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a , h e r i o a a t n i c r k n l n i e t i f c g c i o n o , e i s r t s n n o , c i n o a r s China Basin Landing EVIDENCE-BASED DIAGNOSIS: 185 Berry Street Advanced Workshop on Evaluating Lobby 3, Room 6702 San Francisco, CA and Using Medical Tests for Clinicians, Educators, Editors, and Policy Makers June 20-21, 2013

Medicine today relies increasingly on diagnostic, prognostic, and ACCREDITATION screening tests. We spend vast resources on testing, and new The University of tests are being developed and marketed all the time. Medical California, San Francisco professionals, educators, policy makers, journal editors, and School of Medicine researchers need to know how to: (UCSF) is accredited by • critically appraise a journal article about a new test; the Accreditation Council • determine if the new test is superior to an existing test; for Continuing Medical • determine if the new test adds anything to the history, Education to provide physical exam, and other tests; continuing medical • use the new test in clinical practice and interpret its results. education for physicians. This hands-on workshop uses real examples from the medical UCSF designates this live literature and clinical practice to help practitioners, teachers, activity for a maximum of policy makers, and researchers learn how to evaluate and use 15.0 AMA PRA Category medical tests. 1 Credits TM . Physicians These skills are hard to learn just by reading articles and books should only claim credit or by listening to lectures. The course faculty has found that the best commensurate with the (and the most fun) way to learn this material is by working through extent of their participation problems in small groups. We are clinician-teachers, policy makers, in the activity. editors, and researchers in several different specialties (Emergency Medicine, Pediatrics, Internal Medicine, Obstetrics and Gynecology, This CME activity meets Radiology, Neurology, and Family Medicine). Like you, we struggle to the requirements under keep up with the rapid advances in diagnostic technology and stay California Assembly Bill abreast of changes in testing strategies. 1195, continuing education While most of the course will cover diagnostic and prognostic tests, and cultural and linguistic the Friday afternoon session will focus on controversies in breast, competency. cervical, prostate, colon, and lung cancer screening. Nurses: For the purpose The course venue is located in the UCSF Department of of recertification, the Epidemiology and Biostatistics at China Basin Landing, 1 block from the San Francisco CalTrain station and Muni lines N, T, 30, 45, and American Nurses 47. It is also right across 3rd Street from AT&T Park, where the Credentialing Center World Champion San Francisco Giants will be playing the Miami accepts AMA PRA TM Marlins on the Thursday evening between the first and second days Category 1 Credit of the course. We have reserved a block of tickets on the Club Level issued by organizations and will have a faculty and attendee reception with food and accredited by the ACCME. beverages prior to the game (optional event for extra charge). Physician Assistants: This course is presented by the Division of Clinical Epidemiology of AAPA accepts category 1 the Department of Epidemiology and Biostatistics, UCSF School of credit from AOACCME, Medicine, through the Office of Continuing Medical Education. The Prescribed credit from textbook “Evidence-Based Diagnosis” by Drs. Newman and Kohn AAFP, and AMA Category (Cambridge University Press, 2009) is an important component of 1 Credit for the PRA for the curriculum, and you may wish to purchase it in advance to familiarize yourself with the concepts. The course accepts no funding organizations accredited from for-profit corporations. by the ACCME.

INTENDED AUDIENCE The course is aimed primarily at physicians, particularly those in teaching, policy making, editorial, or research positions who are involved in training other clinicians to interpret results, approving tests for clinical use, deciding how to report results, and studying test accuracy. However, it will be valuable for anyone who wishes to critically evaluate and apply clinical research about medical tests. For a preview of the course material, take the online pre-test at http://ebd.studysites.net

OBJECTIVES After this course participants will be able to improve: • Application of the principles of diagnostic test assessment, including the calculation and use of interval likelihood ratios and the relationship between these likelihood ratios and the ROC curve; • Utilization of published ROC curves; • Identification and correction of under-appreciated flaws, biases, and limitations in studies of diagnostic tests; • Presentation of diagnostic test information to experienced clinicians; • Ability to account for special issues related to screening and genetic markers of prognosis and ability to integrate that understanding into selection and interpretation of tests. EVIDENCE-BASED DIAGNOSIS: Advan Using Medical Tests for Clinicians, Educa June 20-21, 2013 THURSDAY, JUNE 20, 2013 8:30 am Continental Breakfast and Registration 9:00 Introduction to the Course and Michael A. Kohn, MD, MPP Evidence-based Diagnosis 9:15 Inside the Diagnostician's Mind Gurpreet S. Dhaliwal, MD 10:00 Dichotomous Tests Thomas B. Newman, MD, MPH 11:15 Break 11:30 SMALL GROUPS • Influenza and Pertussis Testing • Abdominal CT for Appendicitis • Head CT/LP for Subarachnoid Hemorrhage 1:00 pm Lunch (Provided) 1:45 Bias in Studies of Diagnostic Tests Thomas B. Newman, MD, MPH 2:45 Systematic Review of Diagnostic Tests Christopher R. Carpenter, MD 3:45 Break 4:00 SMALL GROUPS • Ultrasound for Intussusception, Ectopic Pregnancy, and DVT • Echocardiogram for Acute Cardiac Ischemia • Physical Findings for Appendicitis, Elbow Fracture, and Epidural Abscess 5:30 Adjourn for the day, but join the faculty at AT&T Park across the street for a reception and ballgame (optional event with additional fee).

6:00 pm • Reception – Club Level AT&T Park 7:15 pm • San Francisco Giants vs Miami Marlins

FRIDAY, JUNE 21, 2013 8:30 am Continental Breakfast 9:00 First Day Recap Michael A. Kohn, MD, MPP 9:15 Multi-level and Continuous Tests Michael A. Kohn, MD, MPP 10:15 ROC Curves and Interval Likelihood Ratios Thomas B. Newman, MD, MPH 11:15 Break 11:30 SMALL GROUPS • WBC Counts • BNP, D-Dimer, Serum Lactate • Stroke Scores 1:00 pm Lunch (Provided) 1:45 Quantifying Treatment Effects Mark J. Pletcher, MD, MPH 2:30 Biases in Studies of Screening Programs Thomas B. Newman, MD, MPH 3:15 Break 3:30 SMALL GROUPS • CT for Lung Cancer • Mammography • Prostate-specific Antigen • Colonoscopy • PAP Smear/HPV 5:00 Post-test and Discussion with the Faculty 6:00 pm Adjourn ced Workshop on Evaluating and ators, Editors, and Policy Makers

China Basin Landing • 185 Berry Street San Francisco, CA

GENERAL INFORMATION Phone: To register by phone or to inquire Workshop pre-test available online at about registration status, please call UCSF’s http://ebd.studysites.net CME Registration Office at This no-obligation, 12-question pre-test will give (415) 476-5808. you an idea of the material covered in our workshop. Fax: Fax completed registration form to: If you enroll in the workshop, we will use your (415) 502-1795 (be sure to include score on this pre-test and your responses to the your credit card number) pre-course survey to place you in a small group REFUND POLICY with others who have similar backgrounds and Cancellations received in writing before the first interests. You will receive the answer key to this day of the course will be refunded, less a $75 pre-test in your course materials. administrative fee. No refunds will be made on Pre-registration is recommended to guarantee your cancellations received after that date. space in the course. No refunds will be given for cancellation to HOW TO ENROLL the baseball game and reception. Tuition: $600 ($550 if textbook purchased CONFERENCE LOCATION separately*) China Basin Landing at 185 Berry Street is located Physicians/Nurses/Allied Health just one block from the Caltrain Depot and the Professionals/Pharmacists/ Muni metro J and T lines and the 10, 30, 45, and 47 Residents/Fellows bus lines. $750 ($700 if textbook purchased Parking is available at a number of public garages separately*) around China Basin Landing. Please note that Pharmaceutical and Medical Device these garages will charge premium rates on Giants Industry Rate game days. $90 Optional Reception and Baseball To reach the classrooms, enter the building at Game Lobby 3 next to Foccacia Market and take the elevator * Required course textbook “Evidence-Based to the 6th Floor. Turn left as you get off the elevator Diagnosis” by Tom Newman and Michael Kohn, will be and walk almost to the end of the hall –the classrooms handed out at check-in on the first day of class for are on your right. those who pay the higher rate. Alternatively, we ADDITIONAL TRAVEL INFORMATION recommend you purchase this book in advance as it A block of rooms has been reserved for course can help you prepare for the course. participants at the Marriott Marquis Hotel, Payment may be made by Visa, MasterCard, located at 55 Fourth Street (at Mission Street) in AmEx or check. San Francisco. This hotel is a quick bus ride from the conference location on the 30 or 45 Muni lines. REGISTRATION Online: www.cme.ucsf.edu Room Rate: $269/night (limited availability) Mail: Complete course registration form Cut-off date: 5/29/13 and send with payment to: To make your reservation call: 800-228-9290 UCSF Office of CME Refer to the “UCSF Courtesy Room Block” to P.O. Box 45368 receive the discounted rate. San Francisco, CA 94145-0368

Some comments from previous course attendees: “This was my second go at it; I learned a lot last “The small group sessions were the best year, and even more this year. I probably could part of the course. It was great to be in the have another go at it and still learn even more. same group throughout the course so that a The format is far superior to the usual passive group dynamic could be established. The small learning experience characteristic of most, if not size of the group was also much appreciated, all, CME activities.” which allowed everyone to participate and “This was a great course! Even though I did fairly be involved.” well on the pre-test, I have a much better and more “The atmosphere was welcoming and friendly comprehensive understanding of the material and I and the attendees an interesting and eclectic know it will be extremely useful in my career.” group.” “BEST CME I have taken in years. I can honestly say I learned A LOT in those 2 days. … Overall, it was a well-run, very interesting and very productive workshop. Definitely worth flying across the country for.” A C T C M C E U S E M E D & A o C A C E D M S E S E f h s p a m p

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s n A g & t n n l l e t y a t S r , l ADVANCED WORKSHOP ON EVALUATING AND USING MEP13004 MEDICAL TESTS FOR CLINICIANS, EDUCATORS, EDITORS, AND POLICY MAKERS June 20-21, 2013 China Basin Landing • 185 Berry Street, Lobby 3, Room 6702 San Francisco, California

Mail to : UCSF Office of CME Online registration: www.cme.ucsf.edu P.O. Box 45368 Registration Information: (415) 476-5808 San Francisco, CA 94145-0368 Course Information: (415) 476-4251 Fax: (415) 502-1795 www.cme.ucsf.edu æ Dr. æ Mr. æ Mrs. æ Ms. ______Last Name First M.I. ______Degree Specialty ______Address ______City State Zip

______Daytime Phone Fax

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Would you like to be on our priority email list? £ Yes £ No

Date of birth to be used as OCME registrant number: ______/______/ X X

Month Day

Please indicate if you have any special needs:______

Registration Fees (Receipt/Confirmation will be mailed within two to four weeks):

£ $600 Physicians/Allied Health Providers (Price includes required course book

“Evidence-Based Diagnosis” provided at the course)

£ $550 Physicians/Allied Health Providers (Price does not include required course book)

£ $750 Industry (Price includes required course book)

£ $700 Industry (Price does not include required course book)

£ $90 Optional Reception and Baseball Game – San Francisco Giants vs. Miami Marlins

(Club Level)

Make checks payable to UC Regents

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

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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.

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