2017-2018 ANNUAL REPORT Acute Pancreatitis Task Force..... 18 ACG Research Committee ..... 18...

REPORTANNUAL

of Programs and Activities

2017-2018

ACG Institute Mission StatementThe mission of the American College of Gastroenterology Institute for Clinical Research and Education is to promote digestive health through education of the clinician, the patient and the public, to support clinical research and innovation in gastroenterology and hepatology,

and to raise public awareness about prevention of digestive disease.

ContentsInstitute Leadership . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Letter from the ACG Institute Director. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

RESEARCHReport on ACG Clinical Research Grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Supporting Investigative Science: The ACG Clinical Research Awards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Spotlight: ACG Clinical Research Awardees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Perspective: Incoming Class of Junior Faculty Awardees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Current ACG Junior Development Awardees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11

2016 ACG Junior Faculty Development Awardees present in Orlando . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ACG Scholars: Meeting in Orlando . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ACG Scholars: Contributions to the ACG 2018 Annual Scientific Meeting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

ACG Scholars: Past Junior Faculty Awardees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ACG Acute Pancreatitis Task Force. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ACG Research Committee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

EDUCATIONACG’s Hepatology School. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Monograph: ACG Evidence-Based Systematic Review on Management of Irritable Bowel Syndrome 22

ACG Young Physician Leadership Scholars Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ACG’s IBD School . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24

Vaccination and IBD Request for Proposals Collaborative Project . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ACG Edgar Achkar Visiting Professorship Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26

G.U.T. Fund for Clinical Research and Education: Donor Recognition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

2017–2018 Annual Report of Programs & Activities | 1

ACG Institute LEADERSHIP

ACG INSTITUTE BOARD OF DIRECTORS

Nicholas J. Shaheen, MD, MPH, FACGACG Institute DirectorChapel Hill, North Carolina

Mark B. Pochapin, MD, FACGACG Vice PresidentNew York, New York

Jean-Paul Achkar, MD, FACGChair, ACG Research CommitteeCleveland, Ohio

Seth A. Gross, MD, FACGChair, ACG Educational Affairs CommitteeNew York, New York

Neena S. Abraham, MD, MSc (EPID), FACGScottsdale, Arizona

David A. Johnson, MD, MACGNorfolk, Virginia

W. Elwyn Lyles, MD, FACGMaryville, Tennessee

David T. Rubin, MD, FACGChicago, Illinois

Harry E. Sarles, Jr., MD, FACGRockwall, Texas

Zobair M. Younossi, MD, MPH, FACGFalls Church, Virginia

ACG Executive DirectorBradley C. Stillman, Esq.

The Institute recognizes, with thanks, the contributions of FORMER BOARD MEMBERS:

Edgar Achkar, MD, MACG ACG Institute Director Emeritus (2005–2014)

William D. Chey, MD, FACG (2015–2016)

David Y. Graham, MD, MACG (2005–2011)

Frank Hamilton, MD, MPH, MACG (2010–2016)

Sunanda V. Kane, MD, MSPH, FACGACG Vice President (2016–2017)Board Member (2011–2015)

Seymour Katz, MD, MACG (2005–2009)

Bret A. Lashner, MD, FACG Chair, ACG Research Committee (2010–2012)

Jonathan A. Leighton, MD, FACG Chair, ACG Educational Affairs Committee (2011–2013)

Eamonn M.M. Quigley, MD, MACG(2011–2017)

Linda Rabeneck, MD, MPH, MACG (2005–2010)

John R. Saltzman, MD, FACG Chair, ACG Educational Affairs Committee (2013–2015)

Lawrence R. Schiller, MD, FACG (2006–2009)

Mitchell L. Shiffman, MD, FACG (2005–2013)

Brennan M.R. Spiegel, MD, MSHS, FACG Board Member (2010–2013); Chair, ACG Research Committee (2013–2015)

Christina M. Surawicz, MD, MACG (2005–2011)

2 | 2017–2018 Annual Report of Programs & Activities

2018 ACG Institute GRANTS AND AWARDS

Junior Faculty Development Awards

$1,200,000

Clinical Research Awards

$258,936

Clinical Research Pilot Awards

$53,209

Totaling more than

$1.5 MILLION

LETTER from the ACG Institute Director

DEAR COLLEAGUES,

It has been another wonderful year for the ACG Institute for Clinical Research and Education. Since our last annual report, we have built on our successes. Program growth continues, innovative activities have expanded, and we remain focused on securing the future for clinical gastroenterology. We last met for our Annual Meeting in Philadelphia four years ago, and as we convene again in the City of Brotherly Love, we not only celebrate our successes over the last year but also renew our commitment to increasing the scope, the relevance and the impact of the work of the Institute.

The ACG Institute 2017-2018 Report of Programs and Activities contains exciting updates on our Clinical Research Awards, Edgar Achkar Visiting Professorships, peer reviewed publications, as well as new initiatives such as the Young Physician Leadership Scholars Program, the Acute Pancreatitis Task Force on Quality, and the American College of Gastroenterology Monograph on Management of Irritable Bowel Syndrome.

This year, the Institute supported four Junior Faculty Development Awards. We are thrilled to support these outstanding future leaders with the total support of $1,200,000. As you will see when you read about them, these recipients are truly “the best of the best.” This investment in career development is an embodiment of the Institute’s commitment to growing young talent in our profession. Additionally, Clinical Research Awards in the various categories have been awarded to ten investigators for a total $312,145. If the past is any indication of the quality of these projects, most or all will result in peer-reviewed publications, and some may change the way we practice medicine.

The ACG Edgar Achkar Visiting Professorship Program continues to grow and expand its reach. For this cycle, a record 14 visits have been scheduled, adding Connecticut, Tennessee, Nebraska, and the Canadian province of Alberta to the places where visits have taken place. The geographic reach of the program is coast to coast and most places in between. Each year, we receive more requests for visiting professors, a testament to the otherwise unmet need for this type of education, as well as the caliber of the faculty who participate.

Our G.U.T. Campaign to Grow, Uplift, and Transform clinical gastroenterology continues in earnest. A record number of ACG members elected to make a charitable donation in support of the Institute either through an additional contribution as part of their membership or through an annual gift during the year. Stay tuned for more information about ways to make a major gift in support of clinical gastroenterology and to leave a lasting legacy for our profession.

As you read this year’s annual report, take the time to learn about this year’s Clinical Research Award and Junior Faculty Development Award recipients. Learn how the Institute is addressing education in specific disease states through Hepatology School, IBD School, and the Pancreatitis Task Force on Quality. Take special note about the new Young Physician Leadership Scholars program, which is being initiated this year under the guidance of the Institute. This program will teach a variety of leadership and professional advocacy skills to gastroenterologists who are early in their career, again demonstrating the Institute’s commitment to the professional training of young clinicians.

All of the work in this report would be impossible without the dedication of our wonderful ACG staff, and the tireless work of the Institute Board of Directors. After reviewing this work, I hope you will agree with me that the Institute is a source of pride for the College. We will continue to build on the successes of the past and seek even greater opportunities to augment clinical research and professional education in the future. Gastroenterology is constantly changing, and the Institute will continue to evolve to meet our membership’s needs.

Warmest Regards,

Nicholas J. Shaheen, MD, MPH, FACGDirector, ACG Institute

Nicholas J. Shaheen, MD, MPH, FACG, ACG Institute Director


RESEARCH4 | 2017–2018 Annual Report of Programs & Activities

RESEARCH 2017–2018 Annual Report of Programs & Activities | 5

Clinical Research Award

$50,000Smaller Programs Award

$35,000Pilot Award

$15,000

2018 Clinical Research Awards

10 Investigators Funded

TOTALING$312,145

REPORT: ACG Clinical Research Grants Supporting Clinical Research: Fulfilling the Core Mission of the ACG Institute

FOUNDED IN 1994, the ACG Institute has provided funding totaling more than $19.9 million to 626 investigators, for research relating to the clinical gastrointestinal practice. The College is proud of the achievements of its funded investigators and plans to invest more fully in their leadership and success.

The ACG Institute’s continued investment in career development awards and funding for GI fellows-in-training will foster clinical innovations in gastroenterology and hepatology that will improve patient care and strengthen the capabilities of practitioners.

Funding for 2018 Clinical ResearchFor 2018, the ACG Institute for Clinical Research and Education will award $1,512,145 in support of outstanding clinical research in gastroenterology. The ACG Institute will support four Junior Faculty Development Grants at an overall level of $1,200,000, the largest investment for this category to date, in the career development of these promising clinical researchers, signaling the excellent scientific research planned by the Junior Faculty Development Awardees. From among numerous submissions for the 2018 Clinical Research Award, the Research Committee recommended funding for 10 investigators for a total of $312,145, of which 4 are pilot awards at the $15,000 level.

ACG Institute Invests in GI Career DevelopmentThe ACG Institute considers the Junior Faculty Development grant the “jewel in the crown” of the College’s research initiatives. This grant provides three years of support at a level of $100,000 annually for a $300,000 total investment in GI clinical investigation. At this level of funding, the Institute is able to attract the best-qualified candidates and provide them with the protected research time when funding is increasingly scarce.

Smaller Programs Clinical Research AwardFor the purposes of this award, “smaller” GI programs are defined as programs with 15 or fewer full-time faculty across the program’s sites. The Smaller Programs Clinical Research Award includes a requirement for a clearly defined mentoring plan, including e-mentoring, if necessary. The Institute finds it worthwhile to continue investing in excellent clinical research from a more varied group of institutions and to make this support meaningful and productive by specifically investing in mentoring.

ACG Institute will award

$1,512,145to support outstanding clinical research in gastroenterology.


Rigorous Review of Clinical Research Applicants by ACG Research CommitteeIn January 2018, The ACG Research Committee, under the leadership of Jean-Paul Achkar, MD, FACG, Chair, convened in Las Vegas, NV to review the submissions for the ACG 2018 Research Awards. The hard-working committee members encompass a wide range of research expertise in gastroenterology and hepatology. Each year, over 100 grant applications for grant funding are reviewed, spread among the categories of Junior Faculty Development Awards, Clinical Research Awards, Pilot Programs, and Smaller Programs.

The Research Committee members thoroughly review each grant application, with three reviewers assigned to score each grant, utilizing a scoring scale modeled on the NIH scoring system. At the committee’s in-person review in January, applications are discussed in detail with a presentation by each of the three assigned reviewers, followed by an open discussion by the Research Committee and final scoring by all committee members. Once the review process is completed, a recommendation regarding which grants should be funded is made to the ACG Institute’s Director, Nicholas J. Shaheen, MD, MPH, FACG who then presents those funding decisions to the ACG Board of Trustees for final approval.

The dedicated members of the Research Committee, take part in the labor-intensive review process, to ensure that the process is fair and the best science is selected for funding. In order to assist applicants in their grantsmanship and future applications, all grant applicants also receive written critiques from the grant reviewers.

1994–2018 ACG Institute Funded

626 INVESTIGATORStotaling more than

$19 MILLION

Four Junior Faculty Development Grants

$300,000 Per Recipient

$100,000 Annually

$1,200,000 Total Funding


2018 ACG Clinical Research Awards

James Buxbaum, MDUniversity of Southern CaliforniaQuantitative Parameters of Pancreatic Contrast EUS Pancreas

Suraj Patel, MD, PhDMassachusetts General HospitalIdentifying the Genetic Drivers of Lean Non-alcoholic Fatty Liver Disease

SUPPORTING INVESTIGATIVE SCIENCE: ACG Clinical Research Awards

Ajay Bansal, MDUniversity of Kansas Medical CenterMolecular Signatures of Esophageal Adenocarcinoma in Circulating Esophageal-Specific Exosomes

Mohammad Nasser Kabbany, MDCleveland ClinicThe Effects of Gut Microbiota and FMO3 on Choline Bioavailability in Children with Nonalcoholic Fatty Liver Disease

Stacy Menees, MD, MSUniversity of MichiganLow FODMAP Plus PEG 3350 for the Treatment of Patients with Irritable Bowel Syndrome-Constipation

Puneeta Tandon, MD, MSc(Epi) University of Alberta

Assessing the Effectiveness of a Stress Reduction Intervention in Crohn’s Disease

(CD): A Randomized Controlled Trial

Jana Al Hashash, MD, MSc University of PittsburghPatterns of MUC1 Expression in Primary Sclerosing Cholangitis (PSC), PSC-Related Cholangiocarcinoma, and Sporadic Cholangiocarcinoma

Jennifer Horsley-Silva, MDMayo Clinic ScottsdaleUse of Mucosal Impedance in Evaluation of Gastroesophageal Reflux Disease after Peroral Endoscopic Myotomy

Patricia Pringle, MDMassachusetts General HospitalFecal Microbiota Transplant as a Treatment for Hepatic Encephalopathy

Priya Vijayvargiya, MDMayo Clinic RochesterSimplifying the Diagnostic Testing for Bile Acid Malabsorption

ACG / Takeda 2018 Clinical Research Awards

Takeda has provided unrestricted support to the ACG Institute for Clinical Research and Education.

In recognition, the ACG/Takeda Clinical Research Awards are provided to qualifying investigators. The ACG/Takeda

Clinical Research Award is designated after the ACG Research Committee has made its grant decisions

and the awardees have accepted.

2018 ACG Clinical Research Awards Pilot Projects

In 2018, the College offers Clinical Research Awards of up to $50,000 for original clinical research. The mission of this awards program is to fund innovative research that is patient-care oriented. The Committee also considers proposals for pilot awards of up to $15,000 within this category.


SPOTLIGHT: ACG Clinical Research AwardeesACG-Funded Grantees Yield Insight and Publications

Recipients of the ACG Clinical Research Award make significant contributions to the field of clinical gastroenterolgoy and are a source of tremendous pride for the ACG Institute. For ACG 2018, three ACG Clinical Research Awardees were selected to present on their research on the topics of pancreatitis, pancreatic cystic lesions, and fecal incontinence.

DR. EVAN L. FOGEL, PROFESSOR OF MEDICINE AT INDIANA UNIVERSITY SCHOOL OF MEDICINE, is a 2001 recipient of the ACG Clinical Research Award for Rectal Indomethacin in the Prevention of Post-ERCP Pancreatitis in High-Risk Patients: Searching for the Optimal Dose. A Prospective, Randomized Trial. He will be presenting his research, entitled Rectal Indomethacin Dose Escalation for Prevention of Post-ERCP Pancreatitis in High-Risk Patients: Preliminary Report of a Multicenter Randomized Trial (RIDE Trial) for this project during the ACG 2018 Presidential Plenary session.

DR. SOMASHEKAR G. KRISHNA, ASSOCIATE PROFESSOR AT THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE, is a 2017 recipient of the ACG Clinical Research Award for Confocal Laser Endomicroscopy as an Imaging Biomarker (Climb Study) for the Diagnosis of Pancreatic Cystic Lesions. He will be presenting an abstract entitled, An International External Interobserver and Derivation Study for the Detection of Advanced Neoplasia in IPMNs Using Confocal Laser Endomicroscopy at a Plenary session on this work at ACG 2018.

DR. AMOL SHARMA, ASSISTANT PROFESSOR AT AUGUSTA UNIVERSITY is a 2017 recipient of the ACG Smaller Programs Clinical Research Award for his project Home Versus Office Biofeedback Therapy For Fecal Incontinence. He will be presenting Home Biofeedback Therapy Improves Fecal Incontinence Severity and Quality of Life in a Non-Inferiority Randomized Controlled Study at a plenary session at ACG 2018.


PERSPECTIVE: Incoming Class of Junior Faculty AwardeesACG’s 2018 Junior Faculty Development Awardees Research and Career Focus

The four recipients share their thoughts on their career interests and the directions of their research.

Megan Adams, MD, JD, MScUniversity of Michigan Promoting High-Value Use of Endoscopic Sedation

I am a general gastroenterologist, attorney, and health services/policy researcher as well as an investigator with the VA Ann Arbor Center for

Clinical Management Research (CCMR). Additionally, I am a Clinical Lecturer at the University of Michigan Division of Gastroenterology. My long-term goal is to build a successful career focused on improving the quality and delivery of health care for patients with gastrointestinal conditions, by helping to define, measure, and implement high-value care. I am grateful for the support provided through the 2018 ACG Junior Faculty Development Award, which will help me to pursue meaningful, policy-relevant research that directly impacts front-line care delivery.

My project examines use of procedural sedation for routine gastrointestinal (GI) endoscopy as a case study in defining, measuring, and promoting the high-value use of healthcare resources that incorporates and balances these important factors. As the US medical system shifts to value-based healthcare delivery, we must learn to reconcile complex and sometimes competing factors, including medical appropriateness, patient preferences, cost, and access in a meaningful and equitable manner.

The use of monitored anesthesia care (MAC) for GI endoscopic sedation has grown to the point that in many places, it has become the community standard. While MAC is more frequently needed for patients with severe cardiopulmonary comorbidities or potential for airway compromise, the majority of MAC is used in healthy, low-risk patients, who likely do not require MAC for medical reasons. The Centers for Medicare and Medicaid Services (CMS) unbundled and revalued endoscopic sedation codes in order to address economic drivers of MAC use, reflecting increased scrutiny by insurers more globally. But, changing financial incentives in this manner may not ensure that patients who need MAC are more likely to receive it, and may not substantially dissuade MAC use among low-risk patients. To accomplish this, particularly in the face of a growing epidemic of obesity and chronic opioid use, we need more precise criteria to aid providers (and policymakers) in identifying patients who require MAC for safe and effective sedation. My proposed projects will employ both quantitative and qualitative methods to address important knowledge gaps and generate foundational knowledge necessary to help gastroenterologists demonstrate the high-value use of GI endoscopic sedation.

Parakkal Deepak, MBBS, MSWashington University in St. Louis School of MedicineTriangular Phenotyping and Response Assessment in Small Bowel Crohn’s Disease using MRE and Novel Proteomic Biomarkers

I am an Assistant Professor of Medicine in the Inflammatory Bowel Disease

(IBD) Center in the Division of Gastroenterology, John T. Milliken Department of Internal Medicine at the Washington University School of Medicine. My clinical expertise is in the diagnosis and management of complex IBD with the overarching focus on improving the precision of medical therapy in IBD, focusing on the right patient, the right drug, and the right dose, to maximize efficacy and limit side-effects. My interest in gastroenterology started in medical school where the digestive system appeared to offer the ideal interface of biochemistry, human physiology, and anatomy. This interest solidified as I realized that a career in gastroenterology offered the rare combination of cognitive and procedural aspects of medicine.

The long-term objective of my project is to establish that radiologic transmural response and a novel proteomic biomarker are accurate and clinically meaningful predictors of small bowel Crohn's disease (SBCD) inflammatory activity and response to biologic therapy. To address this objective, our short-term goal is to establish a prospectively followed cohort of SBCD patients starting a new biologic therapy, who will be comprehensively phenotyped using an innovative approach of triangular phenotyping with state of the art magnetic resonance enterography (MRE) imaging, proteomic profiling, and clinical disease activity indices. The development of an early assessment method (radiologic or serologic) that predicts SBCD clinical outcomes has the potential to make a rapid and profound impact on clinical practice. This cohort of SBCD with rigorous “triangular phenotyping” will serve as a career-transforming resource by facilitating future investigations towards other novel biomarkers from the blood and the stool specifically in SBCD as well as allowing the application of advanced image analysis techniques to MRE images obtained during this award.

Inflammatory bowel diseases (IBD) are a group of diseases where there is a potential to have meaningful impact from both a scientific and a patient care viewpoint in the next few decades. I am specifically focused in evaluating new tools and improving the precision of assessment of disease activity and response to therapy in SBCD activity. Current serum biomarkers are inadequate for SBCD and mucosal healing (MH) visualized during repeated ileocolonoscopies as a “treat-to-target” strategy is burdensome for the patient and carries inherent risks. Thus, there is an unmet need for accurate and clinically meaningful methods to measure SBCD activity. This is particularly relevant as the field moves towards “treat-to-target” management strategies.


Girish Hiremath, MD, MPHMonroe Carell Jr. Children’s Hospital at Vanderbilt, Vanderbilt University Label Free Determination of Biomolecular and Biochemical Signatures in Eosinophilic Esophagitis: Bench to Bedside Application of Raman Spectroscopy

I am a board-certified pediatric gastroenterologist and an Assistant Professor of Pediatrics (Division of Gastroenterology, Hepatology and Nutrition) at the Monroe Carell Jr. Children’s Hospital at Vanderbilt as well as an Assistant Professor of Biomedical Engineering at the Vanderbilt School of Engineering with a broad background in epidemiology, biostatistics, research methods, and biomedical engineering. I care for a full spectrum of pediatric EGID patients and aspire to become a leader in clinical translational research in the field of eosinophilic gastrointestinal disorders, specifically Eosinophilic esophagitis (EoE).

My research project seeks to apply Raman spectroscopy to objectively and accurately identify EoE in a clinical setting with the central hypothesis that identification of EoE specific biochemical and molecular signatures in the affected esophagus will facilitate the development of clinically applicable diagnostic strategies. The long-term goal of this research is to discover an innovative, clinically applicable, minimally invasive approach proficient at real-time identification of EoE and other overlapping esophageal disorders with molecular specificity in adults and children. Under the auspices of the ACG Junior Faculty Development Award, I seek to gain formal training in Raman spectroscopy, translational research techniques, and enhance my understanding about EoE and Eosinophilic Gastrointestinal Disorders (EGIDs). It is my hope that my research will advance the way we currently diagnose and monitor EoE, positively impact patient care and improve the clinical outcomes, and allow me to grow as an astute clinician and advance my career as a clinical-translational researcher.

Eosinophilic esophagitis is an increasingly prevalent, allergen mediated, chronic inflammatory condition affecting the esophagus. The current approaches to diagnose and monitor EoE require repeated upper endoscopy (EGD) and multiple random esophageal biopsies to confirm characteristic histologic changes in the esophagus and to distinguish it from common overlapping conditions such as reflux esophagitis. This approach is invasive, expensive, time-consuming and impractical. Furthermore, it can be emotionally distressing particularly for children with this onerous condition.

Rena Yadlapati, MD, MSHSUniversity of Colorado Anschutz Medical Campus Determining Best Practices for Reflux Associated Laryngeal Symptoms

I am a physician-scientist and Assistant Professor

at the University of Colorado School of Medicine. My Gastroenterology and Hepatology fellowship, T32 training fellowship in esophageal physiology, and Masters in Health Services and Outcomes Research were obtained at Northwestern University. My career objectives are to be an independently funded investigator and international leader in the field of esophageal reflux and motility disorders, to direct a multi-disciplinary esophageal aero-digestive clinical research program, and to mentor trainees and early career investigators.

The focus of my research project is to bridge the gap between advances in esophageal physiologic testing and deficiencies in clinical practice related to gastroesophageal reflux disease, particularly laryngeal complaints such as voice changes and sore throat. My research seeks to develop a novel clinical approach to suspected reflux associated laryngeal symptoms by examining sophisticated diagnostic tests and therapeutic options in a well-designed clinical trial alongside a cost-effectiveness analysis. Despite conflicting evidence and lack of diagnostic criteria, patients are increasingly, and often incorrectly, diagnosed with reflux associated laryngeal symptoms, and managed as such. The current paradigm for reflux associated laryngeal symptoms is fraught with unnecessary use of resources and ineffective patient care, including inappropriate proton pump inhibitor therapy. Fortunately, novel and sophisticated diagnostic options have emerged in the field of esophageal function testing. The immediate anticipated impact of this research is to lay the framework for a large multi-center randomized clinical trial and clarify the diagnostic criteria for reflux associated laryngeal symptoms.

My long-term goals are to impact the clinical approach to suspected reflux associated laryngeal symptoms through clinical practice guidelines and implementation research. I was first drawn to GI given the diagnostic and procedural technological advances, and the degree to which patients were afflicted by GI symptoms, particularly those relating to motility disorders. Now, it is an honor to be able to synthesize my background in esophageal physiology and health services research to work towards improving the care of patients with esophageal motility disorders.

2017

Alina M. Allen, MDMayo Clinic RochesterNoninvasive Diagnosis of NASH by Magnetic Resonance Elastogram (MRE)

2017

Reena Khanna, MDUniversity of Western OntarioEfficient Early Drug Development in Inflammatory Bowel Disease

2017

Renumathy Dhanasekaran, MDStanford UniversityPlasma Glycoproteomic Biomarkers for Invasive Human Hepatocellular Carcinoma (HCC)

Current ACG Junior Faculty Awardees The ACG Institute is proud of the 2018, 2017 and 2016 Junior Faculty Awardees. They represent an investment in future leaders and clinicians. Learn more about their projects and ongoing research efforts:

Recognizing K-Award Funding for Junior Faculty Development AwardeesA measure of career independence is obtaining research funding, and the purpose of Junior Faculty Development Awards are to prepare grantees for independent research careers. The College commends two 2017 grantees who recently received their K-Award from NIH:

Alina Allen, MD Renumathy Dhanasekaran, MD


SUPPORTING INVESTIGATIVE SCIENCE: ACG Scholars Meeting in Orlando, FLTHE ACG SCHOLARS IS A COHORT OF 59 CURRENT AND FORMER RECIPIENTS OF THE ACG JUNIOR FACULTY DEVELOPMENT AWARD. As recipients of the prestigious award, recipients move forward as leaders in the field of clinical gastroenterology. They represent the highest level of achievement and develop relationships with their peers that further new research to benefit the delivery of care.

Established in 1997, the ACG Scholars Cohort meets each year at the ACG Annual Meeting to provide an opportunity for attendees to network and to attend a research progress presentation from the previous year’s Development Award recipients.

2016 ACG Junior Faculty Development Awardees present their Research in Orlando:

JESSICA R. ALLEGRETTI, MD, MPH, presented on her project “Altered Bile Salt Composition Secondary to Intestinal Dysbiosis Mechanisms Underlying Recurrent Clostridium difficile Infections.” Dr. Allegretti has developed a study to identify specific predictors of recurrent CDI and to identify a novel biomarker of recurrence. In Orlando, Dr. Allegretti presented to the assembled group of ACG Scholars that 63 patients had enrolled with 18 patients having experienced a CDI recurrence. Preliminary data indicates that of the 63 enrolled patients, 29 subjects showed a recurrence of CDI through the first six weeks of collection and testing. Next steps in the research include achieving complete enrollment of the test group followed by analysis. Looking further ahead, future objectives are to identify the best predictor (microbial/metabolomic) of CDI recurrence and to test the biomarker in a validation cohort.

SIDDHARTH SINGH, MD, MS, presented on his project, “Impact of Obesity on Disease Course and Treatment Response in Inflammatory Bowel Diseases.” The objective of Dr. Singh’s project is to determine the impact that obesity has on the outcomes of IBD treatment. Specific aims of the research are to compare the overall disease course in obese vs. non-obese patient in randomized trials as well as in the real world, to compare treatment response to anti-TNF agents, and to compare risk and outcomes of serious infections in obese and non-obese IBD patients. Dr. Singh reported in Orlando that he had created a longitudinal cohort of IBD patients with hospitalization and created a propensity score-matched cohort comparing obese vs. non-obese patients. Next steps in the project are to analyze the impact of obesity in patients with fixed-dose regimens of RCTs and to review the impact of obesity on the natural history of IBD.


ACG SCHOLARS: Contributions to the 2018 Annual Scientific MeetingA MAINSTAY OF THE ANNUAL SCIENTIFIC MEETING is the stimulating research submitted by Junior Faculty Development Grantees, which dominates the oral plenary sessions. This year, at ACG 2018 Annual Scientific Meeting, the Junior Faculty Development Grantees have once again submitted high-quality research. As part of their award requirements, grantees are encouraged to submit an abstract to the ACG Annual Scientific Meeting. Submissions are rigorously reviewed and evaluated by the ACG Educational Affairs Committee, which selects fewer than 70 papers for oral presentation from the more than 3,000 abstracts submitted.

The consistently high percentage of oral papers presented by the ACG Scholars at the ACG Annual Scientific Meeting is a testament to the talents of this dynamic group of clinical researchers. Their work is frequently featured as part of the distinguished President’s Plenary Session, a forum to showcase the best abstract in each organ system category.

PLENARY SESSIONS: 2018 ACG ANNUAL SCIENTIFIC MEETING

NICHOLAS J. SHAHEEN, MD, MPH, FACGUniversity of North Carolina School of MedicineProgression of Barrett’s Esophagus (BE) and Dysplasia Detected by Wide Area Transepithelial Sampling With Computer-Assisted 3D Analysis (WATS3D) Confirms the Clinical Significance of Crypt Dysplasia (President’s Plenary Session-Governors Physician Award)

ZOBAIR M. YOUNOSSI, MD, MPH, FACGInova Fairfax HospitalExtensive Validation of a Disease-Specific Health Related Quality of Life Instrument in Patients With Biopsy-Proven Non-Alcoholic Steatohepatitis (NASH): Chronic Liver Disease Questionnaire-NASH (CLDQ-NASH) (Governors Physician Award)

ACG SCHOLARS EVENT AT ORLANDO, FL 2017On October 16, 2017, at the ACG Annual Scientific Meeting in Orlando, FL, the ACG Scholars met for the annual luncheon and networking meeting. This event has become an annual tradition, bringing together past Junior Faculty Development Award recipients with the previous year’s awardees.

ACG Institute Director, Dr. Nicholas Shaheen, welcomed everyone, including current and former members of the ACG Institute Board of Directors to the luncheon. Dr. Shaheen encouraged everyone to remain engaged in the work of the Institute and provided a summary of the Institute’s current projects.

The Junior Faculty Award Recipients from 2016 made impressive presentations on the progress of their research. Jessica Allegretti, MD, MPH of Brigham and Women’s Hospital provided an update on her project Altered Bile Salt Composition Secondary to Intestinal Dybiosis: Mechanisms Underlying Recurrent Clostridium difficile Infections. Siddharth Singh, MD, MS of the University of California San Diego presented on Impact of Obesity on Disease Course and Treatment Response in Inflammatory Bowel Diseases.

ACG Scholars Event Orlando 2017 (L to R Jean-Paul Achkar, MD, FACG, Chair, ACG Research Committee, Evan S. Dellon, MD, MPH, FACG, Siddharth Singh, MD, MS, Nicholas J. Shaheen, MD, MPH, FACG, Director, ACG Institute, Jessica R. Allegretti, MD, MPH, Yuri A. Saito-Loftus, MD, MPH, FACG, Yehuda Ringel, MD, FACG and Christopher V. Almario, MD, MSHPM)


Naga P. Chalasani, MD, FACGDavid W. Crabb Professor of Gastroenterology and Hepatology; Professor of Medicine; Chief, Division of Gastroenterology and Hepatology; Associate Dean for Clinical Research; Adjunct Professor of Cellular and Integrative Physiology, Indiana University School of Medicine

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Chinyu Su, MD Senior Director, Global Medicines Development, Pfizer Inc.20

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Deborah A. Fisher, MD, MHS Associate Professor of Medicine, Duke University; Associate Director of GI Research, Duke Clinical Research Institute

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Carlo Di Lorenzo, MDProfessor of Clinical Pediatrics, The Ohio State University College of Medicine; Robert F. and Edgar T. Wolfe Foundation, Endowed Chair in Pediatric Gastroenterology; Chief, Gastroenterology, Hepatology, and Nutrition, Nationwide Children’s Hospital

1997

G. Richard Locke, III, MD, FACGProfessor of Medicine, Mayo Clinic Rochester

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Sapna Syngal, MD, MPH, FACG Professor of Medicine, Harvard Medical School; Senior Physician, Brigham and Women's Hospital; Director of Research, Center for Cancer Genetics and Prevention; Director, Gastrointestinal Cancer Genetics and Prevention Clinics; Director, Gastroenterology, Brigham and Women’s Hospital, Dana-Farber Cancer Institute

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Zobair M. Younossi, MD, MPH, FACG Executive Vice President for Research, Inova Health System; Chairman, Department of Medicine, Inova Fairfax Hospital; Professor of Medicine, Virginia Commonwealth University; Professor of Biomedical Sciences, George Mason University; Co-Director, Center for the Study of Genomics in Liver Disease

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Nicholas J. Shaheen, MD, MPH, FACGBozymski-Heizer Distinguished Professor of Medicine; Chief, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine at Chapel Hill

200

0 Yvonne Romero, MD, FACGAssistant Professor of Medicine, Mayo Clinic Rochester

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John M. Inadomi, MD, FACGCyrus E. Rubin Professor of Medicine; Head, Division of Gastroenterology, University of Washington

200

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Kirti Shetty, MDDirector of Hepatology, Sibley Memorial Hospital; Associate Professor of Medicine, Johns Hopkins Medicine

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Bo Shen, MD, FACGThe Ed and Joey Story Endowed Chair; Professor of Medicine, Cleveland Clinic

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Yuri A. Saito-Loftus, MD, MPH, FACGAssistant Professor of Medicine, Mayo Clinic Rochester, Clinical Enteric Neuroscience Translational and Epidemiological Research (C.E.N.T.E.R.)

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Yehuda Ringel, MD, FACGProfessor of Medicine; Chief, Division of Gastroenterology, Meir Medical Center, Sharon, Israel

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George N. Ioannou, MD, MSProfessor of Gastroenterology, Associate Professor of Medicine, University of Washington; Director, Hepatology, Veterans Affairs Puget Sound Health Care System

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Thomas A. Ullman, MD, FACGChief, Division of Gastroenterology, Albert Einstein College of Medicine; Senior Associate Dean for Clinical Affairs, Professor of Medicine; Icahn School of Medicine at Mount Sinai

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4 Elena M. Stoffel, MD, MPHAssistant Professor of Medicine, University of Michigan, Ann Arbor

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Shahnaz Sultan, MD, MHSc, FACGAssistant Professor of Medicine, University of Minnesota; Core Investigator, Center for Chronic Disease Outcomes Research, Minneapolis Veterans Affairs Health Care System

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Albena D. Halpert, MDAssistant Professor of Medicine, Boston University School of Medicine

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6 Claudia O. Zein, MD, MScCase Western Cleveland VA Medical Center

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Brian W. Behm, MDAssociate Professor of Medicine, University of Virginia School of Medicine

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Marcelo F. Vela, MD, MSCR, FACGProfessor of Medicine, Mayo Clinic Scottsdale

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Jasmohan S. Bajaj, MD, MSc, FACGAssociate Professor of Medicine, McGuire VA Medical Center and Virginia Commonwealth University

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Alphonso Brown, MDAssistant Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center


ACG SCHOLARS

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Evan S. Dellon, MD, MPH, FACGAssociate Professor of Medicine and Epidemiology, University of North Carolina at Chapel Hill

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Curtis K. Argo, MD, MSAssociate Professor of Medicine, University of Virginia Health System

200

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Ajay Bansal, MD Associate Professor of Medicine, University of Kansas Medical Center

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Prasad G. Iyer, MD, MS, FACGProfessor of Medicine; Consultant, Division of Gastroenterology and Hepatology; Co-Director, Advanced Esophageal Fellowship; Director, Post-Doctoral Programs, Mayo Clinic Center for Clinical and Translational Science, Mayo Clinic Rochester

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Bechien U. Wu, MD, MPHDirector, Pancreatic Disorders; GI Fellowship Program Director, Kaiser Permanente, Los Angeles Medical Center

2010

Katherine S. Garman, MDAssistant Professor of Medicine, Duke University School of Medicine

2010

David G. Koch, MD, MSCRAssociate Professor, Medical University of South Carolina

2010

Alberto Rubio-Tapia, MDAssistant Professor of Medicine, Mayo Clinic Rochester

2010

Harminder Singh, MD, MPH, FACGAssociate Professor, University of Manitoba Rady Faculty of Health Sciences

2011

Eric I. Benchimol, MD, PhDDirector and Senior Scientist, Health Information Technology Program, Children’s Hospital of Eastern Ontario; Associate Professor of Pediatrics, University of Ottawa

2011

Jason K. Hou, MD, MS, FACGAssistant Professor of Medicine- Gastroenterology, Baylor College of Medicine Director, GI & Hepatology Fellowship ProgramDirector of Research, IBD

2011

Ponni V. Perumalswami, MDAssociate Professor of Medicine, Mount Sinai School of Medicine

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Amit Singal, MD, MSAssociate Professor of Medicine, Medical Director of the Liver Tumor Program and Chief of Hepatology, University of Texas Southwestern Medical Center

2011

Tyler Stevens, MD, MS, FACGAssistant Professor, Case Western Reserve University, Staff Physician, Cleveland Clinic, Director of the Pancreas Clinic, Cleveland Clinic

2012

Seth D. Crockett, MD, MPHAssistant Professor of Medicine, University of North Carolina at Chapel Hill

2012

Tamas A. Gonda, MDAssistant Professor of Medicine, New York-Presbyterian/Columbia University Medical Center

2012

Jennifer C. Lai, MD, MBAAssociate Professor of Medicine, University of California San Francisco School of Medicine

2013

Naim Alkhouri, MDDirector, Metabolic Center, Texas Liver Institute

2013

Walter G. Park, MD, MSAssistant Professor of Medicine; Medical Director, Pancreas Clinic, Stanford Hospital & Clinics, The Stanford University Medical Center

2013

N. Jewel Samadder, MD, MSc Senior Associate Consultant; Medical Lead, High Risk Cancer Clinics; Associate Professor of Medicine; Mayo Clinic Scottsdale

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Linda C. Cummings, MD, MSAssistant Professor of Medicine, Case Western Reserve University

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Manish K. Gala, MDInstructor in Medicine, Harvard Medical School; Assistant in Medicine, Massachusetts General Hospital

2014

Ashwani K. Singal, MD, MS, FACGAssociate Professor; Director of the UAB Porphyria Center, University of Alabama at Birmingham

2015

Cynthia A. Moylan, MD, MHSAssociate ProfessorDuke University School of Medicine, Duke University Medical Center

2015

Christopher V. Almario, MD, MSHPMAssistant ProfessorCedars-Sinai Medical Center

Jennifer C. Price, MD, PhDAssociate ProfessorUniversity of California San Francisco


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The Acute Pancreatitis Task Force on Quality

THE ACG INSTITUTE, IN MEETING ITS CORE MISSION to support patient-care oriented clinical research, provided funding for the Acute Pancreatitis Task Force on Quality (APTFQ). The task force undertook the development of quality indicators for acute pancreatitis. This rigorous process included multiple rounds of ranking the proposed quality indicators. The work was overseen by a task force of national experts and included an in-person meeting in Dallas, Texas on March 8-9, 2018 to conduct the second round of ranking of the quality indicators.

The aim of the APTFQ is to formally develop quality indicators for the management of acute pancreatitis patients utilizing a modified version of the RAND/UCLA Appropriateness Methodology (RAM). This included six main objectives:

1) Develop an Acute Pancreatitis Quality Indicator Research Framework2) Complete a comprehensive literature review3) Develop a proposed quality indicator matrix4) Select and engage a multidisciplinary expert panel5) Validate proposed quality indicators by the expert panel6) Disseminate final quality indicators

The authors are currently working on manuscripts, and an abstract was accepted for an oral presentation at ACG 2018: Rathan Reddy, MD, et al. “Acute Pancreatitis Task Force on Quality (APTFQ): Formal Development of Quality Indicators.”L-R: First row: Georgios Papachristou, MD, PhD, FACG, Martin Freeman, MD, FACG, Shyam

Varadarajulu, MD, Charles ‘Mel’ Wilcox, MD, FACG, Paul Tarnasky, MD, FACG. Second Row:

Amrita Sethi, MD, Stephen Pandol, MD, Robert Hawes, MD, FACG, Gregory Cote, MD, MS, Rajesh

Krishnamoorthi, MD, Leslie Cler, MD, David Whitcomb, MD, PhD, FACG, Prashant Kedia, MD

Chair, Jean-Paul Achkar, MD, FACG Cleveland Clinic

Manal F. Abdelmalek, MD, MPH, FACG Duke University

Bincy P. Abraham, MD, MS, FACG Houston Methodist

Julian A. Abrams, MD Columbia University Medical

Center

Naim Alkhouri, MD The Texas Liver Institute

Ashwin Ananthakrishnan, MD, MPH Massachusetts General

Hospital

Olga C. Aroniadis, MD, MSc Montefiore Medical Center

Edgar C. Boedeker, MD, FACG University of New Mexico

School of Medicine

Evan S. Dellon, MD, MPH, FACG University of North Carolina

at Chapel Hill

Timothy B. Gardner, MD, MS, FACG Dartmouth-Hitchcock Medical

Center

Philip A. Hart, MD The Ohio State University

David P. Hudesman, MD NYU Langone Medical Center


RESEARCH COMMITTEE

Binu V. John, MD, MPH, FACG Virginia Commonwealth

University

Luis F. Lara, MD The Ohio State University

Jonathan E. Markowitz, MD, MSCE Greenville Children’s

Hospital

V. Raman Muthusamy, MD, FACG University of California, Los

Angeles

Georgios I. Papachristou, MD, FACG University of Pittsburgh

Medical Center

Joel R. Pekow, MD University of Chicago

Mark Pimentel, MD, FACG Cedars-Sinai Medical

Center

Mark S. Riddle, MD, DrPH Naval Medical Research

Center

Sameer D. Saini, MD University of Michigan

N. Jewel Samadder, MD Mayo Clinic Scottsdale

Felice Schnoll-Sussman, MD, FACG Weill Cornell Medical

College

Pratima Sharma, MD University of Michigan

Aasma Shaukat, MD, MPH, FACG Minneapolis VAMC

Amit Singal, MD, MS University of Texas

Southwestern

Harminder Singh, MD, FACG University of Manitoba

Lisa L. Strate, MD, MPH, FACG Harborview Medical Center

Jill M. Tinmouth, MD, PhD Sunnybrook Health

Sciences Centre

Tram T. Tran, MD, FACG Cedars-Sinai Medical

Center

Fernando S. Velayos, MD, MPH University of California San

Francisco

Sachin B. Wani, MD University of Colorado

School of Medicine


ACG Institute’s Education MissionThe ACG Institute works to develop comprehensive

education for GI clinicians based on the best science, as well as to serve as a resource for patient education and raise

public awareness of various GI disorders.

EDUCATION20 | 2017–2018 Annual Report of Programs & Activities

EDUCATION 2017–2018 Annual Report of Programs & Activities | 21

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David E. Bernstein, MD, FACGHofstra Northwell School of Medicine

Catherine T. Frenette, MDScripps Health

Paul Y. Kwo, MD, FACGStanford University

Joseph K. Lim, MD, FACGYale University School of Medicine

April G. Morris, FNPLiver Institute of Virginia

Mark W. Russo, MD, MPH, FACGCarolinas Medical Center

Mitchell L. Shiffman, MD, FACGLiver Institute of Virginia

Bon Secours Health System

Systematic Review on the Management of IBS (AJG July 2018)

“…[T]reating IBS patients can be difficult as no validated treatment algorithm exists, not all patients respond to treatment, and patients with similar symptoms frequently respond to the same treatment differently. Fortunately, a variety of novel therapeutic strategies are being explored and new compounds have appeared since the last iteration of the ACG monograph on IBS [in 2014]. The goal of this document, therefore, is to provide an updated, evidence-based document on the therapy of this common and, at times, debilitating disorder.”

The American College of Gastroenterology and the ACG Institute convened an expert physician panel as the ACG Task Force on the Management of Irritable Bowel Syndrome undertook a systematic review of trials evaluating medical therapies for IBS. The broad range of therapies included in this meta-analysis runs the gamut from prebiotics, probiotics and antibiotics to pro-secretory agents, as well as fiber and laxatives. Therapeutic approaches including dietary manipulation and biofeedback are included in the review.

The new systematic review substantially updates ACG’s 2014 monograph, “ACG Monograph on the Management of Irritable Bowel Syndrome and Chronic Idiopathic Constipation” and the College’s 2009 monograph, “An Evidence-Based Systematic Review on the Management of Irritable Bowel Syndrome”

VOLUME 113 SUPPLEMENT 2 JULY 2018nature.com/ajg

OFFICIAL PUBLICATION OF THE AMERICAN COLLEGE OF GASTROENTEROLOGY

SUPPLEMENT

American College of Gastroenterology Monograph on Management of Irritable Bowel Syndrome

ACG’s Hepatology School

HEPATOLOGY SCHOOL RETURNED for a second successful year. Building on the success of ACG’s Hepatitis School (2013–2016), and recognizing the need for a more comprehensive course, the ACG Institute implemented a broader curriculum for 2017 and ACG’s Hepatology School was introduced.

The College leadership has approved a comprehensive hepatology curriculum, developed by national experts in hepatology who serve as the course co-chairs. The content is tailored to meet the needs of clinical practitioners and advanced practice providers, with a deep dive into the material and in a smaller, more intimate educational experience that brings the quality clinical education of ACG’s Annual Scientific Meeting and Postgraduate Course closer to where ACG member physicians live and practice.

Topics will continue to evolve, encompassing management, treatment and screening for hepatitis B and hepatitis C, treatment post-cure of HCV, evaluation and treatment of NAFLD and NASH, evaluation and treatment of primary biliary cholangitis, hepatic encephalopathy, other complications of cirrhosis and hepatocellular carcinoma.

The ACG Hepatology School is designed to better enable clinical gastroenterologists and primary care physicians to triage, treat, and refer patients more efficiently. With a flexible curriculum designed to meet current trends. Two Hepatology School programs occur this year: August 24, 2018, in Indianapolis, IN and November 30, 2018, in Nashville, TN. These programs were offered with promotional support provided in-part by Intercept Pharmaceuticals (Indianapolis and Nashville), Dova Pharmaceuticals (Indianapolis), and Shionogi, Inc. (Indianapolis).

2018 Hepatology School Courses• August 24, 2018, in Indianapolis, IN• November 30, 2018, in Nashville, TN


ACG Young Physician Leadership Scholars Program Elevating Great Doctors into Great Leaders

The ACG Young Physician Leader Scholars Program (YPLSP) is a new ACG Institute-supported program that offers leadership and policy training to third-year and fourth-year fellows and junior faculty/private practice physicians who are less than five years out of training.

The objective of the program is to provide young physicians with a comprehensive set of skills that serves as a foundation for their growth as leaders and physician advocates. The focus is also on building aptitude in executive decision-making, critical thinking, and in the understanding of organizational behavior. The ACG Institute is fostering the next generation of leaders in gastroenterology by bringing motivated young physicians together for interactive discussions and a day of advocacy meetings on Capitol Hill in the YPLSP cohort. This program has garnered significant interest with 30 fellows and junior faculty set to begin the inaugural class.

COURSE DIRECTORS:

David J. Hass, MD, FACG

Mark B. Pochapin, MD, FACG

At ACG 2018, the YPLSP course will include: • Effective Leadership and Impactful Networking

David Hass, MD, FACG• Emotional Intelligence and The Art of Persuasion

Costas H. Kefalas, MD, MMM, FACG• Physician Resilience and Preventing Provider Burnout

Christina M. Surawicz, MD, MACG• Developing Your Own Leadership Model

Mark B. Pochapin, MD, FACG• Understanding Organizational Behavior

David N. Berg, PhD

The ACG Governors’ Fly-in will take place in April 2019.

Online educational resources are available on the ACG Education Universe.

ACG Task Force on the Management of Irritable Bowel Syndrome:

Eamonn M.M. Quigley, MD, MACG, ChairHouston Methodist Hospital and Weill Cornell Medical College, Houston, Texas

Alexander C. Ford, MB ChB, MD, FRCPUniversity of Leeds and Leeds Gastroenterology InstituteLeeds, United Kingdom

Paul Moayyedi, Bsc, MB ChB, PhD, MPH, FACG, FRCP, FRCPC, AGAFMcMaster University, Hamilton, Ontario, Canada

William D. Chey, MD, FACGUniversity of Michigan, Ann Arbor, Michigan

Lucinda A. Harris, MD, FACGMayo Clinic, Scottsdale, Arizona

Brian E. Lacy, MD, PhD, FACGMayo Clinic, Jacksonville, Florida

Yuri A. Saito, MD, MPH, FACGMayo Clinic, Rochester, Minnesota

Highlights of new recommendations on IBS therapies

1. Much more data on diets and on the low FODMAP diet, in particular

2. More studies on probiotics

3. New pro-secretory agent, plecanatide, and more data on an existing one, linaclotide

4. New studies on the antibiotic rifaximin

5. New studies on psychological therapies

6. New medication for IBS-D, eluxadoline

7. Studies on 5-ASA


2018

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Jean-Paul Achkar, MD, FACGCleveland Clinic

Jessica R. Allegretti, MD, MPHBrigham and Women’s Hospital

Dawn M. Beaulieu, MDVanderbilt University Medical

Center

Aline Charabaty, MDGeorgetown University; MedStar Georgetown University Hospital

Raymond K. Cross, Jr, MD, MSUniversity of Maryland School

of Medicine

Francis A. Farraye, MD, MSc, FACGBoston University School of

Medicine; Boston Medical Center

Sonia Friedman, MD, FACGHarvard Medical School

Jill Gaidos, MD, FACGVirginia Commonwealth

University

Susan Galandiuk, MD, FACG University of Louisville

Christina Y. Ha, MDCedars Sinai Medical Center

Stephen B. Hanauer, MD, FACGNorthwestern University Feinberg

School of Medicine

Sunanda V. Kane, MD, MSPH, FACGMayo Clinic Rochester

Ali Keshavarzian, MD, MACGRush University Medical Center

Brian W. Behm, MDUniversity of Virginia

Ashwin N. Ananthakrishnan, MD, MPH

Massachusetts General Hospital

John F. Kuemmerle, Jr., MD, FACGVirginia Commonwealth University

ACG’s IBD SchoolNOW IN ITS SECOND YEAR, ACG’s IBD School was created after the success of ACG’s Hepatitis School. The concept of a specialized course for inflammatory bowel disease gained importance for ACG Institute leaders with the rise of recent changes related to IBD. These changes include new FDA-approved agents, new diagnostic tests, and serum drug levels. The IBD School Course Directors, with the help of IBD experts from around the country, felt the need to make ACG members aware of these developments so that they could be better prepared to provide the most up-to-date, evidence-based care to their IBD patients.

The inaugural IBD School was held on April 7, 2017, in Washington, DC, in conjunction with the Eastern Regional Postgraduate Course. The program was highly successful with record attendance. Three additional IBD Schools occurred in 2018 and for 2019, the program schedule calls for three.

The faculty is comprised of experts in the field who are not only well-respected researchers but also busy clinicians. They discuss real-life issues, drawing on matters that are affecting their patients as part of the panel discussions and question and answer sessions.

2017–2018 IBD School Courses:

• April 7, 2017, in Washington, DC

• August 25, 2017, in St. Louis, MO

• December 1, 2017, in Nashville, TN

• January 26, 2018, in Las Vegas, NV**

• April 13, 2018, in Boston, MA**

• September 7, 2018, in Williamsburg, VA**

**The Institute recognizes with thanks the promotional support of AbbVie, Inc., and Amgen, Inc. for the IBD School program in 2018.


Jonathan A. Leighton, MD, FACGMayo Clinic Scottsdale

Gary R. Lichtenstein, MD, FACGHospital of the University

of Pennsylvania

Millie D. Long, MD, MPH, FACGUniversity of North Carolina

Shivani Patel, PharmD, BCPSUniversity of Chicago Medicine

Miguel D. Regueiro, MD, FACGUniversity of Pittsburgh

David T. Rubin, MD, FACGUniversity of Chicago Medicine

Vaccination and IBD Request for Proposals Collaborative Project

The ACG Institute is partnering with the American Gastroenterological Association and the Crohn’s & Colitis Foundation to manage and produce a request for proposals for interventions that promise to improve vaccine utilization, promote health maintenance, and increase preventive care services in patients with inflammatory bowel diseases (IBD). The collaboration is facilitated and funded by Pfizer Independent Grants for Learning & Change.

The RFP, Improving Vaccine Utilization and Preventive Health Maintenance in IBD, seeks evidence-based projects that focus on the development and implementation of educational and/or systems-based interventions to improve vaccination utilization and/or preventive health maintenance among patients with IBD. In addition to ensuring delivery of appropriate vaccines, preventive health maintenance strategies for IBD patients aim to maximize communication between gastroenterology providers and primary care providers which can include interventions such as screening for cervical and skin cancer and osteoporosis; identification of depression and anxiety; and smoking cessation programs.

“While there are an increasing number of effective medical treatment options for patients with IBD, they can lead to immune suppression and may have side effects that impact overall health,” noted Francis A. Farraye, MD, MSc, FACG, Director of the Inflammatory Bowel Disease Center at Boston Medical Center and Professor of Medicine at the Boston University School of Medicine, who chairs the steering committee for the partnership.

The RFP was issued on July 23, 2018, and submissions were due on September 7, 2018. The steering committee will meet to determine awardees during ACG 2018 in Philadelphia and notifications to awardees will be issued shortly thereafter.

Steering Committee Members:Francis A. Farraye, MD, MSc, FACG (Chair)Jean-Paul Achkar, MD, FACGKalee Eichelberger (Patient Representative)Joseph D. Feuerstein, MDSunanda V. Kane, MD, MSPH, FACGGeoffrey C. Nguyen, MD, PhDAshley Perkovitz, APN, FNP

David A. Schwartz, MD, FACGVanderbilt Universtiy Medical

Center

Samir A. Shah, MD, FACGAlpert Medical School of Brown University; The Miriam Hospital;

Gastroenterology Associates, Inc.

Corey A. Siegel, MD, MSDartmouth-Hitchcock Medical

Center

Douglas C. Wolf, MD, FACGAtlanta Gastroenterology Associates

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© 2017 by the American College of Gastroenterology

The American Journal of GASTROENTEROLOGY

CLINICAL GUIDELINES

INTRODUCTION Th e purpose of this article is to review preventive care for the infl ammatory bowel disease (IBD) patient. Health maintenance issues include assessment for vaccinations, screening for cervical cancer, melanoma and non-melanoma skin cancer (NMSC), and osteoporosis. Identifi cation of depression and anxiety and smok-ing cessation in IBD patients will also be reviewed. To accomplish these goals, coordination between the primary care provider, gas-troenterology team and other specialists is necessary. Colorectal dysplasia surveillance and management will not be addressed in this review. As part of this guideline preparation, a literature search was con-ducted using Ovid MEDLINE from 1946 to 2015, EMBASE 1988 to 2015, and SCOPUS from 1980 to 2015. Th e major terms were the controlled subject headings in MeSH: IBDs, colitis, ulcerative, and Crohn’s disease. Th ese were translated into the EMTREE controlled vocabulary as enteritis, ulcerative colitis (UC), and Crohn’s disease (CD). Words in the title for these diseases were also included. Th e balance of the search involved the concepts of interest, including vaccination, immunizations, specifi c vaccines and diseases, as well as screening, cervical cancer, melanoma, NMSC, smoking,

depression, osteoporosis, etc. Th e results were limited to trials, meta-analyses, systematic reviews, and existing guidelines. In some areas where trials were unavailable cohort studies and reviews were included. Each author performed an updated literature search in 2016 to include more recently published articles. To evaluate the level of evidence and strength of recommen-dations, we used the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system ( 1 ). Th e level of evidence could range from “high” (implying that further research was unlikely to change the authors’ confi dence in the estimate of the eff ect), “moderate” (further research would be likely to have an impact on the confi dence in the estimate of eff ect), “low” (fur-ther research would be expected to have an important impact on the confi dence in the estimate of the eff ect and would be likely to change the estimate), or “very low” (any estimate of eff ect is very uncertain). Th e strength of a recommendation was graded as “strong” when the desirable eff ects of an intervention clearly outweigh the undesirable eff ects and as “conditional” when there is uncertainty about the trade-off s. We preferentially used meta-analyses or systematic reviews when available, followed by clini-cal trials and retrospective cohort studies. To determine the level

ACG Clinical Guideline: Preventive Care in Infl ammatory Bowel Disease Francis A. Farraye , MD, MSc, FACG 1 , Gil Y. Melmed , MD, MS, FACG 2 , Gary R. Lichtenstein , MD, FACG 3 and Sunanda V. Kane , MD, MSPH, FACG 4 Recent data suggest that infl ammatory bowel disease (IBD) patients do not receive preventive services at the same rate as general medical patients. Patients with IBD often consider their gastroenterologist to be the primary provider of care. To improve the care delivered to IBD patients, health maintenance issues need to be co-managed by both the gastroenterologist and primary care team. Gastroenterologists need to explicitly inform the primary care provider of the unique needs of the IBD patient, especially those on immunomodulators and biologics or being considered for such therapy. In particular, documentation of up to date vaccinations are crucial as IBD patients are often treated with long-term immune-suppressive therapies and may be at increased risk for infections, many of which are preventable with vaccinations. Health maintenance issues addressed in this guideline include identifi cation, safety and appropriate timing of vaccinations, screening for osteoporosis, cervical cancer, melanoma and non-melanoma skin cancer as well as identifi cation of depression and anxiety and smoking cessation. To accomplish these health maintenance goals, coordination between the primary care provider, gastroenterology team and other specialists is necessary.

SUPPLEMENTARY MATERIAL is linked to the online version of the paper at http://www.nature.com/ajg Am J Gastroenterol 2017; 112:241–258; doi: 10.1038/ajg.2016.537 ; published online 10 January 2017

1 Section of Gastroenterology, Boston Medical Center, Boston University School of Medicine , Boston , Massachusetts , USA ; 2 Division of Gastroenterology,

Department of Medicine, Cedars-Sinai Medical Center , Los Angeles , California , USA ; 3 Division of Gastroenterology, Hospital of the University of Pennsylvania,

Perelman School of Medicine of the University of Pennsylvania , Philadelphia , Pennsylvania , USA ; 4 Division of Gastroenterology and Hepatology, Mayo Clinic ,

Rochester , Minnesota , USA . Correspondence: Francis A. Farraye, MD, MSc, FACG, Section of Gastroenterology, Boston Medical Center, Boston University School

of Medicine , 85 East Concord Street , Boston , Massachusetts 02118 , USA . E-mail: [email protected] Received 22 January 2016 ; accepted 10 October 2016

CME


THIS PROGRAM BEARS THE NAME OF EDGAR ACHKAR, MD, MACG, ACG Institute Director Emeritus, honoring him for his dedication to the ACG Institute and its aim to provide high quality educational programs to the members of the College.

ACG Edgar Achkar Visiting Professorship Program

THE ACG INSTITUTE’S EDGAR ACHKAR VISITING PROFESSORSHIP PROGRAM represents the exemplary educational offerings of the ACG Institute and the ongoing mission to provide quality educational opportunities for members. As fewer resources are available for visiting speakers, the ACG Institute continues to create opportunities for speakers to serve as faculty for medical grand rounds presentations and to enhance the educational experience for GI fellows-in-training while providing objective, timely and clinically relevant presentations to ACG member physicians in the community.

The purpose of these visits is to reach a diverse number of programs while aiming to maximize the impact of each visit by targeting GI training programs, which could also leverage an additional community event with local ACG member physicians, sometimes in conjunction with a local gut club. The programs offer expertise for a specific area of need at each institution.

2018 marks the fifth year of the ACG Edgar Achkar Visiting Professorship program’s offerings, with 14 visits for GI fellows-in-training and faculty.


The ACG Edgar Achkar Vising Professorship Program has conducted

more than 49 visits since the program’s inception in 2014. These visits have

occurred in 25 U.S. states, Washington DC, and two Canadian provinces.

VISITING PROFESSORS


AASMA SHAUKAT, MD, MPH, FACGwas invited for her expertise in colon cancer by Ikuo Hirano, MD, FACG to Northwestern University in Chicago, IL, on August 30-31, 2017. Dr. Shaukat met with over 20 physicians for a practical case-based talk on colon cancer screening and surveillance. This talk initiated a stimulating discussion, and Dr. Shaukat addressed questions encountered in everyday practice. Fellows appreciated her evidence-based and pragmatic approach to colon cancer screening.

In addition to meeting with faculty and fellows, Dr. Shaukat’s talk on “Quality Indicators for Colonoscopy” generated an excellent discussion on what these indicators mean and how to measure them. For Dr. Shaukat, the visit was the “highlight of my year, and the ability to see a small connected audience thinking critically and asking great questions was very gratifying.” Dr. Hirano remarked on the high degree of audience participation, and the fantastic visit from a leader in the field of colon cancer.

STEPHEN B. HANAUER, MD, FACG visited the University of Virginia Health System in Charlottesville, VA, on August 15-16, 2017 and was invited by Neeral Shah, MD, FACG to share his expertise in IBD. Upon arriving, Dr. Hanauer presented an evening talk on biologics and biosimilars to community GI physicians (including Daniel Pambianco, MD, FACG, ACG Trustee), GI fellows, faculty, nurse practitioners, and physician assistants.

The following morning, Dr. Hanauer met with fellows for a roundtable discussion of challenging IBD cases. The trainees felt that they received practical and evidence-based answers to their questions and gained insight into the next generation of IBD therapies. Dr. Hanauer appreciated interacting with the fellows and the opportunity to engage with the trainees. He applauded the program for bringing speakers to address areas of need. The visit concluded with Dr. Hanauer’s grand rounds presentation on“Current Understanding of IBD Pathogenesis as a Model of Immune-mediated Inflammatory Disorders.”

“The fellows appreciated having access to an expert who was there mainly for them to visit with. In that way this program seems unique, as the speaker is identified, and events are set that are centered on the fellows, not on attendings or the department,

but rather all centered around the fellows.” —Dr. Shah

Photograph courtesy of Coe Sweet


ANDREW Y. WANG, MD, FACGvisited the University of Michigan, on September 11–13, 2017. He was invited for his expertise on endoscopic submucosal dissection by Hari Conjeevaram, MD, FACG and James Scheiman, MD, FACG. Dr. Wang presented at a well-attended GI grand rounds, which was webcast internationally. His talk focused on how to improve gastric endoscopy and high-quality gastric examination, how to approach gastric intestinal metaplasia and premalignant GI lesions, and how to select or refer patients for endoscopic resection and endoscopic submucosal dissection (ESD).

There were many opportunities for the GI fellows to interact with Dr. Wang, including one-on-one meetings for those interested in advanced endoscopy. At lunch and dinner, discussions included career planning, clinical practice, and advice on advanced endoscopy. As an advanced endoscopy fellowship director, Dr. Wang was able to observe several significant aspects of the Michigan fellowship programs, which he plans to bring back to his home institution.

“The opportunity to visit another institution as an ACG Edgar Achkar Visiting Professor is an honor, which I would recommend to all clinicians and educators, particularly those involved in fellowship training. The [visit] has been one of the highlights of my academic career. I applaud the ACG Institute for providing grants so that training institutions can bring in nationally-recognized speakers at little to no cost.”—Dr. Wang

“The biggest impact was that I could see participants applying the information to their everyday practice and asking questions in the context of their specific practice ‘What does this mean to me’?” —Dr. Shaukat


NICHOLAS J. SHAHEEN, MD, MPH, FACG visited California Pacific Medical Center on September 13–14, 2017 at the invitation of Jesse Liu, MD and presented on refractory GERD and complicated GERD patients (ablation). Dr. Shaheen had ample time to meet with the fellows for lunch and discussions, finding them to be “enthusiastic, inquisitive, bright, energetic, and fun to be around.” He met with the teaching faculty for a faculty development session, followed by an evening lecture entitled, “Misplaced Priorities and Barrett’s Esophagus?” The following day, Dr. Shaheen presented for GI grand rounds “Endoscopic Therapy of Esophageal Neoplasia.”

“The fellows were full of great questions, and we spoke about [topics] that are less well-covered in most GI curricula – what to look for in a first job, how to package yourself for the job hunt, what kinds of skills you might want to acquire during fellowship to make you more marketable in both academics and

private practice.” —Dr. Shaheen

MIGUEL D. REGUEIRO, MD, FACG visited UT Southwestern Medical Center, in Dallas, TX, on December 6-7, 2017 through the invitation of Anh Nguyen, MD and Marlyn Mayo, MD, FACG on the topic of IBD. Dr. Regueiro enjoyed visiting with the excellent staff and fellows and touring historic Parkland Hospital. He noted that, “It was refreshing to see the patient-centered plans.” The highlight of the visit was Dr. Regueiro’s presentation on “The IBD Specialty Medical Home-Are We Ready for This New Model of Care?” which was attended by members of UT Southwestern’s administration as well as fellows and faculty. UT Southwestern hopes to develop a similar model for their institution, and according to Dr. Nguyen, “It was encouraging to see the intricacies of a multidisciplinary approach be streamlined so effectively to address each patient’s unique needs.”

The fellows had an opportunity to interact directly with Dr. Regueiro during lunch, and to discuss their career paths and interests. This was followed by one-on-one meetings with faculty to discuss research. The GI fellows appreciated hearing about the structure of the IBD Specialty Home as they had not encountered this unique approach to patient care, and it is not a topic that fellows are formally taught.


NICHOLAS J. SHAHEEN, MD, MPH, FACG was at the University of Minnesota on February 1-2, 2018 as the invitee of Shahnaz Sultan, MD, MHSc, FACG and Aasma Shaukat, MD, MPH, FACG. Dr. Shaheen presented on GERD and manometry. The visit included GI citywide grand rounds with faculty from five different hospitals including the VA, and the largest private practice in the community. As part of the visit, the fellows met with Dr. Shaheen informally, discussing tough clinical cases and career advice.

“Your [Dr. Shaheen’s] visit was the best visiting faculty experience for us and particularly for the GI fellows that I have witnessed. Feedback from fellows was simply the best possible.” —Dr. Freeman

MEDICAL SCHOOL


PETER D.R. HIGGINS, MD, PHD, MSC visited the UCLA David Geffen School of Medicine, on February 21-23, 2018, at the request of Lin Chang, MD, FACG, Program Director, GI Fellowship Program. The visit included one-on-one meetings with faculty and fellows, as well as the journal club. Lunch with the fellows included a discussion of Dr. Higgins’ career successes and failures and the nuts and bolts of pursuing a career in academics.

Dr. Higgins presented “Optimizing IBD Medications” at GI Grand Rounds and lectured

on “Social Media in Your GI Career.” The audience was engaged and included local GI physicians. The fellows reported that Dr. Higgins explained complex ideas in a way that was easily understood and found his presentations both informative and relatable.

“Fellows appreciated Dr. Higgins’ earnest opinions/advice to young GI trainees on finding mentors,

identifying a career path, and developing future career plans... His participation at journal club was also

phenomenal. He brought a lot to the discussion.”

—UCLA fellows


SATISH S.C. RAO, MD, PHD, FACGvisited Virginia Commonwealth University,on February 22-23, 2018, presenting on motility at the invitation of Ravi Vachhani, MD, John Kuemmerle, Jr., MD, FACG, Mitchell Schubert, MD, FACG and Jill Gaidos, MD, FACG. The visit included case discussion with fellows for two and a half hours on various motility topics, cases of constipation, fecal incontinence, and dysphagia. GI fellows asked pertinent questions about how to set up a motility lab and service in an academic center and private practice.

In addition, training opportunities for fellows, for shadowing experts, and course opportunities were also discussed.

Gastroenterology grand rounds on “Fecal Incontinence and Dyssynergic Defecation: What’s New When Going Gets Tough” was held in a large, packed modern auditorium and the talk was telecast to the VA where another 15-20 clinicians listened and participated. Over 120 physicians, surgeons, therapists, residents and faculty attended.

“Inspiring and gratifying personally for me to help problem solve, inculcate a sense

of compassion and discovery in peers and fellows, and expose them to the latest

advances in diagnosis and treatment of anorectal motility disorders.” —Dr. Rao


KRIS V. KOWDLEY, MD, FACGvisited the University of Arizona College of Medicine-Phoenix, on March 2, 2018, presenting on liver disease, through an invitation from Yasmin Alishahi, MD, FACG and Michele Young, MD. Dr. Kowdley gave a dinner lecture to the Phoenix Society of Gastroenterology on “Inherited Liver Diseases” attended by GI fellows and community physicians. The fellows met with Dr. Kowdley at the Phoenix VA for case presentations.

STEPHEN B. HANAUER, MD, FACGvisited Cleveland Clinic Florida, on March 5-6, 2018, presenting on IBD, at the invitation of Fernando Castro, MD, FACG. The visit began with the GUT Club of Digestive Care evening presentation to local physicians on different IBD cases. Dr. Hanauer gave a morning talk,

followed by fellows’ case presentations, individual meetings with faculty, and the lecture entitled “Biologics, Immune Modulators and Steroids in the Perioperative Period.” According to Dr. Castro, “Everyone here was thrilled with [Dr. Hanauer’s] visit. Even though he is an outstanding speaker and I have heard

him speak multiple times, the interaction in a smaller audience exceeded my expectations as we were able to learn more about his approach to patients and thought process behind it.”

“[I]t is experiences like this that enrich gastroenterology training programs.” —Dr. Castro


SAPNA SYNGAL, MD, MPH, FACGvisited Emory University School of Medicine in Atlanta, Georgia, on March 26-27, 2018, presenting on hereditary colon cancers. She was invited by Saurabh Chawla, MD, FACG and Julia Massaad, MD. The fellows met informally with Dr. Syngal to discuss career development, mentorship, the field of oncologic gastroenterology and GI cancer genetics, and juggling work life balance. In addition, she met

individually with several junior and mid-career faculty offering advice and insights.

Dr. Syngal’s exceptionally well-received presentations included GI Grand Rounds attended by the GI faculty, fellows, rotating residents, students, mid-levels and some basic scientists. Dr. Syngal presented at the departmental Grand Rounds attended by Emory internal medicine residents, students, internal medicine and hospitalist faculty,

and other subspecialists, and webcast to all Emory sites, including the VA hospital, Emory Midtown, and Grady Memorial Hospital. The Edgar Achkar Visiting Professorship had a particularly special meaning for Dr. Syngal as “the ACG was instrumental in providing support early in my career through a Junior Faculty Career Development Award. Members of the Institute should know that their support is transformative for the people who receive it!”

“She [Dr. Syngal] epitomized the vision of the ACG Edgar Achkar Fellowship by providing both individual mentoring advice and also excellent group teaching across different forums.” —Dr. Chawla


SACHIN B. WANI, MDvisited the University of Nebraska Medical Center, on April 12-13, 2018, invited by Alexander Hewlett, DO, MS and Shailender Singh, MD, for his expertise on esophageal disease. Dr. Wani gave an engaging evening presentation at a meeting of the Nebraska GUT Club, attended by academic and private practice physicians, nurses and physician assistants. His grand rounds

presentation was attended by about 150 faculty, fellows, and residents from the ten divisions. During the visit, discussions focused on the importance of quality metrics in the evaluation and management of Barrett’s esophagus, as well as highlighting the role of multidisciplinary care in the management of GI cancers with a focus on esophageal cancer. Dr. Wani provided insight on how GI faculty can establish multidisciplinary

clinics at their respective sites. In addition to case discussions, the fellows

and Dr. Wani touched on research, setting up quality improvement programs, and career planning. According to Dr. Wani, the fellows were “very engaging and their enthusiasm to learn was palpable” and “[t]he visit provides a unique opportunity for future collaborations.”


DAVID T. RUBIN, MD, FACGpresented at UCONN Health, on May 2, 2018, invited by Brian Moy, MD, John Birk, MD, FACG, and Haleh Vaziri, MD for his expertise on IBD. Dr. Rubin presented on “Advances in the Management of IBD and the Optimization of the Use of Biologics,” which framed cutting-edge IBD research in such a way where it can directly apply to the next patient in clinic. According to UConn, Dr. Rubin was especially adept at addressing a wide variety of topics that interested all groups who attended including UCONN faculty, fellows, nurses, and

community gastroenterologists from surrounding hospitals including St. Francis Hospital and Hartford Hospital.

Dr. Rubin took the fellows out for dinner for one of his Cornerstones Health non-profit organization activities. For three hours during dinner, the fellows were engaged in lively discussions regarding difficult IBD cases fellows have encountered and struggled with during fellowship.

“It was refreshing to hear his practical perspective on managing

complex IBD topics without the potential for industry bias or

conflicts of interest.” —UCONN Health


CHRISTOPHER C. THOMPSON, MD, MSC, FACGvisited the University of Alberta, in Edmonton, Canada, on June 12, 2018. He was invited by Karen Krok, MD to present on obesity and bariatric GI. Dr. Thompson presented “Bariatric Endoscopy,” to a diverse audience of endoscopy support personnel, residents, fellows, and academic and community gastroenterologists. His approach to developing a clinical solution for a medical challenge is unique in how he analyzes the pathophysiology of any given disease and meticulously studies the impact endoscopy can have on the outcome. The University of Alberta plans for future collaboration with Dr. Thompson.

The fellows appreciated learning how Dr. Thompson’s techniques were refined by fellow input, and his approach to education, where he believes learning is a two-way road in academia. Dr. Thompson enjoyed “interacting with physicians doing similar procedures in an academic environment that is in many ways very different from my own.”


JOHN J. VARGO, II, MD, MPH, FACGvisited Vanderbilt University Medical Center in Nashville, TN on June 21, 2018, invited by Keith Obstein, MD, MPH and Richard Peek, Jr., MD, Division Director. Dr. Vargo’s presentation on artificial intelligence and gastrointestinal endoscopy, and how it will play a major role in the future of research and patient care was attended by faculty, fellows, and house staff.

The highlight of the visit was the time spent with fellows, which allowed for mentoring and discussions on developing a meaningful practice, whether academic or clinical. Dr. Vargo touched on work-life balance, the importance of periodically reviewing professional and personal goals, as well as developing a network of mentors. The fellows described Dr. Vargo as “approachable and [he] took a vested interest in getting to know each of the fellows. He provided excellent ideas on how we can improve clinically and academically.” Furthermore, they appreciated the discussion of artificial intelligence in GI to increase diagnostic yield and reduce cost, and the applicability to research for fellows.


2018

2017

VISITS

VISITS

ACG EDGAR ACHKAR VISITING PROFESSOR PROGRAMS 2017–2018

MARTIN L. FREEMAN, MD, FACG*, at MetroHealth Medical Center in Cleveland, Ohio, January 18–19, 2017, presented on pancreatobiliary and interventional endoscopy

CHRISTINA M. SURAWICZ, MD, MACG, at Saint Louis University in Missouri, February 2–3, 2017, presented on C. difficile

CAROL A. BURKE, MD, FACG, at Houston Methodist Hospital, April 20–21, 2017, presented on colon cancer screening, genetics of colon cancer, and hereditary polyp syndromes

BRIAN E. LACY, MD, PhD, FACG, at University of Oklahoma, April 25–26, 2017 presented on IBS and motility

LAUREN B. GERSON, MD, MSc, FACG, at Advocate Lutheran General Hospital, in Park Ridge, Illinois, April 26, 2017, presented on diverticular disease, colonoscopy quality, GI bleeding, and refractory GERD

PRATEEK SHARMA, MD, FACG*, at North Shore University Health System, in Evanston, Illinois, May 18–19, 2017, presented on esophageal disease

MARIA T. ABREU, MD, at Augusta University Medical College of Georgia, May 22–23, 2017, presented on IBD

DAVID T. RUBIN, MD, FACG, at The Ohio State University Wexner Medical Center, July 18, 2017, presented on IBD

STEPHEN B. HANAUER, MD, FACG, at University of Virginia, in Charlottesville, Virginia, August 15–16, 2017, presented on IBD

AASMA SHAUKAT, MD, MPH, FACG,at Northwestern University, in Chicago, Illinois, August 30-31, 2017, presented on colon cancer

ANDREW Y. WANG, MD, FACG, at University of Michigan, September 11–13, 2017, presented on endoscopic submucosal dissection

NICHOLAS J. SHAHEEN, MD, MPH, FACG, at California Pacific Medical Center, September 13–14, 2017, presented on refractory GERD and complicated GERD patients (ablation)

MIGUEL D. REGUEIRO, MD, FACG, at UT Southwestern Medical Center, in Dallas, Texas, December 5–6, 2017, presented on IBD

*Received funding in 2016, visit scheduled in 2017

NICHOLAS J. SHAHEEN, MD, MPH, FACG, at University of Minnesota, February 1-2, 2018, presented on GERD and menometry

PETER D.R. HIGGINS, MD, PHD, MSC, at UCLA David Geffen School of Medicine, February 21-23, 2018, presented on IBD

SATISH S.C. RAO, MD, PHD, FACG,at Virginia Commonwealth University, February 22-23, 2018, presented on motility

KRIS V. KOWDLEY, MD, FACG,at University of Arizona College of Medicine -Phoenix, March 1-2, 2018, presented on liver disease

STEPHEN B. HANAUER, MD, FACG,at Cleveland Clinic Florida, March 5-6, 2018, presented on IBD

SAPNA SYNGAL, MD, MPH, FACG,at Emory University School of Medicine, in Atlanta, Georgia, March 26-27, 2018, presented on hereditary colon cancers

SACHIN B. WANI, MD,at University of Nebraska Medical Center, April 12-13, 2018, presented on Barrett’s esophagus

DAVID T. RUBIN, MD, FACG, at UCONN Health, May 2, 2018, presented on IBD

CHRISTOPHER C. THOMPSON, MD, MSC, FACG,at University of Alberta, in Canada, June 12, 2018, presented on obesity and bariatric GI

JOHN J. VARGO, II, MD, MPH, FACG, at Vanderbilt Medical Center, in Nashville, Tennessee, June 21, 2018, artificial intelligence and gastrointestinal endoscopy

SUNANDA V. KANE, MD, MSPH, FACG, at SUNY Downstate Medical Center, in New York, September 13, 2018, presenting on IBD

MILLIE D. LONG, MD, MPH, FACG,at Beaumont-Botsford Campus, in Detroit, Michigan, September 26, 2018, presenting on IBD

JOHN E. PANDOLFINO, MD, MSCI, FACG,at Genesys Regional Medical Center, in Flint Michigan, November 6-7, 2018, presenting on esophageal pH studies/GERD

COREY A. SIEGEL, MD, MS,at The National Institutes of Health, in Bethesda, Maryland, November 16, 2018, presenting on IBD


THE G.U.T. Fund for Clinical Research and Education: Donor RecognitionThe ACG Institute gratefully acknowledges contributions from ACG Members and the community, who have chosen to support the work of the ACG Institute through charitable gifts over the last year (2017). Charitable gifts from ACG members and the community to support clinical GI research and education are made to the G.U.T. Fund, the sustaining campaign of the ACG Institute.

THE G.U.T. FUND

Bernard M. Aaron, MD, FACGRobert M. Aaronson, MD, FACGFayez D. Abboud, MDEsmail Abej, MDChaim S. Abittan, MDRini Abraham, MDMouhanna Abu Ghanimeh, MDSabas F. Abuabara, MD, FACGAhmad Abu-Rashed, MD, FACGJean-Paul Achkar, MD, FACGMelville J. Ackerman, MDDan Acosta, MDMercedes C. Acosta, NPSamuel A. Adedeji, MDPhilip N. Adjei, MDDaniel J. Adler, MDEdward C. Adler, MD, FACGShahab Aftahi, MDPradeep Kumar Agarwal, MDUchenna A. Agbim, MDManuel Aguilar, MDThomas Aguirre, MDSarfraz Ahmad, MDKamil A.M. Ahmed, MDJohn H. Ahn, DOPeter S. Airel, MD

Challa Ajit, MDShuji Akagi, MD, FACGYasser A. Al-Antably, MD, PhD, FACGMauricio M. Alario, MDMusaad E. Al-Asfoor, MD, FACGJoel I. Albert, MDJuan M. Aldana Ledesma, MDAttupuram J. Alexander, MD, FACGAbdulrahim S. Ali, MDMuhammad Z. Ali, MD, PhDMary Alizadeh, MDTaha A. Alkarboly, MDFiras H. Al-Kawas, MD, FACGAndrew S. Allegretti, MDH. Richard Allen, MDLarissa M. Allen, MDMark J. Allen, MD, FACGHector D. Allende, MD, FACGMurali M. Alloju, MDMounzer Alsamman, MDMazen Alsatie, MDAlan R. Altman, MD, FACGManuel E. Alva, MDAftab Alvi, MDZaid S. Alyassin, MDTracy L. Amadio, NP

Ricardo Amador Garcia, MDStephen T. Amann, MD, FACGPhillip B. Amidon, MD, FACGMark M. Anderson, MDWilliam R. Anderson, MD, FACGJoyce F. Andrea, PAAmeena Anees, MDEugenius S.B.C. Ang, MD, FACGGary M. Annunziata, DOVinay Antin, DOIvan D. Antunez, MDChike C. Anusionwu, MDMohammad B. Anwer, MDVictor R. Araya, MD, FACGPedro M. Arguello, MD, FACGJohn A. Arledge, MDFreda L. Arlow, MD, FACGPaul O. Arnold, MDOlga C. Aroniadis, MD, MscAmindra S. Arora, MDRichard J. Arrigo, DORazvan I. Arsenescu, MDJames N. Arterburn, MDMowafak S. Asbahi, MDGil I. Ascunce, MDMark D. Atin, MD

Dileep K. Atluri, MDPurna Chandra Prasad Atluri, MDKofi Atta-Mensah, MDThomas J. Attaway, MDAugustin R. Attwell, MDFernando H. Austin, MDJulio C. Ayala, MDRichard S. Aycock, MD, FACGSrinivasa Ayinala, MDAyse Aytaman, MD, FACGSaad Q. Aziz, DOJemilat O. Badamas, MDSamuel Y. Bae, MDMatthew E. Bagamery, MDEyad Y. Baghal, MDAllan H. Bailey, MD, FACGChristian S. Bailey, MDJohn Baillie, MB, ChB, FACGPeter J. Baiocco, MDAdrian W. Bak, MDJohn H. Baker, MDRobert W. Baker, MD, FACGLaurence H. Ballou, MDLaura G. Balmain, MDImran L. Balouch, MDNicholas Bambino, MD

Harathi Bandaru, MD, MS, FACGPeter A. Banks, MD, MACGAjay Bansal, MDRobin Baradarian, MDAnthony V. Baratta, MDAlfonso Barbati, DOEdmund M. Barbour, MD, FACGAndrew H. Barenberg, MDStuart S. Barish, MD, FACGDarrell F. Barker, MDJohn D. Barker, Jr., MD, FACGJamie S. Barkin, MD, MACGMichelle R. Barnett, PAMary Anne Barnicle, MDGeorge L. Barrett, MDChristopher N. Barrilleaux, MD, FACGJonathan E. Barsa, MDMichael J. Bartel, MDJames S. Barthel, MD, FACGShowkat Bashir, MDFadi N. Bashour, MDWilliam E. Basri, MD, FACGGerald A. Bassett, MD, FACGPatrick Basu, MDJihad Batah, MD, FACGSteven Batash, MD

We gratefully acknowledge the following donors who have made major leadership contributions to the G.U.T. Fund:

Edgar Achkar, MD, MACGCarol A. Burke, MD, FACGNaga P. Chalasani, MD, FACGWilliam D. Chey, MD, FACGDelbert L. Chumley, MD, FACGKenneth R. DeVault, MD, FACGEndoscopy Center at Bainbridge, LLC

• Rami Abbass, MD• Robert B. Cameron, MD, FACG• Michael K Koehler, MD, FACG

• Raymond W. Rozman, Jr., MD• Eric J.B. Shapiro, MD• Nadia Mansour, MD• Jason de Roulet, MD• Physicians Endoscopy• University Hospitals of Cleveland

Fancis A. Farraye, MD, MSc, FACGLauren B. Gerson, MD, MSc, FACGDavid Greenwald, MD, FACGSeth A. Gross, MD, FACG

Frank Hamilton, MD, MPH, MACGStephen B. Hanauer, MD, FACGImmanuel K.H. Ho, MD, FACGDavid A. Johnson, MD, MACGCostas Kefalas, MD, MMM, FACGSunanda V. Kane, MD, MSPH, FACGCaroll D. Koscheski, MD, FACGJonathan A. Leighton, MD, FACGW. Elwyn Lyles, MD, FACGPaul Moayyedi, MB, ChB, PhD, MPH, FACG

Anne-Louise OliphantDaniel J. Pambianco, MD, FACGIrving M. Pike, MD, FACGMark B. Pochapin, MD, FACGEamonn M.M. Quigley, MD, FACGDavid T. Rubin, MD, FACGJohn R. Saltzman, MD, FACGHarry E. Sarles, Jr., MD, FACGLawrence R. Schiller, MD, FACGSamir A. Shah, MD, FACG

Nicholas J. Shaheen, MD, MPH, FACGBrennan M.R. Spiegel, MD, MSHS, FACGBradley C. StillmanScott M. Tenner, MD, MPH, FACGRonald J. Vender, MD, FACGZobair Younossi, MD, MPH, FACG


Howard B. Baum, MDJeffrey M. Baumgardner, MDDipti Bavishi, MDMichael K. Bay, MD, FACGDavid A. Beary, MDCelina Beaulieu, MDKarl T. Bednarek, MDJoanne G. Beer, PAThomas R. Beers, MDBrian W. Behm, MDBernardo Beker, MDPeter C. Belitsos, MDSomashekhar V. Bellary, MDNatalya Belova, MDTimothy A. Bemiller, MD, FACGEric I. Benchimol, MDDavid L. Benkoff, MDEmily Benson, NPH. Leonard Bentch, MD, FACGPhilip S. Bentlif, MD, FACGDana R. Berg, MDJohn C. Berg, MDPaul J. Berggreen, MDAdeline BerkDavid M. Berkowitz, MD, FACGIrina Berlin, MDStephen M. Berque, MD, FACGMichael A. Berry, MDDavid R. Beswick, MD, FACGSidarth S. Bhardwaj, MDSangeeta A. Bhargava, MDKlaus Bielefeldt, MD, PhDIoana A. Bina, MD, PhD, FACGLinda K. Blackwell, NPSamra S. Blanchard, MD, FACGPaola G. Blanco, MDRichard L. Blansky, MDMichael B. Blechman, MDGregory P. Blitz, MDMichael L. Blum, MDPhilip K. Blustein, MDCarl S. Boagni, MDLonnie R. Boaz, III, MDAshley A. Bochenek, APN, FNP-BCGary S. Bochna, MD, FACGWilliam L. Boddie, MDEdgar C. Boedeker, MD, FACGJames J. Boehmke, Jr., DOHouston Bogus, Jr., MD

Michael G. Boharski, MDSyed Saeed P. Bokhari, MD, FACGPreetam Bollampally, MDJanardhan Bollu, MD, FACGErnst Bontemps, MD, FACGSomprak Boonpongmanee, MDLawrence F. Borges, MDDavid S. Borislow, MDSavanna C. Borne, NPErika Boroff, MDThomas R. Borthwick, MD, FACGCristiana Bortuzzo, MDRaymond Bourdages, MD, FACGKeith T. Bovell, MD, FACGMichael R. Bowen, MDMark H. Bowles, MD, FACGGeorge B. Boyar, MDH. Worth Boyce, Jr., MD, MACGJames M. Boyle, MD, FACGGeoffrey L. Braden, MD, FACGHoward W. Bradnock, MDKambiz Bral, MDScott R. Brazer, MD, FACGDarren M. Brenner, MDMargaret E. Bridges, MD, Mark M. Brodie, MDNeil M. Brodsky, MDDavid H. Brody, MDCharles L. Brooks, MDEric C. Brooks, MDJohn Brooling, MDRonald J. Bross, MDJanine E. Brown, NPMichael Brown, MD, FACGMichael D. Brown, MD, FACGSteven Brozinsky, MD, FACGBenjamin C. Bryson, MDRonald J. Brzana, MDAaron Brzezinski, MD, FACGPeter J. Buchin, MD, FACGDaniel C. Buckles, MDStephen E. Buckley, MDMichelle L Buffington, NPMushtaq A. Bukhari, MD, FACGSarosh Bukhari, DOKathy P. Bull-Henry, MD, FACGMelvin D. Bullock, MDBorys Buniak, MDVladislava Buntic, MD

Wilmot C. Burch, Jr., MD, FACGJerome M. Burke, MD, FACGRobert H. Butler, MD, FACGArshad K. Butt, MD, FACGNazish Butt, MDK. Leo Buxbaum, MD, FACGCharles T. Buzanis, MDFloyd C. Byfield, MDKevin G. Byrne, MDCathleen N. Cabansag, MDWilliam J. Caddick, MDQiang Cai, MD, PhD, FACGTedd P. Cain, MD, FACGMichael T. Caire, MDCourtney E. Calandro, PA-CNicholas A. Califano, MD, FACGGustavo A. Calleja, MDGeorge J. Camarinos, MD, FACGR. Bruce Cameron, MD, FACGConstance M. Campanella, RNJames B. Canavan, MD, PhDCristino Canga, III, MDAshley L. Canipe, MDMichael D. Canty, MDDaniel B. Caplan, MD, FACGJoseph A. Cappa, MD, FACGBrian J. Carlson, MDAntonio Jose V. Carneiro, MDMatthew R. Carns, MDJuan J. Carrere, MDDavid L. Carr-Locke, MD, FACGDavid A. Carron, MDEthelred E. Carter, MDRichard F. Caruso, MD, FACGMichael D. Cashman, MD, FACGPhilip R. Cassar, MDTimothy D. Cassidy, DO, FACGDonald O. Castell, MD, MACGAdalberto R. Castellanos, MDWilson R. Catapani, MD, FACGCary P. Cavender, MDGiovanni A. Cervantes Ramos, MDPrem S. Chahal, MDNeetu H. Chahil, MDTawfik N. Chami, MDDennis Y. Chan, MDMichael Y. Chan, MD,FACGSing Chan, MD, FACGLaura R. Chancellor, PA

Shashinath K. Chandrahasegowda, MDAlan W. Chang, MDIlwoong W. Chang, MD, PC, FACGShannon Chang, MDAndrew S. Chao, MDNizar C. Charafeddine, MDMichel-Jose Charles, MDAdam I. Chen, MD, FACGJoy S. Chen, MDSteve T. Chen, MD, FACGAndrew R. Chernick, MDWilliam D. Chey, MD, FACGAditi Chhada, MDGene Zin-Nan Chiao, MDJohn C. Chiesa, DOSridhar S. Chilimuri, MDGeorge Suey Lim Chin, MDRoland L. Chin-Lue, MDMichael V. Chiorean, MDRodolfo A. Chirinos, MD, FACGRavi S. Chittajallu, MDSarkis J. Chobanian, MD, MACGParag H. Chokshi, MDJames Chong, MDSohail A. Choudhri, MD, FACGAlroy A. Chow, MD, FACGHsichao Chow, MDEmily M. Christman, MDDelbert L. Chumley, MD, FACGKwok-Leung Chung, MD, FACGJackie J.H. Chuong, MDRam Chuttani, MDGary F. Ciambotti, MDRaymond Cintron, MDMatthew T. Clark, MDHarris R. Clearfield, MD, MACGJohn B. Clemmons, Jr., MDBernard D. Clifford, MDAllyson E. Cochet, MDCharles F.M. Cohan, DO, FACGDavid A. Cohen, MDErica R. Cohen, MDNeil M. Cohen, MD, FACGRobert A. Cohen, MD, FACGSeth A. Cohen, MDStanley M. Cohen, MD, FACGCarla B. Collier, NPKevin P. Collier, MDDavid N. Collins, MD, FACG

Dennis P. Collins, MDJason M. Collins, MDFiliberto Colon, MD, FACGJuan R. Colon-Pagan, MD, MACGChris N. Conteas, MD, FACGSamir I. Cook, MDGregory S. Cooper, MD, FACGRobert B. Cooper, MDNic R. Cordum, MDAdriano Jose Correia, MDMark J. Corso, MD, FACGJohn M. Costable, Jr., MD, FACGVanessa C. Costilla, MDPeter B. Cotton, MD, FACGAmanda B. Couch, NPAlan J. Cox, MDMichael E. Cox, MD, FACGWalter J. Coyle, MD, FACGJames P. Cranley, MD, FACGRyan P. Crenshaw, MDJeffrey S. Crespin, MDIsrael Crespo, MDNeil E. Crittenden, MDMauricio E. Cromeyer, MDGelsimo A. Cruz, MD, FACGJudith E. Csanky, MDCarmen Cuffari, MD, FACGNicole R. Cullen, MDJoan A. Culpepper-Morgan, MD, FACGJeremy D. Cumberledge, MDAndrew B. Cummins, MD, FACGBradley Currier, MDRichard L. Curtis, MDRaul Cutait, MD, FACGAlbert J. Czaja, MD, FACGEdson Jurado Da Silva, MD, FACGShad Dabaghi, MD, FACGThomas H. Daignault, PAKunal S. Dalal, MDRobert E. Dale, MD, FACGTanya H. Dam, DOMark F. Daniels, MD, FACGSeema A. Dar, MD, FACGManuchehr Darani, MD, FACGKanak Das, MDJames M. David, MD, FACGNicholas O. Davidson, MD, FACGTammy F. Davidson, NPGeorge E. Davis, MD, FACG

THE G.U.T. FUND FOR CLINICAL RESEARCH AND EDUCATION: Donor Recognition


Robert E. Davis, MD, FACGMark Dawson, MDLukejohn W. Day, MDOctavio A. De La Pena, MDJoseph DeAntonio, MDHoward Deckter, MDFadi Deeb, MD, FACGChristopher W. Deitch, MDMark J. Dell’Aglio, MDMichelle Dellorso, NPMark T. DeMeo, MD, FACGMichael F. Demyen, MDTimothy Denton, MD, FACGTeresa L. D’errico, ANPDilip M. Desai, MD, FACGJay C. Desai, MDSteven G. Desautels, MDPrathab Devaraj, MDZoltan J. Devenyi, MDSurinder S. Devgun, MDJack J. Devita, MDBethany S. DeVito, MD, FACGAshok K. Dhaduvai, MDShamina Dhillon, MD, FACGUjagger S. Dhillon, MD, FACGCarlo Di Lorenzo, MDIlysa Diamond, DOAmber L. Diaz, PAWilliam S. DiGiacomo, MD, FACGAnthony M. DiGiovanni, DOKenneth J. DiGregorio, MDSteven C. Dilauro, MDMichael C. DiMarino, MDPooi Huat Huat Ding, MDSon T. Do, MDRichard R. Dobhan, MDMark P. Dobish, MDBrian M. Dobozi, MDMilan Dodig, MDLinda K. Dohse, NPSiva Doma, MDGerald H. Dominguez, MDJonathan E. Dominguez, MDRobert J. Donachie, Jr., MDAmy E. Dooley-Speegle, CRNPJeffery J. Dorociak, MDMark R. Dosch, MD, FACGMatthew J. Downey, MDBrenda Lee Dozack, ARNP

David W. Dozer, MD, FACGMichael T. Draelos, MD, FACGEliot R. Drell, MDFred M. Drennan, MDAndrew M. Dries, MDRichard H. Driscoll, Jr., MD, FACGRichard B. Drude, MD, FACGGerald W. Dryden, Jr., MD, MSPHJennifer L. Duck, PAJeffrey M. Dueker, MDFrancis J. DuFrayne, MDAndrew C. Dukowicz, MDPeter R. Dumas, MDJohn A. Dumot, DOAnand Dutta, MDBill Duval, Jr., MD, FACGLillman Dwarka, MDDavid R. Dyke, MDErvin Y. Eaker, MD, FACGDavid L. Earnest, MD, FACGGuy T. Easterling, DOJohn E. Eaton, MDJuan F. Echavarria, MDJason E. Edling, MD, FACGCharmaine E. Edwards, MDEli D. Ehrenpreis, MD, FACGLeo E. Eickhoff, III, MDJoseph B. Eisenach, MDAbram M. Eisenstein, MDAmir T. Ekanej, MDPhilip Elbaum, DONorman L. Elliott, MD, FACGRobert T. Elliott, MDJonathan C. Ellis, MDMichael F. Elmore, MD, FACGEsmail M. Elwazir, MDWilliam F. Emlich, MDPear M. Enam, MD, FACGRoger M. Epstein, MDMohamad Erfani, MDTolga Erim, DOAtilla Ertan, MD, MACGAlfredo A. Espinoza, MDWilliam Essilfie, MDJerry C. Evans, MDJillian Evarts, PAPeter A. Eweje, MD, FACGJames C. Ezi-Ashi, MDFrank (Xinqing) Fan, MD, FACG

John C. Fang, MDMing Fang, MDSherif A. Farag, MDE. Isaac Faraji, MDMichael A. Farber, MDSakina Farhat, MDFrank W. Faris, MDMohammad Farivar, MD, FACGSirus Farivar, MDRichard M. Farleigh, MD, FACGCharles M. Farr, MD, FACGKirby M. Fazio, FNP-BCRichard M. Fazio, MDRichard A. Fazio, MD, FACGArthur E. Feinerman, MD, FACGDavid L. Feit, MDMark S. Feldman, MDRobin L. Ferguson, MDRoberto Fernandez, MD, FACGAlbert O. Fernandez-Bravo, MDMichael J. Fidanzato, MDThomas C. Fiest, DOHeather R. Figurelli, DOGeoffrey A. Fillmore, DOStephen F. Finn, MDGarieann C. Fish, DOPaul G. Fishbein, MDAngus L. Fisher, MDMichael R. Fisher, DORosemarie L. Fisher, MD, FACGJoseph F. Fitzgerald, MD, MACGIra L. Flax, MD, MACGNadine L. Floyd, MDRoy L. Foliente, MDAnthony Foong, MDJacqueline Forman, MDJosh Forman, MDFarzad Forohar, MDStanley A. Fox, MD, FACGRobert L. Frachtman, MD, FACGJames Murray Francis, DO, FACGJonathan P. Francis, MDPeter S. Francisco, DOFritz Francois, MD, FACGDesha A. Frankel, MDRobert A. Frankel, MDHarold D. Frankl, MD, FACGAcquanetta L. Frazier, MDNicholas W. Frederickson, MD

Daniel E. Freedberg, MDPamela G. Freedman, MD, FACGHal J. Freiman, MD, FACGCourtney F. Frerichs, PAFrederick J. Fricke, MD, FACGDavid M. Friedel, MDFrank K. Friedenberg, MDCharles N. Friedlander, MD, FACGGerald Friedman, MD, PhD, MACGJane S. Friehling, DOChristine L. Frissora, MD, FACGEric R. Frizzell, MD, FACGRenata S.B. Froes, MDStephen S. Frost, MD, FACGCasey S. Fu, MDKazuma Fujimoto, MD, FACGKarl Fukunaga, MDSam R. Fulp, MDWye Poh Fung, MD, FRACP, FACGBlanche Fung Liu, MD, FACGJames A. Fuson, MD, FACGScott L. Gabbard, MDRyan Gaffney, DOHarish K. Gagneja, MD, FACGLeka Gajula, MDAlfred C. Galizia, MDZoi Gamagaris, MDRamesh K. Gandhi, MD, FACGSubhas C. Ganguli, MDShiban K. Ganju, MDKrishna K. Gannamaneni, MDJeffrey H. Garelick, MDSushil K. Garg, MDVikram Garg, MDPamela L. Garjian, MDGarth J. Garramone, MDBenedict L. Garrett, MDMario Garretto, MDAndrei C. Gasic, MDMichael M. Gaspari, MDVijay Gayam, MDRandy J. Geldmacher, MDArthur J. Geller, MD, FACGEugene A. Gelzayd, MD, FACGBerhanu M. Geme, MDJohn T. Geneczko, MD, FACGRamon S. Generoso, MDRobert M. Genta, MD, FACGLewis Genuth, MD

Maria A. Georgsson, MDMichael S. Gerdis, MDLauren B. Gerson, MD, MSc, MACGHeather J. Gerst, DOGary L. Gerstner, MDCarl E. Gessner, MD, FACGElias Ghandour, MD, FACGRajaratan B. Ghanti, MD, FACGWood B. Gibbs, MDScott Gibson, MDJerald Giller, MD, FACGPhilip B. Gilman, MDCynthia A. Ginn, RNShannon R. Glenn, NP-CBrooke Glessing, MDMae F. Go, MDJonathan D. Godfrey, MDReynaldo Godines, MD, FACGDavid H. Goetz, MD, FACGChintamani B. Gokhale, MDBenjamin D. Gold, MD, FACGHoward J. Goldberg, MD, FACGMichael S. Goldberg, MDMyron D. Goldberg, MD, FACGNeil D. Goldberg, MD, FACGNorman J. Goldberg, MD, FACGRichard C. Golding, MDJeffrey H. Goldman, MDLeslie P. Goldman, MD, FACGFred H. Goldner, MD, FACGDavid D. Goldstein, MDJeffrey A. Goldstein, MD, FACGMelvin J. Goldstein, MD, FACGPhillip J. Goldstein, MDCristobal Gomez, MDGustavo A. Gomez, MDVictoria Gomez, MDEmilio R. Gonzalez, MDHenry Gonzalez-Rivera, MDMichael W. Goodman, MD, FACGEric B. Goosenberg, MDInna H. Gordin, MDFredric D. Gordon, MDGlenn L. Gordon, MD, FACGMartin E. Gordon, MD, FACGRichard M. Gore, MD, FACGJohn L. Gosserand, MDAmnon Gotian, MD, FACGTakuji Gotoda, MD, FACG


Anoop K. Goyal, MDGeoffrey G. Graham, DOJon D. Green, MD, FACGRonald S. Green, MD, FACGWayne D. Green, MDAaron B. Greenspan, MD, FACGDavid A. Greenwald, MD, FACGJoseph S. Gregori, MD, FACGFrank G. Gress, MD, FACGDaniel E. Griffin, MD, FACGRonald Griffin, MDNicole M. Grigg, MDStephen D. Grill, MD, FACGScott W. Grisolano, MDThomas L. Gross, MDApril B.M. Grudell, MDMatthew D. Grunwald, MDJohn Mark B. Gubatan, MDMoises B. Guelrud, MDJulie C. Guider, MDMichael J. Guirl, MD, FACGDonald E. Gullickson, MDSubhash Gumber, MD, PhD, FACGPuneet Gupta, MDSunil Gupta, MDManinder S. Guram, MDJason P. Gutman, MDSidney Gutstein, MD, FACGSteven Guttmann, MDMaurice S. Haddad, MD, FACGKarin A. Hagen, MDGerard D. Haggstrom, MD, FACGT. Lanier Hagood, MD, FACGJoel B. Haight, MD, FACGWilliam H. Hall, MD, FACGOleh Haluszka, MDLauren V. Halvorson, MDMostafa A. Hamdy, MDJohn K. Hamilton, MDRiyadh S. Hammod, MD, FACGSteven W. Hammond, MDJoseph E. Hancock, MD, JD, FACGRashid Hanif, MD, FACGRichard N. Hansen, MD, FACGCraig K. Harris, MDKimberly A. Harris, MDShirley A. Harris, MDClark A. Harrison, MDMichael P. Hartley, MD

William A. Hartman, MD, FACGAllison N. Harvey, PAAmie I. Harvey, MDDavid J. Hass, MD, FACGTarek I. Hassanein, MD, FACGBenjamin G. Hassid, MDRichard C. Hawley, MDRuth K. Haynes, MDLonny M. Hecker, MDDavid Heiman, MDSteven J. Heitman, MDElliot A. Heller, MD, FACGHeidi Hemak, PAJoseph B. Henderson, MDPhillip K. Henderson, DOJudith A. Henry, MD, FACGPatricia A. Henry, DONikole H. Henthorn, NPDavid Herbstman, MD, FACGGabriel B. Herman, MDJeremy R. Herman, MDLawrence L. Herman, MD, FACGMargot L. Herman, MDAlfred J. Hernandez, Jr., MD, FACGJeffrey Hernandez, MDLyndon V. Hernandez, MD, FACGMoises E. Hernandez, MD, FACGLinda M. Herrick, RN, PhDLudwig T. Heuss, MD, FACGDavid G. Hewett, MDToshifumi Hibi, MD, PhD, FACGRaouf E. Hilal, MD, FACGDeborah L. Hillman, MDJohn P. Hinds, MDTomas Hinojosa, Jr., MD, FACGTetsuya Hirano, MD, FACGTadakazu Hisamatsu, MD, FACGLee J. Hixson, MD, FACGKok-Tong Ho, MD, FACGSteven E. Hodes, MDDavid S. Hodges, MD, FACGReed B. Hogan, II, MDJames W. Hogin, DO, FACGDerek K. Holcombe, MDDebbie S. Holden, LPNAlison A. Holland, CRNPJoseph W. Holland, Jr., MDRod R. Holland, MDJoseph D. Hollier, MD, FACG

Vincent Honan, MDShih-Kuang S. Hong, MDJohn R. Hood, MD, FACGWayne C. Hoover, MDTodd L. Horn, MDT.I.M. Zahur Hossain, MD, FACGShu Hoteya, MD, FACGClint D. Howell, PADouglas A. Howell, MD, FACGChia-Wen Hsu, MDTimothy L. Huggins, MDWai Mo Hui, MD, FACGNisreen S. Husain, MDAyub Hussain, MD, FACGStephen A. Hutto, MDHaley J. Hyde, CRNPAfreen A. Hyder, MDShakir A. Hyder, MD, FACGChris B. Hyun, MDFernando Ibarra, MD, FACGKhaled M. Ibrahim, MD, FACGJasna Ikanovic, MDHirotsugu Imaeda, MDHiroyuki Imaeda, MDJohn J. Imbesi, MDSteven B. Ingle, MDShawn M. Ingles, DOHomayon Iraninezhad, MDGerald M. Isbell, III, MDYuriy Israel, MDDanny Issa, MDTakao Itoi, MD, FACGMakoto Iwahara, MDMasanobu Iwata, MDChristian S. Jackson, MD, FACGGary S. Jacob, PhDLucien R. Jacobs, MDIra M. Jacobson, MD, FACGJane K. Jaffe, DOFrank H. Jahns, MDMichael W. James, MDGerardus L. Jameson, MDMelissa S. Jamison, PADale Janik, MD, FACGReem H. Jarbou, DOVijay Jayaraman, MDSuresh G. Jayatilaka, MDBrentley D. Jeffries, MDRoger L. Jenkins, MD, FACG

Whitney Jennings, MDDennis M. Jensen, MD, FACGCorine N. Johnson, NPMark Y. Johnson, MDR. Bruce Johnson, MD, FACGStephen P. Johnson, DOMark E. Jonas, MD, FACGBlake A. Jones, MDBruce A. Jones, MDDan M. Jones, MD, FACGMichael E. Jones, MDMichael B. Jones, MD, FACGLucy M. Joo, DODeryck A. Joseph, MDRaymond E. Joseph, MD, FACGPhilip M. Joson, MDKim R. Jurell, MDStephanie R. Justin, NPAlfred A. Kafity, DO, FACGScott Kahan, MD, MPHDevendra S. Kahlon, MDSteven C. Kaiser, MD, FACGIshaan S. Kalha, MDJeffrey S. Kalman, MDMichael Kam, MDJayaprakash K. Kamath, MDEugene H. Kamemoto, MDSatish B. Kanakamedala, MDLeonard E. Kane, MD, FACGSunanda V. Kane, MD, MSPH, FACGRangasamy Kannan, MDSergey V. Kantsevoy, MD, PhDJonathan D. Kaplan, MDMitchell Kaplan, MDWilliam M. Kaplan, MDNeil Kaplowitz, MD, FACGAhmad A. Karadaghy, MDErin M. Karandish, MDRobyn G. Karlstadt, MD, MACGJacob Karr, MDFranklin Kasmin, MDNeil M. Kassman, MDDonald J. Kastens, MD, FACGMartin P. Kaszubowski, MDHiromi Kataoka, MD, PhDEiichi Kato, MDIgor Katuscak, MD, PhDHenry J. Katz, MDJeffry A. Katz, MD

Joshua A. Katz, MDJennifer A. Kaufman, NPMarsha H. Kay, MD, FACGRobyn R. Keahey, NP/PAFrancis X. Keeley, MD, FACGDaniel Keil Rios, MDSteven A. Keilin, MDVarujan A. Keledjian, MDColleen R. Kelly, MD, FACGMichael W. Kelly, MDJames A. Kemp, MDRichard J. Kenney, DOEugene M. Kern, MD, FACGWilliam R. Kessler, MD, FACGSripathi R. Kethu, MD, FACGSyed M. Khalid, MDAmin R. Khan, MDAzeem Khan, MD, FACGGulam M. Khan, MDJaffer J. Khan, MDMansur A. Khan, MD, FACGTariq J. Khan, MD, FACGMukul Khandelwal, MDSanjiv Khetarpal, MDMuhammad F. Khokhar, MD, FACGKiranpreet K. Khosa, MDRekha Khurana, MDAngesom Kibreab, MDJames W. Kikendall, MD, FACGKaoru Kikuchi, MD, FACGBill H. Kim, MD, FACGBoo K. Kim, MDGordon Kim, DOPeter S. Kim, MDRichard Kim, MDTheodore Y. Kim, MD, FACGMichael J. Kingsley, MDJohn A. Kirkikis, MDSeth D. Kirschner, DOBrian M. Kirsh, MDMasaki Kitajima, MD, FACGLlewellyn I. Kitchin, MDSteven D. Klein, MDDonald E. Knapp, MD, FACGWhitfield L. Knapple, MD, FACGJohn L. Kniaz, DOLaurie A. Knippen, NPAaron L. Knoll, MDBritney D, Knowlton, PA-C



Robert L. Knox, MDBharati Kochar, MDVenu G. Koduri, MDJunichi Koeda, MD, FACGKenneth D. Koenigs, MDSumit Kohli, MDGerald J. Kohn, MDMoin Hisamuddin Kola, MDKavita R. Kongara, MDFrank J. Konicek, MD, FACGRichard J. Kops, MD, FACGThomas W. Korb, Jr., MDJulia C. Korenman, MDPhilip M. Koszyk, MD, FACGRamkrishna R. Kothur, MDDonald P. Kotler, MD, FACGVikram S. Kotwal, MD, FACGLorete M. Kotze, MD, FACGSandra S. Kovach, NPBrent J. Kovacs, MDOrest J. Kozicky, MDMichael T. Kram, MD, FACGKenneth R. Kranz, MDRobert E. Kravetz, MD, MACGRoderick B. Kreisberg, MDLeonard Kresch, MD, FACGMahesh K. Krishnaiah, MDNathaniel R. Krogel, DOJackson H. Kuan, MDCraig M. Kubik, DO, FACGMuhammad M. Kudaimi, MD, FACGStephen E. Kuehn, MDArbind Kumar, MD, FACGKirtida G. Kumar, MDRajesh K. Kumar, MDSanath S. Kumar, MD, FACGLeon Kundrotas, MD, FACGRavinder R. Kurella, MDVladimir M. Kushnir, MDJames T. Kwiatt, MDPaul Y. Kwo, MD, FACGAnnette Y. Kwon, MDCharles L. Lackey, MD, FACGJeffrey T. Laczek, MDDennis R. Laffer, MD, FACGMelissa M. Lafferty, PAJoseph A. Lagattuta, MDEdwin J. Lai, MDSean C. Lai, MD, FACG

Aran W. Laing, MDAndrew N. Lake, MDSubodh K. Lal, MDPatrick Lam, DOSing Lam, MDJennifer V. Lamb, NPPaul B. Lamb, MDYvette Lam-Tsai, MDFrank Lancellotti, MDKarl H. Landberg, MDLuis F. Lara, MDMedley A. Larkin, DOAlexander K. Larson, MDRichard F. Latuska, MDJose A. Lavergne, MDNicole T. Lawrence, MDRichard M. Lawson, MDRobert M. Lazar, MDJulie A. LeBlanc, ANPPaul J. Lebovitz, MDDarrell J. Lee, MDDavid D. Lee, MDDavid S. Lee, MDGabriel H. Lee, MDIris H. Lee, MDSalina S. Lee, MDStanley W. Lee, MDVanessa D. Lee, MDYe-Jin Lee, MDYoon Jae Lee, MDMark R. Lena, MD, FACGJulia A. Leo, DOBonnie S. Ler, FNPSolomon L. Lerer, MD, FACGKevin K. Leung, MDYvette Leung, MDEric L. Lever, MD, FACGJoel A. Levien, MD, FACGTheodore R. Levin, MD, FACGChristina A. Levings, MDRobert A. Levinson, MD, FACGGavin N. Levinthal, MDL. Campbell Levy, MDVictor Levy, MD, FACGScot M. Lewey, DO, FACGJennifer M. Lewis, MDMyron Lewis, MD, MACGMichael W. Lievens, MDKian Peng Lim, MD, FACG

Seon Hee Lim, MDDavid E. Lin, MD, FACGHua L. Lin, MD, FACGArthur E. Lindner, MD, MACGRichard J. Link, MDFrank V. Linn, MDJoanna R. Linsteadt, MDLeonard Little, Jr., MD, FACGSimon K. Lo, MD, FACGEdward V. Loftus, Jr., MD, FACGGeorge F. Longstreth, MD, FACGLuis J. Lopez, MDArmando Lopez De Victoria, MDCraig H. Lubin, MDLisa R. Luckey, DOGary S. Luckman, MD, FACGDana J. Lukin, MD, PhDIsmet Lukolic, MDDonald F. Lum, MD, FACGMihai Z. Lupovici, MDKip D. Lyche, MDRalph T. Lyerly, Jr., MD, FACGW. Elwyn Lyles, MD, FACGKaren H. Ma, MDGustavo A. Machicado, MD, FACGBradley P. Mackler, MDMurthy S. Madhira, MDMario V. Magasic, MDDeepak S. Mahajan, MDMahendra Mahatma, MDPeter D. Maher, IV, MDWilliam E. Maher, MDStephen J. Mahoney, MDHugh D. Mai, MD, FACGZenowij Majuk, MD, FACGMartin E. Maldonado, MD, FACGJ. Shawn Mallery, MD, FACGChaithanya Mallikarjun, MDLisa B. Malter, MD, FACGWilliam G. Manax, MD, FACGFlavio D. Manela, MDCharoen Mankongpaisarnrung, MDJames A. Mann, MD, FACGKendell L. Mann, MDAntonino Mannone, MDPhilip A. Mantia, MD, FACGSiva Maran, MD, FACGJennifer K. Maratt, MDStefan P. Marcuard, MD, FACG

Cristina S. Marin, MDJonathan E. Markowitz, MD, MSCERaul Marquez, MDBarry J. Marshall, MD, FACGFabrizio Martella, MDChristopher A. Martin, MDDavid M. Martin, MD, FACGDavid F. Martin, MD, FACGGines A. Martinez, Jr., MDMelissa Martinez, MDAmit H. Masand, MDPatrick A. Masters, MD, FACGRoy M. Matsuyama, MDP. Martin Mauk, MD, FACGChester J. Maxson, MD, FACGFolasade May, MDIra E. Mayer, MD, FACGGary P. Mayeux, MDTiffany N. Mazur, PAMarshall E. McCabe, III, MD, FACGMack E. McCain, MDTimothy McClellan, MDDaryl M. McClendon, MD, FACGRick J. McCombs, MDJonathan McCone, Jr., MDJoseph E. McCullough, MDR. Wade McCullough, DOMachelle A. McDowell, NPDavid P. McElreath, DOThomas J. McGarrity, MD, FACGThomas R. McGinn, MDDaniel E. McGuire, MD, FACGTom S. McHorse, MD, FACGJason D. McKinney, DOPeter R. McNally, DO, MACGSimona Meca, MDJeffrey R. Medoff, MD, FACGParesh P. Mehta, MDJohn L. Meisel, MDMark H. Mellow, MD, FACGIlyas M. Memon, MD, FACGLeonardo Mendez, MD, FACGNahum Mendez Sanchez, MD, MSc, PhD, FACGRoger E. Mendis, MD, FACGRichard A. Menin, MDLaila Menon, MDTimothy J. Menz, MDFrank V. Meriano, MD

Jay G. Merker, MDLindsey Merritt, DOHooshang Meshkinpour, MD, FACGSikandar A. Mesiya, MDJose Augusto S. Messias, MDDivo A. Messori, MD, FACGStacy A. Meuth, ANPFrederic A. Meyers, MDWilliam F. Meyers, MDChuan Long Miao, MDPhilip Micale, MDHazar Michael, MDPina Michieletti, MDDavid E. Milkes, MD, FACGJuliana Miller, MDMatthew S. Miller, MDRobert M. Miller, MDJohn P. Milliken, MDLawrence Mills, MD, FACGMichael R. Mills, MD, MPH, FACGGordon A. Millspaugh, MDMax C. Miranda, MDNader Mirhoseni, MDVijay Laxmi Misra, MDSara H. Mitchell, MDCarlos Mitrani, MDAlka Mittal Hudson, MDHoward S. Mitz, DOBabak Mohajer, MDKannappan Mohan, MD, FACGAdedayo O. Mokuolu, MDPhani K. Molakatalla, MDMichael D. Molinari, MD, FACGNeal A. Moller, MDMark A. Molos, MDDavid W. Monahan, MDPaul S. Monroe, MD, FACGDonald W. Montgomery, MD, FACGShruti Mony, MDF. Stephen Moore, MD, FACGAmilcar L. Morales, MDMichael P. Moran, MDMaria L. Moreira, MD, FACGDonald Morere, Jr., MDGeorge E. Morgan, MDJohn C. Morgenstern, MDSusan J. Morley, NPDavid W. Morris, DOChristopher Morrison, MD


Maury K. Morrison, MDRichard S. Morse, MD, FACGWilliam J. Morton, MD, FACGMorry Moskovitz, MD, FACGRafael A. Mosquera, MD, FACGRadman Mostaghim, MDOmar Mousa, MDJuergen Mueller, MDAzzam Mufta, MDTraci T. Murakami, MDDenis M. Murphy, MDJoseph R. Murphy, MD, FACGRobert A. Murphy, MD, FACGSanjay Murthy, MDAndria M. Mushahwar, MD, FACGBrian J. Muska, MDScott E. Myers, MDSteven C. Nadler, MD, FACGMuhammad Naeem, MDArun C. Naik, MD, FACGImad M. Nakshabendi, MD, FACGNick B. Namihas, MDYoshinobu Namihira, MD, FACGFadel E. Nammour, MD, FACGSanta Nandi, MD, FACGMohan S. Narayanan, MD, FACGAmrit P.S. Narula, MD, FACGLuis S. Nasiff, MD, FACGBassam H. Nasr, MDSamir K. Nath, MDRanga S. Nathan, MD, FACGMuhammed G. Nathani, MD, FACGScott M. Naum, DOMorris S. Naus, MDEmma E. NealOmar S. Nehme, MDEric M. Nelsen, MDNina P. Nelson-Garrett, MDYawer M. Nensey, MDNorman R. Neslin, MDMarc D. New, MDMichael K. Newcomer, MDJay H. Newkirk, MD, FACGThais N. Newton, NPAnthony J. Ng, MDSaowanee Ngamruengphong, MDKha H. Ngo, DOBaoLong Nguyen, MDDiane Nguyen, MD

Son V. Nguyen, MDVu Q. Nguyen, MDTaiwo N. Ngwa, MDDonald M. Nicolardi, MD, FACGJose M. Nieto, DO, FACGTomasz J. Niewiarowski, MDJeffrey M. Niizawa, MDPardeep Nijhawan, MDMatthew A. Nikoloff, MDJay A. Noble, MD, FACGThomas E. Noble, MD, FACGJames M. Noel, MDDee NoltingAnupama U. Nookala, MDCharles S. Nordell, MDMichael J. Nosler, MDSofia Novak, MDAlex Novogrudsky, MDSean G. Nugent, MDCristina Nunez-Christopher, PAMark Nyitray, MDBarbara L. O’Brien, MDGordon V. Ohning, MD, PhD, FACGTakayuki Okada, MD, FACGPatrick I. Okolo, III, MD, MPHNnenna C. Okpara, MD, FACGKevin W. Olden, MD, FACGAyotokunbo O. Olosunde, MDHarvey W. Olsen, MDCalvin E. Olson, MDJames J. O’Mailia, MDThomas F. O’Meara, MD, FACGM. Louay Omran, MDMichael Oravec, MD, PhDJohn L. Orchard, MD, FACGPatrick M. O’Reilly, MDNicholas T. Orfanidis, MDRichard D. Ornato, PAGeorge Orr, MDAustin A. Osemeka, MDEric M. Osgard, MD, FACGKari L. Ostlie, PAArthur H. Ostrov, MD, FACGCharles C. Owen, Jr., MDAmy S. Oxentenko, MD, FACGLaura A. Pace, MD, PhDLori A. Paiva, MDDonald J. Palmadessa, MDFrank S. Pancotto, MD, FACG

John E. Pandolfino, MD, MSCI, FACGHarivallabh D. Pandya, MD, FACGSudhir Pandya, MDRichard J. Panicco, DO, FACGNorman M. Panitch, MD, FACGMichael A. Papper, MDAngelo Paredes, MDHarrison W. Parker, MD, FACGVictor E. Pascual Chagman, MDBennett J. Pastika, DOChristine C. Pastorini, MDAlpesh Patel, MDAnik M. Patel, MDAshwinkumar D. Patel, MDBakul K. Patel, MDDhiren B. Patel, MDGovind B. Patel, MDKrunal Patel, MDMrunal C. Patel, MDNayan M. Patel, DOPravinchandra Patel, MDSamir A. Patel, MDVinaychandra M. Patel, MDBetsy A. Pathickal, MDPaolo Pazzi, MD, FACGRalph P. Pearce, MDKenneth I. Pearlman, MDKumara S. Peddamatham, MDPeder J. Pedersen, MDGeorge Pelican, MD, FACGThomas P. Peller, MDJoshua D. Penfield, MDDeane A. Penn, MD, FACGFernando A. Pereira, MDOmar J. Perez-Jimenez, MDWilliam H. Perlow, MD, FACGMichael D. Perrino, MDJoseph L. Perrotto, MD, FACGMichael J. Persaud, DOMohan Persaud, MDJames S. Pezzi, MDTuan A. Pham, MDJoseph P. Phillips, MDDaniel Piascik, PALisa S. Pichney, MD, FACGJoaquin H. Piedra, MD, FACGWillard C. Pierson, Jr., MD, FACGMichael Piesman, MD, FACGJames A. Pilla, MD

Mark Pimentel, MD, FACGCyrus R. Piraka, MDAlejandro Piscoya-Rivera, MDC.S. Pitchumoni, MD, MACGSuresh S. Pitchumoni, MDDeborah A. Plasman, PAJiri J. Podany, MD, FACGHeiko Pohl, MDEric A. Pollack, MDRoberto Ponce, MDCatherine D. Popkin, MD, FACGVioleta B. Popov, MD, PhD, FACGMeredith Portalatin, MDBharat Pothuri, MD, FACGMark B. Potter, DORonald S. Powell, MDRobert C. Power, MD, FACGCharlene Prather, MD, MPHDaniel S. Pratt, MDAmanda B. Pressman, MD, FACGNeil M. Price, MD, FACGDouglas B. Pritchett, MDMaritza Proano, MDJohn A. Procaccino, MDSiobhan Proksell, MDDale A. Prokupek, MDAlejandro Pruitt, MD, FACGTheadore W. Ptak, MDBharat K. Puchakayala, MDThomas J. Pulliam, MD, FACGAnjaneya R. Puppala, MD, FACGJannine A. Purcell, CNPPeter F. Purcell, MD, FACGAmandeep S. Purewal, MDJoseph J. Quagliata, MD, FACGGang Quan, MDEamonn M. M. Quigley, MD, MACGPatrick G. Quinn, MDMarcy L. Qureshi, DOVasudevan Unnithan Raghuraman, MD, FACGTariq Rahim, MDJay M. Raja, MD, FACGPalani K. Raman, MD, FACGNatwarlal V. Ramani, MDGopal A. Ramaraju, MDFrancisco C. Ramirez, MD, FACGJose A. Ramirez, MDChristopher Ramos, MDWilliam H. Ramsey, MD, FACG

Richard C. Ranard, MDKevin M. Rank, MDRonald J. Rasansky, DOShaheen Rasheed, MDSushil Rattan, MDNikhiel B. Rau, MDDonald E. Rawls, MDMonica Ray, MDKrishna M. Rayapudi, MDAlan R. Raymond, MD, FACGM. H. Razavi, MD, FACGLakshmipathi R. Reddi, MD, FACGAdisesha B. Reddy, MD, FACGChakradhar M. Reddy, MDGautam M. Reddy, MDJyothi Ahalya Reddy, MD, FACGMadhavi Reddy, MD, FACGNaveen G. Reddy, MDRaghuveer M. Reddy, MD, FACGSudhir K. Reddy, MDSwapna B. Reddy, MD, FACGWendy D. Reed-Perez, PADena K. Reese, FNP-CSofiya Reicher, MD, FACGAmy M. Reighard, RN, MSN, CGRNHarold F. Reilly, III, MDMiriam L. Remucal, RNRenee M. Rennick, PAHenri Renom de la Baume, MDAlfred T. Reyno, PADavid D. Reynolds, MDJames C. Reynolds, MD, FACGErnest F. Ribera, MDMatthew C. Rice, MDJoel E. Richter, MD, MACGPhillip M. Ricks, MDTim M. Ridgway, MDDaniel L. Ridout, III, MDBradley S. Rieders, MD, FACGMark A. Riner, MDMichael J. Ringer, MD, FACGJose A. Rios, MDTimothy E. Ritter, MDRamon E. Rivera, MDSuzette Rivera-MacMurray, MDKnut J. Roalsvig, MDRichard S. Robbins, MDDavid N. Roberts, MDJames G. Robilotti, Jr., MD, FACG



Ronald M. Robinson, MDCarlos A. Robles Medranda, MDJohn D. Roddenberry, MDPaul W. Roderick, MD, FACGEdison D. Rodrigues, MDRicardo E. Rodriguez, MD, FACGWilmer Rodriguez, MD, FACGRafael E. Rodriguez-Lopez, MDFederico Rodriguez-Perez, MDRodolfo Rodriguez-Torrens, MDJason N. Rogart, MDArvey I. Rogers, MD, MACGWalter W. Romatowski, MD, FACGYvonne Romero, MD, FACGMartha E. Romero IbarraJames E. Rose, MDDavid M. Roseman, MDSeth D. Rosen, MDDavid M. Rosenheck, MDNeil E. Rosenkranz, MD, FACGAndrew H. Rosenstein, MDLawrence S. Rosenthal, MDRobert A. Rosenzweig, MDSeth E. Rosenzweig, MD, FACGKathryn A. Ross, MD, FACGRobin A. Rougeau, MDRobert M. Rourk, MD, FACGKenneth P. Rubin, MD, FACGSteven D. Rubin, MD, FACGEdward D. Ruszkiewicz, MD, FACGFrederick W. Ruymann, MD, FACGAbdo M. Saad, MD, FACGAndrew I. Sable, MDDavid B. Sachar, MD, MACGBrett W. Sadowski, MDMehdi M. Saeedi, MDRoque Sáenz, MD, FACGHenry L. Safier, MD, FACGGeronimo Sahagun, MDAra Sahakian, MDTahira Saifuddin, MD, FACGMardeli C. Saire Mendoza, MDYuri A. Saito-Loftus, MD, MPH, FACGSusan M. Salahshor, PhD, PA-CJean W. Saleh, MD, FACGKelly O. Salfiti, MDRichard M. Salvino, MDAna Paula N. Sampaio, MDRichard E. Sampliner, MD, MACG

Shelby K. Samuel, MDElias A. San Vicente, MDJose M. Sanchez, MDAlan R. Sandberg, MDMichael K. Sanders, MDSukhwinder S. Sandhu, MD, FACGYou-Sung Sang, MD, FACGSimren Sangha, MDMoushumi B. Sanghavi, MDMohamad R. Sankari, MDJennifer L. Sankovich, PAWaldo Santiago, MDManuel A. Santini, MDCharles I. Saperstein, MDMark S. Sapienza, MDPhilip Sarges, MDPavan R. Saridena, MDAnne L. Saris, MDSunil Sarvaria, MD, FACGTakahiro Sato, MDMojgan S. Savabi, MDRoger S. Sayegh, MDGregory S. Sayuk, MD, MPHHoward Schachter, MD, FACGLiviu Schapira, MD, FACGRudolph Schilli, MDMichael J. Schmalz, MD, FACGJ. David Schmidt, MDMichael H. Schmidt, MDRobert E. Schoen, MD, MPHScott W. Schorr, MDElliot H. Schuman, MD, FACGRobert W. Schuman, MDThomas S. Schussler, MDStephen M. Schutz, MD, FACGMitchell S. Schwartz, MD, FACGRonald M. Schwartz, MDChristopher J. Schwarz, MDDarrell Schwertner, MDJoseph C. Scirica, MDMarch E. Seabrook, MD, FACGVictor W. Sears, Jr., MDRobert Seegers, MDJatinder S. Sekhon, MDJoham Senior, MD, FACGAshwani K. Sethi, MDEddy Setijoso, MD, FACGDaniel Sette-Camara, MD, FACGJoel Sewchand, MD, FACG

Anthony P. Sgouros, MD, FACGRichard T. Shaffer, MD, FACGMohammad A. Shafi, MDBadal S. Shah, MDGunjan Prabodh Shah, MDNisha A. Shah, MDRahil D. Shah, MDRajiv S. Shah, MDSamir A. Shah, MD, FACGSmita S. Shah, MDSomal S. Shah, MDNicholas J. Shaheen, MD, MPH, FACGVanessa M. Shami, MD, FACGBradley D. Shapiro, MDGary L. Shapiro, MD, FACGRupam Sharan, MDKuldip Sharma, MDNeil R. Sharma, MDSushil K. Sharma, MDMalery H. Shashidhara, MD, FACGTaiseer Shatara, MDRichard P. Shaughnessy, DOChristopher T. Shaw, MDRobert D. Shaw, MD, FACGJohn J. Sheehan, Jr., MD, FACGShahzad H. Sheikh, MDJoseph H. Shelton, MDAtul Subhash Shende, MD, FACGBenjamin A. Shepard, MDAlex Sherman, MD, FACGNidhir Sheth, MDMitchell L. Shiffman, MD, FACGAlan F. Shikoh, MDMoshe Shiller, MDTrupti S. Shinde, MDRobert J. Shmuts, DOSyed M. Siddiqi, MD, FACGTahir Siddique, MDUzma D. Siddiqui, MDSylvain Sidi, MD, FACGCorey A. Siegel, MD, MSHoward I. Siegel, MD, FACGJerome H. Siegel, MD, MACGJonathan D. Siegel, MD, FACGRonald S. Siegel, MD, FACGDean N. Silas, MDMark J. Silversmith, MDVlado Simko, MD, FACGMichael E. Simons, MD

William G. Simpson, MDRolando S. Sineneng, MD, FACGAshwani K. Singal, MD, MS, FACGEdward L. Singer, MDMaximo Singer, MD, FACGAnil K. Singh, MD, FACGEdward S. Singh, MDHarpriya Singh, MDRaghujit Singh, MD, FACGRohit Singhania, MD, FACGZarema J. Singson, MDBheema S. Singu, MDJames A. Sinnott, MD, FACGSai K. Sista, MD, FACGNirmala Maya Siva, MDArumugam Sivakumar, MD, FACGMarna M. Skaar, MDBradley Sklar, MDFrederick L. Slone, MDAlan F. Sloyer, MD, FACGStephen O. Slusser, MDAmy C. Smith, FNPBenjamin N. Smith, MDBurton H. Smith, MD, FACGDeirdre E. Smith, NPMartha A. Smith, NPRichard L. Smith, MD, FACGHarry Snady, MD, PhD, FACGJavier Sobrado, MDEdy Soffer, MD, FACGMohammad R. Soleimanpour, MD, FACGHoward J. Solomon, MDXiaosong Song, MDDarius Sorbi, MDJeffrey J. Sorokin, MDToomas M. Sorra, MD, FACGBob T. Souder, MDM. Tanju Soyer, MD, FACGMarybeth Spanarkel, MD, FACGChristian A. Speer, MD, FACGDavid N. Speranza, MD, FACGAmi D. Sperber, MDJose N.F. Spinelli, MDJulie E. Spivack, MDTimothy J. Spurling, MDKolala R. Sridhar, MD, FACGNandakumar Srinivasan, MDJames W. Srour, MDStephen W. Stagg, MD, FACG

Eddie C. Starnes, MD, FACGVeslav Stecevic, MDAndreas M. Stefan, MD, FACGAdam C. Stein, MDBernard Stein, MD, FACGMark J. Sterling, MD, FACGRichard K. Sterling, MD, MSc, FACGWilliam R. Stern, MD, FACGWilliam E. Stevens, MDChristian D. Stone, MDLisa L. Strate, MD, MPH, FACGJames C. Strobel, MDJohn R. Stroehlein, MD, FACGStephen S. Strohlein, MD, FACGRichard M. Strong, MD, FACGWilliam Stuppy, MD, FACGMarc A. Subik, MD, FACGSrinivasan Subramanian, MDKempanna Sudhakar, MD, FACGMahomed Suliman, MDChristina M. Surawicz, MD, MACGHarold L. Sussewell, MDThomas M. Swantkowski, MD, FACGWilliam H. Sweatt, MD, FACGAcacia K. Syring, NPEva Szigethy, MD, PhD, FACGGregory A. Szych, DOHiroshi Takahashi, MDShin’ichi Takahashi, MD, FACGJay A. Takata, MDMones Takriti, MD, FACGArthur L. Talansky, MD, FACGNicholas J. Talley, MD, MBBS, PhD, MMedSci, MACGManish Tandon, MDMichael S. Taxier, MD, FACGGhiath Tayeb, MDJuan S. Tejada, MDScott M. Tenner, MD, MS, MPH, JD, FACGHarold G. Tepler, MDJonathan P. Terdiman, MD, FACGBelen A. Tesfaye, MDBrent A. Tetri, MD, FACGAnne Thai, MDJigna N. Thakore, MDKrishan D. Thanik, MD, FACGJoycelyn M. Theard, MDShoba Theivanayagam, MDNguyen D. Thieu, MD, FACG


Andrew W. Thomas, MDArul M. Thomas, MDBen H. Thomas, MDGary A. Thomas, MD, FACGStuart J. Thomas, MDGary W. Thompson, MDMary W. Thornton, NPBrett L. Thorpe, MDErik P. Thyssen, MDMelik T. Tiba, MDEric E. Tibesar, MDHoward L. Tice, MDWilhelm Tietke, MD, FACGHui Hing Tin, MDRafael A. Tirado-Montijo, MDRaymond Tobias, MD, FACGDennis N. Todoruk, MDChristina J. Tofani, MDJuan T. Tomasini, MD, MACGEric R. Tompkins, MDPeter R. Torelli, MDStuart A. Torgerson, MDEuriko G. Torrazza Perez, MDDawn M. Torres, MD, FACGKarla S. Torres Castillo, MDErin L. Toto, MDNabil A. Toubia, MDGervais Tougas, MDDebra J. Towsend, MDJon V. Trankina, MDChirag D. Trivedi, DOMayur R. Trivedi, MDJoseph L. Tromba, MD, FACGRichard A. Truesdale, Jr., MDLeon Tsai, MDLeslie E. Tucker, MD, FACGZsolt Tulassay, MD, FACGAuguste P. Turnier, MDPenny S. Turtel, MD, FACGSonia H. Uchman, MDFatema S. Uddin, MDM. Siraj Uddin, MD, FACGMark D. Uhl, MDNadeem Ullah, MDSonal M. Ullman, MDJeffrey S. Unger, MDPearl Princess D. Uy, MD

Ravi K. Vachhani, MDMichael R. Valantas, DO, FACGGregg A. Valenzuela, MDMichael G. Valladares, DORosalind U. Van Stolk, MD, FACGSander J. van Zanten, MD, FACGJenna M. Vanloy, NPApurv K. Varia, MDDavid N. Varon, MDSrinivasa Rao G. Vasa, MDTeresa E. Vasicek, PA-CRajeev Vasudeva, MD, FACGStacie A.F. Vela, MDAlexander Veloso, MDAngel Veloso, MDNarasimharao Vemula, MD, FACGRoopa Vemulapalli, MDDharmendra Verma, MDKurt G. Vernon, MD, FACGSteven L. Vest, MD, FACGHugo A. Villarreal, MDVernu Visvalingam, MDFrancisco J. Vizcarrondo-Terron, MDJason F. Vollweiler, MDNicholas A. Volpicelli, MDWilliam F. Vorder Bruegge, MDTimothy R. Wacker, MDDarrell D. Wadas, MD, FACGKeith A. Waddle, DOShahid Wahid, MDRenata Wajsman, MDJamile Wakim-Fleming, MD, FACGArthur G. Walczyk, MD, FACGJames M. Walden, Jr., MDJohn A. Walker, MD, FACGRonald I. Waloff, MDChuansheng Wang, MD, PhDMichael M.J. Wang, MDNed R. Warner, DOMelissa JP Warren, NPWahid Y. Wassef, MD, FACGMakoto Watanabe, MD, PhD, FACGHousein M. Wazaz, MD, FACGCurtis R. Weaver, MDSeth M. Webber, MDRichard J. Weber, MDPaul D. Webster, III, MD, FACG

Francis R. Weiner, MD, FACGHoward J. Weiner, MDZelman G. Weingarten, MD, FACGMichael D. Weinman, MDElizabeth H. Weinshel, MD, FACGGerald S. Weinstein, MD, FACGJeffrey S. Weinstein, MDPeter J. Weinstein, MDLeonard B. Weinstock, MD, FACGDouglas M. Weissman, MDGil Weitzman, MDMark A. Wells, MDBrian J. Wentworth, MDJeffrey J. Weprin, MDArthur N. West, MDBrenda C. Westhoff, DOAllan P. Weston, MD, FACGDavid M. Weston, MD, FACGDavid E. Wexler, MD, FACGW. Penn White, MDDavid C. Whitehead, MDWilliam E. Whitehead, PhD, MACGWilliam A. Whitfield, MD, FACGBradford A. Whitmer, DOPrasanna C. Wickremesinghe, MD, FACGJessica L. Widmer, DOKeith A. Wied, DOGregory J. Wiener, MD, FACGJon B. Wiggins, MDAshley K. Wiginton, PACharles M. Wilcox, MD, FACGJason M. Wilkes, MD, FACGGeorge Willeford, III, MD, FACGNadia P. Williams, MD, FACGPhylis Willis, FNP-CLouis J. Wilson, MD, FACGMin S. Win, MD, FACGSidney J. Winawer, MD, MACGGuy R. Winzenried, MD, FACGSamuel K. Wirtschafter, MD, FACGMarc D. Wishingrad, MDWilliam H. Wismer, DOJohn T. Witte, MD, FACGDouglas C. Wolf, MD, FACGM. Michael Wolfe, MD, FACGMarc R. Wolfman, MDCharles F. Wolter, Jr., MD, FACG

Carlson B. Wong, MD, FACGDominic K.H. Wong, MD, FACGRobert F. Wong, MDRoy K. Wong, MD, MACGZhiqin Wong, MDMichele C. Woodley, MDHenri T. Woodman, MDAmy R. Woods, MD, FACGKaren L. Woods, MD, FACGRenita M. Worley, NPDennis V. Worthington, MDDouglas E. Wright, MDFabien Wuestenberghs, MDClifton D. Wynter, MDPeiying Xiao, MDZuoliang Xiao, MDBingru Xie, MDTsuyoshi Yabana, MDAnitha D. Yadav, MDYoshio Yamaoka, MDRussell D. Yang, MD, PhDSteven S. Yang, MD, FACGVictor W. Yang, MDAlan C. Yao, MD, FACGYuen San Yee, MD, FACGNancy U. Yokois, MDSung J. Yoo, MDYoung Kul Yoo, MDKendall T. Yoshisato, RNSayed M. Yossef, MD, FACGDavid M. You, MD, FACGGavin S. Young, MDAdel I. Youssef, MD, FACGShuja Yousuf, MDJian C. Yu, MD, FACGFauzi Yusuf, MD, FACGMelawati Yuwono, MDSajid M. Zafar, MDJuan J. Zaiter, MD, FACGIhor A. Zakaluzny, MDJoshua Zara, MD, FACGJoseph J. Zerega, MD, FACGHao Chi Zhang, MDJulie H. Zhu, MDRobert H. Ziegler, MDMatthew J. Zimmerman, MDBarry M. Zingler, MD, FACG

Jusuf Zlatanic, MDRonald A. Zlotoff, MDMarc J. Zuckerman, MD, FACGJoe C. Zuerker, MD, FACG



About the InstituteThe ACG Institute for Clinical Research and Education promotes the College’s commitment to clinical research and physician and patient education. The ACG Institute’s record to date is a source of pride,

particularly its significant and growing support of young clinical investigators.

The ACG Institute has grown since its introduction in 1994, both in terms of the breadth of its investment in clinical GI investigators and the scope of its activities, which now include the development of evidence-

based systematic reviews and related clinical education for physicians and patients.

The success of the ACG Institute is due, in large part, to the commitment and support of the ACG Board of Trustees, the Board of Governors, and all the members who have participated in, and

continue to be part of, the Institute’s work.

ACG Institute for Clinical Research & EducationAmerican College of Gastroenterology

6400 Goldsboro Road, Suite 200 | Bethesda, Maryland 20817gi.org/acg-institute | [email protected]

2017-2018 ANNUAL REPORT Acute Pancreatitis Task Force..... 18 ACG Research Committee ..... 18...

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Transcript of 2017-2018 ANNUAL REPORT Acute Pancreatitis Task Force..... 18 ACG Research Committee ..... 18...