Mayo Clinic Program Directors:Ziad M. El-Zoghby, M.D.

Sandra J. Taler, M.D. Suzanne M. Norby, M.D.

REGISTER TODAY!http://www.mayo.edu/cme/internal-medicine-and-subspecialties-2012r028

11th AnnualMayo Clinic Update in Nephrology and Kidney Transplantation

Mayo School of Continuous Professional Development

SEPTEMBER 28-29, 2012Radisson Plaza Hotel Minneapolis

35 South 7th StreetMinneapolis, MN

PROGRAM HIGHLIGHTS:•ABIMModuleforRecertification•UltrasoundWorkshop•CurrentTopicSymposium(HalfDay)•AudienceResponseSystem

“I enjoyed this conference. I attended for the first time and

intend to come back.”

“Full of knowledgeable

speakers and very warm staff and

speakers.”

General InformationCourse Description

The Annual Update in Nephrology and Kidney Transplantation is a two-day course designed to update participants in major topics in nephrology relevant to current medical practice. The topics covered include fluid and electrolyte disorders, hypertension, glomerular diseases, dialysis, and kidney transplantation.

Through a combination of lectures (including literature review), break-out sessions, and case-based presentations, this course will deliver clinical pearls plus up-to-date and cutting edge information that can be directly integrated into clinical practice.

The course provides ample opportunity for interaction with expert faculty. This year, we continue to feature the popular audience response system to maximize speaker and audience interactions. In addition, a comprehensive electronic syllabus will be provided for future reference.

FridayOn Friday, September 28 you will have a choice of two breakout sessions in the afternoon. A Current Topic Symposium will be offered as an alternative to all who choose not to participate in the Friday afternoon general session. The topics will be of particular interest to PAs, NPs, RNs, LPNs, and PCTs; however, all participants including physicians are welcome to attend this symposium. Nursing continuing education hours (accredited) will be offered for attendance at this Friday afternoon session.

SaturdayABIMMaintenanceofCertification Medical Knowledge Modules will be will be offered during the Saturday afternoon portion of the course. During this interactive workshop and using the audience response system, participants will complete two “Self-Evaluation of Medical Knowledge” modules (25 questions each). Faculty will critique and review the literature related to each question’s topic. See information regarding how to sign up for this session under the Registration section of this brochure.

A new feature of the course this year is an introductory workshop entitled “Bedside UltrasonographyfortheNephrologists”. Offered on Saturday afternoon, this hands-on workshop will provide participants with the skills to acquire ultrasound images of the kidneys, bladder and large vessels to assess fluid status as well as the ability to recognize common pathology detected on ultrasound.

An additional fee of $75 is required to participate in this workshop, and space is limited to the first 10 participants. See information regarding how to sign up for this session under the Registration section of this brochure.

Teaching Material/Syllabus

Attendees will be provided with a memory stick containing course materials and are welcome to bring a computer to the learning sessions. No paper syllabus will be provided.

Course Learning Objectives

Atthecompletionofthiscourse,participants should be able to:• Reviewimportanttopicsinnephrology,

hypertension, dialysis, and transplantation• Evaluateadvancesinthefieldandselect

best treatment options• Applynewclinicalpearlstopractice• Diagnosechallengingrenalpathologycases• Debatemanagementstrategiesforvarious

kidney diseases with featured experts and colleagues

For the Nursing session:• ReviewthesignificanceofType2diabetes

in the renal failure patient population• IdentifyhowupcomingMedicare

reimbursement changes in the CMS Dialysis Bundle will affect care of the nephrology patient

• Discusstheroleofpalliativecareinthemanagement of nephrology patients

• Recognizetheimportanceofhumortoimprove workplace morale

FortheBedsideUltrasonographyWorkshop:• Reviewthebasicprinciplesof

ultrasonography• Operateanultrasoundmachine• Performultrasoundofthekidneysand

bladder as well as large vessels and lungs to evaluate fluid status

• Recognizecommonpathologydetectedbyultrasound examination

• Reviewandapplytheprinciplesofcentralline placement

For the ABIM Medical Knowledge Modules session:• CompletetwoSelf-EvaluationofMedical

Knowledge modules, worth 10 points each toward the ABIM Maintenance of Certification

Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.

Intended Audience

This course is intended for all members of the nephrology community and will be of interest to nephrologists, nephrology trainees, nurse practitioners, physician assistants, nurses, patient care technicians, pharmacists, internists, primary care physicians and other specialists who participate in the care of patients with kidney disorders and kidney and/or pancreas transplants.

Credit

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 15.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This conference is offered in cooperation with Mayo Continuing Nursing Education.

Mayo Continuing Nursing Education is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Participants can earn up to 10.66 nursing contact hours (accredited) for attending the conference.

If claiming the AMA PRA Category 1 Credits(s)TM, you may only claim credit with either the ABIM or Mayo School of Continuous Medical Education. You may not claim credit with both organizations for the ABIM Medical Knowledge Modules on Saturday afternoon.

Grants And Exhibits

At the time of this printing, a complete listing of commercial supporters (financial or in-kind) was not available. Appropriate acknowledgment will be given to all supporters at the time of the meeting.

Exhibits will be available for viewing at all scheduled breaks.

Date and Location

The Annual Update in Nephrology and Kidney Transplantation course will be held September 28-29, 2012. Course headquarters will be located at the Radisson Plaza Hotel Minneapolis, 35 South 7th Street, Minneapolis, MN 55402 in the Scandinavian Ballroom on the 3rd Floor.

Registration

To register online, visit http://www.mayo.edu/cme/internal-medicine-and-subspecialties-2012r028. The registration fee includes tuition, comprehensive electronic course syllabus, continental breakfasts, break refreshments, and reception. Although it is not Mayo Clinic policy to limit the number of registrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised. A letter of confirmation will be sent electronically upon receipt of payment. Please present the confirmation letter when checking in at the meeting registration desk.

Foradditionalinformation,contact:Mayo Clinic (Updates in Nephrology) 200 First Street SW/GO6-138SWRochester, MN 55905

Website: http://www.mayo.edu/cme/internal-medicine-and-subspecialties-2012r028

E-mail: rstdomcme@mayo.eduPhone: 800-283-6296 or 507-266-6703Fax: 507-266-7403

General Information

Two workshops are held simultaneously on Saturday afternoon. Participants will choose to attend one of them.

1-ABIMMaintenanceofCertificationModule

In order to earn a total of 20 points toward the Medical Knowledge portion of the ABIM Maintenance of Certification Process, participants in the Saturday afternoon session must: •EnrollintheABIMMaintenanceof

Certification program, which can be done online via the ABIM web site

https://www.abim.org/moc/policies.aspx •OrdertheSelf-EvaluationofMedical

Knowledge modules for Nephrology: 2011 Update and 2012 Update via the

physician log-in section of the ABIM web site: http://www.abim.org/specialty/

nephrology.aspx•Submittheanswerstothequestionstothe

ABIM for scoring. Instructions for this are provided when the module is ordered from the ABIM.

If claiming the AMA PRA Category 1 Credits™ you may only claim credit with either the ABIM or Mayo School of CPD. You may not claim credit with both organizations.

Conference registrants may attend this session without enrollment for points toward ABIM Maintenance of Certification.

2-BedsideUltrasonographyfortheNephrologist

Participation in this workshop requires an additional $75 fee at the time of course registration. Space is limited to 10 participants.

Cancellation Policy

If you cancel your participation in this course, your registration fee, less a $75 administrative fee, will be refunded when written notification is received by Mayo Clinic before Friday, September 14, 2012 (rstdomcme@mayo.edu or fax#: 507-266-7403). No refunds will be made on or after Friday, September 14, 2012. Canceled registrations are non-transferable.

Mayo School of CPD reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event Mayo School of CPD must cancel or postpone this course, Mayo School of CPD will refund the registration fee but is not

responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.

Travel

Minneapolis, Minnesota is a friendly city that greets thousands of visitors from around the world each year. The city is serviced by the Minneapolis/St. Paul International Airport with multiple flights daily. Access to and from the airport is provided by taxi, shuttle service, and rental car. The airport is located approximately 13 miles from the Radisson Plaza Hotel. Driving directions can be found at: http://www.radisson.com/minneapolis-hotel-mn-55402/mpls_dt

Travel arrangements are the sole responsibility of the individual registrant.

Lodging Accommodations

With a prime location in the heart of downtown, just steps away from the business district, local shopping and entertainment, the Radisson Plaza Hotel Minneapolis offers guests warm hospitality, an inviting atmosphere and stylish accommodations for travelers. It is within walking distance to local attractions in the area, including Hennepin Avenue’s famous entertainment venues, theaters and shops, as well as the Mall of America Field and the Target Center. Target Field is conveniently connected to the Radisson Plaza Hotel through the city’s skyway system, and Macy’s department store is located next door.

Guest rooms have been reserved for attendees and their guests at a special course rate of $149 single/double at the Radisson Plaza Hotel in Minneapolis, MN. In order to receive the special rate, reservations must be made before the room block is filled or before the expiration date of Thursday, September 6, 2012 whichever comes first. Reservations will be taken following this date based on space and rate availability. To make your reservation, please call 612-339-4900 or 800-333-3333 and ask for Mayo Clinic Annual UpdateMeeting discount.

Lodging arrangements are the sole responsibility of the individual registrant.

Mayo School of CPD is not responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at the meeting. Costs incurred by

General Information

the registrant such as airline or hotel fees or penalties are the responsibility of the registrant.

Transportation/Parking

Taxis from the airport to the hotel are available at the cab starter booth. Fares average $28.00. There is a surcharge to and from the airport of $2.00. All cab fares are metered. A Limo and Towncar service is available through the concierge desk. Average rates to and from the airport run from $35.00 to $100.00. Rental car companies have phones on the Baggage Claim Level opposite carousels 2, 5, and 10. A bus service is available from the Airport Transit Plaza and the approximate fare is $2.25. There is also a shuttle service available through Super Shuttle, costing an average of $13.00 one-way.

The cost for parking is not included in the registration fee. Self-parking is available under the hotel for $19 (Sunday through Thursday) and $6 per night (Friday and Saturday).

Social Activities

WelcomeReceptionFriday, September 28, 20125:15-6:30 p.m.Attendees and their guest(s) are cordially invited to join the course faculty for the Welcome Reception on Friday, September 28, 2012 in the Denmark Commons on the 3rd Floor. This casual reception welcomes you to Minneapolis, and offers you the perfect opportunity to make connections with existing and new colleagues.

Leisure Activities

The Radisson Plaza Hotel is located a few blocks from major downtown shopping centers, cafes, restaurants, theatres, and the orchestra hall.

Mall of America, the largest fully-enclosed retail and family entertainment complex in the United States, is an easy 20-minute drive from the hotel. Along with 500 retail stores, restaurants, and nightclubs, the mall features an indoor theme park and an aquarium.

For additional information and a full calendar of events, you may visit the Minneapolis Convention and Visitors Bureau. http://vacationplanning.net/US/MN/Minneapolis_Convention_and_Visitors_Bureau

Faculty

Course DirectorsZiad M. El-Zoghby, M.D. Suzanne M. Norby, M.D. Sandra J. Taler, M.D.

Mayo FacultyRobert C. Albright, Jr., D.O.Hatem Amer, M.D.H. Natalie Atkins, R.N.John J. Dillon, M.D.Lynette A. Fix, RN, CCTCMolly A. Feely, M.D.Eddie L. Greene, M.D.Raymond L. Heilman, M.D.Kianoush B. Kashani, M.D.Amy J. Koenigs, R.N., CNPAmy E. Krambeck, M.D.Yogish C. Kudva, MBBSRajiv Kumar, M.D.Timothy S. Larson, M.D.Edwin H. Lee, M.D.James T. McCarthy, M.D.Sanjay Misra, M.D.Samih Nasr, M.D.Scott L. Nyberg, M.D., Ph.D. Mikel Prieto, M.D.Qi Qian, M.D.Kevin I. Reid, DMDHiroshi Sekiguchi, M.D.Mark D. Stegall, M.D.

Guest FacultyJan Deane, R.N. CNN

Faculty Disclosure

As a provider accredited by ACCME, College of Medicine, Mayo Clinic (Mayo School of Continuous Professional Development) must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course director(s), 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 information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

General Information

Program ScheduleFriday, September 28, 2012

7:00 a.m. Registration – Scandinavian Ballroom Foyer, 3rd Floor Continental Breakfast – Denmark Commons, 3rd Floor

7:45 a.m. Introduction and Welcome Ziad M. El-Zoghby, M.D.

7:50 a.m. Pre-Test Ziad M. El-Zoghby, M.D.

8:00 a.m. Hypertension Update Sandra J. Taler, M.D.

8:30 a.m. Hemodialysis Related Complications (Case-Based) James T. McCarthy, M.D.

9:10 a.m. Home Hemodialysis John J. Dillon, M.D.

9:50 a.m. Refreshment Break - Denmark Commons, 3rd Floor

10:10 a.m. Urological Management of Kidney Stones Amy E. Krambeck, M.D.

10:50 a.m. Round Table Discussion: Challenging Cases of Vascular Access Complications Drs. Robert C. Albright, Jr., Sanjay Misra and Scott L. Nyberg; Moderator, Dr. Albright

12:00 p.m. Lunch – Norway Room, 3rd Floor

CONCURRENTSESSIONS

PHYSICIAN PROGRAM Location: Scandinavian Ballroom, Main Ballroom, 3rd Floor

1:15 p.m. Left Ventricular Assist Device (LVAD) and Implications for the Nephrologist

John J. Dillon, M.D.

1:55 p.m. FGF-23: New Insights in Phosphorus Physiology and Implications for Clinical Practice

Rajiv Kumar, M.D.

2:25 p.m. Electrolyte Disorders (Case-Based) Qi Qian, M.D.

3:05 p.m. Refreshment Break – Denmark Commons, 3rd Floor

3:25 p.m. Update on Focal Segmental Glomerulosclerosis Eddie L. Greene, M.D.

3:55 p.m. Renal Pathology Round Table: Eddie L. Greene, M.D., Timothy S. Larson, M.D., and Samih Nasr, M.D.

5:00 p.m. Adjourn

5:15- Welcome Reception6:30 p.m. Denmark Commons, 3rd Floor All faculty, participants, and their guests are invited.

Program Schedule

CURRENTTOPICSYMPOSIUM(NURSINGBREAKOUT)Location: New Sweden Ballroom, 2nd Floor

1:15 p.m. Diabetes and Obesity in the Renal Patient Amy J. Koenigs, R.N., CNP

2:15 p.m. Update on CMS Bundling Jan Deane, R.N. CNN

3:15 p.m. Refreshment Break – Denmark Commons, 3rd Floor

3:30 p.m. Palliative Care Molly A. Feely, M.D.

4:30 p.m. Humor in the Work Place H. Natalie Atkins, R.N.

5:00 p.m. Adjourn

5:15- Welcome Reception6:30 p.m. Denmark Commons, 3rd Floor All faculty, participants, and their guests are invited.

Saturday, September 29, 2012

7:30 a.m. Continental Breakfast – Denmark Commons, 3rd Floor

TRANSPLANTUPDATES

8:00 a.m. Diabetes Management in Kidney Transplant Recipients Yogish C. Kudva, MBBS

8:30 a.m. Calcineurin Inhibitor Sparing Immunosuppression: Is It Time? Raymond L. Heilman, M.D.

9:00 a.m. Current and Future Transplant Trials at Mayo Clinic Mark D. Stegall, M.D.

9:30 a.m. My Patient Is on the Waiting List: What Advice Should I Give Him/Her Regarding Finding a Donor?

Lynette A. Fix, RN, CCTC

10:00 a.m. Refreshment Break – Denmark Commons, 3rd Floor

10:20 a.m. Update on Paired Kidney Exchange Mikel Prieto, M.D.

10:50 a.m. Debate on Transplant Tourism: Where Does the Medical Community Stand? Hatem Amer, M.D., Mikel Prieto, M.D., and Kevin I. Reid, DMD

11:50 a.m. Post-Test

12:00 p.m. Lunch and Breakout into Afternoon Sessions at 12:30 p.m.

Program ScheduleCONCURRENTSESSIONS

ABIMWORKSHOPLocation: Scandinavian Ballroom, Main Ballroom, 3rd Floor

12:30 - ABIM Maintenance of Certification Module5:00 p.m. Moderators: Suzanne M. Norby, M.D. and Ziad M. El-Zoghby, M.D.

2:30-2:45 p.m. Refreshment Break Denmark Commons, 3rd Floor

BEDSIDEULTRASONOGRAPHYFORTHENEPHROLOGISTWORKSHOPLocation: New Sweden Ballroom, 2nd FloorNote, there is an additional $75 fee for this workshop.

12:30 - Bedside Ultrasonography for the Nephrologist: Hands-on Workshop5:00 p.m. Kiansoush B. Kashani, M.D., Hiroshi Sekiguchi, M.D., and Edwin H. Lee, M.D.

Description:This 4-hour hands-on workshop is structured as follow: •IntroductoryLecture:1hour•Hands-onSessionsWithRotationsAmongDifferentStations:2hours•QuizandInterpretationofAbnormalStudies:1hour

12:30 p.m. Basic Principles of Ultrasonography (Physiology and Knobology)

12:50 p.m. Kidney and Bladder Ultrasonography

1:10 p.m. Ultrasonography to Assess Volume Status

1:30 p.m. Hands-on Sessions •KidneyandBladder •VascularAccess:JugularVeinCannulation

2:30 p.m. Refreshment Break

2:45 p.m. Hands-on Sessions: •Lungs •InferiorVenaCava/Aorta(CVPandVolumeStatus)

3:45 p.m. Interpretation: Practice Interpreting Abnormal Studies

5:00 p.m. Adjourn

REGISTRATIONRegister online:

http://www.mayo.edu/cme/internal-medicine-and-subspecialties-2012R028

Registration Fee:CourseRegistration(MD,PhD,DO,PharmD) $450.00CourseRegistration(FellowsinTraining,PA,NP,RN) $305.00OneDayFee(NursesOnly) $150.00UltrasoundWorkshop(SaturdayAfternoon) $75.00(additional cost to attendees who have registered for the general session - Saturday Afternoon)

Friday, September 28, 2012 (please check which one session you will attend) All Day General Session Morning General Session/Afternoon Nursing Session Nursing Session in the Afternoon Only

Saturday, September 29, 2012 (please check which afternoon session you will attend) ABIM (included in the registration fee) Ultrasound Workshop (Additional $75 fee for this workshop)

Mayo Clinic Department of Internal Medicine has recently implemented an online conference registration system. If this is your first time using the online system, you will need to create a profile and login account.

Register by entering the url: http://www.mayo.edu/cme/internal-medicine-and-subspecialties-2012r028 and click on Register Now. The system will guide you through the profile and login process. An e-mail address is required upon registration. A letter of confirmation will be forwarded to this address upon receipt of payment and submitted registration. Present this letter of confirmation when checking in at the meeting registration desk.

The registration fee includes tuition, electronic course syllabus, continental breakfasts, break refreshments, lunch, and reception. Although it is not Mayo School of Continuous Professional Development (CPD) policy to limit the number of registrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised. Enrollment for this program is limited. A letter of confirmation will be e-mailed upon receipt of payment. Please present the confirmation letter when checking in at the meeting registration desk.

Foradditionalinformation,contact:Continuing Education200 First Street SW - Gonda 6Rochester, MN 55905

E-mail: rstdomcme@mayo.eduPhone: 800-283-6296 or 507-266-6703Website: http://www.mayo.edu/cme/internal-medicine-and-subspecialties-2012r028

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