3690 ASMS Cleft Course Brochure_v2.indd

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Earnupto 9 AMA PRA Category 1 Credits™ 1
CHALLENGES IN CLEFT CARE IN
UNDERDEVELOPED COUNTRIES
January 16, 2011
University of Miami,
Leonard M. Miller School of Medicine
Miami, FL
JOINTLY SPONSORED BY:
American Society of Plastic Surgeons®
American Society of Maxillofacial Surgeons®
Maxillofacial Surgeons Foundation
Supported by educational grants from
Stryker Craniomaxillofacial and
Operation Smile
PROGRAM ---------------------------------
ThecoursewillbeheldattheUniversityofMiami,
leonardM.MillerSchoolofMedicine.Thelectures
willtakeplaceinthe5thFloorAuditoriuminthe
RosenstielMedicalSciencesBuilding,1600NW10th
Avenue,inMiami,Fl.
FACULTY ----------------------------------yash Avashia
Medical Student
UniversityofMiamiMillerSchoolofMedicine
Miami,Fl
Steven Buchman, mD
M.HaskellNewmanProfessorinPlasticSurgery
Professor of Neurosurgery
UniversityofMichiganMedicalSchool
ChiefofPediatricPlasticSurgery
CSMottChildren’sHospital
AnnArbor,MI
mimis Cohen, mD, FACS, FAAP(Co-Chair)
Professor and Chief
DivisionofPlastic,ReconstructiveandCosmeticSurgery
DirectorofCraniofacialCenter
UniversityofIllinoisatChicago
Chicago,Il
Vincent A. DeGennaro, mD, mS
Assistant Chief - Surgical Services
MiamiVAHealthcareSystem
Miami,Fl
Arthur Fournier, mD
Professor of Medicine
UniversityofMiami
Co-Founder,ProjectMedishare
Miami,Fl
Rafael Gottenger, mD
PrivatePractice
Miami,Florida
N. James Halliday, mD, FCARCS
Director of Pediatric Anesthesia
ProfessorofClinicalAnesthesiology
DeptofAnesthesiology
UniversityofMiamiMillerSchoolofMedicine
Miami,Fl
Alan A. Lim, mD, CAPT, mC, USN
(UMO/DMO)
PediatricPlasticSurgery&CraniomaxillofacialSurgery
DepartmentHead,PlasticandReconstructiveSurgery
USNSMercy(T-AH19)
William P. magee, Jr. DDS, mD
Director of Craniofacial and Cleft Surgery
Children’sHospitaloftheKing’sDaughters
Norfolk,VA
AssociateProfessorofSurgery
EasternVirginiaMedicalSchool
ProfessorofSurgery
UniversityofSouthernCalifornia(USC)
Co-FounderCEOOperationSmile
Carlos E. Navarro, mD, FACS
Profesor Principal
DepartamentoAcadémicodeCirugía
CoordinadorPost-GradoCirugíaPlástica
UniversidadPeruanaCayetanoHeredia
Samuel Noordhoff, mD
Emeritus Superintendent
ChangGungMemorialHospital
EmeritusProfessorofSurgery
ChangGungMedicalCollegeandUniversity
Taipei,ROC
Chad Perlyn, mD, PhD
Clinical Assistant Professor of Surgery
FloridaInternationalUniversityCollegeofMedicine
AttendingPhysician
MiamiChildren’sHospital
Miami,Fl
monique Phillipaux, RN
JacksonMemorialHospital
RyderTraumaCenter
Miami,Fl
John Ragheb, mD
Voluntary Professor of Clinical Neurosurgery
Chief,DivisionofPediatricNeurosurgery
UniversityofMiamiMillerSchoolofMedicine
Miami,Fl
Joseph Rosen, mD
Professor of Surgery
DivisionofPlasticSurgery
DartmouthHitchcockMedicalCenter
AdjunctProfessor
ThayerSchoolofEngineering
Dartmouth,NH
Seth R. Thaller, mD, DmD, FACS, (Chair)
Chief and Professor - Division of Plastic Surgery
TheDeWittDaughtryFamilyDepartmentofSurgery
UniversityOfMiamiHealthSystem
Miami,Fl
Andrew Wexler, mD, mA, FACS
Clinical Professor
SouthernCaliforniaKaiserPermanente
losAngeles,CA
Isaac L. Wornom III, mD, FACS
President, American Cleft Palate-Craniofacial
Association
RichmondPlasticSurgeons
Richmond,VA
Faculty subject to change.
Disclosure Policy
TheAmericanSocietyofPlasticSurgeons(ASPS)
requiresallinstructors,planners,reviewers,
managers,andotherindividualsinapositionto
controlorinfluencethecontentofanactivityto
discloseallrelevantfinancialrelationshipsor
affiliations.Allidentifiedconflictsofinterestmustbe
resolvedandtheeducationalcontentthoroughlyvetted
byASPSforfairbalance,scientificobjectivity,and
appropriatenessofpatientcarerecommendations.The
ASPSalsorequiresfaculty/authorstodisclosewhen
off-label/unapprovedusesofaproductarediscussed
inaCMEactivityorincludedinrelatedmaterials.
INTENDED AUDIENCE ------------------------
Thiscourseisintendedforplasticsurgeonsandother
physicians,surgeons,andancillaryalliedhealthcare
workersthatplantosignupforanoverseasmissiontrip.
OVERVIEW ------------------------------------Cleftlip/palate(ClP)consistsofaspectrumof
congenitaldefectsinvolvingtheupperlipandthehard
andsoftpalate.ClPaffectsmillionsofchildrenand
adultsglobally.Thisdisorderadverselyaffectsthe
child’sappearance,speech,dentition,alimentation,and
hearing.Therefore,thisplaysasignificantadverserole
innormalsocialdevelopment.ClPhasbeendescribed
asthesecondmostcommonlyoccurringcongenital
anomalyafterclubfoot.Incidenceishigherwithin
childrenofAsian,latino,orNativeAmericandescent,
occurringincountriespossessingthebestnumberof
trainedplasticsurgeonsandavailableresources.
Thisprogramwillprovideareviewofsurgicalcleft
care.Additionalinformationregardingperioperative
managementandchallengesrelatedtoproviding
medicalandsurgicalcareinanunderdeveloped
environmentwillalsobecomprehensivelydiscussed.
LEARNING OBJECTIVES --------------------Followingcompletionofthisactivity,participants
willbeableto:
•Describetheabnormalandnormalanatomyof
cleftlip,palate,andnose.
•Applythebasicanatomytoperformimproved
clefttechniques.
•Summarizepatientsafetyissueswhen
embarkingonoverseasmissiontrips.
•Incorporatethenewinformationobtainedto
avoiduntowardsequelae.
•Applythisknowledgetothemanagementof
secondarycleftdeformities.
ACCREDITATION ------------------------------
Thisactivityhasbeenplannedandimplementedin
accordancewiththeEssentialAreasandpoliciesof
theAccreditationCouncilforContinuingMedical
Education(ACCME)throughthejointsponsorship
oftheAmericanSocietyofPlasticSurgeons,
AmericanSocietyofMaxillofacialSurgeons,
andtheMaxillofacialSurgeonsFoundation.The
AmericanSocietyofPlasticSurgeonsisaccredited
bytheACCMEtoprovidecontinuingmedical
educationforphysicians.
TheAmericanSocietyofPlasticSurgeons
designatesthiseducationalactivityforamaximum
of9 AMA PRA Category 1 Credits™.Physicians
shouldonlyclaimcreditcommensuratewiththe
extentoftheirparticipationintheactivity.
Ofthe9credits,1hasbeenidentifiedasapplicable
1
topatientsafety.
Presented in Cooperation with
American Cleft Palate-Craniofacial Association
American Association of Pediatric Plastic Surgery
American Society of Craniofacial Surgery
University of miami
Leonard m. miller School of medicine
5th Floor Auditorium – Rosenstiel medical Sciences Building
1600 NW 10th Avenue
7:00 am
ContinentalBreakfastandRegistration
7:30 am Introduction:Goal&Objectives
HOUSING ------------------------------------------------------------------------------------------
TheCleftCoursewillbeheldattheUniversityofMiami,leonardM.MillerSchoolofMedicineinMiami,Fl.
ASMShassecuredaspecialgrouprateattheSpringHillSuitesbyMarriottArts/HealthDistrictof$119per
night.Whenbookingyourroom,pleaserefertotheASmS Coursetosecurethisspecialrate.Thecut-off
dateforthisroomrateisDecember24,2010.
SpringHill Suites by marriott Arts/Health District
1311NW10thAvenue
Miami,Fl33136
Phone:305-575-5300
REFUNDS ------------------------------------------------------------------------------------------
CancellationsmustbeinwritingtotheASMSOfficeat900 Cummings Center, Suite 221U, Beverly, MA 01915.Fullrefunds,lessa$50ser
vicefee,willbegivenifcancellationisreceivedtwo(2)weekspriortothe
course.Thereafter,a50%refundwillbegivenafterdeductionoftheservicefee.Norefundswillbegivenonce
theprogrambegins.
REGISTRATION -----------------------------------------------------------------------------------Themeetingregistrationfeesincludethecoursematerials,admissiontothesessionandfoodandbeverage.
Allregistrantsmustpaythefullregistrationfee.
AttendeesmayregisterbysubmittingtheregistrationformwithpaymentinUSfundstothe ASMS Offices.
Registrationmaybesubmittedbyfax,phoneormail.Pleaseallow10daysfortheconfirmation.
IncompliancewiththeAmericanswithDisabilitiesAct,ASMSwillmakeeveryreasonableeffortto
accommodateyourneeds.Foranyspecialrequests,pleasecalltheASMS/MSFOfficeat(978) 927-8330
beforeDecember 23, 2010.
7:45 am
IdentificationofCommonGoalsandAimsofInternationalMissions
SettingupyourTeamComponentsforaSuccessfulTrip:Plasticsurgeonsprovidingproofof
competenceintheprocedure;outcomemeasurement;qualityimprovement;identificationofcommon
goalsandaimsofinternationalmissionslongtermbenefits.
8:30 am
TripPreparation
Facility;logisticalsupport;professionalsupport;credentialingprocess;standardequipment;
andtraining
8:45 am
PatientandTeamSafety
•Patientsafetyguidelinesandrecommendations
•Teamsafety:teamworkandrecommendationsforequipment
•Evidencebasedmedicineforpostoperativefeeding;armrestraints;andtonguesuture
9:15 am
InterdisciplinaryComponentstoaSuccessfulMission
•Indicationsforperforminglipadhesionsandrecommendedanddescriptionsof
techniques
•Indicationsifanyforrepairingstagedbilateralrepair
•Recommendationsforrepairingabilateralcleftlipthathasencounteredmultiplepastfailures
duetodehiscence
•Considerationforprolabialsetback:procedures;timing
9:45 am SimulationSurgery
Roleinrefreshingtheplasticsurgeonscleftexperience;useforcredentialing;
quantifyingsurgicalsuccess;andmonitoroutcomes
10:15 am CoffeeBreak–ShareExperiences(openmic)
10:30 am
PrimaryCleftlipRepair
•Theissuesinvolvedinmanagingawideunilateralcleftlip
•Whatissafe?
•Adultcleftliprepairsandlipadhesions
11:15 am
PrimaryBilateralRepair
•Indicationsforperformingstagedbilateralrepair
•Arethereanyrecommendationsforrepairingabilateralcleftlipthathave
encounteredmultiplepastfailuresduetodehiscence?
•Considerationsforprolabialsetback;procedures;andtiming
11:45 am
SecondaryDeformities
•lipandpalaterevisions
•Pharyngealflaps,pharyngoplasties
•Oronasalfistulas,ABG
•Correctionofcleftnasaldeformities
12:15 pm lunch–ShareExperiences(openmic)
CHALLENGES IN CLEFT CARE IN UNDERDEVELOPED COUNTRIES
The Neurosurgeon’s Experience
1:45 pm
Role of Residents and Medical Students/Primary Care
2:00 pm
Concept of Surgical Disease as a Treatable Role in Global Health
2:15 pm
Safe Anesthesia in a Underdeveloped Country
• Evidence based medicine detailing NPO times in infants, children, and adult patients
• Information regarding clear fluids, breast milk, and regular diet
• Anesthetic agents to consider or avoid
• Use of Ketamine for cleft surgery
• Calibration and checking of anesthesia machines
• Use and obtaining reliable pulse oximeters
• Other necessary anesthesia items
• Diagnosis and management of malignant hyperthermia - Dantrolene; if unavailable
• Utilization of postoperative pain medications, and challenges with lack of availability in
developing countries.
3:00 pm
Coffee Break - Share Experiences (open mic)
3:15 pm
Nursing Issues
• Challenges involving postoperative nursing care
• Evidence based medicine for postoperative feeding and arm restraints (no no’s) postoperatively
• Operative needs and alternatives to safe sterilization: What is safe and what is not?
• Best methods for disinfecting and sterilizing instruments.
• How long should instruments be disinfected? How can that be managed?
• What disposable “one use items” can actually be cleaned and re-used (what can’t)?
• How can these disposable items be adequately cleaned?
• Other alternatives to sterilization when the autoclave breaks down
3:30 pm
Working in the Jungle: Actual Cleft Surgery in the Bush
4:00 pm
A Medical Student’s Perspective
4:15 pm
Role of the US Military
4:30 pm
Summary/Q & A Session
4:45 pm
Program Concludes
$75
$50
$100
$0
Total Due $________
Fees are payable in U.S. funds only.
*All medical students, Residents/Fellows must include a letter of sponsorship from their
Program Director or faculty member.
______________________________________________________________________________________________________
Name
______________________________________________________________________________________________________
Address
______________________________________________________________________________________________________
City
State
ZIP
______________________________________________________________________________________________________
Phone
Fax
______________________________________________________________________________________________________
Email
 Check here if, under the Americans with Disabilities Act, you require specific aids or devices to fully participate
in this course  Audio  Visual
 Check here if you require a special meal.  Vegetarian  Kosher (additional fee may apply)
 Other ________________________________________
Payment
 VISA®  MasterCard®  AMEX®
______________________________________________________________________________________________________
ACCOUNT NUMBER
EXP. DATE/SECURITY CODE
______________________________________________________________________________________________________
SIGNATURE
CARD HOLDER
To register, please complete the above information and:
ET
F MA X I L L O
FA
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SURG E ONS
Fax
Call
Mail 900 Cummings Center, Suite 221U, Beverly, MA 01915
Allow 10 days for processing.
Make checks payable to the Maxillofacial Surgeons Foundation.
Questions?ASMS (978) 927-8330/[email protected]
CI
1:30 pm
 ASMS/ASPS Members, Operation Smile Physicians and Residents  Operation Smile Participants, Nurses, and Medical Students  Guest Physicians
 Registrants for ASMS Basic Course ER I CAN SO
Cleft Palate
• Possible assessment of speech
• Is correction of VPI indicated in a third world country?
• If working in a country where no post operative speech therapy is a consideration; should cleft
palate be done after a certain age?
• Timing of alveolar clefts
AM
12:45 pm
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FO
UNDED 1947
•