final program - american college of mohs surgery...8:00 – 9:00 am grand rounds (1.00 credit hour)...

Final Program

WWW.MOHSCOLLEGE.ORG/REGIONALMEETING

2015-2016 OFFICERS AND BOARD OF DIRECTORSOfficersJohn G. Albertini, MD, FACMS PresidentThomas Stasko, MD, FACMS Vice PresidentAllison T. Vidimos, MD, RPh, FACMS Secretary/TreasurerJ. Ramsey Mellette, Jr., MD, FACMS Immediate Past President

Board of DirectorsChristopher J. Arpey, MD, FACMSElizabeth M. Billingsley, MD, FACMS Timothy C. Flynn, MD, FACMSTatyana R. Humphreys, MD, FACMSBrent R. Moody, MD, FACMSEmily Newsom, MD (Board Observer, non-voting)Chrysalyne D. Schmults, MD, MSCE, FACMSSummer R. Youker, MD, FACMSJohn A. Zitelli, MD, FACMS (Board Historian, non-voting)David M. Zloty, MD, FRCP, FACMSFiona M. Zwald, MD, MRCPI, FACMS

REGIONAL MEETING COMMITTEEMichel A. McDonald, MD, FACMS, ChairJohn G. Albertini, MD, FACMSThomas Stasko, MD, FACMSAllison T. Vidimos, MD, RPh, FACMSChristopher J. Miller, MD, FACMS, Ex-officio

ACMS STAFFRebecca Brandt, CAE, Executive DirectorBrett Kell, MSM, Communications ManagerTammy O’Connell, Administrative Manager,

National Registry and QualityMario Ortiz, Meetings ManagerMary Randall, Membership ManagerSusan Sadowski, Education ManagerEmily Thurow, Administrative Coordinator

© 2015 American College of Mohs SurgeryNo part of this publication may be reproduced without the prior written permission of the ACMS.Photos courtesy of Silverado Resort and Spa, ACMSAmerican College of Mohs Surgery555 East Wells Street, Suite 1100Milwaukee, WI 53202Phone: (414) 347-1103 • (800) 500-7224 Fax: (414) 276-2146Email: [email protected] Website: www.mohscollege.org / www.SkinCancerMohsSurgery.org

Welcome Messages .....................................................................1Program At A Glance ..................................................................2Optional Activities ......................................................................3Resort and Travel Information ..............................................4Onsite Recreation and Nearby Attractions ......................4Silverado Resort and Spa Floor Map ...................................5CME Information .........................................................................6Learning Objectives ...................................................................8Guest Speakers .............................................................................9Invited Faculty and Guest Speakers .................................10Scientific Program ...................................................................11 Friday, November 13 ..........................................................11 Saturday, November 14 .....................................................13 Sunday, November 15 ........................................................15

TABLE OF CONTENTS

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http://www.SkinCancerMohsSurgery.org

ACMS REGIONAL MEETING • NOVEMBER 13-15, 2015 • SILVERADO RESORT AND SPA • NAPA, CA 1

WELCOME MESSAGES

Dear Colleagues,On behalf of the Board of Directors, welcome to the 2015 Regional Meeting of the American College of Mohs Surgery. Our first two Regional Meetings, in San Diego and last year in Charleston, answered a desire among members for a smaller, more interactive setting in which to connect, share ideas, and improve their practice. I’m confident that this year’s meeting will continue to meet these expectations and then some, with a highly engaging mix of scientific sessions and social opportunities.This year, the Napa location offers a special opportunity for a memorable getaway, with winery tours, hot air balloon rides, world-class dining, PGA-level golf courses, arts & culture, shopping, and much more on site or just minutes away. This idyllic setting will also serve as a springboard for new ideas, compelling science, and practice pearls we can apply and share with others. I want to extend warm thanks to the Regional Meeting Committee, guided by Chair Dr. Michel McDonald, for its work in crafting a highly relevant program that includes a range of topics that will continue to build on our experience, skills and knowledge in cutaneous oncology and Mohs surgery. Special thanks go to committee members, Drs. Thomas Stasko, Allison Vidimos and Christopher Miller, for their time and contributions in planning this event. Thank you also to the faculty who are presenting and participating in this meeting. Their expertise is invaluable. Lastly, thank you, our members, for your ongoing engagement in and commitment to our specialty and the patients we serve. Sincerely,

John G. Albertini, MD, FACMS ACMS President

Dear Colleagues,It is my pleasure to welcome you to the 2015 ACMS Regional Meeting to take part in an informative, collaborative and fun educational program.The program committee has sought input from across the College to create a program that builds on the successes of the previous Regional Meetings in San Diego and Charleston.Based on the positive feedback of previous participants regarding the interactive atmosphere, the sessions are designed to encourage interaction between speakers and attendees in a relaxed setting. We’re confident this format enhances learning and encourages collaboration and collegiality among our members.This year’s program features some updates on favorites like ‘What’s New in Cutaneous Oncology,’ as well as some new ways of looking at familiar problems, such as in a multidisciplinary session with head and neck oncology and melanoma specialists that will focus on management of complex cases, not just complex repairs. There will also be a Grand Rounds in a new format where attendees submitted challenging cases in advance for discussion during the meeting. I’m particularly looking forward to Saturday’s networking lunch, during which attendees can interact with board members and experienced surgeons.The committee is grateful to the numerous ACMS members who have made meaningful contributions to development of the program and are lending their time and energy to participate in the program. We wish to thank the ACMS Officers, Board of Directors, and staff for their hard work to make this program come to life. A special thanks to John G. Albertini, MD, ACMS President, and Thomas Stasko, MD, ACMS Vice President, who have dedicated considerable time and thought in support of this event.Sincerely,

Michel A. McDonald, MD, FACMS Chair, ACMS 2015 Regional Meeting Program Committee

2 WWW.MOHSCOLLEGE.ORG/REGIONALMEETING

Thursday, November 1210:00 am – 5:30 pm Registration Main Lounge Inside

Terrace10:00 am – 5:30 pm Speaker Ready Room Sebastiani11:00 am – 6:00 pm Fantastic Flaps: A Hands-On Instructional Workshop

(Non-CME workshop)Beringer/Chappellet

Friday, November 1310:00 am – 5:30 pm Registration Silverado Ballroom Foyer10:00 am – 5:30 pm Speaker Ready Room Sebastiani1:00 – 1:15 pm Opening Session and Welcome (CME Not offered) Silverado Ballroom

1:15 – 2:15 pm Imaging of the Patient with Cutaneous Carcinoma (1.00 Credit Hour) Silverado Ballroom

2:15 – 3:15 pm What’s New in Cutaneous Oncology (1.00 Credit Hour) Silverado Ballroom3:15 – 3:30 pm Break (CME Not offered) Fairway Deck3:30 – 4:30 pm How Would You Reconstruct It? (1.00 Credit Hour) Silverado Ballroom4:30 – 5:15 pm Challenges in Mohs Surgery (0.75 Credit Hours) Silverado Ballroom5:15 – 6:00 pm International Volunteerism and Mohs Surgery (0.75 Credit Hours) Silverado Ballroom6:30 – 8:30 pm Welcome Reception (CME Not offered) Fairway Deck

Saturday, November 146:30 am – 3:30 pm Registration Silverado Ballroom Foyer6:30 am – 3:30 pm Speaker Ready Room Sebastiani6:45 – 7:45 am Continental Breakfast Fairway Deck8:00 – 9:00 am Grand Rounds (1.00 Credit Hour) Silverado Ballroom

9:00 – 10:30 am What the Mohs Surgeon Must Know About Tumors Requiring Multidisciplinary Care (1.50 Credit Hours) Silverado Ballroom

10:30 – 11:00 am Break (CME Not offered) Fairway Deck11:00 am – 12:00 pm Practice Realities: Preoperative & Postoperative (1.00 Credit Hour) Silverado Ballroom12:00 – 1:00 pm Lunch Fairway Deck1:00 – 2:30 pm Tumor Board (1.50 Credit Hours) Silverado Ballroom

2:30 – 3:30 pm Expand Your Horizon: Inspiring Ideas for Your Practice and Life (1.00 Credit Hour) Enjoy beer, wine or soda and light snacks during the session.

Silverado Ballroom

3:30 pm Meeting adjourns for the day; enjoy Napa

Sunday, November 156:30 – 10:00 am Speaker Ready Room Sebastiani6:45 – 7:45 am Continental Breakfast Fairway Deck8:00 – 9:30 am Masters’ Panel (1.50 Credit Hours) Silverado Ballroom9:30 – 9:45 am Break (CME Not offered) Fairway Deck

9:45 – 11:15 am Approaches to Common Issues in Everyday Practice (1.50 Credit Hours) Silverado Ballroom

11:15 am – 12:45 pm Maintenance of Certification: Office Safety (Non-CME session) Silverado Ballroom12:45 – 1:00 pm Closing Remarks and Adjournment

Represents advanced expertise level course.

PROGRAM AT A GLANCE


OPTIONAL ACTIVITIES

Friday, November 13, 2015 Golf (PGA South Course)*Friday tee times on South Course from 7:40 am – 8:20 am (10 minute Intervals, 20 slots on hold)Start type: Consecutive$119 per person Visit Registration Desk to purchase.The Silverado Resort and Spa has two golf courses on its property: the South Course and newly renovated North Course, which hosted the PGA Tour Frys.com Open Championship in October. Price includes: • Green fee and cart fee• Range balls prior to start• Complimentary bag handling and club cleaning• Tournament set-up, contests, golf cart ID signs,

personalized scorecards and scoring*Visit the Program tab of www.mohscollege.org/regionalmeeting for details on pace of play and to see an interactive flyover of both courses. Rental clubs (Callaway XR series) are available for $65 per set. Men must wear collared or mock neck golf shirts, slacks or bermuda shorts. Women must wear proper golf attire and collars must be present

on sleeveless shirts. Soft-spike golf shoes or flat-soled tennis shoes must be worn. Blue jeans or denim, athletic wear, halter tops or t-shirts are prohibited.

Sunday, November 15, 2015Golf (PGA North Course)Sunday tee times on North Course starting at 1:20 pm (10 minute Intervals, 20 slots on hold)$119 per person Visit Registration Desk to purchase.

Sunday, November 15, 2015Private Wine & Olive Oil Tasting Tour1:30 – 3:00 pm (max. 60 people)$175 per person (Includes tastings/tours and transportation) Visit Registration Desk to purchase.Your first stop will be Round Pond Estate. Located in the acclaimed Rutherford region of Napa Valley, Round Pond is a family-owned and operated estate designed around their vineyards, gardens and orchards. Next you will travel to Farmstead at Long Meadow Ranch to explore the Estate-grown wines from their responsibly farmed and family-owned vineyards. This flight includes current release wines and a sample of extra virgin olive oils.


RESORT AND TRAVEL INFORMATION

Silverado Resort and Spa1600 Atlas Peak Road, Napa, California 94558 Phone: (800) 532-0500/ www.silveradoresort.com

Wireless Internet Wireless connectivity is available free of charge throughout the resort, including meeting spaces. Connect with a laptop: Go to network settings, select the “Silverado Resort and Spa” network, connect to it, then open a Web browser. A splash page will pop up. Accept the terms and click “connect.” If a splash page does not pop up when opening your Web browser, go to google.com and you will be redirected to the Silverado splash page.Connect with a mobile device: Go to WiFi Settings, select Silverado Resort and Spa, and a splash page will pop up in your Web browser. Accept the terms and click “connect.”

ONSITE RECREATION AND NEARBY ATTRACTIONS

Enjoy winery tours, hot air balloon rides, world-class dining, PGA-level golf courses, arts & culture, shopping, and much more onsite or just minutes away. See below and learn more at www.visitnapavalley.com.

Onsite Recreation• Spa at Silverado, featuring massage, body

treatments, day spa packages, skin care, nail and hair salon, wellness coaches and more

• Two championship golf courses; lessons, pro shop, junior golf camps, and more

• World-class fitness center, including group classes, free weights, assisted weight machines, outdoor running and stretching areas

• 10 lighted, plexi-pave tennis courts (book 72 hours in advance)

• Jogging and hiking trails• Outdoor pool• Bocce ball courts

Nearby Attractions• Silverado Trail: www.silveradotrail.com• Balloons Above the Valley: www.balloonrides.com• Castelo di Amorosa: www.castellodiamorosa.com• Napa Valley Wine Train: www.winetrain.com• Shopping: www.premiumoutlets.com • Bike Tours: www.getawayadventures.com

Nearby Wineries• Markham Vineyards• Robert Mondavi Winery• Silverado Vineyards• Whitehall Lane Winery• Andretti Winery• Grgich Hills Estate• Miner Family Winery• Pine Ridge Vineyards• William Hill Estate Winery• Artesa Vineyards & Winery

TransportationThe Silverado Resort and Spa does not provide an airport shuttle. Please plan ground transportation accordingly. Some options are listed below.Car Rental AgenciesA listing of rental agencies at the San Francisco, Oakland and Sacramento airports is available on the Resort & Transportation tab of www.mohscollege.org/regionalmeeting. Uberwww.uber.com, App Store or Android Google Play appsSan Francisco Airport to Napa Valley: $130–169Oakland Airport to Napa Valley: (service not available) Sacramento to Napa Valley: $44–58 Shuttles Evans Transportation www.evanstransportation.com/(707) 255-1559 Drop-off/pick-up to Napa hotels: $45 per person one way, cash only

Silverado Resort and Spa ParkingComplimentary Self & Valet Parking

http://winetrain.com

http://www.premiumoutlets.com

http://getawayadventures.com/

http://www.uber.com


SILVERADO RESORT AND SPA FLOOR MAP


CME INFORMATION

Accreditation StatementThis activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American College of Mohs Surgery (ACMS). The ACMS is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation StatementThe ACMS designates this live activity for a maximum of 13.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAD Recognized Credit Approval Statement The ACMS Regional Meeting (program #64200) is recognized by the American Academy of Dermatology for 13.50 AAD Recognized Credits and may be used toward the AAD CME Award. AAD members should self-report their AAD recognized credits via the AAD Online Transcript Program. Please note the ACMS Regional Meeting is program #64200.

Maintenance of Certification CreditsPlease complete the MOC Credit Self-Assessment, available in ‘MOC: Office Safety’ on Sunday, November 15, 2015, 11:15 am–12:45 pm, and return to the Registration Desk. You must update your American Board of Dermatology MOC tables to reflect the 25 question credits available for this session.The completion of the Self-Assessment exercise satisfies a portion of the Self-Assessment module of Component 2 in MOC.Note: If you have previous claimed MOC for ‘MOC: Office Safety’ at the 2014 Annual Meeting, 2014 Regional Meeting, or 2015 Annual Meeting, you cannot claim question credits for ‘MOC: Office Safety’ at the 2015 Regional Meeting.

To claim your CME for the meeting:1. Visit https://mylibralounge.com/RegEng/acms1511L/cme2. Enter your registration confirmation number and last

name in the login fields and click ‘Login’. If you do not know your confirmation number, scroll to the bottom of the page to have your confirmation number emailed to you.

3. Complete the brief evaluation and click ‘Save and Continue to Select Session(s) Attended’. (If you do not wish continue your evaluation, select the ‘Save and Exit’ to discontinue your session.)

4. Select the session(s) you attended on-site, and click ‘Next’.5. On the Print Certificate page, review your certificate

and click ‘Print Certificate’ to download and print your certificate. To make changes to your sessions attended selection(s), click the ‘Previous Page’ button.

Disclosure of Conflicts of InterestTo comply with the ACCME Standards of Commercial Support on the need for disclosure and monitoring of proprietary and

financial interests that may affect the scientific integrity and balance of content delivered in continuing medical education activities under our auspices. The ACMS requires that all CME certified activities be developed free from the control of a commercial interest and be balanced, objective, and scientifically rigorous. Anyone with the ability to affect the content of an educational activity must disclose relevant financial relationships with health organizations producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. The ACMS will disclose faculty and commercial relationships at the Regional Meeting.

Disclosure of Discussion of Non-FDA Approved Uses for Pharmaceutical Products and/or Medical DevicesThe ACMS requires that all faculty presenters identify and disclose any off-label uses for pharmaceutical and medical device products. The ACMS recommends that each physician fully review all the available data on new products or procedures prior to instituting them with patients.

DisclaimerThe views expressed and the techniques presented by the speakers of the ACMS sponsored educational meetings are not necessarily shared or endorsed by the organizations. Anyone with the ability to affect the content of an educational activity must disclose relevant financial relationships with health organizations producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, as well as any unapproved or off-label uses of medical devices or pharmaceutical agents that they discuss, describe, or demonstrate during their presentations. Meeting attendees should use their independent judgment in applying the information discussed in these educational sessions in the treatment of patients.

Interest DisclosuresAs an organization accredited by the ACCME to sponsor continuing medical education activities, ACMS is required to disclose any real or apparent conflicts of interest (COI) that any speakers may have related to the content of their presentations. The ACMS requires that all individuals (including spouse/domestic partner) in a position to control/influence content in a program designated for AMA Physician’s Recognition Award Category 1 credits™ disclose any financial interest/arrangement or affiliation with an ACCME-defined commercial organization that may impact on his/her presentation (i.e. grants, research support, honoraria, member of speakers’ bureau, consultant, major stock shareholder, etc.). In addition, the faculty member must disclose when an unlabeled use of a commercial product or an investigational use not yet approved for any purpose is discussed during the educational activity.


CME INFORMATION

No Relevant Conflicts of Interest to Disclose:Sumaira Z. Aasi, MD, FACMSChristopher J. Arpey, MD, FACMS*Juliet L. Aylward, MD, FACMSJeremy S. Bordeaux, MD, MPH, FACMS*Rebecca Brandt, CAEMariah R. Brown, MD, FACMS*Jerry D. Brewer, MD, FACMS*David P. Clark, MD, FACMSAnna S. Clayton, MD, FACMSNicholas B. Countryman, MD, MBA,

FACMSWilliam P. Davey, MD, FACMSVasu Divi, MDErin S. Gardner, MD, FACMSHayes B. Gladstone, MD, FACMSChristopher B. Harmon, MD, FACMS

Kelly Harms, MD, PhDTatyana R. Humphreys, MD, FACMSAndrew J. Kaufman, MD, FACP, FACMSRavi S. Krishnan, MD, FACMSJustin J. Leitenberger, MDWilfred A. Lumbang, MD, FACMSDeborah F. MacFarlane, MD, MPH,

FACMS*Ian A. Maher, MD, FACMSMichel A. McDonald, MD, FACMS*Christopher J. Miller, MD, FACMS*Eric A. Millican, MDVineet Mishra, MDVictor A. Neel, MD, PhD, FACMSRajiv I. Nijhawan, MDGagik Oganesyan, MD, PhD

Jonathan Olson, MDVishal A. Patel, MDSusan SadowskiThuzar M. Shin, MD, PhDJoseph F. Sobanko, MD, FACMSAlly-Khan Somani, MD, PhD, FACMSSeaver Soon, MDDivya Srivastava, MD, FACMSThomas Stasko, MD, FACMS*William G. Stebbins, MD, FACMSTodd Stultz, DDS, MDValencia D. Thomas, MD, FACMSAshley Wysong, MD, MSSummer R. Youker, MD, FACMSFiona M. Zwald, MD, MRCPI, FACMS*

Relevant Conflicts of Interest to Disclose**Murad Alam, MD, FACMS Consultant/Independent Contractor – AmwayJohn G. Albertini, MD, FACMS* Grant/Research Support – Genentech Daniel Berg, MD, FACMS Consultant/Independent Contractor – DUSA; GenentechElizabeth M. Billingsley, MD, FACMS Grant/Research Support – Genentech Marc D. Brown, MD, FACMS Other/Royalty - DUSAJohn A. Carucci, MD, PhD, FACMS* Grant/Research Support – GlaxoSmithKline; PfizerQuenby L. Erickson, DO, FACMS Speaker’s Bureau – Lumenis

Stock Shareholder – Allergan/KytheraTimothy Flynn, MD, FACMS Consultant/Independent Contractor – Kythera

Grant/Research Support – MerzPedram Gerami, MD Consultant/Independent Contractor – Castle Biosciences; DermTech, Inc.; Myriad

GeneticsAllison M. Hanlon, MD, PhD Consultant/Independent Contractor – Merck PharmaceuticalRoberta D. Sengelmann, MD, FACMS Honoraria – Allergan; Genentech; Kythera; Medicis; MerzAllison T. Vidimos, MD, RPh, FACMS* Grant/Research Support – GenentechDavid M. Zloty, MD, FRCP, FACMS Consultant/Independent Contractor – Genentech/Roche

Speaker’s Bureau – Genentech/Roche

*Indicates Scientific Program Committee and organization, CME & Education Committee Members

**Having a financial relationship with an ACCME-defined commercial or discussing an unlabeled use of a commercial product, may not prevent a speaker from making a presentation. However, the existence of a relevant financial relationship must be disclosed to the CME & Education Committee and Scientific Program Committee prior to the conference, so that any relevant conflict of interest may be resolved prior to that individual’s participation in the CME activity.


Upon completion of the Regional Meeting, participants will be able to describe the latest advances in the treatment of skin cancer, discuss recent research findings in the area of Mohs micrographic surgery and cutaneous oncology, and explain new techniques in reconstruction that promote optimal surgical outcomes.

Specific learning objectives, upon completion of the ACMS Regional Meeting include, but are not limited to:

LEARNING OBJECTIVES

• Identify the best imaging techniques to utilize for staging basal cell and squamous cell carcinoma;

• Identify the most current therapeutic options and management strategies for squamous cell carcinoma and basal cell carcinoma, including systemic therapy for very locally advanced cases;

• Evaluate the role of sentinel lymph node biopsy in the staging of patients with melanoma;

• Describe the current best practices for imaging, wide margins, radiation therapy and nodal staging for Merkel cell carcinoma;

• Develop a better understanding of the management of cutaneous carcinomas in solid organ transplant patients, including medication adjustment in collaboration with transplant team;

• Select reconstruction strategies that balance the best functional and aesthetic outcomes with the least morbidity;

• Describe the rationale for the utilization of postoperative antibiotics in Mohs surgery;

• Identify potential pitfalls in flap and graft repair;• Describe options available for international

volunteerism in Mohs surgery; • Assemble multidisciplinary care with other specialists

to improve outcomes for tumors at high risk for local recurrence or metastasis;

• Discuss novel techniques for repair of surgical defects of the nose, ears, lips and eyes;

• Identify management options for unusual cutaneous malignancies;

• Describe options for scar revision techniques postoperatively in Mohs surgery;

• Identify appropriate management of postoperative wounds including dressing options for lower extremities;

• Describe current best practices for choosing the most appropriate surgical prep agent depending on anatomic location to reduce both wound infections and complications;

• Discuss the clinical presentation and management of non-melanoma skin cancer at high risk for local recurrence or metastasis;

• Discuss the clinical presentation and management of melanocytic tumors at high risk for local recurrence or metastasis;

• Describe the causes of common complications for Mohs surgery and reconstructions at particular anatomic locations;

• Describe medical conditions which impact intraoperative management of Mohs surgery patients;

• Highlight reduction of wrong site surgery by photographing all skin biopsy locations.

• Describe how NSAIDS and acetaminophen provide better pain control and less side effects than narcotics following dermatologic surgery.

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Vasu Divi, MDDr. Divi joined the faculty at Stanford University in 2012 as an Assistant Professor, and currently serves as co-chair of the High-Risk Non-Melanoma Skin Cancer Working Group with Dr. Sumaira Aasi. He is also Director of Head and Neck Microvascular Reconstruction and Director of the Head and Neck Surgery Fellowship at Stanford. Dr. Divi completed his medical education at the University of Michigan in 2004, graduating with Distinction in Academics and in Research. He remained at the University of Michigan for his Otolaryngology-Head and Neck Surgery residency, completing training in 2009. He then completed a fellowship at the Massachusetts Eye and Ear Infirmary and Harvard Medical School in Head and Neck Oncology, Microvascular Reconstruction, and Skull Base Surgery. Following the completion of his training, he returned to the University of Michigan from 2010 to 2012, where he was an active member of the Head and Neck Surgery faculty and worked closely with his colleagues in Cutaneous Oncology.

GUEST SPEAKERS

Pedram Gerami, MD Dr. Gerami is Associate Professor of Dermatology, Pathology and Pediatrics at Northwestern University’s Feinberg School of Medicine and the Co-Director of Melanoma Research at the Northwestern University Skin Cancer Institute. His interests include the utilization of clinical, histological and molecular diagnostic methods to optimize diagnostic accuracy and best predict the behavior of melanocytic neoplasms. As a clinical dermatologist, he primarily cares for patients with melanoma or atypical nevi. As a dermatopathologist, he is recognized as an international expert in the diagnosis of melanoma and is sent many second opinion cases both from within and outside of the United States. As a researcher, he is focused on developing molecular-based methods to improve the diagnosis and prognostication of melanocytic neoplasms. He has written more than 100 peer reviewed journal articles and numerous chapters in dermatologic textbooks. Dr. Gerami received his medical degree from the Chicago Medical School and completed his residency at the University of Iowa Department of Dermatology followed by a fellowship in dermatopathology at the University of Chicago.

Photography and Recording PolicyPhotography or video or audio recording of sessions, materials presented in session, or exhibits without express written permission from the ACMS is strictly prohibited. Any photos, video or audio taken by or on behalf of the ACMS of the meeting activities and attendees shall be property of the ACMS.There will be a professional photographer on-site documenting the meeting and social events. Your attendance at ACMS events implies your permission for images and/or audiovisual recordings captured during these events to be used in future ACMS promotional materials, publications, websites and social media, and waives your right to compensation or ownership of these images.If you prefer not to be photographed, please immediately notify the photographer or an ACMS staff member if your picture is taken.


Sumaira Z. Aasi, MD, FACMS, Stanford University School of Medicine, Redwood City, CA

Murad Alam, MD, FACMS, Northwestern University/Dermatology, Chicago, IL

John G. Albertini, MD, FACMS, The Skin Surgery Center, Winston-Salem, NC

Juliet L. Aylward, MD, FACMS, University of Wisconsin - Madison, Madison, WI

Daniel Berg, MD, FACMS, Seattle Skin Cancer Center, Seattle, WA

Elizabeth M. Billingsley, MD, FACMS, Penn State Hershey Medical Center, Hershey, PA

Marc D. Brown, MD, FACMS, University of Rochester, Rochester, NY

Mariah R. Brown, MD, FACMS, University of Colorado, Aurora, CO

John A. Carucci, MD, PhD, FACMS, New York University Langone Medical Center, New York, NY

David P. Clark, MD, FACMS, Hawaii Skin Cancer Center, Honolulu, HI

Anna S. Clayton, MD, FACMS, The Vanderbilt Clinic, Nashville, TN

Nicholas B. Countryman, MD, MBA, FACMS, Dawes Fretzin Dermatology Group, Indianapolis, IN

William P. Davey, MD, FACMS, Associates in Dermatology, Louisville, KY

Vasu Divi, MD, Stanford University School of Medicine, Redwood City, CA

Quenby L. Erickson, DO, FACMS, Erickson Dermatology- Cosmetic/Laser/Surgical, Chicago, IL

Timothy Flynn, MD, FACMS, Surgical Dermatology Group, Birmingham, AL

Erin S. Gardner, MD, FACMS, Dermatology Specialists of St. Louis, St. Louis, MO

Predram Gerami, MD, Northwestern University, Chicago, IL

Hayes B. Gladstone, MD, FACMS, Gladstone Clinic, San Ramo, CA

Allison M. Hanlon, MD, PhD, Nashville Skin and Cancer, Nashville, TN

Christopher B. Harmon, MD, FACMS, Surgical Dermatology Group, Birmingham, AL

Kelly Harms, MD, PhD, University of Michigan, Ann Arbor, MI

Tatyana R. Humphreys, MD, FACMS, Main Line Center for Skin Surgery, Bala Cynwyd, PA

Andrew J. Kaufman, MD, FACP, FACMS, The Center for Dermatology Care, Thousand Oaks, CA

Ravi S. Krishnan, MD, FACMS, Virginia Mason Medical Center, Seattle, WA

Justin J. Leitenberger, MD, Oregon Health & Science University, Portland, OR

Wilfred A. Lumbang, MD, FACMS, Vanderbilt University Medical Center, Nashville, TN

Deborah F. MacFarlane, MD, MPH, FACMS, MD Anderson Cancer Center, Houston, TX

Ian A. Maher, MD, FACMS, Saint Louis University, St. Louis, MO

Michel A. McDonald, MD, FACMS, Vanderbilt Dermatology, Nashville, TN

Christopher J. Miller, MD, FACMS, Hospital of the University of Pennsylvania, Philadelphia, PA

Eric A. Millican, MD, Vanderbilt Dermatology, Nashville, TN

Vineet Mishra, MD, University of Texas Health Science Center - San Antonio, San Antonio, TX

Victor A. Neel, MD, PhD, FACMS, Massachusetts General Hospital, Boston, MA

Rajiv I. Nijhawan, MD, University of Texas Southwestern Medical Center, Dallas, TX

Gagik Oganesyan, MD, PhD, Sutter Pacific Medical Foundation/Sutter Medical Group of the Redwoods, Santa Rosa, CA

Jonathan Olson, MD, Dermatology Laser & Vein Specialists, Charlotte, NC

Vishal A. Patel, MD, Columbia University Medical Center, New York, NY

Roberta D. Sengelmann, MD, FACMS, Santa Barbara Skin Institute, Santa Barbara, CA

Thuzar M. Shin, MD, PhD, University of Pennsylvania, Philadelphia, PA

Joseph F. Sobanko, MD, FACMS, Hospital of the University of Pennsylvania, Philadelphia, PA

Ally-Khan Somani, MD, PhD, FACMS, Indiana University School of Medicine, Indianapolis, IN

Seaver Soon, MD, Scripps Clinic, La Jolla, CA

Divya Srivastava, MD, FACMS, UT Southwestern Medical Center, Dallas, TX

Thomas Stasko, MD, FACMS, University of Oklahoma, Oklahoma City, OK

William G. Stebbins, MD, FACMS, Vanderbilt Dermatology, Nashville, TN

Todd Stultz, DDS, MD, Cleveland Clinic Foundation, Cleveland, OH

Valencia D. Thomas, MD, FACMS, Mohs & Dermasurgery Center, Houston, TX

Allison T. Vidimos, MD, RPh, FACMS, Cleveland Clinic Foundation, Cleveland, OH

Ashley Wysong, MD, MS, USC/Keck School of Medicine, Los Angeles, CA

Summer R. Youker, MD, FACMS, Skin Cancer Surgery Center, Sacramento, CA

David M. Zloty, MD, FRCP, FACMS, Vancouver Hospital, Vancouver, British Columbia

INVITED FACULTY AND GUEST SPEAKERS


SCIENTIFIC PROGRAM – FRIDAY, NOVEMBER 13

1:00 – 1:15 pm Silverado BallroomOpening Session & Welcome(Non-CME Session)

Michel A. McDonald, MD, FACMS, 2015 Regional Meeting Scientific Program Committee Chair

1:15 – 2:15 pm Silverado BallroomImaging of the Patient with Cutaneous Carcinoma (1.00 Credit Hour)

At the conclusion of this session, participants should be able to:1) Identify the value of imaging for the detection of metastasis

and disease staging;2) Describe the best choices of imaging modalities for

detecting local invasion and distant metastasis;3) Develop strategies for collaborating with radiology in the

care of high risk tumors to improve outcomes.

Moderator: Allison T. Vidimos, MD, RPh, FACMSSpeaker: Todd Stultz, DDS, MD

2:15 – 3:15 pm Silverado BallroomWhat’s New in Cutaneous Oncology (1.00 Credit Hour)

At the conclusion of this session, participants should be able to:1) Identify the most current therapeutic options and

management strategies for actinic keratoses, squamous cell cancer, and basal cell cancer;

2) Explain recent advances in research for the role of sentinel lymph node biopsy in the staging of patients with melanoma;

3) Explain management strategies for the treatment of the primary site of Merkel cell cancer.

Moderator: John A. Carucci, MD, PhD, FACMSSpeakers: Squamous Cell Carcinoma: Management & StagingJohn A. Carucci, MD, PhD, FACMSMerkel Cell Carcinoma: Management of the Primary TumorKelly Harms, MD, PhDMelanoma UpdateChristopher J. Miller, MD, FACMSBasal Cell Carcinoma: Systemic Chemotherapy OptionsDavid M. Zloty, MD, FRCP, FACMSTransplant DermatologySeaver Soon, MD

3:15 – 3:30 pm Fairway DeckBreak(CME Not offered)

3:30 – 4:30 pm Silverado BallroomHow Would You Reconstruct It? (1.00 Credit Hour)

At the conclusion of this session, participants should be able to: 1) Develop algorithms for reconstruction of defects after Mohs

micrographic surgery;2) Select reconstruction strategies that allow for the best

functional outcomes while minimizing morbidity;3) Identify multiple reconstruction options for Mohs

micrographic surgery defects and the benefits and potential complications of each one.

Moderator: Hayes B. Gladstone, MD, FACMSSpeakers: Helical DefectChristopher J. Miller, MD, FACMSNasal DefectIan A. Maher, MD, FACMSOral or Scalp DefectRoberta D. Sengelmann, MD, FACMSCheek RepairAlly-Khan Somani, MD, PhD, FACMS

4:30 – 5:15 pm Silverado BallroomChallenges in Mohs Surgery(0.75 Credit Hours)

At the conclusion of this session, participants should be able to: 1) Recall how to address common challenges in Mohs surgery

daily practice;2) Describe appropriate antibiotic usage postoperatively in

cutaneous surgery;3) Identify the benefits and potential complications of different

reconstruction options for nasal alar defects.

Moderator: William G. Stebbins, MD, FACMSSpeakers: Nasal Alar Defect: FlapAndrew J. Kaufman, MD, FACP, FACMSNasal Alar Defect: Partial ClosureVictor A. Neel, MD, PhD, FACMSPostoperative AntibioticsWilliam G. Stebbins, MD, FACMS

SCIENTIFIC PROGRAM FRIDAY, NOVEMBER 13



5:15 – 6:00 pm Silverado BallroomInternational Volunteerism and Mohs Surgery(0.75 Credit Hours)

At the conclusion of this session, participants should be able to: 1) Recall the history of volunteer initiatives to teach and

perform Mohs surgery abroad;2) Prepare for logistic issues in organizing volunteer surgery

overseas;3) Appreciate the experience of performing surgery in another

country;4) Find and select possible volunteer opportunities in

dermatologic surgery.

Moderators: Murad Alam, MD, FACMS; Hayes B. Gladstone, MD, FACMSSpeakers:Introduction and Overview of Logistical Issues in Organizing Overseas SurgeryHayes B. Gladstone, MD, FACMS

Mohs in Underserved Foreign Countries: Practical ChallengesMurad Alam, MD, FACMSAnatomy of a Surgery Week: RomaniaDaniel Berg, MD, FACMSLessons from Academic Perspective in Overseas Mohs SurgeryChristopher J. Miller, MD, FACMSVolunteer Surgery in Africa Vishal A. Patel, MD

6:30 pm Fairway DeckWelcome Reception(CME Not offered)

See details below.

SCIENTIFIC PROGRAM – FRIDAY, NOVEMBER 13


Friday, November 13 6:30–8:30 pm, Fairway Deck Tasting includes 5 wines + 3 flavor elementsOpen your mind and palate to three flavor experiments as wines interact with flavors such as sweet, salt and sour. Highly knowledgeable and engaging Wine Militia sommeliers will help you understand why you like certain foods based on your palate, and how chemical messages are sent to your brain.

Welcome Reception & Sensory Wine Tasting


8:00 – 9:00 am Silverado BallroomGrand Rounds(1.00 Credit Hour)

At the conclusion of this session, participants should be able to: 1) Discuss clinical features of unusual cutaneous malignancies;2) Discuss histopathologic features of unusual cutaneous

malignancies;3) Develop appropriate treatment strategies for patients

with unusual tumors at high risk for local recurrence or metastasis.

Moderator: Wilfred A. Lumbang, MD, FACMSSpeakers: Recurrent pleomorphic tumor of the scalp Wilfred A. Lumbang, MD, FACMSSpindle cell tumorVineet Mishra, MDBasaloid tumor gone wildAshley Wysong, MD, MSBasaloid tumor from beyondRavi S. Krishnan, MD, FACMS

9:00 – 10:30 am Silverado BallroomWhat the Mohs Surgeon Must Know About Tumors Requiring Multidisciplinary Care (1.50 Credit Hours)

At the conclusion of this session, participants should be able to:1) Describe the appropriate role of members of the

multidisciplinary team when treating high risk tumors;2) Coordinate multidisciplinary care and improve outcomes

for tumors at high risk for local recurrence or metastasis;3) Identify the role of genetic profiling in malignant melanoma.

Moderator: Sumaira Z. Aasi, MD, FACMSSpeakers: How Can the Mohs Surgeon Help with Tumor Management in Aggressive Cases Requiring Further Resection by Head and Neck Surgery?Sumaira Z. Aasi, MD, FACMSGene Expression Profiling for Prognosticating MelanomaGuest Speaker: Pedram Gerami, MDBest Practices for Collaboration between Mohs Surgery, and Head and Neck Surgery in Patients with Aggressive TumorsGuest Speaker: Vasu Divi, MD

10:30 – 11:00 am Fairway DeckBreak(CME Not offered)

11:00 am – 12:00 pm Silverado BallroomPractice Realities: Preoperative & Postoperative (1.00 Credit Hour)

At the conclusion of this session, participants should be able to:1) Describe the rationale for choosing specific postoperative

dressing options and their potential for decreasing the risk of complication;

2) Evaluate two different methods for treating postoperative scarring and describe their risks and benefits;

3) Identify different options to incorporate photography into the electronic medical record to facilitate Mohs surgery practice.

Moderator: Anna S. Clayton, MD, FACMSSpeakers: Preoperative: Quality Improvement/BenchmarkingWilliam P. Davey, MD, FACMSPostoperative: Dressing Pearls Including Lower ExtremitiesQuenby L. Erickson, DO, FACMSPostoperative Treatment of Scars: FillersTimothy Flynn, MD, FACMSPreoperative: EHR & PhotographyErin S. Gardner, MD, FACMSPostoperative Treatment of Scars: LaserVineet Mishra, MDPostoperative Treatment of Scars: DermabrasionChristopher B. Harmon, MD, FACMS

12:00 – 1:00 pm Fairway DeckNetworking Luncheon

1:00 – 2:30 pm Silverado BallroomTumor Board (1.50 Credit Hours)

At the conclusion of this session, participants should be able to:1) Discuss the differences between atypical melanocytic

proliferation versus melanoma in situ;2) Identify histologic challenges in Mohs micrographic surgery;3) Discuss a multidisciplinary approach for high risk skin

cancers;4) Discuss the evaluation and treatment of adnexal tumors

with metastatic potential.

SCIENTIFIC PROGRAM – SATURDAY, NOVEMBER 14


SATURDAY, NOVEMBER 14


Moderator: Allison M. Hanlon, MD, PhDSpeakers: Deeply Penetrating Neck TumorsMariah R. Brown, MD, FACMSAdnexal Tumors with Metastatic Potential Allison M. Hanlon, MD, PhDHigh Risk SCCThuzar Shin, MD, PhDMelanoma in Situ versus Atypical Melanocytic Proliferation Joseph F. Sobanko, MD, FACMSPathology Pitfalls Valencia D. Thomas, MD, FACMS

2:30 – 3:30 pm Silverado BallroomExpand Your Horizon: Inspiring Ideas for Practice and Life(1.00 Credit Hour) Enjoy beer, wine or soda and light snacks during the session.

Hear longtime ACMS members share wisdom and inspiration in the style of popular TED Talks, which focus on “ideas worth spreading.” Started in 1984 as a conference where technology, entertainment and design converged, the TED format is ideal for sharing

innovative thinking on topics from science to business to global issues and much more, with the power to change attitudes, lives and, ultimately, the world.At the end of this session, participants should be able to:1. Discuss the appropriate use of antibiotics in cutaneous

surgery; 2. Cite the reasons for antibiotic resistance and how to

minimize the risk;3. Increase consciousness of people, places, and

circumstances;4. Develop a reasonable work/life balance.

Moderator: Thomas Stasko, MD, FACMSSpeakers: Antibiotics: Resistance and Abuse Marc D. Brown, MD, FACMSRead Fiction: It Will Make You a Better Doctor, Lover, & Person David P. Clark, MD, FACMSVolunteerismChristopher B. Harmon, MD, FACMS

3:30 pm Meeting adjourns for the day; enjoy Napa


AWARD NOMINATIONS FOR 2016Frederic E. Mohs Award This award recognizes an active ACMS member who has devoted considerable time and effort over many years to further the goals and objectives of the organization and to promote the specialty.

Qualities for which candidates will be rated and judged by the Mohs Award Committee include excellence in teaching, clinical practice, scientific contribution, innovation, mentorship and the promotion of Mohs surgery.

A call for nominations will be sent to members in December. Winners are notified in March, and must commit to attending the Annual Membership Business Meeting. The winner is asked to select a fellow member to present the award.

Tromovitch AwardThis award is open to fellows-in-training or those in the first year after completing an ACMS-approved fellowship. Winner(s) will be selected onsite at the Annual Meeting after presentations, and announced at the fellows-in-training reception.

See the Call for Abstracts online for criteria and details: www.mohscollege.org/annualmeeting

Applicants are responsible for applying for Tromovitch Award at time of abstract submission. Recipient(s) must submit an article suitable for publication in the Journal of Dermatologic Surgery by March 2016. Upon receipt from the Journal of the submitted article, award recipient(s) receive complimentary membership dues for first year of ACMS membership and free registration for 2016 Annual Meeting.

SCIENTIFIC PROGRAM – SATURDAY, NOVEMBER 14


SCIENTIFIC PROGRAM – SUNDAY, NOVEMBER 15

SUNDAY, NOVEMBER 15

8:00 – 9:30 am Silverado BallroomMasters’ Panel (1.50 Credit Hours)

At the conclusion of this session, participants should be able to:1) Describe the use of grafts and flaps for auricular, lip and

eyelid reconstruction;2) Develop strategies to preserve free margins and contour

during facial reconstruction;3) Increase confidence in performing more complex repairs of

Mohs surgical defects.

Moderator: Marc D. Brown, MD, FACMSSpeakers: John G. Albertini, MD, FACMS; Elizabeth M. Billingsley, MD, FACMS; John A. Carucci, MD, PhD, FACMS; Tatyana R. Humphreys, MD, FACMS; Andrew J. Kaufman, MD, FACP, FACMS; Summer R. Youker, MD, FACMS

9:30 – 9:45 amBreak(CME Not offered)

9:45 – 11:15 am Silverado BallroomApproaches to Common Issues in Everyday Practice(1.50 Credit Hours)

At the conclusion of this session, participants should be able to: 1) Describe approaches to the preoperative management of

patients who have hypertension or who are pregnant;2) Identify the risks of surgical smoke and strategies to

decrease exposure intraoperatively;3) Discuss factors that impact patient satisfaction in Mohs

surgery and identify modalities to improve the patient experience.

Moderator: Divya Srivastava, MD, FACMS

Speakers: Postoperative Pain Medications: Options and Alternatives in Allergic PatientsNicholas B. Countryman, MD, MBA, FACMSPreoperative Immunosuppression and Other Medicines that Increase Skin Cancer RiskJustin J. Leitenberger, MDPreoperative Surgical PrepsRajiv I. Nijhawan, MDPreoperative: Cutaneous Surgery in Patients who are Pregnant or Breast FeedingDivya Srivastava, MD, FACMSPreoperative Hypertension: Approaches toward ManagementJuliet L. Aylward, MD, FACMSIntraoperative Surgical Smoke: Risks and Options for ManagementGagik Oganesyan, MD, PhDPostoperative Patient Satisfaction in Mohs Surgery: What Impacts It, and What Data do We Have?Divya Srivastava, MD, FACMS

11:15 am – 12:45 pm Silverado BallroomMOC: Office Safety(Non-CME Session)

At the conclusion of this session, participants should be able to:1) Assess and understand the key areas of how office based

safety pertains to the practice of dermatology;2) Integrate and apply the concepts of office based safety to

improve office efficiently, safety, and satisfaction in the workplace of a dermatologic surgery practice;

3) Distinguish the most common as well as the most detrimental office based safety issues pertaining to procedural dermatology.

Moderator: Jonathan Olson, MDSpeakers:Eric A. Millican, MD; Rajiv I. Nijhawan, MD

12:45 – 1:00 pmClosing Remarks & Adjourn


Have Your Mohs Tech Participatein the Mohs Tech Quality Assurance (MTQA) Training Initiative

Visit the Advocacy & Public Policy page of www.mohscollege.org• Member Alerts • ACMS Responses • Messages from the Presidents• Regulatory Review

Newsletters • Health Policy Briefings • AMA Updates • MedPAC Resources

Whitelist [email protected] ensure you receive important communications from the ACMS including information regarding the Annual or Regional Meetings, messages from the President, the Membership Bulletin, member surveys and more, add [email protected] to the Safe Senders list in your email account. If you think you may not have received messages from the ACMS, check your Spam or Junk Mail folder and ‘whitelist’ [email protected] right away!

ACMS REGIONAL MEETING • NOVEMBER 13-15, 2015 • SILVERADO RESORT AND SPA • NAPA, CA

NOTES

American College of Mohs Surgery555 East Wells Street, Suite 1100

Milwaukee, WI 53202

Phone: (414) 347-1103 • (800) 500-7224 • Fax: (414) 276-2146Email: [email protected] • Website: www.mohscollege.org / www.SkinCancerMohsSurgery.org

Save the Date

48th Annual MeetingTHURSDAY, APRIL 28 - SUNDAY, MAY 1, 2016

22nd Annual MeetingFRIDAY, APRIL 29 - SATURDAY, APRIL 30, 2016

ACMS-1015-177

mailto:[email protected]

http://www.mohscollege.org

http://www.SkinCancerMohsSurgery.org

final program - american college of mohs surgery...8:00 – 9:00 am grand rounds (1.00 credit hour)...

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