of 48 /48
Association of Physician Assistants in Cardiothoracic and Vascular Surgery 37 th Annual Meeting | April 4-8, 2018 FINAL PROGRAM WITH OBJECTIVES Wednesday, April 4, 2018 1600-1800 Registration Overture Foyer Thursday, April 5, 2018 0630-1700 Registration Overture Foyer 0630-0830 Continental Breakfast Overture Foyer/ Symphony I/II 0730-1730 GENERAL SESSION Symphony III/ IV 0730-0830 APACVS Presidential Address Steven Gottesfeld PA-C 0830-0930 Patient Safety Thor Sundt, MD Objectives:

cdn.ymaws.com€¦  · Web viewor the Young and the Seasoned ... NOVAL World Neil Kumar, MD. Objectives: - Review the Current FDA Approved NOVAL

Embed Size (px)

Text of cdn.ymaws.com€¦  · Web viewor the Young and the Seasoned ... NOVAL World Neil Kumar, MD....

Association of Physician Assistants in Cardiothoracic and

Vascular Surgery

37thAnnual Meeting | April 4-8, 2018

FINAL PROGRAM WITH OBJECTIVES

Wednesday, April 4, 2018

1600-1800 Registration

Overture Foyer

Thursday, April 5, 2018

0630-1700 Registration

Overture Foyer

0630-0830 Continental Breakfast

Overture Foyer/ Symphony I/II

0730-1730 GENERAL SESSION

Symphony III/ IV

0730-0830 APACVS Presidential Address

Steven Gottesfeld PA-C

0830-0930 Patient Safety

Thor Sundt, MD

Objectives:

- Recognize the challenges and limitations of Human Factors.

Approaches to Improving Patient Safety in Cardiothoracic Surgical

Care. - Identify Common Causes of and Factors Associated with Medical

errors in surgery. - Develop Mechanisms to Collate and Analyze Error Causation. - Implement Effective Communication Tools Between and Within

Teams, e.g. Preoperative Briefings, Postoperative Debriefings, and

Hand-offs.

0930-0945 Coffee Break

Overture Foyer

09450-1045 Checklists/ Briefing/ Debriefing

Thor Sundt, MD

Objectives:

Discuss the Impact of Checklists Have on Human-Medicine Interfaces.

Review Models for and Impact of Perioperative Briefing with the Team.

1045-1115 Non-Technical Skills in the OR

Jamie Robertson, PhD, MPH

Objectives:

Discuss Behavioral Marker Systems that Have Been Developed to Rate Surgeons Non-Technical Skills.

Review Non-Technical Skills required by Surgeons in the operating Room.

1115-1145 Conflict Resolution

Stephen Mayberg PhD

Objectives:

Discuss the Relationship Between Good Communication and Patient Outcomes/ Satisfaction.

Review Common Sources of Workplace Conflict and How to Avoid them.

1145-1315 Lunch and Learn

Sponsored by: Saphena

Concerto B, C & D

1315-1345 Perioperative Pain

Padma Gulur, MD

Objectives:

Discuss Strategies for Perioperative Pain Management.

Discuss Transition Strategies from Opiod to Non-Opiod Measures in the Inpatient Setting.

1345-1415 Prescribing Controlled Substances

Padma Gulur, MD

Objectives:

Discuss Current Regulatory Initiatives and Their Impact on Clinical Practice.

Discuss the Mechanisms of Addiction.

1415-1445 Panel Discussion

Objectives:

Discuss the Impact of New Prescribing Laws on PA Practice.

Discuss the New Mechanisms of Regulatory Compliance.

1445-1500 Coffee Break

Overture Foyer

1500-1600Care of the Arresting Cardiac Surgery Patient: A Review of the

Literature

Aaron Morton, MMSc, PA-C, FAPACVS

Objectives:

Review the Literature with Regards to Resuscitation of the Arresting Cardiac Surgery Patient.

Discuss Differences in Management Between ACLS and The STS Protocol.

1600-1700 The PA Experience in India

Anitha Chandrasekhar, PA-C

Objectives:

Review PA Practice in India, Drawing Comparisons to PA Practice in the US.

Discuss the Current Globalization of PA Practice and Its Implications on International Collaboration.

1700-1800 APACVS Member Meeting

1315-1800 CONCURRENT TRACK SESSIONS

Extracorporeal Membrane OxygenationCourse (ECMO)** Chamber A

Faculty: Patti Raval, PA-C, Chair; Gregg Steahr, PA-C; Donald Botta, MD;

John Fritsch, CCP; Mary Nelson, BSN, RN; Bradford Ledzian, PA-C

1315-1325 History of ECMO

Objectives:

- Describe the First Successful ECMO Case.

- Discuss the Outcomes of The CESAR Trial.

1325-1335 Physiology of ECMO

Objectives:

- Understand Oxygen Delivery and Consumption Mismatch.

- Identify Physiologic Changes ECMO Has on Mismatch.

1335-1405 VA ECMO

Objectives:

- Identify Indications and Contraindications for VA ECMO.

- Identify Different Cannulation Positions and Physiology Behind Each.

- Discuss Weaning Strategies.

1405-1440 VV ECMO

Objectives:

- Identify Indications and Contraindications for VV ECMO.

- Identify Different Cannulation Positions and Physiology Behind Each.

- Discuss Weaning Strategies.

1440-1455 Maintenance of ECMO

Objectives:

- Discuss the Difference Between Radial/ Pre/ Post Membrane ABG.

- Discuss How to Adjust Sweep based on ABG Results.

- Review Anticoagulation and Its Risks.

1455-1525 Complications of ECMO

Objectives:

- Discuss Limb Ischemia and the Use of Distal Perfusion Catheters.

- Understand Hemolysis.

- Discuss Harlequin Syndrome and How to Adjust for It.

1525-1800 Hands-on/ Simulation:

Cannulation Techniques

Objectives:

- Discuss Techniques for VA Peripheral Cannulation.

- Discuss Techniques for VA Central Cannulation.

- Discuss Techniques for VV Peripheral and Double-Lumen Cannulation.

Circuit Set-up

Objectives:

- Discuss Different Size Cannulas and When to Use Each.

- Identify Primary Components of the ECMO Circuit.

- Discuss oxygenators and when to change out.

Simulation Lab

- Practice Care of the ECMO Patient Using Reality Based Scenarios

- Demonstrate Knowledge of Line Management, Trouble Shooting and

Drip Management Using Reality Based Scenarios and Manikins

1830-2000 Welcome Reception Exhibit Hall: Symphony I & II, Overture Foyer

Friday, April 6, 2018

0630-1800 Registration

Overture Foyer

0630-1600 Exhibit Hall Hours

Symphony I & II

0630-0830 Continental Breakfast

Overture Foyer, Symphony I/II

0730-1145 CONCURRENT TRACK SESSIONS

Cardiac Track Symphony III & IV

0730-0830 Acute Aortic Syndrome

Tomas Martin, MD

Objectives: - Define the Pathophysiology of Acute Aortic Syndromes. - Define Standard Diagnostics of Acute Aortic Syndrome. - Discuss the Management of Acute Aortic Syndrome.

0830-0930 Chronic Aortic Dissection

Gabrielle DiLuozzo, MD

Objectives: - Discuss the Features of Chronic Aortic Dissection. - Discuss Management Options for Chronic Aortic Dissection. - Define Operative Indications for Chronic Aortic Dissection.

0930-0945 Coffee Break/ Visit Exhibitors

Overture Foyer, Symphony I & II

0945-1045 Genetic Disease Affecting the Aorta

Duke Cameron, MD

Objectives:

- Identify Common Genetic Diseases Affecting the Aorta.

- Describe the Genetic Basis of Aortic Disease.

- Review Genetic Screening for Aortic Disease.

1045-1145 Multidisciplinary Complex Aortic Treatment Program

Rick Bello, MD

Objectives:

- Discuss the Multidisciplinary Approach to Complex Aortic Disease.

- Review the Indications for Multimodal Aortic Interventions.

- Describe the Surgical Approaches to Complex Aortic Disease.

Thoracic Track

Chamber A

0730-0800 Overview on Surgical Management of NSCLC

Thomas DAmico, MD

Objectives:

- Discuss the Current Indications for the Surgical Management of

NSCLC.

- Discuss the Current Modalities for Resection of NSCLC.

0800-0830 VATS Lobectomy

Thomas DAmico, MD

Objectives:

- Discuss the Current State of VATS Lobectomy.

- Discuss the Current Indications for VATS lobectomy.

0830-0900 Robotic Lobectomy

Mark Berry, MD

Objectives:

- Discuss the Current Indications for Robotic Lobectomy

- Discuss the Oncologic Efficacy of Robotic Lobectomy

0900-0930 Panel Discussion

Thomas DAmico, MD & Mark Berry, MD

Objective:

- Discuss the Current Advantages of Robotic Versus Thoracoscopic

Resection.

- Discuss the Current Disadvantages of Robotic versus Thoracoscopic

Resection.

- Discuss the Current Oncologic Efficacy of both Robotic and

Thoracoscopic Resection.

0930-0945 Coffee Break/ Visit Exhibits

Overture Foyer, Symphony I & II

0945-1015 Esophagus Cancer Surgery Overview

Thomas DAmico, MD

Objectives:

- Discuss the Current Incidence of Esophageal Cancer.

- Discuss the Current Evaluation Modalities for Esophageal Cancer.

1015-1045 Open Esophagectomy

Duykhanh Ceppa, MD

Objectives:

- Discuss the Current Approaches for Surgical Resection of Esophageal

Cancer.

- Discuss the Current Data Associated with Open Versus Minimally

Invasive Esophagectomy.

1045-1115 Minimally Invasive Esophagectomy (MIE)

Mark Berry, MD

Objectives:

- Discuss the Current Indications for Minimally Invasive Esophagectomy.

- Discuss the Technical Variations of Minimally Invasive

Esophagectomy.

1115-1145 Panel Discussion

Thomas DAmico, MD, Duykhanh Ceppa, MD & Mark Berry, MD

Objectives:

- Discuss the Most Recent Literature Relative to Open Versus MIE.

- Discuss the Advantages of MIE Versus Open Esophagectomy.

- Discuss the Disadvantages of MIE Versus Open Esophagectomy.

Critical CareTrack Boot Camp

Concerto Ballroom A

0730-0830 Management of Acute Post-Operative Hemodynamics

Rick Bello, MD

0830-0930 Inotropes, Vasopressors and Chronotropes, OH MY! A Review

fortheYoung and the Seasoned

Matthew Robertus, PharmD

Objectives:

- Review the Mechanism of Action of Vasopressors and Inotropes.

- Discuss Common Side Effects of Different Vasopressors and

Inotropes.

- Review Data for the Use of Alternative Agents.

- Discuss Where Angiotensin II Fits into Therapy.

0930-0945 Coffee Break/ Visit Exhibits

Overture Foyer, Symphony I & II

0945-1045 Paging Hematology: Management of Bleeding Patients in

a NOVAL World

Neil Kumar, MD

Objectives:

- Review the Current FDA Approved NOVAL Agents and Their

Indications.

- Discuss the Evidenced Based Approach to Common Coagulopathies.

1045-1145 Post-Cardiopulmonary Bypass Complications: The Common

and the Outliers

Seth Zebrak, PA-C

Objectives:

- Review Incidence of Common Complications After Cardiopulmonary

Bypass.

- Discuss Diagnosis, Treatment and Expected Outcomes with These

Complications.

1145-1315Lunch & Learn:

Sponsored by:Getinge Group Concerto B, C & D

1315-1730 CONCURRENT TRACK SESSIONS

Cardiac Track

Symphony III & IV

1315-1415 Dysrhythmia A & P and Antiarrhythmic Pharmacology

Jackoline Constantino, PharmD

Objectives:

- Review the Cardiac Myocyte Electrophysiology. - Review the Anatomy & Physiology of the Cardiac Conduction System. - Review Pharmacology of Antiarrhythmic Medications and Classification Scheme. - Outline Pharmacokinetics/Pharmacodynamics of the Most Common Antiarrhythmic Medications.

1415-1515 Evaluation of Vascular Disease in the Cardiac Surgery Patient

DejahJudson, MD

Objectives:

- Review Completing a Thorough Vascular Physical Exam for Pre-

operative Evaluation.

- Understand Appropriate Vascular Testing Including ABIs, Carotid

Duplex, etc.

- Recognize the Indications for Combined Revascularizations (i.e., CEA-

CABG).

1515-1530 Coffee Break/ Visit Exhibits

Symphony I & II

1530-1630 Heart Failure Introduction

Mauricio Velez, MD

Objectives:

- Provide an Overview of Systolic and Diastolic Heart Failure.

- Review the Diagnosis of Right and Left Ventricular Failure.

- Describe First Line Treatment Considerations in Acute and Chronic

Heart Failure

1630-1730 Future of Mechanical Support

Valluvan Jeevanandam, MD

Objectives: - Review the Indications for Mechanical Circulatory Support. - Understand New Technology and Modalities of Mechanical Circulatory Support. - Discuss New Indications for Mechanical Circulatory Support.

Thoracic Track

Chamber A

1315-1345 Multidisciplinary Teams

Duykhanh Ceppa, MD

Objectives:

- Discuss the Structure and Importance of Multidisciplinary Care in

Thoracic Oncology.

- Discuss the Multidisciplinary Approaches to Management of Thoracic

Malignancies.

1345-1415 Oncology: Molecular Testing and Treatment

Erin Kunz, PA-C

Objectives:

- Discuss a Brief Overview of the Current Status of Molecular Testing.

- Discuss a Brief Overview of Current Molecularly Targeted Therapies.

1415-1445 Stereotactic Body Radiation Therapy/Radio Frequency Ablation

Jeremiah Thomas Martin, MD

Objectives:

- Discuss the Current Indications for Stereotactic Body Radiation.

- Discuss the Current Applications for Radio Frequency Ablation in

Thoracic Malignancies.

1445-1515 Panel Discussion

Duykhanh Ceppa, MD, Erin Kunz, PA-C & Jeremiah Martin, MD

Objectives:

- Discuss the Benefits of Multidisciplinary Care.

- Discuss the Impact of Molecular Testing on the Conduct of Surgical

Resection.

1515-1530 Coffee Break/ Visit Exhibits

Symphony I & II

1530-1600 Energy Based Platforms in Minimally Invasive Thoracic

Surgery

Jeremiah Thomas Martin, MD

Objectives:

- Discuss a Brief Overview of the Current Energy Based Platforms in

Minimally Invasive Thoracic Surgery.

- Discuss the Indications, Use and Contraindications for Energy Based

Platforms in Minimally Invasive Thoracic Surgery.

1600-1630 Electromagnetic Navigation Bronchoscopy (ENB)

Christine Argento, MD

Objectives:

- Discuss the Current Interventional Bronchoscopy Techniques Available

To Aid in the Diagnosis and Treatment of Thoracic Malignancies.

- Describe the Use of Electromagnetic Navigation Bronchoscopy.

- Review Case Presentations for the Use of ENB.

1630-1700 Endobronchial Ultrasound Biopsy (EBUS)

Christine Argento, MD

Objectives:

- Describe the Use of EBUS for Staging and Diagnosis in Thoracic

Malignancies.

- Discuss the Indications and Limitations for EBUS.

- Review Case Presentations for the Use of EBUS.

1700-1730 Panel Discussion

Christine Argento, MD & Jeremiah Martin, MD

Objectives:

- Discuss the Barriers to Access to New Technologies for Diagnosis and

Treatment.

- Discuss the Synergy Between Interventional Pulmonology and

Thoracic Surgery.

Critical Care Track(CCT) Concerto Ballroom A

1315-1415 Cardiothoracic GI Complications: Follow Your Gut

Heather Morgan PA-C

Objectives:

- Review Early Signs and Symptoms of Ischemic Bowel and Common

Causes.

- Discuss Current Models for Stress Ulcer Prophylaxis.

- Review Post-Anesthesia Bowel Dysfunction, Causes and Treatment.

1415-1515 "You Snooze, You Lose": CVICU Extubation Goals

andStrategies James Blum, MD

Objectives:

- Discuss the Latest Guidelines/ Goals Strategies for early Extubation.

- Review General Concepts in Pulmonary ICU Management for

Cardiothoracic Patients.

1515-1530 Coffee Break/ Visit Exhibits

Overture Foyer, Symphony I & II

1530-1630 Neurologic Management of Misadventures in the

Cardiothoracic and Vascular Patient

Bradford Ledzian, PA-C

Objectives:

- Discuss Early Post-Operative Neurologic Complications and Their

Management.

- Review Imaging Modalities and their Indications Based on Patient

Presentation.

1630-1730 Renal Management in the Cardiothoracic and Vascular Patient:

"To Squeeze or Squirt" Cyril Kuriakose, MD

Objectives:

- Discuss the Treatment of Acute Kidney Injury After Cardiothoracic

Surgery.

- Review Electrolyte Management in the Chronic Kidney Disease

Patient.

0730-1800 Bedside Ultrasound Course **

Soprano & Picasso

Faculty: Robert Kollpainter, PA-C, Chair; Francisco Norman, PA-C; Jonathan Monti, PA-C;

Jeremy Amayo, PA-C; Nicole Heidenreich, PA-C; Thomas Pahl, PA-C;

Hana Dubsky PA-C; Kim Kuphal, PA-C

This is a one-day, intensive course designed to change the way its participants think about point-of-care-ultrasound. This course will take a turn from the traditional, systems based, model of teaching and will instead begin with the most commonly utilized protocol in emergency medicine, the eFAST exam, and build on it to gain a further and more comprehensive understanding of the RUSH and BLUE protocols. This course will also take an in-depth look at procedural ultrasound to gain understanding of the proven techniques to get the needle where it needs to go as safely as possible.

This course is a collaborative effort by the Association of Physicians in Cardiothoracic and Vascular Surgery and the Society of Point-of-Care Ultrasound with the goal of providing exceptional didactic lectures with scanning labs mentored by physician assistants that are leaders in the field of point-of-care ultrasound.

Objectives:

- Understanding Why Point-of Care Ultrasound is Becoming the New Normal

In Modern Medicine and Why It Offers a Significant Advancement in the

Ability to Diagnose and Assess Patients at the Bedside. - Review the Basic Principles of Sound Waves, i.e. What They Are, How They

Are Created, how they Interact with Tissues - All to Render and Easily to

Interpret an Image. - Explore the Basic Functions (Depth, Gain, other buttons) of the Ultrasound Machine in Order to Optimize Diagnostic Images As Well As the Basic

Ultrasound Modes (b-mode, m-mode, color doppler). - Discuss the Use of the FAST Exam as a Screening Tool and Learn/Obtain the

Basic Images Required (RUQ, LUQ, Pelvic, and Subxyphoid) as well as Expansion of the eFAST exam to all Relevant Aspects of Lung Ultrasound

That Confidently Rules Out/ In a Pneumothorax/ Hemothorax.

- Build on the Views Learned from the eFAST Exam, Learning/ Obtaining 4 Additional Cardiac Views, Evaluation of the Abdominal Aorta, Lower Extremity Ultrasound as well as Understand the Pump-Tank-Pipe Model to Delineate Causes of Shock. - Explore Diagnosing the Patient in Respiratory Distress Utilizing the BLUE Protocol and Differentiating Causes of Shock by Lung Ultrasound with the FALLS Protocol. - Understand the Benefits of Ultrasound Guidance for Placement of Indwelling Catheters, Thoracentesis, and Thoracostomy Tubes.

TBA APACVS Evening Event Supported by a grant from Getinge Group

Saturday, April 7, 2018

0630-1800 Registration

Overture Foyer

0630-1600 Exhibit Hall Hours

Symphony I & II

0630-0800 Continental Breakfast

Overture Foyer

0730-1145 CONCURRENT TRACK SESSIONS

Cardiac Track Symphony III & IV

0730-0830 Cardiac Angiography from the Surgeon Perspective

Stephanie Mayberg, MS, PA-C

Objectives:

- Review Coronary Anatomy.

- Define Angiographic Findings Amenable to Surgical Revascularization.

- Discuss Characteristics of Lesions Amenable to Percutaneous

Intervention.

0830-0930 Donor Heart Harvest: An Indian PA Experience

Anitha Chandrasekhar, PA-C

Objectives:

- Discuss the Role of the PA in a Large, Busy Transplant Program.

- Compare and Contrast the Indian PA Experience to the US PA

Experience in Similar Roles.

0930-0945 Coffee Break/ Visit Exhibitors

Overture Foyer, Symphony I & II

0945-1045 TAVR Coordination

Amy Simone, PA-C

Objectives:

- Describe the Impact of a TAVR Coordinator on Patient Outcomes.

- Review the Standard TAVR Evaluation.

- Describe Common Pitfalls in TAVR Evaluation.

1045-1145 Frontiers in the Treatment of Aortic Valve Disease

Ben Burroughs PA-C

Objectives:

- Discuss New Approaches to Aortic Valve Intervention.

- Review Centers Experience with Transcarotid TAVR.

- Discuss Indications and Contraindications for Transcarotid TAVR.

Thoracic Track(Thoracic) Chamber A

0730-0800 Lung Cancer Screening

Cathy Hogan, ANP

Objectives:

- Discuss the Requirements and Structure of a Lung Cancer Screening

Program.

- Discuss the Current Process of Lung Cancer Screening.

- Discuss the Current Data Associated with lung Cancer Screening.

0800-0830 Smoking Cessation

Hillary Crittenden, FNP-BC, MSN

Objectives:

- Discuss the Current Burden of Smoking Related Illness and Surgical

Comorbidity in the US.

- Discuss Current Techniques for Smoking Cessation.

- Review Current Statistics Related to Various Smoking Cessation

Interventions.

0830-0900 Lung Cancer Staging

Erin Kunz, PA-C

Objectives:

- Review the New Staging Criteria for NSCLC.

- Review the Current Stage Specific Statistics Associated with 5-year

Survival of NSCLC.

0900-0930 Panel Discussion

Cathy Hogan, ANP, Hillary Crittenden FNP-BC & Erin Kunz, PA-C

Objectives:

- Discuss the Make-up of the Team in a Screening Program.

- Discuss the Role of the APP in a Screening Program.

0930-0945 Coffee Break/ Visit Exhibits

Overture Foyer, Symphony I & II

0945-1015 Benign Esophageal Problems: Gerd, Achalasia, GPEH

Matthew Hartwig, MD

Objectives:

- Review the Current Benign Esophageal Problems Amenable to

Surgical Intervention.

- Discuss the Current Pathophysiology and Incidence of the Most

Common Benign Esophageal Problems.

1015-1045 Surgical Evaluation for Benign Esophageal Disease Including

GERD,Achalasia, Giant Paraesophageal Hernia

Kim Howard, PA-C

Objectives:

- Discuss the Current Standards for Evaluating a Patient with Benign

Esophageal Disease.

- Discuss the Interpretation of Current Modalities for the Evaluation of

Benign Esophageal Disease.

1045-1115 Management of Benign Esophageal Disease Including

GERD,Achalasia,Giant Paraesophageal Hernia

Matthew Hartwig, MD

Objectives:

- Discuss the Current Surgical Interventions for Management of Benign

Esophageal Disease.

- Discuss the Current Data Associated with Minimally Invasive Surgical

Intervention for GERD.

1115-1145 Panel Discussion

Matthew Hartwig, MD, Kim Howard, PA-C

Objectives:

- Discuss the Recent Trends with Increased Patient Volume in Benign

Esophageal Disease.

- Discuss the Difficulties Associated with Reimbursement for Newer or

Novel Procedures.

Critical Care Track Concerto Ballroom A

0730-0830 CVICU APPs: Where Weve Been and Where We Are Going

Tim Buchman, MD

Objectives:

- Discuss the Growing Role of APPs in the CVICU/ CVOR.

- Review Employment Trends, Compartmentalization of Roles and

Expanded Scopes of Practice.

0830-0930 Cardiopulmonary Failure: Management of the End Stage

Patient "Transplant in Waiting"

Dave Hormuth, MD

Objectives:

- Review the Transplant Listing Process and Current Approach to End

Stage Cardiac Failure.

- Discuss Salvage Plans for Failing Heart and Lung Pre-Transplant

Patients.

0930-0945 Coffee Break/ Visit Exhibits

Overture Foyer, Symphony I & II

0945-1045 Management of Pulmonary Hypertension(PAH)

Renee Lassinger, NP

Objectives:

- Discuss Differences between PAH WHO Classifications and the

Significance of each Classification.

- Review the Anatomical Structural Differences Between WHO

Classifications.

- Discuss the Different Medication Options for PAH and Potential Side

Effects of Medications.

- Discuss Treatment Options for End-Stage PAH Including but not

Limited to Transplantation and Palliative Care.

1045-1145 Management of Post-Transplant Complications for Non-

Transplant Centers

Renee Lassinger, NP

Objectives:

- Discuss the Goal of Treating Post-Cardiac Transplant Patients in the Community. - Discuss the Common Maladies Seen in the 1st 5 Years Post-Cardiac Transplantation that do not Require Transfer Back to Transplant Center. - Review When and What Immunizations can be Given Post-Cardiac Transplant. - Discuss the Side Effects of Common Medications to Treat General Post-Transplant Complications.

1145-1315 Lunch & Learn:

Learning Curves: AcquiringNew Skills and Endoscopic

Harvest Techniques

Christopher Darst, MPAS, PA-C

Chief PA of Cardiothoracic Surgery

Bryan Heart, Lincoln, NE

Sponsored by:Terumo

Concerto B, C & D

1315-1730 CONCURRENT TRACK SESSIONS

Cardiac Track Symphony III & IV

1315-1415 EP For the Non-EP: Pacer Lead Removal

George Palmer, MD

Objectives:

- Discuss Indications for Pacer Lead Removal.

- Describe Techniques for Pacer Lead Removal.

- Review Complications Associated with Pacer Lead Removal.

1415-1515 Mitral Valve Repair

Adanna Akujo, MD

Objectives:

- Review Surgical Approaches to Mitral Valve Repair.

- Compare Outcomes of Mitral Valve Repair vs. Replacement.

- Discuss Indications for Mitral Valve Repair.

1515-1530 Coffee Break/ Visit Exhibitors

Overture Foyer, Symphony I & II

1530-1630 Minimally Invasive Coronary Revascularization

Husam Balkhy, MD

Objectives:

- Discuss the Surgical Approach to Minimally Invasive Coronary

Revascularization.

- Define Patient Characteristics Amenable to Minimally Invasive

Revascularization.

- Compare Outcomes of MICS vs. open CABG.

1630-1730 Prevention and Management of Sternal Wound Infections

Jeffrey Pearl, MD

Objectives:

- Review Risk Factors for Sternal Wound Infection.

- Discuss Management Modalities for Sternal Wound Infection.

- Understand the Diagnosis of Sternal Wound Infection.

Thoracic Track Chamber A

1315-1345 Evaluation of Anterior Mediastinal Masses

Betty Tong, MD

Objectives:

- Describe the Most Current Anterior Mediastinal Problems.

- Review the Current Clinical Standards for Evaluation of Anterior

Mediastinal Abnormalities.

1345-1415 VATS Thymoma Including for Myasthenia Gravis

Betty Tong, MD

Objectives:

- Discuss Indications for VATS Thymectomy.

- Review the Technique for VATS Thymectomy.

1415-1445 Robotic Resection of Anterior Mediastinal Masses

Matthew Hartwig, MD

Objectives:

- Describe the Indications for Robotic Resection of Anterior Mediastinal

Masses.

- Discuss the Technique of Robotic Resection of Anterior Mediastinal

Masses.

1445-1515 Panel Discussion

Betty Tong, MD & Matthew Hartwig, MD

Objectives:

- Discuss the Benefits of Robotic Versus Thoracoscopic Resection of

Anterior Mediastinal Masses.

- Discuss Multidisciplinary Management of Thymic Malignancies.

1515-1530 Coffee Break/ Visit Exhibitors

Overture Foyer, Symphony I & II

1530-1600 Lung Surgery Post-Op Complications

Kristi Seward, PA-C

Objectives:

- Describe the Most Common Post-Operative Complications from Lung

Surgery.

- Describe the Management of the Most Common Post-Operative

Complications Associated with Lung Surgery.

1600-1630 Esophagus Post-Op Complications

Betty Tong, MD

Objectives:

- Describe the Most Common Post-Operative Complications From

Esophageal Surgery.

- Describe the Management of the Most Common Post-Operative

Complications Associated with Esophageal Surgery.

1630-1700 Wounds, Misc.

KristiSeward, PA-C

Objectives:

- Discuss Outpatient Wound Problems.

- Discuss the Most Common Post-Operative Problems Managed in the

Clinic Setting, Tube Feeds, Heimlich Valves, etc.

1700-1730 Panel Discussion

Betty Tong, MD & Kristi Seward, PA-C

Objectives:

- Discuss the Role of the PA in Leading an Outpatient Thoracic Clinic.

- Discuss the Social Impact on Patients Experiencing Long-Term Post-

Operative Complications.

- Discuss the Options for Administrative Versus Nursing Triage

Assistance.

Critical Care Track(CCT) Concerto Ballroom A

1315-1415 Optimization of Hemodynamics in Mechanical Support Patients

Craig Jabaley, MD

Objective:

- Understand the impact of various mechanical circulatory support

(MCS) approaches on cardiac pressure-volume relationships.

- Describe the role of left ventricular unloading with veno-arterial MCS.

- Summarize the importance of recognizing biventricular failure.

- Manage hemodynamic alterations associated with veno-venous

extracorporeal membrane oxygenation.

1415-1515 Right Heart Failure: The Struggle is Real Bryan Barrus, MD

Objective:

- Review Early Diagnosis and Risk Factors for Right Heart Failure.

- Discuss Targeted Therapy for the Struggling Right Ventricle Post

Cardiopulmonary Bypass.

1515-1530 Coffee Break/ Visit Exhibits

Overture Foyer, Symphony I & II

1530-1630 Fast Track ICU:The Canadian Experience

Joel Zivot, MD

Objectives:

- Discuss Fast Track Strategies for ICU Patients as Per the Canadian

Experience.

- Review Protocol Changes Necessary to Support Fast Track Models.

1630-1730 ECHO Interpretation Jason Morrisette, PA-C

Objectives:

- Discuss the Basics of ECHO Technology.

- Review Traditional Views and Windows, Determining Gradients and

Stenosis/ Regurgitation.

Leadership Track Picasso

0730-0830 Building a CVT Service

Jonathan Sobel, MBA, PA-C

Objectives:

- Discuss Navigating the Hiring Process Including: Networking, Position

Advertisement/ Posting Options & Financial Implications, and Working

With Recruiting Companies.

- Review Managing the Interview Process Logistics & Conducting

Interviews/ Negotiation from the Employer Perspective.

- Discuss the Implications of Re-Building or Re-booting a CTV Service.

0830-0930 Legal Issues on the CTV Service

Thomas Massing, PA-C

Objectives:

- Discuss PA Mistakes Versus Malpractice and Why Malpractice

Coverage Options Matter, Review Effects of Hospital Only Versus

Supplementary Private Malpractice.

- Review How to Handle Accusatory Patients, Patients Refusing to See

a PA, AMA Situations, etc.

- Identify the Most Common Reasons for CTV PAs to be Named in a

Suit.

0930-0945 Coffee Break/ Visit Exhibitors

Overture Foyer, Symphony I & II

0945-1045 Educators Perspective of CVT PA Student Rotations

Lisa Mustone Alexander, EdD, MPH, PA-C

Objectives:

- Discuss Basic Principles of PA Student Education.

- Outline the Process of Setting up a New Student Rotation from

Hospital & OrganizationPerspectives, and Review the Benefits of

Having Students.

- Outline the Partnership Process Between Hospital-Based Rotation

Sites and PA Schools.

- Review & Critique The APACVS Cardiac Service Orientation

Curriculum from an Educators Perspective.

1045-1145 Volume to Value: A Paradigm Shift or Quantification of Quality

Dave Hormuth, MD

Objectives:

- Define Value Driven Healthcare and its Implication to the PA.

- Discuss the Appropriate Value Metrics to Apply to the PA Provider.

- Identify the Current State of PA Compensation and Establish a Value

Position.

- Define and Outline the Optimal Utilization of Top of License Practice

to Maximize PA Value.

- Discover Opportunities for the PA Provider to Enhance Growth and

Expansion of the Organization.

1145-1315 Lunch: CVT Association Leadership Coalition Panel**

Objectives:

- Discuss the Leadership Issues Concerning CTV PAs.

- Review APACVS Organizational Leadership CTV PA Concerns.

- Discuss Specific Audience Leadership Problems.

- Identify Future CTV PA Leadership Training Needs.

1315-1415 Setting up a CTV PA Residency Hospital Perspective

Cragin Greene, MHS, PA-C

Objectives:

- Identify Key Hospital Partnerships Needed to Navigate the Residency

Establishment Process.

- Outline the Residents Participation Within the Structure of the Hospital.

- Review the Orientation and Onboarding Process.

- Discuss CTV Resident Curriculum.

- Outline the Responsibilities of Residency PA Leadership.

1415-1515 CVT Medical Spanish

Rafael Pomales, PA-C

Objectives:

- Review Rules for Communicating with Interpreters and Documentation.

- Discuss When Interpreters are Necessary and Who is a Suitable

Interpreter.

- Review Common CTV Vocabulary & Components of PMHx, PSHx,

SHx, FHx, Allergies, Medications Relevant to CTV Surgery.

- Discuss Basic ROS and Physical Examination Questions & Prompting,

& Aspects of Daily Interaction/ Communication.

- Review Spanish Medical Education Opportunities.

1515-1530 Coffee Break/ Visit Exhibitors

Overture Foyer, Symphony I & II

1530-1630 Administration-to-Clinical Communication Translation

Josann Pagel, PA-C

Objectives:

- Outline the Perceived Clinician Misunderstandings of Administration

Communication Style & Goals.

- Outline the Perceived Administration Misunderstandings of Clinician

Communication Style & Goals.

- Review How to Best Present Proposals to Administrators for:

Additional Staff, Increased Compensation, Enhanced Scope of

Practice & Greater Administrative Representation.

- Discuss the Role of PA Administrative Leadership and its Position

Within the Hospital Administrative Chain of Command.

1630-1730 Lessons for Chief CTV PAs Learned from the MD Chief

Resident Paradigm

BrittanyZwischenberber, MD

Objectives:

- Discuss the Leadership Role of the MD Chief Resident.

- Outline the Leadership Learning Objectives and Goal of the MD Chief

Resident.

- Review the Attending Mentorship Responsibilities Towards the MD

Chief Resident.

- Discuss the Applicability of the MD Chief Resident Paradigm to the

Chief CTV PA.

- Outline Common Leadership Difficulties Faced by MD Chief Residents

and Methods for Overcoming Them

Sunday, April 8, 2018

0630-1200 Registration

Overture Foyer

0630-0800 Continental Breakfast

Overture Foyer

0730-1145 CONCURRENT TRACK SESSIONS

Cardiac Track

Symphony III & IV

0730-0830 Anticoagulation Update

Josh Roberts, PharmD, BCPS-AQ CARD

Objectives: - Discuss New Oral Anticoagulant Agents. - Understand Reversal Considerations for Anticoagulants. - Define Treatment Considerations for New Oral Anticoagulants.

0830-0930 Management of Common VascularComplicationsin the

ICU

Dejah Judelson, MD

Objectives:

- Develop Comfort with Performing a Peripheral Vascular Exam and

Managing Changes in Exam.

- Understand the Immediate Management of Acute Mesenteric Ischemia

and Acute Limb Ischemia.

- Discuss the Follow Up and Evaluation of Subclavian Stenosis After a

LIMA Graft.

0930-0945 Coffee Break

Overture Foyer

0945-1015 Multi-Disciplinary Approach to Mitral Disease - Cardiologist

Nikolaos Kakouros, MD

Objectives:

- Understand Catheter Based Approaches to Mitral Valve Disease.

- Describe the Evaluation and Indications for Catheter Based Interventions.

- Describe the Common Complications Associated with Catheter Based Intervention.

1015-1045 Multi-disciplinary Approach to Mitral Disease - Cardiac

Surgeon

Kendra Grubb, MD

Objectives:

- Understand Catheter Based Approaches to Mitral Valve Disease.

- Describe the Evaluation and Indications for Catheter Based Interventions.

- Describe the Common Complications Associated with Catheter Based Intervention.

1045-1145 AKI Prevention Using Biomarker-Directed Intervention

Joseph Deily, PA-C

Objectives:

- Describe Biomarker-Directed Interventions.

- Discuss Strategies for Renal Protection.

- Describe Implementation of Biomarker Based Prevention Strategies.

Thoracic Track

Chamber A

0730-0800 How I Teach It

Sherry Meyerson, MD

Objectives:

- Discuss Current Techniques for Teaching and Developing Technical

and Cognitive Skills.

- Review Methodology Associated with Incorporating a New Member to

the Team.

0800-0830 Camera Piloting

Scott Balderson PA-C

Objectives:

- Review the Importance and Technical Facilitation of Camera Piloting

Skills in Minimally Invasive Thoracic Surgery.

- Discuss Techniques to Maintain Proper Scope Angle, Horizon, and

Depth of Field in Minimally Invasive Thoracic Surgery.

0830-0900 Robotic Assisting

Matthew Vercauteren, PA-C

Objectives:

- Review the Role of the First Assistant in Thoracic Robotic Procedures.

- Review First Assisting Techniques Associated with Thoracic Robotic

Procedures.

0900-0930 Panel Discussion

Sherry Meyerson, MD, Scott Balderson PA-C & TBA

Objectives:

- Discuss the Importance of Team Based Procedures.

- Discuss the Difficulties in Obtaining Expertise with New and Evolving

Equipment.

0930-0945 Coffee Break

Overture Foyer

0945-1015 Uniportal VATS

Jeremiah Thomas Martin, MD

Objectives:

- Discuss the Indications for Uniportal VATS.

- Describe the Uniportal Technique for Lung Resection.

- Review Case Presentations Related to Uniportal VATS.

1015-1045 Subxyphoid VATS

Jeremiah Thomas Martin, MD

Objectives:

- Describe the Indication and Limitation for Subxiphoid VATS

- Describe the Technique for Subxiphoid VATS

- Review Case Presentations Related to Subxyphoid VATS

1045-1115 What is the Future of Thoracic Surgery

Sherry Meyerson, MD

Objectives:

- Describe New Technologies in Development for Application in Thoracic

Surgery.

- Describe the Implication of New Minimally Invasive Techniques for

Management of Thoracic Malignancies.

1115-1145 Panel Discussion

Jeremiah Martin, MD & Sherry Meyerson, MD

Objectives:

- Describe the Technique for Developing a New Approach to Resection.

- Describe the Barriers to Incorporating Technological Innovation into

Your Practice.

Critical Care Track Concerto Ballroom A

0730-0830 EP for the NON-EP: Complications in the Cardiac- Surgical

Patient

TBA

Objectives:

- Review Amiodarone Indications and Side Effects.

- Discuss Paroxysmal AFIB Management.

- Review Post-MAZE Care and Rhythm Management.

- Indications for Permanent Pacemaker Management.

0830-0930 Antibiotic Resistant Infections

Juan Diaz, PharmD

Objectives:

- Review the Latest SIRS/SEPSIS Recommendations.

- Discuss Procalcitonin and its Diagnostic Implications.

0930-0945 Coffee Break

Overture Foyer

0945-1045 Endocarditis Reemergence: Contemporary Management in

The Age ofthe Opioid Epidemic

Michael Doll, PA-C

Objectives:

- Discuss the Implications of the Current Rising Incidence of

Endocarditis.

- Review Early Pre-Operative Care.

- Discuss Indications and Timing of Surgery.

- Discuss Post-Operative Pain Management in the Addicted Patient

1045-1145 Endocrinopathies & Withdrawal

Christopher Galton, MD

Objectives:

- Post-Operative Management of the Chronic Steroid Dependent Patient.

- Review Alcohol Withdraw Management.

1145-1315 Lunch & Learn

Sponsored By: Atricure

Concerto B, C & D

1315-1515 CONCURRENT TRACK SESSIONS

Cardiac Track Symphony III & IV

1315-1415 Pre-operative Nutrition Screening

Ulysiss Torres, MD

Objectives:

- Define Malnutrition States.

- Describe Standard Diagnostic Tools for Malnutrition.

- Define Indications for Nutrition Screening.

1415-1515 Dual Antiplatelet Therapy After CABG

Mohammed Akhter, MD

Objectives:

- Describe the Role of Dual Anti-Platelet Therapy in Acute Coronary

Syndrome.

- Discuss outcomes of DAPT after CABG.

- Review AHA Guidelines for DAPT in ACS Patients.

Critical Care Track(CCT) Concerto Ballroom A

1315-1415 TEVAR: Complication Management in a Seemingly

UncomplicatedProcedure

Kendra Grubb, MD

Objectives:

- Review Common and Rare Complications of TEVAR and Their

Management.

- Discuss Lumbar Drain Management.

1415-1515 Infections of Mechanical Support Devices Christine Hay, MD

Objectives:

- Discuss Risk Factors for Mechanical Support Device Infection.

- Review Management of Mechanical Support Device Infection Including

Indications for Removal/ Exchange.

0730-1515 LAB: CVT CRITICAL CARE BEDSIDE PROCEDURAL SKILLS** Picasso Course Chair: Angie Brown, PA-C; Paul Possenti, PA-C Course Faculty: Robert F. Carlucci, MPAS, PA-C, FAPACVS; Steven M.

Gottesfeld,PA-C

The CTV Critical Care Procedure Course will provide the attendees the opportunity to simulate central venous access, arterial line access and PA catheter placement. Intimate preceptor to student ratios ensure thorough understanding & skill acquisition.

Objectives: - Review the Organized 10 Step Approach to Bedside Procedures. - Review Indications/ Contraindications/ Complications of Central Venous/ Arterial/ PA access. - Review Femoral/ Subclavian/ Internal Jugular and Forearm Anatomy. - Review Placement Confirmation Techniques. - Discuss Complications, Hemodynamic Interpretation and Review CentralAccess removal.

0730-1515 CARDIAC SURGICAL UNIT ADVANCED LIFE SUPPORT COURSE

(CSU-ALS)** Soprano & Tenor

Course Chair: Aaron Morton, PA-C, MMSc, ATC, FAPACVS

Course Faculty: Adrian Levine, MD & TBA

The CSU-ALS course is designed for attendees interested in learning thisevidenced-based approach to the resuscitation of post-operative cardiac surgery patients. Using a standardized format, this program will include didactic lectures aswell as hands-on practice with emergency pacing, internal and external defibrillationand open chest resuscitation techniques.

Objectives: Distinguish Critical Differences Between Protocols for ACLS Versus CSU-ALS. Discuss Common Causes of Hypotension and their Management in

the Postoperative CVS Patient. Identify the Appropriate Sequencing of Emergency Procedures to be Followed

forCardiac Arrest in the CVS Patient. Obtain Hands-on Practice with Open Chest Resuscitation Scenarios. Obtain Hands-on Practice with Closed Chest Resuscitation Scenarios.

1515 Meeting Concludes