UT Southwestern SEPTEMBER 2014 Pelvic Floor Disorders Symposium AUGUST 2014 6 13 20 27 6 13 20 27 Update on the Evaluation & Treatment of Urinary Incontinence, Pelvic Organ Prolapse, Fecal Incontinence, Pelvic Pain & Pelvic Floor Dysfunction JULY 2014 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 30 DECEMBER 2014 2014-2015 ACADEMIC CALENDAR Office of Continuing Medical Education 5323 Harry Hines Blvd. / Dallas, Texas 75390-9059 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 NOVEMBER 2014 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 26 26 27 28 29 30 31 Not printed or mailed at State expense OCTOBER 2014 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 30 31 Pelvic Floor Disorders Symposium UT Southwestern Update on the Evaluation & Treatment of Urinary Incontinence, Pelvic Organ Prolapse, Fecal Incontinence, Pelvic Pain & Pelvic Floor Dysfunction Saturday, October 11, 2014 UT Southwestern Medical Center T. Boone Pickens Biomedical Building Auditorium 6001 Forest Park Road Dallas, Texas 75235 NONPROFIT US POSTAGE PAID TWMS 3:00 pm 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 2:50 pm 3 4 11 10 11 17 18 24 25 31 2:20 pm 2 9 16 23 30 1:50 pm 1 5 6 7 8 12 13 14 15 19 20 21 22 26 27 28 29 1:15 pm 1:25 pm MARCH 2015 1:10 pm 1 12:40 pm FEBRUARY 2015 11:40 am 12:10 pm JANUARY 2015 11:05 am 2 3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28 31 11:00 am 9 16 23 30 10:35 am 8 15 22 29 10:10 am 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 9:30 am 9:45 am JUNE 2015 9:25 am MAY 2015 9:00 am 6 13 20 8:30 am 27 8:05 am Registration/Breakfast Welcome - Kelly Scott, M.D. Introduction to Pelvic Floor Disorders: Anatomy and Epidemiology - Joseph Schaffer, M.D. Pelvic Pain - Kelly Scott, M.D. Introduction to Pelvic Floor Physical Therapy - Michelle Bradley, P.T. Panel for Questions - Joseph Schaffer, M.D., Michelle Bradley, P.T., Kelly Scott, M.D. Break Fecal Incontinence - Craig Olson, M.D. Constipation - Abier Abdelnaby, M.D. The Role of Imaging in Pelvic Floor Disorders - Gaurav Khatri, M.D Panel for Questions - Craig Olson, M.D., Abier Abdelnaby, M.D., Gaurav Khatri, M.D. Case Study Discussion Breakouts #1 Pelvic Pain: Physical Medicine & Rehabilitation #2 Pelvic PT Techniques: PM&R Physical Therapy #3 Defecatory Dysfunction: Colorectal & Gastroenterology #4 Lower Urinary Tract Disorders: Urology #5 Pelvic Organ Prolapse: Urogynecology Lunch Overactive Bladder - Gary Lemack, M.D. Stress Urinary Incontinence - David Rahn, M.D. Panel for Questions - Gary Lemack, M.D., David Rahn, M.D. Break Office Evaluation, Conservative Treatment, and Prevention of Pelvic Organ Prolapse and Pelvic Floor Disorders - Sunil Balgobin, M.D. Surgical Treatment of Pelvic Organ Prolapse - Maude Carmel, M.D. Mesh and Tape Controversies - Philippe Zimmern, M.D. Panel for Questions - Sunil Balgobin, M.D., Maude Carmel, M.D., Philippe Zimmern, M.D. Adjourn 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 30 7:30 am 8:00 am Register on-line at utsouthwestern.edu/pelvicfloorsymposium 3 4 10 11 17 18 24 25 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 SympoSium agenda - Saturday, October 11, 2014 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2 9 16 23 30 3 4 10 11 17 18 24 25 31 Pelvic Floor Symposium APRIL 2014 1 5 6 7 8 12 13 14 15 19 20 21 22 26 27 28 29 2 9 16 23 30 JULY 2015 1 5 6 7 8 12 13 14 15 19 20 21 22 26 27 28 29 UT Southwestern Sponsored by UT Southwestern Department of Surgery, Department of Urology, Department of Gynecology, Department of Physical Medicine & Rehabilitation and the Office of Continuing Medical Education UT Southwestern Pelvic Floor Disorders Symposium Update on the Evaluation & Treatment of Urinary Incontinence, Pelvic Organ Prolapse, Fecal Incontinence, Pelvic Pain & Pelvic Floor Dysfunction UT Southwestern Medical Center T. Boone Pickens Biomedical Building - NG3.112 Auditorium 6001 Forest Park Road Dallas, Texas 75235 Who Should The symposium is designed for Physicians, Nurses, Nurse Practitioners, Physical Attend Therapists and Physicians Assistants interested in the treatment of pelvic floor disorders within the fields of Internal Medicine and Primary Care physicians, Urologists, Gynecologists, and Colorectal Surgeons. Purpose Update on the multidisciplinary approach to the evaluation and treatment of pelvic floor disorders including urinary incontinence, pelvic organ prolapse, fecal incontinence, pelvic pain and constipation. The course is aimed at providing tools to practitioners so they can identify, evaluate and offer first line therapy for pelvic floor disorders. The ability to perform these tasks has been identified as lacking in multiple national publications and guidelines. Educational Upon completion of this course, participants should be able to link the educational Objectives objectives to Core Competencies(Medical Knowledge and Patient Care) and be able to: • Evaluate patients with pelvic floor disorders through careful screening • Perform directed pelvic floor history and physical examination • Initiate and manage therapy for urinary incontinence, fecal incontinence, constipation, and pelvic organ prolapse • Identify the mechanisms behind chronic pelvic pain and be able to initiate treatment • Discuss the role of pelvic floor physical therapy in the treatment of pelvic floor disorders • Discuss the pros and cons of pelvic mesh and slings • Identify complex patients who require referral to a subspecialist Accreditation The University of Texas Southwestern Medical Center is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide Continuing medical education for physicians. Credit The University of Texas Southwestern Medical Center designates this live activity for a Designation maximum of 6.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. UT Southwestern University Hospitals is an approved provider of continuing nursing education by the Texas Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This activity provides 6.0 contact hours. Application of Physical Therapy credits has been submitted and is pending approval. Conflict of All persons in the position to control the content of an education activity are required to Interest disclose all relevant financial relationships in any amount occurring within the past 12 months with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients along with that of their spouses or significant other. A primary mechanism to resolve identified conflicts of interest is a content review that is prior to the activity. Discussion of This course is meant to educate physicians with what is currently in use and what may Off-Label Use be available in the future, there maybe “off-label” use discussed in the presentations. Speakers have been requested to inform the audience when off-label use is being discussed. Registration The registration fee entitles participants admission to the conference, all course materials, continental breakfasts, refreshment breaks and lunches during the meeting. Refund Policy A $10 handling fee will be deducted from cancellation refunds. For a full refund, requests must be received by mail or fax prior to September 27, 2014. No refunds will be made thereafter. Register on-line at utsouthwestern.edu/pelvicfloorsymposium Name Stutz Inwood N adjacent to the T. Boone Pickens Biomedical Building. The garage entrance is to the right of the front building entrance. The garage elevators will take you to the third floor. Follow the directional signs to the conference room. Additional For additional information, please call The Office of Continuing Medical Education, Information 214-648-3138, 1-800-688-8678, or email cmeregistrations@utsouthwestern.edu. The Office of Continuing Medical Education reserves the right to limit registration and cancel courses, no less than one week prior to the course, should circumstances make this necessary. Program We accommodate people with disabilities. Please call 214-648-3138 for more AccessibIlity information, or mark the space indicated on the registration form. To ensure accommodation, please register as soon as possible. Address City State Last Four Digits of SS# Fax Degree Specialty Email Address: Please indicate preferred method to receive registration confirmation: ❏ Email ❏ Fax ❏ Mail ❏ Check here to receive our free monthly email calendar of upcoming CME activities. Indicate Credit Desired: ❏ AMA PRA Category 1 ❏ General Registration Fees: ____ $75 Physicians ____ $25 Nurses/Physical Therapists - Outside UT Southwestern ____ Complimentary to UT Southwestern Faculty/Fellows/Residents/Nurses/ Physical Therapists/UTSCAP Physicians ❏ MASTERCARD UT Southwestern Medical Center is an equal opportunity institution. CARD # Method of Payment: ❏ VISA Signature of Cardholder Print Cardholder’s Name Billing Address of Cardholder: Assistant Professor Department of Physical Medicine & Rehabilitation University of Texas Southwestern Medical Center Dallas, Texas City State ❏ AMERICAN EXPRESS ut SouthweStern FaCulty Abier A. Abdelnaby, M.D. Gary E. Lemack, M.D. Assistant Professor, Department of Surgery Professor, Department of Urology and Neurology Exp. Date Sunil Balgobin, M.D. Craig H. Olson, M.D. Print Cardholder’s Name Assistant Professor, Department of Obstetrics & Gynecology Assistant Professor, Department of Surgery Billing Address of Cardholder: Michelle Bradley, P.T. David Rahn, M.D. City Outpatient Rehabilitation- Zale Lipshy Associate Professor, Department of Obstetrics & Gynecology Cynthia Brinker, P.T. Gargi Raval, M.D. ❏ CHECK: If paying by check make checks payable to: Outpatient Rehabilitation- Zale Lipshy Assistant Professor, Department of Physical Medicine and Rehabilitation Samar Harris, M.D. Assistant Professor, Department of Internal Medicine Gaurav Khatri, M.D. Assistant Professor, Department of Radiology Security Code Exp. Date CourSe direCtor Kelly M. Scott, M.D. Zip Code ❏ UT Southwestern Alumni Business Phone The University of Texas Southwestern Medical Center is committed to providing programs and activities to all persons regardless of race, color, national origin, religion, sex, age, veteran status, or disability. Assistant Professor, Department of Urology Enrollment is confirmed upon receipt of registration fee. Registration cannot be processed without payment. On-site registration will be available; however, course materials are not guaranteed for registrations received after September 27, 2014. #RP1410A Parking Parking is available in the parking garage entered from 6001 Forest Park, located Maude Carmel, M.D. Saturday, October 11, 2014 Mockingbird Forest Park Location To Downtown Dallas Pelvic Floor Symposium R E G I S T R AT I O N F O R M I-35 Stemmons Frwy UT Southwestern Joseph Schaffer, M.D. Professor, Department of Obstetrics & Gynecology Philippe Zimmern, M.D. Professor, Department of Urology CARD # Zip Code Security Code Signature of Cardholder State Zip Code UT Southwestern/CME Fax completed registration form to 214/648-4804. Mail completed registration form to: UT Southwestern Medical Center 5323 Harry Hines Blvd., / Dallas, Texas 75390-9059 ❏ Dietary Restrictions: Refund Policy A $10 handling fee will be deducted from cancellation refunds. For a full refund, requests must be received by mail or fax prior to September 27, 2014. No refunds will be made thereafter. ADA Statement ❏ Please check this box if you require assistance because of a disability to make this program accessible to you. Someone from our office will be in touch with you. UT Southwestern Pelvic Floor Disorders Symposium Update on the Evaluation & Treatment of Urinary Incontinence, Pelvic Organ Prolapse, Fecal Incontinence, Pelvic Pain & Pelvic Floor Dysfunction UT Southwestern Medical Center T. Boone Pickens Biomedical Building - NG3.112 Auditorium 6001 Forest Park Road Dallas, Texas 75235 Who Should The symposium is designed for Physicians, Nurses, Nurse Practitioners, Physical Attend Therapists and Physicians Assistants interested in the treatment of pelvic floor disorders within the fields of Internal Medicine and Primary Care physicians, Urologists, Gynecologists, and Colorectal Surgeons. Purpose Update on the multidisciplinary approach to the evaluation and treatment of pelvic floor disorders including urinary incontinence, pelvic organ prolapse, fecal incontinence, pelvic pain and constipation. The course is aimed at providing tools to practitioners so they can identify, evaluate and offer first line therapy for pelvic floor disorders. The ability to perform these tasks has been identified as lacking in multiple national publications and guidelines. Educational Upon completion of this course, participants should be able to link the educational Objectives objectives to Core Competencies(Medical Knowledge and Patient Care) and be able to: • Evaluate patients with pelvic floor disorders through careful screening • Perform directed pelvic floor history and physical examination • Initiate and manage therapy for urinary incontinence, fecal incontinence, constipation, and pelvic organ prolapse • Identify the mechanisms behind chronic pelvic pain and be able to initiate treatment • Discuss the role of pelvic floor physical therapy in the treatment of pelvic floor disorders • Discuss the pros and cons of pelvic mesh and slings • Identify complex patients who require referral to a subspecialist Accreditation The University of Texas Southwestern Medical Center is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide Continuing medical education for physicians. Credit The University of Texas Southwestern Medical Center designates this live activity for a Designation maximum of 6.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. UT Southwestern University Hospitals is an approved provider of continuing nursing education by the Texas Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This activity provides 6.0 contact hours. Application of Physical Therapy credits has been submitted and is pending approval. Conflict of All persons in the position to control the content of an education activity are required to Interest disclose all relevant financial relationships in any amount occurring within the past 12 months with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients along with that of their spouses or significant other. A primary mechanism to resolve identified conflicts of interest is a content review that is prior to the activity. Discussion of This course is meant to educate physicians with what is currently in use and what may Off-Label Use be available in the future, there maybe “off-label” use discussed in the presentations. Speakers have been requested to inform the audience when off-label use is being discussed. Registration The registration fee entitles participants admission to the conference, all course materials, continental breakfasts, refreshment breaks and lunches during the meeting. Refund Policy A $10 handling fee will be deducted from cancellation refunds. For a full refund, requests must be received by mail or fax prior to September 27, 2014. No refunds will be made thereafter. Register on-line at utsouthwestern.edu/pelvicfloorsymposium Name Stutz Inwood N adjacent to the T. Boone Pickens Biomedical Building. The garage entrance is to the right of the front building entrance. The garage elevators will take you to the third floor. Follow the directional signs to the conference room. Additional For additional information, please call The Office of Continuing Medical Education, Information 214-648-3138, 1-800-688-8678, or email cmeregistrations@utsouthwestern.edu. The Office of Continuing Medical Education reserves the right to limit registration and cancel courses, no less than one week prior to the course, should circumstances make this necessary. Program We accommodate people with disabilities. Please call 214-648-3138 for more AccessibIlity information, or mark the space indicated on the registration form. To ensure accommodation, please register as soon as possible. Address City State Last Four Digits of SS# Fax Degree Specialty Email Address: Please indicate preferred method to receive registration confirmation: ❏ Email ❏ Fax ❏ Mail ❏ Check here to receive our free monthly email calendar of upcoming CME activities. Indicate Credit Desired: ❏ AMA PRA Category 1 ❏ General Registration Fees: ____ $75 Physicians ____ $25 Nurses/Physical Therapists - Outside UT Southwestern ____ Complimentary to UT Southwestern Faculty/Fellows/Residents/Nurses/ Physical Therapists/UTSCAP Physicians ❏ MASTERCARD UT Southwestern Medical Center is an equal opportunity institution. CARD # Method of Payment: ❏ VISA Signature of Cardholder Print Cardholder’s Name Billing Address of Cardholder: Assistant Professor Department of Physical Medicine & Rehabilitation University of Texas Southwestern Medical Center Dallas, Texas City State ❏ AMERICAN EXPRESS ut SouthweStern FaCulty Abier A. Abdelnaby, M.D. Gary E. Lemack, M.D. Assistant Professor, Department of Surgery Professor, Department of Urology and Neurology Exp. Date Sunil Balgobin, M.D. Craig H. Olson, M.D. Print Cardholder’s Name Assistant Professor, Department of Obstetrics & Gynecology Assistant Professor, Department of Surgery Billing Address of Cardholder: Michelle Bradley, P.T. David Rahn, M.D. City Outpatient Rehabilitation- Zale Lipshy Associate Professor, Department of Obstetrics & Gynecology Cynthia Brinker, P.T. Gargi Raval, M.D. ❏ CHECK: If paying by check make checks payable to: Outpatient Rehabilitation- Zale Lipshy Assistant Professor, Department of Physical Medicine and Rehabilitation Samar Harris, M.D. Assistant Professor, Department of Internal Medicine Gaurav Khatri, M.D. Assistant Professor, Department of Radiology Security Code Exp. Date CourSe direCtor Kelly M. Scott, M.D. Zip Code ❏ UT Southwestern Alumni Business Phone The University of Texas Southwestern Medical Center is committed to providing programs and activities to all persons regardless of race, color, national origin, religion, sex, age, veteran status, or disability. Assistant Professor, Department of Urology Enrollment is confirmed upon receipt of registration fee. Registration cannot be processed without payment. On-site registration will be available; however, course materials are not guaranteed for registrations received after September 27, 2014. #RP1410A Parking Parking is available in the parking garage entered from 6001 Forest Park, located Maude Carmel, M.D. Saturday, October 11, 2014 Mockingbird Forest Park Location To Downtown Dallas Pelvic Floor Symposium R E G I S T R AT I O N F O R M I-35 Stemmons Frwy UT Southwestern Joseph Schaffer, M.D. Professor, Department of Obstetrics & Gynecology Philippe Zimmern, M.D. Professor, Department of Urology CARD # Zip Code Security Code Signature of Cardholder State Zip Code UT Southwestern/CME Fax completed registration form to 214/648-4804. Mail completed registration form to: UT Southwestern Medical Center 5323 Harry Hines Blvd., / Dallas, Texas 75390-9059 ❏ Dietary Restrictions: Refund Policy A $10 handling fee will be deducted from cancellation refunds. For a full refund, requests must be received by mail or fax prior to September 27, 2014. No refunds will be made thereafter. ADA Statement ❏ Please check this box if you require assistance because of a disability to make this program accessible to you. Someone from our office will be in touch with you. UT Southwestern Pelvic Floor Disorders Symposium Update on the Evaluation & Treatment of Urinary Incontinence, Pelvic Organ Prolapse, Fecal Incontinence, Pelvic Pain & Pelvic Floor Dysfunction UT Southwestern Medical Center T. Boone Pickens Biomedical Building - NG3.112 Auditorium 6001 Forest Park Road Dallas, Texas 75235 Who Should The symposium is designed for Physicians, Nurses, Nurse Practitioners, Physical Attend Therapists and Physicians Assistants interested in the treatment of pelvic floor disorders within the fields of Internal Medicine and Primary Care physicians, Urologists, Gynecologists, and Colorectal Surgeons. Purpose Update on the multidisciplinary approach to the evaluation and treatment of pelvic floor disorders including urinary incontinence, pelvic organ prolapse, fecal incontinence, pelvic pain and constipation. The course is aimed at providing tools to practitioners so they can identify, evaluate and offer first line therapy for pelvic floor disorders. The ability to perform these tasks has been identified as lacking in multiple national publications and guidelines. Educational Upon completion of this course, participants should be able to link the educational Objectives objectives to Core Competencies(Medical Knowledge and Patient Care) and be able to: • Evaluate patients with pelvic floor disorders through careful screening • Perform directed pelvic floor history and physical examination • Initiate and manage therapy for urinary incontinence, fecal incontinence, constipation, and pelvic organ prolapse • Identify the mechanisms behind chronic pelvic pain and be able to initiate treatment • Discuss the role of pelvic floor physical therapy in the treatment of pelvic floor disorders • Discuss the pros and cons of pelvic mesh and slings • Identify complex patients who require referral to a subspecialist Accreditation The University of Texas Southwestern Medical Center is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide Continuing medical education for physicians. Credit The University of Texas Southwestern Medical Center designates this live activity for a Designation maximum of 6.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. UT Southwestern University Hospitals is an approved provider of continuing nursing education by the Texas Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This activity provides 6.0 contact hours. Application of Physical Therapy credits has been submitted and is pending approval. Conflict of All persons in the position to control the content of an education activity are required to Interest disclose all relevant financial relationships in any amount occurring within the past 12 months with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients along with that of their spouses or significant other. A primary mechanism to resolve identified conflicts of interest is a content review that is prior to the activity. Discussion of This course is meant to educate physicians with what is currently in use and what may Off-Label Use be available in the future, there maybe “off-label” use discussed in the presentations. Speakers have been requested to inform the audience when off-label use is being discussed. Registration The registration fee entitles participants admission to the conference, all course materials, continental breakfasts, refreshment breaks and lunches during the meeting. Refund Policy A $10 handling fee will be deducted from cancellation refunds. For a full refund, requests must be received by mail or fax prior to September 27, 2014. No refunds will be made thereafter. Register on-line at utsouthwestern.edu/pelvicfloorsymposium Name Stutz Inwood N adjacent to the T. Boone Pickens Biomedical Building. The garage entrance is to the right of the front building entrance. The garage elevators will take you to the third floor. Follow the directional signs to the conference room. Additional For additional information, please call The Office of Continuing Medical Education, Information 214-648-3138, 1-800-688-8678, or email cmeregistrations@utsouthwestern.edu. The Office of Continuing Medical Education reserves the right to limit registration and cancel courses, no less than one week prior to the course, should circumstances make this necessary. Program We accommodate people with disabilities. Please call 214-648-3138 for more AccessibIlity information, or mark the space indicated on the registration form. To ensure accommodation, please register as soon as possible. Address City State Last Four Digits of SS# Fax Degree Specialty Email Address: Please indicate preferred method to receive registration confirmation: ❏ Email ❏ Fax ❏ Mail ❏ Check here to receive our free monthly email calendar of upcoming CME activities. Indicate Credit Desired: ❏ AMA PRA Category 1 ❏ General Registration Fees: ____ $75 Physicians ____ $25 Nurses/Physical Therapists - Outside UT Southwestern ____ Complimentary to UT Southwestern Faculty/Fellows/Residents/Nurses/ Physical Therapists/UTSCAP Physicians ❏ MASTERCARD UT Southwestern Medical Center is an equal opportunity institution. CARD # Method of Payment: ❏ VISA Signature of Cardholder Print Cardholder’s Name Billing Address of Cardholder: Assistant Professor Department of Physical Medicine & Rehabilitation University of Texas Southwestern Medical Center Dallas, Texas City State ❏ AMERICAN EXPRESS ut SouthweStern FaCulty Abier A. Abdelnaby, M.D. Gary E. Lemack, M.D. Assistant Professor, Department of Surgery Professor, Department of Urology and Neurology Exp. Date Sunil Balgobin, M.D. Craig H. Olson, M.D. Print Cardholder’s Name Assistant Professor, Department of Obstetrics & Gynecology Assistant Professor, Department of Surgery Billing Address of Cardholder: Michelle Bradley, P.T. David Rahn, M.D. City Outpatient Rehabilitation- Zale Lipshy Associate Professor, Department of Obstetrics & Gynecology Cynthia Brinker, P.T. Gargi Raval, M.D. ❏ CHECK: If paying by check make checks payable to: Outpatient Rehabilitation- Zale Lipshy Assistant Professor, Department of Physical Medicine and Rehabilitation Samar Harris, M.D. Assistant Professor, Department of Internal Medicine Gaurav Khatri, M.D. Assistant Professor, Department of Radiology Security Code Exp. Date CourSe direCtor Kelly M. Scott, M.D. Zip Code ❏ UT Southwestern Alumni Business Phone The University of Texas Southwestern Medical Center is committed to providing programs and activities to all persons regardless of race, color, national origin, religion, sex, age, veteran status, or disability. Assistant Professor, Department of Urology Enrollment is confirmed upon receipt of registration fee. Registration cannot be processed without payment. On-site registration will be available; however, course materials are not guaranteed for registrations received after September 27, 2014. #RP1410A Parking Parking is available in the parking garage entered from 6001 Forest Park, located Maude Carmel, M.D. Saturday, October 11, 2014 Mockingbird Forest Park Location To Downtown Dallas Pelvic Floor Symposium R E G I S T R AT I O N F O R M I-35 Stemmons Frwy UT Southwestern Joseph Schaffer, M.D. Professor, Department of Obstetrics & Gynecology Philippe Zimmern, M.D. Professor, Department of Urology CARD # Zip Code Security Code Signature of Cardholder State Zip Code UT Southwestern/CME Fax completed registration form to 214/648-4804. Mail completed registration form to: UT Southwestern Medical Center 5323 Harry Hines Blvd., / Dallas, Texas 75390-9059 ❏ Dietary Restrictions: Refund Policy A $10 handling fee will be deducted from cancellation refunds. For a full refund, requests must be received by mail or fax prior to September 27, 2014. No refunds will be made thereafter. ADA Statement ❏ Please check this box if you require assistance because of a disability to make this program accessible to you. Someone from our office will be in touch with you. UT Southwestern SEPTEMBER 2014 Pelvic Floor Disorders Symposium AUGUST 2014 6 13 20 27 6 13 20 27 Update on the Evaluation & Treatment of Urinary Incontinence, Pelvic Organ Prolapse, Fecal Incontinence, Pelvic Pain & Pelvic Floor Dysfunction JULY 2014 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 30 DECEMBER 2014 2014-2015 ACADEMIC CALENDAR Office of Continuing Medical Education 5323 Harry Hines Blvd. / Dallas, Texas 75390-9059 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 NOVEMBER 2014 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 26 26 27 28 29 30 31 Not printed or mailed at State expense OCTOBER 2014 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 30 31 Pelvic Floor Disorders Symposium UT Southwestern Update on the Evaluation & Treatment of Urinary Incontinence, Pelvic Organ Prolapse, Fecal Incontinence, Pelvic Pain & Pelvic Floor Dysfunction Saturday, October 11, 2014 UT Southwestern Medical Center T. Boone Pickens Biomedical Building Auditorium 6001 Forest Park Road Dallas, Texas 75235 NONPROFIT US POSTAGE PAID TWMS 3:00 pm 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 2:50 pm 3 4 11 10 11 17 18 24 25 31 2:20 pm 2 9 16 23 30 1:50 pm 1 5 6 7 8 12 13 14 15 19 20 21 22 26 27 28 29 1:15 pm 1:25 pm MARCH 2015 1:10 pm 1 12:40 pm FEBRUARY 2015 11:40 am 12:10 pm JANUARY 2015 11:05 am 2 3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28 31 11:00 am 9 16 23 30 10:35 am 8 15 22 29 10:10 am 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 9:30 am 9:45 am JUNE 2015 9:25 am MAY 2015 9:00 am 6 13 20 8:30 am 27 8:05 am Registration/Breakfast Welcome - Kelly Scott, M.D. Introduction to Pelvic Floor Disorders: Anatomy and Epidemiology - Joseph Schaffer, M.D. Pelvic Pain - Kelly Scott, M.D. Introduction to Pelvic Floor Physical Therapy - Michelle Bradley, P.T. Panel for Questions - Joseph Schaffer, M.D., Michelle Bradley, P.T., Kelly Scott, M.D. Break Fecal Incontinence - Craig Olson, M.D. Constipation - Abier Abdelnaby, M.D. The Role of Imaging in Pelvic Floor Disorders - Gaurav Khatri, M.D Panel for Questions - Craig Olson, M.D., Abier Abdelnaby, M.D., Gaurav Khatri, M.D. Case Study Discussion Breakouts #1 Pelvic Pain: Physical Medicine & Rehabilitation #2 Pelvic PT Techniques: PM&R Physical Therapy #3 Defecatory Dysfunction: Colorectal & Gastroenterology #4 Lower Urinary Tract Disorders: Urology #5 Pelvic Organ Prolapse: Urogynecology Lunch Overactive Bladder - Gary Lemack, M.D. Stress Urinary Incontinence - David Rahn, M.D. Panel for Questions - Gary Lemack, M.D., David Rahn, M.D. Break Office Evaluation, Conservative Treatment, and Prevention of Pelvic Organ Prolapse and Pelvic Floor Disorders - Sunil Balgobin, M.D. Surgical Treatment of Pelvic Organ Prolapse - Maude Carmel, M.D. Mesh and Tape Controversies - Philippe Zimmern, M.D. Panel for Questions - Sunil Balgobin, M.D., Maude Carmel, M.D., Philippe Zimmern, M.D. Adjourn 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 30 7:30 am 8:00 am Register on-line at utsouthwestern.edu/pelvicfloorsymposium 3 4 10 11 17 18 24 25 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 SympoSium agenda - Saturday, October 11, 2014 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2 9 16 23 30 3 4 10 11 17 18 24 25 31 Pelvic Floor Symposium APRIL 2014 1 5 6 7 8 12 13 14 15 19 20 21 22 26 27 28 29 2 9 16 23 30 JULY 2015 1 5 6 7 8 12 13 14 15 19 20 21 22 26 27 28 29 UT Southwestern Sponsored by UT Southwestern Department of Surgery, Department of Urology, Department of Gynecology, Department of Physical Medicine & Rehabilitation and the Office of Continuing Medical Education UT Southwestern SEPTEMBER 2014 Pelvic Floor Disorders Symposium AUGUST 2014 6 13 20 27 6 13 20 27 Update on the Evaluation & Treatment of Urinary Incontinence, Pelvic Organ Prolapse, Fecal Incontinence, Pelvic Pain & Pelvic Floor Dysfunction JULY 2014 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 30 DECEMBER 2014 2014-2015 ACADEMIC CALENDAR Office of Continuing Medical Education 5323 Harry Hines Blvd. / Dallas, Texas 75390-9059 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 NOVEMBER 2014 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 26 26 27 28 29 30 31 Not printed or mailed at State expense OCTOBER 2014 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 30 31 Pelvic Floor Disorders Symposium UT Southwestern Update on the Evaluation & Treatment of Urinary Incontinence, Pelvic Organ Prolapse, Fecal Incontinence, Pelvic Pain & Pelvic Floor Dysfunction Saturday, October 11, 2014 UT Southwestern Medical Center T. Boone Pickens Biomedical Building Auditorium 6001 Forest Park Road Dallas, Texas 75235 NONPROFIT US POSTAGE PAID TWMS 3:00 pm 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 2:50 pm 3 4 11 10 11 17 18 24 25 31 2:20 pm 2 9 16 23 30 1:50 pm 1 5 6 7 8 12 13 14 15 19 20 21 22 26 27 28 29 1:15 pm 1:25 pm MARCH 2015 1:10 pm 1 12:40 pm FEBRUARY 2015 11:40 am 12:10 pm JANUARY 2015 11:05 am 2 3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28 31 11:00 am 9 16 23 30 10:35 am 8 15 22 29 10:10 am 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 9:30 am 9:45 am JUNE 2015 9:25 am MAY 2015 9:00 am 6 13 20 8:30 am 27 8:05 am Registration/Breakfast Welcome - Kelly Scott, M.D. Introduction to Pelvic Floor Disorders: Anatomy and Epidemiology - Joseph Schaffer, M.D. Pelvic Pain - Kelly Scott, M.D. Introduction to Pelvic Floor Physical Therapy - Michelle Bradley, P.T. Panel for Questions - Joseph Schaffer, M.D., Michelle Bradley, P.T., Kelly Scott, M.D. Break Fecal Incontinence - Craig Olson, M.D. Constipation - Abier Abdelnaby, M.D. The Role of Imaging in Pelvic Floor Disorders - Gaurav Khatri, M.D Panel for Questions - Craig Olson, M.D., Abier Abdelnaby, M.D., Gaurav Khatri, M.D. Case Study Discussion Breakouts #1 Pelvic Pain: Physical Medicine & Rehabilitation #2 Pelvic PT Techniques: PM&R Physical Therapy #3 Defecatory Dysfunction: Colorectal & Gastroenterology #4 Lower Urinary Tract Disorders: Urology #5 Pelvic Organ Prolapse: Urogynecology Lunch Overactive Bladder - Gary Lemack, M.D. Stress Urinary Incontinence - David Rahn, M.D. Panel for Questions - Gary Lemack, M.D., David Rahn, M.D. Break Office Evaluation, Conservative Treatment, and Prevention of Pelvic Organ Prolapse and Pelvic Floor Disorders - Sunil Balgobin, M.D. Surgical Treatment of Pelvic Organ Prolapse - Maude Carmel, M.D. Mesh and Tape Controversies - Philippe Zimmern, M.D. Panel for Questions - Sunil Balgobin, M.D., Maude Carmel, M.D., Philippe Zimmern, M.D. Adjourn 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 30 7:30 am 8:00 am Register on-line at utsouthwestern.edu/pelvicfloorsymposium 3 4 10 11 17 18 24 25 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 SympoSium agenda - Saturday, October 11, 2014 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2 9 16 23 30 3 4 10 11 17 18 24 25 31 Pelvic Floor Symposium APRIL 2014 1 5 6 7 8 12 13 14 15 19 20 21 22 26 27 28 29 2 9 16 23 30 JULY 2015 1 5 6 7 8 12 13 14 15 19 20 21 22 26 27 28 29 UT Southwestern Sponsored by UT Southwestern Department of Surgery, Department of Urology, Department of Gynecology, Department of Physical Medicine & Rehabilitation and the Office of Continuing Medical Education