6th Annual Tulane Symposium on Thyroid and Parathyroid Diseases Hyatt French Quarter • February 1 – 2, 2014 Optional Post Sympoium • February 2 & 3, 2014

Tulane has a long history of successful continuing medical education programs and we believe that this program on thyroid and parathyroid diseases will continue this paradigm. We have had a very successful symposium for the last few years. This year, for our sixth annual symposium, the course will offer updates and new insights into a range of topics that cover thyroid and parathyroid diseases and a great hands-on experience. Our symposium will feature world-renowned faculty from Harvard, Johns Hopkins, Cleveland Clinic, and University of Pittsburgh and will also feature Professor Miccoli’s team in Italy performing a video-assisted thyroidectomy, which he pioneered.

The course will feature outstanding lectures, as well as • Hands-on ultrasound session • Hands-on fine needle aspiration biopsies with phantoms • Live case observation of robotic thyroidectomy (part of optional post-symposium sessions) • Hands-on Thyroid Cadaver Lab (part of optional post-symposium sessions) • Hands-on Adrenal Cadaver Lab (part of optional post-symposium sessions)

I hope that you can join us in New Orleans! Emad Kandil, MD, FACS Activity Director

SATURDAY, FEBRUARY 1, 2014

7:00 am – 7:50 am Registration, Breakfast and Exhibits 7:50 am – 8:00 am Welcoming Remarks, Emad Kandil, MD 8:00 am – 8:15 am Can Patients with Primary Hyperparathyroidism have Normal Calcium and PTH Levels? 8:15 am – 8:30 am Adjuncts for Parathyroid Surgery 8:30 am – 8:50 am Tips for Minimally Invasive Video Assisted Parathyroid Surgery 8:50 am - 9:05 am Management of Secondary Hyperparathyroidism 9:05 am – 9:55 am Case Presentations and Panel Discussion 9:55 am – 10:15 am Break and Exhibits 10:15 am – 10:35 am Practical Lessons from ATA Guidelines for Management of Thyroid Nodules 10:35 am – 11:00 am Papillary Micro Carcinoma - Can This Be An Aggressive Disease? 11:00 am - 11:40 am Central Lymph Node Dissection Case Presentations and Panel Discussion 11:40 am – 12:00 pm Break, Exhibits and Lunch Pick Up 12:00 pm – 1:20 pm Working Lunch with Video Presentation, “The Way I Do It” • Minimally Invasive Parathyroidectomy (Open) • Thyroidectomy • Video-Assisted Parathyroidectomy • Video Assisted Thyroidectomy with Central Lymph Node Dissection • Retroauricular Thyroidectomy • Robotic Transaxillary Thyroidectomy and Parathyroidectomy • Central Lymph Node Dissection • Modified Radical Neck Dissection 1:20 pm – 2:00 pm Recurrent Thyroid Cancer Challenging Case Presentations 2:00 pm – 2:15 pm Break

Break-Out Session - Surgeons 2:15 pm - 2:30 pm Guidelines for Nerve Monitoring 2:30 pm - 3:10 pm How Current Molecular Markers Affect Surgical Decision Case Presentation and Panel Discussion 3:10 pm – 3:15 pm Return to Main Auditorium 6th Annual Tulane Symposium on Thyroid and Parathyroid Diseases Hyatt French Quarter • February 1 – 2, 2014 Optional Post Sympoium • February 2 & 3, 2014

Break-Out Session - Endocrinologists 2:15 pm - 2:30 pm Guidelines for Management of Grave’s Disease 2:30 pm - 2:50 pm Molecular Markers for Thyroid Tumors: Diagnostic 2:50 pm - 3:10 pm Long-Term Follow-Up on Patients with Well Differentiated Thyroid Cancer 3:10 pm - 3:15 pm Return to Main Auditorium

Thyroid Ultrasound & FNA Session 3:15 pm – 3:30 pm Basics of Ultrasound 3:30 pm – 3:50 pm Ultrasound of Thyroid 3:50 pm – 4:15 pm Ultrasound of Parathyroid and Cervical Lymph Nodes 4:15 pm – 4:45 pm Transit time to Ultrasound Workshop 4:45 pm – 6:30 pm Hands-On Workshops (Laboratory and Practical)

Participants will be separated into groups and rotate through 12 stations. • Hands-on, eight (8) Stations: Ultrasonography on Patients with Thyroid, Parathyroid and Cervical Lymph Node Pathology. • Four (4) Stations: Fine Needle Aspiration Techniques with Simulation Model.

SUNDAY, FEBRUARY 2, 2014

7:00 am – 7:45 am Registration, Breakfast and Exhibits 7:45 am – 8:05 am Video-Assisted Surgery, Paolo Miccoli, MD Surgery performed by Dr. Miccoli’s team at the University of Pisa 8:05 am – 8:25 am Outpatient Thyroid Surgery: Practical Advice 8:25 am – 8:40 am Tips to Avoid Complications During Neck Dissections 8:40 am – 9:10 am Case Presentations and Panel Discussion 9:10 am - 9:30 am Break and Exhibits 9:30 am – 9:50 am Managing TG Levels in Thyroid Cancer Patients: The Way I Do It 9:50 am – 10:10 am Medullary Thyroid Cancer 10:10 am – 11:00 am Medullary Thyroid Cancer Case Presentations and Panel Discussion 11:00 am – 11:55 am Metastatic Neck Disease and Reoperative Thyroid Surgery Challenging Cases and Panel Discussion 11:55 am – 12:00 pm Closing Remarks, Emad Kandil, MD

Sunday, February 2, 2014: OPTIONAL POST SYMPOSIUM LAB (Limited Registration) 12:00 pm – 3:00pm Lunch, transport to Tulane School of Medicine Lab area, and changing time 1:00 pm – 3:00pm Hands-on THYROID Cadaver Lab

Monday, February 3, 2014: OPTIONAL POST SYMPOSIUM SESSIONS (Limited Registration) SESSION 1- TULANE SCHOOL OF MEDICINE 8:00 am – 9:30 am Adrenal Surgery Lectures • Laparoscopic Transperitoneal Approach • Robotic Transperitoneal Approach • Laparoscopic and Robotic Retroperitoneal Approach 9:30 am – 11:30 am Hands-on ADRENAL Cadaver Lab

SESSION 2- TULANE HOSPITAL 11:30 am – 12:00 pm Lunch provided 12:00 pm – 2:00 pm Case Observations in Tulane Hospital Operating Room – Dependent on surgery schedule

Every effort has been made to present the program schedule as accurately as possible from information available at brochure printing time. We reserve the right to make changes to the program; notice of changes will be announced at the meeting ACTIVITY DIRECTOR INVITED FACULTY Emad Kandil, MD, FACS continued Edward G. Schlieder Chair in Surgical Oncology Chief, Endocrine Surgery Section Robert L. Ferris, MD, PhD, FACS Associate Professor of Surgery UPMC Endowed Professor and Chief Tulane University School of Medicine Division of Head and Neck Surgery CO-ACTIVITY DIRECTORS Associate Director for Translational Research Co-Leader, Cancer Immunology Program Rizwan Aslam, DO, MS, FACS University of Pittsburgh Cancer Institute Assistant Professor of Otolaryngology Pittsburgh, PA Clinical Assistant Professor of Surgery Tulane University School of Medicine Eren Berber, MD, FACS Paul Friedlander, MD Director of Robotic Endocrine Surgery. Chair, Otolaryngology Associate Professor of Surgery Clinical Associate Professor of Surgery Cleveland Clinic Tulane University School of Medicine Cleveland, OH

INVITED INTERNATIONAL FACULTY TULANE & LOCAL FACULTY Paolo Miccoli, MD L. Lee Hamm, III, MD, FACP Professor of Surgical Anatomy and Surgery General Senior Vice President and Dean Director of the Department of Surgical Pathology, Professor of Medicine Medical & Molecular and Critical Area The James R. Doty Distinguished Professor and Chair Associate Professor of Pediatric Surgery Tulane University School of Medicine University of Pisa Pisa, Italy Amna N. Khan, MD Saud Alrasheedi, MD Assistant Professor of Medicine Consultant Breast & Endocrine surgery Section of Endocrinology Director, Residency Training Program Tulane University School of Medicine Security Forces Hospital Saudi Arabia Tilak Mallik, MD Endocrinologist INVITED FACULTY West Jefferson Medical Center Gregory W. Randolph, MD, FACS Associate Professor of Otology and Laryngology Lydia Y. Melendez-Ramirez, MD Harvard Medical School Clinical Assistant Professor Boston, MA Director, SHAP/Comprehensive Diabetes Clinic MCLNO Louisiana State University School of Medicine Martha A. Zeiger, MD, FACS, FACE Professor of Surgery, Oncology, Cellular and Molecular Medicine Harold Miller, MD Chief, Endocrine Surgery Endocrinologist Associate Vice Chair of Research North Shore Diabetes and Metabolism Clinic Department of Surgery Covington, LA The Johns Hopkins University School of Medicine Baltimore, MD Thomas H.M. Moulthrop, MD, FACS Assistant Clinical Professor Ralph P. Tufano, MD, MBA, FACS Department of Otolaryngology Charles W. Cummings Professor Tulane University School of Medicine Director of the Johns Hopkins Hospital Multidisciplinary Thyroid Tumor Center Director of the Division of Head and Neck Endocrine Surgery Krzysztof Moroz, MD Department of Otolaryngology-Head and Neck Surgery Professor Johns Hopkins University School of Medicine Director, Cytology Laboratory Baltimore, MD Director, Cytopathology Fellowship Program William B. Inabnet III, MD, FACS Department of Pathology and Laboratory Medicine Eugene W. Friedman Professor of Surgery Tulane University School of Medicine Chief, Division of Metabolic, Endocrine and Minimally Invasive Surgery Director of Surgical Sciences, Metabolism Institute Andrew B. Sholl, MD Mount Sinai Medical Center Assistant Professor New York, NY Department of Pathology and Laboratory Medicine Tulane University School of Medicine Michael Mingzhao Xing, MD, PhD Professor of Medicine and Oncology Rohan R. Walvekar, MD Co-Director, The Johns Hopkins Thyroid Tumor Center Associate Professor Chief, Laboratory for Cellular and Molecular Thyroid Research Department of Otolaryngology Head & Neck Surgery Division of Endocrinology and Metabolism Louisiana State University School of Medicine Johns Hopkins University School of Medicine Baltimore, MD General Program Information Predicted Outcomes Predicted changes in practice as a result of participating in this Overview activity may include the ability to: This program is designed to increase participant knowledge, • Develop a strategy for determining which patients are candidates for competence and performance in the diagnosis and surgery versus medical management. treatment of thyroid and parathyroid cancers in order to • Incorporate the most recent clinical guidelines for thyroid and improve patient diagnosis and management of care. parathyroid diseases in to my practice. Featuring discussions and debates with experts and a • Increase my competence in analyzing imaging data. hands-on experience in the surgical laboratory and • Develop a plan to better educate my patients on the possible health ultrasound lab, the overall goal of the conference is to alternatives they have with thyroid or parathyroid disease. impact the diagnostic and selection processes of patients with endocrine tumors and improve surgical outcomes. • Develop a checklist to weigh the case parameters which determine efficacy of MIVAT, robotic or conventional surgery. Statement of Need Accreditation Thyroid cancers are on the rise in the United States, especially among women. At the same time, mortality rates Tulane University Health Sciences Center is accredited by the from early and effective treatment have been decreasing Accreditation Council for Continuing Medical Education since the 1950s. Today’s patient with thyroid cancer or (ACCME) to provide continuing medical education for parathyroid cancer is offered multiple options. The options physicians. of minimally invasivesurgery, both video-assisted and robotic, hold great appeal because of their improved Designation cosmetic result, less pain and decreased post-operative Tulane University Health Sciences Center designates this live recovery time. activity for a maximum of 20.5 (13/Symposium and 7.5/optional post-conference) AMA PRA Category 1 Credits ™. Goal Physicians should claim only the credit commensurate with The overall goal of the symposium is to impact the the extent of their participation in the activity. diagnostic and selection processes of patients with endocrine tumors, improve surgical outcomes and provide Tulane University Health Sciences Center presents this activity counseling and support for the patient who is facing for education purposes only and does not endorse any surgery and post-surgical management. product, content of presentation or exhibit. Participants are expected to utilize their own expertise and judgment while Target Audience engaged in the practice of medicine. The content of the presentation is provided solely by the presenters who have This course is designed for Surgeons, Endocrinologists, been selected because of their recognized expertise. Otolaryngologists, and Radiologists as well as Internists, and Family Physicians, both in training and in practice. Disclosure Competencies It is the policy of the Center for Continuing Education at Tulane This CME activity address components of the competencies University Health Sciences Center to plan and implement all of identified by the American Board of Medical Specialties its educational activities in accordance with the ACCME® (Medical Knowledge, Patient Care, Interpersonal and Essential Areas and Policies to ensure balance, independence, Communication Skills, Professionalism, Practice-Based objectivity and scientific rigor. In accordance with the ACCME® Learning and Improvement, Systems-Based Practice), as Standards for Commercial Support, everyone who is in a well as the competencies identified by the Institute of position to control the content of an educational activity Medicine (Provide patient-centered care, Work in certified for AMA PRA Category 1 Credit ™ is required to disclose interdisciplinary teams, Employ evidence-based practice, all financial relationships with any commercial interests within Apply quality improvement and Utilize informatics). the past 12 months that creates a real or apparent conflict of interest. Individuals who do not disclose are disqualified from participating in a CME activity. Individuals with potential for CME Information influence or control of CME content include planners and planning committee members, authors, teachers, educational Learner Objectives activity directors, educational partners and others who participate, e.g. facilitators and moderators. This disclosure At the conclusion of this activity, participants should be pertains to relationships with pharmaceutical companies, better able to … biomedical device manufacturers or other corporations whose • Determine the appropriate diagnosis and management protocol in products or services are related to the subject matter of the the treatment of thyroid nodules. presentation topic. Any real or apparent conflicts of interest • Demonstrate minimally invasive thyroid and parathyroid procedures related to the content of the presentations must be resolved prior in a wet lab using different video-assisted surgery approaches. to the educational activity. Disclosure of off-label, experimental • Describe treatment approaches and guidelines for or investigational use of drugs or devices must also be made hyperparathyrodism, medullary thyroid cancer, and Grave’s disease. known to the audience. • Discuss preoperative and post-operative evaluation protocols for thyroid carcinoma. • Compare the various treatment options for parathyroid and thyroid diseases. Registration Form (or register ONLINE at http://tulane.edu/cce) Sixth Annual Symposium on Thyroid and Parathyroid Diseases • February 1 – 2, 2014 Optional Post-Symposium • February 2 & 3, 2014 • Hyatt French Quarter • New Orleans, LA PLEASE PRINT Name ______Degree ______Are You a Physician? (Y / N) ______Specialty ______Address ______City ______State ______Zip Code ______Daytime Phone ( ) ______Fax ______E-mail ______Emergency Contact Name and Phone: ______PAYMENT METHOD ❑ Check/Money Order (Payable to Tulane University Health Sciences Center - CCE) ❑ Visa ❑ MasterCard ❑ Discover Credit card registrations may be faxed to (504) 988-1779 Card # ______Exp. Date ______Authorized Signature ______

Registration fee includes all educational sessions, materials, Saturday lunch, Special needs designated by the ADA: and continental breakfasts.

Main Symposium Pre-Registration On Site Lectures & Ultrasound Physicians $395 $495 Dietary restrictions: PAs & NPs $200 $250 Residents & Fellows ** $200 $250 Optional Post-Symposium Sessions Space is Limited

Sunday Thyroid Cadaver Lab $800 $900 Refund Policy Thyroid and Adrenal Cadaver Labs $1200 $1300 Written notification of cancellation must be postmarked by Monday Live Cases $250 Not Applicable January 17, 2014 to obtain a partial refund of the registration ** A letter from the registrant’s department is needed to verify resident/fellow status. fee (25% of the registration fee will be retained as an Confirmation will be sent by email from [email protected]. If no email is available, please administrative fee). After January 17, 2014, no refunds will be include your fax number. issued. Total Amount enclosed/to be charged: $ ______Tulane University Health Sciences Center reserves the right to cancel this activity if there are insufficient registrants. Full refunds would be made in that event. However, Tulane Meeting Location University Health Sciences Center is not responsible for any related costs or expenses including cancellation/change charges The Lectures on Saturday and Sunday will be held at the Hyatt French assessed by airlines. Quarter at 800 Iberville St, New Orleans, LA. A room block has been set aside for attendees. The room rate is $175.00 single/double. The rooms If you have not received your confirmation by January 30, must be booked by January 6, 2014 in order to receive the special rate. You 2014, please call (504) 988-5466 to confirm your registration. can register at https://resweb.passkey.com/go/tulanethyroidsymposium By booking in our room block, you assist in keeping our costs down. Mail or Fax Registration Form to: The Ultrasound Session on Saturday afternoon will be held at Tulane Center for Continuing Education Medical Center at 1415 Tulane Avenue. A shuttle will be available to Tulane University Health Sciences Center transport attendees to the Center and back to the hotel. 1430 Tulane Avenue, TB 51 New Orleans, LA 70112-2699 The Optional Lab Sessions will be held at Tulane School of Medicine at Questions: 1430 Tulane Avenue. (504) 988-5466 Fax (504) 988-1779 The Optional Case Observations will be held at Tulane Hospital at 1415 [email protected] Tulane Avenue. http://tulane.edu/cce Center for Continuing Education 1430 Tulane Avenue, TB51 New Orleans, LA 70112-2699

th 6 Annual Tulane Symposium on Thyroid and Parathyroid Diseases February 1 – 2, 2014 Optional Post-Symposium • February 2 & 3, 2014 Hyatt French Quarter New Orleans, LA

CENTER FOR CONTINUING EDUCATION

6th Annual Tulane Symposium on Thyroid and Parathyroid Diseases February 1 – 2, 2014 Optional Post-Symposium • February 2 & 3, 2014 Hyatt French Quarter New Orleans, LA

Presented by Tulane University School of Medicine Departments of Medicine and Surgery and Tulane University Health Sciences Center, Center for Continuing Education