Sunday March 26, 2017

Click on PG Course links for more detailed information including learning objectives and course outline

Course 1:
8:00 AM - 5:00 PM
UT Health Science Center at San Antonio

Complications in Pelvic Surgery – Avoidance Strategies and Minimally Invasive Treatment Options   

Hands-on Course - Limited to first 32 registrants

Course Directors: Elizabeth Mueller MD and Andrew Sokol MD

Course Faculty: Jonathon Solnik MD, Kevin Stepp MD, Karl Jallad MD, Kimberly Kenton MD, Olga Ramm MD, Lee Richter MD

The course is designed for gynecologic surgeons interested in improving their ability to avoid and treat complications during pelvic surgery in a minimally invasive fashion. The workshop will utilize a combination of didactic and hands-on instruction to enable participants to prevent injury, laparoscopically repair cystotomy, place ureteral stents, and interpret lower urinary tract imaging. Laparoscopic suturing trainers will be utilized to both practice suturing and then repair cystotomy in porcine bladders. Cadavers will be utilized for stent placement. 

Course 2:
8:00 AM - 11:00 AM

Ins and Outs of 3D Female Pelvic Anatomy: A Hands on Approach

Course Director: Lennox Hoyte MD, MSEECS

Course Faculty: John O. L. DeLancey, MD

A thorough understanding of the three dimensional relationship of the female pelvic organs and tissues is critical to the mastery of female pelvic surgery. To date, much of our understanding of the anatomic relationships of the pelvic organs and tissues stems from cadaveric dissections. However, in death, key tissues lose their shape and the anatomic relationships become distorted. Furthermore, tissue exposure during live surgery is ethically limited to the anatomic region requiring the surgical intervention. This combination of factors act to limit our ability to fully appreciate the true 3D pelvic anatomy in living women.

High resolution magnetic resonance imaging (MRI) permit access to the tissue level anatomy of the female pelvic organs and tissues in a non-invasive manner. However, the 2 dimensional “stacked image” rendition of the anatomy can limit a surgeon’s ability to “see” the fill 3D relationships between the organs in living women.

With the development of readily available public domain software for segmenting and 3D rendering of the MRI derived images from living women, Surgeons now have the ability to view and manipulate the female pelvic organs in 3D on the computer screen.

This course will teach the participant how to use the public domain 3D slicer software, and also how to manipulate a previously made MR-derived 3D pelvic floor model on their computer screen in order to study the detailed relationships between the organs and tissues.

Course 3:
8:00 AM - 12:00 PM

iTeach: Fostering Instruction and Assessment of Residents and Fellows in the Gynecologic Operating Room

Course Directors: Dionysios K. Veronikis, MD and Sara Wood, MD, MHPE

Course Faculty: Rajiv Gala, MD, and John Gebhart, MD, MS

This post-graduate course is a faculty development opportunity for participants to advance their knowledge in training residents and fellows specifically in the context of the operating room (OR). We will begin by interactively identifying challenges that faculty face when teaching in the OR followed by a review of the current hot topics in the operative education literature, including operative autonomy. Approaches to identify trainees operative learning needs will provide participants with a model to address those needs throughout the surgical case. Tips and tricks to facilitate operative instruction will be shared and highlighted through video demonstration.

Delivery of intraoperative performance feedback and the integration of these methods into and at the conclusion of a surgical case will be discussed. Specific attention will note mechanisms to minimize disruptions to the workflow of the faculty member to enhance the likelihood that the feedback will be provided and documented. Faculty perspectives and interactive audience participation of their own experiences of mitigating barriers to providing timely operative feedback will be shared. Finally, strategies to teach residents or fellows who have difficulty in receiving or incorporating feedback will be considered through case examples.

 Course 4:

1:00 PM - 5:00 PM

Enhanced Recovery After Surgery to Improve Patient Outcomes

Course Director: Mikio Nihira, MD

Course Faculty: Adam Steinberg, MD, Sean C. Dowdy, MD and Melanie Simpson, RN

The goal of this course is to educate surgeon leaders in the science of multi-modal pain management in an effort to provide options to reduce our use of postoperative opioids for pain relief. The learning goals of the course would be to:

1) Provide a background of the current literature and recommendations on post-operative pain management
2) Discuss multimodal pain management and how it applies to the gynecologic post-operative patient
3) Discuss implementation of a multimodal pain management at your institution
4) Review strategies for effective implementation of ERAS at a tertiary care institution