•LivelyDebates •StumptheChump•ThePeripheriesof EUS •In-roomObservation•Hands-onLab •Galaxy’sGreatestCases

For more information and to register, please visit: http://www.mayo.edu/cme/gastroenterology

2013MayoClinicEUSSummitAugust1-3,2013Leighton Auditorium • Rochester, Minnesota

10TH ANNUAL COURSE

Mayo School of Continuous Professional Development

Course Directors:MichaelJ.Levy,M.D.MauritsJ.Wiersema,M.D.FergaC.Gleeson,M.D.

REGISTER TODAY!

PancreasPearls

This course is endorsed by the American Society of Gastrointestinal Endoscopy

EUS Course Program Schedule

– OR –

– OR –

Thursday, August 1, 2013 • Leighton Auditorium, Siebens Building

7:00 a.m. Breakfast and Course Check-In

7:55 a.m. Welcome and Introductions - Michael J. Levy, M.D.

8:00 - 8:30 a.m. EUS Tumor Staging Thoughtful versus Shotgun Approach - William R. Brugge, M.D.

8:30 - 9:30 a.m. Dilemmas in Managing Cystic Pancreatic Tumors8:30 - 8:40 a.m. Evaluating Incidental Cysts - Randall K. Pearson, M.D.8:40 - 8:50 a.m. Fluid Analysis: The Time has Come and Gone - Jonathan E. Clain, M.D.8:50 - 9:30 a.m. Cases and Presentations - Vanessa M. Shami, M.D., Suresh T. Chari, M.D.

9:30 - 10:15 a.m. EUS and Management of Subepithelial Lesions Case Presentations and Panel Discussion J. Shawn Mallery, M.D., Elizabeth Rajan, M.D., Louis M. Wong Kee Song, M.D. Clinician - Nayantara Coelho Prabhu, M.B.B.S. Endosonographer - Elizabeth Rajan, M.D. Advanced Endoscopist - Louis M. Wong Kee Song, M.D. Surgeon - Juliane Bingener-Casey, M.D.

10:15 - 10:45 a.m. Break

10:45 - 11:30 a.m. Role of EUS for Pancreatic Cancer Staging10:45-11:00 a.m. EUS a Must for Enhanced Staging - Michael J. Levy, M.D.11:00-11:15 a.m. EUS a Bust for Staging: Rely on the CT - Tyler K. Stevens, M.D.11:15-11:30 a.m. Surgical Perspective - Michael L. Kendrick, M.D.

11:30 a.m. - Noon EUS and EBUS for Lung Cancer Staging View from the Dark Side - Eric S. Edell, M.D.

Noon - 1:00 p.m. Lunch

The Peripheries of EUS

1:00 - 2:30 p.m. Activity A: Cytology 707 (i.e., not 101) - Beyond the Basics Sample Preparation - Brittany L. Rosas, CT Immunostaining and Molecular Genetics - Benjamin R. Kipp, Ph.D. Multi-Head Microscope Case Review - Sarah E. Kerr, M.D.

1:00 - 2:30 p.m. Activity B: Competing Imaging Modalities CT/MRI/MRCP for Pancreatobiliary Disease - Naoki Takahashi, M.D. MRI for Rectal Cancer - Joel G. Fletcher, M.D. ERCP Ain’t Dead Yet - Todd H. Baron, Sr., M.D. Interventional Radiology - James C. Andrews, M.D.

1:00 - 2:30 p.m. Activity C: Interventional EUS Celiac Block and Neurolysis - Tyler K. Stevens, M.D. Pancreatobiliary Access and Drainage - Michael J. Levy, M.D. Pancreatic Cyst Ablation - William R. Brugge, M.D.

2:30 - 3:00 p.m. Break

3:00 - 4:00 p.m. Jeopardy: EUS Trivia - Ferga C. Gleeson, M.D.

4:00 p.m. Adjourn

7:00 p.m. Course Reception and Dinner - Elizabethan Room, Kahler Grand Hotel

From Bells to Totem Polls - The Importance of a Life Outside of Medicine Christopher J. Gostout, M.D.

EUS Course Program Schedule

Friday, August 2, 2013 • Meet at Marriott Hotel Ballroom

ACTIVITY 1 - Animal Lab ACTIVITY 2 - In-The-Room Observation Participants will rotate between stations Participants will rotate among the 6 EUS, ERCP, and to ensure complete exposure to all Complex Endoscopy rooms. All aspects of clinical care equipment and faculty. will be discussed with emphasis on the technique and role of endoscopic diagnosis and therapy. 7:00 a.m. Breakfast - Marriott Ballroom Breakfast - Marriott Ballroom 7:45a.m. Transportation to Animal Lab Tour Facilities8:00 a.m. Hands-On Lab EUS & ERCP & Complex Endoscopy Noon Lunch Lunch1:00 p.m. Hands-On Lab EUS & ERCP & Complex Endoscopy 3:30 p.m. Adjourn 4:00 p.m. Adjourn

6:00 - 7:00 p.m. Trolley Tour of Rochester Historic Sites

Saturday, August 3, 2013 • Leighton Auditorium, Siebens Building

7:30 a.m. Breakfast

8:00 - 8:40 a.m. EUS-Guided Tissue Sampling FNA versus Trucut Biopsy and ProCore8:00 - 8:20 a.m. Endosonographer’s Perspective - Tercio Lopes, M.D.8:20 - 8:40 a.m. Pathologist’s Perspective - Sarah E. Kerr, M.D.

8:40 - 9:30 a.m. Complications: The Inevitable and the Preventable Case Presentations and Panel Discussion Michael J. Levy, M.D., Barham K. Abu Dayyeh, M.D., J. Shawn Mallery, M.D. Clinician - Suresh T. Chari, M.D. Endosonographer - Michael B. Wallace, M.D. Interventional Radiology - Haraldur Bjarnason, M.D. Surgeon - Michael B. Farnell, M.D. Lawyer - Joseph M. Colaiano, J.D.

9:30 - 10:15 a.m. Endoscopic Pseudocyst Drainage/Necrosectomy9:30 - 9:45 a.m. EUS for Guidance and Safety - Maurits J. Wiersema, M.D.9:45 - 10:00 a.m. I Don’t Need No Stinkin EUS - Todd H. Baron, Sr., M.D.10:00 - 10:15 a.m. A Fair and Balanced Approach - Santhi Swaroop Vege, M.D.

10:15 - 10:30 a.m. Break

10:30 - 11:15 a.m. Stump the Chump Facts, Formulae, and Frolics - Ferga C. Gleeson, M.D. Team #1: The Dream Team - Visiting Faculty & Attendees Team #2: The Sono Masters - Visiting Faculty & Attendees

11:15 - Noon The Galaxy’s Greatest EUS Cases Ever! (Yes, That’s Ever) Case Presentations and Panel Discussion Vanessa M. Shami, M.D., Tyler K. Stevens, M.D.,Michael B. Wallace, M.D.,

Maurits J. Wiersema, M.D. Clinician - Suresh T. Chari, M.D. Endosonographer - Maurits J. Wiersema, M.D. Surgeon - Mark J. Truty, M.D.

Noon - 12:45 Lunch

12:45 - 1:15 p.m. EUS, Barrett’s and Early Esophageal Cancer12:45 - 12:55 p.m. EUS to the Rescue - Rahul Pannala, M.D.12:55 - 1:05 p.m. No Rescue Needed - Timothy A. Woodward, M.D.1:05 - 1:15 p.m. Making Sense of It All - Prasad G. Iyer, M.D.

1:15 - 2:00 p.m. From Fellowship to Retirement1:15 - 1:30 p.m. Getting the Most out of the Year - Mark Virtue, M.D.1:30 - 1:45 p.m. The Job Search: Academic vs Private Practice - Maurits J. Wiersema, M.D.1:45 - 2:00 p.m. The Big Picture - Jonathan E. Clain, M.D.

2:00 p.m. Course Adjourns

Principles and Pearls in Pancreatology 2013

DESCRIPTIONThis course is designed to be of interest to practicing gastroenterologists, therapeutic endoscopists and other health care providers interested in diseases of the pancreas. The goal is to discuss issues in the diagnosis and management of pancreatic diseases with emphasis on appropriate use of various diagnostic and treatment modalities.

LEARNING OBJECTIVESUpon conclusion of this program, participants should be able to:•Discuss the art of clinical decision making in pancreatic disease.•Review the basics of pancreas imaging (CT and MRI) and its role in diseases.•Review pancreatic pathology and how it correlates with clinical presentation.• Identify the appropriate use of endoscopic and non-endoscopic approaches to diagnosis and

treatment of pancreatic diseases.•Discuss the indications and techniques of surgical management of pancreatic diseases.

Wednesday, July 31 • Marriott Hotel Ballroom

7:00 a.m. Breakfast and Course Check-In7:55 a.m. Welcome and Overview - Bret T. Petersen, M.D.8:00 a.m. Early strategies to reverse the natural course of acute pancreatitis Moderator: Santhi Swaroop Vege, M.D. • What constitutes optimal supportive management? • When should interventional steps be entertained? • When and how far should we go to identify an etiology?9:00 a.m. Stent, cut or transplant for chronic pancreatitis? Moderator: Bret T. Petersen, M.D. • CT negative early disease - Fiction, Function, or EUS assessment • Does genetic testing change anything? • Does endoscopy really have a therapeutic role? If so, when & how? • Resection, drainage, or transplant - how to decide10:00 a.m. Break10:20 a.m. AIP 501 - Challenging management issues in AIP Moderator: Suresh T. Chari, M.D. • Do all AIP patients require maintenance therapy to prevent relapse? • What is the role of immunomodulators in maintaining remission? • Management of patients intolerant/resistant to steroids and/or immunomodulators11:20 a.m. Cystic Disease - If you play with fire prepare to be burned Moderator: Jonathan E. Clain, M.D. • Review of updated International Consensus Criteria • Does size matter anymore? • Where does the red path lead?12:20 p.m. Lunch1:15 p.m. Pancreatic cancer - Are there limits for resection? Moderator: Randall K. Pearson, M.D. • Jaundice and pancreatic cancer - ERCP, EUS, both or neither? • Is neo-adjuvant / preoperative therapy becoming standard of practice? • Does laparoscopy provide an adequate cancer operation • Surgery with venous and local nodal involvement2:15 p.m. Neuroendocrine tumors - Early vs. advanced, when to act and when to watch Moderator: Ferga C. Gleeson, M.D. • Solid, cystic or mixed pNET’s • EUS guided diagnosis and intervention • New chemotherapy agents on the horizon 3:15 p.m. Break3:30 p.m. Rapid cases in pancreatic diseases - Presentations/Imaging/Pathology Presenter: Philip A. Hart, M.D. • Exam type presentations & questions • Basic and Bizarre4:15 p.m. Day Adjourns

DESCRIPTIONThis course is designed to provide endosonographers, gastroenterologists, and other health care providers at all levels of experience a comprehensive multidisciplinary review of endoscopic ultrasound. The course includes the opportunity for either an ‘In-The-Room’ or ‘Hands-On’ animal lab experience.

LEARNING OBJECTIVESUpon conclusion of this program, participants should be able to:• Establish the T, N, and M stage for luminal tumors and pancreatic cancer.• Differentiate the various types of cystic pancreatic tumors.• Identify the utility of EUS for evaluating patients with chronic pancreatitis.• Differentiate the various subepithelial mass lesions.• Recognize the technical aspects and role of interventional EUS procedures.• Demonstrate proper technique for EUS guided biopsy (cytology & histology).

Course Directors

10th Annual EUS Summit

Michael J. Levy, M.D.

Maurits J. Wiersema, M.D.

Ferga C. Gleeson, M.D.

Principles and Pearls in Pancreatology

Bret T. Petersen, M.D.

Santhi Swaroop Vege, M.D.

Faculty

Barham K. Abu Dayyeh, M.D.

James C. Andrews, M.D.

Todd H. Baron, Sr., M.D.

Juliane Bingener-Casey, M.D.

Haraldur Bjarnason, M.D.

Navtej S. Buttar, M.D.

Suresh T. Chari, M.D.

Jonathan E. Clain, M.D.

Nayantara Coelho Prabhu, MBBS

Joseph M. Colaiano, J.D.

Eric S. Edell, M.D.

Michael B. Farnell, M.D.

Joel G. Fletcher, M.D.

Larissa L. Fujii, M.D.

Emmanuel C. Gorospe, M.D.

Philip A. Hart, M.D.

Prasad G. Iyer, M.D.

Michael L. Kendrick, M.D.

Sarah E. Kerr, M.D.

Benjamin R. Kipp, Ph.D.

Ryan J. Law, D.O.

Rahul Pannala, M.D.

Randall K. Pearson, M. D.

Elizabeth Rajan, M.D.

Brittany L. Rosas, CT

Naoki Takahashi, M.D.

Mark J. Truty, M.D.

Michael B. Wallace, M.D.

Timothy A. Woodward, M.D.

Louis M. Wong Kee Song, M.D.

Guest Faculty

William R. Brugge, M.D.

Tercio Lopes, M.D.

J. Shawn Mallery, M.D.

Vanessa M. Shami, M.D.

Tyler K. Stevens, M.D.

Mark Virtue, M.D.

Maurits J. Wiersema, M.D.

10th Annual Course: 2013 Mayo Clinic EUS Summit & Principles and Pearls in Pancreatology

COURSE FACULTY

10th Annual Course: 2013 Mayo Clinic EUS Summit

DATE AND LOCATION10th Annual Course: Mayo Clinic EUS Summit - August 1 - 3, 2013Leighton Auditorium, Siebens Building, Rochester, Minn.Principles and Pearls in Pancreatology - July 31, 2013Marriott Hotel Ballroom - Rochester, Minn.

INTENDED AUDIENCE10th Annual EUS Summit - Medical professionals with various levels of expertise and fields of medicine who currently perform EUS. Those who hope to learn this procedure will also benefit, as many physicians who do not perform EUS rely on this technique as a part of patient care. Physicians as well as mid-level health care providers are welcome to attend (gastroenterology nurses and assistants).

Principles and Pearls in Pancreatology Course – All health care providers who care for patients with both benign and malignant pancreatic disease. The content complements that of the EUS course.

DISCLAIMERAttendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught.

CREDIT College of Medicine, Mayo Clinic, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

College of Medicine, Mayo Clinic, designates this live activity for a maximum of 24.75 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

* 10th Annual EUS Summit & Principles and Pearls in Pancreatology - 24.75 AMA PRA Category 1 CreditsTM

* 10th Annual EUS Summit - 18 AMA PRA Category 1 CreditsTM

* Principles and Pearls in Pancreatology - 6.75 AMA PRA Category 1 CreditsTM

CANCELLATION POLICYIf you cancel your participation in this course, your registration fee, less a $75 administrative fee, will be refunded when written notification is received by Mayo School of CPD before July 18, 2013 (cme@mayo.edu or fax#: 507-284-0532). No refunds will be made on or after July 18, 2013.

TRAVELRochester, Minnesota (RST) and Minneapolis/St. Paul (MSP) is serviced by multiple daily flights. Access to and from the airport is provided by taxi, shuttle service, and rental car. The airport is located approximately 10 miles from the Mayo Clinic.

LODGING ACCOMMODATIONSReserve your hotel room before July 9, 2013 for the special group rate. Identify yourself as a participant of the EUS course when making your reservation. Lodgingandtravelarrangementsarethesoleresponsibilityoftheindividualregistrant.

Rochester Marriott Hotel101 First Avenue SW877-623-7775 or 507-280-6000$149 single/double

10th Annual Course: 2013 Mayo Clinic EUS Summit

REGISTRATION 2013R828

Registration may be completed using this form and faxing it to 507-284-0532. It can also be mailed to: Mayo School of CPD, Plummer 2-60, 200 First St SW,Rochester, MN 55905.

To register online, visit http://www.mayo.edu/cme/gastroenterology-2013r828 An email confirmation will be sent upon receipt of payment and completed registration. If you do not receive a confirmation, or if you have any questions, please contact us: cme@mayo.edu or 800-323-2688/507-284-2509.

Although it is not Mayo School of Continuous Professional Development (MSCPD) policy to limit the number of registrants for a course, conference room facilities may necessitate the closure of enrollment. Early registration is strongly advised. Walk-in registrations cannot be guaranteed.

Nocoursesyllabuswillbeprovided.

Check is enclosed in the amount shown at right - make checks payable to Mayo Clinic Payment Total

Credit Card - select one

Discover MasterCard Visa

Account Number Exp Date - mo/yr

Name of Cardholder - as appears on the card Signature of Cardholder - required

X

Payment Information *(US funds only. Wire transfers will be assessed a $25 USD fee.)

Name of Registrant - first name, middle name or initial, last name Degree - select all that apply MD DO PhD PA NP Other - specify:

Name of Institution Medical Specialty

Mailing Address - select one Work/Business Home

Address - street address Phone - include all country and city/area codes along with complete phone number

City State or Province ZIP or Postal Code Country

E-mail Address FAX - include all country and city/area codes along with complete phone number

FAX Location (select) Work/Business Home

If you have special assistance needs or dietary restriction, describe here:SPECIAL NEEDS

Contact Information - (Please print or type all information. You may duplicate this form for mulitple registrations.)

10th Annual Course: Mayo Clinic EUS Summit – August 1-3, 2013, Leighton Auditorium, Siebens Building, Rochester, Minn

Principles and Pearls in Pancreatology – July 31, 2013, Marriott Hotel Ballroom, Rochester, Minn

EUS & Pancreas Courses EUS Course Only Pancreas Course Only Physician/Scientist $1495 Physician/Scientist $1295 Physician/Scientist $295 Activity 1 – Hands-On Animal Lab Activity 1 – Hands-On Animal Lab Physician/Scientist $1495 Physician/Scientist $1295 Non-Physician $225 Activity 2 – In-The-Room EUS/ERCP Activity 2 – In-The-Room EUS/ERCP

Non-Physician $695 Non-Physician $545 Registration Fees $_______

Peripheries of EUS - Choose ONE Activity: A-Cytology B-Imaging C-Interventional EUS

Reception and Course Dinner - Thursday, August 1, 2013 - 7:00 p.m. - Elizabethan Room, Kahler Grand Hotel Participant (1 complimentary) ___ Yes, attending ___ Not AttendingGuest Attending ($40 each) ___ Number of Guests Reception Fees $ _______

Trolley Tour - Friday, August 2 - 6:00-7:00 p.m. ___ Number Attending (Complimentary)

TOTAL Payment Enclosed $ _______

EUS Experience (this will help us with grouping for different activities)

Physicians 0-1 year 1-3 years 3-5 years 5+yearsResidents/Fellows 0-1 year 1-3 years 3-5 years 5+yearsPhysician Assistants 0-1 year 1-3 years 3-5 years 5+yearsNurses 0-1 year 1-3 years 3-5 years 5+yearsNurse Practitioners 0-1 year 1-3 years 3-5 years 5+yearsMedical Students 0-1 year 1-3 years 3-5 years 5+years

Contact/Questions Michael J. Levy, M.D. 507-266-6931 levy.michael@mayo.edu

© 2

013

May

o Fo

unda

tion

for

Med

ical

Edu

catio

n an

d R

esea

rch

MC

8014

-20r

ev01

13

MA

YO

CL

INIC

200

Firs

t Str

eet S

W

Roc

hest

er, M

N 5

5905

May

o Sch

ool o

f C

onti

nuou

s P

rofe

ssio

nal D

evel

opm

ent

SP

ECIA

L O

NE-

DA

Y C

OU

RSE!

PrinciplesandPearls

inPancreatology

July31,2013

Mar

riot

t B

allr

oom

• R

och

este

r, M

inn

esot

a

http://www.mayo.edu/cme/gastroenterology-2013r828REGISTER NOW

Cou

rse

Dir

ecto

rs:

BretT.P

etersen,M

.D.

SanthiSwaroopVege,M

.D.

Cou

rse

Hig

hli

ghts

:•

Rev

ersi

ng

the

nat

ura

l co

urs

e of

acu

te p

ancr

eati

tis

• C

P-

Ste

nt,

cut

or t

ran

spla

nt

• A

IP -

AIP

501

- H

ard

cas

es t

o m

anag

e•

IP

MN

- I

f yo

u p

lay

wit

h f

ire

pre

par

e to

be

bu

rned

• P

ancr

eas

can

cer

- A

re t

her

e an

y li

mit

s fo

r re

sect

ion

• N

euro

end

ocri

ne

tum

or m

anag

emen

t•

Rap

id c

ases

CT

, MR

in

pan

crea

tic

dis

ease

s•

Sh

ow a

nd

tel

l