2016 Fall Symposium

WEBINAR: The Nuts and Bolts of Proficiency Testing (PT)
March 17, 2016
Protected: 2016 Fall Symposium – Agenda
September 14, 2016


Medical Education –
Telemedicine Building

UCSD School of Medicine
9500 Gilman Drive
La Jolla, CA 92093-0615

  1. common sleep disorder with increasing prevalence in the U.S. There have been major advancements in recent years in treatment modalities such as positive pressure devices, oral appliances and surgical treatment. The optimal use of these therapies utilizes a personalized medicine approach tailored to specific sleep apnea phenotypes as well as an understanding of their benefits and limitations.
  1. Venous thromboembolism affects as many as 900,000 people in the U.S each year. This activity will address common challenges in the management of VTE, including treatment setting and duration of anticoagulation. The non-VKA anticoagulants, and VTE in special groups such as cancer will also be explored.



All who provide care for patients with sleep-disordered breathing and venous thromboembolism including physicians (adult and pediatric), respiratory care practitioners, advanced practice providers, nurses, sleep dentists and sleep technologists.



7:00 – 7:50 am  Continental Breakfast – Exhibitor Hall Open

7:50 – 8:00 am
Welcome and Pre-Test
Shazia Jamil, MD & Philippe Montgrain, MD, CTS Education Committee Co-Chairs

AM SESSIONS: Sleep-disordered Breathing

8:00 – 8:40 am
Update on the Science, Clinical Diagnosis and Management of Obstructive Sleep Apnea in Adults and Children
Carolyn Welsh, MD, University of Colorado

8:40 – 9:20 am
Optimizing Device and Pressure Selection Based on the Spectrum of Sleep-disordered Breathing: CPAP, APAP, BIPAP, AUTOPAP, ASV and WINX
Kathleen Sarmiento, MD, UC San Diego & VA San Diego Healthcare Systems

9:20 – 9:40 am Break with Exhibitors

9:40 – 10:20 am
Personalized Medicine in Obstructive Sleep Apnea Surgery
Eric Kezirian, MD, University of Southern California

10:20 – 11:00 am
Update on Oral Appliances in the Treatment of Obstructive Sleep Apnea
Todd Morgan, DDS, DABDSM

11:00 – 11:20 am Break with Exhibitors

11:20 – 12:00 pm
Central Sleep Apnea: Treatment Paradigm in Patients With and Without Heart Failure
Carolyn Welsh, MD, University of Colorado

12:00 – 12:10 pm Break – Transition

12:10 – 12:50 pm
Multidisciplinary Luncheon
– Practical aspects surrounding compliance with PAP therapy
– Strategies to improve interface with DME companies
Christine Garvey, FNP, MPA, MSN, FAACVPR, UC San Francisco and Abdullah Alismail, MS, RRT, Loma Linda University

12:50 – 1:00 pm Break – Transition

PM SESSIONS: Venous Thromboembolism and Anticoagulation

1:00 – 1:40 pm
Update on the Non-VKA Oral Anticoagulants
Darlene Elias, MD, Scripps Clinic

1:40 – 2:20 pm
Determining the Appropriate Treatment Setting: Inpatient Versus Outpatient Management of VTE
Timothy Fernandes, MD, UC San Diego

2:20 – 2:40 pm  Break with Exhibitors

2:40 – 3:20 pm
The Treatment of Massive and Sub-massive PE in 2016
Victor Tapson, MD, Cedars-Sinai

3:20 – 4:00 pm
Duration of Anticoagulation: How to Assess the Risk of Bleeding Versus the Risk of Recurrent VTE
Janine Vintch, MD, Harbor-UCLA

4:00 – 4:20 pm  Break with Exhibitors

4:20 – 5:00 pm
VTE in Special Groups: Cancer, Pregnancy and Pediatrics
Timothy Morris, MD, UC San Diego

5:00 – 5:10 pm Closing Remarks
Shazia Jamil, MD, and Philippe Montgrain, MD, CTS Education Committee Co-Chairs


co-sponsored by the CSRC

Medical Education –
Telemedicine Building

UCSD School of Medicine
9500 Gilman Drive
La Jolla, CA 92093-0615

Integrated care teams capable of providing comprehensive management are essential for best outcomes in chronic lung diseases, such as COPD. Lack of formal training in pulmonary critical care for non-physician providers such as RNs, NPs, PAs, and RRTs results in shortage of adequately skilled mid and advanced level providers.


The CTS 2016 Fall COPD Symposium is designed to meet the critical need for excellent, state of the art educational opportunities for advanced practice providers that are geographically and financially accessible. The one day event consists of didactic lecture, multidisciplinary discussion panels as well as small group sessions designed to not only increase awareness of the diagnosis and treatment gaps associated with the disease, but also to develop/promote strategies and that will enable healthcare providers to implement and maintain behavior and practice changes needed address these gaps.


Target Audience:

Respiratory Care Practitioners, Advanced Practice Providers including clinical nurse specialists (CNS), nurse practitioners (NPs) and Physician Assistants (PAs), Registered Nurses, Case managers, Pulmonary Fellows, Physicians, Scientists.


COPD Symposium Objectives 
1) Know the role of spirometry and be able to order appropriate pulmonary function testing needed to diagnose or rule out COPD as well as monitor patients with COPD. Be able to use COPD guidelines in developing treatment strategies. Understand the benefits of both non-pharmacologic management and pharmacologic treatment with emphasis on the evolving roles of inhaled corticosteroids in COPD. Be able to describe new, emerging pathways, e.g. biologics in the treatment of COPD.

2) Be able to recognize COPD exacerbations, understand their impact on prognosis and care and be able to institute relevant management strategies with an aim towards preventing future exacerbations and decrease hospital readmissions. Recognize signs and symptoms of respiratory failure and need for noninvasive or invasive ventilatory support.

3) Understand the importance of integrated, multidisciplinary team care in optimizing the inpatient and outpatient management of patients with complex, chronic lung diseases such as COPD. Understand the principles of successful team building, recognize potential obstacles and pitfalls and be able to implement solutions. Describe methods and practices needed to ensure optimal transition of care for the COPD patient between inpatient, outpatient and community care teams.


7:30 – 8:00 am

8:00 – 8:15 am
Welcome and Program Overview
Angela Wang, MD, CTS President
Michael Madison, MBA, RCP, RRT, CSRC President

8:15 – 9:00 am
Getting Up to Speed: A COPD Update 2016
Pathophysiology, GOLD Classification, Guidelines and Pharmacotherapy
William Stringer, MD, Harbor UCLA

9:00 – 9:45 am
Exacerbation Management and Readmission Prevention
Ni-Cheng Liang, MD, UC San Diego

9:45 – 10:15 am
Discharge Planning and Clinic Follow-Up
Krystal Craddock, RRT-NPS, CCM, UC Davis

10:15 – 10:35 am   Break with Exhibitors

 10:40 – 11:15 am
Strategies to Manage Exacerbations and Improve Outcomes
Vipul Jain, MD, UCSF Fresno

11:15 – 12:40 pm
Multidisciplinary Panel
Moderator: Michael Madison, MBA, RCP, RRT, CSRC
Christine Garvey FNP, MPA, MSN, FAACVPR, UC San Francisco
George Su, MD, UCSF, San Francisco General Hospital
Stephanie Tsao, MSN, RN, ANP-BC, San Francisco General Hospital
Jessica Goggin, MAS, BSN, RN, UC San Diego
Richard Ford,  BS, RRT, FAARC, UC San Diego

12:40 – 1:40 pm  Lunch Break

1:40 – 2:15 pm
Small Group Case Review and Discussions

2:15 – 2:45 pm
Review case study as a group

2:45 – 3:30 pm
COPD and Beyond: Perspectives in Pulmonary Rehabilitation
Andrew Ries, MD, MPH, UC San Diego

3:30 – 3:45 pm  Closing Comments



Hotel in La Jolla, California

San Diego Marriott La Jolla
4240 La Jolla Village Drive
La Jolla, CA 92037
Phone: (858) 587-1414
Room rates starting at $179 per night
(2 miles from campus)


Hyatt House San Diego/Sorrento Mesa
10044 Pacific Mesa Blvd.
San Diego, CA 92121
Phone: (858) 597-0500
Room rates starting at $179 per night
(5 miles from campus)


Estancia La Jolla Hotel & Spa
9700 N Torrey Pines Rd
La Jolla, CA 92037
Phone: (855) 430-7503
Room rates starting at: $279 per night
(2 miles from campus)


Hampton Inn San Diego Del Mar
11920 El Camino Real
San Diego, CA 92130
Phone: (858) 792-5557
Room rates starting at $143 per night
(5 miles from campus)