Leading Change in Kidney Disease 2006


	Steering Committee Ali K. Abu-Alfa, MD, FASN Webinar Series Chairman Associate Professor of Medicine Director, Peritoneal Dialysis Program Associate Medical Director for Outpatient Dialysis Yale School of Medicine New Haven, Connecticut Joanne Bargman, MD, FRCPC Professor of Medicine University of Toronto Director, Peritoneal Dialysis Program Co-director, Renal-Rheumatology Lupus Clinic University Health Network Toronto, Ontario Canada John M. Burkart, MD Professor, Internal Medicine-Nephrology Corporate Director, Dialysis Program Wake Forest University School of Medicine Winston-Salem, North Carolina Nancy L. Dawson, MSN, APRN-BC, CNN Clinical Nurse Specialist Vice President of Organizational Development and Training Fresenius Medical Phoenix, Arizona Steven S. Guest, MD Clinical Associate Professor of Medicine Stanford University School of Medicine Stanford, California Director of Peritoneal Dialysis Kaiser Permanente Santa Clara Santa Clara, California Rajnish Mehrotra, MD, FACP, FASN Associate Professor of Medicine David Geffen School of Medicine at UCLA Director, Peritoneal Dialysis Program Harbor-UCLA Medical Center Torrance, California Candace Regua, BSN, RN Homes Services and Clinical Care Specialist Renal Care Group Phoenix, Arizona Martin J. Schreiber, Jr, MD Chairman, Department of Nephrology and Hypertension Cleveland Clinic Foundation Medical Director, Home Dialysis Ohio Renal Care Group Cleveland, Ohio Leonard Stern, MD, FACP, FASN Associate Professor of Clinical Medicine Columbia University College of Physicians and Surgeons Department of Nephrology Medical Director Columbia University Dialysis Center Director of Peritoneal Dialysis New York Presbyterian Hospital – Columbia University Medical Center New York, New York INTENDED AUDIENCE This live webinar is intended for nephrologists, nephrology nurses, dialysis unit administrators, and other healthcare professionals who are engaged in the treatment of patients with CKD. REGISTRATION Enrollment for this course is complimentary. ACCREDITATION This educational activity is co-sponsored by Thomson Professional Postgraduate Services®, Secaucus, NJ and AHC Media LLC, Atlanta, GA. Thomson Professional Postgraduate Services® is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. AHC Media LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Provider approved by the California Board of Registered Nursing, Provider # 14749, for 1 Contact Hour. CREDIT DESIGNATION Thomson Professional Postgraduate Services® designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity. This activity is approved for 1 nursing contact hour using a 50-minute contact hour. EDUCATIONAL SUPPORT Supported by an unrestricted educational grant from Baxter Healthcare. INSTRUCTIONS FOR COMPLETION To earn credits you must attend the entire session and submit an evaluation form. Credit letters will be sent to you within 30 days after the activity. DISCLOSURE It is the policy of Thomson Professional Postgraduate Services® and AHC Media LLC that all faculty participating in continuing education activities are expected to disclose to the program audience any real or apparent conflict(s) of interest related to the content of their presentation. Faculty disclosure will be available for review on-line during this webinar and as part of the on-demand, archived webinars as well.
		Certified for physicians and nurses. Co-sponsored by Thomson Professional Postgraduate Services®, Secaucus, NJ and AHC Media LLC, Atlanta, GA. Supported by an unrestricted educational grant from Baxter Healthcare. Instructions for Individual Participants for Live Events To register, click on the appropriate live event by date and time. This will take you to the appropriate event page on www.freeCME.com. At this time, if you have not already done so, you will be asked to register on-line prior to viewing the event you chose. Once your registration is complete, you will be able to view the live event. At the conclusion, please complete and submit the on-line evaluation to immediately receive CME/CE credit. Click here to test your Real media player. Instructions for Designated Group Leaders for Live Events As the designated group leader, click on the live event for which your group wishes to participate. This will take you to the appropriate event page on www.freeCME.com. At this time, if you have not already done so, you will be asked to register on-line prior to viewing the event you chose. Once your registration is complete, you will be able to view the live event. At the conclusion, please complete and submit the on-line evaluation to immediately receive CME/CE credit. There will also be a link for a PDF evaluation for all other group members to complete at the conclusion of the program. As the designated person, you should download and print a copy of the evaluation for each participant with the exception of yourself to complete at the conclusion of the live event. Once all of the evaluations have been completed, please immediately fax all of the group evaluations to 1-201-430-1441 on the evening of the live event. CME/CE certificates for each participant should arrive in the mail within 30 days. Live Webinar Broadcast Schedule Notice: Course links will be active 1 hour prior to start time Thursday, June 1, 2006 7:00 – 8:00 PM Eastern Time from North Haven, CT Ali K. Abu-Alfa, MD, FASN and Leonard Stern, MD, FACP, FASN • Individual users requiring CME credit, click here to register for and/or to access the live event. • Individual users requiring CE credit, click here to register for and/or to access the live event. • Group Leaders click here to download a PDF evaluation for all participants except for yourself to complete immediately at the conclusion of the program. Wednesday, July 26, 2006 7:00 – 8:00 PM Pacific Time from Los Angeles, CA Steven S. Guest, MD and Rajnish Mehrotra, MD, FACP, FASN • Individual users requiring CME credit, click here to register for and/or to access the live event . • Individual users requiring CE credit, click here to register for and/or to access the live event. • Group Leaders click here to download a PDF evaluation for all participants except for yourself to complete immediately at the conclusion of the program. • Wednesday, September 13, 2006 7:00 – 8:00 PM Central Time from Chicago, IL Martin J. Schreiber, Jr, MD and Rajnish Mehrotra, MD, FACP, FASN • Individual users requiring CME credit, click here to register for and/or to access the live event . • Individual users requiring CE credit, click here to register for and/or to access the live event . • Group Leaders click here to download a PDF evaluation for all participants except for yourself to complete immediately at the conclusion of the program. Monday, October 16, 2006 7:00 – 8:00 PM Eastern Time from Winston-Salem, NC John M. Burkart, MD and Joanne Bargman, MD, FRCPC • Individual users requiring CME credit, click here to register for and/or to access the live event . • Individual users requiring CE credit, click here to register for and/or to access the live event . • Group Leaders click here to download a PDF evaluation for all participants except for yourself to complete immediately at the conclusion of the program. Click here for a PDF copy of the slides for the Winston-Salem webinar. Course Description and Overall Objective The overall objective of this program is to provide nephrologists, nephrology nurses, and other interested healthcare professionals with the most current clinical guidance on peritoneal dialysis (PD) adequacy and two of the challenging issues surrounding the delivery of PD – reduction in mechanical catheter dysfunction and the optimization of ultrafiltration management. Please note that all times are local for the broadcast location. 7:00 - 7:15 PM Session 1: Catheter Placement: Reducing Mechanical Dysfunction PD catheter insertion can be done by open dissection via a small laparotomy incision, by percutaneous puncture guided by laparoscopy or fluoroscopy, or it can be performed blindly. This session will describe current PD access-related procedures; it will focus on advanced laparoscopic techniques, and present data on the reduction in mechanical complications associated with this approach. The session will also include a discussion of options to be used in special circumstances that might preclude initiation of PD with conventional catheter insertion techniques. 7:15 - 7:30 PM Session 2: Peritoneal Dialysis Adequacy: Review of the New NKF-K/DOQI Clinical Practice Guidelines The 2001 K/DOQI guidelines for peritoneal dialysis adequacy were developed with emphasis on urea kinetics and observational studies. Since then, randomized controlled trials have indicated the need for revision of the absolute minimal solute clearance target and weekly creatinine clearance. This session will provide a brief history of the evolution of the NKF-K/DOQI guidelines, culminating in a presentation of the new 2006 Clinical Practice Guidelines for Peritoneal Dialysis Adequacy. 7:30 - 7:45 PM Session 3: Optimizing Ultrafiltration Management in Peritoneal Dialysis Optimization of fluid and ultrafiltration management remains a constant challenge in PD. This session will provide an overview of the physiologic basis for ultrafiltation in PD. It will also highlight the differences between crystalloid and colloid osmosis and the role of non-dextrose based solutions. Finally, it will review the need to identify patients at greater risk for inadequate ultrafiltration. 7:45 - 8:00 PM Question and Answer Session Educational Objectives As a result of this course, program participants will be able to: Cite the latest advances in peritoneal dialysis catheter insertion and exit-site care practices Discuss the merits of advanced laparoscopic techniques for the insertion of PD catheters Review the evolution of NKF-K/DOQI guidelines for peritoneal dialysis adequacy Discuss the landmark trials (CANUSA and ADEMEX) that have influenced the development of the new guidelines Outline the new adequacy guidelines and their implications for clinical practice Describe the physiology of peritoneal ultrafiltration Identify patients at risk for inadequate ultrafiltration Design a strategy for optimal ultrafiltration based on physiologic principles HARDWARE/SOFTWARE REQUIREMENTS freeCME recommends version 5.x browsers or higher from Microsoft or Netscape. 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