16th Annual
Mayo Clinic Endocrine Course
January 29 – February 2, 2013
Marco Island Marriott
SOUTHWEST FLORIDA
Mayo School of Continuous Professional Development
Virtual Interactive Attendance Option!
Workshop OpportunitiesThyroid Ultrasound
January 30 & 31, 2013
ABIM Maintenance of CertificationLive Learning Session
January 30, 2013
#MayoEndo
www.mayo.edu/cme/endocrinology
General Information
Course Description & Objectives
Designed for endocrinologists and interested internists and surgeons, the 16th Mayo Clinic Endocrine Course will offer the latest material on the diagnosis and treatment of endocrine disorders. Faculty are selected from Mayo Clinic for their expertise, knowledge and clinical acumen. This 3 ½ day course will span the full spectrum of endocrinology through lectures, debates, clinicopathologic sessions, “clinical pearls” sessions, panel discussions, and roundtable discussions with experts. There will be plenty of opportunity for interaction with the course faculty.
Learning Objectives
Upon completion of this educational activity, participants should be able to:
• Summarize the role for molecular markers in the evaluation of indeterminate thyroid nodules and the management of differentiated thyroid cancer.
• Apply new guidelines for the evaluation and management of hypertriglyceridemia.
• Recognize limitations to safety and efficacy of medications targeting hypertriglyceridemia.
• Distinguish between endocrine disease and normal changes of aging in the elderly patient.• Describe modifications to usual interpretation and management of thyroid
function in the elderly patient. • Recall and apply guidelines for thyroid disease in pregnancy. • Summarize key steps in preparing patients to undergo endocrine surgeries.• Critique the definition, evaluation and management of polycystic ovary syndrome by comparing and contrasting a “metabolic approach” with an
“endocrine approach.”• Discuss the endocrinologist’s role in improving the system of care for patients
who have sustained an osteoporotic hip fracture.• Begin to apply quality improvement strategies to detect deficiencies, implement
strategies and measure outcomes related to osteoporosis management post hip fracture.
• List approaches to safely and effectively utilize U-500 insulin in the management of diabetes mellitus.
• Summarize the evaluation of suspected hypercortisolism and list important caveats to the interpretation of pivotal diagnostic testing.
• Explain how organ transplantation and immunosuppressive therapy may cause endocrine disorders and modify the approach to treatment.
Date and Location
The 16th Mayo Clinic Endocrine Course will be held January 29 – February 2, 2013, at the Marco Island Marriott Resort, Marco Island, Florida. Explore a world of paradise at Marriott’s exclusive Marco Island, Florida resort near Naples. This world-class Marco Island resort is situated on three miles of pristine beachfront property and offers an exhilarating retreat from the ordinary. The resort features a lavish spa, two private 18-hole championship golf courses, eight unique restaurants and spacious accommodations with premier amenities, technology upgrades, and views of the Florida Gulf Coast. This Marco Island resort’s amenities provide guests with an idyllic retreat just miles from Naples and Fort Myers. Nearby, guests can enjoy exciting water sports, parasailing, shelling cruises, and sightseeing adventures.
Intended Audience
This course is intended for endocrinologists, endocrine surgeons, and general internists with an interest in endocrine disorders.
Registration
Online registration is preferred at http://www.mayo.edu/cme/endocrinology or request a paper form to mail or fax by contacting [email protected] or fax 507-255-6155 or phone 507-255-6869. The registration fee is $850 for physicians and $640 for retirees, trainees, and NP/PAs. This fee includes tuition, comprehensive electronic syllabus, breakfasts, break refreshments, lunch on Friday, Welcome Reception and the Gala Dinner.
Although it is not Mayo Clinic Endocrine Course policy to limit the number of registrants for a course, facilities may necessitate closing of enrollment. Therefore, early registration is advised and the option of onsite registration is not guaranteed. If available, onsite registration will incur an additional cost of $75 USD. A letter of confirmation will be sent upon receipt of payment and completed registration form. Please be prepared to present the confirmation letter when checking in at the meeting registration desk.
Cancellation Policy
Registrants may cancel their registration at any time. If the cancellation is made more than 14 days prior to the start of the course (before January 15, 2013), a refund will be made less an administration fee of $75. If a cancellation request is received on or after January 15, 2013 no refund will be made. All refunds will be made using the same method as the payment. Written notification of intent to cancel registration is preferred via email to [email protected] otherwise by fax 507-255-6155 or phone 507-255-6869.
Continuing Education Credit
AccreditationCollege of Medicine, Mayo Clinic is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
College of Medicine, Mayo Clinic, designates this live activity for a maximum of:16th Mayo Clinic Endocrine Course onsite or virtual live attendance = 22 hoursThyroid Ultrasound Workshop = 7 hoursABIM MOC Shared Learning Session = 4 hours
AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.”
Educational Grants“This course is supported in part by educational grants in accordance with ACCME Standards. At the time of this printing, a complete list of commercial supporters was not available. Appropriate acknowledgment will be given to all supporters at the time of the meeting.”
General Information
Disclosure PolicyAs a provider accredited by ACCME, College of Medicine, Mayo Clinic (MSCPD) must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course Director(s), Planning Committee Members, Faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.
Travel
Airport: The nearest international airport to the Marco Island Marriott Resort is Southwest Florida International Airport (RSW) in Ft. Myers. This airport is one hour north of the resort.
Taxis: The Marco Island Marriott Resort highly recommends using On Demand Transportation. Reservations are required 24 hours in advance. Please call 239-580-9046 to make reservations.
On Demand Transportation has a wide variety of transportation options to fit your needs. Taxi, town car, limo and van services are available for hire. Taxis and town cars will cost approximately $78-$100/one way, Limos will cost approximately $115/one way and a 4-8 passenger van will cost approximately $135/one way.
There are many taxi companies available outside of baggage claim at RSW. However, some companies will charge excesive fees if they are not accustomed to driving into Marco Island. Please beware of this when making transportation plans.
Car Rental: All major car rental agencies are represented at RSW. Please contact your preferred agency to seek information about specific costs. The Mayo Clinic secured a special lowered parking rate at the resort for $6/day. Valet parking is also available for $20/night.
Lodging Accommodations
Rooms have been reserved for course participants and guests at the Marco Island Marriott Resort, located near Naples, FL. To ensure accommodations at this special group rate, make your reservation before Friday, January 4, 2013. The Marco Island Marriott Resort, at their sole discretion, may continue to accept reservations after this cut-off date on a space available basis at the group rates.
Mayo Group Rates: $259 single/double plus tax.
Reservations can be made by contacting:Marco Island Marriott Resort400 South Collier Blvd.Marco Island, FL, 34145Reservations: 800-228-9290 or 239-394-2511
For more information about the Marco Island Marriott Resort, please visit the following website: http://www.marcoislandmarriott.com/
General Information
Syllabus
The 16th Mayo Clinic Endocrine Course will feature an electronic syllabus that may be downloaded from the course website approximately two weeks before the start of the course and also distributed to each attendee by USB flash drive at registration.
Course Welcome Reception and Gala Dinner
The following social activities are complimentary for all course registrants. Additional guest tickets covering both events are available and can be requested on the course registration form. The guest ticket fee for adults is $75 USD. Children under 18 years of age are complimentary.
Welcome ReceptionTuesday, January 29, 20136:00 p.m. – 7:00 p.m.Featuring light appetizers and select beverages, this casual reception welcomes attendees to Marco Island and offers the perfect opportunity to meet new colleagues in a relaxed setting. Pre-registration is requested.
Course Gala DinnerFriday, February 1, 20137:00 p.m. Reception; 8:00 p.m. DinnerJoin us for this special reception and dinner featuring select foods from the region with a spectacular ocean view. Pre-registration is requested.
Recreation/Leisure Activities
Marco Island is all about the water. Just about every water activity imaginable is available for you to “dive” into! There are fishing tours, luxury cruises, sailing, parasailing, wave runners, kayaking and water skiing just to name a few. Guests can also take advantage of the endless array of activities and recreating options for individuals, families, groups and children that are available on hotel property. Marco Island Marriott offers tennis, beach volleyball, Discovery Camp, Dive-In Movies, shelling tours, golf and much more. If you prefer a more leisurely schedule, you may want to take advantage of the breathtaking scenery, worldly museums, boutique shopping and fine dining. Please visit www.marcoreview.com or www.marcoislandmarriott.com/marco-island-florida/resort-hotel-recreation-5.html for more information. You may also call the Marco Island Marriott Resort Concierge Desk at 239-394-2511.
Course Highlights
Teaching CasesParticipants are invited to submit a case for consideration for presentation during one of the Teaching Case sessions. This is a brief presentation of a case by an attendee. A Mayo Clinic faculty member will discuss the case and make a probable diagnosis or suggest the next best step in the evaluation. The presenter will then provide the “answer/conclusion” to the case. Learning points will then be summarized by both the presenter and discussant.
If interested in submitting a case for presentation, please send a brief abstract (<250 words) including title and co-authors by January 11, 2013, to [email protected]
General Information
or FAX to the attention of Dr. Kurt Kennel at 507-255-6155. Two cases will be selected for presentation. Authors of selected cases will receive additional information from course directors prior to the course.
Short Lectures• All didactic lectures will be limited to 25 minutes.• Open panel question and answer periods will follow each group of 3 to 4 lectures.
Case-Based Debates• A case will be presented by the moderator.• The moderator will ask structured questions for comment from the debaters and
attendees.• Using an audience response system, the attendees will vote for “treatment A” or
“treatment B.”• Two debaters will present their arguments.• After hearing the debate, the audience will re-vote on the treatment options.
Clinicopathologic Conference (CPC)• Unknown cases are presented to faculty members.• Using a test menu system, a faculty member works through the case step-by-step.
Clinical Pearls• Clinical “Pearls” are concise practical insights relevant to the practicing endocrinologist,
but not widely appreciated or represent changes to historical practice.• This session is case-based and fast-paced.• The faculty presents brief clinical cases illustrating important teaching points.• Attendees should leave each pearl session with a rich list of important clinical
pearls that are directly applicable to patient care
Panel Discussions• The moderator presents 2 – 4 cases based on the session theme to a subspecialist
panel. • The panel responds to questions from the moderator and audience regarding
management.• Teaching points are many with panelists providing clinical pearls related to the
theme.
Breakfast Roundtable Discussions• Each day, attendees will have the opportunity to informally discuss cases or issues
in the diagnosis or management of endocrine disorders.
Key Scientific Articles in Endocrinology 2012• At the conclusion of each themed session, Mayo Clinic faculty will introduce key
articles published in 2012 that have significant implications for clinical practice.
Setbacks in Endocrinology• Mayo Clinic faculty will share setbacks encountered in patient management and
the lessons that they learned.
DISCLAIMER
Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures that may be discussed or taught in this course.
General Information
TUESDAY, JANUARY 29, 2013
Noon – 6:00 p.m. Registration
6:00 – 7:00 p.m. Welcome Reception
WEDNESDAY, JANUARY 30, 2013
6:30 a.m. Registration, Continental Breakfast and Exhibits
7:30 a.m. Welcome and Opening Comments Kurt A. Kennel, MD & Melanie L. Richards, MD
Moderator: Victor Bernet, MD
7:45 a.m. Molecular Markers in the Evaluation of Thyroid Nodules Bryan McIver, MBChB, PhD
8:15 a.m. Advanced Thyroid Cancer: New Guidelines & Clinical Trials Robert C. Smallridge, MD
8:40 a.m. Thyroid Function Testing Course Faculty
9:05 a.m. Clinical Pearls: Preparing Patients for Endocrine Surgery Geoffrey B. Thompson, MD
9:40 a.m. Panel Question and Answer Session
10:00 a.m. Refreshment Break and Exhibits
Moderator: Vahab Fatourechi, MD
10:30 a.m. Case-based debate: Does this patient require central compartment lymph node dissection?
Case: Vahab Fatourechi, MD “Yes” – Geoffrey B. Thompson, MD “No” – Melanie L. Richards, MD
11:00 a.m. Molecular Markers in the Management of Thyroid Cancer Bryan McIver, MBChB, PhD
11:25 a.m. Key Clinical Articles in Thyroid 2012 Course Faculty
11:50 a.m. Panel Question and Answer Session
12:30 p.m. Adjourn for the day
1:00 – 5:15 p.m. Optional Workshops—pre-registration required Thyroid Ultrasound Workshop (Part 1) ABIM MOC Shared Learning Session
Program Schedule
THURSDAY, JANUARY 31, 2013
6:30 a.m. Registration, Continental Breakfast and Exhibits Breakfast Roundtable Discussions
• EndocrineSurgery Geoffrey B. Thompson, MD• Pituitary,Gonad,Adrenal William F. Young, Jr., MD• Thyroid Victor Bernet, MD• ThyroidCancer Robert C. Smallridge, MD• MolecularMarkersinThyroid Bryan McIver, MBChB, PhD• TransplantEndocrinology Pankaj Shah, MD• Osteoporosis Ann E. Kearns, MD, PhD
Symposium on AgingModerator: Steven A. Smith, MD
7:30 a.m. Case Presentation Steven A. Smith, MD
7:40 a.m. Growth Hormone and IGF-1 Axis in Aging Johannes D. Veldhuis, MD
8:00 a.m. Thyroid Disease in Aging John C. Morris, III, MD
8:20 a.m. Bone in Aging Sundeep Khosla, MD
8:40 a.m. Testosterone in Aging Todd B. Nippoldt, MD
9:00 a.m. Metabolic Disease in Aging Robert A. Rizza, MD
9:20 a.m. Panel Question and Answer Session
10:00 a.m. Refreshment Break and Exhibits
10:30 a.m. Small Group Discussions
•EndocrineDisordersinPatientss/pBariatricSurgery Manpreet S. Mundi, MD & Kurt A. Kennel, MD•ChallengingHypertriglyceridemiaCases Vinaya Simha, MD•CurrentRoleofInsulinSensitizersinClinicalPractice K. Sreekumaran Nair, MD, PhD •EndocrineCareofthePost-hipFracturePatient Ann E. Kearns, MD, PhD
Program Schedule
11:30 a.m. Small Group Discussions
•ManagementofPersistentCushing’sSyndrome William F. Young, Jr., MD•Pediatric&AdolescentEndocrineCases Larry A. Binkovitz, MD & Siobhan Pittock, MD•EndocrineCareofthePost-transplantPatient Pankaj Shah, MD•ThyroidDiseaseinPregnancy Robert C. Smallridge, MD
12:30 p.m. Adjourn for the day
1:00 – 5:15 p.m. Optional Workshop—pre-registration required Thyroid Ultrasound (Part 2)
FRIDAY, FEBRUARY 1, 2013
6:30 a.m. Registration, Continental Breakfast and Exhibits Breakfast Roundtable Discussions
•Bone Sundeep Khosla, MD•Pituitary Johannes D. Veldhuis, MD•Diabetes Robert A. Rizza, MD•BariatricSurgery Manpreet S. Mundi, MD•PediatricEndocrine Larry A. Binkovitz, MD & Siobhan Pittock, MD•ThyroidFunction John C. Morris, III, MD• InsulinResistance K. Sreekumaran Nair, MD, PhD
Moderator: Todd B. Nippoldt, MD
7:30 a.m. Case Snapper Kurt A. Kennel, MD
7:45 a.m. Endocrine Hypertension 2012 William F. Young, Jr., MD
8:10 a.m. Robotic and Minimally Invasive Endocrine Surgery Melanie L. Richards, MD
8:35 a.m. Evaluation of Hypercortisolism: Pitfalls and Pearls Alice Y. Chang, MD
9:00 a.m. CPC: Pituitary, Gonad, Adrenal Case Presented by: Todd B. Nippoldt, MD Discussed by: William F. Young, Jr., MD
Program Schedule
Program Schedule
9:30 a.m. Panel Question and Answer Session
10:00 a.m. Refreshment Break and Exhibits
10:30 a.m. Small Group Discussions (repeated from Thursday)
•ManagementofPersistentCushing’sSyndrome William F. Young, Jr., MD•PediatricEndocrineCases Larry A. Binkovitz, MD & Siobhan Pittock, MD•EndocrineCareofthePost-transplantPatient Pankaj Shah, MD•ThyroidDiseaseinPregnancy Robert C. Smallridge, MD
11:30 a.m. Small Group Discussions
•EndocrineDisordersinPatientss/pBariatricSurgery Manpreet S. Mundi, MD & Kurt A. Kennel, MD•ChallengingHypertriglyceridemiaCases Vinaya Simha, MD•CurrentRoleofInsulinSensitizersinClinicalPractice K. Sreekumaran Nair, MD, PhD •EndocrineCareofthePost-hipFracturePatient Ann E. Kearns, MD, PhD
12:30 p.m. Adjourn from small groups
12:45 p.m. Lunch with Lecture: Who is Your Endocrine Surgeon? David R. Farley, MD
1:15 p.m. Break
Moderator: Kurt A. Kennel, MD
1:30 p.m. Panel Discussion: Polycystic Ovary Syndrome Moderator: Kurt A. Kennel, MD Endocrine Perspective: Alice Y. Chang, MD Gynecology Perspective: Guest Faculty
2:15 p.m. Key Clinical Articles in Pituitary, Gonad & Adrenal 2012 Course Faculty
2:30 p.m. Clinical Pearls: Hypercalcemia Robert A. Wermers, MD
3:10 p.m. Panel Question and Answer Session
3:30 p.m. Refreshment Break and Exhibits
Moderator: Ann E. Kearns, MD, PhD
4:00 p.m. Emerging Therapies for Osteoporosis Sundeep Khosla, MD
Program Schedule
4:25 p.m. CPC: Bone Case: Michael D. Whitaker, MD Discussant: Robert A. Wermers, MD
4:55 p.m. All That is “Thin” is Not Osteoporosis Michael D. Whitaker, MD
5:20 p.m. Key Clinical Articles in Bone & Calcium 2012 Course Faculty
5:35 p.m. Panel Question and Answer Session
6:00 p.m. Adjourn for the day
7:00 p.m. Course Gala Dinner
SATURDAY, FEBRUARY 2, 2013
6:30 a.m. Continental Breakfast and Exhibits Breakfast Roundtable Discussions
• EndocrineSurgery Melanie L. Richards, MD• Pituitary,Gonad,Adrenal Alice Y. Chang, MD• Dyslipidemia Vinaya Simha, MD• Hypercalcemia Robert A. Wermers, MD• Osteoporosis Michael D. Whitaker, MD• Diabetes Steven A. Smith, MD• InpatientHyperglycemia Ananda Basu, MBBS, MD
Moderator: Maria L. Collazo-Clavell, MD
7:30 a.m. Case Snapper Maria L. Collazo-Clavell, MD
7:45 a.m. Pathogenesis of Diabetes and Pre-diabetes: Implications for Therapy Robert A. Rizza, MD
8:10 a.m. Inpatient Hyperglycemia: Where to Next? Ananda Basu, MBBS, MD
8:35 a.m. Case-Based Debate: Should this Patient with Type 2 Diabetes be Treated with CSII or MDI?
Case: Pankaj Shah, MD “CSII” – Ananda Basu, MBBS, MD “MDI” – Steven A. Smith, MD
Program Schedule
9:05 a.m. The Psychology of Diabetes Steven A. Smith, MD
9:30 a.m. Panel Question and Answer Session
10:00 a.m. Refreshment Break and Exhibits
Moderator: Kurt A. Kennel, MD
10:30 a.m. Optimal Use of U-500 Insulin Vinaya Simha, MD
10:55 a.m. Key Clinical Articles in Metabolic Disease 2012 Course Faculty
11:20 a.m. Setbacks in Endocrinology Course Faculty
11:40 a.m. Panel Question and Answer Session
12:00 p.m. Learning Assessment & Course Evaluation
12:30 p.m. Adjourn
Additional Learning Opportunities
Second Life Virtual Live Attendance
Fee: $250 for physicians. $175 for retirees, trainees, and NP/PAs.Laptop or desktop computer with high speed internet connection required
If you’re unable to attend the onsite symposium, you can participate virtually through Second Life! Second Life is an on-line virtual world where people are represented by characters (avatars) that interact with each other and the environment of the virtual world. This symposium is being offered in Second Life and will feature the same leading experts in the field, who will be presenting at the onsite symposium in real time. Participants will have access to presentation slides and live audio including interactive chat for question and answer through session moderators. General sessions and small group discussions being held in the main auditorium will be available in this format. Participants completing the entire workshop may claim 22 hours of AMA PRA Category 1 Credits™.
To register online, visit http://www.mayo.edu/cme/endocrinology and select the virtual course registration option. Those attending with this option will receive additional instruction and support prior to the course to assure your computer is set-up for an optimal experience.
Optional Workshop: ABIM MOC Live Learning Session
1:00 – 5:15 p.m., Wednesday, January 30Fee: $125 includes boxed lunch and refreshment breaks
In this optional session, experts representing each subspeciality area of endocrinology and metabolism will facilitate a discussion of the 30 questions that comprise the ABIM Self-Evaluation of Medical Knowledge Module 2012 Update in Endocrinology (A3-M). Registrants will be given instructions on how to register with ABIM to enroll in ABIM’s Maintenance of Certification (MOC) program and purchase the 2012 Update in Endocrinology module for completion onsite or after the course. The 2012 Update in Endocrinology counts as 10 points toward the Self-Evaluation of Medical Knowledge component of ABIM Maintenance of Certification (MOC) and is available for use toward MOC through May 8, 2015. Participants completing the entire workshop may claim 4 hours of AMA PRA Category 1 Credits™.
Optional Workshop: Thyroid Ultrasound
1:00 – 5:15 p.m., Wednesday, January 30 (Part 1)1:00 – 5:15 p.m., Thursday, January 31 (Part 2)
Fee: $250 includes boxed lunch and refreshment breaks both daysPre-registration required. Enrollment is limited to 48 participants.
Designed for endocrinologists, this introductory workshop will include normal thyroid and head and neck anatomy; examination of thyroid nodules, abnormal parathyroid glands, and lymph nodes; and offer a practicum with hands on use of ultrasound equipment and ultrasound-guided biopsy. Attendees with a range of thyroid ultrasound experience from those needing an introduction to others interested in reviewing current technologies and techniques are welcome Faculty to participant ratio will be kept at 8:1 or less. Participants completing the entire workshop may claim 7 hours of AMA PRA Category 1 Credits™.
Course Faculty
Course Directors
Maria L. Collazo-Clavell, MDKurt A. Kennel, MDMelanie L. Richards, MD
Course Planning Committee
Diana S. Dean, MDVahab Fatourechi, MDAnn E. Kearns, MD, PhDTodd B. Nippoldt, MDSteven A. Smith, MD
Course FacultyMayo Clinic Rochester
Ananda Basu, MBBS, MDLarry A. Binkovitz, MDAlice Y. Chang, MDMaria L. Collazo-Clavell, MDDiana S. Dean, MDDavid R. Farley, MDVahab Fatourechi, MDAnn E. Kearns, MD, PhDKurt A. Kennel, MDSundeep Khosla, MD
Bryan McIver, MBChB, PhDJohn C. Morris, III, MDManpreet S. Mundi, MDK. Sreekumaran Nair, MD, PhDTodd B. Nippoldt, MDSiobhan Pittock, MDMelanie L. Richards, MDRobert A. Rizza, MDPankaj Shah, MDVinaya Simha, MDSteven A. Smith, MDGeoffrey B. Thompson, MDJohannes D. Veldhuis, MDRobert A. Wermers, MDWilliam F. Young, Jr., MD
Course FacultyMayoClinicArizona
Michael D. Whitaker, MD
Course FacultyMayo Clinic Florida
Victor Bernet, MDRobert C. Smallridge, MD
Faculty Disclosure
As a provider accredited by ACCME, the Mayo Clinic Division of Endocrinology, Diabetes, Metabolism, and Nutrition must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course directors, planning committee, faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of this relevant information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.
Disclaimer
Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures that may be discussed or taught in this course.
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