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13.75 AMA PRA Category 1 CME Credits™
Houston, TX
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November 8-9, 2008
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Course Director
Stephen Y. Nakada, MD
Target Audience
Urologists with laparoscopic experience seeking both cognitive and laparoscopic skills training, specifically laparoscopic suturing.
Statement of Need
While laparoscopy in urology is rapidly growing, the availability of training courses, clinical mentors and fellowship positions remain limited for actively practicing urologists. This course provides advanced, hands-on training to a broad number of urologists by bringing together expert academic and clinical laparoscopic urologists to teach in a well-defined skills-oriented curriculum.
Course Description
This course facilitates the highest level of laparoscopic performance by practicing urologists. Laboratory sessions and extensive situation and case management testing will improve the participant's mental approach and surgical skills. The course provides a "pre-course" needs assessment, personalized audit and feedback, and a post-course plan of action for each participant.
Mentored Laparoscopy is designed to be the ultimate learning course at the Surgical Learning Center for practicing urologists interested in improving their laparoscopic skills. The course involves active participation from the participants and includes pre-meeting evaluation and post meeting feedback. Under the direction of Dr. Stephen Y. Nakada, a minimum of five experts in the field will provide hands-on teaching to a maximum of 18 practicing urologists over a two-day period. This is an "intermediate level" course and is designed for individuals who have previously attended a Hand-assisted Laparoscopy course.
Three major problem areas will be addressed:
- problem of developing laparoscopic skills with a limited number of training cases - addressed by teaching and rehearsing a step-by-step approach to laparoscopic renal surgery, including hand-assist techniques
- problem of suturing laparoscopically - this course focuses on developing confidence to repair visceral injuries, control hemorrhage and consider simple reconstructive techniques utilizing hand-assist and standard approaches
- prevention and management of complications - course emphasis is to minimize the urologist's learning curve in laparoscopic urology and gain practical experience in getting out of trouble
Learning Objectives
Upon completion of this course, participants should be able to:
- demonstrate improved standard and hand-assisted laparoscopic renal surgery skills resulting in optimal patient care
- practice suture techniques using both hand-assisted and standard laparoscopic techniques
- identify and manage complications, incorporate new methods to prevent complications including acute hemorrhage, visceral injury and port site complications
- assess personal skills and mental approach to laparoscopic urology
- review and analyze updated information on surgical simulation, robotics, image-guided tissue ablation and other controversies in urologic laparoscopy
All participants will be videotaped and will receive expert videotape analysis and mentoring while at the course. All participants will also receive a personalized DVD with individualized feedback within a week of the course.
Scientific Program Schedule
Day 1 |
6:00 - 7:00 a.m. |
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Registration and Breakfast with the Faculty |
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Didactic I: Refining the Laparoscopic Knowledge Base |
7:00 - 7:05 a.m. |
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Introduction and Goals of the Course
Stephen Y. Nakada, MD |
7:05 - 7:20 a.m. |
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Pretest |
7:20 - 7:40 a.m. |
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Preoperative Assessment, Access and Positioning
Sean P. Hedican, MD |
7:40 - 8:00 a.m. |
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Laparoscopic Nephrectomy, Tips and Tricks
Jay T. Bishoff, MD |
8:00 - 8:20 a.m. |
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Laparoscopic Suturing, Standard
Jay T. Bishoff, MD |
8:20 - 8:40 a.m. |
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Laparoscopic Nephrectomy, Dissection Techniques
Steven J. Shichman, MD |
8:40 - 9:00 a.m. |
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Partial Nephrectomy Techniques
J. Stuart Wolf, MD |
9:00 - 9:15 a.m. |
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Coffee Break |
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Interactive 1: Cognitive and Physical Skills Assessment |
9:15 - 10:15 a.m. |
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Group A: Suturing Stations, Video and Computer Simulation Analysis
Sean P. Hedican, MD; Jay T. Bishoff, MD; Steven J. Schichman, MD; Richard E. Link, MD, PhD
Group B: Clinical Situation Training
Stephen Y. Nakada, MD; J. Stuart Wolf Jr., MD |
10:15 - 11.15 a.m. |
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Group A: Clinical Situation Training
Stephen Y. Nakada, MD; J. Stuart Wolf Jr., MD
Group B: Suturing Stations, Video and Computer Simulation Analysis
Sean P. Hedican, MD; Jay T. Bishoff, MD; Steven J. Schichman, MD; Richard E. Link, MD, PhD
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Working Lunch |
11:30 - 11:45 a.m. |
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Laparoscopic Suturing, Hand-assisted
Steven J. Schichman, MD |
11:45 a.m. - 12:05 p.m. |
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Hand Assist or Not: How to Decide
Sean P. Hedican, MD |
12:05 - 12:25 p.m. |
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Laparoscopic Pyeloplasty: Tips and Tricks
Richard E. Link, MD, PhD |
12:25 - 12:30 p.m. |
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Introduction to Laboratory Session
Stephen Y. Nakada, MD |
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The Hands-on Laboratory Experience:
Practical Application of New Laparoscopic Skills |
12:30 - 2:30 p.m. |
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Animate 1 Left: HALS Partial Nephrectomy and Suturing; Right: Complex Surgical Tasks |
2:30 - 3:00 p.m. |
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Break. Answers to your pre-course questions |
3:00 - 5:00 p.m. |
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Animate 2 Left: Pyeloplasty Right: Partial Nephrectomy, Suturing |
5:00 p.m. |
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Meeting Adjourns |
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Optional Evening Session: |
6:00 - 8:00 p.m. |
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Refine Skills and Coordination Pelvic Trainer Access and Practice Stations
Specific times may vary depending on course |
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Day 2 |
6:00 - 7:00 a.m. |
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Breakfast |
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Didactic II: Improve Clinical Decision-making |
7:00 - 7:15 a.m. |
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Preventing and Managing the Complications of Laparoscopy
Stephen Y. Nakada, MD |
7:15 - 7:30 a.m. |
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The Pneumoperitoneum: What You Need to Know
J. Stuart Wolf Jr., MD |
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Interactive II: Testing the Machine |
7:30 - 8:15 a.m. |
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Group A: Skills Stations, Day Two
Sean P. Hedican, MD; Jay T. Bishoff, MD; Steven J. Schichman, MD; Richard E. Link, MD, PhD
Group B: Pretest Review, Responses to Day One Questions
Stephen Y. Nakada, MD; J. Stuart Wolf Jr., MD |
8:15 - 9:00 a.m. |
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Group A: Pretest Review, Responses to Day One Questions
Stephen Y. Nakada, MD; J. Stuart Wolf Jr., MD
Group B: Skills Station, Day Two
Sean P. Hedican, MD; Jay T. Bishoff, MD; Steven J. Schichman, MD; Richard E. Link, MD, PhD |
9:00 - 9:15 a.m. |
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Coffee Break |
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Didactic III: Putting It All Together
All Participants |
9:15 - 9:30 a.m. |
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Nephrourerectomy: How to Hand the Distal Ureter
J. Stuart Wolf Jr., MD |
9:30 - 9:45 a.m. |
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Acute Intraoperative Complications: What Could I Have Done?
Steven J. Schichman, MD |
9:45 - 10:15 a.m. |
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Laparoscopic Challenges: Avoiding Disaster
Jay T. Bishoff, MD |
10:15 - 11:00 a.m. |
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Your Cases, Awards Ceremony and Course Wrap Up
All Faculty |
11:00 a.m. |
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Meeting Adjourns |
Faculty
Course Director
Stephen Y. Nakada, MD
Chairman of Urology
The David T. Uehling
Professor of Urology
The University of Wisconsin
Madison, WT
Dr. Nakada has been teaching AUA Courses since 1996, and his innovative teaching style is well known to course participants. He pioneered the hand-assisted laparoscopic radical nephrectomy and has edited two textbooks in endourology and laparoscopy since 2003. Dr. Nakada serves on several Editorial Boards, including The Journal of Endourology and the Urology Times.
Faculty
Jay T. Bishoff, MD
Chairman
Department of Urology
Intermountain Urology Institute
Salt Lake City, UT
Dr. Bishoff is known for his didactic and hands-on teaching skills, and he is nationally recognized as one of the new leaders in urologic laparoscopy and laparoscopic reconstruction. Dr. Bishoff is the author of several seminal papers on urologic laparoscopic techniques and complications and he brings a refined teaching style to this faculty. He recently edited an atlas of urologic laparoscopy.
Steven J. Shichman, MD
Associate Clinical Professor of Urology
University of Connecticut Health Center
Urologic Oncology & Minimally Invasive Surgery
Connecticut Surgical Group
Hartford, CT
Dr. Schichman is one of the busiest clinical urologic laparoscopists in the United States. He is a former AUA course director and faculty member. He is recognized for refining the hand-assisted nephroureterectomy and partial nephrectomy and clinical teaching skills. Dr. Schichman's vast clinical experience in urologic laparoscopy and extensive videotape collection will be integral to this course.
J. Stuart Wolf Jr., MD
David A. Bloom Professor of Urology
Department of Urology
Director, Center for Minimally Invasive Urology
University of Michigan
Ann Arbor, MI
Dr. Wolf is internationally acclaimed in urologic laparoscopy. In particular, for his work describing the physiology of the pneumoperitoneum and his pioneering efforts in the hand-assisted donor and partial nephrectomy. He is noted as an outstanding hands-on teacher. Dr. Wolf serves on numerous Editorial Board, including The Journal of Urology® and the Journal of Endourology.
Sean P. Hedican, MD
Associate Professor of Surgery/Urology
Division of Urology
The University of Wisconsin Medical School
Madison, WI
Dr. Hedican is an expert in urologic laparoscopy, and specifically in laparoscopic reconstruction. He is also a veteran of AUA courses at the surgical learning center. He has authored numerous articles and chapters in urologic laparoscopy, and plays an integral role in videotape training of the participants.
Richard E. Link, PhD, MD
Associate Professor of Urology
Director, Division of Endourology and Minimally Invasive Surgery
Baylor College of Medicine
Houston, TX
Dr. Link has earned his PhD in molecular and cellular physiology at Stanford University, and completed a fellowship in laparoscopy and endourology at Johns Hopkins School of Medicine, Baltimore, MD. He returned to Baylor College of Medicine where he serves as the director of the Scott Department of Urology's Division of Minimally Invasive Surgery. Dr. Link has won numerous academic prizes including first place in the 2005 AUA Prize Essay Contest. He has special interest in improving and teaching the use of minimally invasive surgery in treatment of urological problems.
CME Information
Continuing Medical Education Accreditation
The American Urological Association (AUA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The AUA takes responsibility for the content, quality and scientific integrity of this CME activity.
Credit Designation
The AUA designates this educational activity for a maximum of 13.75 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
AUA Disclosure Policy
As a provider accredited by the Accreditation Council for Continuing Medical Education (ACCME), the AUA must ensure balance, independence, objectivity and scientific rigor in all its activities.
All faculty participating in an educational activity provided by the AUA are required to disclose to the audience any relevant financial relationships with any commercial interest to the provider. The intent of this disclosure is not to prevent faculty with relevant financial relationships from serving as faculty, but rather to provide members of the audience with information on which they can make their own judgments. The AUA must resolve any conflicts of interest prior to the commencement of the educational activity. It remains for the audience to determine if the faculty's relationships may influence the educational content with regard to exposition or conclusion. When unlabeled or unapproved uses are discussed, these are also indicated.
Unlabeled or Unapproved Use of Drugs or Devices
It is the policy of the AUA to require the disclosure of all references to unlabeled or unapproved uses of drugs or devices prior to the presentation of educational content. The audience is advised that this continuing medical education activity may contain reference(s) to unlabeled or unapproved uses of drugs or devices. Please consult the prescribing information for full disclosure of approved uses.
Disclaimer
The opinions and recommendations expressed by faculty, authors, and other experts whose input is included in this program are their own and do not necessarily represent the viewpoint of the AUA.
Evidence-based Content
As a provider of continuing medical education accredited by the ACCME, it is the policy of the AUA to review and certify that the content contained in this CME activity is valid, fair, balanced, scientifically rigorous, and free of commercial bias.
Audio, Video and Photographic Equipment
Audio, video and other photographic recording equipment is prohibited inside AUA meeting rooms.
Special Assistance
We encourage participation by all individuals. If you have a disability, advance notification at least ten days prior to the activity of any special needs will help us better serve you. Call 410-689-3756 if you require special assistance to fully participate in the meeting.
Enrollment for this unique course is limited.
Completed applications for consideration must be received by the earliest date possible. These courses tend to fill quickly. Once approved, you will be notified if your application has been accepted and registration information will be sent. If your application is accepted, the registration cost ranges from $2,200 to $3,300 depending on member status.
Flights should not be booked until you have received written notification of your acceptance.
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