Minimally Invasive and Novel Therapeutics 2022
The Minimally Invasive and Novel Therapeutics (MINT) In Foregut Disease continuing medical education (CME) event, taking place from September 29-October 1, 2022, seeks to equip clinicians with knowledge of the latest physiologic tools needed to diagnose and treat benign foregut disease, and to teach them how different treatment options fit within the paradigm of overall foregut disease.
Course Overview
The Minimally Invasive and Novel Therapeutics (MINT) continuing medical education (CME) event, taking place from September 29 – October 1, 2022, seeks to equip clinicians with advanced technical knowledge of the latest surgical and endoscopic procedures needed to diagnose and treat foregut disease including abdominal wall hernias. We further hope to foster ongoing collaboration between gastroenterologists and surgeons to optimize the multidisciplinary care of patients with foregut digestive disease.
This event will be both in-person, with an optional hands-on component, and live streamed for the benefit of those who cannot attend in person.
This is a Harvard Medical School-accredited course hosted in partnership with the Swallowing, Heartburn, Esophageal Disease (SHED) Program at Massachusetts General Hospital and the Heartburn and Reflux Program at Newton-Wellesley Hospital.
Click here to register for the course.
Course Background and Description
The management of benign foregut disease continues to evolve. New physiologic tests and novel surgical and endoluminal approaches have greatly improved outcomes for patients. The published literature surrounding these therapies continues to evolve. However, this cadence can make it difficult for the busy practitioner to keep up with the latest information, resulting in a practice gap. Additionally, most surgical and gastroenterological training programs do not provide significant exposure to foregut disease management, and thus practicing physicians may not be equipped to offer the latest therapies to their patients.
In an effort to close these gaps, the MINT CME seeks to provide practicing physicians and fellows with education and training in the latest therapies with a focus on video-based technical skills.
Learning Objectives
Upon completion of the MINT CME, clinicians can expect to be able to:
- Apply new knowledge in the management of patients with reflux and swallowing disorders
- Develop treatment strategies based on current evidence and expert-opinion
- Compare and contrast standard-of-care management with cutting-edge treatments
Hands-On Skills Training Workshop
This course will host an optional hands-on skills training session where physicians will have the opportunity to practice novel skills under the directorship of experts in the field. This training session will include stations dedicated to:
- The Da Vinci Robot
- Peroral endoscopic myotomy (POEM)
- Per-oral pyloromyotomy (POP)
- Endoscopic mucosal resection and radiofrequency ablation (RFA)
- Esophageal stenting and suturing
- transoral incisionless fundoplication (TIF)
- Manometry and EndoFLIP
APP Session
Advanced practice providers (APPs) such as nurse practitioners and physician assistants are essential to providing quality patient care in foregut disease. Two Mass General APPs, Alexandra Maltby, PA-C, and Priyanca Waghmarae, PA-C, will host a dedicated didactic session for APPs in the field with the goal of furthering education and understanding of foregut disease and treatments, and promoting a collaborative approach to patient care.
Target Audience
This course is targeted to gastroenterologists, surgeons, nurse practitioners, physician assistants, pharmacists, nurses and dietitians. This course may also be of interest to physicians who practice in primary care.
Agenda
Thursday, September 29, 2022
Start Time | End Time | Session Name |
8:00 | 8:10 | Introduction to Course and Welcome Charu Paranjape MD, Kumar Krishnan, MD Challenging Esophageal Endoscopy Esophageal Stricture Management Moderators: Kumar Krishnan, MD, Kunal Jajoo, MD, Jonah Cohen, MD, Elan Witkowski, MD, Raman Muthusamy, MD, Brenna Casey, MD |
8:10 | 8:20 | Eosinophilic Esophagitis (EoE) Dilation Live (video and discussion) Kumar Krishnan, MD |
8:20 | 8:30 | Anastomotic Stricture-Balloon (video and discussion) Elan Witkowski, MD |
8:30 | 8:40 | Advanced Stricture Management Strategies (video and discussion) Kunal Jajoo, MD |
8:40 | 9:05 | Approach to the Refractory Stricture Kumar Krishnan, MD |
9:05 | 9:20 | Discussion With Panel Kumar Krishnan MD, Kunal Jajoo MD, Jonah Cohen MD, Elan Witkowski MD, Raman Muthusamy MD, Brenna Casey MD |
9:20 | 9:30 | Break Barrett's and Early Esophageal Cancer Moderators: Kumar Krishnan, MD, Charu Paranjape, MD, Norman Nishioka, MD, Hiroyuki Aihara, MD, Raman Muthusamy, MD |
9:30 | 9:40 | Radiofrequency Ablation (video and discussion) Norman Nishioka, MD |
9:40 | 9:50 | Esophageal Endoscopic Mucosal Resection (EMR) Band Assisted (video and discussion) Kumar Krishnan, MD |
9:50 | 10:00 | Cryo Therapy (video and discussion) Norman Nishioka, MD |
10:00 | 10:10 | Endoscopic Submucosal Dissection (ESD) Esophageal Nodule (video and discussion) Hiroyuki Aihara, MD |
10:10 | 10:20 | Panel Discussion Kumar Krishnan, MD, Charu Paranjape, MD, Norman Nishioka, MD, Hiroyuki Aihara, MD, Raman Muthusamy, MD |
10:20 | 10:50 | Keynote Address: Current Status of Diagnostic Testing for Barrett's Esophagus and Dysplasia Raman Muthusamy, MD |
10:50 | 11:00 | Break |
11:00 | 11:05 | Complex Esophageal Surgery and Challenges Charu Paranjape, MD |
11:05 | 11:30 | Foregut Complications After Bariatric Surgery (video and discussion) Speaker: Ali Tavakkoli, MD Moderators: Charu Paranjape, MD, Denise Gee, MD, Hugh Auchincloss, MD |
11:30 | 11:55 | Anti-reflux Surgery in Obesity (video and discussion) Speaker: Elan Witkowski, MD Moderators: Matt Hutter, MD, Denise Gee, MD, Charu Paranjape, MD, Ali Tavakkoli, MD |
11:55 | 12:20 | Perioperative Evaluation of the LES (video and discussion) Speaker: Kevin El-Hayek, MD Moderators: Ali Tavakkoli, MD, Elan Witkowski, MD, Hugh Auchincloss, MD |
12:20 | 12:45 | Robotic Heller Myotomy With Intraoperative Endoflip (video and discussion) Speaker: Charu Paranjape, MD Moderators: Ozanan Meireles, MD, Ali Tavakkoli, MD, Uma Sachdeva, MD |
12:45 | 1:10 | Giant Paraesophageal Hernia (video and discussion) Speaker: Hugh Auchincloss, MD Moderators: John Mullen, MD, Charu Paranjape, MD, Uma Sachdeva, MD |
1:10 | 1:15 | Wrap-Up Charu Paranjape, MD |
1:15 | 2:00 | Break |
2:00 | 5:30 |
Optional Session:
|
Advanced Practice Provider Session (all are welcome) | ||
2:00 | 2:05 | Welcome Alexandra Maltby, PA-C, Priyanca Waghmarae, PA-C |
2:05 | 2:20 | "My Cough is Uncontrolled Reflux"—Approach to Workup and Management Monica Nandwani, DNP |
2:20 | 2:40 | EoE: Case-based Approach to the Workup and Management of Patient's With EoE Hilary Ugras, NP |
2:40 | 2:55 | EoE: Counseling Patients on Dietary Modifications for EoE Sarah Andrus, RD |
2:55 | 3:05 | Break |
3:05 | 3:25 | A to Zenkers: Diagnosis and Management Monika Kamdar, PA-C |
3:25 | 3:45 | Postoperative Dysphagia in the Anti-Reflux Surgery Patient Alexandra Maltby, PA-C |
3:45 | 3:55 | Rapid-Fire Board Questions Moderators: Alexandra Maltby, PA-C, Priyanca Waghmarae, PA-C, Shawn Lear, PA-C, Stephanie Doherty, NP, Monika Kamdar, PA-C |
3:55 | 4:05 | Break |
4:05 | 4:25 | Refractory Gastroesophageal Reflux Disease (GERD) Kristina Skarbinski, NP |
4:25 | 4:45 | Post-Op Complications After POP and POEM Priyanca Waghmarae, PA-C |
4:45 | 5:05 | Esophageal Stents and Complications Stephanie Doherty, NP |
5:05 | 5:15 | Wrap-Up and Questions Alexandra Maltby, PA-C, Priyanca Waghmarae, PA-C |
5:30 | 8:00 | Cocktail Reception |
Friday, September 30, 2022
Start Time | End Time | Session Name |
8:00 | 8:05 | Welcome Back Charu Paranjape, MD, Kumar Krishnan, MD |
8:05 | 8:10 | Endoscopic Myotomies: Learning Your Z,E,G's Speaker: Kumar Krishnan, MD Moderators: Phil Song, MD, Kumar Krishnan, MD, Charu Paranjape, MD, Ozanan Meireles, MD, Amol Bapaye, MD, Elan Witkowski, MD |
8:10 | 8:25 | Zenker Rigid Myotomy (video and discussion) Phil Song, MD |
8:25 | 8:40 | Zenker's diverticulum-POEM (video and discussion) Kumar Krishnan, MD |
8:40 | 8:55 | POP (video and discussion) Joshua Landreneau, MD |
8:55 | 9:10 | POEM—Anterior/Posterior (video and discussion) Amol Bapaye, MD |
9:10 | 9:20 | Break The Complications Speakers: Kumar Krishnan, MD, Charu Paranjape, MD Moderators: Charu Paranjape, MD, Kevin El-Hayek, MD, Amol Bapaye, MD, Denise Gee, MD, Katarzyna Pawlak, MD, Jordan Bohnen, MD |
9:20 | 9:40 | Gastroparesis After Esophagectomy Kumar Krishnan, MD, Charu Paranjape, MD |
9:40 | 10:00 | Leak After POEM Kumar Krishnan, MD, Charu Paranjape, MD |
10:00 | 10:20 | Rapid-Fire Endo Complications (Perforation, Bleed, Stent) Kumar Krishnan, MD, Charu Paranjape, MD |
10:20 | 10:40 | Dysphagia After Fundoplication Jordan Bohnen, MD |
10:40 | 11:00 | Break |
11:00 | 11:05 | Anti-Reflux Surgery: Technical Challenges Speaker: Charu Paranjape, MD Moderators: Matt Hutter, MD, Balasubramaniam Ramana, MD, Eric Sheu, MD Jordan Bohnen, MD, Kumar Krishnan, MD |
11:05 | 11:20 | Transoral Incisionless Fundoplication (TIF) (video and discussion) Charu Paranjape, MD, Kumar Krishnan, MD |
11:20 | 11:35 | Esophageal Lengthening (Collis) Hany Takla, MD, ACS, FASMBS? |
11:35 | 11:50 | Complex Redo Fundoplication (video and discussion) Eric Sheu, MD |
11:50 | 12:00 | Discussion, Tips and Tricks Faculty Panel |
12:00 | 1:15 | Break |
1:15 | 5:30 |
Optional Session:
|
5:30 | 7:30 | Faculty Dinner |
Saturday, October 1, 2022
Start Time | End Time | Session |
8:00 | 8:05 | Introduction and Welcome Back Charu Paranjape, MD, Kumar Krishnan, MD |
8:05 | 8:10 | MINT International Charu Paranjape, MD; Kumar Krishnan, MD Moderators: Kumar Krishnan MD, Charu Paranjape MD, George Velmahos MD, Amol Bapaye MD, Balasubramaniam Ramana, MD, Enrique de Madaria, MD |
8:10 | 9:10 |
Dr. Amol Bapaye and Foundation for Research and Education in Endoscopy Endotherapy for Duodenal Adenomas—EMR, ESD, Hybrid Concepts? The “Difficult” POEM—Challenges, Tips, Tricks Endoscopic Full-Thickness Resection for Gastric SETs Discussion Q&A With All Participants:
|
9:10 | 9:20 | Break |
9:20 | 10:50 |
Dr. Balasubramaniam Ramana and Abdominal Wall Reconstruction (AWR) AWR: Should We Have Second Thoughts in 2022? Hybrid eTEP and Open Reverse-TAR Approach for the Management of Large Lumbar Hernias With Associated Synchronous Midline Defects Bariatric Surgery in Very Complex Hernias: Is it Worth it? CT Scans in the Previously Operated Abdominal Wall Redo Fundoplication: Tips and Tricks The Difficult Inguinal Hernia—Escape Routes for the Smart Surgeon Discussion Q&A With All Participants for 12 minutes |
10:50 | 11:50 |
Dr. Enrique de Madaria of the Spanish Association of Gastroenterology (AEG) Paraduodenal Pancreatitis, The Disease with a Hundred Names Endoscopic Full-thickness Resection for Duodenal Lesions Antireflux Mucosal Ablation and Antireflux Mucosectomy: Hype or Hope for GERD GIST Diagnosis and Novel Techniques of Resection |
11:50 | 12:00 | Break |
12:00 | 12:45 | Keynote Address: Video-based Learning for Surgeons and Gastroenterologists: Present and Future Michael Awad, MD |
12:45 | 1:00 | Wrap-Up and Questions Charu Paranjape, MD, Kumar Krishnan, MD |
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Harvard Medical School Continuing Education attracts the best and brightest faculty from all around the world. As a student in this course, you’ll have access to outstanding course directors and faculty.
Course Directors
Kumar Krishnan, MD
Assistant Professor of Medicine, Harvard Medical School
Division of Gastroenterology, Interventional Endoscopy, Department of Medicine, Massachusetts General Hospital
Charudutt Paranjape, MD, MBBS
Assistant Professor, Harvard Medical School
Associate Chair of Education; Chief of General Surgery and Acute Care Surgery; and Surgical Director, NWH Heartburn and Reflux Program, Newton Wellesley Hospital
Department of Surgery, Massachusetts General Hospital
Alexandra Maltby, PA-C
Physician Assistant, NWH Heartburn and Reflux Program, Department of Surgery, Newton Wellesley Hospital, Massachusetts General Hospital
Priyanca Waghmarae, PA-C
Physician Assistant, Division of Gastroenterology, Department of Medicine, Massachusetts General Hospital
Faculty
Seiichiro Abe, MD
Department of Endoscopy, National Cancer Center Hospital, Medical Director, International Development Department International Clinic, National Cancer Center, Tokyo, Japan
Hiroyuki Aihara, MD, PhD
Associate Professor of Medicine, Harvard Medical School
Division of Gastroenterology, Department of Medicine, Brigham and Women's Hospital
Sarah Andrus, RD
Registered Dietitian, Licensed Dietitian/Nutritionist, Department of Surgery, Newton Wellesley Hospital
Eham Arora, MD
Assistant Professor of Surgery at Mumbai's Grant Medical College & Sir JJ Group of Hospitals
Hugh Auchincloss, MD
Instructor in Surgery, Harvard Medical School
Department of Surgery, Massachusetts General Hospital
Mike Awad, MD
Professor of Surgery and Section of Minimally Invasive Surgery, Division of General Surgery, Washington University
Amol Bapaye, MD
Chief, Department of Digestive Diseases and Endoscopy, Deenanath Mangeshkar Hospital & Research Center, Pune, India
Founder, Foundation for Research and Education in Endoscopy
Jordan Bohnen, MD
Assistant Professor of Surgery, Harvard Medical School
Department of Surgery, Beth Israel Deaconess Medical Center
Barbara Brien, RN
Registered Nurse
Team Leader, Massachusetts General Hospital Motility Lab, Massachusetts General Hospital
Fernando Calmet, MD
Division of Gastroenterology, Department of Medicine, Newton Wellesley Hospital
Brenna Casey, MD
Assistant Professor of Medicine, Harvard Medical School
Department of Medicine, Massachusetts General Hospital
Jonah Cohen, MD
Assistant Professor of Medicine, Harvard Medical School
Director of Bariatric Endoscopy, Division of Gastroenterology, Massachusetts General Hospital
Enrique de Madaria, MD
President, Spanish Association of Gastroenterology
Gastroenterologist, Pancreatic Unit, Hospital General Universitario de Alicante, Spain
Research Deputy Director Assistant, ISABIAL
Pankaj Desai, MD
Director, Surat Institute of Digestive Sciences (SIDS), Surat, India
Stephanie Doherty, NP
Nurse Practitioner, Division of Gastroenterology, Department of Medicine, Massachusetts General Hospital
Kevin El-Hayek MD
Associate Professor, Case Western Reserve University School of Medicine
Section Head, Hepato-Pancreato-Biliary Surgery
Section Head, Endoscopic Surgery, MetroHealth System
Fernando Ferreira, MD
General Surgeon in Upper Digestive Surgery: Stomach and Esophagus, Advanced Laparoscopic Surgery, Emergency Surgery and Trauma (Former DSTC® and ATLS® Instructor) at Hospital Pedro Hispano-ULS Matosinhos and Porto Hospital
Teaching Assistant at University Oporto
Member of European Surgical Experts for the European Hernia Society
Harshal Gadhikar, MD
Professor, Department of Gastroenterology, Deenanath Mangeshkar Hospital and Research Center, Pune, India
Denise Gee, MD
Associate Professor of Surgery, Harvard Medical School
Department of Surgery, Massachusetts General Hospital
Matthew Hutter, MD
Professor of Surgery, Harvard Medical School
Department of Surgery, Massachusetts General Hospital
Kunal Jajoo, MD
Assistant Professor of Medicine, Harvard Medical School
Division of Gastroenterology, Hepatology and Endoscopy, Department of Medicine, Brigham and Women's Hospital
Monika Kamdar, PA-C
Physician Assistant, Division of Laryngology, Mass Eye and Ear
Kumar Krishnan, MD
Assistant Professor of Medicine, Harvard Medical School
Division of Gastroenterology, Interventional Endoscopy, Department of Medicine, Massachusetts General Hospital
Joshua Landreneau, MD
Shawn Lear, PA-C
Physician Assistant, Thoracic Surgery, Department of Surgery, Newton Wellesley Hospital, Massachusetts General Hospital
Benjamin Levitzky, MD
Division of Gastroenterology, Department of Medicine, Newton Wellesley Hospital
Jennifer Lopes-Decarvalho, RN
Registered Nurse, Endoscopy Unit, Division of Gastroenterology, Newton Wellesley Hospital
Javier Lopez-Monclus, MD
Hepatobiliary and Liver Transplantation Surgeon, Consultant in Puerta de Hierro-Majadahonda University Hospital, Madrid
Complex Abdominal Wall Unit Coordinator
Assistant Professor of Surgery, Universidad Autónoma de Madrid
Alexandra Maltby, PA-C
Physician Assistant, NWH Heartburn and Reflux Program, Department of Surgery, Newton Wellesley Hospital, Massachusetts General Hospital
Hassan Mashbari, MD
Assistant Professor in Surgery and General Surgery Residency Program Director, Jazan Region, Jazan University
Ozanan Meireles, MD
Assistant Professor of Surgery, Harvard Medical School
Department of Surgery, Massachusetts General Hospital
Michaela Mitrano, MHA
Administrative Coordinator, Division of Gastrointestinal and Oncologic Surgery, Massachusetts General Hospital
Klaus Mönkemüller, MD
Department of Gastroenterology, Frankenwaldklinik, Kronach, Germany University of Belgrade, Belgrade, Serbia
Ameos Klinikum Otto-von-Guericke University Teaching Hospital, Halberstadt, Germany
Department of Gastroenterology, "Prof. Carolina Olano," Hospital de Clínicas, Universidad de la República, Montevideo, Uruguay
John Mullen, MD
Professor of Surgery, Harvard Medical School
Department of Surgery, Massachusetts General Hospital
Raman Muthusamy, MD
Professor of Clinical Medicine, David Geffen School of Medicine, UCLA
Medical Director of Endoscopy, UCLA Health
Monica Nandwani, DNP, RN, FNP-BC
Manager of Advanced Practice Providers, Stanford Health Care's Center for Advanced Practice
Norman Nishioka, MD
Associate Professor of Medicine, Harvard Medical School
Division of Gastroenterology, Department of Medicine, Massachusetts General Hospital
Charudutt Paranjape, MD, MBBS
Assistant Professor, Harvard Medical School
Associate Chair of Education, Chief of General Surgery and Acute Care Surgery, Surgical Director NWH Heartburn and Reflux Program, Newton Wellesley Hospital
Department of Surgery, Massachusetts General Hospital
Roysuneel Patankar, MD
Consultant GI and Laparoscopic Surgeon and Director, Surgical Services, Zen Multispecialty Hospital, Chembur, Mumbai
International Surgical Advisor by the Royal College of Surgeons of Edinburgh
Course Director, MUHS Fellowship Courses, FNB National Board of Examinations
Katarzyna M. Pawlak, MD
Department of Gastroenterology, Endoscopy Unit, Hospital of The Ministry of Interior and Administration, Szczecin, Poland
Rapat Pittanyanon, MD
Associate Professor, Division of Gastroenterology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
Ramesh Punjani, MD
Surgeon at Fortis Hospital
Faculty for Training Surgeons in Basic Surgical Skills and Minimal Access Surgeries (MAS)
Balasubramaniam Ramana, MD
Head of Department and Director, Department of Minimal Access, Bariatric, Hernia, and GI surgery, CMRI Hospital, Kolkata, India
Visiting Consultant, IMAS, Sir Gangaram Hospital, New Delhi, India
Mohan Ramchandani, MD
Director of Interventional Endoscopy, Asian Institute of Gastroenterology, Hyderabad, India
Enrique Rodríguez de Santiago, MD
Gastroenterology and Hepatology Department, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Instituto de Salud Carlos III, Madrid, Spain
Uma Sachdeva, MD
Assistant Professor of Surgery, Harvard Medical School
Department of Surgery, Massachusetts General Hospital
Eric Sheu, MD, PhD
Assistant Professor of Surgery, Harvard Medical School
Department of Surgery, Brigham and Women's Hospital
Pramod Shinde, MD
M.S. FMAS FIAGES FALS FIBC FACS: Kaushalya Hospital & Research Centre, Nashik, India
Founding Member and Secretary of Abdominal Wall Reconstructions Surgeons’ Community
Kristina Skarbinski, NP
Clinical Advanced Practice Provider Lead, Swallowing, Heartburn and Esophageal Disorders (SHED) Center, Massachusetts General Hospital
Phillip Song, MD
Assistant Professor of Otolaryngology-Head and Neck Surgery, Harvard Medical School
Director, Division of Laryngology, Mass Eye and Ear
Brian Surjanhata, MD
GI Motility Fellow, Massachusetts General Hospital
General GI Fellow, Boston Medical Center
Hany Takla, MD, ACS, FASMBS
General and Bariatric Surgeon
Clinical Instructor of Surgery at Tufts Medical School
Interim Chair, Department of Surgery, Wentworth Douglass Hospital
Ali Tavakkoli, MD
Associate Professor of Surgery, Harvard Medical School
Department of Surgery, Brigham and Women's Hospital
Hilary Ugras, NP
Nurse Practitioner in GI Motility, Beth Israel Deaconess Medical Center
George Velmahos, MD
John F Burke Professor of Surgery, Harvard Medical School
Chief, Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital
Priyanca Waghmarae, PA-C
Physician Assistant, Division of Gastroenterology, Department of Medicine, Massachusetts General Hospital
Elan Witkowski, MD
Assistant Professor of Surgery, Harvard Medical School
Department of Surgery, Massachusetts General Hospital
Hon Chi Yip, MD
Assistant Professor, Honorary Associate Consultant, Division of Upper GI and Metabolic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong
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Video Introduction to MINT 2021
In this video, course directors, Charudutt Paranjape, MD, MBBS, and Kumar Krishnan, MD, introduce the MINT CME.
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Registration and Pricing
We are offering Early Bird pricing through July 1, 2022.
Prices
Virtual, no CME credit
- Physicians and APPs—free
Virtual, CME credit
- Physicians—$150 early bird or $200 regular
- International—$100 early bird or $150 regular
- APPs—$100 early bird or $150 regular
In-Person, CME credit
- Physicians—$250 early bird or $300 regular
- International—$200 early bird or $250 regular
- APPs and students—$100 early bird or $150 regular
- Residents and fellows—$100 early bird or $150 regular
In-Person, hands-on course (limited spots)
- Physicians—$200 early bird or $250 regular
Industry
- Industry representative—$300