephens, MD<br />

10:35 - 11:00 Sepsis<br />

Sanjay Desai, MD<br />

11:00 - 11:25 Steroids in the Critically Ill<br />

Noah Lechtzin, MD, MHS, FCCP<br />

11:25 - 12:00 Lunch<br />

12:00 - 12:25 Sedation in the ICU<br />

David Hager, MD, PhD<br />

12:25 - 12:50 End-of-Life and Palliative Care<br />

Elizabeth Lee Daugherty, MD, MPH<br />

12:50 - 2:00 Radiology Tutorial<br />

Stephen Mathai, MD, MHS, FCCP<br />

Saturday, August 10, 2013<br />

Hands-On Critical Care Procedures Session<br />

7:30 - 7:55 Registration for Hands-On and<br />

Continental Breakfast<br />

7:55 - 8:00 Conference Goals<br />

Elizabeth Lee Daugherty, MD, MPH<br />

8:00 - 8:20 Airway Overview<br />

Hans Lee, MD<br />

8:20 - 8:40 Ultrasound Guided Central Access<br />

Sanjay Desai, MD<br />

8:40 - 9:00 Thoracic Ultrasound and Pleural Access<br />

David Feller-Kopman, MD, FCCP<br />

9:00 - 9:20 Bronchoscopy in the ICU<br />

R. Scott Stephens, MD<br />

9:20 - 9:40 Echocardiography in the ICU<br />

David Feller-Kopman, MD, FCCP<br />

9:40 - 10:00 Faculty Panel<br />

10:00 - 10:15 Refreshment Break<br />

10:15 - 4:00 Hands-On Critical Care Procedures Session<br />

• Difficult Airway: Percutaneous<br />

Dilatational Tracheostomy and<br />

Endotracheal Intubation with<br />

Direct Visualization<br />

• Bronchoscopy for the Intensivist:<br />

Biopsy/BAL, Foreign Body Removal,<br />

Airway Obstruction<br />

• Central Venous Access with<br />

Ultrasound Guidance<br />

• Echocardiography in the ICU<br />

Thoracic Ultrasound<br />

• Tube Thoracostomy/Pigtail and<br />

Indwelling Pleural Catheter with<br />

Ultrasound Guidance<br />

Neal Chaisson, MD, Sanjay Desai, MD,<br />

David Feller-Kopman, MD, FCCP,<br />

Daniel Jamieson, MD, Hans Lee, MD,<br />

R. Scott Stephens, MD<br />

12:00 - 1:00 Lunch<br />

4:00 Adjourn<br />

Please complete and return the Evaluation and<br />

Credit Report Forms. The Registration Desk<br />

will remain open during conference hours.<br />

The Johns <strong>Hopkins</strong> University School of Medicine takes responsibility for the<br />

content, quality and scientific integrity of this <strong>CME</strong> activity.<br />

This schedule is subject to change.<br />

To Register or for Further Information<br />

Register Online www.<strong>Hopkins</strong><strong>CME</strong>.edu<br />

(credit card and eCheck)<br />

Register by Phone (credit card only) (410) 502-9636<br />

Register by Fax (866) 510-7088<br />

Confirmation/Certificates (410) 502-9636<br />

General Information (410) 955-2959<br />

E-mail the Office of <strong>CME</strong> cmenet@jhmi.edu<br />

Follow us on Twitter: http://twitter.com/<strong>Hopkins</strong><strong>CME</strong><br />

Facebook: http://www.facebook.com/<strong>Hopkins</strong><strong>CME</strong><br />

Sponsoring Division Website: www.hopkinsmedicine.org/IP<br />

For general information, the direct link for this <strong>CME</strong> activity<br />

web page is:<br />

http://www.hopkinscme.edu/CourseDetail.aspx/80031509.


ACTIVITY DIRECTORS<br />

Elizabeth Lee Daugherty, MD, MPH<br />

Assistant Professor of Medicine<br />

Medical Control Chief,<br />

Office of Emergency Management<br />

Lonny Yarmus, DO, FCCP<br />

Assistant Professor of Medicine<br />

Fellowship Director, Interventional Pulmonology<br />

SPEAKERS<br />

Sonali Bose, MD<br />

Instructor in Medicine<br />

Neal Chaisson, MD<br />

Clinical Fellow in Pulmonary and<br />

Critical Care Medicine<br />

Mahendra Damarla, MD<br />

Assistant Professor of Medicine<br />

Sonye Danoff, MD<br />

Associate Professor of Medicine<br />

Sanjay Desai, MD<br />

Assistant Professor of Medicine<br />

M. Bradley Drummond, MD, MHS<br />

Assistant Professor of Medicine<br />

David Feller-Kopman, MD, FCCP<br />

Associate Professor of Medicine<br />

Director, Interventional Pulmonology<br />

Henry Fessler, MD<br />

Associate Professor of Medicine and Public Health<br />

Director, Fellowship Training Program in Pulmonary<br />

and Critical Care<br />

David Hager, MD, PhD<br />

Assistant Professor of Medicine<br />

Director, Medical Progressive Care Unit<br />

Nadia Hansel, MD, MPH<br />

Associate Professor of Medicine<br />

Paul Hassoun, MD<br />

Professor of Medicine<br />

Director, Pulmonary Hypertension Program<br />

Daniel Jamieson, MD<br />

Clinical Fellow in Pulmonary and<br />

Critical Care Medicine<br />

Noah Lechtzin, MD, MHS, FCCP<br />

Associate Professor of Medicine and Neurology<br />

Associate Director, Adult Cystic Fibrosis Program<br />

Hans Lee, MD<br />

Assistant Professor of Medicine<br />

Mark Liu, MD<br />

Associate Professor of Medicine<br />

Stephen Mathai, MD, MHS, FCCP<br />

Assistant Professor of Medicine<br />

Meredith McCormack, MD, MHS<br />

Assistant Professor of Medicine<br />

Medical Director, Pulmonary Function Laboratory<br />

Christian Merlo, MD, MPH<br />

Assistant Professor of Medicine<br />

Assistant Program Director, Osler Housestaff<br />

Training Program<br />

David Moller, MD<br />

Professor of Medicine<br />

Susheel Patil, MD, PhD<br />

Assistant Professor of Medicine<br />

David Pearse, MD<br />

Professor of Medicine<br />

Kristin Riekert, PhD<br />

Associate Professor of Medicine<br />

Pali Shah, MD<br />

Assistant Professor of Medicine<br />

Associate Medical Director, Lung Transplant<br />

Venkataramana Sidhaye, MD<br />

Assistant Professor of Medicine<br />

Associate Director, Fellowship Program<br />

R. Scott Stephens, MD<br />

Assistant Professor of Medicine<br />

REGISTR ATION FORM Course Number 80031509<br />

Update and Board Review<br />

Pearls in Pulmonary and Critical Care Medicine<br />

August 7-10, 2013<br />

To Register: Online (credit card and eCheck): www.<strong>Hopkins</strong><strong>CME</strong>.edu By fax: (866) 510-7088<br />

By phone (credit card only): (410) 502-9636<br />

Or mail this form to the Johns <strong>Hopkins</strong> University, Office of Continuing Medical Education, P.O. Box 64128,<br />

Baltimore, Maryland 21264-4128. Include check payable to HOPKINS/80031509, or include credit card<br />

information below.<br />

PAYMENT MUST ACCOMPANY FORM TO CONFIRM YOUR REGISTRATION.<br />

M I am a Johns <strong>Hopkins</strong> speaker for this activity.<br />

Please type or print clearly:<br />

last name first name m.i.<br />

highest degree primary specialty <strong>Hopkins</strong> Faculty/Staff Only – JHED ID:<br />

mailing address<br />

city state ZIP + 4 code country<br />

daytime telephone fax number<br />

e-mail / / / / / / / / / / / / / / / / / / / / / / / / / /<br />

You will receive a confirmation notice and your attendance certificate by e-mail if you provide your e-mail address.<br />

M Check here if you wish to receive e-mail notices about upcoming <strong>CME</strong> activities.<br />

What do you hope to learn by attending this activity? _______________________________________________<br />

Please notify us if you have any special needs. ______________________________________________________<br />

Registration Fees:<br />

M Physicians (Lectures and Hands-On) ...........................................................................................................................$1,395<br />

M Residents*/Fellows*/Nurses/Nurse Practitioners/Physician Assistants/<br />

Allied Health Professionals (Lectures and Hands-On) ..........................................................................................$ 995<br />

*with verification of status<br />

M Hands-On Session (Saturday Only) .............................................................................................................................$ 495<br />

M Printed B&W Syllabus (optional) ..................................................................................................................................$ 65<br />

M I will attend the Welcome Reception on August 7, 2013 M Yes M No<br />

M Welcome Reception Guest(s) @ $50 each $ ______________<br />

For registrations received after 5:00 p.m. ET on August 1, 2013, include a $50 late fee. $ ______________<br />

On-site registrations are payable only by credit card.<br />

Payment Type:<br />

Total amount enclosed $ ______________<br />

JHU Faculty/Staff Only: If you are using your Tuition Remission Benefit or an ION budget, please<br />

complete this registration form and return with appropriate payment processing form to O<strong>CME</strong>, Turner 20.<br />

Forms can be found on-line at http://www.hopkinscme.edu/Resources/resources.aspx.<br />

M Check (See instructions on top of form.)<br />

M Credit Card: M VISA M MASTERCARD M DISCOVER M AMEX<br />

Card # - - - Exp. Date _________________<br />

Name on Card Signature and Date

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