University of CaliforniaSan Francisco

Presented by the Departments ofOtolaryngology-Head and Neck SurgeryUniversity of California, San Francisco and Tripler Army Medical CenterHonolulu, Hawaii

Pacific Rim Otolaryngology–Head and Neck Surgery Update

COURSE CHAIRMENAndrew H. Murr, MD, FACSUniversity of California, San Francisco

Benjamin Cable, MD, LTC, MC, USATripler Army Medical Center, Honolulu, HI

William R. Ryan, MDUniversity of California, San Francisco

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CONCURRENT COURSE! AMERICAN COLLEGE OF SURGEONS THYROID AND PARATHYROID ULTRASOUND SKILLS-ORIENTED COURSE FEB 15-16, 2014

MOANA SURFRIDERHOTELWaikiki BeachHonolulu, Hawaii

Pacific Rim Otolaryngology–Head and Neck Surgery Update

With improved understanding of pathophysiology and disease mechanisms and withtechnological advancements, the approaches to head and neck surgical disorders and headand neck surgery techniques continue to evolve at a rapid pace. The goal of this course is toprovide an update in contemporary head and neck surgery and to foster educational interaction between practitioners from the Pacific Rim and beyond. A distinguished facultywill provide lectures and roundtable discussions. Ample time for questions and interactionwith the faculty is planned. Attendees are encouraged to bring their own cases for discussion.TARGET AUDIENCEThis course is intended for practicing otolaryngologist-head and neck surgeons, facial plastic surgeons, oral and maxillofacial surgeons, dermatologic surgeons, and nurses.OBJECTIVES An attendee completing this course should be able to apply in practice:

• New management strategies for migraine related dizziness and understand advancements in BAHA technology;

• An understanding of the success rates and techniques for closure of nasoseptal perforations;• Current options for management of reconstruction of facial cutaneous defects;• Strategies for developing an airway response team and the pros and cons of utilizing

percutaneous tracheotomy techniques in your practice;• Assessment of factors and trends in the operationalization of the Affordable Care Act;• Concepts of human biome research as it applies to the pathophysiology of sinus disease;• Current concepts in the diagnosis and management of vocal cord paralysis;• Management of upper aerodigestive tract related disease of the neck and the management

of neck metastasis related to thyroid cancer.ACCREDITATIONThe University of California, San Francisco School of Medicine (UCSF) is accredited by theAccreditation Council for Continuing Medical Education to provide continuing medical education forphysicians.UCSF designates this live activity for a maximum of 22.5 AMA PRA Category 1 Credits™.Physician should claim only the credit commensurate with the extent of their participation in the activity.This CME activity meets the requirements under California Assembly Bill 1195, continuing educationand cultural and linguistic competency. Nurses: For the purpose of recertification, the American Nurses Credentialing Center accepts AMAPRA Category 1 Credits™ issued by organizations accredited by the ACCME. Physician Assistants: AAPA accepts category 1 credit from AOACCME, Prescribed credit fromAAFP, and AMA category 1 credit for the PRA for organizations accredited by the ACCME.

MOANA SURFRIDERHOTELHonolulu, Hawaii

Saturday – Tuesday • February 15-18, 2014

COURSE CHAIRMENAndrew H. Murr, MD, FACSProfessor and Chair,Department of Otolaryngology-Headand Neck Surgery, University ofCalifornia, San Francisco School ofMedicine; Chief of Service, SanFrancisco General Hospital; RogerBoles, MD Endowed Chair inOtolaryngology Education Benjamin Cable, MD, LTC, MC, USAChief, Pediatric Otolaryngology,Tripler Army Medical Center-Honolulu, HIWilliam R. Ryan, MDAssistant Professor, Division of Headand Neck Oncologic and EndocrineSurgery, Department ofOtolaryngology - Head and NeckSurgery, University of California, SanFrancisco

COURSE FACULTYJennifer M. Bager, MD, MAJ, MC, USAStaff, Otolaryngology – Head andNeck Surgery, Tripler Army MedicalCenter- Honolulu, HINikolas H. Blevins, MD Larry and Sharon MalcolmsonProfessor, Chief, Division of Otology/Neurotology, Medical Director,Stanford Cochlear Implant CenterDepartment of Otolaryngology - Headand Neck Surgery StanfordUniversity School of Medicine,Stanford, CADylan K. Chan, MD, PhDAssistant Professor, Division ofPediatric Otolaryngology, Departmentof Otolaryngology - Head and NeckSurgery, University of California, SanFranciscoJolie L. Chang, MDAssistant Professor, Department ofOtolaryngology - Head and NeckSurgery, University of California, SanFrancisco

COURSE FACULTY (CONT’D)Mark S. Courey, MD Professor, Department ofOtolaryngology – Head and NeckSurgery, Director, Division ofLaryngology, Director, Voice andSwallowing Center, University ofCalifornia San FranciscoMichael A. Fritz, MDStaff Surgeon, Facial Plastic andReconstructive Surgery, ClevelandClinic Head and Neck Institute,Cleveland, OHAndrew N. Goldberg, MD, MSCE, FACS Professor, Department ofOtolaryngology – Head and NeckSurgery, Director, Division ofRhinology and Sinus Surgery,Director, Outcomes Research,Director, Center for Clinical Researchin Otolaryngology, University ofCalifornia, San FranciscoLaura A. Kirk, PA-CPhysician Assistant, Department ofOtolaryngology – Head and NeckSurgery, University of California,San Francisco

American College of Surgeons Thyroid and Parathyroid Ultrasound Skills-Oriented Course

The objective of this course is to introduce the practicing surgeon to office-based examinationof the thyroid and parathyroid glands and related pathology. The distinction between normaland malignant lymphadenopathy will be emphasized with a demonstration of the comprehen-sive examination of lymph node basins in cervical zones I-VI. The process of ultrasound-guid-ed fine needle aspiration (FNA) of thyroid nodules and enlarged lymph nodes will be demon-strated in didactic lecture format. In addition, the hands-on skill sessions allow the surgeon tolearn varied techniques of FNA phantom models. The use of patient volunteers will allowsupervised hands-on experience with transverse and longitudinal ultrasound methods.Participants will be instructed in the practical details and hurdles in developing office-basedultrasound, including credentialing and coding issues.After completion of this course, the surgeon should be able to: • Select appropriate equipment for head/neck ultrasound • Summarize general physics and principles of head/neck ultrasound; • Adjust ultrasound settings for head/neck ultrasound; • Describe the indications and goals for diagnostic head/neck ultrasound; • Describe the various positions of the patient, the examiner, and the ultrasound equipment for optimal performance of a diagnostic head/neck ultrasound;

• Demonstrate the technique for performance of a diagnostic head/neck ultrasound; • Recognize the normal sonographic anatomy of the head/neck; • List and define the characteristics used to classify sonographically detected head/neck lesions aspathologic and/or benign versus malignant;

• Identify ultrasonographically detectable pathologies of the head/neck; • Categorize head/neck masses according to their sonographically detected characteristics;• Describe the equipment required for performing interventional head/neck ultrasound procedures; • Describe the various positions of the patient used to perform interventional head/neck ultrasoundprocedures;

• Describe the indications for ultrasound-guided FNA biopsy of head/neck lesions; • Describe the risks of interventional head/neck ultrasound procedures and measures to help avoidthose risks;

• Demonstrate satisfactory performance of an ultrasound-guided FNA biopsy using a phantom model; • Describe the procedure so that a patient can be fully informed about the risks and alternatives. PREREQUISITERegistrants must purchase and complete the CD-ROM course, “Ultrasound for Surgeons: The Basic Course.” The CD-ROM is available for purchase online at www.facs.org or over the phone at(866) 475-4696.Please Note: Advance registration is required for this course and space is limited. Please register as far in advanceas possible to guarantee your seat. Registration will close 1/30/14. ACS COURSE ACCREDITATION The American College of Surgeons is accredited by the AccreditationCouncil for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. CME CREDIT The American College of Surgeons designates this educational activity for a maximum of 11*AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. *4 credits for CD-Rom Prerequisite course; 7 credits for the live course.

COURSE FACULTY (CONT’D)Christopher Klem, MD, FACS, Colonel, MC, USAChief, Otolaryngology, TriplerArmy Medical Center- Honolulu, HIP. Daniel Knott, MD, FACS Associate Professor and Director,Division of Facial Plastic andReconstructive Surgery, Departmentof Otolaryngology – Head and NeckSurgery, University of California, San FranciscoDennis H. Kraus, MDDirector, Center for Head & NeckOncology, New York Head & NeckInstitute, North Shore-LIJ CancerInstitute, New York, NYPhilip D. Littlefield, MDChief, Otology and Neurotology,Assistant Residency ProgramDirector, Department ofOtolaryngology, Tripler Army MedicalCenter- Honolulu, HI

COURSE FACULTY (CONT’D)Lawrence R. Lustig, MD, FACSProfessor and Francis A. Sooy, MDEndowed Chair, Department ofOtolaryngology – Head and NeckSurgery, Director, Division of Otology,Neurotology, and Skull Base Surgery,University of California, San Francisco Scott B. Roofe, MD, LTC, MC, USAChief, Facial Plastic andReconstructive Surgery, ResidencyProgram Director, Department ofOtolaryngology Tripler Army MedicalCenter, HonoIuIu, HIMarika D. Russell, MDAssistant Professor, Department ofOtolaryngology – Head and NeckSurgery, University of California, San FranciscoMatthew S. Russell, MDAssistant Professor, Department ofOtolaryngology – Head and NeckSurgery, University of California, San Francisco

COURSE FACULTY (CONT’D)Joseph C. Sniezek, MD, FACS, Colonel, MCOtolaryngology Consultant to the Surgeon General of the ArmyTripler Army Medical Center Honolulu, HI

ACS ULTRASOUND COURSE CHAIRSJolie L. Chang, MD Marika D. Russell, MDUniversity of Califonia, San FranciscoChristopher Klem, MD, FACS, Colonel, MC, USAJoseph C. Sniezek, MD, FACS,Colonel, MCTripler Army Medical Center- Honolulu, HI

Saturday and Sunday • February 15-16, 2014

Pacific Rim Otolaryngology – Head and Neck Surgery Update

SATURDAY, FEBRUARY 15, 20146:30 am Registration and Continental Breakfast6:55 Welcome and Announcements Andrew H. Murr

Benjamin B. CableWilliam R. Ryan

7:00 Standardizing Your Endoscopic Exam: Andrew H. MurrThe DIP Score

7:30 Pediatric Aerodigestive Tract Foreign Benjamin B. CableBody Management Pearls

8:00 Parotidectomy – Balancing Treatment Needs with William R. Ryan Functional and Cosmetic Outcomes

8:30 Trends in Litigation for Otolaryngology Joseph C. Sniezek9:00 Updates in Management for Acute and Mark S. Courey

Chronic Vocal Fold Paralysis9:30 Break10:00 Cochlear Implantation - Indications, Techniques, Nikolas H. Blevins

and Future Directions10:30 Update on Adult Obstructive Sleep Apnea Jennifer M. Bager11:00 Treatment of the Crooked Nose P. Daniel Knott11:30 Percutaneous Tracheostomy Marika D. Russell12:00 New Care Pathways for Penetrating Neck Trauma Christopher Klem12:30 pm Adjourn1:30 pm – Concurrent Ultrasound Course5:00 pm See Ultrasound Course Agenda for Details5:00 Case Discussions6:00 pm Adjourn

SUNDAY, FEBRUARY 16, 20146:30 am Continental Breakfast6:55 Announcements William R. Ryan7:00 Oropharyngeal Carcinoma – William R. Ryan

A Comparison of Treatment Side Effects7:30 Migraine Dizziness: Evaluation and Treatment Philip D. Littlefield8:00 Complications of Acute Sinusitis Matthew S. Russel8:30 Complications in Functional Endoscopic Sinus Andrew N. Goldberg

Surgery – Avoidance and Management9:00 Sialoendosopy and Minimally-Invasive Jolie L. Chang

Techniques for Benign Salivary Disorders9:30 Break10:00 Leslie Bernstein Lecture – Innovations in Michael A. Fritz

Microvascular Facial Reconstruction:Pushing the Boundaries

11:00 Chronic Ear Surgery: Staying Out of Trouble Lawrence R. Lustig11:30 Pediatric Sleep Endoscopy and Surgical Dylan K. Chan

Management of Recalcitrant Pediatric Sleep Apnea12:00 Update of Facial Laser Resurfacing Techniques Scott B. Roofe12:30pm Adjourn

1:30 pm – Concurrent Ultrasound Course5:00 pm See Ultrasound Course Agenda for Details5:00 Case Discussions 6:00 pm Adjourn

February 15-18, 2014

Saturday and Sunday • February 15-16, 2014

Pacific Rim Otolaryngology – Head and Neck Surgery UpdateMOANA SURFRIDER HOTELHonolulu, Hawaii

AMERICAN COLLEGE OF SURGEONS THYROID AND PARATHYROID ULTRA-SOUND SKILLS-ORIENTED COURSESATURDAY, FEBRUARY 15, 20141:00 pm Registration1:30 Introduction1:40 Scanning Techniques and Normal Head and Neck

Ultrasound Anatomy2:15 Physics and Principles of Head and Neck Ultrasound2:50 Live Demonstration of Ultrasound Skills3:15 Interventional Head and Neck Ultrasound4:00 Interpretation of Thyroid and Parathyroid Ultrasound4:45 Office Based Ultrasound: Obstacles to Getting Started5:00 pm AdjournSUNDAY, FEBRUARY 16, 20141:30 - 6:15 pm Hands-On Skills Station Modules6:30 Submit Skills Station Report Cards and Evaluations6:45 pm Adjourn

MONDAY, FEBRUARY 17, 201412:25 pm Announcements Benjamin B. Cable12:30 Head and Neck Manifestations of Jennifer M. Bager

Autoimmune Disease1:00 Bone Conduction Hearing Aids – Lawrence R. Lustig

I'm Not Your Grandma's BAHA!1:30 The Difficult Airway Team Matthew S. Russell2:00 Update on Neuromodulators and Fillers for 2014 P. Daniel Knott2:30 Current Evidence for Radiosurgery in Nikolas H. Blevins

VS Treatment3:00 Break3:30 Management of the Neck – An Overview Dennis H. Kraus 4:00 Integrating Ultrasound into Clinical Practice Christopher Klem4:30 Surgical Repair of Septal Perforations Scott B. Roofe5:00 Do Our Sinuses Crave Certain Bacteria Andrew N. Goldberg

for Health?5:30 Management of Sudden Sensorineural Jolie L. Chang

Hearing Loss6:00 Panel Discussion – Otology Panel Moderator: Lawrence R. Lustig

Implantable Hearing Devices: Panelists: Lawrence R. Lustig,What's Best for My Patient? Nikolas H. Blevins, Philip D.

Littlefield, and Dylan K. Chan6:45 Adjourn7:00 pm ReceptionTUESDAY, FEBRUARY 18, 20146:30 am Continental Breakfast6:55 Announcements Andrew H. Murr7:00 Diagnostic Workup for Congenital Sensorineural Dylan K. Chan

Hearing Loss7:30 Laryngeal Microsurgery for Benign Disease Mark S. Courey8:00 Managing Lymph Node Disease in Joseph C. Sniezek

Thyroid Cancer8:30 Thyroglobulin as a Tumor Marker in Dennis H. Kraus

Well-differentiated Thyroid Cancer9:00 Ultrasound-guided FNA Marika D. Russell9:30 Break10:00 Reconstruction of Facial Cutaneous Defects Michael Fritz10:30 Mastoid Obliteration Techniques Philip D. Littlefield11:00 Incorporating a Physician Assistant into an Laura A. Kirk

Otolaryngology-HNS Practice11:30 Load Sharing Mandible Reconstruction: Andrew H. Murr

The Champy Technique 12:00 Affordable Care Act - Progress Report Benjamin B. Cable

Since Initiation12:30 pm Adjourn / Evaluations / CME Certificates

GENERAL INFORMATIONSyllabus - An electronic course syllabus will be sentto participants prior to the course and will be postedon the course website. There will not be a printedversion of the syllabus for this course.

HOW TO ENROLLPacific Rim Otolaryngology UpdatePre-registration will close on Tuesday, 2/11/14.Tuition: Physicians

$640 by 12/31/13 $690 on or after 1/1/14Nurses/Pharmacists/Allied HealthProfessionals/Residents/Fellows/Full-Time Military $540 by 12/31/13 $590 on or after 1/1/14

American College of Surgeons Ultrasound CourseSaturday February 15 - Sunday February 16, 2014$1350 ACS Fellows/Physicians$1555 Physicians non-FACS$1555 Allied Health Professionals$675 Resident and Associate Society Member$775 Resident but not Associate Society MemberRegistration for the ACS Thyroid and ParathyroidUltrasound Skills-oriented course is limited andadvance registration is required. Therefore, onlineregistration is the best method to reserve your spot.Pre-registration will close on 1/30/14.Onsite Registration is not available. Payment maybe made by Visa, MasterCard, AmEx or check.

REGISTER VIA:Online: www.cme.ucsf.eduMail: Complete course registration form

and send with payment to:UCSF Office of CMEP.O. Box 45368San Francisco, CA94145-0368

Fax: Fax completed registration form to:(415) 502-1795 (be sure to includeyour credit card number)

Phone: To register by phone or to inquire about your registration status, please call the UCSF CME Registration Office at (415) 476-5808.

REFUND POLICYPacific Rim Oto Update Course: Cancellationsreceived in writing before the first day of the coursewill be refunded, less a $75 administrative fee. Norefunds will be made on cancellations received afterthat date.ACS Ultrasound Course: Cancellations received inwriting before December 14, 2013 will be refunded,less a $75 administrative fee. No refunds will bemade on cancellations after that date.

CONFERENCE LOCATIONIn the heart of Waikiki Beach, the Moana SurfriderHotel, introduced the world to Hawaiian hospitality in1901. Often referred to as the "First Lady of Waikiki",this oceanfront Oahu hotel is a legendary landmark.Step back into yesteryear with all the contemporaryamenities and unique services to make your WaikikiHawaii vacation both memorable and enjoyable.A block of guestrooms has been reserved at the following special UCSF conference rates:i:Moana Surfrider (Host Hotel - Course Location) $255 Banyan City View$285 Run of Ocean$350 Tower Ocean View

The cut off date is January 14, 2014, or until thegroup room block is filled.To reserve by phone, please call 800-782-9488 oryou can call the hotel direct at 808-922-3111 andidentify yourself as an attendee of this course toobtain the conference rates. You can also reserve on-line by visiting the course webpage atwww.cme.ucsf.edu and clicking on the link underTravel & Lodging. As a special benefit Starwood Hawaii Hotels is happyto offer special pre & post rates at any StarwoodHotel or Resort in Hawaii. Just call 800-782-9488 and ask for rate plan PLAYMORE.By staying at the host hotel, you help UCSF meet its contractual obligations and keep registration fees reasonable. Please take this into consideration when making your accommodation decisions.

AIR TRANSPORTATION AND RENTAL CARUCSF has negotiated special fares with airlines andcar rental agencies. Please visit the TRAVEL ANDLODGING section on the course webpage atwww.cme.ucsf.edu for more information and dis-count codes.

For more information or to register online visit ourwebsite at www.cme.ucsf.edu. You may also reach usby calling the Office of Continuing Medical Educationat (415) 476-4251 or emailing: info@ocme.ucsf.edu.

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PACIFIC RIM OTOLARYNGOLOGY - HEAD AND NECK SURGERY UPDATEPhysicians£ $640 by 12/31/13 £ $690 on or after 1/1/14Nurses/Pharmacist/Allied Health Professionals/Residents/Fellows/Full-Time Military £ $540 by 12/31/13 £ $590 on or after 1/1/14

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Pacific Rim Otolaryngology Refund Policy: Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellationsreceived after that date.ACS Ultrasound Refund Policy: Cancellations received in writing before December 14, 2012 will be refunded, less a $75 administrative fee. No refunds will be made on cancellations after that date.

PACIFIC RIM OTOLARYNGOLOGY – HEAD AND NECKSURGERY UPDATE CONFERENCEFebruary 15-18, 2014 • Moana Surfrider Hotel • Honolulu, HIACS THYROID AND PARATHYROID ULTRASOUND SKILLS-ORIENTED COURSEFebruary 15-16, 2014 • Moana Surfrider Hotel • Honolulu, HI

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Moana Surfrider Hotel2365 Kalakaua AvenueHonolulu, HI 96815(808) 922-3111www.moana-surfrider.com

Mail to : UCSF Office of CMEP.O. Box 45368San Francisco, CA 94145-0368Fax: (415) 502-1795

Register On-line: www.cme.ucsf.eduRegistration Information: (415) 476-5808Course Information: (415) 476-4251

COURSE REGISTRAT

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www.cme.ucsf.edu

ACS ULTRASOUND COURSE**£ $1350 ACS Fellows/Physicians £ $1555 Practicing Physicians non-FACS£ $1555 Allied Health Professionals£ $675 Resident and Associate Society Member£ $775 Resident but not Associate Society

Member**Does not include CD-Rom prerequisite, pleasesee course description for more information.

Are you an ACS member? £ Yes £ No ACS member number:__________________