ANESTHESIOLOGY, PAIN & CRITICAL CARE MEDICINE - UNC School of Medicine

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ANESTHESIOLOGY, PAIN & CRITICAL CARE MEDICINE - UNC School of Medicine
CAROLINA REFRESHER COURSE 2019

                    ANESTHESIOLOGY,
      32ND ANNUAL

                    PAIN & CRITICAL
                    CARE MEDICINE                                Kiawah Island, SC | June 19-22, 2019
                                                                 Discounted room rates Sat. June 15 through Sun. June 23, 2019

                                             Featuring international experts
                                             in pain & regional anesthesia!
                                             New TEE, TTE, & point-of-care
                                             ultrasound workshops!

W
Welcome to the updated 2019 Carolina Refresher Course (CRC),
a unique and refreshingly enjoyable learning experience hosted at the desirable, family-friendly
Kiawah Island Golf Resort. We invite you to update your medical skills in the morning and
then take time to relax on the barrier island beaches or explore the bountiful activities of
Kiawah Island in the afternoon. Or visit the nearby historic sites and sample the renowned
restaurants within America’s best-preserved colonial city, Charleston, SC.
In a hospitable and relaxed atmosphere, you will      home to five championship golf courses, including
meet expert UNC School of Medicine faculty and        the Ocean Course, the #4 public golf course in the
invited guest speakers from various fields. The       U.S. according to Golf Digest and home of the
CRC offers valuable 30-minute lecture sessions        upcoming 2021 PGA Championship. Relax at the top-
covering carefully-selected, relevant, and up-to-     ranked luxury spa, swimming pools, or miles of
date topics. Offering much more than passive          wondrous, natural seaside splendor. In addition to
listening, the CRC features active participation      the luxurious amenities, try your hand at the tennis
through intimate, small group problem-based           resort that has been ranked No. 1 nationally for
learning discussions (PBLD) as well as interactive,   multiple years. With recreational options including
expert speaker panels with devoted time for           water sports, nature trails, cycling, wildlife tours, as
question-answer sessions. New for 2019 are            well as multiple youth and teen activities, Kiawah
several internationally recognized guest speakers     offers fun for the whole family.
in pain and regional anesthesia, as well as hands-
                                                      We invite you to come sample the Carolina teaching
on TTE, TEE, and point-of-care ultrasound (POCUS)
                                                      experience and join those who return for the CRC’s
workshops.
                                                      tradition of quality and intimate learning amid a
The CRC’s schedule uniquely affords time for          renowned, beach resort destination. Register today,
afternoon exploration of Kiawah Island and            we guarantee you’ll find our course refreshing!
surrounding Charleston. The Kiawah Golf Resort is
ANESTHESIOLOGY, PAIN & CRITICAL CARE MEDICINE - UNC School of Medicine
CAROLINA REFRESHER
COURSE Fa culty
                                                                                    MEENA BHATIA, MD                        ANTHONY N. PASSANNANTE, MD
                                                                                    Assistant Professor of Anesthesiology   Professor and Executive Vice Chair of
                                                                                    and Critical Care Medicine              Anesthesiology

Cou rse Directors                         EUGENE R. VISCUSI, MD
                                                                                    BENJAMIN G. COBB, MD
                                          Professor of Anesthesiology, Chief of                                             SARA L. PITTENGER, MD
                                                                                    Assistant Professor of Anesthesiology
                                          Pain Medicine, Director, Acute Pain                                               Associate Professor of Anesthesiology
DAVID HARDMAN, MD, MBA,                                                             and Obstetrics and Gynecology
                                          Management, Sidney Kimmel Medical                                                 and Pediatrics
FASA                                                                                Assistant Professor of Anesthesiology
                                          School of Thomas Jefferson University,
Professor and Vice Chair
                                          ASRA President 2019-2021
for Professional Affairs, University of                                                                                     RICARDO A. SERRANO, MD
                                                                                    BENJAMIN J. HELLER, MD
North Carolina at Chapel Hill, Carolina                                                                                     Assistant Professor of Anesthesiology
Refresher Course Director                 University of North Ca rolina a t         Assistant Professor of Anesthesiology

                                          Cha pel Hill Fa culty                                                             DAVID A. ZVARA, MD
                                                                                    PRIYA A. KUMAR, MD
JAMES C. KRAKOWSKI, MD                                                                                                      Professor and Chair of Anesthesiology
                                          Department of Medicine                    Professor of Anesthesiology and
Assistant Professor of
                                                                                    Director of Clinical Research of
Anesthesiology, University of North       ALICE D. MA, MD                           Anesthesiology
Carolina at Chapel Hill, Course Co-       Professor of Medicine, Fellowship
Director                                  Director, Hematology/Oncology Program
                                                                                    MATT C. MAUCK, MD PHD
                                                                                    Assistant Professor of Anesthesiology
Guest Faculty                             Department of Anesthesiology

                                          JACOB D. ACTON, MD
KI JINN CHIN, MBBS, MMED,
                                          Assistant Professor of Anesthesiology
FANZCA, FRCPC
                                          and Critical Care Medicine
Associate Professor, Department of
Anesthesia, Faculty of Medicine,
University of Toronto                     HARENDRA ARORA, MBBS
                                          Professor of Anesthesiology, Vice Chair
                                          for Education and Program Director
JERROLD H. LEVY, MD, FAHA,
FCCM
Professor of Anesthesiology,              J. GREGORY BALFANZ, MD
Professor of Cardiothoracic Surgery,      Assistant Professor of Anesthesiology
Co-Director, Cardiothoracic ICU, Duke
DAILY AGENDA / June 19-22, 2019                                                                  CAROLINA REFRESHER COURSE 2019
            WEDNESDAY                           THURSDAY                            FRIDAY                              SATURDAY
Time        JUNE 19                             JUNE 20                             JUNE 21                             JUNE 22
  6:15-6:55 Continental breakfast, exhibit      Continental breakfast, exhibit      Continental breakfast, exhibit      Continental breakfast, exhibit
            area open                           area open                           area open                           area open
  6:55-7:00 Daily Announcements                 Daily Announcements                 Daily Announcements                 Daily Announcements
  7:00-7:30 Challenges and controversies in     New developments in carotid      Pediatric anesthesia literature     How do I avoid aspiration in a
            trauma management                   disease & carotid endarterectomy update for 2019: How will it affect patient with a bowel obstruction?
            Jacob D. Acton, MD                  Anthony N. Passannante, MD       your clinical practice?             Lessons from medicolegal review
                                                                                    Sara L. Pittenger, MD               Harendra Arora, MBBS
  7:30-8:00 Allergic and anaphylactic           Concepts and controversies in       Management of acute heart       The nexus of addiction, addiction
            reactions in the perioperative      acute pain management               failure                         treatment, and acute pain
            setting                             Eugene R. Viscusi, MD               Jerrold H. Levy, MD, FAHA, FCCM management in 2019
            Jerrold H. Levy, MD, FAHA, FCCM                                                                             Eugene R. Viscusi, MD
  8:00-8:30 POCUS: How to acquire and           Perioperative point of care         Ultrasonography of the spine for    Update on post-Cesarean
            interpret basic transthoracic       ultrasound for lung and gastric     neuraxial blockade                  analgesia
            cardiac views                       evaluation                          Ki Jinn Chin, MBBS, MMed,           Benjamin G. Cobb, MD
            David Hardman, MD, MBA, FASA        David Hardman, MD, MBA, FASA        FANZCA, FRCPC
  8:30-9:00 Panel & Daily Review with Faculty Panel & Daily Review with Faculty Panel & Daily Review with Faculty Sickle cell disease & implications
                                                                                                                  for the surgical patient
                                                                                                                        Alice D. Ma, MD
  9:00-9:30 Break & Exhibits                    Break & Exhibits                    Break & Exhibits                    Panel & Daily Review with Faculty
 9:30-10:00 Sex differences in anesthesiology Congenital coagulation defects        Perioperative management of         Break & Exhibits
            and pain medicine and how it      and how to manage them                patients with coronary artery
            affects clinical practice         Alice D. Ma, MD                       stents: Guideline update
            Matt C. Mauck, MD, PhD                                                  Priya A. Kumar, MD
10:00-10:30 Tips and tricks for optimizing      All you ever wanted to know         Acquired coagulation defects and GI endoscopy: Complications and
            technical performance in US-        about the erector spinae and        how to manage them               advanced procedures coming
            guided peripheral nerve blocks      other related blocks                Alice D. Ma, MD                  soon to a suite near you
            Ki Jinn Chin, MBBS, MMed,           Ki Jinn Chin, MBBS, MMed,                                               Benjamin J. Heller, MD
            FANZCA, FRCPC                       FANZCA, FRCPC
10:30-11:00 How to manage your pediatric        Anticoagulation guideline update:   Is your code team up to snuff?      Innovations in anesthesia and
            congenital heart patient for non-   What you need to know for best      How to improve your institutional   how they are transforming our
            cardiac surgery                     practice in administration of       response to life threatening        clinical practice in 2019
            Sara L. Pittenger, MD               regional and neuraxial anesthesia   cardiac events                      James C. Krakowski, MD
                                                Matt C. Mauck, MD, PhD              J. Gregory Balfanz, MD
11:00-11:30 Active management of labor          New concepts in the treatment of Hopping off the hamster wheel:         Reducing intraoperative blood
            neuraxial analgesia                 bleeding                         Defining success and failure in        transfusions: Fighting dogma with
            Benjamin G. Cobb, MD                Jerrold H. Levy, MD, FAHA, FCCM your practice                           evidence & quality improvement
                                                                                    David A. Zvara, MD                  J. Gregory Balfanz, MD
11:30-12:00 Panel & Daily Review with Faculty Panel & Daily Review with Faculty Panel & Daily Review with Faculty Panel & Daily Review with Faculty
            Problem-Based Learning              Problem-Based Learning              Problem-Based Learning
            Discussion                          Discussion                          Discussion
 12:00-1:00 Everyday pediatric anesthesia       Case studies in coagulation         Dealing with disruptive            Adjourn
            dilemmas and how to tackle them     management                          personalities in your organization
            (max 12 registrants)                Alice D. Ma, MD                     David A. Zvara, MD
            Sara L. Pittenger, MD
            Workshops                           Workshops                           Workshops
 12:00-1:00 POCUS: Cardiac parasternal,         POCUS: Cardiac review, gastric,     POCUS: Lung and abdominal
            apical & subcostal window           and abdominal scanning in live      scanning, plus cardiac review in
            scanning in live models (max 16     models                              live models
            registrants)                        Meena Bhatia, MD; Jacob D.          Meena Bhatia, MD; Jacob D.
            Meena Bhatia, MD; Jacob D.          Acton, MD; Ricardo A. Serrano,      Acton, MD; Ricardo A. Serrano,
            Acton, MD; Ricardo A. Serrano,      MD; David Hardman, MD, MBA,         MD; David Hardman, MD, MBA,
            MD; David Hardman, MD, MBA,         FASA                                FASA
            FASA
 12:00-1:00 Simulator based TEE and TTE         Simulator based TEE and TTE         Simulator based TEE and TTE            Meet faculty &colleagues
            scanning & interpretation (max 8    scanning & interpretation           scanning & interpretation
                                                                                                                          THURSDAY
            registrants)                        Priya A. Kumar, MD;                 Priya A. Kumar, MD;                            Wine pour reception
                                                                                                                          6:30p -
            Priya A. Kumar, MD;                 Harendra Arora, MBBS.               Harendra Arora, MBBS                           Come join us for beer,
            Harendra Arora, MBBS                                                                                          8:30p
                                                                                                                                   wine, and heavy hors
 12:00-1:00 Truncal nerve blocks and spine      Truncal nerve blocks and spine      Truncal nerve blocks and spine                 d’oeuvres. Free to
            ultrasonography (max 8 reg.)        ultrasonography                     ultrasonography                                registrants, but guests can
            Ki Jinn Chin, MBBS, MMed,           Ki Jinn Chin, MBBS, MMed,           Ki Jinn Chin, MBBS, MMed,                      attend for $20 per person.
            FANZCA, FRCPC                       FANZCA, FRCPC                       FANZCA, FRCPC
            James C. Krakowski, MD              James C. Krakowski, MD              James C. Krakowski, MD
                                                   Wine Pour Reception
Conference Loca tion All sessions will be conducted at the East Beach                      •   Review current evidence of the erector spinae plane block
Conference Center, Kiawah Island Resort. Kiawah Island is 21 miles south of                •   Describe the management of acute heart failure
Charleston and a 45-minute drive from Charleston International Airport (CHS).              •   Describe ultrasound-guidance for evaluating the neuraxial area
Additional resort information is available at kiawahisland.com. Kiawah Island              •   Describe recent developments in coronary stent management,
Resort is on a lush barrier island with unspoiled beaches, great visibility due to         •   Identify modalities to improve institutional code response
lack of high rises, waterways perfect for kayaking and one of the top US golf              •   Identify practice changes to decrease risk of aspiration in patients with
courses. Be sure to sample the Southern charm, sights and world-class                          bowel obstruction
restaurants of Charleston, one of the best-preserved colonial cities in America.           •   Define addiction and describe its treatment
                                                                                           •   Describe the potential analgesic modalities for the post-cesarean patient
Sta ying in Kia wa h A block of 1- and 2-bedroom condos has been reserved                  •   Define sickle cell disease and identify implications in the surgical patient
for attendees of the Carolina Refresher Course at the Kiawah Island Resort. To             •   Identify potential complications in the patient undergoing endoscopy
make a reservation, please call Kiawah Island Resort at (800) 654-2924 and                 •   Describe several innovations in anesthesia and assess their clinical
identify yourself with the UNC School of Medicine, booking code 15158.                         significance
Individuals are responsible for making their own reservations. A non-refundable            •   Describe ways to reduce unnecessary intraoperative blood transfusion
deposit equal to one night’s stay per reserved accommodation is required. The              •   Define personal success and failure in one’s practice.
deposit guarantees accommodations for the scheduled arrival day and will be
applied to the last night’s reservation. Early departure, or failure to arrive on the   Statement of Need Anesthesiology, Pain, and Critical Care Medicine are
scheduled arrival day, will result in forfeiture of the deposit. It is recommended      medical disciplines uniquely characterized by an exponentially expanding base
that reservations be made at the earliest opportunity. There are a limited              of peer reviewed literature, evolving technology, and new techniques combined
number of rooms at the preferred rate, and they book quickly! In addition, a            with ever increasing clinical realms of practice in which this novel information is
limited block of rooms is available at the beachfront Sanctuary luxury hotel            relevant. The Carolina Refresher Course seeks to present a portion of this
upon request. Please contact Kiawah Resort for prices and availability.                 material in a format that emphasizes utility, practicality, and retention so that
                                                                                        the content learned may be easily and effectively applied in the improvement of
Kiawah Island Condominium Room Rates One Bedroom $245, Two                              patient safety, comfort, and satisfaction.
Bedroom $315; Discount room rates Sat. Jun. 19 - Sun. June 22.
                                                                                        Target Audiences The course is designed for physicians, including but not
Conference Pricing                                                                      limited to anesthesiologists, critical care specialists, pain specialists, surgeons,
 Registration Fee           Before        Before           After 3/19    On Site        and internists, as well as certified registered nurse anesthetists, anesthesiology
                            12/31         3/19                                          resident and fellow physicians, certified anesthesiologist assistants, and allied
                                                                                        services practitioners.
 Physician, CRNA            $735          $775             $795          $895
                                                                                        Course Credit Physicians: The School of Medicine of the University of North
Point-of-Ca re-Ultra sound Workshops                                                    Carolina at Chapel Hill designates this live activity for a maximum of 22.5 AMA
Three-day workshop will cover cardiac, lung and abdominal scanning and is               PRA Category 1 Credits TM. Physicians should only claim credit commensurate
limited to a total of 16 participants, 4 attendees per instructor. Complimentary,       with the extent of their participation in the activity.
but first come, first serve. You can only register for one workshop each day.           CRNAs: This program has been approved by the American Association of Nurse
                                                                                        Anesthetists for a maximum of 21 CE credits; Expiration Date 6/22/2019.
                                                                                        CRNAs should only claim credit commensurate with the extent of their
Simulator based TEE and TTE Workshops
                                                                                        participation in the activity.
The simulator-based TEE and TTE workshop sessions are limited to 8
participants each and will cover different scanning windows for both
transesophageal and transthoracic echocardiography. Complimentary,                      Accreditation The School of Medicine of the University of North Carolina is
but first come, first serve. You can only register for one workshop each day.           accredited by the Accreditation Council for Continuing Medical Education
                                                                                        (ACCME) to provide continuing medical education for physicians.
Truncal & Spine Ultra sonogra phy Workshops
The truncal nerve blocks and spine ultrasonography workshop sessions                    Contact Information For additional information, please send an email to:
are limited to 8 participants each and will cover the different ultrasound              anesthesiologycme@aims.unc.edu with “CRC 2019” in the subject line. Fee
scanning views for truncal nerve blocks and spine anatomy.                              includes certificate of completion and online handouts. Continental breakfast
Complimentary, but first come, first serve. You can only register for one               and refreshments provided. Directions with information to on how to download
workshop each day.                                                                      handouts will be sent several weeks before the meeting.

Problem-Based Learning Discussions                                                      Disclosures This activity has been planned and implemented under the sole
Problem-Based Learning Discussion sessions are complementary, but                       supervision of the course directors, in association with the UNC Office of
limited to 12 participants each, so please register early as they tend to               Continuing Professional Development (UNC CPD). This activity has not received
fill quickly. Case discussions and references will be emailed to                        any financial support from commercial interests.
registered attendees two weeks prior to the course.
                                                                                        ADA Statement If an attendee requires the use of auxiliary aids or services
Educa tiona l Objectives At the conclusion of this knowledge-based activity,            identified by the American Disabilities Act in order to attend this meeting, he or
participants should be able to:                                                         she should contact Lynn Craven at 919-966-0009
   • Recognize challenges in trauma management
   • Distinguish perioperative allergic and anaphylactic reactions                      Refund/ Credit/ Payment/ Cancellation Policy Cancellation request prior
   • Review basic point-of-care-ultrasound indications and recognize                    to midnight, May 20, 2019 — a full refund will be issued. After midnight, May
      pathology                                                                         20, 2019— no refunds will be issued. All cancellations must be submitted in
   • Recognize sex differences in pain management                                       writing (fax, email, or postmarked mail). No Substitutes.
   • Review the management of pediatric congenital heart disease for non-
      cardiac surgery                                                                                         Register ONLINE
   • Discuss active labor epidural management and review safety
   • Discuss new developments in carotid surgery management                                                   a t GO.UNC.EDU/CRC2019
   • Describe controversies in acute pain management
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   • Review congenital coagulation defects and describe their management
   • Describe new treatments in the bleeding patient                                       You may also call or email Lynn Craven to register at
                                                                                           919-966-0009, or Lynn_Craven@med.unc.edu
GO.UNC.EDU/CRC2019
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Save the Date | June 24-27, 2020 | June 23-26, 2021
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