Postgraduate Multipass Courses

Saturday, October 30

• Saturday-Only Schedule.
  Postgraduate courses will be held on Saturday, October 30, only. Please note this change from previous CHEST meetings, when postgraduate courses were offered on 2 days. With this schedule change, the general sessions will begin 1 day earlier, increasing the number of sessions and available CME credits.


• Postgraduate Multipass Courses.
  Registration to a postgraduate course will provide a multipass to sessions at any postgraduate course and access to all electronic handouts. You can custom build a postgraduate course day suited to your educational needs.


• Online Access to All Postgraduate Course Materials.
  The postgraduate course materials for all courses will be available electronically to paid registrants of the postgraduate multipass courses. Materials will be accessible prior to the courses. Printed material will not be distributed.
  
  8:00 am - 5:00 pm
  
  An Integrated and Comprehensive Approach to the Management of Advanced Lung Disease
  Co-Chairs: Keith C. Meyer, MD, FCCP, Madison, WI
  Nicola A. Hanania, MBBS, FCCP, Houston, TX
  
  Topics
  
  • Advanced Lung Disease: A Comprehensive Approach
  • Update on the Management of Obstructive Lung Disease
  • Advanced Interstitial Lung Diseases: What Are the Treatment Options?
  • Sleep Disturbance and Advanced Lung Disease: Diagnosis and Management
  • Managing Immunosuppressive Medications
  • Primary and Secondary Hypertension: Diagnosis and Management
  • Update on Pulmonary Rehabilitation
  • Lung Transplantation: Risks, Benefits, and Candidate Selection
  The evaluation and treatment of patients with advanced lung diseases poses a considerable challenge to pulmonologists and other health-care personnel. Treatment options may be quite limited, yet costly when available. This course will review important concepts in the diagnosis and management of patients with advanced lung diseases caused by obstructive, restrictive, or vascular disorders.
  
  Objectives
  
  • Introduce and discuss the concept of advanced lung disease as an evolving discipline in pulmonary and critical care medicine.
  • Review key concepts in the management of advanced obstructive, fibrotic, and vascular lung disease.
  
  
  Nonpulmonary Issues in the ICU
  Chair: Ram M. Subramanian, MD, FCCP, Decatur, GA
  
  Topics
  
  • Dermatologic Emergencies in the ICU
  • Neurology in the ICU: Intracranial Hypertension and Catastrophes
  • Renal Failure in Critically Ill Patients
  • Fulminant Hepatic Failure
  • Abdominal Compartment Syndrome
  • Difficult Infections in the ICU
  • Hematology in the ICU
  • Delirium in the ICU
  Review of nonpulmonary and nonsepsis issues in the ICU.
  
  Objectives
  
  • Be updated on neurologic issues in critical care.
  • Receive an update on renal, GI, and hepatic issues in critical care.
  
  
  Physician Coding, Documentation, and Reimbursement Essentials: Reporting Your Work for Fair and Accurate Reimbursement
  Co-Chairs: Sam Birnbaum, CMPE, Hilton Head Island, SC
  Kim D. French, MHSA, Elk Grove Village, IL
  
  Topics
  
  • Critical Care/ICU Coding and Documentation
  • Bronchoscopy, Navigational Bronchoscopy, and Other Procedural Coding
  • E/M Coding for New Patients, Consults, and Subsequent Visits
  • Pulmonary Function Studies: Coding and Documentation
  • Utilization of Nonphysician Providers: Proper Coding and Documentation
  • Diagnosis Coding: Looking Ahead and Understanding ICD-10
  • Utilization of Modifiers and Pay for Performance (PQRI)
  • Pulmonary Rehabilitation: Rules and Tools for Reimbursement
  Physicians and managers will learn new coding and documentation requirements applicable to evaluation and management (E/M) visits, including critical care. New patient visits, previously reported as consults, will be discussed, including how to crosswalk appropriate levels of service from consultation codes. Utilization of and correct coding for nonphysician providers will be discussed. A complete review of bronchoscopy, pulmonary function studies, and other pertinent pulmonary and critical care procedures will be presented. The transition to the new ICD-10 diagnosis codes will be introduced. Proper utilization of modifiers and pay-for-performance incentives (PQRI) will be reviewed. The new 2010 rules for coding, documenting, and providing pulmonary rehabilitation programs will be discussed.
  
  Objectives
  
  • Apply the nuances of ever-changing coding and documentation standards for pulmonary and critical care services provided in a variety of settings.
  • Identify and learn coding and documentation methodologies for appropriate and fair reimbursement.
  
  
  Best of Sleep Medicine: 2010 Review of the Literature
  Chair: Kenneth R. Casey, MD, FCCP, Cincinnati, OH
  
  Topics
  
  • Introduction
  • Sleep in Patients With Lung Disease
  • Obesity-Hypoventilation Syndrome
  • Sleep-Disordered Breathing in Heart Failure
  • Metabolic Consequences of Sleep Deprivation
  • Advances in the Understanding of Complex Sleep Apnea
  • Circadian Rhythm Sleep Disorders
  • Restless Legs Syndrome and Periodic Limb Movements of Sleep
  • Narcolepsy and Excessive Sleepiness
  This will be an in-depth review of the sleep medicine literature presented by members of the ACCP Sleep Institute. The morning will focus on respiratory sleep disorders and the afternoon on nonrespiratory sleep disorders.
  
  Objectives
  
  • Discuss the most important recently published articles related to the science of sleep medicine.
  • Identify the impact of new information, concepts, and guidelines on the practice of sleep medicine.
  
  
  Chest Radiology for the Pulmonologist
  Co-Chairs: Suhail Raoof, MD, FCCP, Muttontown, NY
  David P. Naidich, MD, FCCP, New York, NY
  
  Topics
  
  • Welcome and Introduction
  • Systematic Approach to Interpreting Chest Radiographs
  • Imaging Large Airways and Bronchiolar Diseases
  • Pathologic Correlations in Pleural Diseases
  • Pulmonary Embolism
  • Idiopathic and Nonidiopathic Interstitial Pneumonia
  • Solitary and Multiple Pulmonary Nodules
  • The Story Behind the Shadows: Imaging in Critical Care
  • Master Clinician Session
  This course will serve as a refresher for pulmonary and critical care fellows-in-training, as well as for those practicing physicians who would like an update on the latest advances in chest imaging. Utilizing an interactive format, the course will begin with some unknown cases taken from each presenter and will serve as a precourse evaluation of the attendees. Basic concepts on systematic interpretation of plain chest radiographs and CT scans (including when to order helical CT scans, high-resolution CT scans, prone and expiratory images) will be discussed. Airway and segmental anatomy on CT scans, including radiographic-bronchoscopic correlations, will be reviewed. Practical approaches to diffuse lung disease, solitary and multiple pulmonary nodules, imaging of pulmonary embolisms, and critical care radiology will be presented. The advantages and problems of PET scanning will also be reviewed. This program will include the presentation of unknown cases, with the approach to diagnosis being discussed by a master clinician and radiologist and the path of each case discussed by a pathologist.
  
  Objectives
  
  • Review a systematic approach to interpreting plain chest radiographs.
  • Review a systematic approach to interpreting CT scans.
  
  
  Critical Care Ultrasonography
  Chair: Paul H. Mayo, MD, FCCP, New Rochelle, NY
  
  Topics
  
  • Introduction
  • Physics and Machine Control
  • Ultrasonography To Guide Vascular Access
  • Ultrasonography for Diagnosis of DVT
  • Pleural Ultrasonography
  • Lung Ultrasonography
  • Abdominal Ultrasonography
  • Critical Care Echocardiography
  • Applications, Training, and Economics
  Ultrasonography has major utility for diagnosis and management in the ICU. Review important elements of the field with emphasis on core competencies that are summarized in the ACCP/SRLF Statement on Competence in Critical Care Ultrasonography (Chest. 2009;135:1050-1060). The faculty are frontline intensivists who use ultrasongraphy in their daily practice of critical care medicine. Clinically orientated lectures will alternate with real-time scanning demonstrations. The emphasis will be on the integration of a whole body ultrasound approach into many aspects of clinical function in the ICU. The target audience includes both experienced critical care ultrasonographers who seek a dynamic review of the field, as well as the neophyte ultrasonographer whose interest will be stimulated to pursue definitive training through the ACCP accelerated training track. Participants will be eligible for hands-on training with ACCP ultrasound training faculty in the Simulation Center throughout CHEST.
  
  Objectives
  
  • Review principles of image acquisition and machine control that are important for critical care ultrasonography.
  • Practice the core elements of crtical care ultraosonography: pleural, lung, vascular, and cardiac applications.
  
  
  Thromboembolic Disease and Pulmonary Hypertension
  Co-Chairs: COL Lisa K. Moores, MC, USA, FCCP, Gaithersburg, MD
  Namita Sood, MBBCh, FCCP, Columbus, OH
  
  Topics
  
  • Introduction
  • Discoveries in the Epidemiology and Natural History of VTE: How Does That Inform Treatment Decisions?
  • Treatment Settings for Acute VTE: Appropriate Stratification
  • Understanding the Hemodynamics of PAH and the Tools of the Trade
  • Diagnosis and Treatment of Idiopathic PAH
  • Pulmonary Hypertension Secondary to Lung Disease (WHO Class II/III)
  • VTE and PAH Case Study Review Session
  This full-day postgraduate course will consist of two half-day sessions: the morning focusing on acute VTE, while the afternoon will concentrate on long-term outcomes and chronic venous disease. Each session will include updated reviews of epidemiology, diagnosis, and treatment. In addition, we will have a faculty-led debate about controversial issues in both acute and chronic VTE.
  
  Objectives
  
  • Identify patient groups at risk for VTE and its recurrence.
  • Optimize the diagnostic approach to patients with suspected VTE.

Saturday Supplemental Courses

Two additional courses are scheduled for Saturday, October 30. Registration to a supplemental course allows you access to the course for which you register and corresponding handouts. Registration to a supplemental course does not give you access to the postgraduate multipass courses or electronic handouts.

8:00 am - 12:30 pm
American Board of Internal Medicine Critical Care Medicine Self-Evaluation Process (SEP) Module and Pulmonary Disease Self-Evaluation Process (SEP) Module
Chair: Mark J. Rosen, MD, FCCP, Great Neck, NY

• Introduction and Overview of the ABIM Certification Process
• Pulmonary Update: Cases
• Critical Care Update: Cases

This interactive, half-day ABIM Maintenance of Certification learning session will prepare you to earn 20 points toward the renewal of your ABIM Board Certification by participating in sessions using the ABIM 2010 Update in Critical Care Medicine (A2-J) and the 2010 Update in Pulmonary Disease (A9-J) Medical Knowledge Modules. These self-evaluation of medical knowledge modules on critical care medicine and pulmonary disease, each comprising 25 questions, will be completed through group discussion with experts and colleagues using an automated response system. The modules are available on-site. To obtain points for Maintenance of Certification (MOC), you must: (1) be enrolled in MOC; (2) order the knowledge modules being used for this session; and (3) not have completed these modules for credit previously. After attending the session, complete the module online at your leisure for credit.

To enroll in MOC, visit the physician log-in section of the ABIM Web site. If you have questions about any part of the MOC program, call the ABIM Contact Center at (800) 441-2246.

8:00 am - 5:00 pm
18th Annual Assembly of the American Association for Bronchology and Interventional Pulmonology
Chair: J. Scott Ferguson, MD, FCCP, Madison, WI

• Welcome and Introduction
• Pleural Effusion Diagnosis and Management: Where Are We Now?
• Thoracic Ultrasound for the Pulmonologist: Diagnostic and Procedural Implications
• Management of the Malignant Pleural Effusion With an Emphasis on Indwelling Pleural Catheters
• Bronchoscopy in the Critically Ill and the Patient With Bone Marrow Transplant
• Critical Review of Techniques for Diagnosing the Pulmonary Nodule
• Management of Large Airway Obstruction
• Update on Mediastinal Staging in the Patient With Lung Cancer
• Targeted Therapy for Lung Cancer
• General Meeting of Members
• Year in Review: Recent Advances in Interventional Pulmonology

This AABIP/ACCP interventional bronchoscopy course will focus on new diagnostic and therapeutic strategies in rigid and flexible bronchoscopy, airway stenting with metal and silicone stents, bronchoscopic lung volume reduction, endobronchial ultrasound, electromagnetic guidance for bronchoscopy, electrocautery, thoracoscopy, and pleurodesis. New advances in optical coherence tomography, narrow band imaging, and high-resolution bronchoscopy will also be reviewed.

• Summarize the principles of management of endobronchial obstruction using various techniques.
• Review diagnostic and therapeutic interventions for the practicing pulmonologist with an interest in interventional pulmonology.