Program Details

Moderator: K. V. Narayanan Menon, MD (Cleveland Clinic)

The 2018 topics include: 

Debate Case # 1 (Cleveland Clinic-PRO vs. MetroHealth Medical Center-CON)- 
A 24 year-old female presents for evaluation of hepatitis C. She has a long history of IV drug use and continues to intermittently use heroin. She is not interested in a drug rehab program or stopping her occasional narcotic use. However, she is very interested in hepatitis C therapy. She has come to all of her prior appointments and gets all testing as requested by her providers. She also takes all medications as previously prescribed by her providers.
Assuming you practice in a state which does not have minimum fibrosis requirements for hepatitis C therapy, and her insurance company is willing to cover treatment, would you treat such a patient?

PRO: Yes, we would treat this PWID (person who injects drugs) HCV patient now.
CON: No, we would not treat this PWID patient for her HCV now.

Debate Case # 2 (University Hospitals-PRO vs. UPMC-CON)
A 57 year-old male with alcoholic cirrhosis is actively listed for liver transplant. He is in the O blood group with a sodium-MELD score of 25. His complications have included ascites, jaundice, hepatic encephalopathy, and variceal bleeding. On exam, he has significant ascites and is starting to show some increased sarcopenia and muscle wasting. Despite evidence of clinically worsening, the patient’s MELD score remains about 25 over the next 3 months. Getting good offers in the O blood group in his region usually requires a MELD score of about 32-33. A good liver offer becomes available from a hepatitis C positive (HCV antibody + and HCV-RNA +) donor. Would you accept this offer for this patient?

PRO: Yes, we would transplant a hepatitis C positive liver into this hepatitis C negative recipient.
CON: No, we would not transplant a hepatitis C positive liver into this hepatitis C negative recipient.

Agenda:
6:00pm Registration Opens/Cocktail Hour
6:45pm Welcome from Moderator/Dinner Service Begins
7:00pm Start
First Debate
1. 7 minute presentation by the PRO primary fellow with slides allowed
2. 7 minute presentation by the CON primary fellow with slides allowed
3. 2 minutes for each team to discuss amongst themselves and their mentor
4. 3 minute rebuttal by the PRO rebuttal fellow, no slides allowed
5. 3 minute rebuttal by the CON rebuttal fellow, no slides allowed
6. 5 minute Q and A from audience and judges
Second Debate
1. 7 minute presentation by the PRO primary fellow with slides allowed
2. 7 minute presentation by the CON primary fellow with slides allowed
3. 2 minutes for each team to discuss amongst themselves and their mentor
4. 3 minute rebuttal by the PRO rebuttal fellow, no slides allowed
5. 3 minute rebuttal by the CON rebuttal fellow, no slides allowed
6. 5 minute Q and A from audience and judges
8:00pm Judges’ Deliberation
8:15pm Winners Announced/Program Concludes

Location: Intercontinental Cleveland
9801 Carnegie Ave, Cleveland, OH 44106
Date: December 12, 2018
Time: Registration and exhibiting hour start at 6:00 pm
Keynote Speaker – 7:00 pm
Academic Debates – 7:45 pm

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