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B O O K - American College of Rheumatology

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wednesday<br />

A410<br />

Takayasu’s Arteritis<br />

Moderators: Peter A. Merkel, MD, MPH; Boston University<br />

School <strong>of</strong> Medicine; West Newton, MA<br />

Rafi Haner Direskeneli, MD; Marmara Medical University School<br />

<strong>of</strong> Medicine; Istanbul, Turkey<br />

1:00 PM<br />

Takayasu’s Arteritis and Giant-Cell Arteritis - Two Diseases or<br />

Part <strong>of</strong> the Same Spectrum?<br />

Cornelia M. Weyand, MD, PhD; Stanford University School <strong>of</strong><br />

Medicine; Stanford, CA<br />

1:10 PM<br />

Disease Assessment in Takayasu’s Arteritis<br />

Rafi Haner Direskeneli, MD; Marmara Medical University School<br />

<strong>of</strong> Medicine; Istanbul, Turkey<br />

1:20 PM<br />

Treatment <strong>of</strong> Takayasu’s Arteritis<br />

Peter A. Merkel, MD, MPH; Boston University School <strong>of</strong><br />

Medicine; West Newton, MA<br />

1:30 PM<br />

Clinical Trials in Takayasu’s Arteritis<br />

Carol A. Langford, MD, MHS; Cleveland Clinic Foundation;<br />

Cleveland, OH<br />

1:40 PM<br />

Panel Discussion<br />

Session Overview:<br />

Diagnosis, disease assessment, and management <strong>of</strong> Takayasu’s<br />

Arteritis is currently dependant on limited evidence and<br />

there are no sufficiently-validated disease assessment tools<br />

or controlled drug trials. Recent data suggests that giant-cell<br />

arteritis and Takayasu’s Arteritis might both be in a spectrum<br />

<strong>of</strong> vasculitis with overlapping clinical and pathophysiologic<br />

features. There is increased world-wide interest in research<br />

into Takayasu’s Arteritis as evidenced by recent publications<br />

<strong>of</strong> large patient series, adoption <strong>of</strong> new imaging modalities,<br />

development <strong>of</strong> new disease assessment tools, and initiation<br />

<strong>of</strong> international multicenter clinical trials. Past ACR Vasculitis<br />

Study Groups have attracted large audiences <strong>of</strong> both clinical<br />

investigators and clinicians.<br />

Upon completion <strong>of</strong> this session, participants should be able to:<br />

• recognize the similarities and differences <strong>of</strong> giant cell<br />

arteritis and Takayasu’s arteritis both clinically and<br />

pathophysiologically; discuss the impact <strong>of</strong> these data on<br />

treatment and research<br />

• review current criteria for activity/remission and damage in<br />

Takayasu’s arteritis and the challenges to disease assessment<br />

• review the clinical data on treatment <strong>of</strong> Takayasu’s arteritis<br />

and discuss the unmet medical needs in the treatment <strong>of</strong><br />

Takayasu’s arteritis<br />

• outline current clinical trials in Takayasu’s arteritis and the<br />

challenges for conducting such trials<br />

A404<br />

Teaching and Assessing Arthrocentesis<br />

Moderators: Joanne Valeriano-Marcet, MD; University <strong>of</strong> South<br />

Florida; Tampa, FL<br />

Helen E. Bateman, MD; James A. Haley Veterans Affairs Hospital,<br />

University <strong>of</strong> Southern Florida; Tampa, FL<br />

Ashley G. Sterrett, MD; James A. Haley Veterans Affairs Hospital;<br />

Tampa, FL<br />

1:00 PM<br />

Achievement and Maintenance <strong>of</strong> Procedural Competency<br />

Through a Cadaver-based Mini-procedural Evaluation Exercise<br />

(mini-PEX)<br />

Kenneth S. O’Rourke, MD; Wake Forest University School <strong>of</strong><br />

Medicine; Winston-Salem, NC<br />

1:20 PM<br />

Do or Do Not, There is No Try: Teaching Arthrocentesis and<br />

Injection Skills Using Competency<br />

Gregory C. Gardner, MD; University <strong>of</strong> Washington; Seattle, WA<br />

1:40 PM<br />

Validating Simulators - or How Hard Can it Be?<br />

Maren L. Mahowald, MD; University <strong>of</strong> Minnesota Medical<br />

School; Minneapolis, MN<br />

Session Overview:<br />

Joint injection training is a necessary part <strong>of</strong> the skills required<br />

for internal medicine residents and advanced subspecialty<br />

rheumatology fellows. Additionally the decreasing numbers <strong>of</strong><br />

rheumatology specialists will require primary care providers to<br />

perform these procedures. Prior studies in the literature support<br />

the use <strong>of</strong> joint injection training to increase comfort levels for<br />

internal medicine residents, primary care providers, and medical<br />

students in performing these procedures.The importance <strong>of</strong><br />

this study group is to increase interest and awareness in using<br />

simulation as a safe way to practice and assess competency in<br />

the necessary skills prior to injection on real patients. Further<br />

research is necessary to define the exact role and limitation <strong>of</strong><br />

simulation to teach and assess competency <strong>of</strong> arthrocentesis<br />

skillsand are hoping to raise enthusiasm for further research<br />

efforts in this area.<br />

Upon completion <strong>of</strong> this session, participants should be able to:<br />

• identify the importance <strong>of</strong> validating a simulator<br />

• discuss whether all <strong>of</strong> the key elements in a joint injection<br />

procedure can be measured with a simulator<br />

• learn how to assess competency in joint injection training<br />

• describe the incorporation <strong>of</strong> rubric scoring <strong>of</strong> competency<br />

into a formative assessment <strong>of</strong> procedural skills <strong>of</strong><br />

rheumatology fellows<br />

ACR Special Session<br />

1:00 - 2:30 PM<br />

A406<br />

Career Opportunities in <strong>Rheumatology</strong>: Making a<br />

Choice BR Ed. f<br />

Moderator: David D. Sherry, MD; The Children’s Hospital <strong>of</strong><br />

Philadelphia; Philadelphia, PA<br />

1:00 PM<br />

Basic Research <strong>Rheumatology</strong><br />

James N. Jarvis, MD; Oklahoma University Health Sciences;<br />

Oklahoma City, OK<br />

112<br />

2010 Program Book

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