2019 National Surgical Symposium

Learning Objectives

Session Topic

Learning Objectives
“At end of this session, learners will be able to…” (complete sentence):

Day 1 Sessions: 6/20/19

Evidence-Based Practice (EBP)
8:00 AM – 8:15 AM

  • Use individual clinical expertise, best available external evidence, and reflection to maintain and develop competence.
Plenary Research Session Day 1
8:15 AM – 10:00 AM
The Importance of Translational Research in Large Health Systems
8:15 AM – 8:50 AM

  • Highlight clinical problems and identify solutions
  • Pinpoint several operational steps to introduce translational research to everyday practice
KP Implant Registry: Using Data to Drive Clinical Practice 8:50 AM – 9:25 AM
  • Identify the need/ value for translational research & clinically relevant reporting
Use of Evidence-Based Outcomes to Drive Quality Improvement - VQI Experience
9:25 AM – 10:00 AM

  • Apply tips required to build infrastructure and integrate research in clinical quality improvement
Interventional Radiology/ General Surgery Combined Breakout
10:30 AM – 11:30 AM
Management of the Difficult Gallbladder
10:30 AM – 11:30 AM

  • IR and GS share tips and techniques for use to manage difficult biliary cases
  • Identify patient for percutaneous intervention and consider the risks associated with a variety of diseases and GB pathology
Interventional Radiology Breakout Session
11:30 AM – 12:30 PM
10 Best Papers - Locoregional Control for HCC
11:30 AM – 12:00 PM

  • Appropriately tailor locoregional treatments to the size and location of the HCC
Interesting Case Round Robin 12:00 PM – 12:30 PM
  • Foster a multitude of methods to tackle a clinical problem Systematically reflect on problem use individual expertise and best EBM for trt
General Surgery Breakout Session
11:30 AM – 12:30 PM
Chronic Groin Pain
11:30 AM – 11:45 AM

  • Utilize EBM strategies for optimal management of chronic groin pain
Robotic Inguinal Hernia Repair 11:45 AM – 12:00 PM  
  • Debate the benefits of robotic inguinal hernia repair vs. open repair
Inguinal Hernia Research
12:00 PM- 12:15 PM
  • Analyze and contribute to research efforts in inguinal hernia repair
Gastroenterology Breakout Session
10:30 AM – 12:30 PM
GI Products: A Sourcing and Standards Team View
10:30 AM – 11:10 AM
  • Appropriately use polypectomy snares, luminal stents, FNA needles, and fibroscan devices
Use of Chromoendoscopy and the Diagnosis and Management of Early Gastric Cancer
11:10 AM – 11:50 AM
  • Utilize chromoendoscopy, White Light, NBI, and endoscopic methods of resection including EMR* vs ESD* (endoscopy mucosal resection) (endoscopic submucosal dissection)
  • Combine use of modalities to refine dx and administer therapy
Nutrition and Dietary Management for Adult Patients with IBD
11:50 AM – 12:30 PM
  • Employ appropriate dietary interventions for IBD patient
  • Answer patient questions about “leaky gut” and how it relates to IBD
  • Screen IBD patients for different vitamin/ micronutrient deficiencies
Vascular Surgery Breakout Session
10:30 AM – 12:30 PM
Managing Juxtarenal and Thoracoabdominal Aneurysms 10:30 AM – 11:00 AM  
  • Define the risk and benefits of TAA, JRA for patient outcome
  • Utilize the current options and tricks for treatment of complex repair
  • Recognize and avoid pitfalls of complex repair
Does the Fistula First Initiative Help or Hurt Patients?
11:00 AM – 11:30 AM
  • Determine the benefits and limitations of current guidelines to trt plan
The Optimal Treatment of Critical Limb Ischemia- Insights from BEST-CLI
11:30 AM – 12:00 PM
  • Consider the (lack of) data regarding best approach to treatment of CLI
  • Observe future results and implications from ongoing RCT (BEST-CLI) trial
The Optimal Treatment of Asymptomatic Carotid Stenosis- KP Experience
12:00 PM – 12:30 PM
  • Examine asx contemporary treatment in KP NCAL with respect to stroke outcomes to determine care options
Day 2 Sessions: 6/21/19
Resident Session/ Video Presentations
8:00 AM – 10:00 AM
  • Examine and debate residents research project results for application in clinic practice
  • Residents present their research and work to be applied in clinic
Plenary Research Session Day 2
8:00 AM – 10:00 AM
How to Become a Leader
8:00 AM – 8:30 AM
  • Develop “opportunities to improve care and the establishment of care teams
The Ten Habits of Resilient Providers
8:30 AM – 9:00 AM
  • Engage meaningfully with work, family, and community.
  • Set boundaries for work and non-work time to reduce burnout
  • Make self-care a priority to help build resilience
  • Create a culture that sustains resilience and supports wellbeing
Prehab (.5 geriatrics)
9:30 AM – 10:00 AM
  • Enhance seniors’ readiness for surgery to optimize outcomes
Vascular Surgery/ Interventional Radiology Combined Breakout Session
10:30 AM – 12:30 PM
Deep Venous Reconstruction- Chronic Iliocaval Disease
10:30 AM – 11:10 AM
  • Utilize thrombolytic devices and recanalization tools with stenting to provide durable results in chronic Iliocaval obstruction
Role of IVC Filters in VTE and the Late Complications of IVC Filters
11:10 AM – 11:50 AM
  • Appropriately place IVC filters
  • Identify complications and indications for IVC filter retrieval and refer
Treatment of Endoleaks: Helpful or Hurtful? What's the Data?
11:50 AM – 12:30 PM
  • Identify types and incidences of endoleaks
  • Analyze and interpret the data for intervention effectiveness
  • Identify at-risk patients who might benefit from Tx
General Surgery/ Gastroenterology Combined Breakout Session
10:30 AM – 12:30 PM
Esophageal Motility Disorders- Diagnosis and Treatment
10:30 AM – 11:10 AM
  • Diagnose patients with features of common motility disorders and order motility/ph. testing
  • Implement appropriate treatment plan for each abnormal motility or pH study diagnosis
Endoscopic and Minimally Invasive Surgical Treatment of Barrett’s Esophagus with Dysplasia and/ or Neoplasia
11:10 AM – 11:50 AM
  • Utilize current guidelines to Identify/select patients with non-nodular Barrett’s esophagus for treatment referral
  • Utilize guideline to refer patient for ablative treatments or endoscopic mucosal resection surgery as indicated
  • Compare the risks/benefits for minimally invasive esophagectomy to standard esophagectomy
Overview of TACE and TARE for Treatment of Hepatocellular Carcinoma (HCC)
11:50 AM – 12:30 PM
  • Recognize indications of and the risk/benefits of TACE vs TARE for HCC ( using EBM)
  • Use criteria to Identify candidates for local ablative therapy for HCC and refer to KP IR TARE regional program
  • Plan and set up a TARE program.
Breakout Session: Round Table Discussion  
  • Commit to providing the highest quality of care to your patients
  • Collaborate, network, exchange and spread best practices and stay up-to-date in healthcare
Day 3 Sessions: 6/22/19

General Surgery Breakout Session
8:00 AM – 10:00 AM
Regionalizing Cancer Surgery: Administrative and Clinical Challenges with Centralizing Gastric Cancer Treatment, and How It Can Apply to Other Fields
8:00 AM – 8:40 AM
  • Analyze data to determine value of centralizing subspecialty care
  • Regionalize subspecialty surgical care (creating centers of excellence) to improve treatment, outcomes, and pt. survival
10 Best Papers 2018
8:40 AM – 9:20 AM
  • Evaluate clinical information as it applies to patient care, and implement changes in practice
Peritoneal Dialysis: The Ultimate Triple Aim Project  
  • Define surgeon’s role in a highly functioning PD team
  • Willing and available to participate in access procedures to improve competency/performance
  • Explain basic techniques and pitfalls associated with placing a PD catheter
Vascular Surgery Breakout Session
Collaboration, Knowledge Sharing, and Quality Improvement”

8:00 AM – 10:00 AM
Implementing Regionwide Programs- What Works Best
8:00 AM – 8:40 AM
  • Share and disseminate best practices
How to Translate/ Implement Best Practices- What are the Goals?
8:40 AM – 9:20 AM
  • Identify barriers and solutions to inter-regional collaboration
Consensus Guidelines, What do They Mean for KP?
9:20 AM – 10:00 AM
Gastroenterology/ Interventional Radiology Combined Breakout Session
8:00 AM – 10:00 AM
Overview of TACE and TARE Treatment for HCC
8:00 AM – 9:00 AM
  • Consider UNOS criteria, and Risk/Benefits to determine use of chemoembolization (TACE) and/or radioembolization (TARE) to bring patients to transplantation
How to Incorporate Emerging Service Lines Within KP; y-90 in NCAL
9:00 AM – 10:00 AM
  • Study how Radioembolization was integrated at a center within KP NCAL, and apply those learnings to other fields within IR and GI (PDSA)
All Specialties Combined Breakout Session
“The Cutting Edge”

10:30 AM – 12:30 PM
Case Discussions
10:30 AM – 11:30 AM
  • Systematically reflect on clinical problems, use individual clinical expertise and the best available external evidence to plan trt
  • Apply clinical reasoning skills to further interpretative, diagnostic, and treatment skills
What’s New in GI 2019: Discuss New and Future Developments on The Horizon in Diagnosis and Treatment of Gastrointestinal Diseases
11:30 AM – 11:45 AM
  • Identify patients that may benefit from new or future therapies
  • Access appropriate resources to implement new treatment modalities
What’s New in General Surgery 2019?
11:45 AM – 12:00 PM
  • Synthesize, evaluate, and apply current information and concepts into clinic practice (EVIDENCE BASED PRACTICE)
What’s New in Interventional Radiology 2019?
12:00 PM – 12:15 PM
  • Synthesize, evaluate, and apply current information and concepts into clinic practice (EVIDENCE BASED PRACTICE)
What’s New in Vascular Surgery 2019?
12:15 PM – 12:30 PM
  • Synthesize, evaluate, and apply current information and concepts into clinic practice (EVIDENCE BASED PRACTICE)

Accreditation Designation Statement
The Kaiser Permanente National CME Program is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Statement
The Kaiser Permanente National CME Program designates this live activity for a maximum of 13 AMA PRA Category 1 Credits.™ Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses and Physician Assistants – Attendees may report up to 13 hours toward continuing education requirements for license renewal. ‘CME’ can be written in lieu of the provider number on all licensure renewal applications.

Day 1: 4
Day 2: 5
Day 3: 4

Total: 13

Target Audience: Physicians, Physician Assistants, Nurse Practitioners and Nurses in the specialties of General Surgery, Vascular Surgery, Gastroenterology and Interventional Radiology.

In compliance with the Americans with Disabilities Act, all reasonable efforts will be made to accommodate persons with disabilities at the meeting. If you have any special dietary or accommodation needs, please notify the meeting planner listed, prior to the symposium in the Department of Physician Education at (626) 405-4630 or tie-line 8-335-4630. This advance notice will help us serve you better.