Course Brochure - Mayo Clinic

Mayo School of Continuous Professional Development 

16th Annual 

Mayo Clinic 

Endocrine Course 

January 29 – February 2, 2013 

Marco Island Marriott 

SOUTHWEST FLORIDA 

Virtual Interactive Attendance Option! 

Workshop Opportunities 

Thyroid Ultrasound 

January 30 & 31, 2013 

ABIM Maintenance of Certification 

Live Learning Session 

January 30, 2013 

#MayoEndo 

www.mayo.edu/cme/endocrinology

General Information 

Course Description & Objectives 

Designed for endocrinologists and interested internists and surgeons, the 16th Mayo 

Clinic Endocrine Course will offer the latest material on the diagnosis and treatment of 

endocrine disorders. Faculty are selected from Mayo Clinic for their expertise, 

knowledge and clinical acumen. This 3 ½ day course will span the full spectrum of 

endocrinology through lectures, debates, clinicopathologic sessions, “clinical pearls” 

sessions, panel discussions, and roundtable discussions with experts. There will be 

plenty of opportunity for interaction with the course faculty. 

Learning Objectives 

Upon completion of this educational activity, participants should be able to: 

• Summarize the role for molecular markers in the evaluation of indeterminate 

thyroid nodules and the management of differentiated thyroid cancer. 

• Apply new guidelines for the evaluation and management of 

hypertriglyceridemia. 

• Recognize limitations to safety and efficacy of medications targeting 

hypertriglyceridemia. 

• Distinguish between endocrine disease and normal changes of aging in the 

elderly patient. 

• Describe modifications to usual interpretation and management of thyroid 

function in the elderly patient. 

• Recall and apply guidelines for thyroid disease in pregnancy. 

• Summarize key steps in preparing patients to undergo endocrine surgeries. 

• Critique the definition, evaluation and management of polycystic ovary 

syndrome by comparing and contrasting a “metabolic approach” with an 

“endocrine approach.” 

• Discuss the endocrinologist’s role in improving the system of care for patients 

who have sustained an osteoporotic hip fracture. 

• Begin to apply quality improvement strategies to detect deficiencies, implement 

strategies and measure outcomes related to osteoporosis management post hip 

fracture. 

• List approaches to safely and effectively utilize U-500 insulin in the management 

of diabetes mellitus. 

• Summarize the evaluation of suspected hypercortisolism and list important 

caveats to the interpretation of pivotal diagnostic testing. 

• Explain how organ transplantation and immunosuppressive therapy may cause 

endocrine disorders and modify the approach to treatment. 

Date and Location 

The 16th Mayo Clinic Endocrine Course will be held January 29 – February 2, 2013, at 

the Marco Island Marriott Resort, Marco Island, Florida. Explore a world of paradise 

at Marriott’s exclusive Marco Island, Florida resort near Naples. This world-class 

Marco Island resort is situated on three miles of pristine beachfront property and 

offers an exhilarating retreat from the ordinary. The resort features a lavish spa, two 

private 18-hole championship golf courses, eight unique restaurants and spacious 

accommodations with premier amenities, technology upgrades, and views of the 

Florida Gulf Coast. This Marco Island resort’s amenities provide guests with an 

idyllic retreat just miles from Naples and Fort Myers. Nearby, guests can enjoy 

exciting water sports, parasailing, shelling cruises, and sightseeing adventures.


Intended Audience 

This course is intended for endocrinologists, endocrine surgeons, and general 

internists with an interest in endocrine disorders. 

Registration 

Online registration is preferred at http://www.mayo.edu/cme/endocrinology or request a 

paper form to mail or fax by contacting helgason.melissa@mayo.edu or fax 507-255- 

6155 or phone 507-255-6869. The registration fee is $850 for physicians and $640 for 

retirees, trainees, and NP/PAs. This fee includes tuition, comprehensive electronic 

syllabus, breakfasts, break refreshments, lunch on Friday, Welcome Reception and 

the Gala Dinner. 

Although it is not Mayo Clinic Endocrine Course policy to limit the number of 

registrants for a course, facilities may necessitate closing of enrollment. Therefore, 

early registration is advised and the option of onsite registration is not guaranteed. 

If available, onsite registration will incur an additional cost of $75 USD. A letter of 

confirmation will be sent upon receipt of payment and completed registration form. 

Please be prepared to present the confirmation letter when checking in at the 

meeting registration desk. 

Cancellation Policy 

Registrants may cancel their registration at any time. If the cancellation is made 

more than 14 days prior to the start of the course (before January 15, 2013), a refund 

will be made less an administration fee of $75. If a cancellation request is received on 

or after January 15, 2013 no refund will be made. All refunds will be made using the 

same method as the payment. Written notification of intent to cancel registration is 

preferred via email to events@lp-etc.com otherwise by fax 507-255-6155 or phone 

507-255-6869. 

Continuing Education Credit 

Accreditation 

College of Medicine, Mayo Clinic is accredited by the Accreditation Council for 

Continuing Medical Education to provide continuing medical education for 

physicians. 

College of Medicine, Mayo Clinic, designates this live activity for a maximum of: 

16th Mayo Clinic Endocrine Course onsite or virtual live attendance = 22 hours 

Thyroid Ultrasound Workshop = 7 hours 

ABIM MOC Shared Learning Session = 4 hours 

AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate 

with the extent of their participation in the activity.” 

Educational Grants 

“This course is supported in part by educational grants in accordance with ACCME 

Standards. At the time of this printing, a complete list of commercial supporters was 

not available. Appropriate acknowledgment will be given to all supporters at the 

time of the meeting.”


Disclosure Policy 

As a provider accredited by ACCME, College of Medicine, Mayo Clinic (MSCPD) 

must ensure balance, independence, objectivity and scientific rigor in its educational 

activities. Course Director(s), Planning Committee Members, Faculty, and all others 

who are in a position to control the content of this educational activity are required 

to disclose all relevant financial relationships with any commercial interest related to 

the subject matter of the educational activity. Safeguards against commercial bias 

have been put in place. Faculty also will disclose any off-label and/or investigational 

use of pharmaceuticals or instruments discussed in their presentation. Disclosure of 

this information will be published in course materials so those participants in the 

activity may formulate their own judgments regarding the presentation. 

Travel 

Airport: The nearest international airport to the Marco Island Marriott Resort is 

Southwest Florida International Airport (RSW) in Ft. Myers. This airport is one hour 

north of the resort. 

Taxis: The Marco Island Marriott Resort highly recommends using On Demand 

Transportation. Reservations are required 24 hours in advance. Please call 239-580- 

9046 to make reservations. 

On Demand Transportation has a wide variety of transportation options to fit your 

needs. Taxi, town car, limo and van services are available for hire. Taxis and town 

cars will cost approximately $78-$100/one way, Limos will cost approximately 

$115/one way and a 4-8 passenger van will cost approximately $135/one way. 

There are many taxi companies available outside of baggage claim at RSW. 

However, some companies will charge excesive fees if they are not accustomed to 

driving into Marco Island. Please beware of this when making transportation plans. 

Car Rental: All major car rental agencies are represented at RSW. Please contact 

your preferred agency to seek information about specific costs. The Mayo Clinic 

secured a special lowered parking rate at the resort for $6/day. Valet parking is also 

available for $20/night. 

Lodging Accommodations 

Rooms have been reserved for course participants and guests at the Marco Island 

Marriott Resort, located near Naples, FL. To ensure accommodations at this special 

group rate, make your reservation before Friday, January 4, 2013. The Marco Island 

Marriott Resort, at their sole discretion, may continue to accept reservations after 

this cut-off date on a space available basis at the group rates. 

Mayo Group Rates: $259 single/double plus tax. 

Reservations can be made by contacting: 

Marco Island Marriott Resort 

400 South Collier Blvd. 

Marco Island, FL, 34145 

Reservations: 800-228-9290 or 239-394-2511 

For more information about the Marco Island Marriott Resort, please visit the 

following website: http://www.marcoislandmarriott.com/


Syllabus 

The 16th Mayo Clinic Endocrine Course will feature an electronic syllabus that may be 

downloaded from the course website approximately two weeks before the start of 

the course and also distributed to each attendee by USB flash drive at registration. 

Course Welcome Reception and Gala Dinner 

The following social activities are complimentary for all course registrants. 

Additional guest tickets covering both events are available and can be requested on 

the course registration form. The guest ticket fee for adults is $75 USD. Children 

under 18 years of age are complimentary. 

Welcome Reception 

Tuesday, January 29, 2013 

6:00 p.m. – 7:00 p.m. 

Featuring light appetizers and select beverages, this casual reception welcomes 

attendees to Marco Island and offers the perfect opportunity to meet new colleagues 

in a relaxed setting. Pre-registration is requested. 

Course Gala Dinner 

Friday, February 1, 2013 

7:00 p.m. Reception; 8:00 p.m. Dinner 

Join us for this special reception and dinner featuring select foods from the region 

with a spectacular ocean view. Pre-registration is requested. 

Recreation/Leisure Activities 

Marco Island is all about the water. Just about every water activity imaginable is 

available for you to “dive” into! There are fishing tours, luxury cruises, sailing, 

parasailing, wave runners, kayaking and water skiing just to name a few. Guests 

can also take advantage of the endless array of activities and recreating options for 

individuals, families, groups and children that are available on hotel property. 

Marco Island Marriott offers tennis, beach volleyball, Discovery Camp, Dive-In 

Movies, shelling tours, golf and much more. If you prefer a more leisurely schedule, 

you may want to take advantage of the breathtaking scenery, worldly museums, 

boutique shopping and fine dining. Please visit www.marcoreview.com or www. 

marcoislandmarriott.com/marco-island-florida/resort-hotel-recreation-5.html for 

more information. You may also call the Marco Island Marriott Resort Concierge 

Desk at 239-394-2511. 

Course Highlights 

Teaching Cases 

Participants are invited to submit a case for consideration for presentation during 

one of the Teaching Case sessions. This is a brief presentation of a case by an 

attendee. A Mayo Clinic faculty member will discuss the case and make a probable 

diagnosis or suggest the next best step in the evaluation. The presenter will then 

provide the “answer/conclusion” to the case. Learning points will then be 

summarized by both the presenter and discussant. 

If interested in submitting a case for presentation, please send a brief abstract (


or FAX to the attention of Dr. Kurt Kennel at 507-255-6155. Two cases will be 

selected for presentation. Authors of selected cases will receive additional 

information from course directors prior to the course. 

Short Lectures 

• All didactic lectures will be limited to 25 minutes. 

• Open panel question and answer periods will follow each group of 3 to 4 lectures. 

Case-Based Debates 

• A case will be presented by the moderator. 

• The moderator will ask structured questions for comment from the debaters and 

attendees. 

• Using an audience response system, the attendees will vote for “treatment A” or 

“treatment B.” 

• Two debaters will present their arguments. 

• After hearing the debate, the audience will re-vote on the treatment options. 

Clinicopathologic Conference (CPC) 

• Unknown cases are presented to faculty members. 

• Using a test menu system, a faculty member works through the case step-by-step. 

Clinical Pearls 

• Clinical “Pearls” are concise practical insights relevant to the practicing endocrinologist, 

but not widely appreciated or represent changes to historical practice. 

• This session is case-based and fast-paced. 

• The faculty presents brief clinical cases illustrating important teaching points. 

• Attendees should leave each pearl session with a rich list of important clinical 

pearls that are directly applicable to patient care 

Panel Discussions 

• The moderator presents 2 – 4 cases based on the session theme to a subspecialist 

panel. 

• The panel responds to questions from the moderator and audience regarding 

management. 

• Teaching points are many with panelists providing clinical pearls related to the 

theme. 

Breakfast Roundtable Discussions 

• Each day, attendees will have the opportunity to informally discuss cases or issues 

in the diagnosis or management of endocrine disorders. 

Key Scientific Articles in Endocrinology 2012 

• At the conclusion of each themed session, Mayo Clinic faculty will introduce key 

articles published in 2012 that have significant implications for clinical practice. 

Setbacks in Endocrinology 

• Mayo Clinic faculty will share setbacks encountered in patient management and 

the lessons that they learned. 

DISCLAIMER 

Attendance at this Mayo course does not indicate nor guarantee competence or 

proficiency in the performance of any procedures that may be discussed or taught in 

this course.

Program Schedule 

TUESDAY, JANUARY 29, 2013 

Noon – 6:00 p.m. 

Registration 

6:00 – 7:00 p.m. Welcome Reception 

WEDNESDAY, JANUARY 30, 2013 

6:30 a.m. Registration, Continental Breakfast and Exhibits 

7:30 a.m. Welcome and Opening Comments 

Kurt A. Kennel, MD & Melanie L. Richards, MD 

Moderator: Vahab Fatourechi, MD 

7:45 a.m. Molecular Markers in the Evaluation of Thyroid Nodules 

Victor Bernet, MD 

8:10 a.m. Advanced Thyroid Cancer: New Guidelines & Clinical Trials 

Robert C. Smallridge, MD 

8:35 a.m. Case-based debate: Does this patient require central 

compartment lymph node dissection? 

Case: Vahab Fatourechi, MD 

“Yes” – Geoffrey B. Thompson, MD 

“No” – Melanie L. Richards, MD 

9:05 a.m. Drugs and Environmental Toxins “Take On” the Thyroid 

Marius N. Stan, MD 

9:30 a.m. Panel Question and Answer Session 

10:00 a.m. Refreshment Break and Exhibits 

Moderator: Victor Bernet, MD 

10:30 a.m. Clinical Pearls: Preparing Patients for Endocrine Surgery 

Geoffrey B. Thompson, MD 

11:15 a.m. Thyroid Disease in Pregnancy 


11:40 a.m. Key Clinical Articles in Thyroid 2012 

Course Faculty 

12:05 p.m. Panel Question and Answer Session 

12:30 p.m. Adjourn for the day 

1:00 – 5:15 p.m. Optional Workshops—pre-registration required 

Thyroid Ultrasound Workshop (Part 1) 

ABIM MOC Shared Learning Session


THURSDAY, JANUARY 31, 2013 



Symposium on Aging 

Moderator: Steven A. Smith, MD 

• Endocrine Surgery 


• Pituitary, Gonad, Adrenal 

William F. Young, Jr., MD 

• Hyper/hypothyroidism 

Vahab Fatourechi, MD 

• Thyroid Cancer 


• Molecular Markers in Thyroid 


• Transplant Endocrinology 

Pankaj Shah, MD 

• Osteoporosis 

Ann E. Kearns, MD, PhD 

7:30 a.m. Case Presentation 

Steven A. Smith, MD 

7:40 a.m. Growth Hormone and IGF-1 Axis in Aging 

Johannes D. Veldhuis, MD 

8:00 a.m. Thyroid Disease in Aging 

John C. Morris, III, MD 

8:20 a.m. Bone in Aging 

Sundeep Khosla, MD 

8:40 a.m. Testosterone in Aging 

Todd B. Nippoldt, MD 

9:00 a.m. Metabolic Disease in Aging 

Robert A. Rizza, MD 



10:30 a.m. Small Group Discussions 

• Endocrine Disorders in Patients s/p Bariatric Surgery 

Manpreet S. Mundi, MD & Kurt A. Kennel, MD 

• Challenging Hypertriglyceridemia Cases 

Vinaya Simha, MD 

• Current Role of Insulin Sensitizers in Clinical Practice 

K. Sreekumaran Nair, MD, PhD 

• Endocrine Care of the Post-hip Fracture Patient 

Ann E. Kearns, MD, PhD



• Management of Persistent Cushing’s Syndrome 


• Pediatric & Adolescent Endocrine Cases 

Larry A. Binkovitz, MD & Siobhan Pittock, MD 

• Endocrine Care of the Post-transplant Patient 


• Choosing and Using Estrogen and Progestin Products in 

Clinical Practice 

Lisa M. Halvorson, MD 


1:00 – 5:15 p.m. Optional Workshop—pre-registration required 

Thyroid Ultrasound (Part 2) 

FRIDAY, FEBRUARY 1, 2013 



Moderator: Todd B. Nippoldt, MD 

• Bone 


• Pituitary 


• Diabetes 


• Bariatric Surgery 

Manpreet S. Mundi, MD 

• Pediatric Endocrine 


• Thyroid Function 


• Insulin Resistance 


7:30 a.m. Case Snapper 

Kurt A. Kennel, MD 

7:45 a.m. Endocrine Hypertension 2012 


8:10 a.m. Robotic and Minimally Invasive Endocrine Surgery 

Melanie L. Richards, MD 

8:35 a.m. Evaluation of Hypercortisolism: Pitfalls and Pearls 

Alice Y. Chang, MD 

9:00 a.m. CPC: Pituitary, Gonad, Adrenal Case 

Presented by: Todd B. Nippoldt, MD 

Discussed by: William F. Young, Jr., MD




10:30 a.m. Small Group Discussions (repeated from Thursday) 

• Management of Persistent Cushing’s Syndrome 


• Pediatric Endocrine Cases 


• Endocrine Care of the Post-transplant Patient 


• Choosing and Using Estrogen and Progestin Products in 

Clinical Practice 



• Endocrine Disorders in Patients s/p Bariatric Surgery 

Manpreet S. Mundi, MD & Kurt A. Kennel, MD 

• Challenging Hypertriglyceridemia Cases 


• Current Role of Insulin Sensitizers in Clinical Practice 


• Endocrine Care of the Post-hip Fracture Patient 


12:30 p.m. Adjourn from small groups 

12:45 p.m. Lunch with Lecture: Who is Your Endocrine Surgeon? 

David R. Farley, MD 

1:15 p.m. Break 

Moderator: Kurt A. Kennel, MD 

1:30 p.m. Panel Discussion: Polycystic Ovary Syndrome 


Endocrine Perspective: Alice Y. Chang, MD 

Reproductive Endocrine Perspective: Lisa M. Halvorson, MD 

2:15 p.m. Key Clinical Articles in Pituitary, Gonad & Adrenal 2012 


2:30 p.m. Clinical Pearls: Hypercalcemia 

Robert A. Wermers, MD 


3:30 p.m. Refreshment Break and Exhibits 

Moderator: Ann E. Kearns, MD, PhD 

4:00 p.m. Emerging Therapies for Osteoporosis 

Sundeep Khosla, MD


4:25 p.m. CPC: Bone 

Case: Michael D. Whitaker, MD 

Discussant: Robert A. Wermers, MD 

4:55 p.m. All That is “Thin” is Not Osteoporosis 

Michael D. Whitaker, MD 

5:20 p.m. Key Clinical Articles in Bone & Calcium 2012 




7:00 p.m. Course Gala Dinner 

SATURDAY, FEBRUARY 2, 2013 

6:30 a.m. Continental Breakfast and Exhibits 


• Endocrine Surgery 


• Pituitary, Gonad, Adrenal 


• Dyslipidemia 


• Hypercalcemia 


• Osteoporosis 


• Diabetes 


• Inpatient Hyperglycemia 

Ananda Basu, MBBS, MD 

• Reproductive Endocrine 


Moderator: Maria L. Collazo-Clavell, MD 

7:30 a.m. Case Snapper 

Maria L. Collazo-Clavell, MD 

7:45 a.m. Pathogenesis of Diabetes and Pre-diabetes: Implications 

for Therapy 


8:10 a.m. Inpatient Hyperglycemia: Where to Next? 


8:35 a.m. Case-Based Debate: Should this Patient with Type 2 Diabetes 

be Treated with CSII or MDI? 

Case: Pankaj Shah, MD 

“CSII” – Ananda Basu, MBBS, MD 

“MDI” – Steven A. Smith, MD


9:05 a.m. The Psychology of Diabetes 





10:30 a.m. Optimal Use of U-500 Insulin 


10:55 a.m. Key Clinical Articles in Metabolic Disease 2012 


11:20 a.m. Setbacks in Endocrinology 



12:00 p.m. Learning Assessment & Course Evaluation 

12:30 p.m. Adjourn

Additional Learning Opportunities 

Second Life Virtual Live Attendance 

Fee: $250 for physicians. $175 for retirees, trainees, and NP/PAs. 

Laptop or desktop computer with high speed internet connection required 

If you’re unable to attend the onsite symposium, you can participate virtually 

through Second Life! Second Life is an on-line virtual world where people are 

represented by characters (avatars) that interact with each other and the 

environment of the virtual world. This symposium is being offered in Second Life 

and will feature the same leading experts in the field, who will be presenting at the 

onsite symposium in real time. Participants will have access to presentation slides 

and live audio including interactive chat for question and answer through session 

moderators. General sessions and small group discussions being held in the main 

auditorium will be available in this format. Participants completing the entire 

workshop may claim 22 hours of AMA PRA Category 1 Credits. 

To register online, visit http://www.mayo.edu/cme/endocrinology and select the virtual 

course registration option. Those attending with this option will receive additional 

instruction and support prior to the course to assure your computer is set-up for an 

optimal experience. 

Optional Workshop: Abim Moc Live Learning Session 

1:00 – 5:15 p.m., Wednesday, January 30 

Fee: $125 includes boxed lunch and refreshment breaks 

In this optional session, experts representing each subspeciality area of 

endocrinology and metabolism will facilitate a discussion of the 30 questions that 

comprise the ABIM Self-Evaluation of Medical Knowledge Module 2012 Update in 

Endocrinology (A3-M). Registrants will be given instructions on how to register with 

ABIM to enroll in ABIM’s Maintenance of Certification (MOC) program and 

purchase the 2012 Update in Endocrinology module for completion onsite or after 

the course. The 2012 Update in Endocrinology counts as 10 points toward the Self- 

Evaluation of Medical Knowledge component of ABIM Maintenance of Certification 

(MOC) and is available for use toward MOC through May 8, 2015. Participants 

completing the entire workshop may claim 4 hours of AMA PRA Category 1 Credits. 

Optional Workshop: Thyroid Ultrasound 

1:00 – 5:15 p.m., Wednesday, January 30 (Part 1) 

1:00 – 5:15 p.m., Thursday, January 31 (Part 2) 

Fee: $250 includes boxed lunch and refreshment breaks both days 

Pre-registration required. Enrollment is limited to 48 participants. 

Designed for endocrinologists, this introductory workshop will include normal 

thyroid and head and neck anatomy; examination of thyroid nodules, abnormal 

parathyroid glands, and lymph nodes; and offer a practicum with hands on use of 

ultrasound equipment and ultrasound-guided biopsy. Attendees with a range of 

thyroid ultrasound experience from those needing an introduction to others 

interested in reviewing current technologies and techniques are welcome Faculty to 

participant ratio will be kept at 8:1 or less. Participants completing the entire 

workshop may claim 7 hours of AMA PRA Category 1 Credits.


Course Directors 




Course Planning Committee 

Diana S. Dean, MD 






Mayo Clinic Rochester 


Larry A. Binkovitz, MD 



Diana S. Dean, MD 

David R. Farley, MD 






Manpreet S. Mundi, MD 



Siobhan Pittock, MD 






Marius N. Stan, MD 






Mayo Clinic Arizona 



Mayo Clinic Florida 



Guest Faculty 


Professor of Obstetrics and Gynecology 

University of Texas Southwestern 

Medical Center 

Faculty Disclosure 

As a provider accredited by ACCME, the Mayo Clinic Division of Endocrinology, 

Diabetes, Metabolism, and Nutrition must ensure balance, independence, objectivity 

and scientific rigor in its educational activities. Course directors, planning 

committee, faculty, and all others who are in a position to control the content of this 

educational activity are required to disclose all relevant financial relationships with 

any commercial interest related to the subject matter of the educational activity. 

Safeguards against commercial bias have been put in place. Faculty also will 

disclose any off-label and/or investigational use of pharmaceuticals or instruments 

discussed in their presentation. Disclosure of this relevant information will be 

published in course materials so those participants in the activity may formulate 

their own judgments regarding the presentation. 

Disclaimer 

Attendance at this Mayo course does not indicate nor guarantee competence or 

proficiency in the performance of any procedures that may be discussed or taught in 

this course.

REGISTER TODAY! 

MAYO CLINIC 

200 First Street SW 

Rochester, MN 55905 

16th Mayo Clinic 

Endocrine Course 

January 29 – February 2, 2013 

Marco Island Marriott 

Marco Island, Florida 

Course Directors: 




© 2012 Mayo Foundation for Medical Education and Research 

MC8016-10rev1112

Course Brochure - Mayo Clinic

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