Liver Transplantation and Alcoholics: Is This a Good Mix?A Medical and Ethical Overview

Friday, January 10, 20148:00 a.m. – 3:30 p.m.

Houston Methodist Research Institute6670 Bertner Ave. | Houston, TX 77030

Course Director: Joseph S. Galati, M.D.

houstonmethodist.org/cme

7:00 a.m. Registration and Breakfast 8:00 Conference Overview Joseph S. Galati, M.D.8:15 Alcoholic Liver Disease — Clinical Overview Howard P. Monsour Jr., M.D.8:45 Effects of Alcohol on the Gut — Clinical Implications Eamonn M. M. Quigley, M.D.9:15 Improving Treatment Outcomes in Alcohol Dependency: Lessons Learned From Pilots, Doctors and the Courts David Sack, M.D.9:45 BREAK 10:00 Acute Alcoholic Hepatitis Joseph S. Galati, M.D.10:30 Historical Perspective —Transplant Outcomes in Alcoholics R. Mark Ghobrial, M.D., Ph.D., FACS, FRCS(Ed)11:00 Ethical Considerations in Transplanting Alcoholics Courtenay R. Bruce, J.D., M.A.11:30 Understanding Employer Based Benefit Design: A Primer Jon R. Friedman, M.D.12:00 p.m. Lunch and Case Presentations Drs. Bruce, Galati, Monsour, Quigley and Sack 1:00 Addiction Medicine—Making Sense of All This Jason Powers, M.D.1:30 Role of the Transplant Social Worker in Patient Evaluation John Ontiveros, LCSW and Shelley Spector, LCSW2:00 Alcohol Use Disorders and Patient Selection for Liver Transplantation: Favorable Attributes for Success Andrea F. DiMartini, M.D.2:30 Case Presentations Drs. DiMartini, Galati and Powers John Ontiveros, LCSW and Shelley Spector, LCSW3:00 A New Approach to Liver Transplantation for Alcoholics: Moving the Goal Posts Closer Michael R. Lucey, M.D.3:30 Adjourn

PROGRAM OvERvIEWLiver transplantation for patients with acute and chronic alcohol related liver disease is in a time of transition. The long-standing “six-month” rule is an outdated process with no scientific merit. Transplant programs around the country are looking to phase out this approach, and there has never been a more urgent time to discuss the approach to these patients openly. This program will address new approaches to transplantation in alcoholic liver disease from a multidisciplinary group of experts.

TARGET AUDIENCEInternists, gastroenterologists, hepatologists, psychiatrists, addiction medicine specialists, nurses, social workers, and other health care professionals involved in transplantation of alcoholic liver disease.

EDUCATIONAL METHODSDidactic Lectures, Case Studies

Liver Transplantation and Alcoholics: Is This a Good Mix?A Medical and Ethical Overview

AGENDA

COURSE DIRECTORJoseph S. Galati, M.D.Medical Director, Center of Liver Disease and TransplantationHouston Methodist Hospital

FACULTy | Houston, Texas (unless otherwise noted)

Courtenay R. Bruce, J.D., M.A.Assistant Professor of Medicine and Medical EthicsCenter for Medical Ethics and Health PolicyBaylor College of MedicineAndrea F. DiMartini, M.D.Associate Professor of Psychiatry, Surgery, and Clinical and Translational Science InstituteUniversity of PittsburghPittsburgh, PennsylvaniaJon R. Friedman, M.D.Chief Medical Officer, Complex Medical Conditions OptumHealth Cypress, CaliforniaR. Mark Ghobrial, M.D., Ph.D. , FACS, FRCS(Ed)Director, Methodist Center for Liver Disease & TransplantationChief, Liver Transplantation SurgeryHouston Methodist HospitalProfessor of Surgery, Weill Cornell Medical College Michael R. Lucey, M.D.Chief, Gastroenterology & HepatologyUniversity of Wisconsin School of Medicine and Public HealthMadison, WisconsinHoward P. Monsour, M.D.Chief, HepatologyHouston Methodist HospitalAssociate Professor of Clinical MedicineWeill Cornell Medical CollegeJohn Ontiveros, LCSWSocial Work, Houston Methodist HospitalJason Powers, M.D.Chief Medical Officer, The Right StepEamonn M. M. Quigley, M.D.Chief, Division of Gastroenterology and HepatologyMedical Director, The Lynda K. and David M. Underwood Center for Digestive DisordersHouston Methodist HospitalDavid Sack, M.D.CEO, Elements Behavioral HealthLos Angeles, CaliforniaShelley Spector, LCSWSocial Work, Houston Methodist Hospital

EDUCATIONAL OBJECTIvESUpon completion of this course, the participant should be able to:• Assess patients with acute alcoholic hepatitis and

address proper medical management• Recognize alcoholism and problematic alcohol consumption

and its evaluation and referral to relapse prevention programs• Define appropriate patient selection for liver transplantation• Discuss post liver transplant relapse prevention in patients

with alcoholic liver disease• Recognize the required interdisciplinary approach to

the care of patients with advanced liver disease due to acute and chronic alcohol use

Accreditation and Credit Designation StatementsPhysiciansHouston Methodist is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.Houston Methodist designates this live activity for a maximum of 7.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

NursesThe Methodist Hospital System® 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. The Methodist Hospital System® provides up to 7.0 contact hours for this activity. Participants must attend selected sessions in their entirety and complete the corresponding items on the evaluation tool.Houston Methodist® designates this activity for 1.0 hours of education in medical ethics and/or professional responsibility.

Other Healthcare ProfessionalOther Healthcare Professionals who participate in this CME activity may submit their Statements of Attendance to their appropriate accrediting organizations or state boards for consideration of credit. The participant is responsible for determining whether this activity meets the requirements for acceptable continuing education.

Fees, Registration and Conference InformationRefer to the registration form for the fee schedule. Your registration will not be processed until payment is received. Your registration will be confirmed. If you have not received confirmation at least five business days before the activity start date, contact the Office of Continuing Medical Education (OCME) immediately. If you plan to register on-site, contact OCME at least 24 hours in advance to confirm activity status and space availability. The OCME reserves the right to limit the number of participants in an activity and will not be responsible for any expenses incurred by an individual whose registration is not confirmed and for whom space is not available.

EvaluationEvaluation via an online questionnaire will address program content, presentation and possible bias.

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Online: methodistcme.comFax: 713.441.0589Phone: 713.441.4971Mail: Houston Methodist (OCME) Attn: Transplant (#240) 6565 Fannin, MGJ9-004 Houston, TX 77030

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ACCOMMODATIONS AND RESERvATIONSHouston Marriott at the Texas Medical Center: 6580 Fannin St. | Houston, TX 77030 | 713.796.0080

For information about other Houston Methodist CME activities, visit houstonmethodist.org/cme.

CONFERENCE LOCATIONHouston Methodist Research Institute2nd Floor Auditorium6670 Bertner Ave.Houston, TX 77030

Please identify yourself with the Liver Transplantation Conference when making reservations in order to get the special group rate ($209 single/double). A limited number of rooms have been reserved at this rate on a space available basis. The deadline is Thursday, December 19, 2013, to receive this rate unless the room block has already been filled. RESERVE YOUR ROOM EARLY.

*Verification Required. Please call the OCME at 713.441.4971 to register.

PAyMENT AND FEES❑ Physicians .............................. $125❑ Other Health Care Professionals ........................ $75❑ Residents /Fellows ........... No fee*

ADA StatementIn compliance with the Americans with Disabilities Act, Houston Methodist will make reasonable efforts to accommodate persons with disabilities at this symposium. Please call 713.441.2153 for further information, or if you need special assistance.

Cancellation/Refund PolicyRequests for cancellation and registration refunds must be in writing and received by the Office of Continuing Medical Education (OCME) at least 15 business days before the course begins. The date the request is received by the OCME will be considered the cancellation date. Requests received after the refund deadline will not be processed. Cancellations are subject to a $50 administrative fee deducted from the registration fee paid to cover guarantees and other expenses. Requests should be mailed to the OCME or faxed to 713.441.0589. The OCME reserves the right to cancel activities, not less than 10 business days before the scheduled date, if extenuating circumstances make it necessary. Registrants will be notified at the contact number indicated on the registration form followed by written notification. If an activity is cancelled, OCME’s liability is limited to the registration fee paid. Note: If payment is made by check, a social security number is required to process the refund.

DisclosureThis CME activity is designed for use by health care professionals for educational purposes only. Information and opinions offered by the contributors represent their viewpoints. Conclusions drawn by the participant should be derived from careful consideration of all available scientific information. Prescription information and use of medical devices should be undertaken only after confirmation of information by consulting the FDA-approved uses and information. Houston Methodist makes every effort to have accurate information presented; no warranty, expressed or implied, is offered. The participant should use his/her clinical judgment, knowledge, experience and diagnostic decision-making before applying any information, whether provided here or by others, for any professional use.

For Further Information ContactHouston Methodist n Office of Continuing Medical Education6565 Fannin St., MGJ9-004 | Houston, TX 77030Phone: 713.441.4971 | Fax: 713.441.0589 | Email: cme@houstonmethodist.org

Liver Transplantation and Alcoholics: Is This a Good Mix?A Medical and Ethical Overview

Friday, January 10, 2014 | 8:00 a.m. – 3:30 p.m.

Houston Methodist Research Institute6670 Bertner Ave.Houston, TX 77030

Course Director: Joseph S. Galati, M.D.

The Methodist Hospital SystemOffice of Continuing Medical Education6565 Fannin St., MGJ9-004Houston, TX 77030

Nonprofit Org.U.S. Postage

PAIDPermit No. 6311

Houston, TX

houstonmethodist.org/cme