1. 1992 Presidential Election

2. “ Who am I; why am I here?” James Stockdale, retired Vice Admiral of the Navy Vice-presidential Running Mate

3. Post Graduate Thyroid and Parathyroid Ultrasound Course American College of Surgeons Robert A. Sofferman, MD,FACS Professor of Surgery and Chairman Emeritus Division of Otolaryngology University of Vermont School of Medicine

4. Representative Organizations Chairman Post Graduate Course, Thyroid and Parathyroid Ultrasound- American College of Surgeons American Academy of Otolaryngology-Head and Neck Surgery

5. Parotid Gland

9. Cine Loop

15. Neck Mass

17. Cine loop

23. Thyroid Cancer

25. Cine Loop

31. Parathyroid Glands

33. Cine Loop

35. Ultrasound Guided Biopsy

36. Movie clip

37. Cine loop

38. Cine Loop

39. Basic Structure of ACS Ultrasound Courses CD ROM- 3 hour on-line course pre-requisite Lectures- physics and principles –head and neck anatomy and sonographic correlates –interventional ultrasound-FNA, core bx, alcohol ablation –interpretation head and neck ultrasound conditions –obstacles to developing office-based ultrasound

40. Afternoon Hands-on Skill Session Patient volunteers Knobology Assessment of lymph nodes Examination of anatomical structures of the head and neck Vascular structures and Doppler techniques Fine needle aspiration on phantom models Written and practical examination

41. Issues and Concerns here to learn about AIUM and cross-fertilization determine best way to evaluate and confirm aptitudes of those who have taken our courses demonstrate that surgeons’ intricate knowledge of anatomy is a good foundation for office-based ultrasound