Friday/Saturday Postgraduate Courses and Workshop
ATS schedules postgraduate courses prior to the start of the International Conference. The courses will be held on two days, Friday, May 17, and Saturday, May 18. Postgraduate courses require an additional registration and fee. Attendance is limited. Plan to register in mid-January to ensure attendance at the course.
FRIDAY, MAY 17
INCORPORATING ULTRASOUND AND ECHOCARDIOGRAPHY INTO ICU PRACTICE
A growing literature supports the use of ultrasonography and echocardiography to enhance the care of critically ill patients. Ultrasonography and echocardiography are increasingly used by non-radiologist/non-cardiologist practitioners, and training for these techniques is non-uniform. American Thoracic Society members will benefit from a dedicated training in ICU-specific ultrasonography and echocardiography prior to incorporating these technologies in their practice.
Monitoring critically ill patients in the ICU and other inpatient care areas (operating rooms, post-anesthesia care, high-dependency units) is a fundamental skill for clinicians who care for the critically ill. This course will review common and novel methods of ICU monitoring with a focus on cardio-respiratory monitoring. Fundamentals of monitoring theory will enable clinicians to better understand the data derived from monitoring as well as where errors are likely to occur. Workshops will allow participants to gain hands-on experience using clinical scenarios to understand how and when to employ different monitoring systems.
This course will provide an overview of molecular diagnostics and different types of biomarkers in the diagnosis and management of respiratory infections and critical illness, and will provide participants the tools they need to determine whether the tests are useful for their clinical practices. Participants will learn how biomarkers are identified, validated, and applied in different clinical situations; understand how to interpret results; and gain knowledge of novel diagnostic strategies. They will learn how to apply validated biomarkers including procalcitonin for the diagnosis and appropriate antibiotic management of lower respiratory tract infections and sepsis in different patient populations.
The goal of this course is an overview of current recommendations for the pulmonary care of children with neuromuscular diseases for medical providers. This comprehensive review will include perspectives from experts whose clinical practices focus on children with neuromuscular disease including neurology, pulmonology, orthopedics, and palliative care. A unique aspect of this course will be the opportunity for attendees to get hands-on experience with medical devices commonly used in the care of these complex patients including ventilators, bi-level positive airway pressure, CPAP, cough assist, high frequency chest wall oscillation, and sip and puff ventilators.
This course will provide an overview of experimental models and techniques used to study human lung diseases. Emphasis will be placed on choosing the correct models and techniques to accurately measure lung function, lung morphometry, cell differentiation, and cell phenotype, to name but a few. Experts in the field will provide practical information for the beginner to the more advanced investigator, including commonly used newer techniques and models. Practical sessions will demonstrate the approach to important experimental protocols, including lung morphometry, lung physiology testing, and flow cytometry analyses.
Technology to diagnose and treat sleep disordered breathing disorders is rapidly advancing. Despite rapid expansion of these newer technologies, there are few formal educational venues available to guide the practicing clinician in when and how to implement these technologies. Through morning didactic lectures and hands-on afternoon workshops attendees will obtain a comprehensive overview and practical experience in the use of: 1. PAP devices in the management of OSA; 2. bi-level, ASV, and AVAPS devices in the management of hypoventilation and CSA syndromes; 3. portable sleep apnea testing; and 4. actigraphy in clinical practice.
This course will consist of a series of paired lectures covering several topics in respiratory physiology. It will review basic physiological principles of a clinically important topic, and the companion talk will illustrate abnormalities of that aspect of physiology seen in common respiratory disorders of children. An interactive format, using questions from the speakers and audience touch pads to give answers will be used to enhance audience participation, and to allow the participant to understand key concepts or to identify areas requiring additional study.
This course will review the current state-of-the-art understanding of right ventricular structure and function in health, exercise, and disease. In the morning sessions, experts in each area will compare and contrast normal and abnormal responses to exercise and pulmonary vascular disease. The afternoon sessions will focus on the management of pulmonary hypertension, with particular attention to established and novel strategies for the treatment of right heart failure.
SATURDAY, MAY 18
This course will provide an update on the key advances in the management of COPD. There have been interesting new papers on topics such as use of imaging, biomarkers, early COPD, management of exacerbations and more understanding of cardiovascular risk and co-morbidity. Over the past year there have been new papers on use of novel bronchodilators and this will be an opportunity to review the field. Airway infection is also an important topic in COPD though physicians are not clear as to how to approach this issue and thus will be discussed in the course.
This course provides an introduction and update on the diagnosis and management of interstitial lung disease (ILD), with particular attention to the chronic fibrotic ILDs and sarcoidosis. Discussion of the clinical, radiological, and pathological approaches to the diagnosis of ILD will be supplemented by case presentations that illustrate the multidisciplinary nature of diagnosis in action. Additional talks will focus on the comprehensive management of ILD including novel therapies, symptoms management, and lung transplantation.
There has been a major explosion in understanding genetic mechanisms of cystic fibrosis in recent years. This has led to major ongoing improvements in the management of people with cystic fibrosis. This course provides an in depth state-of-the-art review of the management of respiratory and non-respiratory manifestations of cystic fibrosis. It will include the spectrum from the healthy new born child all the way through to multi-organ failure and death.
This course will examine and discuss basic principles of lung transplantation with a focus on our current understanding of transplant immunology, primary graft dysfunction, acute and chronic rejection, and autoimmunity. The translation of basic research findings to newer approaches that promote improved allograft function and patient survival will be emphasized.
This course will provide the learner with the current status of imaging for acute and chronic pulmonary diseases, including pulmonary embolism, solitary pulmonary nodule, pleural disease, pulmonary infection, and diffuse lung disease. The aims include helping clinicians understand the role of imaging in dealing with common problems and familiarizing clinicians with typical imaging findings of pulmonary disease.
The goal of this course is to educate a sophisticated audience on the comprehensive details of diagnosis and management of pleural diseases. The faculty in this course are known leaders in their field, many of whom have participated in previous courses of this sort that have been presented at other national and international meetings. Topics include: analysis of pleural fluid, imaging of the pleura, tuberculosis, empyema, pneumothorax, connective tissue disease and the pleura, pleural disease in the critically ill patient, mesothelioma, the surgical approach to pleural disease, and management of malignant effusions.
This course will provide a comprehensive review of up-to-date clinical topics including screening, approach to pulmonary nodules, importance of adequate tissue acquisition for histology and molecular characterization as it pertains to treatment decisions. In addition we will discuss differences in lung cancer in women, treatment options for early stage disease, treatment of elderly patients and palliative care. The impact of tobacco and importance of cessation programs as well as risks or radiation from CT scans will be discussed. The session will end with an interactive tumor board.
The course will provide state-of-the-art presentations by experts in the field, updating current knowledge and cutting-edge research in the area of lung innate immunity and host defense.
The objective of this unique course is to teach fundamental concepts of lung cell biology in a disease-based format that is relevant to pediatric pulmonologists, neonatologists and pediatric intensivists. Key principles include lung growth and development, cellular structure of the respiratory system, lung injury and repair, and lung immunity and inflammation. This course will be offered through a case-based lens.
This course brings together international experts in pulmonary hypertension who will provide an update to the basic and clinical science in pulmonary arterial hypertension.
Since the 2006 ATS/ERS Statement on Pulmonary Rehabilitation, there has been considerable growth in our knowledge of its effectiveness and scope. The purpose of this course is to provide the audience with an update in the science, application and delivery of pulmonary rehabilitation, highlighting the new definition and key concepts and major advances in the field. Updates in program content and organization will be reviewed. The role of health behavior change in optimizing and maintaining benefits of pulmonary rehabilitation will be discussed. The broad scope of applicability of pulmonary rehabilitation across varying patient groups will be highlighted.
This course will provide a case-based comprehensive review of core principles of respiratory physiology, including advanced instruction in respiratory mechanics, gas exchange, blood gas transport, control of breathing and the pulmonary circulation. Additional sessions will be devoted to special patient populations including obese and pregnant individuals and how the respiratory system functions under stresses such as exercise and hypobaric hypoxia. Emphasis will be placed throughout the course on the bedside application of the principles covered in each lecture.
This course will provide attendees with a comprehensive review of current approaches to: 1. assess and characterize sleep disordered breathing; 2. quantify and optimize CPAP adherence; and 3. assess important outcomes in SDB (e.g. metabolic, quality of life, cardiovascular, neurocognitive function). Speakers will discuss how these approaches can be implemented or translated into clinical practice. Four key areas will be discussed using small group discussions including assessment and characterization of SDB, optimization of CPAP adherence and the use of quality of life measures, case-based led discussions of SDB and cardiovascular disease, and neurocognitive and metabolic outcomes and SDB.
The complexity of any work environment necessitates interdisciplinary communication and teamwork. These competencies apply to almost all jobs. They are often assumed to be present although only rarely taught. Our course will start to develop future leaders in the fields of pulmonary, critical care, and sleep medicine. Attendees will learn about and then practice the skills needed to transition from a “first job” to a leadership positions. The course will help to improve implementing change, building effective teams, and dealing with difficult people, and ultimately job satisfaction.
A wealth of clinical evidence exists giving us information to on how to best care for our patients. However, we often fail to consistently act on this information, leading to significant variations in practice across providers and gaps in evidence-based care. The science of quality improvement exists to help clinicians reduce the variation and close the gap. In this course, through a series of didactic lectors and interactive breakout sessions the learner will become familiar with the background of quality improvement as well as be given practical skills for improving patient care through implementing the Model for Improvement.
Led by expert faculty, some of whom serve on the ABIM, this interactive group learning session is a review of pulmonary and critical care topics designed around the most recent ABIM self-assessment modules. The course will utilize a pulmonary module (annual update, 10 points) and critical care medicine module (annual update, 10 points). In addition to providing a high quality clinical review of topics in pulmonary and critical care medicine, this session provides ABIM recertifying physicians with an opportunity to complete two recertification modules while at the ATS International Conference.
The bronchoscopy course and workshop addresses evidence based bronchoscopy topics pertinent to core skills in an accredited pulmonary fellowship program. Techniques include various diagnostic skills with airway examination, biopsy of lung parenchyma and lymph nodes, as well as incorporating new technologies to apply to management of patients with chest and/or airway diseases.
Participants of this workshop will receive didactic content from ATS clinical experts followed by hands-on demonstration of practical topics including oxygenation, oxygen delivery devices, spirometry, proper inhaler technique, and principles of bi-level non-invasive ventilation, problem solving techniques for bi-level mask fitting, ABG interpretation and radiographic “red flags” for common pulmonary disorders.