here too? Okay. What's that? Photos, yes, yes. So again, thanks to the leaders of Santa Fe and Regeneron. Chris and Tony and the whole leadership crew, thank you for investing in the time to bring your entire team here to the IT&T Center to learn about gastroenterology. Tomorrow we're going to take a deeper dive into EOE and have a lot of fun doing that as well. So here's some examples of some of the fun we had in the Bioskills Lab. One of the things I, I look really intense there, oh man, I didn't realize I had my game face on, but anyway, the, one of the things that hopefully we emphasize when we're doing that work is that really is a team, all right? In the endoscopy lab we have techs, we have nurses, we have the endoscopist, all working collaboratively to coordinate the care of the patient, and endoscopy is a very critical component of the management of patients with EOE. And here we have all the future endoscopists that were learning those skills. So here's some of the takeaway points that were posted on the board today, and we'll do this again tomorrow, so this is to reinforce doing this again tomorrow. 10% of your day is spent refluxing. Who knew that we spent all that time refluxing contents from the esophage, from the stomach into the esophagus. It's normal for, it's normal to reflux back into lower esophagus in about 10% of time, that's just reiterating that. New GI diseases that I learned about was esophageal diverticulum, Zanker's type, and then type 2, 3, and 4 hiatal hernia. Celiac disease versus gluten sensitivity, a big mischaracterization. So again, celiac disease is a little bit different than just being sensitive from a digestive tract and symptom standpoint from, to gluten and wheat based products. The panel discussion with real-world examples of accessing providers and how both sales and medical affairs can partner and be of best value, and then Schatzky's ring and another anatomic condition that maybe reflect esophageal, or EOE, and then the panel discussion again about the real-world examples of the business of academic GI with details of more response versus the community. And some more takeaway points, the review, reviewing tools of GI and GI endoscopy and understanding the general versus the interventional tools, learning that standard EGDs provide a reliable view of the first and second part of the small intestine. During the day in the life, better understanding of preferences on connecting with industry, unmet needs, and common coverage needs. For IBD, clinical and endoscopic and histologic goals of care in terms of endpoints are really becoming important for treatment. And then response of therapy and IBD patients has evolved to targeting endoscopic remission, not just clinical remission as was just mentioned, moving towards histologic remission as the gold standard. Another learning point was be valuable, provide resources when you're interacting with the field. I love the comment for physicians that their favorite thing is empowering patients so things are not mysterious, demystifying it. Okay, another takeaway was GI system relies on the nervous system, our first brain. You know, there's obviously a very intricate nervous system that controls not just the motility but a lot of the neural hormonal effects that our digestive system relies on to function normally. The burden of clinic time, mid-levels become the replacement of physicians in the clinic. Barrett's esophagus, a normal lining is replaced with lining that resembles the small intestine, and Dr. Lightdale reiterated this importance of remembering the small intestine part of that. More frequent meetings of shorter duration are better than less frequent longer meetings. Okay, thank you to all of you that submitted those comments and our first place winners from day one for the comments part is... the curtain is coming away. Okay, Mara Carlisle who gave the response of therapy and IBD and Kelly for the Barrett's normal lining. Come on forward. Okay, third place is Ashley Pincham, the burden of clinic time, mid-levels become the virtual practice. Please come on down. And if you come up with an answer on that, everybody would be very intrigued by that. All right. Thanks, thank you. You're welcome. All right, and fourth, Katie Titon. Love the comment about physicians that their favorite thing is empowering patients and not mystery. Come on forward. All right. Now the Knowledge Challenge winners. We have two winners. The top two winners are going to be receiving prizes, and we're going to do this again tomorrow for the EOE content. And the day one ARIA Knowledge Challenge winners are, second place goes to Bruce Rowan with 11,891 points. Bruce, come on down. Bruce. And the grand champion for day one, drum roll please, is Devram Aron, all right. Thank you very much. Congratulations. Thank you. Excellent. Thank you. Okay, I hope you've had a lot of fun today. Now we get to have some more fun. We're going to have a reception out here with the faculty from 435 tomorrow. We'll start breakfast again at 7.15 and our course will start 8 o'clock. And as I mentioned, we'll really be a lot more focused on EOE tomorrow. So again, thanks and we'll see you out at the reception.

gastroenterology training

endoscopy in EOE management

reflux prevalence

GI diseases

patient empowerment