The Practical PCNL: From Access to Exit - A Hands-on Course is geared for the practicing Urologist who wants to gain comfort with performing percutaneous stone removal, obtaining his/her own percutaneous access using both fluoroscopy and ultrasound, and familiarity with current instrumentation including flexible ureteroscopy.
Maximum of 11.75 AMA PRA Category 1 Credits™
November 10 – 11, 2018
WWAMI Institute for Simulation in Healthcare (WISH) at Harborview Medical Center
Robert Sweet, MD, FACS
Executive Director, WISH and CREST
Medical Director, Kidney Stone Clinic
University of Washington
This is a one-and-a-half day hands-on program designed for urologists and residents.
Upon completion of this course, attendees will be able to:
|6:30 a.m. – 7:20 a.m.||Registration & Continental Breakfast|
|7:20 a.m. – 7:30 a.m.||Welcome/Course Format|
|7:30 a.m. – 8:00 a.m.||Fundamentals of Renal Ultrasound|
|8:00 a.m. – 8:20 a.m.||Fundamentals of Fluoroscopy/Radiation Safety|
|8:20 a.m. – 8:40 a.m.||Case Selection (STONE Morphometry) Selection of Access Site|
|8:40 a.m. – 8:50 a.m.||Positioning for PCNL|
|8:50 a.m. – 9:10 a.m.||Fluoroscopy-guided Percutaneous Access: "Bull's Eye"|
|9:10 a.m. – 9:25 a.m.||Endoscopically-guided Percutaneous Access with Fluoroscopy|
|9:25 a.m. – 9:45 a.m.||Ultrasound-guided Percutaneous Access and Complications|
|9:45 a.m. – 10:00 a.m.||Break|
|10:00 a.m. – 10:20 a.m.||Dilation of Tract and Complications|
|10:20 a.m. - 10:40 a.m.||Stone Removal and Lithotripsy - Pneumatic, Ultrasound, Laser|
|10:40 a.m. - 11:00 a.m.||Flexible Nephroscopy and Flexible Ureteroscopy in PCNL: Access Sheaths and Other Tips|
|11:00 a.m. – 11:40 a.m.|
Surgical Cases - Video
|11:45 a.m. – 12:30 p.m.||Lunch|
Surgical Skills Lab
|12:45 p.m. – 1:30 p.m.||Surgical Skills Stations|
|Station 1: Percutaneous Access with Fluoroscopy|
|Station 2: Ease|
|Station 3: Renal Ultrasound on Real People|
|Station 4: Ultrasound-guided Access|
|Station 5: Flexible Nephroscopy, Rigid Nephroscopy and NLM Models and Instrumentation (Includes Advanced Basketing Techniques)|
|8:00 a.m. – 8:30 a.m.||Breakfast|
|8:30 a.m. - 9:00 a.m.||Exit Strategies: Tubes vs. Tubeless Debate|
|9:00 a.m. - 9:20 a.m.||Medical Management of Kidney Stones|
|9:20 a.m. – 9:40 a.m.||Review of AUA Guidelines for Medical and Surgical Management of Urolithiasis|
|9:40 a.m. - 10:50 a.m.||Difficult Cases: Panel Discussion/Q&A Session and Difficult Access: Tricks and Tips|
|10:50 a.m. – 11:10 a.m.||Break|
|11:10 a.m. – 11:30 a.m.||Complications and How to Prevent Them for PCNL|
|11:30 a.m. – 11:50 a.m.||Billing and Coding|
|11:50 a.m. – 12:00 p.m.||Pediatric Stones: Special Considerations|
|12:00 p.m. – 12:20 p.m.||Updates on Ultrasound Stone Research|
|12:20 p.m.- 12:30 p.m.||Evaluations|
|12:30 p.m.||Course Adjourns|
|Early Bird On or Before September 28, 2018||Standard On or After September 29, 2018|
Live Course: An administrative fee of 15% is assessed if registration is cancelled up to six weeks prior to the course. If registration is cancelled four to six weeks from the course, the cancellation fee is 50% of the registration fee paid. No registration fees will be refunded less than four weeks prior to the course.
This educational course is supported by independent educational grants from:
To encourage and support the participant’s care of their patients, this activity will provide resources to Urology Care Foundation existing resources on PCNL. These resources will include patient videos and brochures.
The American Urological Association (AUA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Urological Association designates this live activity and enduring material for a maximum of 11.75 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The AUA is not accredited to offer credit to participants who are not MDs or DOs. However, the AUA will issue documentation of participation that states that the activity was certified for AMA PRA Category 1 Credit™.
It is the policy of the AUA to ensure that the content contained in this CME activity is valid, fair, balanced, scientifically rigorous, and free of commercial bias.
All persons in a position to control the content of an educational activity (i.e., activity planners, presenters, authors) participating in an educational activity provided by the AUA are required to disclose to the provider any relevant financial relationships with any commercial interest. The AUA must determine if the individual's relationships may influence the educational content and resolve any conflicts of interest prior to the commencement of the educational activity. The intent of this disclosure is not to prevent individuals with relevant financial relationships from participating, but rather to provide learners information with which they can make their own judgments.
All disclosures will be reviewed by the program/course directors or editors for identification of conflicts of interest. Peer reviewers, working with the program directors and/or editors, will document the mechanism(s) for management and resolution of the conflict of interest and final approval of the activity will be documented prior to implementation. Any of the mechanisms below can/will be used to resolve conflict of interest:
The audience is advised that this continuing medical education activity may contain reference(s) to off-label or unapproved uses of drugs or devices. Please consult the prescribing information for full disclosure of approved uses.
The opinions and recommendations expressed by faculty, authors and other experts whose input is included in this program are their own and do not necessarily represent the viewpoint of the American Urological Association (AUA).
Attendance at or participation in AUA meetings and other activities constitutes an agreement by the registrant to AUA's use and distribution (both now and in the future) of the attendee's image or voice in photographs and electronic reproductions of such meetings and activities.
The use of audio, video and other photographic recording equipment by attendees is prohibited inside AUA meeting rooms.
Reproduction of written materials developed for this AUA course is prohibited without the written permission from individual authors and the AUA.
The AUA complies with the Americans with Disabilities Act §12112(a). If any participant is in need of special assistance or has any dietary restrictions, please see the registration desk.