AAHS ASPN ASRM 2017 Annual Meeting Lectures Now Available on PSEN







Couldn’t make it to Hawaii?  We’ve got you covered!  PSEN recorded dozens of lectures and panels from the AAHS, ASPN and ASRM Annual Meetings in January,  so now you can view the meeting at your own leisure.

If you did attend the meetings, even better, start reviewing what you saw and watch any sessions you missed.  And if you attended as an ASRM registrant, you already have been given free access to the entire ASRM package as part of your registration fee.  Check the My Courses area on PSEN to start watching now!

If you only attended the AAHS/ASPN portion, or weren’t able to attend the meetings at all, you can now purchase access to the lecture recordings.

For the past five years, PSEN has been recording the bulk of the panels and lectures at the AAHS, ASPN and ASRM annual meetings. We also have maintained a demo and information booth in the meeting exhibit hall.  To view recordings from previous AAHS, ASPN and ASRM meetings, please visit PSEN’s Free Lecture Library.


Stop by and Say Hi- We’re at AAHS ASPN ASRM 2017 Annual Meetings

Hawaiian boothRawWe’re hanging out in Hawaii, catching some sun and recording the meetings’ lectures.  You’re here too?  Swing by booth #58 (previously 49) and talk to us about pre-ordering the lecture packages at a 50% attendee price!  Three packages to choose from:

AAHS/ASPN- with more than 25 topics being covered.
ASRM- with more than 35 topics being covered.
And for those that want it all, pick up The Complete Recording Package that will include over 60 hours of panels and lectures.

These packages also include all Joint Session Panels.

Weren’t able to make it to the Annual Meetings?  Not to worry, we’ve got you covered.  After we get back home and have these sessions published, you’ll be able to purchase the packages and catch up on all that you missed.

Attending as an ASRM Registrant?  PSEN and ASRM have worked out an agreement that is has included the ASRM Recording Package into your registration!  If you would also like to receive the AAHS/ASPN Package, come by and pick it up now, before the rate increases.

Canada’s Legalization of Medical Assistance in Dying

A Message From…
Raman Mahabir, MDRMahabir
PSEN Co-Editor

Dear Colleagues,

In late June, the Canadian Senate passed a bill (Bill C-14) on medical assistance in dying (MAID).  The new legislation on MAID will become part of the Criminal Code, which is made by the federal government.  It states that medical assistance in dying is not a criminal offence when it is provided according to the conditions and safeguards in the law.  Provinces and territories (similar to state level) must follow this new criminal law. However, they can create their own health-related laws or additional rules, so long as they are consistent with what is in the criminal law.

The intent of this national framework is to provide consistency and clarity around MAID eligibility and who can administer this procedure. This is an extremely personal and complex issue.  As such, legislation does not force any person to provide or help to provide medical assistance in dying.  No provider will be forced to practice MAID if it goes against his or her moral compass.  Medical assistance in dying is only one aspect of end of life care.  There is also a need for palliative care services to be accessible to all Canadians so MAID isn’t the only choice for patients.

Physicians in Canada belong to the Royal College of Physicians and Surgeons (Canada).  That organization (and I am proud to say I am a member) has as its vision: “The best health for all, the best care for all.”  The Royal College has started a national education campaign on this topic, including bio-ethics and workshops for residents, and will also continue to work with its partners to determine how best to prepare doctors for the implementation of MAID.  They also plan to consult and collaborate with national specialty committees, national specialty societies, national and provincial regulatory authorities, the Canadian Medical Association, the College of Family Physicians of Canada (CFPC), medical schools and other organizations to respond to ongoing legislative developments.

This is a significant development in the practice of medicine.  My hope is that we can begin to have discussions around this important topic on this side of the border, as well.



Free CME Course on ALCL now available on PSEN

PSEN ALCL CourseThis month, PSEN published a new free CME course by Mark Clemens, MD, covering The Essentials of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL).

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a distinct clinical entity that can present in patients receiving either reconstructive or cosmetic breast implants. This is a CME course meant to provide an overview of recent peer-reviewed manuscripts and the essential principles of the disease while trying not to provide a single practitioner viewpoint. The three-part lecture includes government authority guidelines, a review of diagnosis and etiology theories, and treatment outcomes. Pathological diagnosis, staging, and surgical treatment is detailed. Pertinent aspects of informed consent and society recommendations for reporting of confirmed cases are included.

Dr. Clemens is on the Plastic Surgery faculty of MD Anderson Cancer Center, University of Texas in Houston and has lectured internationally and written more than 50 peer-reviewed articles and 30 book chapters.  He leads a multidisciplinary research team and tissue repository focused on the study of breast implant-associated anaplastic large-cell lymphoma (BI-ALCL).  Dr. Clemens serves as an American Society of Plastic Surgeons (ASPS) society liaison to the US Food and Drug Administration, and chairs a subcommittee for ASPS overseeing national research and education efforts for BI-ALCL.

PSEN Co-Editor Raman Mahabir, MD, notes “This is such an important issue for all plastic surgeons.  There is new information all the time and Mark has really put it all together in one cohesive, comprehensive package.”

The Learning Objectives for the course state that upon completion, surgeons should be able to:

  1. Identify diagnostic tools for the identification of suspected breast implant-associated ALCL.
  2. Explain disease course and oncologic progression of breast implant ALCL.
  3. Describe current first line and second line treatment modalities and reported outcomes.
  4. Describe current FDA recommendations regarding breast-implant associated ALCL.

Patricia McGuire, MD, an ASPS member practicing in St. Louis, took the course upon release and noted, “I just took the PSEN ALCL course that you did. It was fantastic. Very clearly presented and extremely informative. All plastic surgeons should be required to take it.”

To review the ALCL course, visit the Online Courses area of PSEN.

The United States is Facing an Opioid Epidemic

A Message From…
Raman Mahabir, MDRMahabir
PSEN Co-Editor

The Centers for Disease Control and Prevention data shows that the drug overdose death rate from opioids increased by 200% between the years 2000 and 2014.

I started medical school in 2000, just as pain was becoming the fifth vital sign and pain management became a focus of care.  Sixteen years later, reimbursement is now directly tied to pain management through HCAHPS questions and CMS rules.  The question “during your hospital stay, how often was your pain well controlled?” and answers “never, sometimes, usually or always” seem straight forward.  However, CMS only counts this as binary answer, always or not, and you only get credit for always.  This can clearly lead physicians feeling an increased pressure to treat pain and prescribe opioids.  Even for those Plastic Surgeons in private practice, this can be an issue with patient satisfaction surveys and online reviews.

There may not be any easy answers, but it does not mean we shouldn’t start to look for solutions.