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

Association of Physician Assistants in Cardiothoracic and

Vascular Surgery

37th 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: - 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.


1500-1600 Care 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 Oxygenation Course (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 D’Amico, 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 D’Amico, 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 D’Amico, 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 D’Amico, 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 D’Amico, 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 Care Track 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 for the Young 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.


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.

1145-1315 Lunch & 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 Dejah Judson, 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 and Strategies James Blum, MD

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

- Review General Concepts in Pulmonary ICU Management for Cardiothoracic Patients.


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 Center’s 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.


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 We’ve 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.


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: Acquiring New 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.


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.


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. Kristi Seward, 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.


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.


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 & Organization Perspectives, 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 Resident’s 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.


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 Brittany Zwischenberber, 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 Vascular Complications in 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.


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.


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 of the 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 Uncomplicated Procedure 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 Central Access 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

this evidenced-based approach to the resuscitation of post-operative cardiac surgery patients. Using a standardized format, this program will

include didactic lectures as well as hands-on practice with emergency pacing, internal and external defibrillation and 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

for Cardiac 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