Pre-work – On-Demand Content Available on the Whova App from December 12. To Access The Pre-Work You Must Be Registered For the Course

• Operating on Yourself: Surgeon Health and Ergonomics
• Using AAP’s Effectively
• Really?!: Worst Denials Panel
• Reducing Denials: Mitigating Strategies for Worst Denials
• Expansion: Setting Up for Success
• Rapid-Fire Cases: When Your Patient Already Has the AI Answers
• Immunology of Allergy
• Allergen Characteristics and Standardization
• Allergen Classes
• Cross-Reactivity Selection
• The Great Allergy Panel Bake Off: What/How Many Antigens Do You Test For
• Skin Testing I: Testing Board, Controls, Indications and Contraindications
• Skin Testing 2: Skin Prick Testing and Modified Quantitative Testing
• Specific IgE Testing
• Avoidance and Environmental Control
• Pharmacotherapy for Allergic Rhinitis Part II: Treatment and Guidelines
• Immunology and Principles of Immunotherapy
• SCIT Vial Prep and Protocol
• SLIT Vial Prep: Escalation, Maintenance, Withdrawal
• Use of Biologics in Respiratory Disease
• Case Study AAOA Affinity Program Boosts Bottom Line

Please find agenda* for the live portion of the meeting in the Thursday-Saturday tabs!

* Subject to change, times in MDT

* Subject to change, times in MDT

4:15 PM – 5:00 PM: Welcome Reception with Exhibitors: Open House

5:00 PM – 5:05 PM: Welcome to Vail
Faculty: Jennifer Villwock, MD, FAAOA & Jack Krouse, MD, PhD, MBA, FAAOA

5:05 PM – 5:15 PM: Rapid-Fire Didactic
Faculty: Nausheen Jamal, MD, MBA
Join us to establish framework around the 5 Buckets of Hoarseness, Commonly Missed Diagnoses, and 3-Step Office Algorithm, Commonly missed diagnoses, and a 3-step office algorithm.

5:15 PM – 5:35 PM: Interactive Game Show: “What Did You Miss?”
Faculty: Nausheen Jamal, MD, MBA
Join this case-based polling session to explore “Looks Normal…But Isn’t,” It’s Not Reflux,” “subtle Neuro…Or Maybe Not?” “Medication Matters,” “Red Flags You Ignored”.

5:35 PM – 5:50 PM: Deep Dive: High-Yield “Missed” Diagnoses
Faculty: Barbara Ebersole, MA, CCC-SLP
Focusing on 4-5 entities with practical takeaways: to include Muscle Tension Dysphonia, Subtle Vocal Fold Paresis, Vocal Fold Scar/Sulcus, Medication-Related Dysphonia, Early Malignancy.

5:50 PM – 6:00 PM: “In Your Clinic Tomorrow” Segment
Faculty: Nausheen Jamal, MD, MBA
5 questions to ask, 5 things to look for on scope, 5 common pitfalls.

6:00 PM – 6:10 PM: Rapid Case Blitz
Faculty: Nausheen Jamal, MD, MBA
3-4 short cases, quick polling — Diagnosis? Treat vs Refer vs Image? Session Goal: Reinforcing pattern recognition.

6:10 PM – 6:15 PM: Take-Home Points
Faculty: Nausheen Jamal, MD, MBA
Most ‘missed” diagnoses are missed due to pattern recognition failure, not lack knowledge; “normal scope” does not equal a normal voice; early use of speech therapy is often underutilized; subtle asymmetry matters; when in doubt, follow closely or escalate.

6:15 PM – 6:30 PM: Jump Starting Your Laryngologic Practice Panel
Faculty: Robert Stachler, MD, FAAOA, Moderator, Barbara Ebersole, MA, CCC-SLP, Nausheen Jamal, MD, MBA, Robert Puchalski, MD, FAAOA

6:15 AM – 6:30 AM: Coffee with Exhibitors: Open House

6:35 AM – 6:40 AM: Introduction to Rhinology Section
Faculty: John Krouse, MD, PhD, MBA, FAAOA

6:40 AM – 6:55 AM: Phenotyping & Categorization of CRS
Faculty: Adam Folbe, MD

6:55 AM – 7:10 AM: Other Eosinophilic Conditions of the Upper Respiratory System
Faculty: John Krouse, MD, PhD, MBA, FAAOA

7:10 AM – 7:25 AM: Medical Management of CRS – From Irrigations to Platelet-Rich Plasma
Faculty: Dana Crosby, MD

7:25 AM – 7:45 AM: In-Office Procedures for CRS and Nasal Function (Panel)
Faculty: Adam Folbe, MD

7:45 AM – 8:00 AM: Jump Starting Your Rhinologic Practice
Faculty: Bryan Leatherman, MD, FAAOA, Moderator, Dana Crosby, MD, Adam Folbe, MD, Jack Krouse, MD, PhD, MBA, FAAOA

8:00 AM – 8:15 AM: Demo Labs

8:20 AM – 8:35 AM: Surgical Anatomy for Revision Sinus Surgery
Faculty: Adam Folbe, MD

8:35 AM – 8:50 AM: The Rhinologist’s Approach to the Orbit
Faculty: Dana Crosby, MD

8:50 AM – 9:10 AM: Extended Surgical Approaches to the Sinuses (Panel)
Moderator: Dana Crosby, MD
Faculty: Adam Folbe, MD, Bryan Leatherman, MD, FAAOA

9:10 AM – 9:20 AM: Management of Complications in Sinus Surgery
Faculty: Adam Folbe, MD

9:20 AM – 9:30 AM: Staging Systems for Inverted Papilloma
Faculty: John Krouse, MD, PhD, MBA, FAAOA

9:30 AM – 9:40 AM: Surgical Treatment for Inverted Papilloma
Faculty: Dana Crosby, MD

10:05 AM – 10:35 AM: Demo Labs

10:35 AM – 10:50 AM: Physiology of Taste & Smell
Faculty: Jennifer Villwock, MD, FAAOA

10:50 AM – 11:05 AM: Assessment of Smell Disorders
Faculty: Dana Crosby, MD

11:05 AM – 11:20 AM: Treatment of Smell Disorders
Faculty: Jennifer Villwock, MD, FAAOA

11:20 AM – 3:00 PM: MIDDAY BREAK

3:00 PM – 3:30 PM: Après-Ski: Demo Labs

3:30 PM – 3:35 PM: Welcome Back

3:35 PM – 4:00 PM: Smell and Taste Practicum – Wine Tasting 101
Faculty: John Krouse, MD, PhD, MBA, FAAOA

4:00 PM – 4:15 PM: On the Horizon for Olfactory Dysfunction
Faculty: Meha Fox, MD, FAAOA

4:15 PM – 4:25 PM: Quality Care — What Defines It
Faculty: Robert Puchalski, MD, FAAOA
This session will discuss “best” patient-reported outcomes measures, opportunities to standardize how MBS and other evaluations are reported within your group. How can we proactively define what is “quality care” rather than having quality metrics handed to us.

Tools of the Trade: Stepping Up Your Evaluation of Voice & Swallow Symptoms

4:25 PM – 4:35 PM: Rapid Fire Didactic — Flexible vs. Rigid Scope; Steady Light vs. Stroboscopy; Fees vs. MBS
Faculty: Barbara Ebersole, CCC-SLP

• Flexible v rigid scope – Magnification, task specificity
• Steady light v stroboscopy – Select based on AVQ and suspected differential; Only steady light? When to refer for strobe
• FEES v MBS – Compare/contrast each – A&P visualization, Aspiration penetration aCCC-SLPuracy, Residue reporting
• Practical pros/cons each – ACCC-SLPessibility, View (superior v lateral, white out, swallow stages, A&P)
• FEES as swallow screener, if positive, consider MBS

4:35 PM – 4:50 PM: Examination: Key Elements for Comprehensive Assessment
Faculty: Barbara Ebersole, CCC-SLP
Patient intake: Symptom reporting & medical history
Voice assessment (what it tells us about pathology?) – Observe upper body and neck during voicing–Tension, strain, hyperactivation?
Observe respiration during speech–Frequent? Infrequent? Stridor?
Audio perceptual quality–Quality, loudness, pitch
Endoscopic exam: Essential elements of A&P and why they matter (follow along w/a video example)
– Physiology: Velopharyngeal port, BOT, constrictors, laryngeal elevation, epiglottic retroflexion (and peak-swallow white-out)
– Pooled secretions (location)
– TVF during respiration, TVF mobility–The 3 Ps: paresis, paralysis, pvfm/ILO
– Abnormal anatomy (lumps/bumps, edema…)
– Hyperfunction during phonation–Supraglottic +/or glottic
Stroboscopic features (if available)–Phase symmetry, periodicity, closure pattern; Great clinical resource (Peak Woo book)
– Offloading tasks/stimulability–What are they, rationale, interpretation
– Bolus trials –Supplies, Simple assessment protocol;Abnormal findings worth noting; CPT code

4:50 PM – 5:00 PM: Fast Breakout: Laryngeal Palpitation; Rescue Breathing for Laryngospasm
Faculty: Barbara Ebersole, CCC-SLP
Laryngeal palpation – assessing for muscle tension
– Partner up, guided laryngeal palpation
– What to feel for, what does it mean?
Rescue breathing for laryngospasm
– How to teach simple OTB to resolve laryngospasm

5:00 PM – 5:30 PM: Demo Labs

5:30 PM – 5:40 PM: Partnering with SLP
Faculty: Barbara Ebersole, MA, CCC-SLP

5:40 PM – 5:45 PM: Down & Dirty Quiz: Describing Voice Therapy to Your Patient in <1 Minute
Barbara Ebersole, CCC-SLP
Vocal fold paresis/paralysis
Primary MTD
Secondary MTD
Polyp/nodules
Laryngospasm

5:45 PM – 5:55 PM: Time to Play: Voice TX or No Voice TX?
Barbara Ebersole, CCC-SLP
Present 4 short cases and poll audience after each: whether they would recommend voice therapy or not – cases will represent some of the key points highlighted in assessment. Audience engagement – ask some folks why they chose their answer.

5:55 PM – 6:00 PM: Pulling It All Together
– Choose scope and lighting to match the clinical question.
– A thorough clinical exam yields clues about etiology and drives decisions about ideal equipment (scopes, lighting) and exam tasks.
– Endoscopic exam should systematically assess physiology to guide diagnosis and referrals, especially voice therapy.
– FEES is an efficient screen for aspiration/residue; if positive or unclear, follow with MBS for dynamic assessment.
– Early SLP partnership improves outcomes: use offloading/stimulability trials, refer behavioral-responsive conditions, and develop local/tertiary referral networks.

6:00 PM – 6:15 PM: Sensitivity Sudoku: Infectious Disease
Faculty: Meha Fox, MD, FAAOA
Ever feel like the results of cultures and sensitivities for recalcitrant or complex patients are hard to interpret? Or the antibiotic sensitivities displayed seem incomplete and you have to infer what the right antibiotic is from the missing data, sudoku style? You’re not alone. Joint this sesson to better understand how to interpret complex results and culture-directed antibiotic options for these patients.

6:15 PM – 6:30 PM: Topical Antibiotics — Accessible, But Are They Evidence-Based?
Join this session for a review of the literaturs and discussion around whether and how we should be counseling patients that these medications are off-label (recommend a dotphrase or templated language people can have as a “take home”)

6:30 PM – 6:50 PM: Optimizing Your Allergy Practice for Success
Faculty: Jennifer Villwock, MD, FAAOA, Moderator, Meha Fox, MD, FAAOA, Bryan Leatherman, MD, FAAOA
Conversation around getting paid and maximizing revenue

6:15 AM – 6:30: Coffee with Exhibitors: Open House

6:30 AM – 6:50 AM: How to Approach Conditions and Typical Symptoms in Real-World Practice
Behavioral management

Reflux, Cough & Allergy
Join us to learn the latest in determining major contributors to globus, differentiating reflux from allergy, initiating treatment for both conditions, and identifying those that have neurogenic cough.

6:50 AM – 7:00 AM: Globus: What Is It? How to Work It Up? Is Everyone Crazy?
Faculty: Robert Stachler, MD, FAAOA
How to treat; Reflux management; Postnasal drip management, and allergy management

7:00 AM – 7:10 AM: Laryngeal Allergy
Faculty: John Krouse, MD, PhD, MBA, FAAOA
How to identify and manage laryngeal allergy

7:10 AM – 7:25 AM: Chronic Cough and Allergy — Laryngeal Impact Panel
Moderator: Robert Stachler, MD, FAAOA
Faculty: Barbara Ebersole, MA, CCC-SLP, Nausheen Jamal, MD, MBA, John Krouse, MD, PhD, MBA, FAAOA
Panel will consider cough, from diagnosis to management, including algorithm, chest algorithm

7:25 AM – 7:35 AM: GLP1s and Cough
Faculty: Robert Stachler, MD, FAAOA
Join us to consider GLP1s as trigger for cough; What is all the rage? Is there a difference in one drug vs another for increase risk of cough or do they all do it?

7:35 AM – 7:45 AM: EOE, Advances in Management
Faculty: Robert Stachler, MD, FAAOA
Consider newer treatments: diagnosis in adults and kids; Management including steroids, proton pump inhibitors H2 blockers swallowed steroids, new biologic indications. Where do biopsies fit in and where in the esophagus

7:45 AM – 8:00 AM: How Might We Small Group Cases
Faculty: Robert Stachler, MD, FAAOA
4 cases; Reflux female patient with globus, osteoporosis: clears her throat all the time
-Failure to thrive adult with food impactions
-Cough: Neurogenic cough in a bipolar patient already on mental meds
-Allergy patient with a cough, reflux is not an issue or a complaint. Do you believe
the patient when they say they don’t have reflux?

8:00 AM – 8:30 AM: Demo Labs

8:30 AM – 9:00 AM: Hands-On Practicum
Faculty: Robert Stachler, MD, FAAOA, Nausheen Jamal, MD, MBA, Barbara Ebersole, MA, CCC-SLP
10 min rotations through Laryngeal palpation for MTD; SLN injection for cough and hyolaryngeal syndrome, Mendelsohn maneuvers, shaker exercises, head turn and strategies to improve swallowing

9:00 AM – 9:30 AM: Weaving in GLP1s

9:30 AM – 10:10 AM: Women and Chronic Cough

10:10 AM – 10:40 AM: Demo Labs

10:40 AM – 11:00 AM: Financial Implications: Off-Label from the Patient & Practice Perspective
Faculty: Robert Puchalski, MD, FAAOA
Join this session for discussion around up-and-coming off-label issues from both the patient and practice perspective. We will focus on antibiotics, POP, Things from the Laryngology space, and how to get help for patient hardships