Breast & Endocrine Surgery

University of California San Francisco Presented by:

Department of Surgery

University of California, San Francisco School of Medicine

The Postgraduate

Course in

Breast &

Endocrine

Surgery

COURSE CHAIRS

Quan-Yang Duh, MD Professor of Surgery Division of General Surgery Chief, Section of Endocrine Surgery Laura J. Esserman, MD, MBA Professor of Surgery and Radiology Division of General Surgery

Chief, Section of Breast Care Surgery Director, UCSF Carol Franc Buck Breast Care Center

COURSE CHAIR Quan-Yang Duh, MD Professor of Surgery Division of General Surgery; Chief, Section of Endocrine Surgery Laura J. Esserman, MD, MBA

Professor of Surgery and Radiology; Division of General Surgery; Chief, Section of Breast Care Surgery; Director, UCSF Carol Franc Buck Breast Care Center

INVITED GUEST FACULTY Martin J Blaser, MD Muriel and George Singer Professor of Medicine Professor of Microbiology Director, Human Microbiome Program New York University Langone Medical Center Gerard M. Doherty, MD Utley Professor and Chair of Surgery, Department of Surgery; Professor of Medicine, Boston University School of Medicine, Boston MA Nancy D. Perrier, MD Professor of Surgical Oncology, Division of Surgery; Chief-Section of Surgical Endocrinology, Associate Medical Director, Fellowship Program Director, Department of Surgical Oncology, Endocrine Center; The University of Texas MD Anderson Cancer Center Houston, TX

INVITED GUEST FACULTY (CONTD)

Alastair M. Thompson, BSc(BSc (Hons), MB ChB, MD, FRCSEd Professor, Department of Surgical Oncology, Division of Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX Anne M. Wallace, MD Director, UCSD Comprehensive Breast Health Center; Professor of Surgery, Surgical Oncology and Plastic Surgery UCSF FACULTY Michael Alvarado, MD Associate Professor of Surgery, Division of General Surgery; Director, Breast Surgery Oncology Fellowship Nancy L. Ascher, MD, PhD

Professor and Chair, Department of Surgery Division of Transplant Surgery; Leon Goldman, MD Distinguished Professor in Surgery Jonathan Carter, MD Associate Professor of Surgery; Division of General Surgery Bariatric Surgery, Gastrointestinal Surgery & Surgical Hospitalist Programs

A. Jo Chien, MD Assistant Clinical Professor, Department of Medicine

UCSF FACULTY (CONTD) Orlo H. Clark, MD Professor Emeritus of Surgery; Division of General Surgery Cheryl A. Ewing, MD Clinical Professor of Surgery; Division of General Surgery Robert Foster, MD Professor of Surgery Division of Plastic and Reconstructive Surgery Barbara L. Fowble, MD, FACR, FASTRO Professor of Medicine, Department of Radiation Oncology Jessica Gosnell, MD Assistant Professor of Surgery; Division of General Surgery William Y. Hoffman, MD Professor of Surgery Chief, Division of Plastic and Reconstructive Surgery; Vice-Chair, Department of Surgery Bonnie Joe, MD Associate Professor of Radiology Gregor Krings, MD, PhD Associate Professor of Clinical Pathology Eric Nakakura, MD, PhD Associate Professor of Surgery; Division of General Surgery Anne Peled, MD Fellow, Department of Surgery

UCSF FACULTY (CONTD) Hani Sbitany, MD Assistant Professor of Surgery; Division of Plastic and Reconstructive Surgery; Diplomate, American Board of Plastic Surgery Mikki Seagren, DO Clinical Instructor of Surgery Edward Sickles, MD Professor of Radiology Wen T Shen, MD, MA Associate Professor of Clinical Surgery Division of General Surgery Insoo Suh, MD Assistant Professor of Surgery; Division of General Surgery, Attending, Endocrine & General Surgery San Francisco VA Medical Center Carlie Thompson, MD Postdoctoral Scholar Laura van't Veer, PhD Professor, Dept of Laboratory Medicine, Helen Diller Family Comprehensive Cancer Center Jasmine M Wong, MD Assistant Professor of Clinical Surgery Division of General Surgery

Presented by the University of California, San Francisco School of Medicine, this

clinically-oriented course brings the practicing surgeon up-to-date on the latest

developments in Breast and Endocrine Surgery with an intensive overview of problems

encountered in daily practice and is of substantial value in preparation for board and

recertification examinations. This year’s program emphasis is on common surgical

diseases and techniques, with a focus on the avoidance of surgical complications,

breast diseases and endocrine surgery.

WHO SHOULD ATTEND THIS COURSE?

This symposium is designed for general surgeons, endocrine surgeons, and other

surgeons and allied health professionals who participate in the surgical management

of breast and endocrine conditions.

OBJECTIVES

Upon completion of this course, participants should be able to:

• Know when and how to integrate molecular markers and imaging into the diagnosis and

personalize the management of mammographic abnormalities, atypical lesions, breast

cancer thyroid nodules, hyperparathyroid disease, adrenal tumors, and pancreatic

neuroendocrine tumors;

• Understand the emerging issues on the overuse and appropriate use of antibiotics.

The Postgraduate Course in

Breast & Endocrine Surgery

FRIDAY, MARCH 6, 2015 •

NAFFZIGER DAY

7:30 am Registration and Continental Breakfast

8:00 Welcome and Introduction Quan-Yang Duh, MD

Laura J. Esserman, MD, MBA ENDOCRINE DISEASES SESSION I

8:10 Surgical Management of Differentiated Thyroid Gerard M. Doherty, MD Cancer: Update on 2015 ATA Guidelines

8:25 Surgical Management for Medullary Cancer Jessica E. Gosnell, MD 8:40 Unusual Approaches to Thyroidectomy Insoo Suh, MD 8:55 Primary Hyperparathyroidism: Extent of

Operation and How to Avoid Persistent Disease Wen T. Shen, MD 9:10 Panel Discussion & Questions

ENDOCRINE DISEASES SESSION II

9:40 Adrenal Incidentaloma: Work Up Quan-Yang Duh, MD and Management

9:55 Treatment of GI and Pancreatic Eric Nakakura, MD, PhD Neuroendocrine Tumors

10:10 Intraoperative Nerve Monitoring and Perioperative Gerard M. Doherty, MD Laryngoscopy: Are they Mandatory for Thyroid

and Parathyroid Surgery?

10:25 Robot Assisted Thyroidectomy an Adrenalectomy Nancy D. Perrier, MD 10:40 Panel Discussion & Questions

11:10 Break

11:25 NAFFZIGER LECTURE Gerald M. Doherty, MD 12:25 pm Lunch On Own

JOINT SESSION I

1:30 How to Use Molecular Diagnostic Tests Quan-Yang Duh, MD in Endocrine Diseases

1:45 How to Use Molecular Diagnostic Tests Laura van’t Veer, PhD in Breast Diseases

2:00 Advances in Localizing Nodes and Tumors Bonnie Joe, MD and Who Should Do It? Breast

2:15 Advances in Localizing Nodes and Tumors Wen T. Shen, MD

and Who Should Do It? Endocrine

2:30 Are We Ready to Predict Who Will Get Laura J. Esserman, MD What Kind of Cancer? Breast

2:45 Are We Ready to Predict Who Will Get Jessica E. Gosnell, MD

What Kind of Cancer? Endocrine

3:00 Panel Discussion & Questions 3:30 Break

3:45 Case Presentations: Endocrine Surgery Orlo Clark, MD, Moderator

Gerard M. Doherty, MD / Quan-Yang Duh, MD / Jessica E. Gosnell, MD / Wen T. Shen, MD / Nancy D. Perrier, MD / Insoo Suh, MD

4:30 Case Presentations: Breast Surgery Cheryl Ewing, MD, Moderator

Barbara Fowble, MD / Jo Chien, MD / Alastair M. Thompson, MD Gregor Krings, MD / Michael Alvarado, MD 5:00 pm Adjourn

program

The Postgraduate Course in

Endocrine &

ACCREDITATION

The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. UCSF designates this live activity for a maximum of

14.25AMA PRA Category 1 CreditsTM_{. Physicians}

should claim only the credit commensurate with the extent of their participation in the activity.

This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency.

Nurses

For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 CreditTM_{issued by organizations accredited by the}

ACCME.

Physician Assistants

AAPA accepts category 1 credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit™from organizations accredited by the ACCME.

Pharmacy

The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA Category 1 Credit™.

Marines’ Memorial Club and Hotel

SATURDAY, MARCH 7, 2015

8:00 am Breakfast

KEYNOTE SESSION

8:15 Keynote Presentation:

Missing Microbes: Why We Should Think Martin Blaser, MD

Differently About Using Antibiotics

JOINT SESSION II • Is it Time to Personalize Perioperative Antibiotics?

9:15 Antibiotics in the Setting of Drains and Implants Robert Foster, MD 9:20 Prolonged Antibiotics are Not Needed with Jonathan Carter, MD

Drains and Devices

9:25 Drains and Antibiotics are Rarely Used in Insoo Suh, MD

Endocrine Surgery

9:30 Practice of Using Preoperative Antibiotics in Alastair M. Thompson, MD

Other Countries

9:35 Why We Should Rethink The Practice of Martin J. Blaser, MD

Preoperative Antibiotics?

9:40 Panel Discussion & Questions Laura J. Esserman, MD, MBA,

Moderator

10:00 Break

BREAST DISEASES SESSION I

10:15 Management of Atypical Lesions, Laura J. Esserman, MD, MBA New Studies for DCIS

10:30 Management of the Postmenopausal Woman Michael Alvarado, MD with a T1 Endocrine Positive Tumor: What are

the Options and Tradeoffs?

10:45 The Rise in the Rates of Bilateral Mastectomy: Carlie Thompson, MD Can We Personalize this Decision?

11:00 When Should an MRI be Ordered? Jasmine Wong, MD 11:15 Panel Discussion & Questions Alastair M. Thompson, MD,

Moderator

11:45 Lunch On Own

BREAST DISEASES SESSION II

1:00 pm Reconstructive Techniques: What Should the Hani Sbitany, MD Breast Surgeon Know About Reconstruction?

1:15 Outcomes with Total Skin Sparing Mastectomy Anne Peled, MD

1:30 How Does Neoadjuvant Therapy Change the Alastair M. Thompson, MD Management of the Axilla?

1:45 I-SPY 2 Trial: Changing the Options for Anne M. Wallace, MD High-Risk Women

2:00 Post-Operative Pain: New Tricks That Mikki Seagren, DO Make a Difference

2:10 Panel Discussion & Questions Anne M. Wallace, MD, Moderator

2:30 Break

JOINT SESSION III• Overdiagnosis & Overtreatment

2:45 The Case For Overdiagnosis and Laura J. Esserman, MD, MBA Overtreatment in Breast Cancer

2:55 The Case Against Over Diagnosis, but For Edward Sickles, MD Overtreatment in Breast Cancer

3:05 Overdiagnosis and Overtreatment of Wen T. Shen, MD Endocrine Surgical Diseases

3:15 Underdiagnosis and Undertreatment of Gerard M. Doherty, MD Endocrine Surgical Diseases

3:25 Panel Discussion & Questions Michael Alvarado, MD, Moderator

Joint Training: Who Does What?

3:45 Training and Practice of Breast Surgery: Alastair M. Thompson, MD International Variation

4:00 The Different Ways People are Trained in Nancy D. Perrier, MD Endocrine Surgery

Joint Training: Is it Time for Change in the US?

4:15 The Case for Combining Breast and Plastics Anne M. Wallace, MD 4:25 The Case for Joint Training in Endocrine Surgery Nancy D. Perrier, MD

and Surgical Oncology

4:35 pm Panel Discussion & Questions Laura J. Esserman, MD, MBA, Nancy L. Ascher, MD, PhD / William Hoffman, MD / Moderator

Alastair M. Thompson, MD / Anne M. Wallace, MD / Nancy D. Perrier, MD

5:15 pm Adjourn

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Advanced registration closes one (1) business day prior to start of course.

HOW TO ENROLL Tuition: $485 Physicians

$385 Allied Health Professionals and Military

$285 Residents/Fellows (non-UCSF Department of Surgery) Payment can be made by Visa, MasterCard, AmEx or check.

REGISTER VIA:

Online: www.cme.ucsf.edu

Mail: Complete course registration form

and send with payment to: UCSF Office of CME

P.O. Box 45368

San Francisco, CA 94145-0368

Fax: Fax completed registration form to:

(415) 502-1795 (be sure to include your credit card number)

Phone: To register by phone or to inquire

about registration status, please call UCSF's CME Registration Office at (415) 476-5808. Please check our website for up-to-date information on the course: www.cme.ucsf.edu

On-Site Registration: Generally we are able to

accommodate on-site registration at our courses.

REFUND POLICY Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date.

WHEREEnjoy San Francisco’s renowned attractions such as the historic cable cars, shopping in Union Square, or visit San Francisco’s culinary hub at the Ferry Building. The Marines’ Memorial Club and Hotel, 609 Sutter Street, San Francisco is just steps from Union Square, famed cable cars, and the Theatre District.

WHAT

A block of guestrooms has been reserved at the special UCSF conference rate of $219 for a standard room or $239 for a deluxe room per night. You are urged to make your reservations early. The cutoff date is February 12, 2015. After this date, rooms will be provided on a space-available basis only.

HOWTo make hotel reservations on-line, go to

www.cme.ucsf.eduand click on the hotel link in the

Travel & Lodging section of the course webpage. By staying at the host hotel, you help UCSF meet its contractual obligations and keep registration fees reasonable. Please take this into consideration when making your accommodation decisions. RENTAL CAR Hertz is offering special rates for participants of this conference; simply call (800) 654-2240 and refer to identification number #03BW0134, or call your travel agent. You may also make reservations at www.Hertz.com. Advance reservations are recommended.

AIR TRANSPORTATION

UCSF has negotiated special fares with United Airlines for our course attendees. You may use the following tour codes to book on your own: United – www.united.com code: ZT6C959560

æDr. æMr. æMrs. æMs.

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Last Name First M.I.

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Degree Specialty

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Address

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Daytime Phone Fax

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Email

Address Label Code Letter (see address label: example, A, B, C, D, etc.) ___________________ Would you like to be on our priority email list? £Yes £No

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Month Day

Please indicate if you have any special needs: ____________________________________ Registration Fees (Receipt/Confirmation will be mailed within two to four weeks):

£ $485 Physicians

£ $385 Allied Health Professionals/Military

£ $285 Residents/Fellows (non-UCSF Department of Surgery)

Complimentary for Naffziger Surgical Society Members whose dues are current. Check enclosed payable to UC Regents

Please charge my credit card: £Visa £MasterCard £AmEx for $ _________________________

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Card # Expiration date

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Name on Card (Please Print) Authorized Signature

Refund Policy:Cancellations received in writing before the first day of the course will be refunded,

less a $75 administrative fee. No refunds will be made on cancellations received after that date. Please check our website for up to date information on the course: www.cme.ucsf.edu.

POSTGRADUATE COURSE IN ENDOCRINE

AND BREAST SURGERY

March 6-7, 2015

Marines’ Memorial Club and Hotel • San Francisco, California

MSU15001

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CENTER FOR THE ARTS AT

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UNION SQUARE TRANSAMERICA PYRAMID BLDG. GRACE CATHEDRAL MASONIC AUDITORIUM TRANSBAY TERMINAL RINCON CENT EMBARCADERO SHOPPING CENTER GOLDEN GATE UNIV. SF MUSEUM OF MODERN ART SF SHOPPING CENTRE CROCKER GALLERIA POWELL ST. STATION MONTGOMERY ST. STATION EMBARCA STATION BANK OF AMERICA BLDG. FINANCIAL_DISTRICT CHINATOWN NOB HILL

SAN FRANCISCO

Parks Cable Car Lines Landmarks

Points of Interest Neighborhoods

Marines’ Memorial

Club and Hotel

Marines’ Memorial Club and Hotel

609 Sutter St,

San Francisco, CA 94102 (415) 673-6672

http://www.marineclub.com Mail to : UCSF Office of CME

P.O. Box 45368

San Francisco, CA 94145-0368 Fax: (415) 502-1795

Online registration: www.cme.ucsf.edu Registration Information: (415) 476-5808 Course Information: (415) 476-4251

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