Upcoming Medical Conferences in Kohala Coast

The 35th year of our annual Risk Management conference on Obstetrics & Gynecology, and multiple medical specialities and the Law, held in the Bahamas was once again an outstanding success. One hundred and fifty one attendees & faculty focused on standards of care, updates & advances in the various specialties, & the prevention & avoidance of medical error. Written evaluations rated the conference as excellent [ 80%], while 97% stated excellent or very good. The 36th year conference will be at the Mauna Lani Resort, now part of the upscale Auberge Collection, Big Island of Hawaii, January 2-8, 2020. Details will appear on our Center's website [www.chginc.org] Target Audience: The major objectives in these two conferences are to enhance the continuing education of a range of specialties in medicine and allied professions, including obstetrics, gynecology, midwifery, neonatology, medicine, surgery, family medicine, emergency medicine, cardiology, radiology, human genetics, and ethics. The key reasons that have characterized the success of these conferences for the past 35 and 19 years, respectively, are the highly qualified and renowned medical faculty, and the interactive insights and lessons concerning the role of law and lawyers, communicated by acknowledged “super lawyers.” Only through a thorough understanding of the complexities of medicine and law can physicians and litigators hope to deal effectively with the continuing challenges of medical and legal practice. The specific goals of these conferences are to: • Teach healthcare professionals to better comprehend the machinations of negligence law, and to develop a more complete awareness of the need for anticipatory and safety practice. • Teach legal professionals about the complex issues encountered in the practice of medicine, including the intricacies of decision-making, aiming to sharpen their understanding on behalf of their clients, both plaintiff and defense. Once again, an extraordinarily experienced and superb faculty has been assembled for the 36th and 20th anniversary conferences that will be important to all the specialties mentioned, including nurse practitioners, trial attorneys, in-house counsel, pediatricians, primary care physicians, insurers and claims personnel, risk managers and all providers of healthcare. Accreditation: Physicians: The 36th Annual Conference: Cine-Med designates this live activity for a maximum of 19 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The 20th Annual Conference: Cine-Med designates this live activity for a maximum of 14.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Joint Conference: Cine-Med designates this live activity for a maximum of 28.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Conference Overview: “Despite substantially higher spending on healthcare per person than comparable high-income countries, maternal deaths and severe maternal morbidity levels in the USA more closely resemble some low-income countries.” “The steep increase of deaths is mirrored by another troubling trend in the past decade, the notable increase in serious, but often preventable, obstetric complications.” These quotes from the Lancet cover and editorial respectively in the September 2018 issue are the cause of grave concern for all who provide care for women, either during preconception, pregnancy, delivery, or the postpartum period. The fact that both Black and Hispanic pregnant women have 2-4 times higher risk of death compared to white women is truly troubling. This is particularly so since more than 60% of these deaths were avoidable. In 2015, the US maternal mortality rate was 26.4 per 100,000 live births, with rates in Canada and Sweden being 4.4 and 7.3 per 100,000 respectively. These stark facts point especially to failures in pre- and postgraduate medical education and recognizes that medical negligence is at once individual, systemic, organizational, and compounded by patientrelated factors. Insufficient attention is paid to the cognitive sciences that have such a key role in medical care. More than 100 cognitive biases affect decision-making, clinical reasoning, and critical thinking. Teaching debiasing techniques could seriously and positively influence the major cause of medical negligence, that is diagnostic error coupled with faculty decision-making. There are over 200,000 deaths each year due to medical negligence. It is time to require medical students, residents, and fellows to obtain a certificate in risk management before graduation and/or before entering clinical practice. For physicians in practice, a required 1-hour online CME refresher course on risk management upon license renewal is needed. Learning Objectives: At the conclusion of this conference, healthcare professionals will be able to articulate the role of law and lawyers in medical malpractice and discuss the complexities of the legal process. At the conclusion of this conference, legal professionals will be able to describe “best-evidence” in medical malpractice as it pertains to obstetrics, gynecology, midwifery, neonatology, medicine, surgery, family medicine, emergency medicine, cardiology, radiology, and human genetics. This activity is designed to address the following core and team competencies: • Patient Care and Medical Knowledge • Practice-based learning • Professionalism, Teams & Teamwork • Interprofessional Collaboration • Interprofessional Communication Major topics include: • Optimal timing of delivery • Minimally invasive surgery • Management of the second stage of labor • Birth trauma and neonatal brain injury • Genetics or hypoxic brain damage • Critical care in obstetrics • Trial of labor after Caesarean section • Laparoscopy vs. robotics • Brain injury and the ectoderm • Pre-viable pregnancies • Timing brain injury • Maternal morbidity and Caesarean section • Gestational diabetes • Perinatal strokes and timing • Genetics and neonatal encephalopathy • Morcellation • The fetus as plaintiff • Communication failures and litigation • Advances in medicine and recent verdicts • Pregnancy and abdominal emergencies • Telemedicine in obstetrics • Genetic counseling, liability, and litigation • Avoidable obstetrical errors and litigation • Infections in pregnancy • Risks of joint replacements • Infections in the emergency department • Implantable Cardioverter Defibrillators-ethics and law • Genetic testing for breast cancer • Robots in orthopedic surgery • ICDs and pacemakers and advance directives • Breast cancer gene mutations • Arrhythmias and sudden death or stroke • Litigation in arthroscopic surgery • Breast implant consequences • Pitfalls in urgent care • Medicine, Law, and Ethics The 36th Annual Conference on Obstetrics, Gynecology, Perinatal Medicine, Neonatology, and the Law January 2-6, 2020 The 20th Annual Multispecialty Conference on Medical Negligence and Risk Management January 6-8, 2020 AUBREY MILUNSKY, M.D., D.Sc., F.R.C.P., F.A.C.M.G., D.C.H. Founder and Co-Director, Center for Human Genetics Adjunct Professor of Obstetrics and Gynecology, Tufts University School of Medicine Formerly Professor of Human Genetics, Pediatrics, Obstetrics and Gynecology, and Pathology Boston University School of Medicine  Center for Human Genetics, 840 Memorial Drive, Suite 101, Cambridge, MA 02139 P:617-492-7083, F:617-492-7092.

Mayo Clinic Radiation Oncology: Current Practice and Future Direction 2020 is organized by Mayo Clinic and will be held from Jan 06 - 10, 2020 at Hapuna Beach Resort, Waimea, Hawaii, United States of America. The target audience for this medical event is radiation oncologists, radiation oncology residents, radiation biologists, radiation physicists, dosimetrists, oncologists working in related specialties, radiation therapists, radiation oncology nurses, oncologic surgeons, radiation oncology administrators, diagnostic radiologists, and all other health professionals involved in the field of radiation oncology. Credits: Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 19 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Self-Assessment Modules (SAMs): SAM credit is under review and will likely be available for this activity in the amount of 12 SAM credits Course Description: This conference is intended to provide a balanced and multidisciplinary discussion of contemporary cancer treatment using didactic lectures, panel discussions, and poster sessions. The course will cover several specific clinical areas including Breast, Prostate, and CNS cancers as well as Lymphoma and Sarcomas. The course will also address several important advances in the field, such as the use of hypofractionation, integration of surgery, new chemotherapies including immunotherapy and their integration into clinical practice. Course Learning Objectives: Upon conclusion of this program, participants should be able to: • Review the treatments for challenging breast cases • Determine the case for SBRT/RT for Oligometastatic Disease • Evaluate the management of recurrent high grade glioma • Manage the treatment of the Node Positive Breast Cancer Patient • Review particle therapy for skull base tumors • Rank in priority the techniques to spare cognition after cranial radiotherapy Additional details will be posted as soon as information is available.

Arrhythmias and the Heart: A Cardiovascular Update is organized by Mayo Clinic Cardiovascular Medicine CME (CV CME) and will be held from Jan 27 - 31, 2020 at Hotel Fairmont Orchid - Hawaii, Kohala Coast, Hawaii, United States of America. Credits: Mayo Clinic College of Medicine and Science designates this live activity for a maximum of  23.75 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. ABIM MOC POINTS: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 23.75 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Course Description: The program highlights key topics in cardiology to keep the practitioner current, with an emphasis on cases, updates, and clinical guidelines. The diagnosis, management, and prevention of common rhythm disorders, atrial fibrillation, and ventricular arrhythmias will be reviewed along with challenging aspects of congestive heart failure, coronary artery disease, valvular heart disease, and myocardial disease. Special sessions will highlight ECG pearls useful in all aspects of cardiology. There will be an emphasis on patient management, case-based presentations, and panel discussion sessions to provide interaction between the faculty and attendees. Mayo Clinic and guest faculty will share “pearls” to aid in the evaluation and assessment of patients with commonly seen cardiovascular diseases. To reinforce the knowledge gained from the course and ensure lasting value to each attendee’s practice, Mayo Clinic provides access to all course presentations with voice-over recordings after completion of the course. Learning Objectives: • Recognize the electrical signatures of common arrhythmias and select optimal treatment approaches • Apply current guidelines and recent clinical trial evidence for the management of heart failure • Diagnose, evaluate, and manage structural heart disease • Identify appropriate anticoagulation strategies for atrial fibrillation. Additional details will be posted as soon as information is available.

Infectious Diseases Practice Updates is organized by Mayo Clinic and will be held from Mar 02 - 06, 2020 at The Fairmont Orchid, Waimea, Hawaii, United States of America. Target Audience: This course was designed with infectious disease specialists, infectious diseases trainees, internists, pharmacists, hospitalists, and clinical researchers in mind. The content will also benefit physician assistants, nurse practitioners, nurses, family physicians and clinical microbiologists. Accreditation: AMA Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 29 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. ABIM Maintenance of Certification Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 22.75 medical knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Course Description: This interactive course provides practical updates on common topics and challenges faced with infectious diseases, and key information on the application of new developments in the field.  Information will be delivered by subject matter experts using case-based presentations and in-depth discussions including question and answer sessions geared to increase knowledge, performance and patient outcomes.  This course focuses on tick-borne diseases, orthopedic infections, cardiovascular infections, HIV/AIDS, advances in antimicrobial therapy including phage therapy, infections in the patients with hematologic malignancies, infectious diseases in the transplant recipients and selected fungal diseases.  Attendees will leave with up-to-date, practical information that can be applied immediately to their clinical practice. Course Highlights: • Practical updates that can be immediately applied into daily practice • Case-based, interactive presentations • Review of new guidelines, developments and literature in the field • Dedicated time for questions and discussion • One-on-one time with faculty at breakfast roundtable sessions • Geared towards increasing clinician knowledge and improving patient outcomes • Access to course recordings for one year Learning Objectives: • Explain the diagnosis and management of tick-borne diseases • Identify and describe principles of diagnosis and management of complex cardiovascular and orthopedic infections • Explain updates in management of infections in transplant recipients and patients with hematological malignancies • Describe epidemiology and new treatment paradigms in HIV/AIDS • Discuss advances in antimicrobial therapy including phage therapy • Review top literature updates in infectious diseases

Neuroradiology: Practice to Innovation 2021 is organized by Mayo Clinic and will be held from Nov 08 - 12, 2021 at The Westin Hapuna Beach Resort, Kohala Coast, Hawaii, United States of America. Course Description: Neuroradiology: Practice to Innovation is intended to provide a practical discussion and review of common diseases involving the brain, head/neck, and spine. It will also provide an overview of common imaging strategies, as well as an update in new trends, relevant techniques, and applications in diagnostic and/or therapeutic neuroradiology.  In addition, this course will review common endovascular and spinal interventional techniques utilized in neuroradiology. This course is designed for the practicing radiologist whose work involves neuroradiology, or those involved in the neurourological sciences, neurosurgery, neurology, and/or related fields. Additional details will be posted as soon as information is available.