AACE/ACE Advanced Neck Ultrasound Training Course, Orlando, FL

September 8, 2018 to September 9, 2018

Whereas ultrasound in the diagnosis and treatment of thyroid and parathyroid disorders encompasses new knowledge and technology that was not available in most formal training programs for endocrinologists, the American Association of Clinical Endocrinologists has undertaken responsibility of training and certifying endocrinologists, endocrine surgeons, otolaryngologists / head and neck surgeons, pathologists and radiologists in these new procedures. Many candidates for ECNU certification need further instruction in performance of comprehensive ultrasound examination, preparation of written reports, biopsy technique and slide preparation. The target audience for this course is clinical endocrinologists, endocrine surgeons, ENT / head and neck surgeons, pathologists and radiologists and their physician extenders.

Target Audience

The target audience for this course is clinical endocrinologists, endocrine surgeons, ENT/head and neck surgeons, pathologists, radiologists and their physician extenders with prior experience in thyroid ultrasound.

Learning Objectives

Upon completion of this course, one will understand the indications and limitations of thyroid ultrasound and how it integrates with other thyroid tests (FNAB, and Tg) to improve the diagnosis and management of thyroid disease. "Hands-on" ultrasound and ultrasound guided FNA biopsy will be demonstrated and practiced by the attendees using phantoms. Participants will understand the components of a complete neck ultrasound and be able to compose a comprehensive report.

Additional information
Available for MOC Points?: 
Yes
Practice Area: 
Thyroid
Course summary
Available credit: 
  • 15.75 AMA
  • 15.75 Attendance
Course opens: 
09/08/2018
Course expires: 
09/09/2019
Event starts: 
09/08/2018 - 7:00am
Event ends: 
09/09/2018 - 3:00pm
Cost:
$0.00

Saturday September 8, 2018

7:00 – 7:25 AM

Continental Breakfast and Registration and Exhibits
Moderator: Robert A. Levine, MD, FACE, ECNU

7:25 – 7:30 AM

Welcome and Introductions
Robert A. Levine, MD, FACE, ECNU

7:30 – 8:00 AM

Advanced Anatomy of the Neck
Alex Tessnow, MD, MBA, FACE, ECNU
Objectives

  1. Learn the surgical and developmental anatomy of the neck and identify the important landmarks.
  2. Understand demarcations and surgical compartments of the neck.
  3. Review the anatomy of the submandibular and mediastinal spaces and its implications for ultrasound study.
  4. Describe the appearance, location and size of the normal thyroid and parathyroid glands.
8:00 – 8:30 AM

Key Physics and Doppler Principles
Robert A. Levine, MD, FACE, ECNU
Objectives

  1. Review essential neck ultrasound physics concepts and artifacts.
  2. Demonstrate Doppler principles used in neck ultrasound.
8:30 – 9:00 AM

Diffuse Thyroid Disease & Thyroiditis
Dev Abraham, MD, MRCP, FACE, ECNU
Objectives

  1. Describe the sonographic appearance of diffuse thyroid diseases: autoimmune thyroid disease.
  2. Review non – thyroidal findings that can be encountered by endocrinologists.
  3. Review the limited utility of US an Doppler in the evaluation of thyrotoxicosis.
9:00 – 10:00 AM

Thyroid Nodules
Alex Tessnow, MD, MBA, FACE, ECNU
Objectives

  1. Recognize ultrasound characteristics of benign and malignant nodules.
  2. Understand the predictive value of ultrasound characteristics and how they relate to probability of malignancy.
  3. Review pattern recognition in thyroid nodule evaluation
  4. Recognize the impact of these characteristics in the evaluation of multinodular goiter.
10:00 – 10:15 AM

Break and Exhibits

10:15 – 11:15 AM

Ultrasound of Lymph Nodes: Preoperative Assessment and Postoperative Surveillance
Robert A. Levine, MD, FACE, ECNU
Objectives

  1. Learn to identify characteristics of benign and malignant lymph
  2. Understand the role of cervical ultrasound in the pre-operative management of thyroid cancer.
  3. Understand the role of ultrasound in the long-term surveillance for recurrence in thyroid cancer.
11:15 AM – 
12:00 PM

Lymph Node Mapping with Case Examples
Robert A. Levine, MD, FACE, ECNU
Alex Tessnow, MD, MBA, FACE, ECNU

Objectives

  1. Understand the role of formal lymph node mapping prior to surgery
  2. Provide templates for lymph node mapping.
  3. Review the surgical compartments of the neck
12:00 – 12:45 PM

Parathyroid Ultrasound
Dev Abraham MD, MRCP (UK), FACP, ECNU
Objectives

  1. Recognize the ultrasound appearances and features of parathyroid adenomas.
  2. Understand the anatomical variations in the location of parathyroid glands.
  3. Define the role and review the technique of US guided FNA biopsies with PTH estimation in syringe aspirates in the of parathyroid adenomas.
12:45 – 1:30 PM

Lunch and Exhibits

1:30 – 5:30 PM

Lab 1 – Performance of Ultrasound Exam
Dev Abraham, MD, MRCP, FACE, ECNU
Robert A. Levine, MD, FACE, ECNU
Alex Tessnow, MD, MBA, FACE, ECNU
Jana Hansen, RDMS, RVT
L. Jackie Kaddatz, RDMS
Kevin R. Rooker, RT(R), RDMS, RVT
Emily Smith, BS, RDMS, RVT

Objectives

  1. Review patient positioning and preparation of US equipment for a study.
  2. Observe complete ultrasound examinations on real life subjects whilst taking patient sensitivities into consideration
  3. Correctly identify and characterize pathology on model patients.
  4. Review the generation of a cogent US reports using real life patients.

Sunday September 9, 2018
Moderator: Dev Abraham MD

7:30 – 8:30 AM

Neck U/S Imaging: Nodule and Lymph Node Images
(All faculty)
Dev Abraham, MD, MRCP, FACE, ECNU
Robert A. Levine, MD, FACE, ECNU
Alex Tessnow, MD, MBA, FACE, ECNU

Objectives

  1. Display images of nodules and lymph nodes to highlight clinical decision making
  2. Utilize ARS to promote interactivity
8:15- 9:15 AM

Ultrasound Guided FNA Biopsy
Robert A. Levine, MD, FACE, ECNU
Objectives

  1. Understand the ATA and AACE guidelines for biopsy
  2. Recognize the various approaches to biopsy (parallel and perpendicular, linear and convex transducers, suction and suctionless) and how to modify the technique to match the clinical situation.
  3. Learn to prepare quality microscopic slides.
9:15 –9:30 AM

Break

9:30 – 10:15 AM

Percutaneous Ethanol Injection
Devaprabu Abraham, MD, MRCP, FACE, ECNU
Objectives

  1. A review of agents available for percutaneous ablation.
  2. Review the indications for PEI.
  3. Effectiveness and limitations of PEI.
  4. An overview of the procedure of PEI and potential complications.
10:00 – 11:00 AM

Ultrasound Report Preparation: Certifying Agency
Alex Tessnow, MD, MBA, FACE, ECNU
Objectives

  1. Understand the components a complete ultrasound exam ccording to AACE/AIUM protocol.
  2. Learn to describe tissue characteristics sonographically.M
  3. Prepare comprehensive ultrasound reports according to AIUM/AACE protocol and ECNU requirements
11:00 AM – 
12:00 PM

Case based panel discussion
Dev Abraham, MD, MRCP, FACE, ECNU
Robert A. Levine, MD, FACE, ECNU
Alex Tessnow, MD, MBA, FACE, ECNU

Objectives

  1. To demonstrate real life patient histories, images and decision making
  2. Review of images to decide on whether biopsy is needed or not
  3. Case examples where molecular markers were utilized for evaluation
12:00- 1:00 PM

Lunch and Exhibits

1:00 – 3:00 PM

Lab 2: Ultrasound Guided Biopsy and Slide Preparation
Dev Abraham, MD, MRCP, FACE, ECNU
Robert A. Levine, MD, FACE, ECNU
Alex Tessnow, MD, MBA, FACE, ECNU
Jana Hansen, RDMS, RVT
L. Jackie Kaddatz, RDMS
Kevin R. Rooker, RT(R), RDMS, RVT
Emily Smith, BS, RDMS, RVT

Objectives

  1. Demonstrate how to prepare probe for biopsy using probe cover and describe elements of aseptic technique.
  2. Demonstrate methods of biopsy technique including parallel and perpendicular approach.
  3. Perform FNAB on phantoms (solid and cystic nodules) including cyst drainage techniques.
  4. Demonstrate slide preparation using aspirated material.
3:00 PM

Adjourn

Orlando, FL
United States

Dev Abraham, MD, MRCP, FACE, ECNU
Professor of Medicine (Clinical),
Adjunct Professor of Surgery and Pathology
Assistant Dean of Academic Affairs, School of Medicine
Department of Medicine
University of Utah
Salt Lake City, UT

Robert A. Levine, MD, FACE, ECNU
Thyroid Center of New Hampshire Saint Joseph Hospital Endocrinology
Adjunct Assistant Professor of Medicine
Geisel School of Medicine - Dartmouth College
Nashua, NH

Alex Tessnow, MD, MBA, FACE, ECNU
Assistant Professor, Department of Internal Medicine
Immediate Past President, Texas Chapter of AACE
Division of Endocrinology, Diabetes and Metabolism
University of Texas Southwestern
Dallas, TX

Jana Hansen, RDMS, RVT
Mankato, MN

L. Jackie Kaddatz, RDMS
Carmel, NY

Kevin R. Rooker, RT(R), RDMS, RVT
Pooleville, TX

Emily Smith, BS, RDMS, RVT
Rochester, MN

The American Association of Clinical Endocrinologists (AACE) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Clinical Endocrinologists (AACE) designates this live activity for a maximum of 15.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 15.75 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Available Credit

  • 15.75 AMA
  • 15.75 Attendance

Accreditation Period

Course opens: 
09/08/2018
Course expires: 
09/09/2019

Price

Cost:
$0.00
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