Harvard Medical School

Department of Continuing Education

Pe r i o pe r a t iv e T r a nse s o p h ag e al Echocardiography and Echo Boards Review

(Basic & Advanced)

Saturday - Tuesday September 29 - October 2, 2012

- Mitral Valve Symposium - Three-Dimensional Echocardiography Symposium - Ultrasound for Regional & Vascular Access - Live Porcine Dissection - Comprehensive Basic & Advanced Echo Boards Review

The Fairmont Copley Plaza Hotel Boston, MA

Course Director: Feroze Mahmood, MD
Co-Directors: Peter Panzica, MD Adam Lerner, MD Douglas Shook, MD
President and Fellows of Harvard College

Beth Israel Deaconess Medical Center

Department of Anesthesia, Critical Care and Pain Medicine

PERIOPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY AND ECHO BOARDS REVIEW

C O URSE DE SC RI PTIO N:
This course is designed to benefit practicing clinicians who want a comprehensive review of the basic echocardiographic anatomy of the heart and intermediate level practitioners who want to have an update on the latest echocardiographic techniques. Teaching methods includes didactic lectures, panel discussions, question and answers, problems solving, demonstrations, games handson skills stations, case review and feedback using an audience response system. This activity is designed to address the lack of knowledge and competence for those who have received no advance training in this area; and lack of performance for those who have the basic skills but have not had the opportunity for the hands-on training, which will expand their capabilities of probe manipulations during high risk surgeries. Clinicians planning on taking the Echo Boards exam for Special Competence in Perioperative TEE as well as clinicians planning on taking the Basic TEE Exam can enroll in the Echo Boards Review session, which will include a review of echo questions as well as video clips, followed by a simulated echo boards exam. The NBE, its officers and directors have no involvement with the Echo Boards Review portion of this course or the simulated exam.

TARGE T A UDIE NC E :
Participants attending the Perioperative Transesophageal Echocardiography (PTEE) course are physician based, with a specialty in anesthesiology and cardiology. Participants come from within the continental US and as far away as Canada, New Zealand, Saudi Arabia, Turkey and the United Kingdom.

L EA R NI NG OB J EC T I VE S :
Upon completion of this course, participants will be able to: - Evaluate the basics of comprehensive intraoperative echo examination, valvular assessment and repair/replacement, and advanced diastolic function and Doppler techniques - Perform a comprehensive perioperative TEE examination - Operate and troubleshoot TEE equipment

- Utilize TEE as a monitoring modality during high-risk non-cardiac surgery - Apply the latest techniques of diastolic function assessment, strain rate imaging and three dimensional echocardiography to assess complex structural relationships

C OURSE LO CA TIO N:
All sessions for this course will be held at The Fairmont Copley Plaza Hotel, 138 St. James Avenue, Boston, MA 02116 (Telephone: 617-267-5300 or 800-441-1414) Fax: 617-375-9648

A CC O M M ODA TI ON S/ TRA VE L:
A limited number of rooms have been reserved at Fairmont Copley Plaza (Telephonen: 617-2675300 or 800-441-1414) until September 10, 2012. Please specify that you are enrolled in this course to receive a reduced room rate of $299 Single/Double (Moderate and Fairmont Rooms). Hotel arrangements can also be made online at: https://resweb.passkey.com/go/perioperative 2012. Please do not purchase non-refundable airline ticket(s) until you have received an email from our office confirming your paid registration. For airline reservations contact the HMS Travel Desk toll free 1-877-4-HARVMD (1-877-442-7863) Monday - Friday 9 AM - 8 PM (EST). From outside the U.S., Canada and Virgin Islands, please call 617-559-3764.

HARVARD MEDICAL SCHOOL COURSE DIRECTORS

Course Director: Feroze Mahmood, MD, Beth Israel Deaconess Medical Center Co-Directors: Adam Lerner, MD, Beth Israel Deaconess Medical Center Peter Panzica, MD, Beth Israel Deaconess Medical Center Douglas Shook, MD, Brigham and Womens Hospital

GUEST FACULTY
Arthur Bert, MD Professor, Clinical Professor Surgery (Anesthesiology) Department of Bio Med Surgery Brown University, Providence, RI Albert Cheung, MD Professor of Anesthesia, Department of Anesthesia, University of Pennsylvania School of Medicine, Philadelphia, PA. Co-Director, Cardiothoracic Surgery and Anesthesia Clinical Research Group, University of Pennsylvania, Philadelphia, PA Gregg S. Hartman, MD Professor of Anesthesiology, Dartmouth Medical School, Lebanon, NH Director of Cardiac Anesthesia, Dartmouth Hitchcock Medical Center, Lebanon, NH Kay Leissner, MD VA Boston Medical Center West Roxbury, MA G. Burkhard Mackenson, MD, PhD Associate Professor of Anesthesiology, Duke Univeristy Medical School, Durham, NC Andrew Maslow, MD Clinical Associate Professor in Anesthesiology, Brown University, Providence, RI Staff Anesthesiologist, Department of Anesthesiology, Rhode Island Hospital, Providence, RI Alina Nicoara, MD Assistant Professor Anesthesiology, Duke University Medical School, Durham, NC Athena Poppas, MD Assistant Professor of Medicine, Brown Medical School Director, Echocardiography Laboratory, Rhode Island Hospital, Providence, RI

HARVARD MEDICAL SCHOOL COURSE FACULTY

BETH ISRAEL DEACONESS MEDICA L CENTER BRIGHAM AND WOMENS HOSPITAL

Ruma Bose, MD Philip E. Hess, MD Jayant Jainandusing, MD Kamal Khabbaz, MD Robina Matyal, MD John Mitchell, MD John Pawlowski, MD, PhD Sajid Shahul, MD Omair Shakil, MD Marc Shnider, MD Brett Simon, MD, PhD Balachundhar Subramaniam, MD Sugantha Sundar, MD Senthilnathan Venkatachalam, MD

Lauren Cornella, MD Amanda Fox, MD John Fox, MD Jennifer McSweeney, MD J. Daniel Muehlschlegel, MD Charles Nyman, MD Prem Shekar, MD Andrea Worthington, BA Kerry Wilusz, BA
CHILDRENS HOSPITAL BOSTON

James DiNardo, MD
MASSACHUSETTS GENERAL HOSPITAL

Michael Fitzsimons, MD Scott Strekenbach, MD

Training in Perioperative Transesophageal Echocardiography

o Als d ere Off

A five day observership in the OR (basic or advanced level)

q q q q q q

Echo simulation center with state-of-the-art TEE/TTE simulators Probe manipulation/image optimization Problem-based learning and Echo Boards Review Sessions 3-D echocardiography training Offered once a month with a maximum of two participants per week Real-time decision making in the operating room

Course Director: Feroze Mahmood, MD

VISIT OUR WEBSITE: www.cme.hms.harvard.edu/courses/perioperative Contact Ronald Mayes at (617) 667-5039 or rmayes@bidmc.harvard.edu for more information. Reference course number 03324122

Echo Preceptorship

www .cme .hms. har v ard. edu/ cou rses/t ee

S ATU RDAY, SE PT EMB ER 29, 20 12

BASIC REVIEW 6:00-7:15am 7:15-7:30 7:30-8:00 8:00-8:30 8:30-9:00 9:00-9:30 9:30-9:45 9:45-10:00 10:00-10:30 10:30-11:00 11:00-11:30 11:30-11:45 11:45-12:15pm 12:15-12:45 12:45-1:00 1:00-2:00 Registration & Continental Breakfast Welcome & Introductory Remarks TEE Imaging Planes and Orientation Comprehensive Intraoperative TEE Exam Imaging Optimization and Knobology Artifacts and Pitfalls Questions and Answers | Feroze Mahmood, MD | Gregg Hartman, MD | John Pawlowski, MD, PhD | Gregg Hartman, MD | Gregg Hartman, MD

Moderator | Feroze Mahmood, MD

Break
LV Systolic Function Assessment Right Ventricular Function Assessment Assessment of Mitral Valve Anatomy | Michael Fitzsimons, MD | Kay Leissner, MD | Lauren Cornella, MD

Break
Aortic Valve Assessment Tricuspid and Pulmonary Valves Questions and Answers | Amanda Fox, MD | Arthur Bert, MD Moderator | Peter Panzica, MD

Lunch (on your own) Speaker | Douglas Shook, MD

LIVE PORCINE DISSECTION

2:00-4:00

Faculty: 4:00-4:15

PORCINE DISSECTION - One Heart per Person - Detailed Overview of the Anatomy - Valvular Anatomy and Echocardiographic Correlation John Fox, MD, Lauren Cornella, MD, Charles Nyman, MD Andrea Worthington, BA, Kerry Wilusz, BA

Break

PHYSICS WORKSHOP
Handouts/Questions/Answers (Interactive) 4:15-6:15pm Description: 1. 2. 3. 4. 5.

Moderator | Feroze Mahmood, MD | Gregg Hartman, MD

A Detailed Review of the Ultrasound Physics Principles of Ultrasound Beam Formation and Propagation Image Formation and Artifacts Interactive with Board Review Questions and Answers Handouts and Discussions

HANDSON REGIONAL ANESTHESIA AND VASCULAR ACCESS WORKSHOP Moderators | Marc Shnider, MD
6:15-8:00pm Description: | Philip Hess, MD 1. Phantom Models for Vascular Access and Nerve Blocks 2. Live Models for Anatomical Display 3. Hands-On Experience with Multiple Stations Pre-registration and Ultrasound Systems is Required 4. Equipment Overview and Image Optimization Balachundhar Subramaniam, MD, Robina Matyal, MD, Ruma Bose, MD, Sugantha Sundar, MD, Sajid Shahul, MD

Faculty:

S UNDAY , SEP T EMBE R 30, 20 12

FOCUSED SYMPOSIA 6:00-7:00am

BREAKFAST Moderator | | | | | Moderator | Feroze Mahmood, MD Adam Lerner, MD Athena Poppas, MD Amanda Fox, MD John Mitchell, MD Feroze Mahmood, MD

AORTIC VALVE SYMPOSIUM

7:00-7:30 7:30-8:00 8:00-8:30 8:30-9:00 9:00-9:15 9:15-9:30 Low Gradient Aortic Stenosis Aortic Regurgitation Aortic Valve Repair - Role of TEE Aortic Valve Case Presentation Questions and Answers

Break
MISCELLANEOUS PRESENTATIONS

9:30-10:00 10:00-10:30 10:30-11:00 11:00-11:30 11:30-11:45 11:45-1:00

Prosthetic Valve Assessment TEE and Congenital Heart Disease Pericardial Disease Assessment of Diastolic Function Questions and Answers Lunch (on your own)

| Scott Strekenbach, MD | James DiNardo, MD | Peter Panzica, MD | Feroze Mahmood, MD

Moderator | Adam Lerner, MD

MITRAL VALVE SYMPOSIUM

1:00-1:30 1:30-2:00 2:00-2:30 2:30-2:45 2:45-3:15 3:15-3:45 3:45-4:45

Moderator | Douglas Shook, MD

A series of presentations by Anesthesiologists and Cardiologists, Followed by challenging case presentations and lively discussion with Surgeons

Echocardiographic Anatomy of Mitral Valve Surgeons Expectations from TEE for Planning Mitral Valve Repair Echocardiographic Assessment of Suitability for Repair Break Echocardiographic Assessment of Repaired Mitral Valve Ischemic Mitral Regurgitation Mitral Valve Case Presentations

| J. Daniel Muehlschlegel, MD | Kamal Khabbaz, MD | Feroze Mahmood, MD

| Andrew Maslow, MD | Albert Cheung, MD

Jennifer McSweeney, MD Bala Subramaniam, MD Kamal Khabbaz, MD Prem Shekhar, MD

Surgical Panel

4:45-5:00

Break

ECHO BOARDS REVIEW - SESSION I Hemodynamics SEPTEMBER 30TH 5:00-8:00 PM

Moderators: Feroze Mahmood, MD, Peter Panzica, MD, Adam Lerner, MD, John Mitchell, MD, Omair Shakil, MD, Jayant Jainandusing, MD 1. 2. 3. 4. Overview of Basic Hemodynamic Principles Calculations and Formulae Interactive, Questions, Answers and Discussions Calculations and Handouts will be provided for the Workshop

MONDAY , OCTO BER 1, 201 2

BASIC - ADVANCED SYMPOSIA 6:30-7:00am

BREAKFAST

INTRAOPERATIVE ECHOCARDIOGRAPHIC CHALLENGES Moderator | Peter Panzica, MD

7:00-7:30 7:30-8:00 8:00-8:30 8:30-9:00 9:00-9:30 9:30-9:45 9:45-10:15 10:15-10:45 10:45-11:15 11:15-11:45 11:45-12:15 12:15-1:30 Unanticipated Aortic Stenosis | Unanticipated Mitral Regurgitation | Unanticipated Tricuspid Regurgitation | High Prosthetic Valvular Gradients | Challenging Case Presentation | Break AORTA AND INTRA-CARDIAC MASSES Echocardiographic Assessment of Aortic Dissection | TEE and Endovascular Stenting Procedures | Intra-Cardiac Masses | Epicardial Echocardiography | Moderator | Questions and Answers Lunch (on your own)

Feroze Mahmood, MD Albert Cheung, MD Alina Nicoara, MD Andrew Maslow, MD Peter Panzica, MD

Albert Cheung, MD Alina Nicoara, MD Peter Panzica, MD John Fox, MD John Pawlowski, MD, PhD

1:30-2:30pm

ECHO JEOPARDY 1. 2. 3. 4. Game Style Format Echo Related Questions Audience Participation Prizes

Moderators | Andrew Maslow, MD | Peter Panzica, MD

HANDS-ON THREE-DIMENSIONAL ECHOCARDIOGRAPHY SYMPOSIUM AND WORKSHOP

DIDACTIC COMPONENT 2:30-3:30 Current Status of 3-D Echocardiography and Principles of Image Acquisition | Feroze Mahmood, MD | G. Burkhard Mackenson, MD, PhD

HANDS-ON WORKSHOP 3:30-4:45 1. Multiple Stations with Models and Ultrasound Systems and Instructors 2. Audience will be able to perform Knobology, Image Optimization and Analysis 3. Mitral and Aortic Valve Geometric Analysis 4. LV and RV Reconstruction

Moderators: Douglas Shook, MD, Feroze Mahmood, MD, Andrew Maslow, MD, Jayant Jainandusing, MD 4:45-5:00

Break

ECHO BOARDS REVIEW - SESSION II HEMODYNAMICS OCTOBER 1ST 5:00-8:00 PM

Faculty: Feroze Mahmood, MD Peter Panzica, MD Robina Matyal, MD Adam Lerner, MD Omair Shakil, MD

OBJECTIVES: 1. 2. 3. 4. 5. Mock Exam Audience Response System Interactive Discussions Video and Text-Based Questions Questions Will Cover Basic Concepts of Echocardiography (Physics, Hemodynamics, Normal and Abnormal Anatomy)

T UES DAY , OCT OBER 2 , 2 012

6:30-7:00am 7:00-9:30

BREAKFAST
Complex Case Presentations and Discussion

Moderator | Andrew Maslow, MD

Participants: Andrew Maslow, MD, John Fox, MD, Adam Lerner, MD, Kay Leissner, MD, Scott Strekenbach, MD, SenthilnathanVenkatachalaam, MD, Kamal Khabbaz, MD Prem Shekhar, MD
9:30-10:00

Break

ECHO BOARDS REVIEW - SESSION III Mock Exam OCTOBER 2ND 10:00-4:00 PM
Facutly: Feroze Mahmood, MD Peter Panzica, MD Adam Lerner, MD Robina Matyal, MD FORMAT: 1. 2. 3. 4. Detailed Overview of the Exam Content and Format of the Examination Exam Taking Strategies Recomended Texts and Resources Explanation of the Audience Response System

MOCK EXAM: (Lunch will be provided during the session at 11 am) 10:0012:45pm 1. Video-Based Exam - 60 Minutes 2. Written Exam - 60 Minutes 3. Interactive Explanations - 60 Minutes 12:45-1:00

Break

INTERACTIVE EXAM REVIEW: 1:004:00pm 1. Audience Response System 2. Questions and Explanations 3. Interactive Discussions 4:00pm Concluding Remarks and Adjourn | Feroze Mahmood, MD

Program changes/substitutions may be made without notice.

Perioperative Transesophageal Echocardiography and Echo Boards Review September 29 - October 2, 2012
ACCREDITATION: The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Harvard Medical School designates this live activity for a maximum of 41.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Course Only: A maximum of 28 AMA PRA Category 1 Credits Optional Hands-On Regional Anesthesia and Vascular Access Workshop: A maximum of 1.75 AMA PRA Category 1 Credits Optional Echo Boards Review: A maximum of 11.75 AMA PRA Category 1 Credits ACGME COMPETENCIES: This course is designed to meet one or more of the following Accreditation Council of Graduate Medical Education competencies: Patient care Medical knowledge Practiced-based learning and improvement Interpersonal and communication skills Systems-based practice REGISTRATION INFORMATION: Registration by credit card (VISA or MasterCard) can be made at: www.cme.hms. harvard.edu/courses/tee Registration by check (draft on a United States bank), please make payable to Harvard Medical School and mail with registration form to Harvard Medical School - Department of Continuing Education, P.O. Box 417476, Boston, MA 02241-7476. Telephone or fax registration is not accepted. Registration with cash payment is not permitted. Upon receipt of your paid registration an email confirmation from the HMS-DCE office will be sent to you. Be sure to include an email address that you check frequently. Your email address is used for critical information including: registration confirmation, evaluation and certificate. INQUIRIES: By phone 617-384-8600, Monday-Friday, 10 AM to 4 PM (EST) or by email at: hmscme@hms.harvard.edu. ONLINE INFORMATION: To register or view activity information online, visit: www.cme.hms.harvard.edu/courses/tee. To ensure proper registration, please add the first three characters of the source code found at the bottom of this registration form. DISCLOSURE POLICY: Harvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards, and Policies. It is HMS's policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations. REFUND POLICY: A handling fee of $60 is deducted for cancellation. Refund requests must be received by postal mail, email or fax one week prior to the course. No refunds will be made thereafter.

Perioperative Transesophageal Echocardiography and Echo Boards Review Class #321288

September 29-October 2, 2012

Choose Your Fee: Physicians Residents/Fellows in Training Allied Health Professionals

Course Only $1230 (USD) $830 (USD) $830 (USD)

Course & Echo Boards Review $1490 (USD) $865 (USD) $865 (USD)

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