bluuebunny/crossref_metadata_2025_split huggingface dataset:
Avoiding the “Deadly Sins” of Humanitarian Missions: How to “Do Good” Better
Authors: McMains Kevin C. , Boston Mark E. , Holt G. Richard , Discolo Christopher , Cordes Susan R. , Westerberg Brian D. 
Published: September 2011

Program DescriptionOver the past several decades, the numbers of North American physicians and surgeons engaged in international humanitarian missions has increased dramatically. Such trips often provide an opportunity for needy individuals and communities to receive care that would otherwise be unavailable to them. They also provide the opportunity for participants to “give back” through providing direct patient care and teaching in an environment of extreme need. Personal motivations, level of ability of the individual practitioner, sophistication of the mission organization, as well as level of connectedness to “in country” providers varies dramatically among mission groups. This variability has contributed to some unfortunate patient outcomes. Accusations that “surgical safaris” represent a “form of Neo‐colonialism” have cast doubt on the motivations of participants and brought significant scrutiny to the true benefits arising from these efforts. This interactive miniseminar will explore “deadly sins” which are common to medical humanitarian efforts as well as issues which are unique to surgical humanitarian missions. Panelists will discuss available data and areas in which there is a lack of data concerning humanitarian efforts. Finally, “best practices” for humanitarian missions will be discussed. Issues to be discussed include appropriate standard of care, duration, follow‐up, conduct of research, resident trainee participation in surgical procedures, role of the media, and integration with local care systems.Educational Objectives1) Identify common problems encountered during medical and surgical humanitarian mission trips. 2) Understand ethical concerns arising during international humanitarian efforts. 3) Apply best practices for conduct of humanitarian mission trips in which they are involved.
Getting Published: How to Write Case Series and Case Reports
Authors: Rosenfeld Richard M. , Har‐El Gady , Cavanagh Eileen , Pugh Courtney 
Published: September 2011

Program DescriptionThis miniseminar, taught by editors, staff, and the publisher of the journal Otolaryngology–Head and Neck Surgery, will help attendees maximize their success in getting case reports and case series published. Tips and pointers will be presented on writing and organizing the manuscript, dealing with ethics review and patient privacy concerns, using the right terminology for the right message, and avoiding pitfalls that might delay or prevent manuscript acceptance. The best case reports describe a unique or nearly unique case, an important variation (outlier case), unexpected outcome or adverse event, or unexpected association between diseases or disorders. Manuscripts are most likely to be accepted if they state why the case is worth reading, describe the case and all relevant data, discuss why the case is unique or unexpected, provide alternative explanations for case features, and offer clinical implications. The best case series include a consecutive well‐defined sample of subjects, report interventions with enough detail for reproduction, account for all patients initially assessed and enrolled, and provide adequate follow‐up with descriptions of dropouts and losses. Manuscripts are most likely to be accepted it they include statistical analysis and reach justifiable conclusions devoid of efficacy claims. The goal of the session is to help attendees publish meaningful and valid research that can help journal readers provide enhanced patient care. Time is allotted at the end of the session for audience questions to the expert panel.Educational Objectives1) Learn strategies to maximize success in publishing case reports and case series. 2) Understand the role of ethics review and informed consent in observational research. 3) Avoid pitfalls that might delay or prevent acceptance of a manuscript for publication.
Innovations in Thyroid and Parathyroid Surgery
Authors: Kuppersmith Ronald B. , Pellitteri Phillip K. , Randolph Gregory W. , Steward David L. , Terris David J. 
Published: September 2011

Program DescriptionOver the past several years new technologies, potentially offering safer or less invasive techniques, have been applied to surgery of the thyroid and parathyroid glands. While these technologies may offer benefits to surgeons and patients, each has an associated learning curve and incremental costs compared to the standard techniques. The purpose of this miniseminar is to examine some of these “advances” (in‐office ultrasound, laryngeal nerve monitoring, intra‐operative parathyroid hormone measurement, minimally invasive and alternate surgical approaches) and to evaluate the benefits and costs and provide guidance for when these technologies should properly be used. Additionally, guidance for how general otolaryngologists can learn these techniques and how these technologies relate to the concept of “standard‐of‐care” will be addressed. Audience participation will be used to solicit information about usage of these technologies among the membership and to obtain audience opinion to help facilitate discussion.Educational Objectives1) Describe the indications for using new technology in thyroid and parathyroid surgery. 2) Understand the costs and benefits related to using new technology in thyroid and parathyroid surgery. 3) Determine further training necessary to incorporate new technology into practice.
Lifelong Learning as Part of the Quality Improvement Process
Authors: Wax Mark K. , Miller Robert H. , Nielsen David R. 
Published: September 2011

Program DescriptionLifelong learning is a process that begins when one enters medical school. It continues throughout residency and practice. With a constantly evolving and changing knowledge base, it provides tools for a continual educational process for the clinician. Lifelong learning has been mandated as a core essential element of both professional training, as well as maintenance of professional standing. The field of continuing medical education has evolved to meet this demand. The tools and methodologies available to the practicing clinician in today’s environment are constantly changing. In the past decade or so we have seen a change from education products being enduring materials, such as textbooks and journals to online on demand materials. This evolution has been brought about by not only improved technology but by advances in the understanding of how we learn. This miniseminar will initiate with a concept of how lifelong learning fits into residency training. The role of this competency and how it is managed in residency will be discussed. The evolution of the ability to measure and the different measurement tools available will be presented. It will then move into CME materials that are currently available on the market. The commonest materials will be demonstrated and an understanding of how online educational activities can contribute to online learning will be shown. A discussion of the new rules of CME that are on the horizon and how they impact physician interaction with pharmaceutical manufacturing and the requirements for measurement of outcomes will be presented. Each of us is soon going to be required to identify practice gaps and then demonstrate how we have addressed them. Finally we will have to demonstrate how we have changed our practice with this knowledge. The miniseminar will end with a discussion on how lifelong learning fits into the maintenance of the Certification Program of the American Board of Otolaryngology. The role of online education and certification of competence will be demonstrated.Educational Objectives1) Learn how to better able relate to the historical and evolutionary change in lifelong learning. 2) Understand online learning materials and how to integrate this teaching into identifying practice gaps and then modifying those gaps to provide the best possible care.
Advances in Head and Neck Ultrasound and Their Clinical Applications
Authors: Sofferman Robert A. , Ahuja Anil , Orloff Lisa A. , McIver Brian 
Published: September 2011

Program DescriptionOffice‐based ultrasound of the thyroid and neck is now a standard imaging tool for otolaryngologists, endocrinologists, and surgical clinicians. Training courses in the use of ultrasound are now well‐structured and available to clinicians in their related disciplines. Yet, as with all standard technology, new applications and refinements have expanded both the resolution of image quality and uses of ultrasound beyond what was initially envisioned. Through the use of both short didactic presentations and directed questions with clinical case examples from the moderator, this panel of experts will discuss several new frontiers of ultrasound. Techniques that optimize cytologic aspiration, indications and use of core biopsy, alcohol ablation of thyroid cysts, and selection of cases of lymph node ablation with papillary carcinoma, elastography, and the evolving use of radiofrequency ablation and contrast enhanced ultrasound are some of the topics that will be covered. An emphasis on how best to improve the standard use of head and neck ultrasound will make this a practical seminar for the otolaryngologist as well as an important glimpse into the near future.Educational Objectives1) The seminar attendee should learn new advances in obtaining cytologic samples with ultrasound. 2) The seminar attendee will understand new advances in destroying malignant lymph nodes and cysts of the thyroid gland including advantages and disadvantages of the technology compared with conventional surgery. 3) The seminar attendee will learn new adjunctive technologies to ultrasound such as elastography and contrast imaging.
Management of the Neck in HNSCC: Controversies and Guidelines in 2011
Authors: Wang Marilene B. , Gosselin Benoit J. , Deschler Daniel G. , Lai Stephen Y. , Robbins K. Thomas 
Published: September 2011

Program DescriptionNeck dissection continues to be an integral part of surgical treatment of head and neck squamous cell carcinoma (HNSCC). The operation has evolved significantly since first described by Crile and others more than 100 years ago. With the development of more precise imaging modalities, chemoradiation treatment protocols, and transoral laser (TLM) and robotic (TORS) surgery, it is important to reexamine guidelines for management of the neck. This miniseminar will focus on several relevant topics pertaining to treatment of the neck in HNSCC: 1) The role of imaging in planning treatment of the neck will be discussed. Pre‐treatment imaging with PET, CT, and MRI can yield valuable information regarding subclinical neck metastases and may help in treatment planning, particularly for T1 and T2 primary tumors. The timing and optimal modality for post‐chemoradiation imaging remains controversial. 2) The advantages and disadvantages for upfront neck dissection for small and unknown primary HNSCC will be addressed. Elective neck dissection vs radiation vs observation for clinically negative necks will be discussed. 3) Management of the neck in conjunction with TLM/TORS will be examined. With increasing use of TLM/TORS for surgical management of HNSCC, it is essential that the neck is treated appropriately. Guidelines for neck dissection in conjunction with TLM/TORS will be outlined. 4) Paradigms for management of the neck following chemoradiation continue to evolve. Chemoradiation protocols for HNSCC are effective in eradicating advanced nodal disease as well as the primary tumor. Thus, the use of planned neck dissection for N2 and N3 disease following completion of chemoradiation is giving way to the use of salvage neck dissection. Also, concepts have changed toward the use of more limited neck dissections. Finally, challenging cases involving management of neck disease will be presented to the panel of experts, for discussion and audience participation.Educational Objectives1) Understand the role of imaging in planning treatment of the neck. 2) Understand how to manage the neck in conjunction with TLM/TORS. 3) Understand how paradigms for management of the neck following chemoradiation have evolved.
Robotic Head and Neck Surgery: Lessons Learned and Future Opportunities
Authors: Terris David J. , Weinstein Gregory S. , Singer Michael C. , Magnuson J. Scott , Holsinger F. Christopher 
Published: September 2011

Program DescriptionRobotic technology has penetrated most surgical disciplines in the past 5 years, and has now been embraced for a number of head and neck applications including transoral resection of aerodigestive tumors and thyroidectomy. Undoubtedly, further expansion of robotic procedures can be anticipated, and it is prudent to learn from challenges encountered during the development process. Experts in the field of robotic surgery will describe the development of this technology as it relates to specific procedures, and the following questions will be addressed by each discussant: 1) What was the compelling motivation to explore robotic application to the specific procedure? 2) What were the principal challenges encountered in refining and exporting the techniques learned? 3) If you had to do it over again, what would you have done differently in either development, training, or early application of the technique? 4) How do the costs compare with the patient benefit? The topics that will be addressed are transoral resection of supraglottic and oropharyngeal tumors, transoral surgery for benign conditions, remote access thyroidectomy, and novel applications under development (including neck dissection and skull base surgery). This will be an interactive session and audience participation will be actively encouraged. The difficult questions regarding this new technology will be asked, including cost‐benefit ratios and responsible implementation among general practices.Educational Objectives1) Recognize the transoral application of robotic technology for benign and malignant supraglottic and oropharyngeal conditions. 2) Understand the current state‐of‐the‐art robotic approach to remote access thyroidectomy. 3) Become familiar with novel applications under development (including neck dissection and skull base surgery).
The American Thyroid Association Guidelines: Do We All Agree?
Authors: Witt Robert L. , Komisar Arnold , Coltrera Marc D. , Shaha Ashok R. , Wang Robert C. , Pribitkin Edmund A. , Holsinger F. Christopher 
Published: September 2011

Program DescriptionThe theme of this audience interactive miniseminar is to incorporate what is new and controversial in the management of differentiated thyroid cancer as well as to examine the level that molecular biology is incorporated into the management of thyroid neoplasms. The American Thyroid Guidelines for differentiated thyroid cancer are a widely quoted document. The level of evidence on which these recommendations are made varies extensively leaving considerable room for debate. Some aspects of surgical management such as laryngoscopy, bronchoscopy, and neuro‐monitoring are left out of the document. The moderator will provide a brief background power‐point presentation on the pertinent ATA guideline as a template. Expert panelists will debate case presentations germane to the given guideline and determine the level of agreement. Audience interactive opinion will be sought. The specific guidelines (where applicable) and case presentations will include: 1) Ultrasound indications for fine needle aspiration and the use of molecular markers from the FNA; 2) Laryngoscopy and neuro‐monitoring; 3) Extent of initial surgical therapy for low‐risk differentiated thyroid neoplasms and the potential role for molecular markers; 4) Bronchoscopy, preparation for airway management and extent of surgery for high risk patients with extra‐thyroidal spread; and 5) Surgery for recurrent differentiated thyroid cancer and the role of molecular targeted therapy. Panelists and the interactive audience will give opinions on the relevance of the ATA guidelines to their thyroid surgical practice.Educational Objectives1) Learn the benefits and limitations of the American Thyroid Association Guidelines. 2) Learn about molecular markers for diagnosis, prognostication, and molecular‐targeted therapy. 3) Learn about ultrasound‐guided FNA, management of low‐ and high‐risk patients, and recurrence.
Laryngology/Broncho‐Esophagology
Authors: Soliman Ahmed M. , Lintzenich Catherine J. , Merati Albert L. , Leahy Kevin 
Published: September 2011

Program DescriptionAdult laryngotracheal stenosis (LTS) is a very old problem which continues to represent a diagnostic and treatment challenge for the otolaryngologist. It is distinct in many ways from similar disease seen in the pediatric population. The goal of this miniseminar is to outline the evaluation and management of this disorder. Presenters will discuss the diagnosis and treatment of this condition including airway management, as well as office‐based, endoscopic and open procedures. In addition, recent information on the molecular basis of LTS will be presented. Challenging cases will be presented for discussion.Educational Objectives1) Be able to list the most common etiologies of laryngotracheal stenosis in adults. 2) Understand the various treatment options available for the treatment of laryngotracheal stenosis. 3) Understand the molecular basis of laryngotracheal stenosis.
Finding Balance in a Surgical Career
Authors: Simon Lawrence M. , Wynn Rhoda , Derebery Jennifer , Smith Richard J. H. , Magit Anthony E. , Clarke Beth 
Published: September 2011

Program DescriptionOne of the most common problems many physicians struggle with is maintaining work‐life balance. As physicians, we all face extraordinary demands on our time and need to learn how to balance the demands of our careers and family, while also allowing time to cultivate personal interests. Dealing with all of these demands creates stress for both physicians and their families. During this interactive miniseminar, practical techniques and pearls regarding time management and work‐life balance will be shared by fellow otolaryngologists. The panel will include both private and academic otolaryngologists who manage busy practices and make substantial contributions to their institutions and specialty societies, while maintaining strong relationships with their friends and families and pursuing interests outside of medicine.Educational Objectives1) Identify obstacles to work‐life balance and achieving personal and professional goals. 2) Develop time management and efficient communication skills at work such as how to organize your schedule, control the pace of patient encounters, and trim work flow. 3) Streamline personal errands and chores to maximize time spent with family and interests.
Current Management of Adult HPV: From Papilloma to Cancer
Authors: Meyer Tanya K. , Sewell Duane , Inglis Andrew F. , Burns James A. , Leiserowitz Gary 
Published: September 2011

Program DescriptionHuman papilloma virus (HPV) infection is a major cause of disease. It is causal in respiratory papillomatosis and cervical cancer and is etiologically associated with cancers of the oropharynx as well as additional anogenital sites. Our knowledge of the role of HPV in these diseases is evolving and there are yet many unanswered questions. Furthermore, the epidemiology of these diseases may change with trends in increasing promiscuity and the advent of widespread HPV vaccination. Patients have often read extensively about their diagnosis on the internet and may present with incomplete/incorrect knowledge and difficult questions about disease transmission, progression, treatment and transformation. This miniseminar brings together experts that specialize in different manifestations of HPV disease: adult and pediatric clinicians that treat recurrent respiratory papilloma (RRP), a head and neck surgeon that treats oropharyngeal carcinoma and actively researches vaccines targeting HPV related malignancy, and a guest clinician from gynecology to give insights on the treatment of HPV from a different perspective. The format will focus on case presentations to highlight the specific topics selected for discussion to include: basic biology of HPV infection and oncogenesis, treatment strategies for RRP, adjuvant treatments for RRP, counseling regarding contacts of patients with HPV related disease, HPV vaccine indications, and current concepts regarding the role of HPV in oropharyngeal cancer. There will be opportunity for the audience to ask questions throughout the presentation.Educational Objectives1) Understand current RRP management strategies including surgical techniques, adjuvant medications and nutritional supplements. 2) Be able to counsel patients on etiology of RRP, transmission, cancer risk, and vaccination. 3) Understand how RRP fits in the spectrum of HPV‐related disease.
Laryngopharyngeal Reflux (LPR)
Authors: Marple Bradley F. , Fried Marvin P. , Krouse John H. , Postma Gregory N. , Altman Kenneth W. , DelGaudio John 
Published: September 2011

Program DescriptionObjective: Develop a working algorithm that effectively eliminates dangerous conditions while efficiently provides reasonable alternatives to address LPR symptoms. Methods: use an audience response system in combination with a structured set of questions directed to the audience. End result: a real world proposed treatment algorithm. White paper. Possible basis for outcomes assessment study. The overall goal of this session is to define current practice trends on the management of laryngopharyngeal reflux (LPR) based on actual audience participation/input, and the consideration of appropriate management for a typical patient. Using an interactive panel format, the moderator will prompt panelists to present a quick review of epidemiology, symptomatology, and co‐morbid conditions impacting laryngopharyngeal reflux (LPR); diagnosis/differential diagnosis; current evidence on diagnostic and therapeutic management; and future research and management implications. After laying out background, the moderator/panel will consider real world patient management algorithms.Educational Objectives1) Who is the typical patient presenting with laryngopharyngeal reflux (LPR) in an otolaryngology practice? 2) What diagnostic testing options are or should be employed? What are the common treatment pathways? 3) What differential data should be considered? What health care costs impact diagnosis/treatment? When is referral recommended?