• Use individual clinical expertise, best available external evidence, and reflection to maintain and develop competence.

• Highlight clinical problems and identify solutions
• Pinpoint several operational steps to introduce translational research to everyday practice

• Identify the need/ value for translational research & clinically relevant reporting

• Apply tips required to build infrastructure and integrate research in clinical quality improvement

• 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

• Appropriately tailor locoregional treatments to the size and location of the HCC

• Foster a multitude of methods to tackle a clinical problem Systematically reflect on problem use individual expertise and best EBM for trt

• Utilize EBM strategies for optimal management of chronic groin pain

• Debate the benefits of robotic inguinal hernia repair vs. open repair

• Analyze and contribute to research efforts in inguinal hernia repair

• Appropriately use polypectomy snares, luminal stents, FNA needles, and fibroscan devices

• 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

• 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

• 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

• Determine the benefits and limitations of current guidelines to trt plan

• Consider the (lack of) data regarding best approach to treatment of CLI
• Observe future results and implications from ongoing RCT (BEST-CLI) trial

• Examine asx contemporary treatment in KP NCAL with respect to stroke outcomes to determine care options

• Examine and debate residents research project results for application in clinic practice
• Residents present their research and work to be applied in clinic

• Develop “opportunities to improve care and the establishment of care teams

• 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

• Enhance seniors’ readiness for surgery to optimize outcomes

• Utilize thrombolytic devices and recanalization tools with stenting to provide durable results in chronic Iliocaval obstruction

• Appropriately place IVC filters
• Identify complications and indications for IVC filter retrieval and refer

• Identify types and incidences of endoleaks
• Analyze and interpret the data for intervention effectiveness
• Identify at-risk patients who might benefit from Tx

• 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

• 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

• 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.

• 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

• Analyze data to determine value of centralizing subspecialty care
• Regionalize subspecialty surgical care (creating centers of excellence) to improve treatment, outcomes, and pt. survival

• Evaluate clinical information as it applies to patient care, and implement changes in practice

• 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

• Share and disseminate best practices

• Identify barriers and solutions to inter-regional collaboration

• Consider UNOS criteria, and Risk/Benefits to determine use of chemoembolization (TACE) and/or radioembolization (TARE) to bring patients to transplantation

• Study how Radioembolization was integrated at a center within KP NCAL, and apply those learnings to other fields within IR and GI (PDSA)

• 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

• Identify patients that may benefit from new or future therapies
• Access appropriate resources to implement new treatment modalities

• Synthesize, evaluate, and apply current information and concepts into clinic practice (EVIDENCE BASED PRACTICE)

• Synthesize, evaluate, and apply current information and concepts into clinic practice (EVIDENCE BASED PRACTICE)

• 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.

PERSONS WITH DISABILITIES
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.