The Pennsylvania Association of Pathologists (“PAP”) wishes to place on its website, www.papathology.org, (“the website”) professional medical educational material provided inte the 2017 Educational Program of the 2017 PAP Annual Scientific Meeting. My Presentation will be made available to PAP members and meeting attendees in satisfaction of their CME requirements and/or for general educational professional purposes. PAP is taking that action for primarily educational purposes and, in particular, to promote broader understanding among pathologists of the subject matter of the Presentation. The Presentation will remain on the website for as long as three years but PAP may remove the Presentation from the website at any earlier time in its sole discretion.
I understand that I will receive no compensation from PAP for any use of the Presentation or an Altered Presentation (as defined in the following paragraph). I agree that allowing PAP to post the Presentation or Altered Presentation provides professional benefits to me. For good and valuable consideration and intending to be legally bound, I enter into this Agreement.
By signing below. I hereby authorize the usage of the Presentation described herein and agrees that PAP’s usage shall not be a violation of my ownership interests, including any copyright I hold, in the Presentation. I further grant permission for PAP and any person or entity authorized by it: (i) to edit or alter the Presentation (any such edited or altered Presentation is referred to in this Agreement as an “Altered Presentation”), so long as doing so does not adversely or substantially affect the professional content; (ii) to distribute, broadcast, publish and/or transmit all or any portion of the Presentation or an Altered Presentation on its website for the purposes described above; and (iii) to use his/her name, likeness and biographical material in connection with any of the foregoing, all to the extent and in such fashion as they deem necessary or desirable to accomplish the purposes described in the first paragraph of this Agreement.
I represent that I am the owner of the copyright (solely or jointly) and has the right to permit use of the work by PAP. I further represent that to the extent that the Presentation uses any third party material in a manner that requires agreement from such third party holder to that use, I have obtained such agreement.
I hereby releases PAP, it’s individual members, and those members' home institutions from any claims or liability regarding any use that may be made of the Presentation or an Altered Presentation that is authorized by this Agreement.
I have read, understand, and accept the conditions of this agreement.
I hereby give the Pennsylvania Association of Pathologists (PAP) the right and permission to copyright and/or use, publish, and reuse and republish photographic pictures or portraits made of me, with or without my name, in connection with the above-identified subject, through any media and for whatever lawful purpose the company chooses in perpetuity.
I hereby release, discharge and agree to save harmless the PAP, their representatives, employees, or any person or persons, corporations, acting under the permission of the company, including any firm publishing or distributing the finished product, even though the finished product may be blurred, altered, distorted or used in composite form, either intentionally or otherwise.
I hereby waive any right to approve the finished photograph or any copy that might be used in conjunction with the finished photograph.
I hereby warrant that I am over 21 years of age, and am competent to contract in my own name, insofar as the above is concerned.
I have read the foregoing release, authorization and agreement before affixing my signature below, and warrant that I fully understand the contents thereof:
PAP Member Speaker Travel Policy:
Hotel –PAP will arrange for a standard hotel room for one night at the selected gourp room block for the meeting. Speaker is responsible for all room charges (no reimbursement for overnight rooms).
Best Western Premier
800 East Park Drive, Harrisburg, PA 17111
Transportation to Meeting – Speaker is responsible for arrangement and payment for all transportation to and from the meeting. This includes any parking fees.
Meals – Speakers are invited to participate in all planned meals provided by PAP at the meeting. PAP will not provide reimbursement for any additional meal expenses incured during travel to and from the meeting.
Exceptions to this policy will be made on a case-by-case basis.
I have read, understand and accept the conditions of this Speaker Agreement.
Non-Member Travel Policy:
PAP will issue a check to cover the above expenses once a reimbursement form is submitted after the meeting. Travel reimbursement forms will be included in your registration packet upon arrival at the meeting. This policy is also applicable to all activities in which PAP is a joint sponsor or co-sponsor.
I have read, understand and accept the conditions of this Travel Agreement.
As part of the planning phase for this activity, the Program Planning Committee formulated the following outcomes (i.e. desired physician changes) for the session referenced above:
The Pennsylvania Medical Society (PAMED) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to award Category 1 credit for physician education. The Medical Society expects faculty participating in the Category 1 activities which are either directly or jointly-provided activities to adhere to the following guidelines:
ACCME Standards for Commercial Support
The Commercial Support Standards require that your presentation be free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. When discussing therapeutic options, it is our preference that you use only generic names. If it is necessary to use a trade name, then those of several companies must be used. Further, should your presentation include discussion of any unlabeled or investigational use of a commercial product, we ask that you disclose this to the participants. Should you determine that you cannot comply with these requirements or any of the provisions of the Commercial Support Standards, please call PAMED’s Office of CME at (800) 228-7823 as soon as possible.
As an accredited CME sponsor, PAMED requires that all speakers comply with the ACCME Standards for Commercial Support of CME. The ACCME’s Standards for Commercial Support require that anyone in the position to control the content of a Category 1 activity disclose all relevant financial relationships with commercial interests within the past 12 months in order to assess if there is any potential conflict of interest. As a faculty member, you are required to disclose any significant financial interest or relationship that you may have with any commercial company or the manufacturer(s) of any commercial product/service. PAMED has a standard disclosure form which you will be asked to complete and return to our office. Any individual that refuses to disclose relevant financial relationships cannot be included in the Category 1 CME activity. If PAMED determines that a potential conflict of interest exists, we are required to resolve that conflict prior to the activity. A variety of methods may be utilized to accomplish resolution of a conflict of interest, such as an independent content review. If you are identified as having a potential conflict of interest, we will contact you to discuss the course of action which will be taken.
CME Presentation Guidelines
Activities accredited for CME by the Pennsylvania Medical Society may not promote recommendations, treatment, or manners of practicing medicine that are not within the definition of CME and are known to have risks or dangers that outweigh the benefits or are known to be ineffective in the treatment of patients and as such must follow the ACCME guidelines listed below:
I have read and understand PAMED’s Faculty Information. I agree to adhere to the guidelines and the ACCME’s Standards for Commercial Support for any Category 1 continuing medical education activity in which I participate as faculty.
SAM Credit - Question Requirements
Each speaker is required to submit 2 Question/Answers (with references and explanations for each) per half hour of content in a word document with images separately attached (titling each picture with the question number).
(CAP Update and Town Hall Meeting sessions are not eligible for SAM Credits; no questions are required)
Guidelines for developing test questions
Sample test questions:
Correct answer: C
Explanation: Barrett esophagus can be diagnosed if an endoscopic abnormality is seen (columnar-lined esophagus) and intestinal metaplastic columnar epithelium with goblet cells are identified in a biopsy taken from the area of endoscopic abnormality. Although cardiac and fundic- type metaplasia are frequently seen in patients with Barrett esophagus, it is not sufficient to render this diagnosis, as goblet cells are necessary. Although an Alcian blue stain will confirm the presence of acid mucin in goblet cells, this stain is not required for their identification.
Reference: Hirota WK, Loughney TM, Lazis DJ, et al. Specialized intestinal metaplasia, dysplasia and cancer of the esophagus and esophagogastric junction: prevalence and clinical data. Gastroenterology 1999; 116:277.
Correct answer: D
Explanation: This biopsy shows invasion of individual cells into the lamina propria, consistent with intramucosal adenocarcinoma. Barrett esophagus is a serious complication of gastrointestinal reflux disease. Approximately 1% of patients with long-standing Barrett esophagus will develop adenocarcinoma. Because there are lymphatic channels in the esophageal mucosa, this lesion can metastasize to lymph nodes. Given this fact, definitive therapy (either endoscopic mucosal resection or esophagectomy with or without ablation therapy) is required.
Reference: Sabik JF, Rice TW, Goldblum JR, et al. Superficial esophageal carcinoma. Ann Thorac Surg 1995: 60:896.
Correct answer: E
Explanation: The right colon has histologic differences from the left colon. In particular, there is a progressive decrease in the lamina propria cellularity as well as a progressive decrease in the number of surface epithelial lymphocytes as one moves from the cecum to the rectum. There can be up to 10 lymphocytes per 100 epithelial cells or even more present in the right colon. The rectum also has far more goblet cells than other parts of the colon. Paneth cells can be present in the right colon but are not a normal component of the colon distal to the right colon.
Reference: Lazenby AJ. Collagenous and lymphocytic colitis. Semin Diagn Pathol 2005; 22:295.
Correct answer: B
Explanation: Ulcerative colitis is characterized by marked increase in inflammatory cells in the lamina propria, basal plasmacytosis, Paneth cell metaplasia, and marked crypt architectural distortion. Granulomas, pyloric gland metaplasia, aphthous and linear ulcers, and transmural inflammation are far more characteristic of Crohn’s disease.
Reference: Surawicz CM, Haggitt RC, Husseman M, et al. Mucosal biopsy diagnosis of colitis: acute self-limited colitis and idiopathic inflammatory bowel disease. Gastroenterology 1994; 107:755.