Registration Brochure - WJ Weiser Association Management

Transcription

Registration Brochure - WJ Weiser Association Management
6th Annual Collaborative Forum of KUS/MUA
KUS
KUS
Kansas Urological Society
Kansas Urological Society
5th Annual KUS/MOKS
Saturday,
February
27, 2016
Collaborative
Forum
DoubleTree by Hilton Kansas
March
2015
City –28,
Overland
Park
Overland
Marriott
OverlandPark
Park,
Kansas
Overland Park, Kansas
REGISTRATION BROCHURE
Obtain detailed meeting information and/or register quickly and easily online at http:goo.gl/zUPLV3
1
Earn up to xx.xx AMA PRA Category
1 CreditsTM. See inside for details.
KUS
Kansas Urological Society
MESSAGES FROM THE PRESIDENTS
I would like to thank everybody for their continued support and participation in the Kansas Urological Society (KUS).
As a fairly new society, we rely on input and ideas from all our members to allow the society to be an entity from
which we can all benefit and be proud of.
The Kansas Urological Society strives to keep its members aware of political changes and topics in the state of
Kansas and nationally that will affect the way we practice medicine. Our society provides educational opportunities
and offers CME credit at our Annual Forum. We also hope to create an atmosphere of camaraderie among all
urologists practicing in Kansas. Collaboration among our members will help us as we transition our practices under the new
Affordable Care Act and as Meaningful Use criteria from Medicare become fully implemented. As a society, we can present a
unified position to help modify upcoming laws and policy changes in medicine as they apply to the practice of urology. Please
let me/us know of any health policy issue that you may be encountering. We may potentially be able to approach legislators and
combine forces with other provider groups in tackling some of these issues. Similarly, if you already have a relationship with local
and/or regional legislators, let us know so that we may help reach out with you on issues that matter to urologists. Remember, this
is your state society and we can only tackle issues if we do it together.
Please don’t let a busy work and social schedule lead to apathy in the hopes that someone else will address the problems. We
are all in this together to improve the lives of our patients and our practices in an already potentially overwhelming environment.
With our society goals in mind, I extend a warm invitation for you to attend the 6th Annual Collaborative Forum of Kansas Urological
Society (KUS)/Missouri Urological Association (MUA) on Saturday, February 27, 2016. The one-day Annual Forum is designed
to bring together urologists from the states of Kansas and Missouri to discuss the political issues affecting urologists in their
respective states. It is also a time to network with old friends and form new friendships with fellow providers in our field. The
meeting is also a great educational opportunity to hear lectures and interact with nationally renowned urologists. Please refer to
the program for full details.
Thank you for allowing me to serve as the president of the Kansas Urological Society this past year. Together we can continue
to grow the organization. I encourage everyone to attend the Annual Forum this spring in Overland Park, Kansas. Please also
encourage fellow urologists, nurse practitioners, physician assistants, nurses and staff to attend. I look forward to seeing you
soon. Please remember, we need your support to put on CME-endorsed programs like this and to have a urological voice in our
community/state. I look forward to seeing you all in February!
Ajay K. Nangia, MBBS, FACS
KUS President
On the behalf of the leadership team of the Missouri Urologic Association, I would like to invite you to the annual
MUA/KUS Colloborative Forum. This year's theme focuses on emerging treatments and technologies in urology.
The meeting will start off with Dr. Badrinath Konety, chairman of the department of Urology at the University of
Minnesota, who will provide us with an update on prostate cancer diagnosis and treatment. He will review the
current status of the multiple genetic tests commercially available for prostate cancer as well as the current use of
MRI for prostate cancer diagnosis, a radiologic modality now included in the NCCN guidelines.
The second half of the morning will focus on Men's Health. Dr. Mohit Khera from Baylor will update us on the current (and still
controversial) topic of testosterone replacement. In the afternoon, Dr. Ajay Nangia, urologist at KU and member of the AUA
legislative council will tell us how urology is faring in Washington, DC.
Our final session will address the use of Blue light cystoscopy, an exciting and perhaps underutilized technology for the diagnosis
of bladder cancer. All our subject matter is highly relevant to academic and community urologists alike. I look forward to seeing
you.
Sameer Siddiqui, MD
MUA President
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GENERAL MEETING INFORMATION
Course Description
The 6th Annual KUS/MUA Collaborative Forum will be an
informational meeting to urologists living or practicing in the
states of Kansas and Missouri. The scientific program is a full
day of education and will include presentations and discussion
on urethral reconstruction with point counter – point on urethra
stricture management, management of Peyronie’s Disease,
review and discussion of the AUA guidelines and a discussion
of surveillance issues in prostate and testicular cancer. A
legislative update will also provide urologists practicing in
Kansas and Missouri important knowledge on the future of
health policy in their state. We look forward to your attendance
and participation in the discussions of all the topics.
Registration/Information Desk Hours
Location: Seattle Prefunction Foyer
Saturday, February 27, 2016: 7:00 a.m. – 3:30 p.m.
Exhibit Hall Hours:
Location: Monterey
Saturday, February 27, 2016:
7:30 a.m. – 2:30 p.m.
EDUCATIONAL NEEDS & OBJECTIVES
Educational Needs
The field of urology encompasses a wide spectrum of conditions
and diseases. The practicing urologist must constantly learn
about new diagnostic and therapeutic modalities for the
diseases that they treat. In recent years, there have been
significant advances in the diagnostic tests for bladder and
prostate cancer. There have also been many new treatment
algorithms and guidelines developed in the field of men’s
health, specifically in the areas of Peyronie’s disease and
hypogonadism.
will assist the urologist in the diagnostic evaluation, counseling
patients about the different treatment options and potential side
effects, and following these patients post treatment.
Blue light cystoscopy was introduced to help in the detection of
bladder cancer and especially carcinoma in situ. Randomized
trials have shown decreased recurrence with the use of this
technology. Adoption by urologists has been slow due to cost of
the equipment. This session will update the practicing urologist
regarding recent published data on this new technology and
present examples of its application.
Prostate cancer screening with PSA testing has been an
increasingly controversial topic. Urologists consider many
factors when deciding whether to biopsy a patient with an
elevated PSA. Prostate biopsy has its shortcomings, as the
cores are “randomly” obtained. Moreover, prostate cancer is
a heterogeneous disease with some patients having low risk
disease and others having life threatening disease. New tests
are being introduced to help urologists diagnose prostate
cancer and identify patients who are at risk of having high risk
disease. Studies on multiparametric MRI are showing promise
at reducing unnecessary biopsies while not missing high grade
cancers. Emerging genetic tests are being studied to help
decide when to rebiopsy after a negative biopsy and continued
rise in PSA, when to enroll patient in an active surveillance
protocol and when to recommend adjuvant radiation therapy
after prostatectomy.
Educational Objectives
At the conclusion of the meeting, attendees should be able to:
1. Describe the new genetic tests introduced for
prostate cancer.
2. Recognize the clinical scenarios where prostate
cancer genetic tests can be applied and recognize
their limitations.
3. Describe the role of mp MRI in diagnosing and
treating prostate cancer.
4. Recognize clinical presentation of patients with low
testosterone.
5. Describe the diagnostic tests for low testosterone.
6. Explain indications to treat low testosterone and
identify treatment options.
7. Recognize the risks of testosterone replacement.
8. Explain the controversy of testosterone replacement
in patients with prostate cancer.
9. Describe the presentation of patients with Peyronie’s
disease and identify new treatment therapy.
10. Explain the recent AUA guidelines on Peyronie’s
disease.
11. Recognize the application of blue light cystoscopy in
patients with bladder cancer.
12. Describe the limitations of blue light cystoscopy.
Peyronie’s disease is a rare condition that is under diagnosed,
with prevalence rate as high as nine percent of the male
population. Managing this condition has been a challenge to
the urologist as there have not been well-established, FDAapproved treatment options. Recently the FDA approved a
new treatment. The AUA has released new guidelines on the
treatment of Peyronie’s disease which will be useful to the
practicing urologist.
Accreditation
Please see the website for updates: tinyurl.com/MOKS2016
Hypogonadism is a common condition in aging males. Multiple
testosterone replacement therapies with different delivery
mechanisms have been introduced into the market in the
last several years. There has been controversy regarding the
cardiovascular morbidity of testosterone replacement and the
risks in patients with a history of prostate cancer. This session
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KUS
KUS/MUA 6TH ANNUAL COLLABORATIVE FORUM
PROGRAM SCHEDULE
6th Annual Collaborative Forum of KUS/MUA
Kansas Urological Society
sessions
will in
beSeattle
located1in&Seattle
1&
2 unlessnoted
otherwise noted.
All sessionsAll
will
be located
2 unless
otherwise
Speakers
and
times
are
subject
to
change.
Speakers/times are subject to change
SATURDAY, FEBRUARY 27, 2016
10:30 a.m. - 10:50 a.m.
OVERVIEW
Update on Peyronie's Disease –
AUA Guidelines
Speaker:
7:00 a.m. - 3:30 p.m.
Registration/Information Desk Open
Location: Seattle Prefunction Foyer
7:30 a.m. - 8:30 a.m.
Continental Breakfast
Location: Monterey
7:30 a.m. - 2:30 p.m.
Exhibit Hall Open
Location: Monterey
9:30 a.m. - 10:00 a.m.
Morning Break
Location: Monterey
10:50 a.m. - 11:00 a.m.
11:00 a.m. - 11:45 a.m.
11:45 a.m. - 1:00 p.m.
GENERAL SESSION
Panel Discussion
Panelists:
Welcome and Preview
Mohit Khera, MD, MPH
Houston, TX
Ajay K. Nangia, MBBS, FACS
Kansas City, KS
Legislative Update
Speaker:
Ajay K. Nangia, MBBS, FACS
Kansas City, KS
Industry Satellite Symposium
Luncheon
Location:
8:00 a.m. - 8:05 a.m.
Mohit Khera, MD, MPH
Houston, TX
Monterey
1:00 p.m. - 1:45 p.m.
Blue Light Cytoscopy
1:45 p.m. - 1:55 p.m.
Q&A
MRI for Prostate Cancer
1:55 p.m. - 2:40 p.m.
Panel Discussion
9:20 a.m. - 9:30 a.m.
Q&A
2:45 p.m. - 3:30 p.m.
MUA and KUS Business Meeting
9:30 a.m. - 10:00 a.m.
Morning Break
3:35 p.m.
Adjourn
8:05 a.m. - 8:50 a.m.
Genetic Tests for Prostate Cancer
Speaker:
8:50 a.m. - 9:20 a.m.
Speaker:
Location:
10:00 a.m. - 10:30 a.m.
Badrinath R. Konety, MD, MBA
Minneapolis, MN
Badrinath R. Konety, MD, MBA
Minneapolis, MN
Monterey
Speaker:
Speaker:
Michael A. O'Donnell, MD, FACS
Iowa City, IA
Michael A. O'Donnell, MD, FACS
Iowa City, IA
Update on Testosterone
Replacement
Speaker:
Mohit Khera, MD, MPH
Houston, TX
Disclaimer Statement
Statements, opinions and results of studies contained in the program are those of the presenters/authors and do not reflect the policies or
positions of the KUS/MUA, nor does the KUS/MUA provide any warranty as to their accuracy or reliability. Every effort has been made to
faithfully reproduce the abstracts as submitted. However, no responsibility is assumed by the KUS/MUA for any injury and/or damage to
persons or property from any cause including negligence or otherwise, or from any use or operation of any methods, products, instruments, or
ideas contained in the material herein.
REGISTRATION INFORMATION
Special Needs
For accommodations on the basis of disability or special dietary
needs, please call (847) 517-7225.
Registration Fee Includes:
• Scientific sessions
• Breakfast and lunch
• Program Materials
Questions
Please feel free to contact the KUS/MUA Executive Office by:
Phone: (847) 517-7225
Fax: (847) 517-7229
Email: [email protected] or [email protected]
Early Registration Deadline
Meeting registration forms must be received by 02/04/2016 to
receive the discounted early registration rate. All forms received
after this deadline will be assessed the regular registration fee.
Registration Cancellation & Refund Policy
Registration refund requests must be submitted in writing by
02/04/2016. All refund requests will be subject to a $10.00
processing fee. No refunds will be made after 02/04/2016.
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MEETING REGISTRATION FORM
KUS/MUA 6th Annual Collaborative Forum
February 27, 2016
The deadline for discounted early registration is 02/04/2016. After 02/04/2016, regular registration fees will apply to online & onsite registration.
Registration Fees are subject to change. To lock in these rates, register now!
*If you are interested in becoming a member of either Kansas Urological Society or Missouri Urological Association,
please contact us at (847) 517-7225 or email either [email protected] or [email protected].
Please select the category that best describes your status:
 Industry Employee
 Other
 Fellow
 Other Medical Professional
 Full Time Administrator
 Physician
 Non Physician Provider
 Researcher
 Resident
 Student/Trainee
 Urologist
 Urology Fellow
 Urology Resident
INDUSTRY EMPLOYEES ONLY
Industry Employee whose company is already supporting KUS/MUA OR Industry Medical Science Liaison (Proof of MSL Title may be required before confirmation of registration)
 $175
Industry Employee whose company is NOT already supporting KUS/MUA
 $1,050
Your submission will need to be approved prior to confirmation of your registration. Approval may be based on current Industry support.
To find out if your company is currently supporting KUS/MUA, please contact Brittany Kallman in the Registration Department at (847) 264-5963 or
by email at [email protected]
How did you learn about this conference? (Check all that apply)
 Advertisement in Professional Journal
 Member Newsletter
 Calendar/Monthly Listing
 Registration Brochure Mailer
 Email
 Website
 Word-of-Mouth/Colleague
American College of Surgeons (ACS)
1. Are you a member of the American College of Surgeons?  Yes
 No
2. If
you are an ACS member, please enter your member ID below to expedite your CME processing._________________________________________
PLEASE PRINT CLEARLY
First Name:_______________________________________________________Last Name:______________________________________________________
Degree(s):
Badge First Name: ________________________________________________
Address:
 Home
City:
State:
 Office
ZIP code: Phone:________________________Fax:________________________Email:___________________________________________________________
MEETING REGISTRATION
Registration Categories
Early Discounted
(through 02/04/2016)
Regular Fees
(after 02/04/2016)
Total Cost
 KUS or MUA Member
$50
$70
=$
 Non-Member
$125
$145
=$
 Resident
(Expected graduation year________)
Complimentary
Complimentary
=$
 Fellow
(Expected graduation year________)
Complimentary
Complimentary
=$
 Student
(Expected graduation year________)
Complimentary
Complimentary
=$
$30
$50
=$
 Non-Physician Professional
Total Registration Fee=$_______________________
GRAND TOTAL=$_______________________
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PAYMENT INFORMATION
The Kansas Urological Society and Missouri Urological Association require full payment for registration fees by check or credit card.
 Check (payable to the WJ Weiser Meetings)
 Visa
 MasterCard
 American Express
Please note: If paying by credit card, the name WJ Weiser & Associates (the management company of KUS/MUA) will appear on your statement.
Credit Card #:______________________________________________________Expiration Date:________________________CVV#:____________________
Name on Credit Card:______________________________________________________________________________________________________________
Billing Address:
Signature: The issuer of the card identified on this item is authorized to pay the amount shown as TOTAL upon proper presentation. I promise to pay such TOTAL (together
with any other charges thereon) subject to and in accordance with the agreement governing the use of such card.
PHONE REGISTRATIONS CANNOT BE ACCEPTED. Acceptable registration methods include:
• By Fax: (847) 517-7229
• By Mail: KUS/MUA, Two Woodfield Lake, 1100 E Woodfield Road, Suite 350, Schaumburg, IL 60173
• Online: tinyurl.com/MOKS2016
For accommodations on the basis of disability, please call (847) 517-7225.
Registration Cancellation & Refund Policy
Registration refund requests must be submitted in writing by 02/04/2016.
All refund requests will be subject to a $10.00 processing fee. No refunds will be made after 02/04/2016.
H O T E L
INFORMATION
KUS
Kansas Urological Society
Please forward payment to: Kansas Urological Society
Missouri Urological Association
(payable to the WJ Weiser Meetings)
Attn: Registration
Two Woodfield Lake
1100 E Woodfield Road, Suite 350
Schaumburg, IL 60173-5116
TRAVEL &
TRANSPORTATION
Airport Information
Kansas City International Airport is approximately 34 miles
from the DoubleTree by Hilton Kansas City – Overland Park or
approximately 36 minutes by car.
DoubleTree by Hilton Kansas City – Overland Park
10100 College Boulevard
Overland Park, KS 66210
Main: (913) 451-6100
Website: http://tinyurl.com/moks2016hotel
Room Rate: $129.00
Hotel Deadline: February 4, 2016
Reservations: (913) 323-1947
Taxi Cab Services
Several taxi companies operate at the Kansas City International
Airport. Taxi rates for a one-way transfer to the hotel cost
approximately $90.
Room Rate
MOKS has negotiated a discounted rate of $129 plus tax at the
DoubleTree by Hilton Kansas City – Overland Park.
The hotel has a transportation desk in the lobby of the hotel
for Classic Limo. They offer special pricing for guests at the
DoubleTree by Hilton Kansas City – Overland Park. A direct
ride to or from the airport costs $69 for the first passenger, then
$10 for each subsequent passenger (up to four per car). They
also offer a shuttle service which costs $39 per person. Please
call (913) 685-3332 or visit www.kcclassiclimo.com for more
information.
Hotel Deadline
The deadline to receive the MOKS group rate is February 4,
2016. MOKS encourages you to make your reservation early, as
the hotel and discount block may sellout before this date. After
this date, reservations will be accepted based on availability
and higher rates may apply.
There is also a shuttle company local to the area called Five
Guys Shuttle. For more information, visit
www.fiveguysshuttle.com or call (816) 891-9999.
Reservations
Attendees are responsible for making their reservations by
calling the hotel at (913) 323-1947 or following this link:
http://tinyurl.com/moks2016hotel
Rental Car Information
Avis® Rent-A-Car is the official rental car company for the
MOKS meeting. For reservations, please call (800) 331-1600,
and use the code “J901055” to receive the discounted rates.
Hotel Deposit and Cancellation Policy
All reservations must be accompanied by a first night room
deposit or guaranteed with a major credit card. These deposits
are fully refundable if the hotel is notified three days prior to
arrival and a cancellation number is obtained.
Parking
The DoubleTree by Hilton Kansas City – Overland Park offers
complimentary self parking.
6
2015 - 2016 BOARD OF DIRECTORS LISTING
KUS OFFICERS
KUS
MUA OFFICERS
President
Ajay K. Nangia, MBBS, FACS
University of Kansas Medical Center
Dept. of Urology MS 3016
3901 Rainbow Blvd.
Kansas City, KS 66160
(913) 588-0799 Fax: (913) 588-7625
President, Secretary/Treasurer
Sameer Siddiqui, MD
St. Louis University
Desloge Towers
3635 Vista Ave. 3rd Floor
St. Louis, MO 63110
(314) 557-8790 Fax: (314) 268-5183
Secretary/Treasurer
Moben Mirza, MD, FACS
University of Kansas
3901 Rainbow Blvd. MS 3016
Kansas City KS 66160
(913) 945-6432 Fax: (913) 588-6668
Immediate Past President
James M. Cummings, MD
University of Missouri
Div. of Urology
One Hospital Drive, M562
Columbia, MO 65212
(573) 882-1151 Fax: (573) 884-7453
Immediate Past President
David A. Duchene, MD
University of Kansas Medical Center
Dept. of Urology
3901 Rainbow Blvd., MS 3016
Kansas City, KS 66160
(913) 588-6982 Fax: (913) 588-7625
Board Members
Daniel S. Hoyt, MD
Joplin Urology Associates
3302 McIntosh Circle Drive
Joplin, MO 64804
(417) 623-3703
Members at Large
Mark S. Austenfeld, MD
Kansas City Urology Care, PA.
8551 Bluejacket St.
Lenexa, KS 66214-1656
(816) 531-1234 Fax: (816) 531-0737
6th Annual Forum Program Committee
Fadi N. Joudi, MD, FACS, FRCSC (Chair)
Daniel S. Hoyt, MD (Co-Chair)
KUS & MUA Executive Office
1100 E Woodfield Road, Suite 350
Schaumburg, IL 60173
(847) 517-7225 Fax: (847) 517-7229
Fadi N. Joudi, MD, FACS, FRCSC
Wichita Urology Group
2626 N. Webb Road
Wichita, KS 67226-1089
(316) 636-6100 Fax: (316) 636-5813
Executive Director
Wendy J. Weiser
Associate Director
Julia A. Norwich
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Kansas Urological Society
KUS
Kansas Urological Society
Kansas Urological Society/
Missouri Urological Association
Two Woodfield Lake
1100 East Woodfield Road, Suite 350
Schaumburg, IL 60173-5116
ADDRESS SERVICE REQUESTED
SAVE
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DATE!
South Central Section of the AUA
95 th Annual Meeting
September 28 - October 1, 2016
Colorado Springs, Colorado