gastroenterology & hepatology board review · the mayo clinic gastroenterology and hepatology...

Gastroenterology & Hepatology

Board Review

September 15-18, 2016 Swissotel

Chicago, Illinois

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Table of Contents

CME Activity Description ............................................................................................................................ 6

CME Activity Objectives .............................................................................................................................. 6

Intended Audience ........................................................................................................................................ 6

Continuing Education Credit ........................................................................................................................ 6

CME Record of Attendance .......................................................................................................................... 7

CME Activity Evaluation ............................................................................................................................. 7

Syllabus and Internet Access ........................................................................................................................ 7

Recording Device Policy .............................................................................................................................. 8

Electronic Devices ........................................................................................................................................ 8

Faculty .......................................................................................................................................................... 9

Faculty and Provider Disclosure Summary ................................................................................................ 10

Program Schedule ....................................................................................................................................... 11

Presentations .............................................See Program Schedule in each day's syllabus for Page Numbers

CME Activity Description

The Mayo Clinic Gastroenterology and Hepatology Board Review is designed for candidates preparing

for certification and maintenance of certification (MOC) examinations in gastroenterology and

hepatology. The Gastroenterology and Hepatology Board Review will include relevant topics such as

pathology, endoscopy, radiology and nutrition.

CME Activity Objectives

1. Identify esophageal, gastric, small bowel and colon diseases and other disorders of the GI tract

and liver.

2. Articulate diagnostic therapeutic approaches to management of patients diagnosed with digestive

disorders.

3. Discuss relevant areas of pathology, endoscopy, radiology and nutrition.

Attendance at this Mayo Clinic activity does not indicate nor guarantee competence or proficiency in the

performance of any procedures which may be discussed or taught in this activity.

Intended Audience

This course is designed for GI fellows, gastroenterologists, persons preparing for GI board exams and

recertification, gastroenterologists needing MOC, and GI nurse practitioners, physician assistants and

physician extenders.

Continuing Education Credit

Mayo Clinic College of Medicine is accredited by the Accreditation Council for Continuing Medical

Education to provide continuing medical education for physicians.

General Session: September 15-18, 2016:

Mayo Clinic College of Medicine designates this live activity for a maximum of 32.25 AMA PRA

Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their

participation in the activity.

Additional AMA PRA Category 1 Credits™ can be claimed if you sign up for the following pre-course

sessions taking place on Wednesday, September 14, 2016:

ABIM Maintenance of Certification Session: 2016 Update in Gastroenterology, September 14, 2016

Mayo Clinic College of Medicine designates this live activity for a maximum of 1.5 AMA PRA Category

1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation

in the activity.

ABIM Maintenance of Certification Session: 2016 Update in Transplant Hepatology, September 14,

2016

Mayo Clinic College of Medicine designates this live activity for a maximum of 1.5 AMA PRA Category

1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation

in the activity.

Other Health Care Professionals

A certificate of attendance will be provided to other health care professionals for requesting credits in

accordance with state nursing boards, specialty societies, or other professional associations.

ABIM Maintenance of Certification Points

Successful completion of this CME activity, which includes participation in the evaluation component,

enables the participant to earn up to 32.25 MOC points in the American Board of Internal Medicine's

(ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to

the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to

submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

CME Record of Attendance

Mayo School of Continuous Professional Development (MSCPD) will now be providing electronic

record of attendance certificates through our new website and registration system. Paper certificates will

no longer be provided. The record of attendance allows attendees to calculate their own credits of

participation in the educational activity.

Upon conclusion of the CME activity, and completion of any required course materials, you will be able

to claim credits commensurate with your participation at the CME activity.

Directions will be provided on how to claim your credit. A copy of the record of attendance will remain

available in your personal account on the MSCPD website and registration system and can be printed at

any time.

The record of attendance can be used for requesting credits in accordance with state licensing boards,

specialty societies, or other professional associations.

CME Activity Evaluation

The faculty and overall CME evaluations will now be available electronically through your profile in our

new website and registration system. All attendees are invited to complete the faculty evaluation. Course

Directors use this feedback to maintain and improve the caliber of presentations in future courses.

The overall CME activity evaluation will be available in your profile following the activity. The CME

activity evaluation is brief and will only take a few minutes to complete.

Your input is greatly appreciated. Thank you in advance for completing the evaluations.

Directions will be provided on where to complete these evaluations.

Syllabus and Internet Access

An electronic syllabus will be provided to all attendees. Participants are invited to bring their laptops to

the meeting room(s). Due to copyright issues or revisions, some slides may be shown during a

presentation, but not provided within the syllabus.

Recording Device Policy

No recording devices, audio or visual, may be used during Mayo Clinic College of Medicine CPD

activities. Duplication, distribution, or excerpting of this program, without the express written permission

of Mayo Clinic, is strictly prohibited.

All of the proceedings of this program, including the presentation of scientific papers, are intended for

limited publication only, and all property rights in the material presented, including common-law

copyright, are expressly reserved by the Faculty and/or Mayo Clinic. No statement of presentation made

is to be regarded as dedicated to the public domain. Any sound reproduction, transcript or other use of the

material presented at this CME activity without the permission of Mayo Clinic is prohibited to the full

extent of common-law copyright in such material.

Electronic Devices

Please turn all electronic devices (cellular telephones, pagers, etc.) to silent mode. As a courtesy to the

presenters and other participants, phone calls should be taken outside of the general session.

Faculty

Course Directors

Amy S. Oxentenko, M.D.

Laura E. Raffals, M.D.

William Sanchez, M.D.

Mayo Clinic

Jeffrey A. Alexander, M.D. Conor G. Loftus, M.D.

Glenn L. Alexander, M.D. Edward V. Loftus, Jr., M.D.

Alina M. Allen, M.D. John Martin, M.D.

Adil E. Bharucha, MBBS, M.D. Rahul Pannala, M.D.

Magnus Halland, M.D. Randall K. Pearson, M.D.

Stephanie L. Hansel, M.D. John J. Poterucha, M.D.

Robert C. Huebert, M.D. Karthik Ravi, M.D.

John B. Kisiel, M.D. Lewis R. Roberts, M.B., Ch.B., Ph.D.

Michael D. Leise, M.D. Seth R. Sweetser, M.D.

Jason T. Lewis, M.D.

Faculty, Planning Committee and Provider Disclosure

Summary Gastroenterology & Hepatology Board Review

September 15-18, 2016

As a provider accredited by ACCME, Mayo Clinic College of Medicine (Mayo School of CPD) must

ensure balance, independence, objectivity and scientific rigor in its educational activities. Course

Director(s), Planning Committee Members, Faculty, and all others who are in a position to control the

content of this educational activity are required to disclose all relevant financial relationships with any

commercial interest related to the subject matter of the educational activity. Safeguards against

commercial bias have been put in place. Faculty also will disclose any off label and/or investigational use

of pharmaceuticals or instruments discussed in their presentation. Disclosure of these relevant financial

relationships will be published in activity materials so those participants in the activity may formulate

their own judgments regarding the presentation.

Listed below are individuals with control of the content of this program who have disclosed…

Relevant financial relationship(s) with industry: Name Nature of Relationship Company

Jeffrey A. Alexander, M.D. Grant/Research Support

Other

Merck, Shire

Financial Interest in Meritage

Adil E. Bharucha, MBBS,

M.D.

Consultant

Grant/Research Support

Other: royalties for IP

Allergan, Macmillan Medical

Communications

Ironwood Pharma

Medspira Inc

Michael D. Leise, M.D. Grant/Research Support

Other

Merck, Gilead

Author, royalties: Up-to-date, Merck

Site PI for Mult-Center Randomized

Controlled Trial that finished in

2015: Merck

Edward V. Loftus, Jr., M.D. Consultant

Grant/Research Support

Honoraria

UCB, Takeda, Janssen, AbbVie, Sun

Pharma, Seres Therapeutics, Amgen,

Eli Lilly, Mesoblast, Bristol-Myers

Squibb

UCB, Takeda, Janssen, AbbVie,

Genentech, Amgen, Pfizer, Gilead,

Receptos, Celgene, Robarts Clinical

Trials

Cornerstones Health, Gastrointestinal

Health Foundation

Lewis R. Roberts, M.B.,

Ch.B., Ph.D.

Grant/Research Support Ariad Pharmaceuticals- grant funding

BTG International Inc-grant funding

Wako Diagnostics-grant funding

No relevant financial relationship(s) with industry:

Name

Glenn L. Alexander, M.D. Jessica V. McNeill

Alina M. Allen, M.D. Michael W. O’Brien

Magnus Halland, M.D. Amy S. Oxentenko, M.D.

Shannon M. Halvorson Rahul Pannala, M.D.

Stephanie L. Hansel, M.D. Randall K. Pearson, M.D.

Robert C. Huebert, M.D. John J. Poterucha, M.D.

John B. Kisiel, M.D. Laura E. Raffals, M.D.

Ruth L. Laird Karthik Ravi, M.D.

Jason T. Lewis, M.D. William Sanchez, M.D.

Conor G. Loftus, M.D. Seth R. Sweetser, M.D.

John Martin, M.D.

References to off-label and/or investigational usage(s) of pharmaceuticals or instruments in

their presentation:

Name Manufacturer/Provider Product/Device

Jeffrey A. Alexander, M.D. Multiple PPI infusion

Adil E. Bharucha, MBBS,

M.D.

Several Several – Most drugs used for IBS

are not approved

Stephanie L. Hansel, M.D. Medications (octreotide,

erythromycin)

Program Schedule

Thursday, September 15, 2016

6:30 a.m. Registration / Continental Breakfast / Posters / Exhibits

7:00 a.m. Welcome Amy S. Oxentenko, M.D. Laura E. Raffals, M.D. William Sanchez, M.D.

7:10 a.m. Instructions to the Mobile App & Online Evaluations / Claiming Credit

7:20 a.m. Introduction to the Board Examination William Sanchez, M.D.

7:30 a.m. Vascular Diseases of the Liver and Portal Hypertension William Sanchez, M.D

8:10 a.m. The Approach to Abnormal Liver Tests and Drug-Induced Liver Injury John J. Poterucha, M.D.

8:55 a.m. Mass Lesions of the Liver Lewis R. Roberts, M.B., Ch.B., Ph.D.

9:40 a.m. Optional: Questions and Answers

9:40 a.m. Refreshment Break / Posters / Exhibits

10:00 a.m. Liver Disease and Pregnancy Alina M. Allen, M.D.

10:20 a.m. Alcoholic Liver Disease and Nonalcoholic Fatty Liver Disease Robert C. Huebert, M.D.

10:50 a.m. Hepatitis C Michael D. Leise, M.D.

11:15 a.m. Hepatitis B and Other Hepatitis Viruses John J. Poterucha, M.D.


12:00 p.m. Lunch

1:20 p.m. Cholestatic Liver Disease and Autoimmune Hepatitis Michael D. Leise, M.D.

2:00 p.m. Board-Style Practice Questions: Liver I

Robert C. Huebert, M.D. John J. Poterucha, M.D.

2:50 p.m. Acute Liver Failure and Liver Transplantation

William Sanchez, M.D. 3:10 p.m. Ascites, Hepatorenal Syndrome and Encephalopathy

Robert C. Huebert, M.D.

3:50 p.m. Optional: Questions and Answers 3:50 p.m. Refreshment Break/Posters/Exhibits 4:20 p.m. Metabolic Liver Disease

William Sanchez, M.D. 5:00 p.m. Liver Pathology / Case Studies

Jason T. Lewis, M.D. John J. Poterucha, M.D.

6:00 p.m. Adjourn Friday, September 16, 2016 6:30 a.m. Registration / Continental Breakfast / Posters / Exhibits 7:10 a.m. Announcements

Amy S. Oxentenko, M.D. Laura E. Raffals, M.D. William Sanchez, M.D.

7:15 a.m. Board-Style Practice Questions: Liver II

William Sanchez, M.D. Michael D. Leise, M.D.

8:05 a.m. Acute Pancreatitis Rahul Pannala, M.D. 8:40 a.m. Biliary Stone Disease

John Martin, M.D. 9:15 a.m. Chronic Pancreatitis Rahul Pannala, M.D. 9:50 a.m. Optional: Questions and Answers 9:50 a.m. Refreshment Break / Posters / Exhibits

10:15 a.m. Pancreatic Neoplasms Randall Pearson, M.D.

10:55 a.m. Board-Style Practice Questions: Pancreas and Biliary Tree John Martin, M.D. Randall Pearson, M.D.

11:45 a.m. Lunch

1:00 p.m. Gastroesophageal Reflux Disease Karthik Ravi, M.D.

1:30 p.m. Barrett’s Esophagus and Esophageal Neoplasms Jeffrey A. Alexander, M.D.

2:05 p.m. Esophageal Motility Disorders Karthik Ravi, M.D.

2:25 p.m. Board-Style Practice Questions: Esophagus Magnus Halland, M.D. Karthik Ravi, M.D.

3:15 p.m. Optional: Questions and Answers

3:15 p.m. Refreshment Break / Posters / Exhibits

3:40 p.m. Vascular Disorders of the Gastrointestinal Tract Seth R. Sweetser, M.D.

4:20 p.m. Non-variceal Gastrointestinal Tract Bleeding Jeffrey A. Alexander, M.D.

5:00 p.m. Gastrointestinal Pathology / Case Studies Jason T. Lewis, M.D. Amy S. Oxentenko M.D.

6:00 p.m. Adjourn

Saturday, September 17, 2016


7:25 a.m. Announcements Amy S. Oxentenko, M.D. Laura E. Raffals, M.D. William Sanchez, M.D.

7:30 a.m. Statistics for the Boards John B. Kisiel, M.D.

7:45 a.m. Peptic Ulcer Disease and Gastritis Conor G. Loftus, M.D.

8:20 a.m. Gastric Neoplasms and Gastrointestinal Endocrine Tumors Seth R. Sweetser, M.D.

9:10 a.m. Gastroduodenal Motility Disorders Stephanie L. Hansel, M.D.



10:00 a.m. Board-Style Practice Questions: Stomach Stephanie L. Hansel, M.D. John B. Kisiel, M.D.

10:50 a.m. Clinical Features of Malabsorptive Disorders; Small Bowel Mucosal Diseases and Bacterial Overgrowth Syndromes Amy S. Oxentenko, M.D.

11:55 p.m. Lunch

1:10 p.m. Nutritional Disorders Amy S. Oxentenko, M.D.

1:45 p.m. Board-Style Practice Questions: Small Bowel and Nutrition Glenn L. Alexander, M.D. Amy S. Oxentenko, M.D.

2:35 p.m. Irritable Bowel Syndrome, Constipation and Disorders of the Pelvic Floor Adil E. Bharucha, M.B.B.S., M.D.


3:15 p.m. Refreshment Break / Posters / Exhibits

3:45 p.m. Gastrointestinal Infections Conor G. Loftus, M.D.

4:35 p.m. Board-Style Practice Questions: Miscellaneous Disorders Conor G. Loftus, M.D. Laura E. Raffals, M.D.


5:30 p.m. Adjourn

Sunday, September 18, 2016


6:55 a.m. Announcements Amy S. Oxentenko, M.D. Laura E. Raffals, M.D. William Sanchez, M.D.

7:00 a.m. Inflammatory Bowel Disease: Clinical Features Edward V. Loftus, Jr., M.D.

7:30 a.m. Inflammatory Bowel Disease: Extraintestinal Manifestations Laura E. Raffals, M.D.

8:00 a.m. Inflammatory Bowel Disease: Therapy Edward V. Loftus, Jr., M.D.

8:55 a.m. Inflammatory Bowel Disease: Miscellaneous Laura E. Raffals, M.D.



9:45 a.m. Colorectal Neoplasms and Hereditary Polyposis Syndromes John B. Kisiel, M.D.

10:25 a.m. Board-Style Practice Questions: Colon Glenn L. Alexander, M.D. Jeffrey A. Alexander, M.D.


11:30 a.m. Adjourn

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