TARGET AUDIENCE: Practitioners of pulmonary medicine, thoracic surgery, thoracic oncology, chest radiology, thoracic pathology, physician assistants, advanced nurse practitioners, registered nurses and respiratory care practitioners Friday – February 14, 2020 7:15 – 7:55 AM Continental Breakfast – Registration & Sign In – Exhibit Hall Open 7:55 AM Welcome and Announcements Bruce P. Krieger, MD, FACP, FCCP, Chairman Professor of Medicine (courtesy), University of Florida Jacksonville, Medical Director, Concorde Career Institute - Jacksonville Session 1 Topic: Airway Emergency Moderator: Eloise Harman, MD, Professor Emeritus University of Florida, Staff Physician and MICU Director, Malcom Randall VAMC 8:00 – 8:40 AM Current Issues with Difficult Airways Presenter: Felipe Urdaneta, MD, Professor of Anesthesiology, UF Health • Discuss modern approaches to airway management • Discuss pitfalls about critical patients • Discuss modern techniques in airway management 8:40 – 9:20 AM Status Asthmaticus Presenter: Eric Papierniak, DO, Assistant Professor of Medicine, UF Health • Identify the clinical characteristics and presentation of an asthmatic patient who requires hospital or ICU admission • Choose the appropriate initial medical and respiratory treatment(s) for severe asthma exacerbations and identify common adverse effects • Recognize those at risk of treatment failure and describe available rescue therapies 9:20 – 10:00 AM Massive Hemoptysis Presenter: Michael Jantz, MD, Professor of Medicine, Director of Interventional Pulmonology Vice-Chief, Clinical Affairs, UF Health • Understand causes of massive hemoptysis • Understand bronchoscopic management of massive hemoptysis • Understand modalities for long term management of massive hemoptysis 10:00–10:20 AM BREAK IN THE EXHIBIT HALL Session 2 Topic: Sleep Medicine Moderator: Runi Foster, MD, Malcolm Randall VA Medical Center, Clinical Associate Professor, University of Florida 10:20-11:00 AM Overview of PAP Compliance Presenter: Emily Beck, MD, Sleep Physician, Malcom Randall VA Medical Center • Review the origin of compliance standards • Troubleshoot origin of abnormal data points • Identify erroneous data points 11:00-11:40 AM Updates on Therapies for Sleep Apnea Presenter: Scott Ryals, MD, Clinical Assistant Professor, UF Health • Review the ICSD-3 criteria for obstructive and central sleep apnea • Understand non-PAP therapies (oral appliances, nasal epap, and positional devices) for the treatment of sleep apnea • Review nerve stimulation (hypoglossal and phrenic) therapies for the treatment of sleep apnea • Know the new pharmacological treatments for residual sleepiness in sleep apnea 11:40AM -12:20PM Obstructive Sleep Apnea-One Size does not Fit All Presenter: Mary Wagner, MD, Professor of Pediatrics, UF Health • Discuss differences in scoring respiratory events in children and adults • Understand and discuss differences in abnormal AHI in children and adults • Discuss how the presentation of OSA is different in children 12:20—12:30 PM BREAK IN THE EXHIBIT HALL 12:30—2:30 PM Fellows’ Case Presentations @ Lunch Moderator: Gene G. Ryerson, MD, Retired Professor of Medicine, University of Florida • List a differential diagnosis for each difficult case • Discuss management of uncommon pulmonary diagnosis • Increase awareness of unusual pulmonary diseases Pulmonary Fellows: • Jose Garcia Blanco, MD, University of Miami • Gabrielle Sabino, DO, University of South Florida • Leonard Riley, MD, University of Florida • David Abia Trujillo, MD, Mayo Clinic TARGET AUDIENCE: Practitioners of pulmonary medicine, thoracic surgery, thoracic oncology, chest radiology, thoracic pathology, physician assistants, advanced nurse practitioners, registered nurses and respiratory care practitioners Saturday – February 15, 2020 7:15 – 7:55 AM Continental Breakfast – Registration & Sign In – Exhibit Hall Open 7:55 AM Welcome and Announcements Bruce P. Krieger, MD, FACP, FCCP, Chairman Professor of Medicine (courtesy), University of Florida Jacksonville, Medical Director, Concorde Career Institute - Jacksonville Session 3 Topic: Critical Care Moderator: Laurie Kardon MD, MPH, FACOEM, Medical Director, MDNow Urgent Care Center 8:00 – 9:00 AM Respiratory Compromise Presenter: Tom Fuhrman, MD, MMSc, FCCP, FASA, RRT, Professor of Anesthesiology, University of Central Florida • Define the concept of Respiratory Compromise (RC) • Discuss the patients who may susceptible to RC • Propose changes in patient care that might decrease the incidence of RC 9:00 – 10:30 AM The Pulmonary and Critical Care issues involved in the Thai Tham Luang Cave Dive Rescue Presenter: Dawn Kernagis, MD 10:30 – 11:00 AM BREAK IN THE EXHIBIT HALL Session 4 Topic: Current Guidelines Moderator: Jeffrey Garland, MD, FCCP, Assistant Professor of Medicine, Mayo Clinic College of Medicine 11:00-11:40 AM Interventional Pulmonology Presenter: Sebastian Fernandez-Bussy, MD, Mayo Clinic 11:40 AM -12:20 PM State of the Art in the Diagnosis and Treatment of Pulmonary Hypertension Presenter: John Moss, MD, Assistant Professor of Medicine, Mayo Clinic Florida • Recognize the definition and differentiation of different groups of pulmonary hypertension • Describe the workup of the pulmonary hypertension patient • Describe treatment modalities and indications for pulmonary hypertension therapy 12:20-1:00 PM Pulmonary Artery Embolism and Interventional Radiology. A Review of the data and use of catheter directed therapy and Embolectomy. Presenter: Charles Ritchie, MD, Interventional Radiologist, Mayo Clinic Florida • Understand the differences in the types of thromboembolic Pulmonary Emboli (PE) • Review some recent literature for the treatment options of PE • Understand the different treatment options available for PE 1:00 – 2:00 PM Lunch On Your Own – Exhibit Hall Open Session 5 Topic: Board Laws and Rules Moderator: Rebecca Young, RRT, BSRT, Retired 2:00-4:00 PM Board Laws and Rules Presenter: Steve Hardt, MA, RRT, RRT-ACCS, Respiratory Care Program Director, St. Petersburg College • Discuss the structure of the Florida Board of Respiratory Care • Describe the current requirements of Board Rule 468 • Discuss the impact of the current board rules on several case scenarios 2:00 - 5:00 PM Satellite Symposium – Pulmonary Hypertension, Separate CMEs offered Room Location: Fantasia E&F TARGET AUDIENCE: Practitioners of pulmonary medicine, thoracic surgery, thoracic oncology, chest radiology, thoracic pathology, physician assistants, advanced nurse practitioners, registered nurses and respiratory care practitioners Sunday – February 16, 2020 7:15 – 7:55 AM Continental Breakfast – Registration & Sign In – Exhibit Hall Open 7:55 AM Welcome and Announcements Bruce P. Krieger, MD, FACP, FCCP, Chairman Professor of Medicine (courtesy), University of Florida Jacksonville, Medical Director, Concorde Career Institute – Jacksonville Session 6 Topic: Invasive Technology in Pulmonary Medicine Moderator: Karel Calero, MD, Assistant Professor of Medicine in the Morsani College of Medicine, Division of Pulmonary and Critical Care Medicine at the University of South Florida 8:00 – 8:40 AM Central Airway Obstruction Presenter: Amit Tandon, MD, Assistant Professor of Medicine in the Morsani College of Medicine, Division of Pulmonary and Critical Care Medicine at the University of South Florida • Identify central airway obstruction • Initial management and stabilization of the patient • What definitive therapies are available for management 8:40 – 9:20 AM Role and Safety of Cryobiopsy in the Diagnosis of Interstitial Lung Disease Presenter: Kimberly Cao, MD, Program Director Pulmonary/Critical Care Fellowship, University of South Florida • Define role of transbronchial lung cryobiopsies. • Identify appropriate candidates for transbronchial lung cryobiopsy • Describe risks and benefits of cryobiopsy in the diagnosis of interstitial lung disease 9:20– 10:00 AM Bronchoscopic Lung Volume Reduction for COPD Presenter: Karel Calero, MD, Assistant Professor of Medicine in the Morsani College of Medicine, Division of Pulmonary and Critical Care Medicine at the University of South Florida • Select candidates for bronchoscopic lung volume reduction • Discuss outcomes of bronchoscopic lung volume reduction 10:00 – 10:15 AM BREAK IN THE EXHIBIT HALL Session 7 Topic: Year in Review Moderator: Bruce P. Krieger, MD, FACP, FCCP, Chairman Professor of Medicine (courtesy), University of Florida Jacksonville, Medical Director, Concorde Career Institute – Jacksonville 10:15 – 11:00 AM Atrial Fibrillation Presenter: Gene G. Ryerson, MD, Retired Professor of Medicine, University of Florida • Discuss the patients at risk for atrial fibrillation • List the complications of atrial fibrillation • Compare rate versus rhythm control in atrial fibrillation • Discuss the CHA2DS2-VASc Score for predicting thromboembolic risk in atrial fibrillation • Compare the non-vitamin K-dependent oral anticoagulants for prophylaxis against thromboembolic disease • Discuss the use of catheter ablation to prevent recurrent atrial fibrillation • Discuss closure of the left atrial appendage for patients unable to use systemic anticoagulation 11:00 – 11:45 AM Mechanical Ventilation Presenter: Bruce P. Krieger, MD, FACP, FCCP, Chairman Professor of Medicine (courtesy), University of Florida Jacksonville, Medical Director, Critical Care Center, Memorial Hospital Jacksonville • Apply high flow nasal O2 therapy appropriately • Analyze airway pressure wave forms • Employ advanced ventilator techniques 11:45AM – 12:00 PM Q&A 12:00 PM Adjourn .