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14th Annual Advances in Diagnosis and Treatment of Sleep Apnea and Snoring

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The course you selected is now closed to online registration. Please call 415.476.5808 to ask about how to register at the course.

Department: Otolaryngology
Course Number: MOT08003
Start: Friday, February 15, 2008
End: Sunday, February 17, 2008
Location: San Francisco, California
Four Seasons Hotel
Fees:

$675: Physicians
$575: Nurses/Pharmacists/AlliedHealth
Professionals/Residents/Fellows

 

Credit: 15.75 AMA PRA Category 1 Credit(s)™

Overview:

This course has been coordinated through the University of California, San Francisco, the Penn Sleep Centers and the Department of Otorhinolaryngology:Head and Neck Surgery at the University of Pennsylvania. The program is designed to provide a comprehensive review and update on recent advances in sleep apnea and snoring. New approaches and controversies in the management of patients with sleep-disordered breathing will be highlighted. Leaders in the field of sleep science from Pulmonary and Critical Care Medicine, Otolaryngology, Head and Neck Surgery, and Oral and Maxillofacial Surgery will share their medical and surgical expertise in didactic sessions and during a panel discussion.  There will be ample opportunity for interaction with participating faculty. A course syllabus, complete with program outline and up-to-date references will be provided to each participant.

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Objectives:

Upon completion of this course, participants
should be able to:


  • Discuss new developments in the pathogenesis, diagnosis and management of patients with sleep disordered breathing.
  • Identify new and alternative treatments for sleep apnea and snoring.
  • Discuss the ramifications of sleep apnea and driving.
  • Assess new insights from upper airway imaging.
  • Review the medical, social and economical consequences of sleep apnea and snoring.

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Accreditation:
The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

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Course Outline:

FRIDAY, FEBRUARY 15

7:00 - 8:00            Registration, Continental Breakfast and Exhibit Viewing

 

8:00 - 8:30            Overview of Sleep Disorders Richard J. Schwab

                                    Normal sleep architecture/sleep deprivation

                                    Narcolepsy, insomnia, parasomnias, menopause, PLMs

 

8:30 - 9:00            Outcomes and Multidisciplinary Treatment of Insomnia - David N. Neubauer

                                 •   Effect of insomnia on outcomes

                                    New behavioral and hypnotic treatments

 

9:00 - 9:30            Pathophysiology and Clinical Presentation of Sleep Apnea - Allan I. Pack

                        Definitions - UARS, RERA, OSA, REM related apnea

                                    Epidemiology, genetics, pathogenesis

 

9:30 - 9:50            Indications for Ambulatory Sleep Studies – Samuel T. Kuna

                                    Who should have a home sleep study?  

                                    What is the best equipment?

 

9:50 - 10:10          Outcome Measures in OSA Andrew N. Goldberg

                        Biomarkers, QOL, cognitive effects

                                    Sleep study indices, snoring

 

10:10 - 10:40        Break and Exhibit Viewing

 

10:40 - 11:00        Relationship of Sleep Apnea to Obesity - Gary D. Foster

                                    Metabolic syndrome, insulin and leptin resistance

                                    Update on Sleep Ahead Study

 

11:00 - 11:20        Diagnosis and Management of Obesity-Hypoventilation Syndrome – David M. Claman

                                    Diagnostic criteria

                                    Management

 

11:20 – 11:50       Cardiovascular Consequences of Sleep Apnea - Samuel T. Kuna

                                    Myocardial infarction, arrhythmias, CHF

                                    Hypertension, stroke

 

11:50 – 12:10       Should Patients with Sleep Apnea Drive? - Allan I. Pack

                                    Medicolegal risks

                                    When to revoke a license

 

 

12:10 – 12:40       CPAP: The Treatment of Choice for SDB - Samuel T. Kuna

                                    Clinical outcomes with CPAP

                                    CPAP compliance

 

12:40 – 1:10               Box Lunch

 

1:10 - 1:30            New PAP Interfaces and Adherence Tracking Systems - Richard J. Schwab

                                    CPAP, BiPAP, AutoPAP

                                    New interfaces and CPAP tracking

 

1:30 - 1:50            Nasal Evaluation and Non-surgical Therapy in SDB - Edward M. Weaver

                                    Significance of nasal obstruction

                                    Evaluation and medical treatment of nasal obstruction

 

1:50 – 2:10           Physical Examination and Endoscopy for OSAEric J. Kezirian

                                    Normal and abnormal upper airway anatomy

                                    Drug induced sleep endoscopy

 

2:10 – 2:30           Critical Review of T&A in the Treatment of Sleep Apnea in Children Kristina W. Rosbe

                                 • Presentation of sleep apnea in children

                                 • Indications for tonsillectomy

 

2:30 - 3:00            Pediatric OSA Treatment: Beyond T&AKasey K. Li

                                 • Nasal obstruction

                           • Maxillary and maxillomandibular expansion

 

3:00 – 3:30           Break and Exhibit Viewing

 

3:30 - 4:00            Health and Societal Costs of Adult and Pediatric OSAChristian Guilleminault


Optional Break-out Sessions
(Registration required)

4:15 – 5:15           Breakout Session: Seminar in Medical Techniques and Decision Making – Guilleminault/Kuna/Neubauer/Pack/Schwab

Controversial case presentations will be reviewed with an emphasis on medical treatments.  Registrants are welcome to bring cases for presentation and discussion.

or

4:15 – 5:15        Breakout Session: Surgical Lab for Sleep Apnea Techniques -  Workshop is FULL Goldberg/Goode/Kezirian/Li/Riley/Stanton/Weaver

Registration limited to 50 participants. Participants will gain hands on experience with surgical techniques (i.e., palatal implants, genioglossus advancement, radiofrequency, and tongue suspension).

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5:15 - 7:15            Wine Tasting Reception, Four Seasons Hotel (Registration required)

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SATURDAY, FEBRUARY 16

 

7:15 - 8:00            Continental Breakfast and Exhibit Viewing

 

8:00 - 8:30            How to Achieve Weight Loss in Sleep Apnea                - Gary D. Foster

                                    Behavioral strategies for weight loss

                                    Role of medications

 

8:30 - 8:50            Indications for Bariatric Surgery in Patients with Sleep Apnea - Stanley J. Rogers

                                    Indications

                                    Outcome data

 

8:50 - 9:20            Overview of Oral Appliances and their Clinical Indications - David S. Stanton

                                    Indications

                                   What is the best oral appliance?

 

9:20 – 9:40           Surgical Treatment of Nasal Obstruction – David W. Kim

                                    Septoplasty, turbinate surgery

                                    Advanced techniques

 

9:40 – 10:00         Perioperative Management of OSA Patients Andrew N. Goldberg

                                    Sleep apnea surgery

                                    Non-upper airway surgery

 

10:00 - 10:30        Break and Exhibit Viewing

 

10:30 - 10:50        Insights into the Management of SDB Utilizing Upper Airway Imaging - Richard J. Schwab

                                    Phenotyping the pharynx

                                    Upper airway changes with surgery, appliances, CPAP, weight loss

 

10:50 - 11:20        Identifying Sites of Obstruction in OSA - Eric J. Kezirian

                                    Techniques for identifying sites of obstruction

                                    Correlating the sites of obstruction with surgical options

 

11:20 – 11:50       Surgical Treatment of the Soft Palate - Edward M.Weaver

                                    Methods - office based vs. operating room

                                    Outcomes data and complications

 

11:50 - 12:20        Surgical Treatment of the Hypopharynx including Maxillomandibular Advancement - Robert W. Riley

                                    Methods - office based vs. operating room

                                    Outcome data and complications

 

12:20 - 12:40        New Technologies for the Treatment of Snoring and Sleep Apnea Richard L. Goode

                                    Evolving surgical approaches

                                    New techniques and technologies


Optional Break-out Sessions
(Registration required; Lunch is included for breakout attendees)

12:40 - 1:10       Box Lunch

 

1:10 - 2:10                  Breakout Session: Seminar in Surgical Techniques and Decision-Making - Goldberg/Goode/Kezirian/Li/Riley/Stanton/Weaver

Controversial case presentations will be reviewed with an emphasis on surgical techniques.  Registrants are welcome to bring cases for presentation and discussion.

 

or

                                                 

1:10 - 2:10                  Breakout Session: Management of a Fiscally Sound Sleep Lab -
Marc I. Raphaelson

                          This session will use a "town hall" format to discuss various economic aspects of sleep medicine:

                                 • Centers for Medicare and Medicaid  (CMS) proposal to allow home sleep studies and CPAP prescription without titration

                           •   Proper use of portable testing
•   Running a portable test/treat program

SUNDAY, FEBRUARY 17

 

7:15 - 8:00         Continental Breakfast and Exhibit Viewing

 

8:00 - 8:45            Medical Economics and Reimbursement - Marc I. Raphaelson

                                 • Update on CPT coding

                                 • Reimbursement for PSG, CPAP, oral appliances, surgery

 

8:45 - 9:30            The Politics of Sleep - William C. Dement

                       

9:30 - 10:15       Sleep Disorders: Year in Review - Allan I. Pack

                                    Update on sleep apnea

                                    Update on narcolepsy, PLMs, insomnia

 

10:15 - 11:00        Pro/Con Debate - Surgery Is Indicated in the Treatment of Sleep Apnea

                                    Pro - Edward M.Weaver

                                    Con – Allan I. Pack

11:00    Adjourn/ CME Certificates

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Chairs:
ANDREW N. GOLDBERG, MD, MSCE
University of California, San Francisco

ERIC J. KEZIRIAN, MD, MPH
University of California, San Francisco

RICHARD J. SCHWAB, MD
University of Pennsylvania Medical Center

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Faculty:

{University of California, San Francisco CA unless otherwise noted}

ANDREW N. GOLDBERG, MD, MSCE
Professor, Department of Otolaryngology–Head and Neck Surgery
University of California, San Francisco CA

ERIC J. KEZIRIAN, MD, MPH
Assistant Professor, Department of Otolaryngology–Head and Neck Surgery
University of California, San Francisco CA

RICHARD J. SCHWAB, MD
Associate Professor, Pulmonary, Allergy and Critical Care Division
Division of Sleep Medicine, Department of Medicine
University of Pennsylvania Medical Center, Philadelphia PA

David M. Claman, MD
Associate Professor, Department of Medicine; Director, Sleep Disorders Center Medicine

William C. Dement, MD, PhD
Director, Sleep Disorders Clinic and Laboratory; Stanford School of Medicine, Stanford CA

Gary D. Foster, PhD
Director, Center for Obesity Research and Education
Professor, Medicine and Public Health; Temple University, Philadelphia PA

Richard L. Goode, MD
Professor of Otolaryngology; Stanford School of Medicine, Stanford CA

Christian Guilleminault, MD
Associate Director, Sleep Disorders Clinic and Research Center at Stanford
Professor, Psychiatry and Behavioral Sciences; Stanford School of Medicine, Stanford CA

David W. Kim, MD
Assistant Professor of Otolaryngology
Director, Division of Facial Plastic and Reconstructive Surgery

Samuel T. Kuna, MD
Associate Professor, University of Pennsylvania
Chief, Pulmonary, Critical Care and Sleep Section; Philadelphia Veterans Affairs Medical Center
University of Pennsylvania Medical Center, Philadelphia PA

Kasey K. Li, MD, DDS
Adjunct Associate Clinical Professor in Sleep Medicine
Department of Psychiatry; Stanford School of Medicine, Stanford CA

David N. Neubauer, MD, MA
Associate Director, Johns Hopkins Sleep Disorders Center
Assistant Professor, Psychiatry; Johns Hopkins University School of Medicine, Baltimore MD

Allan I. Pack, MB, ChB, PhD
Professor, Chief, Division of Sleep Medicine, Department of Medicine
Director, Center for Sleep and Respiratory Neurobiology
University of Pennsylvania Medical Center, Philadelphia PA

Marc I. Raphaelson, MD
Director, Greater Washington Sleep Disorders Center; Rockville MD

Robert W. Riley, DDS, MD
Associate Clinical Professor; Stanford School of Medicine, Stanford CA

Stanley J. Rogers, MD
Associate Professor, Department of Surgery

Kristina W. Rosbe, MD, FAAP
Associate Professor, Otolaryngology and Pediatrics, Director of Pediatric Otolaryngology

David C. Stanton, DMD, MD
Associate Professor, Department of Oral Maxillofacial Surgery
Director, Residency Program; University of Pennsylvania Medical Center

Edward M. Weaver, MD, MPH
Associate Professor of Otolaryngology, Surgical Program Director of Sleep Disorders Center
University of Washington and Harborview Medical Center, Seattle WA

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Travel & Lodging:

Four Seasons Hotel  SOLD OUT
757 Market St.
San Francisco, CA 94103
415-633-3000
$269/night Limited View
$289/night Run of The House

Additional lodging has been secured at the following hotels:

Sir Francis Drake
450 Powell Street
San Francisco, CA 94102

$189.00 plus tax per night
800-227-5480 or 415-392-7755 or via e-mail at reservations@sirfrancisdrake.com

Prescott
545 Post Street
San Francisco, California 94102
$189.00 plus tax per night
1.800.283.7322 or via E-mail at reservations@prescotthotel.com

Westin San Francisco Market Street
50 Third Street 
San Francisco, California  94103

We do not have a contracted block here but if you visit www.westin.com/marketstreet rates begin at $195 + tax for course dates, many categories around $229 to $259.



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Cancellation Policy:
Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee.  No refunds will be made on cancellations received after that date.

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