Meeting of the UCSF Naffziger Surgical Society (2015)

Annual Meeting

Friday, March 6, 2015  – 7:30 AM – 5:00 PM
Marines’ Memorial Club & Hotel
609 Sutter Street
San Francisco, CA 94102
Phone: 415-673-6672

Business Lunch
12:00pm – 1:30pm
Marines Memorial Hotel
Crystal Lounge – 11th Floor


Friday March 6, 2015 – 6:30 PM
One Market Restaurant
1 Market St.
San Francisco, CA 94105

This year’s program, co-hosted by the UCSF Department of Surgery and the Naffziger Society, will focus on the field of Breast and Endocrine Surgery. The clinically-oriented course brings the practicing surgeon up-to-date on the latest developments in the field with an intensive overview of problems encountered in daily practice.  The sessions will focus on common surgical diseases and techniques, with a focus on the avoidance of surgical complications, breast diseases and endocrine surgery.

View Full Brochure (PDF)

Registration for Course

There is no charge for attending the Postgraduate Course itself. Attendance is complementary. However, if CME credit is required, there is a $35.00 charge.

Note online registration is not available for Naffziger members. Instead, please register either by calling the CME office at 415-475-5808 or registering at the conference with Courtney Flookes, the Post-Graduate course coordinator.

Cost for Business Lunch and Naffziger Dinner

For your convenience, you may now pay for these events online by clicking the PayPal Pay for Events button on our website.  The cost for the lunch on March 6th is $50.00 and $100.00 for the dinner that evening for a total of $150.00. If you elect to bring a spouse or guest to the dinner, please add an additional $100.00. PayPal will give you the option at checkout to attach a note indicating which events you are paying for and whether you will be bringing a guest. Click here if you would like to pay for these events using PayPal. You may also mail us a check at the address listed below.


duhQuan-Yang Duh, MD
Professor of Surgery
Division of General Surgery
Chief, Section of Endocrine Surgery


essermanLaura J. Esserman, MD, MBA
Professor of Surgery and Radiology;
Division of General Surgery;
Chief, Section of Breast Care Surgery; Director, UCSF
Carol Franc Buck Breast Care Center

Friday, March 6, is designated as our Naffziger Day from 7:30 AM – 5:00 PM Members are welcome to attend ANY of the PG Course lectures free of charge.

Naffiziger Keynote

12-07-01-GerardDoherty-12-681x1024The Naffiziger Keynote Lecture will be given by Gerard M. Doherty, MD,  James Utley Professor of Surgery, Chair of the Department of Surgery at Boston University School of Medicine and Surgeon-in-Chief at Boston Medical Center. Dr. Doherty is an accomplished surgical investigator with two decades of experience in academic administration and research. His clinical focus is endocrine oncology and comprises surgical diseases of the thyroid, parathyroid, endocrine pancreas and adrenal glands, as well as the surgical management of multiple endocrine neoplasia.

Read full biography


7:30 am Registration and Continental Breakfast

8:00 Welcome and Introduction
Quan-Yang Duh, MD
Laura J. Esserman, MD, MBA


8:10 Surgical Management of Differentiated Thyroid Cancer: Update on 2015 ATA Guidelines
Gerard M. Doherty, MD

8:25 Surgical Management for Medullary Cancer Jessica E. Gosnell, MD 8:40 Unusual Approaches to Thyroidectomy
Insoo Suh, MD

8:55 Primary Hyperparathyroidism: Extent of Operation and How to Avoid Persistent Disease
Wen T. Shen, MD

9:10 Panel Discussion & Questions


9:40 Adrenal Incidentaloma: Work Up and Management
Quan-Yang Duh, MD

9:55 Treatment of GI and Pancreatic Neuroendocrine Tumors
Eric Nakakura, MD, PhD

10:10 Intraoperative Nerve Monitoring and Perioperative Laryngoscopy: Are they Mandatory for Thyroid and Parathyroid Surgery?
Gerard M. Doherty, MD

10:25 Robot Assisted Thyroidectomy an Adrenalectomy
Nancy D. Perrier, MD

10:40 Panel Discussion & Questions

11:10 Break


Gerard M. Doherty, MD

12:25 pm Lunch Information for Naffizger Information Will Be Posted Shortly


1:30 How to Use Molecular Diagnostic Tests in Endocrine Diseases
Quan-Yang Duh, MD

1:45 How to Use Molecular Diagnostic Tests in Breast Diseases
Laura van’t Veer, PhD

2:00 Advances in Localizing Nodes and Tumors and Who Should Do It? Breast
Bonnie Joe, MD

2:15 Advances in Localizing Nodes and Tumors and Who Should Do It? Endocrine
Wen T. Shen, MD

2:30 Are We Ready to Predict Who Will Get What Kind of Cancer? Breast
Laura J. Esserman, MD

2:45 Are We Ready to Predict Who Will Get What Kind of Cancer? Endocrine
Jessica E. Gosnell, MD

3:00 Panel Discussion & Questions

3:30 Break

3:45 Case Presentations: Endocrine Surgery
Orlo Clark, MD, Moderator
Gerard M. Doherty, MD / Quan-Yang Duh, MD / Jessica E. Gosnell, MD / Wen T. Shen, MD / Nancy D. Perrier, MD / Insoo Suh, MD

4:30 Case Presentations: Breast Surgery
Cheryl Ewing, MD, Moderator
Barbara Fowble, MD / Jo Chien, MD / Alastair M. Thompson, MD Gregor Krings, MD / Michael Alvarado, MD

5:00 pm Adjourn


8:00 am Breakfast


8:15 Keynote Presentation:
Missing Microbes: Why We Should Think Differently About Using Antibiotics
Martin Blaser, MD

JOINT SESSION II • Is it Time to Personalize Perioperative Antibiotics?

9:15 Antibiotics in the Setting of Drains and Implants
Robert Foster, MD

9:20 Prolonged Antibiotics are Not Needed with Drains and Devices
Jonathan Carter, MD

9:25 Drains and Antibiotics are Rarely Used in Endocrine Surgery
Insoo Suh, MD

9:30 Practice of Using Preoperative Antibiotics in Other Countries
Alastair M. Thompson, MD

9:35 Why We Should Rethink The Practice of Preoperative Antibiotics?
Martin J. Blaser, MD

9:40 Panel Discussion & Questions
Laura J. Esserman, MD, MBA, Moderator

10:00 Break


10:15 Management of Atypical Lesions, New Studies for DCIS
Laura J. Esserman, MD, MBA

10:30 Management of the Postmenopausal Woman with a T1 Endocrine Positive Tumor: What arethe Options and Tradeoffs?
Michael Alvarado, MD

10:45 The Rise in the Rates of Bilateral Mastectomy: Can We Personalize this Decision?
Carlie Thompson, MD

11:00 When Should an MRI be Ordered?
Jasmine Wong, MD

11:15 Panel Discussion & Questions
Alastair M. Thompson, MD, Moderator

11:45 Lunch On Own


1:00 pm Reconstructive Techniques: What Should the Breast Surgeon Know About Reconstruction?
Hani Sbitany, MD

1:15 Outcomes with Total Skin Sparing Mastectomy
Anne Peled, MD

1:30 How Does Neoadjuvant Therapy Change the Management of the Axilla?
Alastair M. Thompson, MD

1:45 I-SPY 2 Trial: Changing the Options for High-Risk Women
Anne M. Wallace, MD

2:00 Post-Operative Pain: New Tricks That Make a Difference
Mikki Seagren, DO

2:10 Panel Discussion & Questions
Anne M. Wallace, MD, Moderator

2:30 Break

JOINT SESSION III • Overdiagnosis & Overtreatment

2:45 The Case For Overdiagnosis and Overtreatment in Breast Cancer
Laura J. Esserman, MD, MBA

2:55 The Case Against Over Diagnosis, but For Overtreatment in Breast Cancer
Edward Sickles, MD

3:05 Overdiagnosis and Overtreatment of Endocrine Surgical Diseases
Wen T. Shen, MD

3:15 Underdiagnosis and Undertreatment of Endocrine Surgical Diseases
Gerard M. Doherty, MD

3:25 Panel Discussion & Questions
Michael Alvarado, MD, Moderator

Joint Training: Who Does What?

3:45 Training and Practice of Breast Surgery: International Variation
Alastair M. Thompson, MD

4:00 The Different Ways People are Trained in Endocrine Surgery
Nancy D. Perrier, MD

Joint Training: Is it Time for Change in the US?

4:15 The Case for Combining Breast and Plastics
Anne M. Wallace, MD

4:25 The Case for Joint Training in Endocrine Surgery and Surgical Oncology
Nancy D. Perrier, MD

4:35 pm Panel Discussion & Questions
Laura J. Esserman, MD, MBA, Moderator
Nancy L. Ascher, MD, PhD / William Hoffman, MD / Alastair M. Thompson, MD / Anne M. Wallace, MD / Nancy D. Perrier, MD

5:15 pm Adjourn


Martin J Blaser, MD
Muriel and George Singer Professor of Medicine Professor of Microbiology Director,
Human Microbiome Program New York University Langone Medical Center

Gerard M. Doherty, MD
Utley Professor and Chair of Surgery, Department of Surgery; Professor of Medicine,
Boston University School of Medicine, Boston MA

Nancy D. Perrier, MD
Professor of Surgical Oncology, Division of Surgery; Chief-Section of Surgical Endocrinology,
Associate Medical Director, Fellowship Program Director,
Department of Surgical Oncology, Endocrine Center;
The University of Texas MD Anderson Cancer Center Houston, TX

Alastair M. Thompson, BSc(BSc (Hons), MB ChB, MD, FRCSEd
Professor, Department of Surgical Oncology, Division of Surgery,
The University of Texas MD Anderson Cancer Center,
Houston, TX

Anne M. Wallace, MD
Director, UCSD Comprehensive Breast Health Center; Professor of Surgery,
Surgical Oncology and Plastic Surgery 


Michael Alvarado, MD
Associate Professor of Surgery, Division of General Surgery; Director,
Breast Surgery Oncology Fellowship

Nancy L. Ascher, MD, PhD
Professor and Chair, Department of Surgery Division of Transplant Surgery;
Leon Goldman, MD Distinguished Professor in Surgery

Jonathan Carter, MD
Associate Professor of Surgery; Division of General Surgery Bariatric Surgery,
Gastrointestinal Surgery
& Surgical Hospitalist Programs

A. Jo Chien, MD
Assistant Clinical Professor, Department of Medicine

Orlo H. Clark, MD
Professor Emeritus of Surgery; Division of General Surgery

Cheryl A. Ewing, MD
Clinical Professor of Surgery; Division of General Surgery

Robert Foster, MD
Professor of Surgery Division of Plastic and Reconstructive Surgery

Barbara L. Fowble, MD, FACR, FASTRO
Professor of Medicine, Department of Radiation Oncology

Jessica Gosnell, MD
Assistant Professor of Surgery; Division of General Surgery

William Y. Hoffman, MD
Professor of Surgery Chief, Division of Plastic and Reconstructive Surgery; Vice-Chair,
Department of Surgery

Bonnie Joe, MD
Associate Professor of Radiology

Gregor Krings, MD, PhD
Associate Professor of Clinical Pathology

Eric Nakakura, MD, PhD
Associate Professor of Surgery; Division of General Surgery

Anne Peled, MD
Fellow, Department of Surgery

Hani Sbitany, MD
Assistant Professor of Surgery; Division of Plastic and Reconstructive Surgery;
Diplomate, American Board of Plastic Surgery

Mikki Seagren, DO
Clinical Instructor of Surgery

Edward Sickles, MD
Professor of Radiology

Wen T Shen, MD, MA
Associate Professor of Clinical Surgery Division of General Surgery

Insoo Suh, MD
Assistant Professor of Surgery; Division of General Surgery, Attending,
Endocrine & General Surgery San Francisco
VA Medical Center

Carlie Thompson, MD
Postdoctoral Scholar

Laura van’t Veer, PhD
Professor, Dept of Laboratory Medicine, Helen Diller Family Comprehensive Cancer Center

Jasmine M Wong, MD
Assistant Professor of Clinical Surgery Division Surgery

Travel & Lodging

Marines’ Memorial Club & Hotel
Address: 609 Sutter Street, San Francisco, CA 94102

Phone number: 415-673-6672
Reservations: 800-562-7463

Hotel Rates*:
$219 Standard / $239 Deluxe
*Rate includes full american breakfast each morning and 2-hour hosted cocktail reception each evening

48-hour cancellation policy

Cutoff Date: 2/13/15


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