CONTINUING EDUCATION

Plenary Sessions Overview

Held over three days, plenary sessions feature a number of seminars that are of interest to physicians who practice in a wide variety of specialties. The theme for the 2021 Annual Postgraduate Convention plenary sessions is: “Making Man Whole: A Time For Review and Restoration.”

Schedule

All times below are in Pacific Standard Time (PST)
“Morning” sessions are those before 11:30 a.m. PST and “Afternoon” sessions are those after 11:30 a.m. PST
07:45 am - 08:00 am

Devotional

Donna Hadley Donna Hadley
H. Roger Hadley, MD H. Roger Hadley, MD Emeritus Dean, School of Medicine School of Medicine
08:00 am - 09:00 am

The Skin You're In: Race, Racism and Inequalities in Health

This lecture will discuss the decades long journey to uncover the reasons for racial inequalities in health. Do biological difference between race groups or socioeconomic status account for these inequities? Will equalizing access to healthcare eliminate the inequities? If not, then what will? Objective 1: The explain the degree to which racial disparities in health result from biological or genetic difference between race groups. Objective 2: To explain the degree to which racial disparities in health result from race differences in socioeconomic status. Objective 3: To explain the degree to which racial disparities in health would be resolved with universal access to healthcare

Thomas A. LaVeist, PhD Thomas A. LaVeist, PhD Dean, School of Public Health and Tropical Medicine
09:00 am - 10:00 am

Christian Bioethics Session: Medicine Made Strange: Seeing Medicine’s Power Through the Lens of Liturgy

The academic medical center provides a dramatic space for liturgies through the various enactments of death and dying. This lecture will show how using liturgy as an analytical lens reveals power dynamics between medicine, society, and theology. The medical practices of anatomical dissection, organ transplantation, and physician-assisted suicide will be explored. Learning Objectives: 1. Describe the three different ways that medical practices can be liturgical. 2. Explain how medical practices such as anatomical dissection, organ transplantation, and physician-assisted suicide manifest liturgical power. 3. Demonstrate how liturgy as an analytical framework highlights the interrelationship between theology and medicine.

Kimbell Kornu, MD, PhD Kimbell Kornu, MD, PhD Assistant professor of health care ethics and Medicine, Gnaegi Center for Health Care Ethics, Saint Louis University
10:00 am - 11:00 am

Christian Bioethics Session Panel

Sigve Tonstad, MD, MA, PhD Sigve Tonstad, MD, MA, PhD Research Professor, New Testament Interpretation
Grace Oei, MD, MA, HEC-C Grace Oei, MD, MA, HEC-C Director of Clinical Ethics, Loma Linda University Health
Gerald Winslow, PhD Gerald Winslow, PhD Director of Center, Center for Christian Bioethics, School of Religion
Kimbell Kornu, MD, PhD Kimbell Kornu, MD, PhD Assistant professor of health care ethics and Medicine, Gnaegi Center for Health Care Ethics, Saint Louis University
11:30 am - 12:30 pm

Primary Care Updates

This lecture will cover changes in diagnosis and treatment of several common outpatient primary care topics in a brief, quick paced highlights format. Objective 1: Identify major new guidelines which impact primary care providers Objective 2: Recognize updates in the diagnosis and treatment for diseases and illnesses which are commonly cared for by primary care providers Objective 3: Appreciate the evolving medical literature around "hot topics" and issues that receive recognition from the lay press

Hobart Lee, MD Hobart Lee, MD Associate Professor Department of Family Medicine
12:30 pm - 01:30 pm

Pediatric Care in the COVID-19 World

We will discuss the impact of COVID-19 on the pediatric population, including acute illness, MIS-C, and the delivery of routine care. In addition we will look at the impact of school closures and isolation on the mental health of children. Objective 1: Describe the impact of the SARS-CoV2 virus on the physical health of children. Objective 2: Describe the impact of the SARS-CoV2 virus on the mental health of children. Objective 3: Identify ways that we can support the well-being of children during health crisis, including the current pandemic.

Alexandra Clark, MD Alexandra Clark, MD Division Chief, General Pediatrics and Pediatric Hospitalists Assistant Professor of Pediatrics Loma Linda University Children's Health
01:30 pm - 02:30 pm

Palliative Medicine in the Era of COVID-19

This lecture will look at how care of those with serious illness has changed in light of the challenges of COVID-19 and the important role Palliative Medicine has played. Objective 1: Identify changes to end of life care of hospitalized patients in light of COVID-19. Objective 2: Demonstrate the importance of talking to patients about advanced care planning before getting ill. Objective 3: Describe how the process of grieving will change in light of COVID-19.

Gina Mohr, MD Gina Mohr, MD Director, Palliative Medicine Assistant Professor, Family Medicine
07:45 am - 08:00 am

Devotional

Donna Hadley Donna Hadley
H. Roger Hadley, MD H. Roger Hadley, MD Emeritus Dean, School of Medicine School of Medicine
08:00 am - 09:00 am

Strategies to Protect and Utilize the Regenerative Properties of Stem Cells

Maintain the health of your stem cells by lifestyle and utilize the remarkable regenerative capacity of stem cells as needed. Objective 1: Gain a perspective on cell-based therapeutics for diseases including inflammatory diseases. Objective 2: Lifestyles to promote stem cell induced regeneration. Objective 3: Understand the threat of cell senescence.

David Baylink, MD David Baylink, MD Head, Medicine, Regenerative Medicine Division
Gerald Winslow, PhD Gerald Winslow, PhD Director of Center, Center for Christian Bioethics, School of Religion
09:00 am - 10:00 am

Umbilical Cord Blood Mononuclear Cell Therapy of Chronic Complete Spinal Cord Injury

The first cellular therapy shown to be effective in restoring function in people with chronic complete spinal cord injury (SCI), umbilical cord blood mononuclear cells (UCBMNC) transplants restored long distance walking in 15/20 (75%) of patients that received transplants and intensive locomotor training (6 hours a day, 6 days a week, for 6 months), as well as bowel and bladder function in 60-65% of the patients. I will talk about the mechanisms of action of UCBMNC and why it stimulated such recovery. In addition, I will talk about why intensive locomotor training is necessary for recovery. Finally, I will describe some recent results that we have found in neonatal rats treated with intravenously administered UCBMNC after severe brain hypoxia and ischemia. Objective 1: Provide data to support recovery of locomotor recovery, bowel and bladder function, and the importance of intensive exercise for recovery of these functions. At the present time, no other clinical trials have included intensive locomotor training in patients after treatment. Objective 2: Describe how intravenous UCBMNC treatment of 7-day old neonatal rats restored neuronal numbers, sensorimotor (negative geotaxis, beam balance) and cognitive behavior (Morris Maze test) in rats after severe ischemia (temporary bilateral carotid occlusion) and hypoxia (8% oxygen for one hour; normal is 21%). Objective 3: Discuss the possible role of exosomes and which cellular components of umbilical cord blood are responsible for these beneficial effects in addition to or besides mononuclear cells.

Wise Young, MD, PhD Wise Young, MD, PhD Founding Director, W. M. Keck Center for Collaborative Neuroscience, Rutgers, The State University of New Jersey
10:30 am - 11:30 am

Scientific Poster Virtual Viewing

11:30 am - 12:30 pm

Pelvic Floor Dysfunction: The Role of Physical Therapy

Pelvic Floor Physical Therapy treats diagnosis such as urinary and fecal incontinence, pelvic organ prolapse, pelvic pain, sexual dysfunction, musculoskeletal pain and pelvic floor dysfunction during pregnancy and postpartum, pelvic floor musculoskeletal disorders, bothersome abdominal and pelvic floor scar tissue, and much more. Engaging presentation on the role of Pelvic Floor Physical Therapy for "down there" and how Physical Therapy may be able to assist your patient population. There will be question and answer session at the end. Objective 1: Describe the role of Pelvic Floor Physical Therapy in treating pelvic floor dysfunction. Objective 2: Identify patients who may benefit from Pelvic Floor Physical Therapy. Objective 3: Describe what patients may expect when receiving Pelvic Floor Physical Therapy.

Sarah Sydnor, PT, CAPP, WCS Sarah Sydnor, PT, CAPP, WCS Clinical Specialist in Pelvic Floor Physical Therapy, Loma Linda University Health
12:30 pm - 01:30 pm

The Darkness Within: Battling Postpartum Depression

Postpartum Depression is one of the most common complications of the postpartum period. This lecture will focus on diagnosis, treatment, and understanding the complex pathology behind a disease which affects 10-15% of women. Objective 1: Discuss the presentation and underlying pathophysiology of postpartum depression Objective 2: Identify risk and protective factors in maternal depression Objective 3: Review Postpartum Depression screening tools and treatment options

Melissa Pereau, MD Melissa Pereau, MD Associate Professor Psychiatry Clerkship Director Residency Associate Program Director
01:30 pm - 02:30 pm

New Results from Adventist Health Study 2

Of the approximate 135 published reports from AHS-2, 30+ have been since 2016. These will be reviewed. One focus will be on effects of dairy, meat on risk of common cancers, and also CVD mortality. Other results will include CRP levels in vegetarians; animal protein, insulin resistance, and CVD mortality; meal timing and BMI; a national comparison of mortality and cancer risk in Adventists compared to a U.S. Census population; vegetarian diets and metabolomics/DNA methylation. Objective 1: Understand the design and plan of the Adventist Health Study-2 cohort study. Objective 2: Become familiar with controversies regarding dairy consumption and cancer risk Objective 3: Understand the challenges of high dimensional “-omics” work and initial results in AHS-2.

Gary Fraser, MBChB, PhD Gary Fraser, MBChB, PhD Distinguished Prof, School of Public Health
07:45 am - 08:00 am

Devotional

Donna Hadley Donna Hadley
H. Roger Hadley, MD H. Roger Hadley, MD Emeritus Dean, School of Medicine School of Medicine
08:00 am - 09:00 am

A Biomimetic Approach to Engineering Arterial Conduits for Congenital Heart Surgery

We developed a novel perfusion bioreactor to provide physiologic, pulsatile flow to tissue engineered constructs seeded with cardiovascular progenitor cells. The ex vivo culture conditions were optimized to drive smooth muscle cell differentiation of the progenitor cells within the scaffold. Molecular and immunohistochemical analysis of the cells demonstrated transition from a proliferative to a contractile phenotype after three weeks of pulsatile perfusion not seen with shorter duration or static culture. The constructs were then implanted into the pulmonary artery of juvenile sheep to test their biocompatibility and handling characteristics. Post implant studies demonstrated retention of seeded cells as well as endothelialization of the seeded constructs. Objective 1: 1. List the challenges associated with conduit and valve replacement for heart disease in children. Objective 2: 2. Explain how tissue engineering approaches can overcome some of these challenges. Objective 3: 3. Provide one example of a tissue engineering solution for congenital heart disease.

Timothy Martens, MD, PhD Timothy Martens, MD, PhD Assistant Professor, Cardiothoracic Surgery
09:00 am - 10:00 am

Good-bye Baby Boomers, Move Over Gen X and Gen Y, Hello Gen Z (the iGeneration)

This will be an interactive session on generational issues that are arising in medicine. Dr. Loo and Dr. Vercio have presented on this topic for national meetings and faculty development at several institutions which have helped guide physicians of different generations to learn to productively work together. It will primarily focus on the generation of learners that are entering medicine, iGen or Gen Z, and what events have shaped their understanding of the world, how this can result in behaviors that may differ from expectations of other generations and how we can encourage the development of their professional identity. Objective 1: Describe key life events that shape the underlying values and characteristics of Gen Z (or iGeneration) Objective 2: Compare and contrast how generational attitudes toward learning and teaching can pose challenges and complement one another in medical education. Objective 3: Use the I-CARE framework to practice communication strategies to understand and resolve miscommunication and conflicts.

Chad Vercio, MD Chad Vercio, MD Assistant Professor, Pediatrics, Loma Linda University
Lawrence Loo, MD Lawrence Loo, MD Associate Dean, Faculty Development, School of Medicine
10:30 am - 11:30 am

Scientific Poster Virtual Viewing

11:30 am - 12:30 pm

Telehealth - Past, Present, and Future

The COVID-19 Pandemic has thrust Telehealth to the forefront as a modality to continue to provide care for patients without seeing them in person. While it’s allowed care to continue for patients either at high risk for exposure complications or uncomfortable with in person visits, we are left to wonder - are we practicing good medicine and the standard of care while adopting Telehealth, especially so rapidly? What is the history of Telehealth adoption in healthcare and here at Loma Linda, what are we currently doing with regard to Telehealth delivery, and where do we see this going in the future? Objective 1: Demonstrate a historical understanding of Telehealth as a modality of care and how that affects current applications and issues around the continued use of Telehealth. Objective 2: Identify key advantages around the use of Telehealth while recognizing pitfalls that come from not being able to see patients in person - and how to mitigate them. Objective 3: Describe the possible future state of healthcare delivery with Telehealth and how that will or will not change how we design clinical care delivery models.

Jeffrey Kim, MD Jeffrey Kim, MD Assistant Professor, Family Medicine, Loma Linda University Health
12:30 pm - 01:30 pm

Chronic Lower Back Pain

Discussion of chronic lower back pain and options for treatment. Objective 1: Discuss etiology of lower back pan Objective 2: Discuss diagnostics and physical examination Objective 3: Discuss treatment options

Eugene Pak, MD Eugene Pak, MD Attending Physician, Physical Medicine and Rehabilitaton, Loma Linda University Health
01:30 pm - 02:30 pm

A Novel Approach To Treating Neurovascular Inflammatory Disorders

Intraneural facilitationTM is a new treatment for paresthesia and neuropathic pain that is being researched at Loma Linda. This treatment is a manual, non-pharmacologic therapy and has shown promise in reversing neuropathic symptoms associated with diabetes and chemotherapy. This lecture will introduce this therapy and describe how it enhances neurovascular circulation. Objective 1: Understand the conceptual model behind Intraneural FacilitationTM (INFTM) proposed induction of microvascular circulation in the ischemic nerve. Objective 2: Describe two significant case studies involving INFTM treatment. Objective 3: Discuss the significance of proposed INFTM action on the neurovascular circulatory system. 4. Discuss how INFTM supports wholeness.

Mark Bussell, DPT Mark Bussell, DPT Doctorate of Physical Therapy, Loma Linda University Health

APC Convention Notes

Statement of Purpose OR Overall Objective

The Annual Postgraduate Convention (APC) is sponsored by the Alumni Association of the School of Medicine of Loma Linda University. This activity is designed to change and diminish the gap between evidence-based medicine and practice.

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Loma Linda University School of Medicine and the Alumni Association of the School of Medicine of Loma Linda University. The Loma Linda University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The Loma Linda University School of Medicine designates this Live Activity for a maximum of 22.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Statement

This program has been planned and implemented in accordance with ACCME essentials and standards.  The Loma Linda University School of Medicine Office of Continuing Medical Education relies on its CME faculty to provide program content that is free of commercial bias.  Therefore, in accordance with ACCME standards, any faculty and/or provider industry relationships will be disclosed and resolved.

The California State Board of Registered Nurses has issued guidelines stating that CME-accredited Category 1 courses are acceptable toward meeting CE requirements for license renewal by nurses.

Neurosurgery Symposium Overview

The Annual Postgraduate Convention Department of Neurosurgery Symposium will present the latest advances in patient care and evidence-based practices related to vascular, functional, spine, and pediatric neurosurgery. The symposium is geared toward neuroscience clinicians and other physicians who would benefit from learning about emerging and evidence-based medical care for the neurosurgery patient.

Schedule

All times below are in Pacific Standard Time (PST)
08:00 am - 09:00 am

GLOBAL NEUROSURGERY: Neurosurgery through the Global Public Health Lens | Developing Training Programs and Diversity | Neurosurgery In Malawi: The Present and the Future |

Gail Rosseau, MD Gail Rosseau, MD Clinical Professor of Neurosurgery
Patrick Kamalo, MBBS, MMed Patrick Kamalo, MBBS, MMed Chief Specialist Neurosurgeon Blantyre Institute of Neurological Sciences Department of Neurosurgery Queen Elizabeth Central Hospital Malawi
Kee Park, MD, MPH Kee Park, MD, MPH Neurosurgeon
William R. Copeland, III, MD William R. Copeland, III, MD Neurosurgeon, Tenwek Hospital Bomet, Kenya
Walter D. Johnson, MD, MBA, MPH Walter D. Johnson, MD, MBA, MPH Professor of Surgery, Neurosurgery and Public Health
09:00 am - 10:00 am

PEDIATRIC NEUROSURGERY: Neurologic Complications of Viral Infections in Children | COVID-19 and Rise in Abusive Head Trauma | Manual cerebrospinal fluid shunt connector tool to aid in no-touch surgical technique | Aberrant Development and Regeneration at the Roots of brain cancer..

Peter Dirks, MD, PhD Peter Dirks, MD, PhD Professor, Hospital for Sick Children, Division of Neurosurgery, Toronto, Ontario, Canada
Aaron Robison, MD Aaron Robison, MD Assistant Professor, Pediatric Neurosurgery
Tanya Minasian, DO Tanya Minasian, DO Assistant Professor, Pediatric Neurosurgery
Brian Hanak, MD Brian Hanak, MD Assistant Professor, Pediatric Neurosurgery
10:00 am - 11:00 am

STROKE RESEARCH SESSION: Advances in Subarachnoid Hemorrhage Research | Harnessing Blood Clearance Mechanisms After Germinal Matrix Hemorrhage | Advances in Translational Research on Intracerebral Hemorrhage-Targeting Hematoma Expansion and Clearance.

John Zhang, MD John Zhang, MD Professor and Vice Chair, Division of Physiology
Helen Huang, MD Helen Huang, MD Associate Professor, Neurosurgery
Jerry Flores, BS Jerry Flores, BS PhD Candidate, Neurosurgery
Devin McBride, MD Devin McBride, MD Assistant Professor Department of Neurosurgery UTHealth Science Center at Houston
Prativa Sherchan, MBBS, PhD Prativa Sherchan, MBBS, PhD Research Instructor, LLU Zhang Neuroscience Research Laboratories
11:00 am - 12:00 pm

CLINICAL STROKE SESSION: Historical Perspective on Cerebrovascular Neurosurgery and its Future | Linking Between Skull Base Surgery and Cerebrovascular Surgery | Endovascular Management of Ruptured Blister Aneurysms | Role of Venous Sinus Angioplasty in Idiopathic Intracranial Hypertension..

James I. Ausman, MD, PhD James I. Ausman, MD, PhD Professor, Neurosurgery, LLUMC and UCLA Emeritus Editor in Chief, Surgical Neurology International
Miguel Lopez-Gonzalez, MD Miguel Lopez-Gonzalez, MD Assistant Professor, Neurosurgery
Justin Dye, MD Justin Dye, MD Assistant Professor, Neurosurgery
Promod Pillai, MBBS, MCh, FAANS Promod Pillai, MBBS, MCh, FAANS Assistant Professor, Neurosurgery
12:00 pm - 01:00 pm

PLENARY SESSION: Innovative Approaches to Treating Malignant Brain Tumors | Global Access to Radiosurgery | Responsive Neuromodulation for Epilepsy- Discoveries from Direct Brain Recording.

Martha Morrell, MD Martha Morrell, MD Clinical Professor of Neurology and, by courtesy, Neurosurgery Stanford University Chief Medical Officer, NeuroPace
Achal Achrol, MD Achal Achrol, MD Assistant Professor, Neurosurgery
Reinhard W. Schulte, MD, MS Reinhard W. Schulte, MD, MS Professor, Neurosurgery
John R. Adler, MD John R. Adler, MD Dorothy & TK Chan Professor of Neurosurgery and Radiation Oncology, Emeritus, Stanford University
Warren Boling, MD Warren Boling, MD Professor and Chair Neurosurgery
01:00 pm - 02:00 pm

EPILEPSY: Epilepsy Surgery | Towards a better understanding of prognosis following temporal lobe epilepsy surgery | Perspectives from Mexico.

Mario Arturo Alonso,MD Mario Arturo Alonso,MD Director International Center for Epilepsy Surgery, HMG Coyoacán, Mexico City
Donald W. Gross, MD Donald W. Gross, MD Professor, University of Alberta
Warren Boling, MD Warren Boling, MD Professor and Chair Neurosurgery
02:00 pm - 03:00 pm

SPINE SESSION: Spinal Deformity | Spine Surgery Update | Endoscopic Spine Surgery | Beyond Angles--Rebalancing the Human Spine.

Namath Hussain, MD Namath Hussain, MD Assistant Professor, Neurosurgery
Esther Kim, MD Esther Kim, MD Assistant Professor, Neurosurgery
Jens Chapman, MD Jens Chapman, MD Director of Research, Swedish Neuroscience Institute, Seattle, Washington
Hyenu-Sun Kim, MD Hyenu-Sun Kim, MD
Shahin Etebar, MD Shahin Etebar, MD Assistant Professor, Neurosurgery
Clifford Douglas, MD, PhD Clifford Douglas, MD, PhD Associate Professor of Neurosurgery
03:00 pm - 04:00 pm

BREAKTHROUGH IN BRAIN TUMOR SESSION: Bench to Bedside trials in Glioblastoma | Exploiting Metabolic Defects in Adult and Pediatric CNS Tumors | Focal Therapies to Ignite a Systemic Immune Response.

Michael Lim, MD Michael Lim, MD Professor and Chair of Neurosurgery Stanford University
Ranjit Bindra, MD Ranjit Bindra, MD Professor of Therapeutic Radiology Co-Director, Yale Brain Tumor Center
Manmeet Ahluwalia, MD Manmeet Ahluwalia, MD Chief of Medical Oncology
04:00 pm - 05:00 pm

NEUROSURGERY UPDATES FROM CHINA SESSION: Neurosurgery Perspective | Novel DBS Programming in China | The Result of Intractable Perirolandic Epilepsy.

Gao Zeng, MD Gao Zeng, MD Professsor, Beijing Tian Tan Hospital
Fang Gang Meng, MD Fang Gang Meng, MD Professor, Beijing Tian Tan Hospital
Fang Tie Fang Tie Professor, Beijing Tian Tan Hospital
Warren Boling, MD Warren Boling, MD Professor and Chair Neurosurgery
05:00 pm - 05:50 pm

COGNITIVE DEMENTIA SESSION: Developing New Treatments for Alzheimer's and Parkinson's Disease with Novel Antidiabetic Agents/Lab Update | Gene therapy for Cerebral Amyloid Angiopathy.

Wolff Kirsch, MD Wolff Kirsch, MD Professor & Director Neurosurgery Center for Research Training and Education
Konrad Talbot, PhD Konrad Talbot, PhD Associate Professor, Neurosurgery
Warren Boling, MD Warren Boling, MD Professor and Chair Neurosurgery

APC Convention Notes

Statement of Purpose OR Overall Objective

The Annual Postgraduate Convention (APC) is sponsored by the Alumni Association of the School of Medicine of Loma Linda University. This activity is designed to change and diminish the gap between evidence-based medicine and practice.

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Loma Linda University School of Medicine and the Alumni Association of the School of Medicine of Loma Linda University. The Loma Linda University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The Loma Linda University School of Medicine designates this Live Activity for a maximum of 22.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Statement

This program has been planned and implemented in accordance with ACCME essentials and standards.  The Loma Linda University School of Medicine Office of Continuing Medical Education relies on its CME faculty to provide program content that is free of commercial bias.  Therefore, in accordance with ACCME standards, any faculty and/or provider industry relationships will be disclosed and resolved.

The California State Board of Registered Nurses has issued guidelines stating that CME-accredited Category 1 courses are acceptable toward meeting CE requirements for license renewal by nurses.

Plastic Surgery Symposium Overview

State of the Art in Aesthetic and Reconstructive Plastic Surgery

Upon completion of this course, participants will be able to:
1. Improve patient outcomes during plastic surgery,
2. Advance patient safety in reconstructive and aesthetic surgery,
3. Improve patient outcomes by identifying strategies for the prevention and management of complications in reconstructive and aesthetic surgery procedures.
4. Identify ways to integrate state-of-the-art clinical knowledge into their current practice, and
5. Integrate new practice management strategies and tools into their practice.

Schedule

All times below are in Pacific Standard Time (PST)
07:30 am - 08:00 am

Welcome and Overview of Aesthetic Update Symposium

Subhas Gupta, MD, PhD Subhas Gupta, MD, PhD Chairman and Professor LLU Department of Plastic Surgery
08:00 am - 09:15 am

Aesthetic Surgery-I: Hot Topics and Controversies in Facial Rejuvenation

Hahns Kim, MD Hahns Kim, MD Assistant Professor, LLU Department of Plastic Surgery
Michael Hill, MD Michael Hill, MD Assistant Professor, LLU Department of Plastic Surgery
Subhas Gupta, MD, PhD Subhas Gupta, MD, PhD Chairman and Professor LLU Department of Plastic Surgery
09:30 am - 10:30 am

Aesthetic Surgery-II: Hot Topics and Controversies in Breast Aesthetic Surgery

Asra Hashmi, MD Asra Hashmi, MD Assistant Professor, LLU Department of Plastic Surgery
Hahns Kim, MD Hahns Kim, MD Assistant Professor, LLU Department of Plastic Surgery
Michael Hill, MD Michael Hill, MD Assistant Professor, LLU Department of Plastic Surgery
10:30 am - 01:00 pm

Aesthetic Surgery-III: Hot Topics and Controversies in Regenerative Medicine

Asra Hashmi, MD Asra Hashmi, MD Assistant Professor, LLU Department of Plastic Surgery
01:00 pm - 01:15 pm

Reconstructive Surgery-I: Craniofacial Surgery

Mark Martin, MD, DMD Mark Martin, MD, DMD Assistant Professor, LLU Department of Plastic Surgery
Subhas Gupta, MD, PhD Subhas Gupta, MD, PhD Chairman and Professor LLU Department of Plastic Surgery
02:15 pm - 03:00 pm

Reconstructive Surgery-II: Breat Reconstruction

Michael Hill, MD Michael Hill, MD Assistant Professor, LLU Department of Plastic Surgery
03:15 pm - 04:30 pm

Reconstructive Surgery-III: Hand Surgery

Subhas Gupta, MD, PhD Subhas Gupta, MD, PhD Chairman and Professor LLU Department of Plastic Surgery
04:40 pm - 05:00 pm

Closing Remarks

Subhas Gupta, MD, PhD Subhas Gupta, MD, PhD Chairman and Professor LLU Department of Plastic Surgery

APC Convention Notes

Statement of Purpose OR Overall Objective

The Annual Postgraduate Convention (APC) is sponsored by the Alumni Association of the School of Medicine of Loma Linda University. This activity is designed to change and diminish the gap between evidence-based medicine and practice.

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Loma Linda University School of Medicine and the Alumni Association of the School of Medicine of Loma Linda University. The Loma Linda University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The Loma Linda University School of Medicine designates this Live Activity for a maximum of 22.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Statement

This program has been planned and implemented in accordance with ACCME essentials and standards.  The Loma Linda University School of Medicine Office of Continuing Medical Education relies on its CME faculty to provide program content that is free of commercial bias.  Therefore, in accordance with ACCME standards, any faculty and/or provider industry relationships will be disclosed and resolved.

The California State Board of Registered Nurses has issued guidelines stating that CME-accredited Category 1 courses are acceptable toward meeting CE requirements for license renewal by nurses.

Surgery Symposium Schedule

All times below are in Pacific Standard Time (PST)
08:00 am - 08:15 am

Opening Remarks

Daniel Srikureja, MD Daniel Srikureja, MD Director, Surgery Clerkship, Assistant Professor, Surgery Department
08:10 am - 08:45 am

Surgical Management of Chronic Pancreatitis

This lecture with cover indications for surgery, common complications and their management of chronic pancreatitis. We will also address the most common morbidities that affect the quality of life of the patient with chronic pancreatitis. Indications for referral to a pancreatitis clinic will also be discussed. 1. Identify the hard and soft indications for surgery in the setting of chronic pancreatitis. 2. Identify indications for referral to a center specializing in pancreatitis care. 3. Identify common morbidities that result from chronic pancreatitis and list some resources for the patient to get help.

Nephtali R. Gomez, MD Nephtali R. Gomez, MD Assistant Professor, Surgery Department
08:45 am - 09:20 am

Endoscopic Management of Walled Off Pancreatic Necrosis

Management of complications of pancreatitis requires multidisciplinary approach. The lecture discuss exciting endoscopic approach to help manage this complex disease process. Objective 1: Describes terminology used in describing pancreatic or peri-pancreatic fluid collection Objective 2: Describes endoscopic therapy for walled-off pancreatic necrosis Objective 3: Demonstrates the use of endoscopic approach through case examples.

Wichit Srikureja, MD Wichit Srikureja, MD Interventional Gastroenterology Providence Digestive Health Spokane, WA
09:20 am - 09:55 am

Less is More

Minimally invasive surgery is applicable in more than 60% of abdominal and thoracic operations in children. Enthusiasm, evidence and ethics play a big role in the development of this field and many pediatric surgeons are reluctant to embrace this as the future. Objective 1: Describe role of minimal invasive surgery (MIS) in pediatric surgery practice Objective 2: Brief historical overview of the development of MIS in children Objective 3: What we do now and what the future holds

Andrei Radulescu, MD, PhD, FAAP FACS Andrei Radulescu, MD, PhD, FAAP FACS Assistant Professor Pediatrics and Surgery
10:15 am - 10:50 am

Surgery in Low-Resource Environments

5 billion people lack access to safe surgery worldwide. 3 time more people die each day from lack of access to surgical care than HIV, TB & Malaria combined. Are we, as American doctors and surgeons, capable of changing that through humanitarian surgical interventions? Objective 1: Define and advocate for Global Surgery. Objective 2: Increase capability & competency of American Surgeons in delivering needed surgery in low-resource environments. Objective 3: Identify and explore opportunities for international and humanitarian surgical interventions.

Ryan A. Hayton, MD, FACS, FCS(ECSA) Ryan A. Hayton, MD, FACS, FCS(ECSA) Assistant Professor, Surgery Department
10:50 am - 11:25 am

Addressing Community Violence as a Public Health Problem

Violence is an epidemic in the United States that disproportionately hurts young people of color. Violence Intervention Programs (VIP) acknowledge the negative impact of violent trauma on one's emotional, mental and physical wellbeing. VIPs work to identify and reduce risk factors for violence and recidivism, such as substance misuse, unemployment, school dropout, and food and housing insecurity. VIPs work to alter the trajectory of our trauma patients by working with patients, identifying their needs and providing services and assistance. Together, we can reframe violence as a preventable healthcare issue by providing trauma informed care and connecting hospitals with the community. Objective 1: Describe the data outlining that community violence disproportionately impacts young men of color in the United States. Objective 2: Discuss how Violence Intervention Programs can address the social determinants of health. Objective 3: Discuss the importance of Violence Prevention Professionals in providing trauma informed care.

Sigrid Burruss, MD Sigrid Burruss, MD Assistant Professor of Surgery Co-Director of Surgical Intensive Care Unit Director of Trauma Prevention Director of Education for Acute Care Surgery
11:25 am - 12:00 pm

COVID-19: A Year in Review

Review of COVID-19 in the Adventist Health System. Objective 1: Review impact on the health system. Objective 2: Overview of how we have addressed this challenge. Objective 3: Outcomes and where we go from here.

Meghan Cochran-Yu, MD Meghan Cochran-Yu, MD Assistant Professor, Surgery Department

APC Convention Notes

Statement of Purpose OR Overall Objective

The Annual Postgraduate Convention (APC) is sponsored by the Alumni Association of the School of Medicine of Loma Linda University. This activity is designed to change and diminish the gap between evidence-based medicine and practice.

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Loma Linda University School of Medicine and the Alumni Association of the School of Medicine of Loma Linda University. The Loma Linda University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The Loma Linda University School of Medicine designates this Live Activity for a maximum of 22.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Statement

This program has been planned and implemented in accordance with ACCME essentials and standards.  The Loma Linda University School of Medicine Office of Continuing Medical Education relies on its CME faculty to provide program content that is free of commercial bias.  Therefore, in accordance with ACCME standards, any faculty and/or provider industry relationships will be disclosed and resolved.

The California State Board of Registered Nurses has issued guidelines stating that CME-accredited Category 1 courses are acceptable toward meeting CE requirements for license renewal by nurses.

Inland Empire Cardiovascular Summit Overview

8:00 a.m. – 5:00 p.m (PST), Thursday, March 4, 2021

The field of cardiology is rapidly evolving in all of its subspecialty areas. Technology is changing equally fast. This particular conference will highlight information and updates essential for physicians, nurse practitioners, physician assistants, and anyone in the clinical cardiology field. Dr. Mamas Mamas will speak regarding cardiac care during the pandemic.  Guest speakers Mirvat Alasnag, MD, Danielle Belardo, MD, Pradeep Natarajan, MD, and Mehdi Shishehbor, DO, will cover essential topics for all cardiac providers as well.

The objective of this course is to present attendees with state-of-the-art updates in every aspect of cardiac care.  The overall objective of this symposium is to present well-rounded and in-depth information on advancements in cardiology.  Focused topics will include advances in tele-medicine, lipid-lowering therapies, updated information on inflammation and coronary artery disease, new drug treatments, cardiac rehab updates, cardio-oncology advances and exercise/diet recommendations for cardiac patients as well as updates in cardiology subspecialties.

Interprofessional Education Day Overview

 1:00 p.m. – 5:00 p.m. (PST), Thursday, March 4, 2021

The pandemic is changing not only how we deliver health care but how we perceive interprofessional practice and Whole Person Care. Adapting to the pandemic has demanded that providers and educators make significant changes in clinical practice including a shift to virtual patient care, otherwise known as telehealth. Moreover, public health requirements for physical distancing and wearing of masks has compelled health care providers to become increasingly more creative when addressing community needs. This presentation provides opportunities to discuss the impact of these health care adaptations on interprofessional practice and Whole Person Care while providing a collaborative space to share innovations and strategies for improvement in these same arenas. Please join us for this virtual conference open to various health care professions.

Plenary Sessions

Plenary Sessions Overview

Held over three days, plenary sessions feature a number of seminars that are of interest to physicians who practice in a wide variety of specialties. The theme for the 2021 Annual Postgraduate Convention plenary sessions is: “Making Man Whole: A Time For Review and Restoration.”

Schedule

All times below are in Pacific Standard Time (PST)
“Morning” sessions are those before 11:30 a.m. PST and “Afternoon” sessions are those after 11:30 a.m. PST
07:45 am - 08:00 am

Devotional

Donna Hadley Donna Hadley
H. Roger Hadley, MD H. Roger Hadley, MD Emeritus Dean, School of Medicine School of Medicine
08:00 am - 09:00 am

The Skin You're In: Race, Racism and Inequalities in Health

This lecture will discuss the decades long journey to uncover the reasons for racial inequalities in health. Do biological difference between race groups or socioeconomic status account for these inequities? Will equalizing access to healthcare eliminate the inequities? If not, then what will? Objective 1: The explain the degree to which racial disparities in health result from biological or genetic difference between race groups. Objective 2: To explain the degree to which racial disparities in health result from race differences in socioeconomic status. Objective 3: To explain the degree to which racial disparities in health would be resolved with universal access to healthcare

Thomas A. LaVeist, PhD Thomas A. LaVeist, PhD Dean, School of Public Health and Tropical Medicine
09:00 am - 10:00 am

Christian Bioethics Session: Medicine Made Strange: Seeing Medicine’s Power Through the Lens of Liturgy

The academic medical center provides a dramatic space for liturgies through the various enactments of death and dying. This lecture will show how using liturgy as an analytical lens reveals power dynamics between medicine, society, and theology. The medical practices of anatomical dissection, organ transplantation, and physician-assisted suicide will be explored. Learning Objectives: 1. Describe the three different ways that medical practices can be liturgical. 2. Explain how medical practices such as anatomical dissection, organ transplantation, and physician-assisted suicide manifest liturgical power. 3. Demonstrate how liturgy as an analytical framework highlights the interrelationship between theology and medicine.

Kimbell Kornu, MD, PhD Kimbell Kornu, MD, PhD Assistant professor of health care ethics and Medicine, Gnaegi Center for Health Care Ethics, Saint Louis University
10:00 am - 11:00 am

Christian Bioethics Session Panel

Sigve Tonstad, MD, MA, PhD Sigve Tonstad, MD, MA, PhD Research Professor, New Testament Interpretation
Grace Oei, MD, MA, HEC-C Grace Oei, MD, MA, HEC-C Director of Clinical Ethics, Loma Linda University Health
Gerald Winslow, PhD Gerald Winslow, PhD Director of Center, Center for Christian Bioethics, School of Religion
Kimbell Kornu, MD, PhD Kimbell Kornu, MD, PhD Assistant professor of health care ethics and Medicine, Gnaegi Center for Health Care Ethics, Saint Louis University
11:30 am - 12:30 pm

Primary Care Updates

This lecture will cover changes in diagnosis and treatment of several common outpatient primary care topics in a brief, quick paced highlights format. Objective 1: Identify major new guidelines which impact primary care providers Objective 2: Recognize updates in the diagnosis and treatment for diseases and illnesses which are commonly cared for by primary care providers Objective 3: Appreciate the evolving medical literature around "hot topics" and issues that receive recognition from the lay press

Hobart Lee, MD Hobart Lee, MD Associate Professor Department of Family Medicine
12:30 pm - 01:30 pm

Pediatric Care in the COVID-19 World

We will discuss the impact of COVID-19 on the pediatric population, including acute illness, MIS-C, and the delivery of routine care. In addition we will look at the impact of school closures and isolation on the mental health of children. Objective 1: Describe the impact of the SARS-CoV2 virus on the physical health of children. Objective 2: Describe the impact of the SARS-CoV2 virus on the mental health of children. Objective 3: Identify ways that we can support the well-being of children during health crisis, including the current pandemic.

Alexandra Clark, MD Alexandra Clark, MD Division Chief, General Pediatrics and Pediatric Hospitalists Assistant Professor of Pediatrics Loma Linda University Children's Health
01:30 pm - 02:30 pm

Palliative Medicine in the Era of COVID-19

This lecture will look at how care of those with serious illness has changed in light of the challenges of COVID-19 and the important role Palliative Medicine has played. Objective 1: Identify changes to end of life care of hospitalized patients in light of COVID-19. Objective 2: Demonstrate the importance of talking to patients about advanced care planning before getting ill. Objective 3: Describe how the process of grieving will change in light of COVID-19.

Gina Mohr, MD Gina Mohr, MD Director, Palliative Medicine Assistant Professor, Family Medicine
07:45 am - 08:00 am

Devotional

Donna Hadley Donna Hadley
H. Roger Hadley, MD H. Roger Hadley, MD Emeritus Dean, School of Medicine School of Medicine
08:00 am - 09:00 am

Strategies to Protect and Utilize the Regenerative Properties of Stem Cells

Maintain the health of your stem cells by lifestyle and utilize the remarkable regenerative capacity of stem cells as needed. Objective 1: Gain a perspective on cell-based therapeutics for diseases including inflammatory diseases. Objective 2: Lifestyles to promote stem cell induced regeneration. Objective 3: Understand the threat of cell senescence.

David Baylink, MD David Baylink, MD Head, Medicine, Regenerative Medicine Division
Gerald Winslow, PhD Gerald Winslow, PhD Director of Center, Center for Christian Bioethics, School of Religion
09:00 am - 10:00 am

Umbilical Cord Blood Mononuclear Cell Therapy of Chronic Complete Spinal Cord Injury

The first cellular therapy shown to be effective in restoring function in people with chronic complete spinal cord injury (SCI), umbilical cord blood mononuclear cells (UCBMNC) transplants restored long distance walking in 15/20 (75%) of patients that received transplants and intensive locomotor training (6 hours a day, 6 days a week, for 6 months), as well as bowel and bladder function in 60-65% of the patients. I will talk about the mechanisms of action of UCBMNC and why it stimulated such recovery. In addition, I will talk about why intensive locomotor training is necessary for recovery. Finally, I will describe some recent results that we have found in neonatal rats treated with intravenously administered UCBMNC after severe brain hypoxia and ischemia. Objective 1: Provide data to support recovery of locomotor recovery, bowel and bladder function, and the importance of intensive exercise for recovery of these functions. At the present time, no other clinical trials have included intensive locomotor training in patients after treatment. Objective 2: Describe how intravenous UCBMNC treatment of 7-day old neonatal rats restored neuronal numbers, sensorimotor (negative geotaxis, beam balance) and cognitive behavior (Morris Maze test) in rats after severe ischemia (temporary bilateral carotid occlusion) and hypoxia (8% oxygen for one hour; normal is 21%). Objective 3: Discuss the possible role of exosomes and which cellular components of umbilical cord blood are responsible for these beneficial effects in addition to or besides mononuclear cells.

Wise Young, MD, PhD Wise Young, MD, PhD Founding Director, W. M. Keck Center for Collaborative Neuroscience, Rutgers, The State University of New Jersey
10:30 am - 11:30 am

Scientific Poster Virtual Viewing

11:30 am - 12:30 pm

Pelvic Floor Dysfunction: The Role of Physical Therapy

Pelvic Floor Physical Therapy treats diagnosis such as urinary and fecal incontinence, pelvic organ prolapse, pelvic pain, sexual dysfunction, musculoskeletal pain and pelvic floor dysfunction during pregnancy and postpartum, pelvic floor musculoskeletal disorders, bothersome abdominal and pelvic floor scar tissue, and much more. Engaging presentation on the role of Pelvic Floor Physical Therapy for "down there" and how Physical Therapy may be able to assist your patient population. There will be question and answer session at the end. Objective 1: Describe the role of Pelvic Floor Physical Therapy in treating pelvic floor dysfunction. Objective 2: Identify patients who may benefit from Pelvic Floor Physical Therapy. Objective 3: Describe what patients may expect when receiving Pelvic Floor Physical Therapy.

Sarah Sydnor, PT, CAPP, WCS Sarah Sydnor, PT, CAPP, WCS Clinical Specialist in Pelvic Floor Physical Therapy, Loma Linda University Health
12:30 pm - 01:30 pm

The Darkness Within: Battling Postpartum Depression

Postpartum Depression is one of the most common complications of the postpartum period. This lecture will focus on diagnosis, treatment, and understanding the complex pathology behind a disease which affects 10-15% of women. Objective 1: Discuss the presentation and underlying pathophysiology of postpartum depression Objective 2: Identify risk and protective factors in maternal depression Objective 3: Review Postpartum Depression screening tools and treatment options

Melissa Pereau, MD Melissa Pereau, MD Associate Professor Psychiatry Clerkship Director Residency Associate Program Director
01:30 pm - 02:30 pm

New Results from Adventist Health Study 2

Of the approximate 135 published reports from AHS-2, 30+ have been since 2016. These will be reviewed. One focus will be on effects of dairy, meat on risk of common cancers, and also CVD mortality. Other results will include CRP levels in vegetarians; animal protein, insulin resistance, and CVD mortality; meal timing and BMI; a national comparison of mortality and cancer risk in Adventists compared to a U.S. Census population; vegetarian diets and metabolomics/DNA methylation. Objective 1: Understand the design and plan of the Adventist Health Study-2 cohort study. Objective 2: Become familiar with controversies regarding dairy consumption and cancer risk Objective 3: Understand the challenges of high dimensional “-omics” work and initial results in AHS-2.

Gary Fraser, MBChB, PhD Gary Fraser, MBChB, PhD Distinguished Prof, School of Public Health
07:45 am - 08:00 am

Devotional

Donna Hadley Donna Hadley
H. Roger Hadley, MD H. Roger Hadley, MD Emeritus Dean, School of Medicine School of Medicine
08:00 am - 09:00 am

A Biomimetic Approach to Engineering Arterial Conduits for Congenital Heart Surgery

We developed a novel perfusion bioreactor to provide physiologic, pulsatile flow to tissue engineered constructs seeded with cardiovascular progenitor cells. The ex vivo culture conditions were optimized to drive smooth muscle cell differentiation of the progenitor cells within the scaffold. Molecular and immunohistochemical analysis of the cells demonstrated transition from a proliferative to a contractile phenotype after three weeks of pulsatile perfusion not seen with shorter duration or static culture. The constructs were then implanted into the pulmonary artery of juvenile sheep to test their biocompatibility and handling characteristics. Post implant studies demonstrated retention of seeded cells as well as endothelialization of the seeded constructs. Objective 1: 1. List the challenges associated with conduit and valve replacement for heart disease in children. Objective 2: 2. Explain how tissue engineering approaches can overcome some of these challenges. Objective 3: 3. Provide one example of a tissue engineering solution for congenital heart disease.

Timothy Martens, MD, PhD Timothy Martens, MD, PhD Assistant Professor, Cardiothoracic Surgery
09:00 am - 10:00 am

Good-bye Baby Boomers, Move Over Gen X and Gen Y, Hello Gen Z (the iGeneration)

This will be an interactive session on generational issues that are arising in medicine. Dr. Loo and Dr. Vercio have presented on this topic for national meetings and faculty development at several institutions which have helped guide physicians of different generations to learn to productively work together. It will primarily focus on the generation of learners that are entering medicine, iGen or Gen Z, and what events have shaped their understanding of the world, how this can result in behaviors that may differ from expectations of other generations and how we can encourage the development of their professional identity. Objective 1: Describe key life events that shape the underlying values and characteristics of Gen Z (or iGeneration) Objective 2: Compare and contrast how generational attitudes toward learning and teaching can pose challenges and complement one another in medical education. Objective 3: Use the I-CARE framework to practice communication strategies to understand and resolve miscommunication and conflicts.

Chad Vercio, MD Chad Vercio, MD Assistant Professor, Pediatrics, Loma Linda University
Lawrence Loo, MD Lawrence Loo, MD Associate Dean, Faculty Development, School of Medicine
10:30 am - 11:30 am

Scientific Poster Virtual Viewing

11:30 am - 12:30 pm

Telehealth - Past, Present, and Future

The COVID-19 Pandemic has thrust Telehealth to the forefront as a modality to continue to provide care for patients without seeing them in person. While it’s allowed care to continue for patients either at high risk for exposure complications or uncomfortable with in person visits, we are left to wonder - are we practicing good medicine and the standard of care while adopting Telehealth, especially so rapidly? What is the history of Telehealth adoption in healthcare and here at Loma Linda, what are we currently doing with regard to Telehealth delivery, and where do we see this going in the future? Objective 1: Demonstrate a historical understanding of Telehealth as a modality of care and how that affects current applications and issues around the continued use of Telehealth. Objective 2: Identify key advantages around the use of Telehealth while recognizing pitfalls that come from not being able to see patients in person - and how to mitigate them. Objective 3: Describe the possible future state of healthcare delivery with Telehealth and how that will or will not change how we design clinical care delivery models.

Jeffrey Kim, MD Jeffrey Kim, MD Assistant Professor, Family Medicine, Loma Linda University Health
12:30 pm - 01:30 pm

Chronic Lower Back Pain

Discussion of chronic lower back pain and options for treatment. Objective 1: Discuss etiology of lower back pan Objective 2: Discuss diagnostics and physical examination Objective 3: Discuss treatment options

Eugene Pak, MD Eugene Pak, MD Attending Physician, Physical Medicine and Rehabilitaton, Loma Linda University Health
01:30 pm - 02:30 pm

A Novel Approach To Treating Neurovascular Inflammatory Disorders

Intraneural facilitationTM is a new treatment for paresthesia and neuropathic pain that is being researched at Loma Linda. This treatment is a manual, non-pharmacologic therapy and has shown promise in reversing neuropathic symptoms associated with diabetes and chemotherapy. This lecture will introduce this therapy and describe how it enhances neurovascular circulation. Objective 1: Understand the conceptual model behind Intraneural FacilitationTM (INFTM) proposed induction of microvascular circulation in the ischemic nerve. Objective 2: Describe two significant case studies involving INFTM treatment. Objective 3: Discuss the significance of proposed INFTM action on the neurovascular circulatory system. 4. Discuss how INFTM supports wholeness.

Mark Bussell, DPT Mark Bussell, DPT Doctorate of Physical Therapy, Loma Linda University Health

APC Convention Notes

Statement of Purpose OR Overall Objective

The Annual Postgraduate Convention (APC) is sponsored by the Alumni Association of the School of Medicine of Loma Linda University. This activity is designed to change and diminish the gap between evidence-based medicine and practice.

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Loma Linda University School of Medicine and the Alumni Association of the School of Medicine of Loma Linda University. The Loma Linda University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The Loma Linda University School of Medicine designates this Live Activity for a maximum of 22.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Statement

This program has been planned and implemented in accordance with ACCME essentials and standards.  The Loma Linda University School of Medicine Office of Continuing Medical Education relies on its CME faculty to provide program content that is free of commercial bias.  Therefore, in accordance with ACCME standards, any faculty and/or provider industry relationships will be disclosed and resolved.

The California State Board of Registered Nurses has issued guidelines stating that CME-accredited Category 1 courses are acceptable toward meeting CE requirements for license renewal by nurses.

Neurosurgery

Neurosurgery Symposium Overview

The Annual Postgraduate Convention Department of Neurosurgery Symposium will present the latest advances in patient care and evidence-based practices related to vascular, functional, spine, and pediatric neurosurgery. The symposium is geared toward neuroscience clinicians and other physicians who would benefit from learning about emerging and evidence-based medical care for the neurosurgery patient.

Schedule

All times below are in Pacific Standard Time (PST)
08:00 am - 09:00 am

GLOBAL NEUROSURGERY: Neurosurgery through the Global Public Health Lens | Developing Training Programs and Diversity | Neurosurgery In Malawi: The Present and the Future |

Gail Rosseau, MD Gail Rosseau, MD Clinical Professor of Neurosurgery
Patrick Kamalo, MBBS, MMed Patrick Kamalo, MBBS, MMed Chief Specialist Neurosurgeon Blantyre Institute of Neurological Sciences Department of Neurosurgery Queen Elizabeth Central Hospital Malawi
Kee Park, MD, MPH Kee Park, MD, MPH Neurosurgeon
William R. Copeland, III, MD William R. Copeland, III, MD Neurosurgeon, Tenwek Hospital Bomet, Kenya
Walter D. Johnson, MD, MBA, MPH Walter D. Johnson, MD, MBA, MPH Professor of Surgery, Neurosurgery and Public Health
09:00 am - 10:00 am

PEDIATRIC NEUROSURGERY: Neurologic Complications of Viral Infections in Children | COVID-19 and Rise in Abusive Head Trauma | Manual cerebrospinal fluid shunt connector tool to aid in no-touch surgical technique | Aberrant Development and Regeneration at the Roots of brain cancer..

Peter Dirks, MD, PhD Peter Dirks, MD, PhD Professor, Hospital for Sick Children, Division of Neurosurgery, Toronto, Ontario, Canada
Aaron Robison, MD Aaron Robison, MD Assistant Professor, Pediatric Neurosurgery
Tanya Minasian, DO Tanya Minasian, DO Assistant Professor, Pediatric Neurosurgery
Brian Hanak, MD Brian Hanak, MD Assistant Professor, Pediatric Neurosurgery
10:00 am - 11:00 am

STROKE RESEARCH SESSION: Advances in Subarachnoid Hemorrhage Research | Harnessing Blood Clearance Mechanisms After Germinal Matrix Hemorrhage | Advances in Translational Research on Intracerebral Hemorrhage-Targeting Hematoma Expansion and Clearance.

John Zhang, MD John Zhang, MD Professor and Vice Chair, Division of Physiology
Helen Huang, MD Helen Huang, MD Associate Professor, Neurosurgery
Jerry Flores, BS Jerry Flores, BS PhD Candidate, Neurosurgery
Devin McBride, MD Devin McBride, MD Assistant Professor Department of Neurosurgery UTHealth Science Center at Houston
Prativa Sherchan, MBBS, PhD Prativa Sherchan, MBBS, PhD Research Instructor, LLU Zhang Neuroscience Research Laboratories
11:00 am - 12:00 pm

CLINICAL STROKE SESSION: Historical Perspective on Cerebrovascular Neurosurgery and its Future | Linking Between Skull Base Surgery and Cerebrovascular Surgery | Endovascular Management of Ruptured Blister Aneurysms | Role of Venous Sinus Angioplasty in Idiopathic Intracranial Hypertension..

James I. Ausman, MD, PhD James I. Ausman, MD, PhD Professor, Neurosurgery, LLUMC and UCLA Emeritus Editor in Chief, Surgical Neurology International
Miguel Lopez-Gonzalez, MD Miguel Lopez-Gonzalez, MD Assistant Professor, Neurosurgery
Justin Dye, MD Justin Dye, MD Assistant Professor, Neurosurgery
Promod Pillai, MBBS, MCh, FAANS Promod Pillai, MBBS, MCh, FAANS Assistant Professor, Neurosurgery
12:00 pm - 01:00 pm

PLENARY SESSION: Innovative Approaches to Treating Malignant Brain Tumors | Global Access to Radiosurgery | Responsive Neuromodulation for Epilepsy- Discoveries from Direct Brain Recording.

Martha Morrell, MD Martha Morrell, MD Clinical Professor of Neurology and, by courtesy, Neurosurgery Stanford University Chief Medical Officer, NeuroPace
Achal Achrol, MD Achal Achrol, MD Assistant Professor, Neurosurgery
Reinhard W. Schulte, MD, MS Reinhard W. Schulte, MD, MS Professor, Neurosurgery
John R. Adler, MD John R. Adler, MD Dorothy & TK Chan Professor of Neurosurgery and Radiation Oncology, Emeritus, Stanford University
Warren Boling, MD Warren Boling, MD Professor and Chair Neurosurgery
01:00 pm - 02:00 pm

EPILEPSY: Epilepsy Surgery | Towards a better understanding of prognosis following temporal lobe epilepsy surgery | Perspectives from Mexico.

Mario Arturo Alonso,MD Mario Arturo Alonso,MD Director International Center for Epilepsy Surgery, HMG Coyoacán, Mexico City
Donald W. Gross, MD Donald W. Gross, MD Professor, University of Alberta
Warren Boling, MD Warren Boling, MD Professor and Chair Neurosurgery
02:00 pm - 03:00 pm

SPINE SESSION: Spinal Deformity | Spine Surgery Update | Endoscopic Spine Surgery | Beyond Angles--Rebalancing the Human Spine.

Namath Hussain, MD Namath Hussain, MD Assistant Professor, Neurosurgery
Esther Kim, MD Esther Kim, MD Assistant Professor, Neurosurgery
Jens Chapman, MD Jens Chapman, MD Director of Research, Swedish Neuroscience Institute, Seattle, Washington
Hyenu-Sun Kim, MD Hyenu-Sun Kim, MD
Shahin Etebar, MD Shahin Etebar, MD Assistant Professor, Neurosurgery
Clifford Douglas, MD, PhD Clifford Douglas, MD, PhD Associate Professor of Neurosurgery
03:00 pm - 04:00 pm

BREAKTHROUGH IN BRAIN TUMOR SESSION: Bench to Bedside trials in Glioblastoma | Exploiting Metabolic Defects in Adult and Pediatric CNS Tumors | Focal Therapies to Ignite a Systemic Immune Response.

Michael Lim, MD Michael Lim, MD Professor and Chair of Neurosurgery Stanford University
Ranjit Bindra, MD Ranjit Bindra, MD Professor of Therapeutic Radiology Co-Director, Yale Brain Tumor Center
Manmeet Ahluwalia, MD Manmeet Ahluwalia, MD Chief of Medical Oncology
04:00 pm - 05:00 pm

NEUROSURGERY UPDATES FROM CHINA SESSION: Neurosurgery Perspective | Novel DBS Programming in China | The Result of Intractable Perirolandic Epilepsy.

Gao Zeng, MD Gao Zeng, MD Professsor, Beijing Tian Tan Hospital
Fang Gang Meng, MD Fang Gang Meng, MD Professor, Beijing Tian Tan Hospital
Fang Tie Fang Tie Professor, Beijing Tian Tan Hospital
Warren Boling, MD Warren Boling, MD Professor and Chair Neurosurgery
05:00 pm - 05:50 pm

COGNITIVE DEMENTIA SESSION: Developing New Treatments for Alzheimer's and Parkinson's Disease with Novel Antidiabetic Agents/Lab Update | Gene therapy for Cerebral Amyloid Angiopathy.

Wolff Kirsch, MD Wolff Kirsch, MD Professor & Director Neurosurgery Center for Research Training and Education
Konrad Talbot, PhD Konrad Talbot, PhD Associate Professor, Neurosurgery
Warren Boling, MD Warren Boling, MD Professor and Chair Neurosurgery

APC Convention Notes

Statement of Purpose OR Overall Objective

The Annual Postgraduate Convention (APC) is sponsored by the Alumni Association of the School of Medicine of Loma Linda University. This activity is designed to change and diminish the gap between evidence-based medicine and practice.

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Loma Linda University School of Medicine and the Alumni Association of the School of Medicine of Loma Linda University. The Loma Linda University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The Loma Linda University School of Medicine designates this Live Activity for a maximum of 22.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Statement

This program has been planned and implemented in accordance with ACCME essentials and standards.  The Loma Linda University School of Medicine Office of Continuing Medical Education relies on its CME faculty to provide program content that is free of commercial bias.  Therefore, in accordance with ACCME standards, any faculty and/or provider industry relationships will be disclosed and resolved.

The California State Board of Registered Nurses has issued guidelines stating that CME-accredited Category 1 courses are acceptable toward meeting CE requirements for license renewal by nurses.

Plastic Surgery

Plastic Surgery Symposium Overview

State of the Art in Aesthetic and Reconstructive Plastic Surgery

Upon completion of this course, participants will be able to:
1. Improve patient outcomes during plastic surgery,
2. Advance patient safety in reconstructive and aesthetic surgery,
3. Improve patient outcomes by identifying strategies for the prevention and management of complications in reconstructive and aesthetic surgery procedures.
4. Identify ways to integrate state-of-the-art clinical knowledge into their current practice, and
5. Integrate new practice management strategies and tools into their practice.

Schedule

All times below are in Pacific Standard Time (PST)
07:30 am - 08:00 am

Welcome and Overview of Aesthetic Update Symposium

Subhas Gupta, MD, PhD Subhas Gupta, MD, PhD Chairman and Professor LLU Department of Plastic Surgery
08:00 am - 09:15 am

Aesthetic Surgery-I: Hot Topics and Controversies in Facial Rejuvenation

Hahns Kim, MD Hahns Kim, MD Assistant Professor, LLU Department of Plastic Surgery
Michael Hill, MD Michael Hill, MD Assistant Professor, LLU Department of Plastic Surgery
Subhas Gupta, MD, PhD Subhas Gupta, MD, PhD Chairman and Professor LLU Department of Plastic Surgery
09:30 am - 10:30 am

Aesthetic Surgery-II: Hot Topics and Controversies in Breast Aesthetic Surgery

Asra Hashmi, MD Asra Hashmi, MD Assistant Professor, LLU Department of Plastic Surgery
Hahns Kim, MD Hahns Kim, MD Assistant Professor, LLU Department of Plastic Surgery
Michael Hill, MD Michael Hill, MD Assistant Professor, LLU Department of Plastic Surgery
10:30 am - 01:00 pm

Aesthetic Surgery-III: Hot Topics and Controversies in Regenerative Medicine

Asra Hashmi, MD Asra Hashmi, MD Assistant Professor, LLU Department of Plastic Surgery
01:00 pm - 01:15 pm

Reconstructive Surgery-I: Craniofacial Surgery

Mark Martin, MD, DMD Mark Martin, MD, DMD Assistant Professor, LLU Department of Plastic Surgery
Subhas Gupta, MD, PhD Subhas Gupta, MD, PhD Chairman and Professor LLU Department of Plastic Surgery
02:15 pm - 03:00 pm

Reconstructive Surgery-II: Breat Reconstruction

Michael Hill, MD Michael Hill, MD Assistant Professor, LLU Department of Plastic Surgery
03:15 pm - 04:30 pm

Reconstructive Surgery-III: Hand Surgery

Subhas Gupta, MD, PhD Subhas Gupta, MD, PhD Chairman and Professor LLU Department of Plastic Surgery
04:40 pm - 05:00 pm

Closing Remarks

Subhas Gupta, MD, PhD Subhas Gupta, MD, PhD Chairman and Professor LLU Department of Plastic Surgery

APC Convention Notes

Statement of Purpose OR Overall Objective

The Annual Postgraduate Convention (APC) is sponsored by the Alumni Association of the School of Medicine of Loma Linda University. This activity is designed to change and diminish the gap between evidence-based medicine and practice.

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Loma Linda University School of Medicine and the Alumni Association of the School of Medicine of Loma Linda University. The Loma Linda University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The Loma Linda University School of Medicine designates this Live Activity for a maximum of 22.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Statement

This program has been planned and implemented in accordance with ACCME essentials and standards.  The Loma Linda University School of Medicine Office of Continuing Medical Education relies on its CME faculty to provide program content that is free of commercial bias.  Therefore, in accordance with ACCME standards, any faculty and/or provider industry relationships will be disclosed and resolved.

The California State Board of Registered Nurses has issued guidelines stating that CME-accredited Category 1 courses are acceptable toward meeting CE requirements for license renewal by nurses.

Surgery

Surgery Symposium Schedule

All times below are in Pacific Standard Time (PST)
08:00 am - 08:15 am

Opening Remarks

Daniel Srikureja, MD Daniel Srikureja, MD Director, Surgery Clerkship, Assistant Professor, Surgery Department
08:10 am - 08:45 am

Surgical Management of Chronic Pancreatitis

This lecture with cover indications for surgery, common complications and their management of chronic pancreatitis. We will also address the most common morbidities that affect the quality of life of the patient with chronic pancreatitis. Indications for referral to a pancreatitis clinic will also be discussed. 1. Identify the hard and soft indications for surgery in the setting of chronic pancreatitis. 2. Identify indications for referral to a center specializing in pancreatitis care. 3. Identify common morbidities that result from chronic pancreatitis and list some resources for the patient to get help.

Nephtali R. Gomez, MD Nephtali R. Gomez, MD Assistant Professor, Surgery Department
08:45 am - 09:20 am

Endoscopic Management of Walled Off Pancreatic Necrosis

Management of complications of pancreatitis requires multidisciplinary approach. The lecture discuss exciting endoscopic approach to help manage this complex disease process. Objective 1: Describes terminology used in describing pancreatic or peri-pancreatic fluid collection Objective 2: Describes endoscopic therapy for walled-off pancreatic necrosis Objective 3: Demonstrates the use of endoscopic approach through case examples.

Wichit Srikureja, MD Wichit Srikureja, MD Interventional Gastroenterology Providence Digestive Health Spokane, WA
09:20 am - 09:55 am

Less is More

Minimally invasive surgery is applicable in more than 60% of abdominal and thoracic operations in children. Enthusiasm, evidence and ethics play a big role in the development of this field and many pediatric surgeons are reluctant to embrace this as the future. Objective 1: Describe role of minimal invasive surgery (MIS) in pediatric surgery practice Objective 2: Brief historical overview of the development of MIS in children Objective 3: What we do now and what the future holds

Andrei Radulescu, MD, PhD, FAAP FACS Andrei Radulescu, MD, PhD, FAAP FACS Assistant Professor Pediatrics and Surgery
10:15 am - 10:50 am

Surgery in Low-Resource Environments

5 billion people lack access to safe surgery worldwide. 3 time more people die each day from lack of access to surgical care than HIV, TB & Malaria combined. Are we, as American doctors and surgeons, capable of changing that through humanitarian surgical interventions? Objective 1: Define and advocate for Global Surgery. Objective 2: Increase capability & competency of American Surgeons in delivering needed surgery in low-resource environments. Objective 3: Identify and explore opportunities for international and humanitarian surgical interventions.

Ryan A. Hayton, MD, FACS, FCS(ECSA) Ryan A. Hayton, MD, FACS, FCS(ECSA) Assistant Professor, Surgery Department
10:50 am - 11:25 am

Addressing Community Violence as a Public Health Problem

Violence is an epidemic in the United States that disproportionately hurts young people of color. Violence Intervention Programs (VIP) acknowledge the negative impact of violent trauma on one's emotional, mental and physical wellbeing. VIPs work to identify and reduce risk factors for violence and recidivism, such as substance misuse, unemployment, school dropout, and food and housing insecurity. VIPs work to alter the trajectory of our trauma patients by working with patients, identifying their needs and providing services and assistance. Together, we can reframe violence as a preventable healthcare issue by providing trauma informed care and connecting hospitals with the community. Objective 1: Describe the data outlining that community violence disproportionately impacts young men of color in the United States. Objective 2: Discuss how Violence Intervention Programs can address the social determinants of health. Objective 3: Discuss the importance of Violence Prevention Professionals in providing trauma informed care.

Sigrid Burruss, MD Sigrid Burruss, MD Assistant Professor of Surgery Co-Director of Surgical Intensive Care Unit Director of Trauma Prevention Director of Education for Acute Care Surgery
11:25 am - 12:00 pm

COVID-19: A Year in Review

Review of COVID-19 in the Adventist Health System. Objective 1: Review impact on the health system. Objective 2: Overview of how we have addressed this challenge. Objective 3: Outcomes and where we go from here.

Meghan Cochran-Yu, MD Meghan Cochran-Yu, MD Assistant Professor, Surgery Department

APC Convention Notes

Statement of Purpose OR Overall Objective

The Annual Postgraduate Convention (APC) is sponsored by the Alumni Association of the School of Medicine of Loma Linda University. This activity is designed to change and diminish the gap between evidence-based medicine and practice.

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Loma Linda University School of Medicine and the Alumni Association of the School of Medicine of Loma Linda University. The Loma Linda University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The Loma Linda University School of Medicine designates this Live Activity for a maximum of 22.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Statement

This program has been planned and implemented in accordance with ACCME essentials and standards.  The Loma Linda University School of Medicine Office of Continuing Medical Education relies on its CME faculty to provide program content that is free of commercial bias.  Therefore, in accordance with ACCME standards, any faculty and/or provider industry relationships will be disclosed and resolved.

The California State Board of Registered Nurses has issued guidelines stating that CME-accredited Category 1 courses are acceptable toward meeting CE requirements for license renewal by nurses.

Cardiology

Inland Empire Cardiovascular Summit Overview

8:00 a.m. – 5:00 p.m (PST), Thursday, March 4, 2021

The field of cardiology is rapidly evolving in all of its subspecialty areas. Technology is changing equally fast. This particular conference will highlight information and updates essential for physicians, nurse practitioners, physician assistants, and anyone in the clinical cardiology field. Dr. Mamas Mamas will speak regarding cardiac care during the pandemic.  Guest speakers Mirvat Alasnag, MD, Danielle Belardo, MD, Pradeep Natarajan, MD, and Mehdi Shishehbor, DO, will cover essential topics for all cardiac providers as well.

The objective of this course is to present attendees with state-of-the-art updates in every aspect of cardiac care.  The overall objective of this symposium is to present well-rounded and in-depth information on advancements in cardiology.  Focused topics will include advances in tele-medicine, lipid-lowering therapies, updated information on inflammation and coronary artery disease, new drug treatments, cardiac rehab updates, cardio-oncology advances and exercise/diet recommendations for cardiac patients as well as updates in cardiology subspecialties.

Interprofessional

Interprofessional Education Day Overview

 1:00 p.m. – 5:00 p.m. (PST), Thursday, March 4, 2021

The pandemic is changing not only how we deliver health care but how we perceive interprofessional practice and Whole Person Care. Adapting to the pandemic has demanded that providers and educators make significant changes in clinical practice including a shift to virtual patient care, otherwise known as telehealth. Moreover, public health requirements for physical distancing and wearing of masks has compelled health care providers to become increasingly more creative when addressing community needs. This presentation provides opportunities to discuss the impact of these health care adaptations on interprofessional practice and Whole Person Care while providing a collaborative space to share innovations and strategies for improvement in these same arenas. Please join us for this virtual conference open to various health care professions.