Evidence-Based Diagnosis: Advanced Workshop on
Evaluating and Using Medical Tests for
Clinicians, Educators, Editors, and Policy Makers

Advance registration is now closed. Onsite registration will be accepted at this conference. If you are planning to register onsite or have any questions, please contact the course manager Gaelen Lombard at LombardG@ocme.ucsf.edu or by phone 415-476-4253.

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Overview Objectives
Accreditation Course Outline
Chairs Faculty
Travel & Lodging Cancellation Policy

Department: Epidemiology and Biostatistics
Course Number: MEP13004
Start: Thursday, June 20, 2013
End: Friday, June 21, 2013
Location: San Francisco, California
UCSF China Basin Landing

MD/AHP - $600
(Price includes required course book "Evidence-Based Diagnosis" by Tom Newman and Michael Kohn, to be picked up at check-in on the first day of class)

MD/AHP - $550
(Price does not include required course book. We recommend you purchase this book online in advance as it can help you prepare for the course)

Industry - $750
(Price includes required course book)

Industry - $700
(Price does not includes required course book)

Optional Baseball Game and Reception (Club Level)
Giants vs. Marlins 6/20/13 7:15PM - $90 (limited quantity)

Pricing includes: Club Level Tickets to World Series Champions- SF Giants vs. Miami Marlins along with Course Faculty; Exclusive Club Level Entry; VIP Club Level Buffet Reception preceding game featuring ballpark favorites and Microbrews; AT&T Park Club Level Seating- All for only $90

Each attendee is welcome to purchase one additional guest ticket at this amazing price. Purchase early as this event will sell out.



Medicine today relies increasingly on diagnostic, prognostic, and screening tests. We spend vast resources on testing, and new tests are being developed and marketed all the time. Medical professionals, educators, policy makers, journal editors, and researchers need to know how to:

  • critically appraise a journal article about a new test;
  • determine if the new test is superior to an existing test;
  • determine if the new test adds anything to the history,
    physical exam, and other tests;
  • use the new test in clinical practice and interpret its results.

This hands-on workshop uses real examples from the medical literature and clinical practice to help practitioners, teachers, policy makers, and researchers learn how to evaluate and use medical tests. These skills are hard to learn just by reading articles and books or by listening to lectures. The course faculty has found that the best (and the most fun) way to learn this material is by working through problems in small groups. We are clinician-teachers, policy makers, editors, and researchers in several different specialties (Emergency Medicine, Pediatrics, Internal Medicine, Obstetrics and Gynecology, Radiology, Neurology, and Family Medicine). Like you, we struggle to keep up with the rapid advances in diagnostic technology and stay abreast of changes in testing strategies.

While most of the course will cover diagnostic and prognostic tests, the Friday afternoon session will focus on controversies in breast, cervical, prostate, colon and lung cancer screening.

The course venue is located in the UCSF Department of Epidemiology and Biostatistics at China Basin Landing, 1 block from the San Francisco CalTrain station and Muni lines N, T, 30, 45, and 47. It is also right across 3rd Street from AT&T Park, where the World Champion San Francisco Giants will be playing the Miami Marlins on the Thursday evening between the first and second days of the course. We have reserved a block of tickets on the Club Level and will have a faculty and attendee reception with food and beverages prior to the game. (Optional event for extra charge.)

This course is presented by the Division of Clinical Epidemiology of the Department of Epidemiology and Biostatistics, UCSF School of Medicine, through the Office of Continuing Medical Education. The textbook “Evidence-Based Diagnosis” by Drs. Newman and Kohn (Cambridge University Press, 2009) is an important component of the curriculum, and you may wish to purchase it in advance to familiarize yourself with the concepts. The course accepts no funding from for-profit corporations.

The course is aimed primarily at physicians, particularly those in teaching, policy making, editorial, or research positions who are involved in training other clinicians to interpret results, approving tests for clinical use, deciding how to report results, and studying test accuracy. However, it will be valuable for anyone who wishes to critically evaluate and apply clinical research about medical tests.

For a preview of the course material, take the online pre-test at http://ebd.studysites.net

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After this course participants will be able to improve:

  • Application of the principles of diagnostic test assessment, including the calculation and use of interval likelihood ratios and the relationship between these likelihood ratios and the ROC curve;
  • Utilization of published ROC curves;
  • Identification and correction of underappreciated flaws, biases, and limitations in studies of diagnostic tests;
  • Presentation of diagnostic test information to experienced clinicians;
  • Ability to account for special issues related to screening and genetic markers of prognosis and ability to integrate that understanding into selection and interpretation of tests.

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The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

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Course Outline:


8:30 am Continental Breakfast and Registration

9:00 Introduction to the Course and
Evidence-Based Diagnosis
Michael A. Kohn, MD, MPP

9:15 Inside the Diagnostician’s Mind
Gurpreet S. Dhaliwal, MD

10:00 Dichotomous Tests
Thomas B. Newman, MD, MPH

11:15 Break

• Influenza, Strep, and Pertussis Testing
• Abdominal CT for Appendicitis
• Head CT/LP for Suabarachnoid Hemorrhage

1:00 pm Lunch (Provided)

1:45 Bias in Studies of Diagnostic Tests
Thomas B. Newman, MD, MPH

2:45 Systematic Review of Diagnostic Tests
Christopher R. Carpenter, MD

3:45 Break

• Ultrasound for Intussusception, Ectopic Pregnancy, and DVT
• Echocardiogram for Acute Cardiac Ischemia
• Physical Findings for Appendicitis, Elbow Fracture, and Epidural Abscess

5:30 Adjourn for the day, but join the faculty at AT&T Park across the street for a
reception and ballgame (optional event with additional fee).

6:00 Reception - Club Level at AT&T Park

7:15 San Francisco Giants vs Miami Marlins

FRIDAY, JUNE 21, 2013

8:30 am Continental Breakfast

9:00 Welcome Back
Michael A. Kohn, MD, MPP

9:15 Multi-Level and Continuous Tests
Michael A. Kohn, MD, MPP

10:15 ROC Curves and Interval Likelihood Ratios
Thomas B. Newman, MD, MPH

11:15 Break

• WBC Counts
• BNP, D-Dimer, Serum Lactate
• Stroke Scores

1:00 Lunch (Provided)

1:45 Quantifying Treatment Effects
Michael A. Kohn, MD, MPP

2:30 Biases in Studies of Screening Programs
Thomas B. Newman, MD, MPH

3:15 Break

• CT for Lung Cancer
• Mammography
• Prostate-Specific Antigen
• Colonoscopy
• PAP Smear/HPV

5:00 Post-Test and Discussion with the Faculty

6:00 pm Adjourn

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Michael A. Kohn, MD, MPP
Associate Professor of
Epidemiology & Biostatistics;
University of California, San Francisco;
Attending Emergency Physician,
Mills-Peninsula Medical Center

Thomas B. Newman, MD, MPH
Chief, Division of Clinical Epidemiology;
Professor, Departments of Epidemiology
& Biostatistics and Pediatrics
Attending Physician, Department of
Pediatrics; University of California,
San Francisco

Christopher R. Carpenter, MD
Associate Professor of Emergency Medicine,
Director, Evidence-Based Medicine
Washington University School of Medicine, St. Louis
Evidence-Based Diagnostics Section Editor,
Academic Emergency Medicine

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Gurpreet S. Dhaliwal, MD
Associate Professor of Clinical Medicine,
University of California, San Francisco;
Site Director, Internal Medicine Clerkships,
San Francisco VA Medical Center

Joshua M. Galanter, MD
Assistant Professor of Bioengineering and
Therapeutic Sciences and of Medicine;
Attending Physician, Department of Medicine,
University of California, San Francisco
and San Francisco VA Medical Center

Norman Hearst, MD MPH
Professor of Family & Community Medicine,
and of Epidemiology & Biostatistics
University of California, San Francisco;
Attending Physician, UCSF Lakeshore Family Medicine Center

David M. Naeger, MD
Assistant Professor of Clinical Radiology,
Associate Program Director, Nuclear Medicine Residency,
University of California, San Francisco

Emily RothbaumPerito MD, MAS
Pediatric Transplant Hepatology Fellow
Pediatric Gastroenterology, Hepatology, and Nutrition
University of California, San Francisco

Michael G. Shlipak, MD, MPH
Chief, Division of General Internal Medicine,
San Francisco VA Medical Center;
Professor of Medicine and of Epidemiology & Biostatistics,
University of California, San Francisco;
Attending Physician, San Francisco VA Medical Center

Delphine S. Tuot, MD, MAS
Division of Nephrology and Center for Innovation in Access and Quality,
San Francisco General Hospital
Assistant Professor, Department of Medicine, UCSF
Attending Physician, San Francisco General Hospital

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Travel & Lodging:

China Basin
185 Berry Street
Lobby 3, Room 6702
San Francisco, CA 94107

Hotel Info
Marriott Marquis
55 4th Street
San Francisco, CA 94103
Room Rate: $269/night (limited availability)
Cut-off date: 5/29/13
To make your reservation call: 800-228-9290
Refer to the "UCSF Courtesy Room Block" to receive the discounted rate

Directions to the conference via public transportation: Take the 30 or 45 Muni bus down 4th street (the bus stop is located on 4th street between Market and Mission Streets) and get off at the last stop by the CalTrain station. China Basin Landing is located one block away on Berry Street (between 4th and 3rd Streets).

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Cancellation Policy:
Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date.

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