Surgery of the Thyroid and Parathyroid Glands

December 6–8, 2014 • Saturday–Monday
Boston Marriott Long Wharf, Boston, MA



This course is a 2 1/2 -day update of surgery of the thyroid and parathyroid glands, and has been offered since 1996. Preoperative workup of both thyroid and parathyroid surgical disease will be discussed, with an emphasis on fine needle aspiration and preoperative parathyroid localization imaging options. Surgical techniques will be reviewed (recurrent laryngeal nerve monitoring, parathyroid identification and preservation, intraoperative PTH analysis) and minimally invasive surgical techniques will be discussed. Molecular genetic analysis for medullary carcinoma and advances in oncogene research will also be presented. Surgical philosophy regarding bilateral thyroid surgery, its risks, surgical treatment of the neck, and surgical treatment of invasive tracheal disease will be presented, and we will also review recognition and treatment of postoperative complications along with new advances in their treatment. Panel discussions will center on expert targeted management pearls focusing on a variety of surgical management scenarios along with a second panel of difficult cases, both of which will include audience participation.

LEARNING OBJECTIVES

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

  • Describe thyroid nodule preoperative FNA cytopathologic categories, molecular testing options and their relationship to other preoperative information such as ultrasound in the preoperative evaluation, and surgical selection in patients with thyroid nodular disease
  • Acquire an in-depth comprehension of voice and laryngeal function both before and after surgery
  • Explore recently published voice and laryngeal examination guidelines, especially as they relate to patients with thyroid cancer and potential invasive disease
  • Discuss the advantages and limitations of various options in preoperative imaging for patients with hyperparathyroidism to formulate a discriminating preoperative surgical plan. This will include ultrasound, sestamibi scanning and 4D CT scanning
  • Identify standard methods and algorithms of application of intraoperative neural monitoring to assure high quality accurate neural monitoring, and monitoring data to optimize the surgical plan
  • Evaluate the use of intraoperative PTH management strategies for secondary hyperparathyroidism and renal patients
  • Optimize surgical outcome in patients with small parathyroid adenoma in primary hyperparathyroidism.

WHO SHOULD ATTEND

The course is intended to target physicians involved in the management of thyroid and parathyroid disease with a focus on surgeons and endocrinologists. Targeted clinicians include both general surgeons, endocrine surgeons, otolaryngologists and head and neck surgeons. In 2012 our audience was made up of 51% general surgeons, 41% otolaryngologists, and 8% endocrinologists. Other associated specialists would include radiologists, pathologists, cytopathologists and nuclear medicine physicians. The audience would also include fellows, residents, associated nurse practitioners and physician assistants. The geographic focus includes US/Northeast as well as abroad.

ACCREDITATION

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Harvard Medical School designates this live activity for a maximum of 21AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Royal College of Physicians and Surgeons of Canada recognizes conferences and workshops held outside of Canada that are developed by a university, academy, hospital, specialty society or college as accredited group learning activities. 

AMA PRA Category 1 Credit™ claimed by physicians attending live events certified and organized in the United States for AMA PRA Category 1 Credit™ can be claimed through the agreement on mutual recognition of credits between UEMS and AMA, considered as being equal to the European Continuous Medical Education Credits (ECMEC©) granted by the UEMS. One AMA PRA Category 1 Credit™ is equivalent to one (1) hour of European EACCME Credit (ECMEC©), therefore up to 21 ECMEC© Credits are available. Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity.


PROGRAM SCHEDULE*

*Note: RED highlight denotes Harvard faculty
*Note: Q/A will occur at the end of each lecture

Saturday, December 6, 2014
7:00 – 7:20 am
Welcome and Introductions
Keith Lillemoe, D. Bradley Welling, Richard Hodin, Gregory Randolph
7:20 – 7:30 am
Pre-Test Administration
7:30 – 8:00 am
Workup of the Thyroid Nodule -2014
Gilbert Daniels
8:00 – 8:30 am
FNA Molecular Analyses -2014
Robert Ferris
8:30 – 9:00 am
Papillary Thyroid Cancer: Staging, Dynamic Risk Stratification, and Follow-Up After Initial Therapy
Doug Ross
9:00 – 9:40 am
Kocher Lecture
The Genomic Landscape of Thyroid Cancer: What this Means to the Clinician
James Fagin
9:40 – 10:00 am
Break
10:00 – 10:30 am
Update on Pancreatic Neuroendocrine Localization and Treatment of the Men I pancreas
Keith Lillemoe
10:30 – 11:00 am
Ultrasound Guided Nodule FNA and Advanced Ultrasound Techniques
Giuseppe Barbesino
11:00– 11:30 am
Radioactive Iodine Treatment ATA 2014 Guidelines
Hossein Gharib
11:30 am – 12:00 pm
Optimizing Collaborative Management of Differentiated Thyroid Cancer
Jeffrey Mechanick
12:00 – 12:30 pm
The British Thyroid/Parathyroid Surgical Quality Audit
Neil Tolley
12:30 – 1:30 pm
Lunch/Lunchtime Lecture Introduction and moderation Ultrasound Certification Update

Kevin Emerick
Robert Sofferman
1:30 – 2:00 pm
Papillary Microcarcinoma and Its Observation in Japan and the US
R. Michael Tuttle
2:00 – 2:20 pm
Vagal/Continuous and Superior Laryngeal Nerve Monitoring
Gregory Randolph
2:40 – 3:00 pm
Practical Tips to Avoid Complications in Lateral Neck Dissection - Chyle, Shoulder, Lip
Derrick Lin
3:00 –3:30 pm
Coffe Break
3:30 – 3:50 pm
Endoscopic Thyroid Approaches 2014
W. Barry Inabnet
3:50 – 4:10 pm
Central Neck Dissection -ATA 2014 Update
Gerard Doherty
4:10 – 4:30 pm
Robots and Incisions in Thyroid Surgery
David Terris
4:30 – 5:00 pm
Total Thyroidectomy and Its Risks
Emad Kandil
5:00 pm
Adjourn
Sunday, December 7, 2014
7:00 – 7:20 am
Surgery for Graves Disease
Richard Hodin
7:20 – 8:00 am
Challenges in Modern Parathyroid Surgery-Smaller Glands and More Complex Surgery
Sally Carty
8:20 – 9:00 am
Cope Lecture
The Life and Times of Per-Ola Granberg-A Memorial Parathyroid Surgical Lessons I Have Learned
Jean François Henry
9:00 – 9:30 am
Coffe Break
9:30 – 10:00 am
High Grade Thyroid Cancer Pathology Review: Insular, Poorly Differentiated, Diffuse Sclerosing Carcinoma and ATC
William Faquin
10:00 – 10:20 am
Surgical Management of Locally Aggressive Thyroid Cancer
Mark Urken
10:20 – 10:50 am
ATA Guidelines for the management of Anaplastic Thyroid Carcinoma
Robert Smallridge
10:50 – 11:10 am
ITOG and clinical trials in advanced thyroid cancer
Lori Wirth
11:10 am – 12:00 pm
Panel
How I Do It: 5 pearls from our faculty on individual focused topics

RLN
Parathyroid Management
Neural Monitoring
PTH use
Local Anesthetic
Parathyroid Imaging
Moderators





Jean François Henry
Robert Ferris
Henning Dralle
Sally Carty
W. Barry Inabnet
Quan Duh
Rich Hodin and Greg Randolph
12:00 – 1:00 pm
Lunch/Lunchtime Lecture Introduction and Moderation
History of parathyroid surgery

Carrie Lubitz
Randall Gaz
1:00 – 1:20 pm
Preoperative ultrasound in hyperparathyroidism
R. Mack Harrell
1:20 – 1:40 pm
The Role of Preop Sestimibi and 4 D CT Imaging For Hyperparathyroidism
Sareh Parangi
1:40 – 2:00 pm
Intraoperative PTH in Parathyroid Surgery-When To Use and When Not To Use, and How To Optimally Interpret
Quan Duh
2:00 – 2:30 pm
The Surgical Treatment For Renal HPT
Chen-Hsen Lee
2:30 – 3:00 pm
Coffe Break
3:00 – 3:20 pm
Initiating Office Ultrasound Practice
Antonia Stephen
3:20 – 3:40 pm
Preservation of the Superior Laryngeal Nerve
Jeremy Freeman
3:40 – 4:00 pm
Parathyroid Preservation During Thyroidectomy and Central Neck Dissection
Ralph Tufano
4:00 – 4:30 pm
Iatrogenic Hypoparathyroidism Antonio
Sitges-Serra
4:30 – 5:00 pm
The Management of Recurrent Laryngeal Nerve and Superior Laryngeal Nerve Paralysis
Gayle Woodson
5:30 – 7:30 pm
Wine and Cheese Reception with Faculty Haborview Ballroom
Monday, December 8, 2014
7:00 – 7:30 am
Lymph node Surgery for Medullary Carcinoma 2014
Henning Dralle
7:30 – 7:50 am
FNA and the Bethesda System
Nikolaos Stathatos
7:50 – 8:10 am
Surgery for Goiter in Africa
James Netterville
8:10 – 8:30 am
Hashimoto’s Thyroiditis and Differentiated Thyroid Cancer
David Goldenberg
8:30 – 9:00 am
Thyroidectomy and Voice
Richard Wong
9:00 – 9:30 am
Understanding the Increased Incidence of Papillary Thyroid Carcinoma
Louise Davies
9:30 – 9:45 am
Coffe Break
9:45 – 10:05 am
Thyroid Pathology - Interesting Cases from MGH and MEEI
Peter Sadow
10:05 – 10:45 am
Panel Cases and Complications:
Henning Dralle, Louise Davies, Rich Wong, David Goldenberg, Jim Netterville, Nik Stathatos, Bob Sofferman, Randy Gaz, JF Henry, Rob Ferris, Quan Duh, Chen Hsen Lee, Bob Smallridge
10:45 – 11:05 am
Thyroid Surgery at Tata Hospital Bombay India
Anil D’Cruz
11:05 – 11:30 am
Imaging of the RLN
Dan Ruan
11:30 – 11:50 am
ATA Guidelines and Mayo Clinic Experience with Pediatric Thyroid Surgery
Geoffrey Thompson
11:50 – 12:00 pm
Post-Test Administration
12:00 pm
Adjourn

*Program changes/substitutions may be made without notice.

*Note: RED highlight denotes Harvard faculty
*Note: Q/A will occur at the end of each lecture

REGISTRATION INFORMATION



Class Number #341688

Tuition Fees:
Physicians: $775.00 (USD)
Allied Health Professionals w/ Lunch and Dinner: $300.00 (USD)
Residents and Fellows: $300.00 (USD)

PAYMENT INFORMATION

Registration by credit card (VISA, MasterCard or American Express) can be made here. Registration by check (draft on a United States bank), please make payable to Harvard Medical School and mail with registration form to Harvard Medical School, Department of Continuing Education, P.O. Box 417476, Boston, MA 02241-7476. Telephone or fax registration is not accepted. Registration with cash payment is not permitted. Upon receipt of your paid registration an email confirmation from the HMS-DCE office will be sent to you. Be sure to include an email address that you check frequently. Your email address is used for critical information including registration confirmation, evaluation and certificate.

INQUIRIES

Inquiries should be directed to the above address, made by phone: (617) 384‑8600,
Monday ‑ Friday, 9 AM to 5 PM (EST), or by email: hms‑cme@hms.harvard.edu

ACGME COMPETENCIES

This course is designed to meet one or more of the following Accreditation Council of Graduate Medical Education competencies:

  • Patient care
  • Medical knowledge
  • Practice-based learning and improvement
  • Professionalism and Systems-based practice

DISCLOSURE POLICY

Harvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards, and Policies. It is HMS's policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

TUITION REFUND POLICY

A handling fee of $60 is deducted for cancellation. Refund requests must be received by postal mail, email or fax one week prior to this activity. No refunds will be made thereafter.

COURSE LOCATION

All sessions for this course will be held at Boston Marriott Long Wharf, 296 State Street, Boston, MA 02109 (877-901-2078).

ACCOMMODATIONS/TRAVEL

This session will be held at Boston Marriott Long Wharf, 296 State Street, Boston, MA 02109. Guests can call 877-901-2078 to make their reservations by referencing The Harvard CME Thyroid and Parathyroid Meeting. To better assist you in making your overnight room accommodations, please see the personalized URL link: Boston Marriott Long Wharf.
Please do not purchase non-refundable airline ticket(s) until you have received an email from our office confirming your paid registration. For airfare reservations, contact the HMS Travel Desk toll free at 1-877-4-HARVMD (1-877-442-7863) Monday - Friday, 9 am to 5 pm (ET). From outside the U.S., Canada, and Virgin Islands, please call 1-617-559-3764.



Course #341688





Offered by

Department of Otolaryngology

Department of Surgery

Course Directors
Gregory W. Randolph, MD
Randall D. Gaz, MD
Richard A. Hodin, MD

No time to register now? Add your name to the mailing list to receive future notices about this course!



FACULTY

Giuseppe Barbesino
Rocco Bellantone
Sally Carty
Gary Clayman
Anil D’Cruz
Gilbert Daniels
Louise Davies
Gerald Doherty
Henning Dralle
Quan Duh
Kevin Emerick
Robert Ferris
James Fagin
William Faquin
Jeremy Freeman
Hossein Gharib
David Goldenberg
Mack Harrell
Jean François Henry
W. Barry Inabnet
Emad Kandil
Chen-Hsen Lee
Keith Lillemoe
Derrick Lin
Carrie Lubitz
Jeffrey Mechanick
James Netterville
Sareh Parangi
Doug Ross
Dan Ruane
Peter Sadow
Antonio Sitges-Serra
Robert Smallridge
Robert Sofferman
Nikolaos Stathatos
Antonia Stephen
David Terris
Geoffrey Thompson
Neil Tolley
Ralph Tufano
R. Michael Tuttle
Mark Urken
D. Bradley Welling
Lori Wirth
Gayle Woodson
Richard Wong

 

  Copyright © 2014, Harvard Medical School, Department of Continuing Education
    Last update 10.2.2014