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MEDICAL  SURGICALGASTROENTEROLOGYA Multidisciplinary Approach

JANUARY 27-31, 2013• • •

Viceroy Snowmass HotelSnowmass Village, Colorado

• • •Activity Directors:John Clarke, MD

Mark Lazarev, MDRichard Schulick, MD, MBA, FACS

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C O N T I N U I N G M E D I C A L E D U C A T I O N

REGISTRATIONSunday, January 27, 2013 • 3:00 - 5:00 p.m.Monday, January 28, 2013 • 6:30 - 7:00 a.m.

FEESREGISTRATION CUT-OFF DATE: January 21, 2013Methods of Payment: Payment by check or credit card must accompany the registration form prior to the activity. On-site payments by credit card only. Foreign payments must be by credit card or with a U.S. Dollar World Money Order. The registration fee includes instructional materials, continental breakfast, refreshment breaks, welcome reception and après ski dinner.Early Bird, received by November 30, 2012Physicians ......................................................................................$695Residents*/Fellows*/Nurse Practitioners/Physician Assistants/Nurses/Allied Health Professionals ...................$425Regular, received after November 30, 2012 and on or before January 21, 2013 Physicians .......................................................................................$795Residents*/Fellows*/Nurse Practitioners/Physician Assistants/Nurses/Allied Health Professionals ...................$525*with verification of status

You will receive a confirmation by e-mail if you have provided your e-mail address. Otherwise confirmation will be sent by mail. If you have not received it by January 21, 2013, call (410) 502-9636 to confirm that you are registered. A certificate of attendance will be sent by March 18, 2013 to the e-mail address you provide on the registration form. The Johns Hopkins University reserves the right to cancel or postpone any activity due to unforeseen circumstances. In this event, the University will refund the registration fee but is not responsible for travel expenses. Additionally, we reserve the right to change the venue to a comparable venue. Under such circumstances registrants will be notified as soon as possible.

LATE FEE AND REFUND POLICYA $50 late fee applies to registrations received after 5:00 p.m. EST on January 21, 2013. A handling fee of $50 will be deducted for cancellation. An additional fee may apply for cancellation of other events, including workshops and social activities. Refund requests must be received by fax or mail by January 21, 2013. No refunds will be made thereafter. Transfer of registration to another Johns Hopkins conference in lieu of cancellation is not possible.

SOCIAL EVENTSWelcome Reception: A complimentary reception for registrants and faculty will be held Sunday, January 27, 2013 from 5:00 - 6:00 p.m. Guests are invited to attend at an additional charge of $12. Please indicate your attendance on the registration form.Après Ski Dinner: The Après Ski Dinner is included in your registration fee and will be held Monday, January 28, 2013 from 7:00 - 9:00 p.m. Guests are invited to attend at an additional charge of $65 for adults and $30 for children (3-12 years old). Please indicate your attendance on the registration form.

LOCATIONViceroy Snowmass Hotel (970) 923-8000130 Wood Road Fax (970) 923-8001Snowmass Village, Colorado 81615Guestroom Reservations: (877) 235-7577Hotel Concierge: (970) 923-8002The Viceroy Snowmass is pet-friendly and smoke-free.

HOTEL RESERVATION CUT-OFF DATE: JANUARY 4, 2013At the Viceroy Snowmass Hotel, mountain living glows with modern spirit with their team of passionate individuals committed to redefining the traditional concept of luxury hospitality through intuitive service, inspiring design, innovative culinary experiences and holistic wellness programs that touch the heart and soul of every guest. Opened in November, 2009 the Viceroy Snowmass, the only LEED Gold Certified Hotel in Colorado, features fireplaces and kitchen components in every room and brings modern luxury to the base of one of the country’s favorite ski mountains with ski-in, ski-out convenience and complimentary airport and resort shuttles between Aspen and Snowmass mountains.

HOTEL AND TRAVEL INFORMATION We strongly encourage you to book your accommodations at the Viceroy Snowmass, which is the conference headquarters hotel. The Johns Hopkins Office of CME makes every effort to secure the best rate for overnight accommodations. The rate is part of a negotiated conference package that incorporates many services. By staying at the host hotel and booking within the room block, you help us maintain current conference benefits and keep future registration fees reasonable. Please consider this when making your overnight accommodations decision. A limited block of sleeping rooms has been reserved for your convenience and will be available on a first come, first served basis. Make your reservation on-line at www.viceroysnowmass.com and use group code JOHNSHOPKINSMED or call the hotel reservations line directly and specify you are attending the Johns Hopkins Medical and Surgical Gastroenterology course to receive the special group room rates. Studio King / Studio Queen-Queen $310; One-Bedroom Suite: $360. Accommodations, for those registered within the group block, include waived resort fee, Wi-Fi access throughout property, round-trip airport transfers to/from Hotel to Aspen Airport (available through the concierge), and complimentary Fitness Studio access. Daily breakfast coupons are available for non-attendees for $25 per person, plus tax, and are available for purchase at hotel check-in. Valet parking is available on-site at an additional charge. Check-in time is 4:00 p.m. Check-out time is 11:00 a.m.Hotel Deposit and Cancellation Policy: When reservation is made, Hotel will require a deposit of 50% of the room rate and tax (currently 12.8%) for each reservation. The remaining balance will be charged to the credit card within seven (7) days of arrival date. Rooms not guaranteed by the deposit date will be released and returned to the Property’s general inventory. Should the guest cancel within seven (7) days of the arrival date, individual guests will be charged for the full length of stay. Upon check-in, each guest will be required to present a valid credit card, on which an amount of sufficient pre-authorization can be obtained to cover the resort fees for the length of the guest’s stay, plus the anticipated use of the Hotel ancillary services. Hotel requires each guest’s home/business address and e-mail address. Travel Insurance is recommended for purchase through your travel agent.

RECREATIONAL ACTIVITIES/DISCOUNTSAdditional details on lift tickets and equipment rental will be available on-line closer to the date of the activity.

EMERGENCY CALLSOn January 27 - 31, 2013, direct emergency calls to (970) 923-8000 and ask that a message be sent to the Johns Hopkins registration desk. Messages will be posted for participants.

ACCREDITATION STATEMENT The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

CREDIT DESIGNATION STATEMENT The Johns Hopkins University School of Medicine designates this live activity for a maximum of 20.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

OTHER CREDIT American Nurses Credentialing Center American Nurses Credentialing Center (ANCC) accepts AMA PRA Category 1 CreditTM from organizations accredited by the ACCME. American Academy of Nurse Practitioners American Academy of Nurse Practitioners (AANP) accepts AMA PRA Category 1 CreditTM from organizations accredited by the ACCME. American Academy of Physician Assistants American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 CreditTM from organizations accredited by the ACCME. Physician assistants may receive a maximum of 20.25 hours of Category 1 credit for completing this program.Contact Hours for Non-PhysiciansThe Johns Hopkins University has approved this activity for 20.25 contact hours for non-physicians.

POLICY ON SPEAKER AND PROVIDER DISCLOSUREIt is the policy of the Johns Hopkins University School of Medicine that the speaker and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). The Johns Hopkins University School of Medicine OCME has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the activity handout materials.

Description

There have been great advances in the diagnosis and the treatment of gastrointestinal diseases. For example, in the last year alone there have been more than 25,000 papers published on liver disease. Basic treatment paradigms for common GI conditions such as chronic hepatitis

C are en flux as new classes of pharmaceuticals become available and even diseases without new therapies have been reappraised with new recommendations. In addition, to maintain their practices, gastroenterologists and surgeons may need to look into offering other services such as motility testing, Barrett’s ablative therapies (such as cryotherapy and radiofrequency ablation), gastric electrical stimulation, sacral nerve stimulation and complementary/alternative options (such as acupuncture and gut hypnotherapy), among others – yet formal education in these areas is limited. It is hard for practicing gastroenterologists and surgeons to self-track all these advances and new therapies. The 30th Annual Medical and Surgical Gastroenterology Conference will provide a learning opportunity for participants in various GI disorders, including an assessment of new technologies, new diagnostic and therapeutic options for inflammatory bowel disease, esophageal disorders, hepatopancreaticobiliary disease and motility disorders.

Who Should AttendThis activity is intended for gastroenterologists, surgeons, internists, family practitioners, physician assistants, nurse practitioners, nurses, and other allied health professionals.

ObjectivesAfter attending this activity, the participant will demonstrate the ability to:• Identify and utilize the latest techniques for the management of esophageal disorders• Identify and utilize the latest diagnostic and therapeutic techniques for the management of

inflammatory bowel disease• Review updates and changing practice paradigms in hepatopancreaticobiliary disease• Identify and utilize the latest techniques for management of gastroparesis and other motility

disorders• Review updates and changing practice patterns for the management of viral hepatitis.

General Information

TO REGISTER or FOR FURTHER INFORMATIONRegister Online www.HopkinsCME.edu(credit card and eCheck) Register by Phone (credit card only) (410) 502-9636Register by Fax (866) 510-7088Confirmation/Certificates (410) 502-9636General Information (410) 955-2959E-mail the Office of CME cmenet@jhmi.eduFollow us on Twitter: http://twitter.com/HopkinsCMEFacebook: http://www.facebook.com/HopkinsCMEJohns Hopkins Gastroenterology and Hepatology Website: www.hopkins-gi.org.For general information, the direct link for this CME activity web page is: http://www.hopkinscme.edu/CourseDetail.aspx/80029629

Program

SUNDAY, JANUARY 27, 2013 2:30 - 3:45 Registration 3:45 - 4:00 Welcome and Conference Goals Richard Schulick, MD, MBA, FACSKeynote AddressModerator: John Clarke, MD 4:00 - 5:00 Medical and Surgical Options for

Gastroparesis in 2013 P. Jay Pasricha, MD 5:00 - 6:00 Welcome Reception Please indicate your attendance on the registration form.

MONDAY, JANUARY 28, 2013Morning Session: Esophageal DisordersModerator: John Clarke, MD 6:30 - 7:00 Registration and Continental Breakfast 7:00 - 7:30 How Safe are Proton Pump Inhibitors? Ellen Stein, MD 7:30 - 8:00 Achalasia: From Botox to

Per-Oral Endoscopic Myotomy P. Jay Pasricha, MD 8:00 - 8:30 Eosinophilic Esophagitis:

An Emerging Epidemic John Clarke, MD 8:30 - 9:00 Surgery in the Refractory Reflux Patient Michael Marohn, DO 9:00 - 9:15 Questions and AnswersAfternoon Session: Inflammatory Bowel DiseaseModerator: Mark Lazarev, MD 4:00 - 4:30 Refreshment Break 4:30 - 5:00 Optimal Surveillance and Management of

Dysplasia for IBD Thomas Ullman, MD 5:00 - 5:30 Optimizing Biologic Treatments for

Crohn’s Disease Mark Lazarev, MD 5:30 - 6:00 Does Cyclosporine Still have a Role in the

Treatment of IBD? Thomas Ullman, MD 6:00 - 6:30 Surgical Management of Ulcerative Colitis

and Crohn’s Disease in 2013 Michael Marohn, DO 6:30 - 7:00 Questions and Answers 7:00 - 9:00 Après Ski Dinner Please indicate your attendance on the registration form.

TUESDAY, JANUARY 29, 2013Morning Session: HepatologyModerator: Richard Schulick, MD, MBA, FACS 6:30 - 7:00 Continental Breakfast 7:00 - 7:30 The Changing Frontier of Hepatitis C Treatment Gregory Everson, MD, FACP 7:30 - 8:00 Cholestasis: Work-Up, Differential and

Treatment Piet de Groen, MD 8:00 - 8:30 Hepatitis B: Clarifying the Confusion Gregory Everson, MD, FACP 8:30 - 9:00 How I Approach Liver Lesions Richard Schulick, MD, MBA, FACS 9:00 - 9:15 Questions and AnswersAfternoon Session: Colorectal DisordersModerator: John Clarke, MD 4:00 - 4:30 Refreshment Break 4:30 - 5:00 Automated Real-Time Feedback

during Colonoscopy Piet de Groen, MD 5:00 - 5:30 Closing the Gap on Fecal Incontinence John Clarke, MD 5:30 - 6:00 Treatment of Moderate to Severe UC in 2013 Mark Lazarev, MD 6:00 - 6:30 Surgical Options for Chronic Constipation Michael Marohn, DO 6:30 - 7:00 Questions and Answers

WEDNESDAY, JANUARY 30, 2013Morning Session: Interactive Case ManagementModerator: Richard Schulick, MD, MBA, FACS 6:30 - 7:00 Continental Breakfast 7:00 - 9:00 Hepatopancreaticobiliary Interactive

Case Management Panel: Piet de Groen, MD, Barish Edil, MD,

Gregory Everson, MD, FACP, Anne Marie Lennon, MD, PhD 9:00 - 9:15 Questions and AnswersAfternoon Session: Interactive Case ManagementModerator: John Clarke, MD 4:00 - 4:30 Refreshment Break 4:30 - 6:30 Gastrointestinal Luminal Interactive

Case Management Panel: Mark Lazarev, MD, Michael Marohn, DO,

P. Jay Pasricha, MD, Thomas Robinson, MD, Ellen Stein, MD, Thomas Ullman, MD

6:30 - 7:00 Questions and Answers

THURSDAY, JANUARY 30, 2013Morning Session: Hepatopancreaticobiliary DisordersModerator: Richard Schulick, MD, MBA, FACS 6:30 - 7:00 Continental Breakfast 7:00 - 7:30 How to Approach Pancreatic Cysts Anne Marie Lennon, MD, PhD 7:30 - 8:00 Neuroendocrine Tumors of the Pancreas Barish Edil, MD 8:00 - 8:30 Autoimmune Pancreatitis: An Emerging Disease Anne Marie Lennon, MD, PhD 8:30 - 9:00 Management of Bile Duct Cancers in 2013 Richard Schulick, MD, MBA, FACS 9:00 - 9:15 Questions and AnswersAfternoon Session: Clinical ChallengesModerator: Mark Lazarev, MD 4:00 - 4:30 Refreshment Break 4:30 - 5:00 How Risky is Surgery in the Elderly? Thomas Robinson, MD 5:00 - 5:30 Tricks for Your Toughest Irritable Bowel

Patients Ellen Stein, MD 5:30 - 6:00 Should Whipples be Done Laparoscopically? Barish Edil, MD 6:00 - 6:30 How to Avoid and Manage Post-Operative

Delirium in the Elderly Thomas Robinson, MD 6:30 - 7:00 Questions and Answers 7:00 Adjourn Please complete and return the Evaluation and

Credit Report Forms. The Registration Desk will remain open during conference hours.

The Johns Hopkins University School of Medicine takes responsibility for the content, quality and scientific integrity of this CME activity.

This schedule is subject to change.

Registration Form Course Number 80029629

30th Annual Medical and Surgical Gastroenterology: A Multidisciplinary ApproachJanuary 27 - 31, 2013

To Register: Online: www.HopkinsCME.edu By fax: (866) 510-7088By phone (credit card only): (410) 502-9636

Or mail this form to the Johns Hopkins University, Office of Continuing Medical Education, P.O. Box 64128, Baltimore, Maryland 21264-4128. Include check payable to HOPKINS/80029629, or include credit card information below..

PAYMENT MUST ACCOMPANY FORM TO CONFIRM YOUR REGISTRATION.M I am a Johns Hopkins speaker for this activity.

Please type or print clearly:last name first name m.i.

highest degree primary specialty Hopkins Faculty/Staff Only – JHED ID:

mailing address

city state ZIP + 4 code country

daytime telephone fax number

e-mail / / / / / / / / / / / / / / / / / / / / / / / / / / /You will receive a confirmation notice and your attendance certificate by e-mail if you provide your e-mail address. M Check here if you wish to receive e-mail notices about upcoming CME activities.M I plan to stay at the Viceroy Snowmass in Snowmass Village, Colorado

What do you hope to learn by attending this activity? ____________________________________________________

Please notify us if you have any special needs. __________________________________________________________

REGISTRATION FEES:Early Bird, received by November 30, 2012M Physicians .......................................................................................................................................................................................................$695M Residents*/Fellows*/Nurse Practitioners/Physician Assistants/Nurses/Allied Health Professionals ................................. $425Regular, received after November 30, 2012 and on or before January 21, 2013 M Physicians ........................................................................................................................................................................................................$795M Residents*/Fellows*/Nurse Practitioners/Physician Assistants/Nurses/Allied Health Professionals ..................................$525

*with verification of status

For registrations received after 5:00 p.m. EST on January 21, 2013, include a $50 late fee. On-site registrations are payable only by credit card.

Social Events: RSVP AttendeeWelcome Reception: M Yes M No Apres Ski Dinner: M Yes M NoGuestsWelcome Reception: # of Guests @ $12 = $ Apres Ski Dinner: # Adults @ $65 = $ # Children (3-12 years old) @ $30 = $

Total amount enclosed $ ___________________________Payment Type:

JHU Faculty/Staff Only: If you are using your Tuition Remission Benefit or an ION budget, please complete this registration form and return with appropriate payment processing form to OCME, Turner 20.Forms can be found on-line at http://www.hopkinscme.edu/Resources/resources.aspx.

M Check (See instructions on top of form.)M Credit Card: M VISA M MASTERCARD M DISCOVER M AMEX

Card # - - - Exp. Date _____________

Name on Card Signature and Date

EVALUATION A form will be available to attendees to evaluate each session and each speaker’s presentation, as well as to identify future educational needs.

OUTCOMES SURVEY A survey will be sent to all physician attendees within three months post activity to assist us in determining what impact this activity had on the attendee’s practice.

AMERICANS WITH DISABILITIES ACTThe Johns Hopkins University School of Medicine fully complies with the legal requirements of the ADA and the rules and regulations thereof. Please notify us if you have any special needs.

ACKNOWLEDGEMENTApplications for commercial support from health care related industries are pending. A complete list of contributors will be provided in the syllabus.

ACTIVITY CO-DIRECTORSJohn Clarke, MDAssistant Professor of MedicineClinical Director, Johns Hopkins Center for NeurogastroenterologyDivision of Gastroenterology and HepatologyJohns Hopkins University School of Medicine

Mark Lazarev, MDAssistant Professor of MedicineDivision of Gastroenterology and HepatologyJohns Hopkins University School of Medicine

Richard Schulick, MD, MBA, FACSProfessor of SurgeryThe Aragon/Gonzalez-Giusti Chair, Department of SurgeryUniversity of Colorado School of MedicineAurora, Colorado

JOHNS HOPKINS SPEAKERSAnne Marie Lennon, MD, PhDAssistant Professor of Medicine

Michael Marohn, DOAssociate Professor of Surgery

P. Jay Pasricha, MDDirector, Division of Gastroenterology Johns Hopkins Bayview Medical CenterProfessor of MedicineDirector, Johns Hopkins Center for NeurogastroenterologyJohns Hopkins University School of MedicineProfessor of Innovation Management Johns Hopkins Carey School of Business

Ellen Stein, MDAssistant Professor of Medicine

GUEST SPEAKERSPiet de Groen, MDProfessor of MedicineMayo Foundation for Medical Education and ResearchRochester, Minnesota

Barish Edil, MDAssociate Professor of SurgeryUniversity of Colorado School of MedicineAurora, Colorado

Gregory Everson, MD, FACPProfessor of MedicineDirector, Section of HepatologyUniversity of Colorado School of MedicineAurora, Colorado

Thomas Robinson, MDAssociate Professor of SurgeryMedical Director, University of Colorado’s Center for Surgical Innovation Director, MIS CenterUniversity of Colorado School of MedicineAurora, Colorado

Thomas Ullman, MDAssociate Professor of Medicine, GastroenterologyThe Mount Sinai HospitalNew York, New York

Speakers